25 CFR 141.21 - Trade confined to premises.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 25 Indians 1 2010-04-01 2010-04-01 false Trade confined to premises. 141.21 Section 141.21 Indians... NAVAJO, HOPI AND ZUNI RESERVATIONS General Business Practices § 141.21 Trade confined to premises. The licensee shall confine all trade on the reservation to the premises specified in the license, except, where...

25 CFR 141.21 - Trade confined to premises.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 25 Indians 1 2014-04-01 2014-04-01 false Trade confined to premises. 141.21 Section 141.21 Indians... NAVAJO, HOPI AND ZUNI RESERVATIONS General Business Practices § 141.21 Trade confined to premises. The licensee shall confine all trade on the reservation to the premises specified in the license, except, where...

25 CFR 141.30 - Retaliation prohibited.

Code of Federal Regulations, 2010 CFR

2010-04-01

... BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR FINANCIAL ACTIVITIES BUSINESS PRACTICES ON THE NAVAJO, HOPI AND ZUNI RESERVATIONS General Business Practices § 141.30 Retaliation prohibited. No licensee may refuse service to any customer for the purpose of retaliating against that customer for...

Belinda Eriachoe: Respect Underlies an Environmental Career.

ERIC Educational Resources Information Center

Casken, John

1992-01-01

An interview with Belinda Eriachoe, a Navajo/Zuni environmental scientist, discusses the basic respect for the environment instilled during her childhood on the Navajo Reservation, educational experiences at Arizona State University and the University of Hawaii, and her concerns about environmental and occupational health issues affecting…

Eleventh-century shift in timber procurement areas for the great houses of Chaco Canyon

PubMed Central

Guiterman, Christopher H.; Dean, Jeffrey S.

2016-01-01

An enduring mystery from the great houses of Chaco Canyon is the origin of more than 240,000 construction timbers. We evaluate probable timber procurement areas for seven great houses by applying tree-ring width-based sourcing to a set of 170 timbers. To our knowledge, this is the first use of tree rings to assess timber origins in the southwestern United States. We found that the Chuska and Zuni Mountains (>75 km distant) were the most likely sources, accounting for 70% of timbers. Most notably, procurement areas changed through time. Before 1020 Common Era (CE) nearly all timbers originated from the Zunis (a previously unrecognized source), but by 1060 CE the Chuskas eclipsed the Zuni area in total wood imports. This shift occurred at the onset of Chaco florescence in the 11th century, a time with substantial expansion of existing great houses and the addition of seven new great houses in the Chaco Core area. It also coincides with the proliferation of Chuskan stone tools and pottery in the archaeological record of Chaco Canyon, further underscoring the link between land use and occupation in the Chuska area and the peak of great house construction. Our findings, based on the most temporally specific and replicated evidence of Chacoan resource procurement obtained to date, corroborate the long-standing but recently challenged interpretation that large numbers of timbers were harvested and transported from distant mountain ranges to build the great houses at Chaco Canyon. PMID:26644552

Eleventh-century shift in timber procurement areas for the great houses of Chaco Canyon.

PubMed

Guiterman, Christopher H; Swetnam, Thomas W; Dean, Jeffrey S

2016-02-02

An enduring mystery from the great houses of Chaco Canyon is the origin of more than 240,000 construction timbers. We evaluate probable timber procurement areas for seven great houses by applying tree-ring width-based sourcing to a set of 170 timbers. To our knowledge, this is the first use of tree rings to assess timber origins in the southwestern United States. We found that the Chuska and Zuni Mountains (>75 km distant) were the most likely sources, accounting for 70% of timbers. Most notably, procurement areas changed through time. Before 1020 Common Era (CE) nearly all timbers originated from the Zunis (a previously unrecognized source), but by 1060 CE the Chuskas eclipsed the Zuni area in total wood imports. This shift occurred at the onset of Chaco florescence in the 11th century, a time with substantial expansion of existing great houses and the addition of seven new great houses in the Chaco Core area. It also coincides with the proliferation of Chuskan stone tools and pottery in the archaeological record of Chaco Canyon, further underscoring the link between land use and occupation in the Chuska area and the peak of great house construction. Our findings, based on the most temporally specific and replicated evidence of Chacoan resource procurement obtained to date, corroborate the long-standing but recently challenged interpretation that large numbers of timbers were harvested and transported from distant mountain ranges to build the great houses at Chaco Canyon.

25 CFR 141.24 - Attendance at semi-annual meetings.

Code of Federal Regulations, 2010 CFR

2010-04-01

... Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR FINANCIAL ACTIVITIES BUSINESS PRACTICES ON THE NAVAJO, HOPI AND ZUNI RESERVATIONS General Business Practices § 141.24 Attendance at semi-annual... attend a semi-annual public meeting of a tribal governing body to respond to customer inquiries. ...

25 CFR 141.23 - Posted statement of ownership.

Code of Federal Regulations, 2010 CFR

2010-04-01

... legible to customers stating the form of the business entity, the names and addresses of all other... Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR FINANCIAL ACTIVITIES BUSINESS PRACTICES ON THE NAVAJO, HOPI AND ZUNI RESERVATIONS General Business Practices § 141.23 Posted statement of...

25 CFR 141.45 - Consumer credit applications.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 25 Indians 1 2011-04-01 2011-04-01 false Consumer credit applications. 141.45 Section 141.45 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR FINANCIAL ACTIVITIES BUSINESS PRACTICES ON THE NAVAJO, HOPI AND ZUNI RESERVATIONS Consumer Credit Transactions Other Than Pawn § 141.45 Consumer...

25 CFR 141.28 - Gambling prohibited.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 25 Indians 1 2011-04-01 2011-04-01 false Gambling prohibited. 141.28 Section 141.28 Indians BUREAU..., HOPI AND ZUNI RESERVATIONS General Business Practices § 141.28 Gambling prohibited. No licensee may permit any person to gamble by dice, cards, or in any way whatever, including the use of any mechanical...

25 CFR 141.26 - Trade in antiquities prohibited.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 25 Indians 1 2010-04-01 2010-04-01 false Trade in antiquities prohibited. 141.26 Section 141.26 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR FINANCIAL ACTIVITIES BUSINESS PRACTICES ON THE NAVAJO, HOPI AND ZUNI RESERVATIONS General Business Practices § 141.26 Trade in antiquities...

25 CFR 141.14 - Trade in livestock restricted.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 25 Indians 1 2011-04-01 2011-04-01 false Trade in livestock restricted. 141.14 Section 141.14 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR FINANCIAL ACTIVITIES BUSINESS PRACTICES ON THE NAVAJO, HOPI AND ZUNI RESERVATIONS Licensing Requirements and Procedures § 141.14 Trade in...

25 CFR 141.14 - Trade in livestock restricted.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 25 Indians 1 2012-04-01 2011-04-01 true Trade in livestock restricted. 141.14 Section 141.14 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR FINANCIAL ACTIVITIES BUSINESS PRACTICES ON THE NAVAJO, HOPI AND ZUNI RESERVATIONS Licensing Requirements and Procedures § 141.14 Trade in...

25 CFR 141.26 - Trade in antiquities prohibited.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 25 Indians 1 2014-04-01 2014-04-01 false Trade in antiquities prohibited. 141.26 Section 141.26 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR FINANCIAL ACTIVITIES BUSINESS PRACTICES ON THE NAVAJO, HOPI AND ZUNI RESERVATIONS General Business Practices § 141.26 Trade in antiquities...

25 CFR 141.26 - Trade in antiquities prohibited.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 25 Indians 1 2012-04-01 2011-04-01 true Trade in antiquities prohibited. 141.26 Section 141.26 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR FINANCIAL ACTIVITIES BUSINESS PRACTICES ON THE NAVAJO, HOPI AND ZUNI RESERVATIONS General Business Practices § 141.26 Trade in antiquities...

25 CFR 141.26 - Trade in antiquities prohibited.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 25 Indians 1 2011-04-01 2011-04-01 false Trade in antiquities prohibited. 141.26 Section 141.26 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR FINANCIAL ACTIVITIES BUSINESS PRACTICES ON THE NAVAJO, HOPI AND ZUNI RESERVATIONS General Business Practices § 141.26 Trade in antiquities...

25 CFR 141.14 - Trade in livestock restricted.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 25 Indians 1 2010-04-01 2010-04-01 false Trade in livestock restricted. 141.14 Section 141.14 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR FINANCIAL ACTIVITIES BUSINESS PRACTICES ON THE NAVAJO, HOPI AND ZUNI RESERVATIONS Licensing Requirements and Procedures § 141.14 Trade in...

25 CFR 141.14 - Trade in livestock restricted.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 25 Indians 1 2014-04-01 2014-04-01 false Trade in livestock restricted. 141.14 Section 141.14 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR FINANCIAL ACTIVITIES BUSINESS PRACTICES ON THE NAVAJO, HOPI AND ZUNI RESERVATIONS Licensing Requirements and Procedures § 141.14 Trade in...

25 CFR 141.59 - Customer complaint procedures.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 25 Indians 1 2010-04-01 2010-04-01 false Customer complaint procedures. 141.59 Section 141.59... THE NAVAJO, HOPI AND ZUNI RESERVATIONS Enforcement Powers, Procedures and Remedies § 141.59 Customer complaint procedures. (a) Any customer of a licensee may file a complaint with the Commissioner alleging...

25 CFR 141.28 - Gambling prohibited.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 25 Indians 1 2010-04-01 2010-04-01 false Gambling prohibited. 141.28 Section 141.28 Indians BUREAU..., HOPI AND ZUNI RESERVATIONS General Business Practices § 141.28 Gambling prohibited. No licensee may permit any person to gamble by dice, cards, or in any way whatever, including the use of any mechanical...

25 CFR 141.28 - Gambling prohibited.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 25 Indians 1 2012-04-01 2011-04-01 true Gambling prohibited. 141.28 Section 141.28 Indians BUREAU..., HOPI AND ZUNI RESERVATIONS General Business Practices § 141.28 Gambling prohibited. No licensee may permit any person to gamble by dice, cards, or in any way whatever, including the use of any mechanical...

25 CFR 141.28 - Gambling prohibited.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 25 Indians 1 2013-04-01 2013-04-01 false Gambling prohibited. 141.28 Section 141.28 Indians BUREAU..., HOPI AND ZUNI RESERVATIONS General Business Practices § 141.28 Gambling prohibited. No licensee may permit any person to gamble by dice, cards, or in any way whatever, including the use of any mechanical...

25 CFR 141.28 - Gambling prohibited.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 25 Indians 1 2014-04-01 2014-04-01 false Gambling prohibited. 141.28 Section 141.28 Indians BUREAU..., HOPI AND ZUNI RESERVATIONS General Business Practices § 141.28 Gambling prohibited. No licensee may permit any person to gamble by dice, cards, or in any way whatever, including the use of any mechanical...

25 CFR 141.18 - Availability of employee authorized to transact business.

Code of Federal Regulations, 2010 CFR

2010-04-01

... hours an employee authorized in writing to engage in all business transactions that the licensee... 25 Indians 1 2010-04-01 2010-04-01 false Availability of employee authorized to transact business... ACTIVITIES BUSINESS PRACTICES ON THE NAVAJO, HOPI AND ZUNI RESERVATIONS General Business Practices § 141.18...

14 CFR 93.319 - Commercial air tour limitations.

Code of Federal Regulations, 2011 CFR

2011-01-01

..., as applicable: (1) Total SFRA allocations; and (2) Dragon corridor and Zuni Point corridor... minutes east. This exception does not include operation in the Zuni Point corridor. [65 FR 17732, Apr. 4...

25 CFR 141.17 - Health and sanitation requirements.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 25 Indians 1 2011-04-01 2011-04-01 false Health and sanitation requirements. 141.17 Section 141.17... THE NAVAJO, HOPI AND ZUNI RESERVATIONS General Business Practices § 141.17 Health and sanitation... sale any goods that are banned for health or sanitation reasons from retail sale by any Federal agency...

25 CFR 141.17 - Health and sanitation requirements.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 25 Indians 1 2010-04-01 2010-04-01 false Health and sanitation requirements. 141.17 Section 141.17... THE NAVAJO, HOPI AND ZUNI RESERVATIONS General Business Practices § 141.17 Health and sanitation... sale any goods that are banned for health or sanitation reasons from retail sale by any Federal agency...

25 CFR 141.17 - Health and sanitation requirements.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 25 Indians 1 2012-04-01 2011-04-01 true Health and sanitation requirements. 141.17 Section 141.17... THE NAVAJO, HOPI AND ZUNI RESERVATIONS General Business Practices § 141.17 Health and sanitation... sale any goods that are banned for health or sanitation reasons from retail sale by any Federal agency...

25 CFR 141.17 - Health and sanitation requirements.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 25 Indians 1 2014-04-01 2014-04-01 false Health and sanitation requirements. 141.17 Section 141.17... THE NAVAJO, HOPI AND ZUNI RESERVATIONS General Business Practices § 141.17 Health and sanitation... sale any goods that are banned for health or sanitation reasons from retail sale by any Federal agency...

25 CFR 141.36 - Maximum finance charges on pawn transactions.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 25 Indians 1 2011-04-01 2011-04-01 false Maximum finance charges on pawn transactions. 141.36 Section 141.36 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR FINANCIAL ACTIVITIES BUSINESS PRACTICES ON THE NAVAJO, HOPI AND ZUNI RESERVATIONS Pawnbroker Practices § 141.36 Maximum finance charges on...

25 CFR 141.36 - Maximum finance charges on pawn transactions.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 25 Indians 1 2013-04-01 2013-04-01 false Maximum finance charges on pawn transactions. 141.36 Section 141.36 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR FINANCIAL ACTIVITIES BUSINESS PRACTICES ON THE NAVAJO, HOPI AND ZUNI RESERVATIONS Pawnbroker Practices § 141.36 Maximum finance charges on...

25 CFR 141.36 - Maximum finance charges on pawn transactions.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 25 Indians 1 2014-04-01 2014-04-01 false Maximum finance charges on pawn transactions. 141.36 Section 141.36 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR FINANCIAL ACTIVITIES BUSINESS PRACTICES ON THE NAVAJO, HOPI AND ZUNI RESERVATIONS Pawnbroker Practices § 141.36 Maximum finance charges on...

25 CFR 141.36 - Maximum finance charges on pawn transactions.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 25 Indians 1 2012-04-01 2011-04-01 true Maximum finance charges on pawn transactions. 141.36 Section 141.36 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR FINANCIAL ACTIVITIES BUSINESS PRACTICES ON THE NAVAJO, HOPI AND ZUNI RESERVATIONS Pawnbroker Practices § 141.36 Maximum finance charges on...

25 CFR 141.55 - Price monitoring and control.

Code of Federal Regulations, 2010 CFR

2010-04-01

... be made a survey of the prices of flour, sugar, fresh eggs, lard, coffee, ground beef, bread, cheese... 25 Indians 1 2010-04-01 2010-04-01 false Price monitoring and control. 141.55 Section 141.55... THE NAVAJO, HOPI AND ZUNI RESERVATIONS Enforcement Powers, Procedures and Remedies § 141.55 Price...

25 CFR 141.26 - Trade in antiquities prohibited.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 25 Indians 1 2013-04-01 2013-04-01 false Trade in antiquities prohibited. 141.26 Section 141.26 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR FINANCIAL ACTIVITIES BUSINESS PRACTICES ON THE NAVAJO, HOPI AND ZUNI RESERVATIONS General Business Practices § 141.26 Trade in antiquities prohibited. No licensee may knowingly buy, sell,...

25 CFR 141.16 - Price marking.

Code of Federal Regulations, 2010 CFR

2010-04-01

... AND ZUNI RESERVATIONS General Business Practices § 141.16 Price marking. The price of each article offered for sale shall be marked on the article, its containers or in any other manner that is plain and visible to the customer and that affords the customer a reasonable opportunity to learn the price of the...

Zuni versus the Department of Education: The Impact on Fiscal Equity

ERIC Educational Resources Information Center

Escue, Carlee P.; Wood, R. Craig

2010-01-01

In the fifty years since Congress assumed the provision of financial assistance to schools in which students had "federal connection," such as American Indian students living on reservations or in public housing, this federal assistance came to be regarded as a replacement for state funding, not as supplemental funding. This study…

25 CFR 141.40 - Proceeds of sale.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 25 Indians 1 2014-04-01 2014-04-01 false Proceeds of sale. 141.40 Section 141.40 Indians BUREAU OF... AND ZUNI RESERVATIONS Pawnbroker Practices § 141.40 Proceeds of sale. (a) The following items shall be deducted from the proceeds of the sale of pawned items in the following order of priority: (1) The expense...

25 CFR 141.40 - Proceeds of sale.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 25 Indians 1 2013-04-01 2013-04-01 false Proceeds of sale. 141.40 Section 141.40 Indians BUREAU OF... AND ZUNI RESERVATIONS Pawnbroker Practices § 141.40 Proceeds of sale. (a) The following items shall be deducted from the proceeds of the sale of pawned items in the following order of priority: (1) The expense...

25 CFR 141.31 - Trade by Indian Affairs employees restricted.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 25 Indians 1 2013-04-01 2013-04-01 false Trade by Indian Affairs employees restricted. 141.31 Section 141.31 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR FINANCIAL ACTIVITIES BUSINESS PRACTICES ON THE NAVAJO, HOPI AND ZUNI RESERVATIONS General Business Practices § 141.31 Trade by Indian Affairs employees restricted. (a) Except as...

25 CFR 141.21 - Trade confined to premises.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 25 Indians 1 2013-04-01 2013-04-01 false Trade confined to premises. 141.21 Section 141.21 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR FINANCIAL ACTIVITIES BUSINESS PRACTICES ON THE NAVAJO, HOPI AND ZUNI RESERVATIONS General Business Practices § 141.21 Trade confined to premises. The licensee shall confine all trade on the...

25 CFR 141.27 - Trade in imitation Indian crafts prohibited.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 25 Indians 1 2013-04-01 2013-04-01 false Trade in imitation Indian crafts prohibited. 141.27 Section 141.27 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR FINANCIAL ACTIVITIES BUSINESS PRACTICES ON THE NAVAJO, HOPI AND ZUNI RESERVATIONS General Business Practices § 141.27 Trade in imitation Indian crafts prohibited. No person may...

25 CFR 141.14 - Trade in livestock restricted.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 25 Indians 1 2013-04-01 2013-04-01 false Trade in livestock restricted. 141.14 Section 141.14 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR FINANCIAL ACTIVITIES BUSINESS PRACTICES ON THE NAVAJO, HOPI AND ZUNI RESERVATIONS Licensing Requirements and Procedures § 141.14 Trade in livestock restricted. (a) No person other than an...

25 CFR 141.36 - Maximum finance charges on pawn transactions.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 25 Indians 1 2010-04-01 2010-04-01 false Maximum finance charges on pawn transactions. 141.36 Section 141.36 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR FINANCIAL ACTIVITIES BUSINESS PRACTICES ON THE NAVAJO, HOPI AND ZUNI RESERVATIONS Pawnbroker Practices § 141.36 Maximum finance charges on pawn transactions. No pawnbroker may...

14 CFR 93.307 - Minimum flight altitudes.

Code of Federal Regulations, 2013 CFR

2013-01-01

... feet MSL. (b) Minimum corridor altitudes—(1) Commercial air tours—(i) Zuni Point Corridors. 7,500 feet MSL. (ii) Dragon Corridor. 7,500 feet MSL. (2) Transient and general aviation operations—(i) Zuni Point Corridor. 10,500 feet MSL. (ii) Dragon Corridor. 10,500 feet MSL. (iii) Tuckup Corridor. 10,500...

14 CFR 93.307 - Minimum flight altitudes.

Code of Federal Regulations, 2014 CFR

2014-01-01

... feet MSL. (b) Minimum corridor altitudes—(1) Commercial air tours—(i) Zuni Point Corridors. 7,500 feet MSL. (ii) Dragon Corridor. 7,500 feet MSL. (2) Transient and general aviation operations—(i) Zuni Point Corridor. 10,500 feet MSL. (ii) Dragon Corridor. 10,500 feet MSL. (iii) Tuckup Corridor. 10,500...

Enhanced Preliminary Assessment Report: Fort Wingate Depot Activity Gallup, New Mexico

DTIC Science & Technology

1990-03-01

Census, 1980 Census of Population. U 20 uranium exploration, mining, and milling, while the trade sector is influenced by the Zuni and Navajo ...Five Indian reservations, eight national park areas ( Navajo , Chaco Canyon, Aztec Ruins, El Moro National Monuments, Mesa Verde, and Petrified Forest...Argonne National Laboratory Argonne, Illinois 60439 IAppmvd bo o. 90 0611 090 CETHA-BC-CR-90051 Enhanced Preliminary Assessment Report: Fort Wingate Depot

Fires and fuels: Vegetation change over time in the Zuni Mountains, New Mexico

NASA Astrophysics Data System (ADS)

Wylie, Luke Anthony

The Zuni Mountains are a region that has been dramatically changed by human interference. Anthropogenically, fire suppression practices have allowed a buildup of fuels and caused a change in the fire-adapted ponderosa pine ecosystem such that the new ecosystem now incorporates many fire-intolerant species. As a result, the low-severity fires that the ecosystem once depended on to regenerate the forest are much reduced, and these low-severity fires are now replaced by crown-level infernos that threaten the forest and nearby towns. In order to combat these effects, land managers are implementing fuel reduction practices and are striving to better understand the local ecosystem. In this study, a predictive fire spread model (FARSITE) was implemented to predict spatio-temporal distribution of fire in the Zuni Mountains based on change in vegetation types that are most prone to fire. Using Landsat imagery and historical fire spread data from 2001 to 2014, the following research questions were investigated: (1) What variables are responsible for fire spread in the Zuni Mountains, New Mexico? (2) Which areas are prone to destructive and canopy level fires? and (3) How have the fuel model types that are most conducive to fire spread changed in the past twenty years? The utilization of spatial modeling and remote sensing to understand the interaction of meteorological variables and vegetation in predicting fire spread in this region is a novel approach. This study showed that (i) fires are more likely to occur in the valleys and high elevation grassland areas of the Zuni Mountains, (ii) certain vegetation types including grass and shrub lands in the area present a greater danger to canopy fire than others, and (iii) that these vegetation types have changed in the past sixteen years.

Indian Health Service Training Center, Training Course TC-70-4 (April 13-May 1, 1970): A Descriptive Analysis of the Utilization of Health Resources in the Zuni, New Mexico Service Unit.

ERIC Educational Resources Information Center

Public Health Service (DHEW), Washington, DC. Div. of Indian Health.

A descriptive study of health services utilization patterns, and possible factors contributing to such patterns, was conducted in April 1970 at the Zuni, New Mexico, Indian Health Service Unit. Health service utilization was explored by selected disease categories, preventative services (maternal and child health), and general population attitudes…

Heritability of Measures of Kidney Disease Among Zuni Indians: The Zuni Kidney Project

PubMed Central

MacCluer, Jean W.; Scavini, Marina; Shah, Vallabh O.; Cole, Shelley A.; Laston, Sandra L.; Voruganti, V. Saroja; Paine, Susan S.; Eaton, Alfred J.; Comuzzie, Anthony G.; Tentori, Francesca; Pathak, Dorothy R.; Bobelu, Arlene; Bobelu, Jeanette; Ghahate, Donica; Waikaniwa, Mildred; Zager, Philip G.

2010-01-01

Background The long-term goal of the GKDZI (Genetics of Kidney Disease in Zuni Indians) Study is to identify genes, environmental factors, and genetic-environmental interactions that modulate susceptibility to renal disease and intermediate phenotypes. Study Design A community-based participatory research approach was used to recruit family members of individuals with kidney disease. Setting & Participants The study was conducted in the Zuni Indians, a small endogamous tribe located in rural New Mexico. We recruited members of extended families, ascertained through a proband with kidney disease and at least 1 sibling with kidney disease. 821 participants were recruited, comprising 7,702 relative pairs. Predictor Outcomes & Measurements Urine albumin-creatinine ratio (UACR) and hematuria were determined in 3 urine samples and expressed as a true ratio. Glomerular filtration rate (GFR) was estimated using the Modification of Diet in Renal Disease (MDRD) Study equation modified for American Indians. Probands were considered to have kidney disease if UACR was ≥0.2 in 2 or more of 3 spot urine samples or estimated GFR was decreased according to the CRIC (Chronic Renal Insufficiency Cohort) Study criteria. Results Kidney disease was identified in 192 participants (23.4%). There were significant heritabilities for estimated GFR, UACR, serum creatinine, serum urea nitrogen, and uric acid and a variety of phenotypes related to obesity, diabetes, and cardiovascular disease. There were significant genetic correlations of some kidney-related phenotypes with these other phenotypes. Limitations Limitations include absence of renal biopsy, possible misclassification bias, lack of direct GFR measurements, and failure to include all possible environmental interactions. Conclusions Many phenotypes related to kidney disease showed significant heritabilities in Zuni Indians, and there were significant genetic correlations with phenotypes related to obesity, diabetes, and cardiovascular disease. The study design serves as a paradigm for the conduct of research in relatively isolated, endogamous, underserved populations. PMID:20646805

Terminal Pleistocene to early Holocene volcanic eruptions at Zuni Salt Lake, west-central New Mexico, USA

NASA Astrophysics Data System (ADS)

Onken, Jill; Forman, Steven

2017-01-01

Zuni Salt Lake (ZSL) is a large maar in the Red Hill-Quemado volcanic field located in west-central New Mexico in the southwestern USA. Stratigraphic analysis of sections in and around the maar, coupled with optically stimulated luminescence (OSL) and accelerator mass spectrometry (AMS) 14C dating, indicate that ZSL volcanic activity occurred between ˜13.4 and 9.9 ka and was most likely confined to a ≤500-year interval sometime between ˜12.3 and 11.0 ka. The basal volcanic unit consists of locally widespread basaltic ash fallout interpreted to represent a violent or wind-aided strombolian eruption tentatively attributed to Cerro Pomo, a scoria cone ˜10 km south of ZSL. Subsequent eruptions emanated from vents near or within the present-day ZSL maar crater. Strombolian eruptions of multiple spatter and scoria cones produced basaltic lava and scoria lapilli fallout. Next, a phreatomagmatic eruption created the maar crater and surrounding tephra rim and apron. ZSL eruptions ended with strombolian eruptions that formed three scoria cones on the crater floor. The revised age range of ZSL is younger and more precise than the 190-24 ka 2-sigma age range derived from previous argon dating. This implies that other morphologically youthful, argon-dated volcanoes on the southern margin of the Colorado Plateau might be substantially younger than previously reported.

Factors Controlling Pre-Columbian and Early Historic Maize Productivity in the American Southwest, Part 2: The Chaco Halo, Mesa Verde, Pajarito Plateau/Bandelier, and Zuni Archaeological Regions

USGS Publications Warehouse

Benson, L.V.

2011-01-01

Chemical and nutrient analyses of 471 soil samples from 161 sites within four archaeological regions (Pajarito Plateau/Bandelier, Zuni, Mesa Verde, and the Chaco Halo) were combined with historical climate data in order to evaluate the agricultural productivity of each region. In addition, maize productivity and field-life calculations were performed using organic-nitrogen (N) values from the upper 50 cm of soil in each region and a range (1-3%/year) of N-mineralization rates. The endmember values of this range were assumed representative of dry and wet climate states. With respect to precipitation and heat, the Pajarito Plateau area has excellent agricultural potential; the agricultural potentials of the Zuni and Mesa Verde regions are good; and the agricultural potential of the Chaco Halo is poor. Calculations of N mineralization and field life indicate that Morfield Valley in Mesa Verde should be able to provide 10 bu/ac of maize for decades (without the addition of N) when organic N-mineralization rates exceed 2%. Productivity and field-life potential decrease in the following order: Zuni, Mesa Verde, Bandelier, Chaco Halo. The Chaco Halo is very unproductive; e. g., 10 bushels per acre can be achieved within the Halo only from soils having the highest organic N concentration (third quartile) and which undergo the highest rate (3%) of N mineralization. ?? 2010 US Government.

Water resources of the Zuni tribal lands, McKinley and Cibola Counties, New Mexico

USGS Publications Warehouse

Orr, Brennon R.

1987-01-01

An evaluation of the water resources of the Zuni tribal lands in west-central New Mexico was made to determine the yield, variability, and quality of water available to the Pueblo of Zuni. This study is needed to aid in orderly development of these resources. Rocks of Permian to Quaternary age supply stock, irrigation, and domestic water to the Zuni Indians. The Glorieta Sandstone and San Andres Limestone (Glorieta-San Andres aquifer) of Permian age and sandstones in the Chinle Formation of Triassic age provide most of this water supply. Water in the Glorieta-San Andres aquifer is confined by minimal-permeability shales and is transmitted through the aquifer along interconnected solution channels and fractures. Water-level and water-quality information indicate greater hydraulic conductivities along the southern boundaries of Zuni tribal lands. Well yields from the Glorieta-San Andres aquifer are as much as 150 gallons per minute, and aquifer transmissivity ranges from 30 to 1,400 feet squared per day. Longterm, water-level declines of as much as 29 feet have been measured near pumping centers at Black Rock. Multiple-well aquifer tests are needed to further define aquifer properties (storage, transmissivity, and leakage from confining units) and the effects of well design on well yields. Dissolved-solids concentrations in water from the aquifer range from 331 to 1,068 milligrams per liter. Calcium and sulfate are the predominant ions. Water in sandstones of the Chinle Formation is confined by adjacent shales and is transmitted along interconnected fractures. Well yields range from 5 to 125 gallons per minute, and aquifer transmissivity ranges from 40 to 1,400 feet squared per day. Water-level declines of as much as 27 feet have been measured near Zuni Village. Dissolved-solids concentrations in water from the aquifer range from 215 to 1,980 milligrams per liter. Sodium and bicarbonate are the predominant ions. Other sources of ground water are used primarily for livestock watering by means of windmills, with the exception of buried alluvial channel deposits along the Rio Pescado. These deposits provide domestic and irrigation water through springs and wells to Pescado and Black Rock. The Bidahochi Formation of Miocene and Pliocene age could potentially provide an additional supply of water chemically suitable for most uses. Seismic-reflection techniques are being used to locate buried channels eroded in the rocks underlying the Bidahochi Formation. These buried channels may contain thicker sections of saturated sands and gravels that could be developed for stock and domestic use.

Geologic and geophysical investigations of the Zuni-Bandera volcanic field, New Mexico

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

Ander, M.E.; Heiken, G.; Eichelberger, J.

1981-05-01

A positive, northeast-trending gravity anomaly, 90 km long and 30 km wide, extends southwest from the Zuni uplift, New Mexico. The Zuni-Bandera volcanic field, an alignment of 74 basaltic vents, is parallel to the eastern edge of the anomaly. Lavas display a bimodal distribution of tholeiitic and alkalic compositions, and were erupted over a period from 4 Myr to present. A residual gravity profile taken perpendicular to the major axis of the anomaly was analyzed using linear programming and ideal body theory to obtain bounds on the density contrast, depth, and minimum thickness of the gravity body. Two-dimensionality was assumed.more » The limiting case where the anomalous body reaches the surface gives 0.1 g/cm/sup 3/ as the greatest lower bound on the maximum density contrast. If 0.4 g/cm/sup 3/ is taken as the geologically reasonable upper limit on the maximum density contrast, the least upper bound on the depth of burial is 3.5 km and minimum thickness is 2 km. A shallow mafic intrusion, emplaced sometime before Laramide deformation, is proposed to account for the positive gravity anomaly. Analysis of a magnetotelluric survey suggests that the intrusion is not due to recent basaltic magma associated with the Zuni-Bandera volcanic field. This large basement structure has controlled the development of the volcanic field; vent orientations have changed somewhat through time, but the trend of the volcanic chain followed the edge of the basement structure. It has also exhibited some control on deformation of the sedimentary section.« less

Collared peccary range expansion in northwestern New Mexico

USGS Publications Warehouse

Albert, S.; Ramotnik, C.A.; Schmitt, C.G.

2004-01-01

We report new records of collared peccary (Pecari tajacu) in New Mexico that document its continued northward expansion in the United States, in general, and in northwestern New Mexico, in particular. These records might represent the northernmost extent of its range in the Southwest. Collared peccaries in New Mexico typically occur in desert, rocky, and brushy foothill regions and riparian communities. On the Zuni Indian Reservation, animals were observed at elevations up to 2,335 m in piñon-juniper and ponderosa pine habitats. Climate might play an important role in range expansion and contraction as collared peccaries might migrate north during years of drought or mild winters in search of food or new habitat.

Concentrations of Surface-Dust Metals in Native American Jewelry-Making Homes in Zuni Pueblo, New Mexico

PubMed Central

Gonzales, Melissa; Shah, Vallabh; Bobelu, Arlene; Qualls, Clifford; Natachu, Kathy; Bobelu, Jeanette; Jamon, Eunice; Neha, Donica; Paine, Susan; Zager, Philip

2013-01-01

This pilot study was conducted to identify the metals used by home-based Native American jewelry makers, to quantify the metals in dust samples taken from jewelers’ homes, and to compare these concentrations with background levels from control homes in which jewelry was not made. Participants were recruited from Zuni Pueblo, New Mexico. Surface dust samples were collected from the work and living areas of 20 jewelers’ homes, and from the living areas of 20 control homes. Silver, copper, tin, boron, nickel, zinc, lead, and cadmium were significantly higher in work areas than in living areas of jewelry-making homes (p≤ 0.02). Silver, copper, nickel, and antimony were significantly higher in living areas of jewelers’ homes compared with control homes (p ≤ 0.04). Ventilation measures did not effectively reduce metal concentrations in jewelers’ homes; concentrations in nonwork areas remained elevated. PMID:16201670

Theme: Laboratory Instruction.

ERIC Educational Resources Information Center

Bruening, Thomas H.; And Others

1992-01-01

A series of theme articles discuss setting up laboratory hydroponics units, the school farm at the Zuni Pueblo in New Mexico, laboratory experiences in natural resources management and urban horticulture, the development of teaching labs at Derry (PA) High School, management of instructional laboratories, and industry involvement in agricultural…

American Indian Bilingual Education. Navajo Reading Study Progress Report No. 24.

ERIC Educational Resources Information Center

Spolsky, Bernard

Bilingual education programs have been established in such Native American languages as Aleut, Yupik, Tlingit, Haida, Athabaskan, Cherokee, Lakota, Navajo, Papago, Pomo, Passamaquoddy, Seminole, Tewa, and Zuni. These programs include the: Choctaw Bilingual Education Program, Northern Cheyenne Bilingual Education Program, Lakota Bilingual Education…

Traditional Earthen Architecture in the Art Curriculum.

ERIC Educational Resources Information Center

Heil, Steven E.

2001-01-01

Describes an adobe conservation project used with seventh- and eighth-grade students at the Zuni Pueblo (New Mexico). States that the project motivates students as they participate in experiential learning. Addresses the objectives in a traditional architecture curriculum and contends that the adobe conservation project demonstrates the place of…

Children's Books. Book Reviews.

ERIC Educational Resources Information Center

Moulton, Kate

1994-01-01

Reviews 10 children's books, published or reissued 1988-93, about daily life, traditional culture, and schooling among Taos Pueblo, Zuni Pueblo, Navajo, Inuit, Guatemalan, and other Native peoples, as well as tales from Native American oral tradition, the life of a buffalo, and Cherokee and Athapascan historical fiction. Includes grade range and…

Shatter Complex Formation in the Twin Craters Lava Flow, Zuni-Bandera Field, New Mexico

NASA Astrophysics Data System (ADS)

von Meerscheidt, H. C.; Bleacher, J. E.; Brand, B. D.; deWet, A.; Samuels, R.; Hamilton, C.; Garry, W. B.; Bandfield, J. L.

2013-12-01

Lava channels, tubes and sheets are transport structures that deliver flowing lava to a flow front. The type of structure can vary within a flow field and evolve throughout an eruption. The 18.0 × 1.0 ka Twin Craters lava flow in the Zuni-Bandera lava field provides a unique opportunity to study morphological changes of a lava flow partly attributable to interaction with a topographic obstacle. Facies mapping and airborne image analysis were performed on an area of the Twin Craters flow that includes a network of channels, lava tubes, shatter features, and disrupted pahoehoe flows surrounding a 45 m tall limestone bluff. The bluff is 1000 m long (oriented perpendicular to flow.) The general flow characteristics upstream from the bluff include smooth, lobate pahoehoe flows and a >2.5 km long lava tube (see Samuels et al., this meeting.) Emplacement characteristics change abruptly where the flow encountered the bluff, to include many localized areas of disrupted pahoehoe and several pahoehoe-floored depressions. Each depression is fully or partly surrounded by a raised rim of blocky material up to 4 m higher than the surrounding terrain. The rim is composed of 0.05 - 4 m diameter blocks, some of which form a breccia that is welded by lava, and some of which exhibit original flow textures. The rim-depression features are interpreted as shatter rings based on morphological similarity to those described by Orr (2011.Bul Volcanol.73.335-346) in Hawai';i. Orr suggests that shatter rings develop when fluctuations in the lava supply rate over-pressurize the tube, causing the tube roof to repeatedly uplift and subside. A rim of shattered blocks and breccias remains surrounding the sunken tube roof after the final lava withdraws from the system. One of these depressions in the Twin Craters flow is 240 m wide and includes six mounds of shattered material equal in height to the surrounding undisturbed terrain. Several mounds have depressed centers floored with rubbly pahoehoe. Prominent ';a';a channels travel around the bluff, leaving a 'wake' of uncovered ground on the downstream side. We interpret this shatter area to have been a branching tube network within an active sheet. The limestone bluff acted as an obstacle that caused a backup of lava within the tubes, driving episodes of shattering. The mounds likely represent earlier solidified sections between active, possibly braided, tube branches, which remained as mounds within the shatter area after the adjacent crust subsided. When lava broke out from the pressurized sheet-like lobe, it formed the ';a';a channels. This section of the flow field is interpreted using inferences from shatter ring formation, but is perhaps better termed a shatter sheet or shatter complex. This study has implications for understanding lava flow dynamics at constriction points, as well as the evolution and morphology of shatter rings.

25 CFR 304.5 - Dies to identify tribe.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 25 Indians 2 2010-04-01 2010-04-01 false Dies to identify tribe. 304.5 Section 304.5 Indians INDIAN ARTS AND CRAFTS BOARD, DEPARTMENT OF THE INTERIOR NAVAJO, PUEBLO, AND HOPI SILVER, USE OF... used where the marker is a Navajo Indian; similarly, for Zuni, Hopi, and Rio Grande Pueblo. ...

A constructed wet meadow model for forested lands in the Southwest

Treesearch

Dave Pawelek; Roy Jemison; Daniel Neary

1999-01-01

Improving primary roads in the Zuni Mountains of New Mexico must take into consideration the wet meadows and upland areas. This study looks at spring flow rates, erosion, channels and changes in plant cover and composition. The goal is to help planners design environmentally sensitive roadways for wet meadow areas.

Premature ignition of a rocket motor.

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

Moore, Darlene Ruth

During preparation for a rocket sled track (RST) event, there was an unexpected ignition of the zuni rocket motor (10/9/08). Three Sandia staff and a contractor were involved in the accident; the contractor was seriously injured and made full recovery. The data recorder battery energized the low energy initiator in the rocket.

Who provided maize to Chaco Canyon after the mid-12th-century drought?

USGS Publications Warehouse

Benson, Larry V.

2010-01-01

Between A.D. 1181 and 1200, in the early part of a climatically wet period, corn was imported to Chaco Canyon from a region outside the Chaco Halo (defined in this paper as the region between the base of the Chuska Mountains and Raton Wells). Strontium-isotope (87Sr/86Sr) analyses of 12 corn cobs dating to this period match 87Sr/86Sr ratios from five potential source areas, including: the Zuni region, the Mesa Verde-McElmo Dome area, the Totah, the Defiance Plateau, and Lobo Mesa. The latter two areas were eliminated from consideration as possible sources of corn in that they appear to have been unpopulated during the time period of interest. Therefore, it appears that the corn cobs were imported from the Zuni region, the Mesa Verde-McElmo Dome area, or the Totah area during a time when the climate was relatively wet and when a surplus of corn was produced in regions outside Chaco Canyon. Based on proximity to and cultural affiliation with Chaco Canyon, it is hypothesized that the corn probably was imported from the Totah.

Contested Domains of Science and Science Learning in Contemporary Native American Communities: Three Case Studies from a National Science Foundation grant titled, "Archaeology Pathways for Native Learners"

NASA Astrophysics Data System (ADS)

Parent, Nancy Brossard

This dissertation provides a critical analysis of three informal science education partnerships that resulted from a 2003-2006 National Science Foundation grant titled, "Archaeology Pathways for Native Learners" (ESI-0307858), hosted by the Mashantucket Pequot Museum and Research Center. This dissertation is designed to contribute to understandings of learning processes that occur within and at the intersection of diverse worldviews and knowledge systems, by drawing upon experiences derived from three disparate contexts: 1) The Navajo Nation Museum in Window Rock, Arizona; 2) The A:shiwi A:wan Museum and Heritage Center on the Zuni Reservation in Zuni, New Mexico; and 3) Science learning camps at the Mashantucket Pequot Museum and Research Center for Native youth of southern New England. While informal science education is increasingly moving toward decolonizing and cross-cutting institutional boundaries of learning through critical thinking and real-world applications, the construction of "science" (even within diverse contexts) continues to be framed within a homogenous, predominantly Euro-American perspective. This study analyzes the language of Western science employed in these partnerships, with particular attention to the use of Western/Native binaries that shape perceptions of Native peoples and communities, real or imagined. Connections are drawn to broader nation-state interests in education, science, and the global economy. The role of educational evaluation in these case studies is also critically analyzed, by questioning the ways in which it is constructed, conducted, and evaluated for the purposes of informing future projects and subsequent funding. This study unpacks problems of the dominant language of "expert" knowledge embedded in Western science discourse, and highlights the possibilities of indigenous knowledge systems that can inform Western science frameworks of education and evaluation. Ultimately, this study suggests that research methodologies and epistemologies that acknowledge and integrate indigenous ways of knowing can advance and broaden Western constructions of science, the academy, and educational research and praxis on a national and global scale.

Connecting the Moving Dots - Continuum Magazine | NREL

Science.gov Websites

situation," Hurlbut said. After the 2011 request, NREL analysts burned a different kind of fuel Macknick tests water by the Excel Zuni Power Plant in Commerce City, Colorado. Photo by Dennis Schroeder , NREL Connecting the Moving Dots Systems-level thinking illuminates the connections among energy, the

Indian-Spanish Communication Networks: Continuity in the Greater Southwest.

ERIC Educational Resources Information Center

Riley, Carroll L.; Manson, Joni L.

Trade and communication networks established by Indian groups in the 15th century A.D. linked the Southwest to Mesoamerica, the Plains and the Pacific littoral; these routes were later used by the Spanish and Americans, and today major highways follow ancient Indian routes. The main east-west route had major termini at Cibola (near Zuni) in the…

Playing with Wolves: An Interview with C. J. Rogers

ERIC Educational Resources Information Center

American Journal of Play, 2010

2010-01-01

Since 1992 C. J. Rogers has lived with wolves and studied their societies at Raised by Wolves, a licensed, nonprofit research sanctuary situated in a high valley of New Mexico's Zuni Mountains, not far from the Four Corners. Rogers, who has taught at Northeastern Illinois University and Western New Mexico University, holds doctorates in both…

Applications for predicting precipitation and vegetation patterns at landscape scale using lightning strike data

Treesearch

Deborah Ulinski Potter

1999-01-01

Previous publications discussed the results of my dissertation research on relationships between seasonality in precipitation and vegetation patterns at landscape scale. Summer precipitation at a study site in the Zuni Mountains, NM, was predicted from lightning strike and relative humidity data using multiple regression. Summer precipitation patterns were mapped using...

78 FR 5369 - Endangered and Threatened Wildlife and Plants; Proposed Endangered Status for the Zuni Bluehead...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-01-25

... the basis for making a listing determination for a species under section 4(a) of the Act (16 U.S.C... purposes; (c) Disease or predation; (d) The inadequacy of existing regulatory mechanisms; or (e) Other...-shaped), slender body with a subterminal mouth (mouth posterior to the tip of the snout) (Propst 1999, p...

Encyclopedia of Explosives and Related Items. Volume 8

DTIC Science & Technology

1978-01-01

up", becoming hard and making Alcohol(b), % 20 ± 2 19 ± 2 a reliable joint . Shellac is used to coat cavities Shellac(c) % 18±2 - to be loaded with...P 380 Effect of Loading Pressure on Initiator Sensitivity ...................... P 382 Stab Primer Data...Injection Loading Operation Schematic .............................. P 64 Continuous Explosive Column for Use with Zuni Weapon ................... P 64

A Native American Community's Involvement and Empowerment to Guide Their Children's Development in the School Setting

ERIC Educational Resources Information Center

Rivera, Hector H.; Tharp, Roland G.

2006-01-01

This study provides an empirical description of the dimensions of community values, beliefs, and opinions through a survey conducted in the Pueblo Indian community of Zuni in New Mexico. The sample was composed of 200 randomly chosen community members ranging from 21 to 103 years old. A principal component factor analysis was conducted, as well as…

Mutation analysis of the cystic fibrosis transmembrane regulator gene in native American populations of the southwest

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

Grebe, T.A.; Doane, W.W.; Norman, R.A.

1992-10-01

The authors report DNA and clinical analysis of cystic fibrosis (CF) in two previously unstudied, genetically isolated populations: Pueblo and Navajo Native Americans. Direct mutation analysis of six mutations of the CFTR gene - namely, [Delta]F508, G542X, G551D, R553X, N1303K, and W1282X - was performed on PCR-amplified genomic DNA extracted from blood samples. Haplotype analyses with marker/enzyme pairs XV2c/TaqI and KM29/PstI were performed as well. Of the 12 affected individuals studied, no [Delta]F508 mutation was detected; only one G542X mutation was found. None of the other mutations was detected. All affected individuals have either an AA, AC, or CC haplotype,more » except for the one carrying the G542X mutation, who has the haplotye AB. Clinically, six of the affected individuals examined exhibit growth deficiency, and five (all from the Zuni Pueblo) have a severe CF phenotype. Four of the six Zunis with CF are also microcephalic, a finding not previously noted in CF patients. The DNA data have serious implications for risk assessment of CF carrier status for these people. 14 refs., 3 tabs.« less

Early Warning Signals of Social Transformation: A Case Study from the US Southwest.

PubMed

Spielmann, Katherine A; Peeples, Matthew A; Glowacki, Donna M; Dugmore, Andrew

2016-01-01

Recent research in ecology suggests that generic indicators, referred to as early warning signals (EWS), may occur before significant transformations, both critical and non-critical, in complex systems. Up to this point, research on EWS has largely focused on simple models and controlled experiments in ecology and climate science. When humans are considered in these arenas they are invariably seen as external sources of disturbance or management. In this article we explore ways to include societal components of socio-ecological systems directly in EWS analysis. Given the growing archaeological literature on 'collapses,' or transformations, in social systems, we investigate whether any early warning signals are apparent in the archaeological records of the build-up to two contemporaneous cases of social transformation in the prehistoric US Southwest, Mesa Verde and Zuni. The social transformations in these two cases differ in scope and severity, thus allowing us to explore the contexts under which warning signals may (or may not) emerge. In both cases our results show increasing variance in settlement size before the transformation, but increasing variance in social institutions only before the critical transformation in Mesa Verde. In the Zuni case, social institutions appear to have managed the process of significant social change. We conclude that variance is of broad relevance in anticipating social change, and the capacity of social institutions to mitigate transformation is critical to consider in EWS research on socio-ecological systems.

Facies and age of the Oso Ridge Member (new), Abo Formation, Zuni Mountains, New Mexico

USGS Publications Warehouse

Armstrong, A.K.; Stamm, R.G.; Kottlowski, F.E.; Mamet, B.L.; Dutro, J.T.; Weary, D.J.

1994-01-01

The Oso Ridge Member (new), at the base of the Abo Formation, nonconformably overlies Proterozoic rocks. The member consists of some 9m of conglomerate and arkose composed principally of fragments of the underlying Proterozoic metamorphic rocks; thin, fossiliferous limestone lenses are interbedded with the arkose. Biota from the lenses include a phylloid alga, foraminifers, conodonts, brachiopods, and molluscs. The age of the Oso Ridge Member is Virgilian Late Pennsylvanian) to Wolfcampian (Early Permian). -from Authors

Early Warning Signals of Social Transformation: A Case Study from the US Southwest

PubMed Central

2016-01-01

Recent research in ecology suggests that generic indicators, referred to as early warning signals (EWS), may occur before significant transformations, both critical and non-critical, in complex systems. Up to this point, research on EWS has largely focused on simple models and controlled experiments in ecology and climate science. When humans are considered in these arenas they are invariably seen as external sources of disturbance or management. In this article we explore ways to include societal components of socio-ecological systems directly in EWS analysis. Given the growing archaeological literature on ‘collapses,’ or transformations, in social systems, we investigate whether any early warning signals are apparent in the archaeological records of the build-up to two contemporaneous cases of social transformation in the prehistoric US Southwest, Mesa Verde and Zuni. The social transformations in these two cases differ in scope and severity, thus allowing us to explore the contexts under which warning signals may (or may not) emerge. In both cases our results show increasing variance in settlement size before the transformation, but increasing variance in social institutions only before the critical transformation in Mesa Verde. In the Zuni case, social institutions appear to have managed the process of significant social change. We conclude that variance is of broad relevance in anticipating social change, and the capacity of social institutions to mitigate transformation is critical to consider in EWS research on socio-ecological systems. PMID:27706200

U.S. Geological Survey activities in New Mexico 1995

USGS Publications Warehouse

Livingston, Russell K.

1995-01-01

The report provides an overview of the USGS in New Mexico, including activities of the Water Resources, Geologic, and National Mapping Divisions. Some USGS projects address hydrologic and geologic hazards, such as flood discharges, landslides, and land subsidence. Recent environmental assessments include participation in the Kirtland Air Force Base Installation Restoration Program, erosion on the Zuni Reservation, and ground-water contamination in eastern Bernalillo County. Water availability studies have focused on ground-water depletion in the Albuquerque Basin, recharge in the Roswell Basin, and the water resources of Taos County. Irrigation drainage in the San Juan River area and trace metals in a reach of the Rio Grande have been investigated. The National Water-Quality Assessment (NAWQA) program has two study units partly located in New Mexico. Energy and mineral resource assess- ments include gas resources in the San Juan Basin and environmental impacts of mining in the Mimbres Resource Area. The USGS is studying the extent of suitable habitat for Mexican Spotted Owls. Also discussed are cartographic/thematic products and Geographical Information Systems; surface-water, ground-water, and water-quality data-collection net- works; and reports published from 1993 to 1995.

Hydrogeology of Cibola County, New Mexico

USGS Publications Warehouse

Baldwin, J.A.; Rankin, D.R.

1995-01-01

The hydrogeology of Cibola County, New Mexico, was evaluated to determine the occurrence, availability, and quality of ground-water resources. Rocks of Precambrian through Quaternary age are present in Cibola County. Most rocks are sedimentary in origin except for Precambrian igneous and metamorphic rocks exposed in the Zuni Uplift and Tertiary and Quaternary basalts in northern and central parts of the county. The most productive aquifers in the county include (youngest to oldest) Quaternary deposits, sandstones in the Mesaverde Group, the Dakota-Zuni-Bluff aquifer, the Westwater Canyon aquifer, the Todilto- Entrada aquifer, sandstone beds in the Chinle Formation, and the San Andres-Glorieta aquifer. Unconsolidated sand, silt, and gravel form a mantle ranging from a few inches to 150 to 200 feet over much of the bedrock in Cibola County. Well yields range from 5 to 1,110 gallons per minute. Dissolved-solids concentrations of ground water range from 200 to more than 5,200 milligrams per liter. Calcium, magnesium, bicarbonate, and sulfate are the predominant ions in ground water in alluvial material. The Mesaverde Group mainly occurs in three areas of the county. Well yields range from less than 1 to 12 gallons per minute. The predominant ions in water from wells in the Mesaverde Group are calcium, sodium, and bicarbonate. The transition from calcium-predominant to sodium-predominant water in the southwestern part of the county likely is a result of ion exchange. Wells completed in the Dakota-Zuni-Bluff aquifer yield from 1 to 30 gallons per minute. Dissolved-solids concentrations range from 220 to 2,000 milligrams per liter in water from 34 wells in the western part of the county. Predominant ions in the ground water include calcium, sodium, sulfate, and bicarbonate. Calcium predominates in areas where the aquifer is exposed at the surface or is overlain with alluvium. Sandstones in the Chinle Formation yield from 10 to 300 gallons per minute to wells in the Grants-Bluewater area. In the western part of the county, sodium and bicarbonate predominate in water from the Chinle Formation. In the eastern part of the county, water quality is more variable than elsewhere and the predominant constituents include calcium, sodium, sulfate, and chloride. Well yields from the San Andres-Glorieta aquifer in the Grants- Bluewater area are as much as 2,830 gallons per minute, whereas the maximum recorded pumping rate from the aquifer in other areas of the county is 88 gallons per minute. Dissolved-solids concentrations of ground-water range from about 130 to 4,200 milligrams per liter, and the water generally is a calcium bicarbonate sulfate type.

Evaluation and proposed study of potential ground-water supplies, Gallup area, New Mexico

USGS Publications Warehouse

Hiss, William L.

1975-01-01

The ground-water potential of 5 areas in central-western New Mexico within 85 miles (135 km) of Gallup, N. Mex. was evaluated by reviewing the published literature, inspecting aerial and space photographs, and interviewing ranchers and personnel employed by well-drilling and mineral-exploration companies by telephone. The San Andres Limestone and underlying Glorieta Sandstone of Permian age are the oldest aquifers capable of yielding water of a quality suitable for municipal use. Extreme local variations in hydraulic conductivity and water quality reflect a karstic topography developed on the San Andres Limestone prior to burial by Upper Triassic sediments. The San Andres Limestone and Glorieta Sandstone form an important aquifer in the Grants-Bluewater area where yields of as much as 2,200 gallons per minute (140 l/s) have been obtained. Yields from wells completed in the San Andres-Glorieta aquifer on the Chaco slope and in the Gallup sag-Mogollon slope on the northeast and southeast flanks, respectively, of the Zuni uplift will be much less than those prevailing in the Grants-Bluewater area. Water quality in the San Andres Limestone and Glorieta Sandstone deteriorates with distance away from the axis of the Zuni uplift. Sandstones of Triassic, Jurassic, and Cretaceous age are potential aquifers wherever they are present. Yields to wells tapping these aquifers are generally less than 200 gallons per minute (13 l/s) due to the relatively low hydraulic conductivity. Wells tapping alluvium of Late Cenozoic age along the Rio San Jose and Puerco River and interbedded volcanics and alluvium elsewhere in the area generally yield less than 100 gallons per minute (6 l/s) of water. Tributaries ,of the Rio San Jose that have eroded canyons into Paleozoic and Mesozoic rocks east of the Continental Divide and south of the eastern part of the Zuni uplift have been repeatedly displaced and (or) covered by Quaternary volcanic rocks. The exact location, extent, and depth of buried alluvium in the Late Tertiary valleys is unknown. Water enters the volcanic rocks as rainfall and snowmelt and probably passes quickly into and through, the underlying alluvium into Jurassic and Cretaceous strata. The Gallup Sandstone in the lower part of the Mesaverde Group and the San Andres Limestone and Glorieta Sandstone (combined) are potential sources of water in the North Plains-Malpais area. Sustained yields of 500 to 800 gallons per minute (30 to 50 l/s) can be expected from wells completed in the Gallup Sandstone of Cretaceous age in areas west and north of the Zuni uplift. Properly completed wells tapping the Dakota Sandstone of Cretaceous age and the Westwater Canyon Sandstone Member of the Morrison Formation of Jurassic age locally yield 100 to 250 gallons per minute (6 to 15 l/s) north and east of Gallup. Additional supplies of ground water could be developed from these aquifers. However, arrangements to purchase or lease the water would probably need to be made before these resources could be exploited. Approximately 3,000 gallons per minute (190 l/s) of ground water is being pumped from the Westwater Canyon Member of the Morrison Formation at two uranium mines located about 12 miles (20 km) northeast of Gallup in the Church Rock mining district. The water is pumped into settling ponds at the surface. Effluent from the ponds is allowed to flow into arroyos draining into the Puerco River. Some of the waste water will be used in an ore-processing mill that is expected to be constructed near the mines. However, additional waste water will probably be available from other mines that reportedly will be located in the same mining district. Water salvaged from the current mining operations and (or) pumped from abandoned uranium mines constitutes the most readily available and dependable source of new ground-water supplies for the city of Gallup. The water contains dissolved uranium but is otherwise of better quality than that now avai

Preliminary Magnetostratigraphy of the Carnian to Early Norian (Late Triassic) Lower Chinle Group, Central and North-Central New Mexico

NASA Astrophysics Data System (ADS)

Zeigler, K. E.; Geissman, J. W.

2006-12-01

The Chama Basin of north-central New Mexico and the Zuni Mountains of central New Mexico contain several excellent outcrop exposures of the Upper Triassic Chinle Group. The Shinarump, Salitral and Poleo formations, which comprise the lower half of the Chinle Group, encompass the Carnian to early Norian stages of the Late Triassic, based on vertebrate biostratigraphy. Each of these units was sampled with a ~3m sampling interval at three localities in the Chama Basin and one locality in the Zuni Mountains. Sites spanning the gradational Shinarump/Salitral Formation contact yielded an in situ grand mean of D = 352.9°, I = 49.3°, α95 = 20.1°, k = 38.7. Sites in the El Cerrito Bed of the medial Salitral Formation yielded an in situ grand mean of D = 177.4°, I = 10.7°, α95 = 15.6°, k = 63.5. The Youngsville Member of the Salitral Formation and the Poleo Formation are exclusively of reverse polarity, with an in situ grand mean of D = 188.3°, I = 16.8°, α95 = 19.4°, k = 23.4 and D = 182.7°, I = -0.3°, α95 = 5.3°, k = 36.5 respectively. In general, the lower Chinle Group tends to be dominantly reversed polarity. The Shinarump Formation is noted for intense color mottling and the local occurrence of copper and uranium mineralization. The lower member of the Salitral Formation, the Piedra Lumbre Member, is often very mottled, with colors ranging from whites and yellows through reds, purples and blues that reflect intense pedogenic alteration of the sediments. The Youngsville Member is nearly uniformly brick red in color. However, several specimens from different sites in the Shinarump and both members of the Salitral Formation yielded incoherent magnetizations, suggesting that pedogenic alteration may have erased any original Late Triassic magnetization.

Pueblo Folklore, Landscape Phenomenology and the Visual Poetics of Fajada Butte

NASA Astrophysics Data System (ADS)

Carey, C.

2009-08-01

In the interest of reexamining the site of Fajada Butte in Chaco Canyon, this paper seeks to recontextualize discussions of its controversial spiral petroglyphs and astronomical phenomena (Sun Daggers) with reference to landscape phenomenology, visual and literary poetics, and the astronomical orientation of contemporary Pueblo ceremonial practices. The dearth of recent scholarship on Fajada Butte may have arisen from the many controversial arguments about its function from a variety of disciplinary locations including archaeology, anthropology, geology, and archeoastronomy. Via an emphasis on the physical landscape, storytelling, contemporary ceremonial practices and ancestral ties to Chaco Canyon, the Zuni and Hopi pueblos provide a context for re-examining the astronomical phenomena of Fajada Butte as a natural shrine of the of Chacoan culture and repository of an array of symbolic content.

Preparing Graduate Students for Solar System Science and Exploration Careers: Internships and Field Training Courses led by the Lunar and Planetary Institute

NASA Astrophysics Data System (ADS)

Shaner, A. J.; Kring, D. A.

2015-12-01

To be competitive in 21st century science and exploration careers, graduate students in planetary science and related disciplines need mentorship and need to develop skills not always available at their home university, including fieldwork, mission planning, and communicating with others in the scientific and engineering communities in the U.S. and internationally. Programs offered by the Lunar and Planetary Institute (LPI) address these needs through summer internships and field training programs. From 2008-2012, LPI hosted the Lunar Exploration Summer Intern Program. This special summer intern program evaluated possible landing sites for robotic and human exploration missions to the lunar surface. By the end of the 2012 program, a series of scientifically-rich landing sites emerged, some of which had never been considered before. Beginning in 2015 and building on the success of the lunar exploration program, a new Exploration Science Summer Intern Program is being implemented with a broader scope that includes both the Moon and near-Earth asteroids. Like its predecessor, the Exploration Science Summer Intern Program offers graduate students a unique opportunity to integrate scientific input with exploration activities in a way that mission architects and spacecraft engineers can use. The program's activities may involve assessments and traverse plans for a particular destination or a more general assessment of a class of possible exploration targets. Details of the results of these programs will be discussed. Since 2010 graduate students have participated in field training and research programs at Barringer (Meteor) Crater and the Sudbury Impact Structure. Skills developed during these programs prepare students for their own thesis studies in impact-cratered terrains, whether they are on the Earth, the Moon, Mars, or other solar system planetary surface. Future field excursions will take place at these sites as well as the Zuni-Bandera Volcanic Field. Skills developed during the Zuni-Bandera training will prepare students for their own thesis studies of volcanic provinces on any solar system planetary surface where basaltic volcanism has occurred. Further details of these field trainings will also be discussed.

12 CFR Supplement I to Part 226 - Official Staff Interpretations

Code of Federal Regulations, 2011 CFR

2011-01-01

... 12 Banks and Banking 3 2011-01-01 2011-01-01 false Official Staff Interpretations I Supplement I to Part 226 Banks and Banking FEDERAL RESERVE SYSTEM (CONTINUED) BOARD OF GOVERNORS OF THE FEDERAL RESERVE SYSTEM TRUTH IN LENDING (REGULATION Z) Supplement I to Part 226—Official Staff Interpretations...

12 CFR Supplement I to Part 226 - Official Staff Interpretations

Code of Federal Regulations, 2011 CFR

2011-01-01

... to Part 226 Banks and Banking FEDERAL RESERVE SYSTEM (CONTINUED) BOARD OF GOVERNORS OF THE FEDERAL RESERVE SYSTEM TRUTH IN LENDING (REGULATION Z) Pt. 226, Supp. I Supplement I to Part 226—Official Staff... authorized official or employee of the Federal Reserve System. 2. Procedure for requesting interpretations...

12 CFR Supplement I to Part 226 - Official Staff Interpretations

Code of Federal Regulations, 2010 CFR

2010-01-01

... to Part 226 Banks and Banking FEDERAL RESERVE SYSTEM (CONTINUED) BOARD OF GOVERNORS OF THE FEDERAL RESERVE SYSTEM TRUTH IN LENDING (REGULATION Z) Pt. 226, Supp. I Supplement I to Part 226—Official Staff... interpretation issued by a duly authorized official or employee of the Federal Reserve System. 2. Procedure for...

Copyright Policies and the Deciphering of Fair Use in the Creation of Reserves at University Libraries

ERIC Educational Resources Information Center

Gould, Thomas H. P.; Lipinski, Tomas A.; Buchanan, Elizabeth A.

2005-01-01

This paper stems from the results of a systematic study of research library policy regarding application and interpretation of copyright law to reserves and electronic reserves. A thorough legal framework is provided from which the study's results are interpreted, and suggestions for research library compliance are provided.

Interpretation of Biosphere Reserves.

ERIC Educational Resources Information Center

Merriman, Tim

1994-01-01

Introduces the Man and the Biosphere Programme (MAB) to monitor the 193 biogeographical provinces of the Earth and the creation of biosphere reserves. Highlights the need for interpreters to become familiar or involved with MAB program activities. (LZ)

48 CFR 9904.409-61 - Interpretation. [Reserved

Code of Federal Regulations, 2010 CFR

2010-10-01

...] 9904.409-61 Section 9904.409-61 Federal Acquisition Regulations System COST ACCOUNTING STANDARDS BOARD, OFFICE OF FEDERAL PROCUREMENT POLICY, OFFICE OF MANAGEMENT AND BUDGET PROCUREMENT PRACTICES AND COST ACCOUNTING STANDARDS COST ACCOUNTING STANDARDS 9904.409-61 Interpretation. [Reserved] ...

48 CFR 9904.407-61 - Interpretation. [Reserved

Code of Federal Regulations, 2010 CFR

2010-10-01

...] 9904.407-61 Section 9904.407-61 Federal Acquisition Regulations System COST ACCOUNTING STANDARDS BOARD, OFFICE OF FEDERAL PROCUREMENT POLICY, OFFICE OF MANAGEMENT AND BUDGET PROCUREMENT PRACTICES AND COST ACCOUNTING STANDARDS COST ACCOUNTING STANDARDS 9904.407-61 Interpretation. [Reserved] ...

48 CFR 9904.405-61 - Interpretation. [Reserved

Code of Federal Regulations, 2010 CFR

2010-10-01

...] 9904.405-61 Section 9904.405-61 Federal Acquisition Regulations System COST ACCOUNTING STANDARDS BOARD, OFFICE OF FEDERAL PROCUREMENT POLICY, OFFICE OF MANAGEMENT AND BUDGET PROCUREMENT PRACTICES AND COST ACCOUNTING STANDARDS COST ACCOUNTING STANDARDS 9904.405-61 Interpretation. [Reserved] ...

48 CFR 9904.410-61 - Interpretation. [Reserved

Code of Federal Regulations, 2010 CFR

2010-10-01

...] 9904.410-61 Section 9904.410-61 Federal Acquisition Regulations System COST ACCOUNTING STANDARDS BOARD, OFFICE OF FEDERAL PROCUREMENT POLICY, OFFICE OF MANAGEMENT AND BUDGET PROCUREMENT PRACTICES AND COST ACCOUNTING STANDARDS COST ACCOUNTING STANDARDS 9904.410-61 Interpretation. [Reserved] ...

48 CFR 9904.404-61 - Interpretation. [Reserved

Code of Federal Regulations, 2010 CFR

2010-10-01

...] 9904.404-61 Section 9904.404-61 Federal Acquisition Regulations System COST ACCOUNTING STANDARDS BOARD, OFFICE OF FEDERAL PROCUREMENT POLICY, OFFICE OF MANAGEMENT AND BUDGET PROCUREMENT PRACTICES AND COST ACCOUNTING STANDARDS COST ACCOUNTING STANDARDS 9904.404-61 Interpretation. [Reserved] ...

48 CFR 9904.408-61 - Interpretation. [Reserved

Code of Federal Regulations, 2010 CFR

2010-10-01

...] 9904.408-61 Section 9904.408-61 Federal Acquisition Regulations System COST ACCOUNTING STANDARDS BOARD, OFFICE OF FEDERAL PROCUREMENT POLICY, OFFICE OF MANAGEMENT AND BUDGET PROCUREMENT PRACTICES AND COST ACCOUNTING STANDARDS COST ACCOUNTING STANDARDS 9904.408-61 Interpretation. [Reserved] ...

18 CFR 2.69 - [Reserved

Code of Federal Regulations, 2014 CFR

2014-04-01

... 18 Conservation of Power and Water Resources 1 2014-04-01 2014-04-01 false [Reserved] 2.69 Section 2.69 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY GENERAL RULES GENERAL POLICY AND INTERPRETATIONS Statements of General Policy and Interpretations...

18 CFR 2.8 - [Reserved

Code of Federal Regulations, 2013 CFR

2013-04-01

... 18 Conservation of Power and Water Resources 1 2013-04-01 2013-04-01 false [Reserved] 2.8 Section 2.8 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY GENERAL RULES GENERAL POLICY AND INTERPRETATIONS Statements of General Policy and Interpretations...

18 CFR 2.8 - [Reserved

Code of Federal Regulations, 2010 CFR

2010-04-01

... 18 Conservation of Power and Water Resources 1 2010-04-01 2010-04-01 false [Reserved] 2.8 Section 2.8 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY GENERAL RULES GENERAL POLICY AND INTERPRETATIONS Statements of General Policy and Interpretations...

18 CFR 2.8 - [Reserved

Code of Federal Regulations, 2014 CFR

2014-04-01

... 18 Conservation of Power and Water Resources 1 2014-04-01 2014-04-01 false [Reserved] 2.8 Section 2.8 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY GENERAL RULES GENERAL POLICY AND INTERPRETATIONS Statements of General Policy and Interpretations...

18 CFR 2.69 - [Reserved

Code of Federal Regulations, 2010 CFR

2010-04-01

... 18 Conservation of Power and Water Resources 1 2010-04-01 2010-04-01 false [Reserved] 2.69 Section 2.69 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY GENERAL RULES GENERAL POLICY AND INTERPRETATIONS Statements of General Policy and Interpretations...

18 CFR 2.69 - [Reserved

Code of Federal Regulations, 2012 CFR

2012-04-01

... 18 Conservation of Power and Water Resources 1 2012-04-01 2012-04-01 false [Reserved] 2.69 Section 2.69 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY GENERAL RULES GENERAL POLICY AND INTERPRETATIONS Statements of General Policy and Interpretations...

18 CFR 2.51 - [Reserved

Code of Federal Regulations, 2010 CFR

2010-04-01

... 18 Conservation of Power and Water Resources 1 2010-04-01 2010-04-01 false [Reserved] 2.51 Section 2.51 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY GENERAL RULES GENERAL POLICY AND INTERPRETATIONS Statements of General Policy and Interpretations...

18 CFR 2.51 - [Reserved

Code of Federal Regulations, 2012 CFR

2012-04-01

... 18 Conservation of Power and Water Resources 1 2012-04-01 2012-04-01 false [Reserved] 2.51 Section 2.51 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY GENERAL RULES GENERAL POLICY AND INTERPRETATIONS Statements of General Policy and Interpretations...

18 CFR 2.51 - [Reserved

Code of Federal Regulations, 2013 CFR

2013-04-01

... 18 Conservation of Power and Water Resources 1 2013-04-01 2013-04-01 false [Reserved] 2.51 Section 2.51 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY GENERAL RULES GENERAL POLICY AND INTERPRETATIONS Statements of General Policy and Interpretations...

18 CFR 2.8 - [Reserved

Code of Federal Regulations, 2012 CFR

2012-04-01

... 18 Conservation of Power and Water Resources 1 2012-04-01 2012-04-01 false [Reserved] 2.8 Section 2.8 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY GENERAL RULES GENERAL POLICY AND INTERPRETATIONS Statements of General Policy and Interpretations...

18 CFR 2.69 - [Reserved

Code of Federal Regulations, 2013 CFR

2013-04-01

... 18 Conservation of Power and Water Resources 1 2013-04-01 2013-04-01 false [Reserved] 2.69 Section 2.69 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY GENERAL RULES GENERAL POLICY AND INTERPRETATIONS Statements of General Policy and Interpretations...

18 CFR 2.51 - [Reserved

Code of Federal Regulations, 2014 CFR

2014-04-01

... 18 Conservation of Power and Water Resources 1 2014-04-01 2014-04-01 false [Reserved] 2.51 Section 2.51 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY GENERAL RULES GENERAL POLICY AND INTERPRETATIONS Statements of General Policy and Interpretations...

12 CFR Supplement I to Part 205 - Official Staff Interpretations

Code of Federal Regulations, 2012 CFR

2012-01-01

... 12 Banks and Banking 2 2012-01-01 2012-01-01 false Official Staff Interpretations I Supplement I to Part 205 Banks and Banking FEDERAL RESERVE SYSTEM BOARD OF GOVERNORS OF THE FEDERAL RESERVE SYSTEM ELECTRONIC FUND TRANSFERS (REGULATION E) Pt. 205, Supp. I Supplement I to Part 205—Official Staff...

12 CFR Appendix D to Part 230 - Issuance of Staff Interpretations

Code of Federal Regulations, 2010 CFR

2010-01-01

... 12 Banks and Banking 3 2010-01-01 2010-01-01 false Issuance of Staff Interpretations D Appendix D... RESERVE SYSTEM TRUTH IN SAVINGS (REGULATION DD) Pt. 230, App. D Appendix D to Part 230—Issuance of Staff... official staff interpretations of this part. These interpretations provide the protections afforded under...

12 CFR Appendix D to Part 230 - Issuance of Staff Interpretations

Code of Federal Regulations, 2011 CFR

2011-01-01

... 12 Banks and Banking 3 2011-01-01 2011-01-01 false Issuance of Staff Interpretations D Appendix D... RESERVE SYSTEM TRUTH IN SAVINGS (REGULATION DD) Pt. 230, App. D Appendix D to Part 230—Issuance of Staff... official staff interpretations of this part. These interpretations provide the protections afforded under...

12 CFR Appendix C to Part 226 - Issuance of Staff Interpretations

Code of Federal Regulations, 2012 CFR

2012-01-01

... 12 Banks and Banking 3 2012-01-01 2012-01-01 false Issuance of Staff Interpretations C Appendix C... RESERVE SYSTEM TRUTH IN LENDING (REGULATION Z) Pt. 226, App. C Appendix C to Part 226—Issuance of Staff Interpretations Official Staff Interpretations Officials in the Board's Division of Consumer and Community Affairs...

12 CFR Appendix C to Part 226 - Issuance of Staff Interpretations

Code of Federal Regulations, 2011 CFR

2011-01-01

... 12 Banks and Banking 3 2011-01-01 2011-01-01 false Issuance of Staff Interpretations C Appendix C... RESERVE SYSTEM TRUTH IN LENDING (REGULATION Z) Pt. 226, App. C Appendix C to Part 226—Issuance of Staff Interpretations Official Staff Interpretations Officials in the Board's Division of Consumer and Community Affairs...

12 CFR Appendix C to Part 226 - Issuance of Staff Interpretations

Code of Federal Regulations, 2010 CFR

2010-01-01

... 12 Banks and Banking 3 2010-01-01 2010-01-01 false Issuance of Staff Interpretations C Appendix C... RESERVE SYSTEM TRUTH IN LENDING (REGULATION Z) Pt. 226, App. C Appendix C to Part 226—Issuance of Staff Interpretations Official Staff Interpretations Officials in the Board's Division of Consumer and Community Affairs...

Tribal differences in diabetes: prevalence among American Indians in New Mexico.

PubMed Central

Carter, J; Horowitz, R; Wilson, R; Sava, S; Sinnock, P; Gohdes, D

1989-01-01

The prevalence of diagnosed diabetes among American Indians in New Mexico with varied genetic and cultural backgrounds is reported. Utilizing community-based registries, the prevalence in persons ages 35 years and older ranged from 9.8 percent among Jicarilla Apache Indians to 28.2 percent among Zuni Indians. All rates were significantly higher than the U.S. rate of 5.3 percent for the same age group. In addition, in three of the five tribal groups examined, the rates of diagnosed diabetes in Indians less than 35 years of age (range from 0.5 percent to 1.3 percent) were significantly higher than the U.S. rate of 0.4 percent for the same age group. The prevalence rates of diagnosed diabetes found in this study of American Indians in New Mexico were intermediate between those for the United States as a whole and the Pima Indians of southern Arizona. Reasons for the variations and the relative contribution of obesity, fitness, or genetic risk in the development of diabetes need further study. PMID:2511603

New Mexico climate manual: solar and weather data. Final report

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

Morris, W.S.; Haggard, K.W

This manual contains extensive solar and weather data for the state of New Mexico in tabular, map, and graphic formats. It is particularly relevant to design of energy efficient buildings and renewable energy systems, but is also broad enough to provide useful information to many other disciplines. Maps of the state show monthly values of insolation for horizontal, south-facing latitude-tilted and vertical surfaces, as well as mean temperatures. Climatic summaries given for 63 sites include monthly temperature and precipitation data as well as heating/cooling degree-days and design temperatures. For nine locations (Albuquerque, Clayton, Farmington, Los Alamos, Roswell, T or C,more » Tucumcari, Zuni, and El Paso, Texas) most of the following comprehensive data sets are also presented: design temperatures with mean coincident wet bulb and wind values; HDD/CDD values to 12 base temperatures; day/night wind data; typical and clear-day values of incident and transmitted solar radiation for 97 orientations and tilts; and temperature distribution data in 2/sup 0/F bins for six daily time periods. Extensive explanatory text with referencing to the data is provided.« less

16 CFR 1115.9 - [Reserved

Code of Federal Regulations, 2010 CFR

2010-01-01

... 16 Commercial Practices 2 2010-01-01 2010-01-01 false [Reserved] 1115.9 Section 1115.9 Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION CONSUMER PRODUCT SAFETY ACT REGULATIONS SUBSTANTIAL PRODUCT HAZARD REPORTS General Interpretation § 1115.9 [Reserved] ...

12 CFR 204.134 - Linked time deposits and transaction accounts.

Code of Federal Regulations, 2010 CFR

2010-01-01

... RESERVE SYSTEM RESERVE REQUIREMENTS OF DEPOSITORY INSTITUTIONS (REGULATION D) Interpretations § 204.134...) establishes general reserve requirements on transaction accounts and nonpersonal time deposits. Under section... other than to allow the payment of higher interest through the avoidance of reserve requirements. As the...

5 CFR 214.402 - Career reserved positions.

Code of Federal Regulations, 2010 CFR

2010-01-01

... collection of taxes and the preparation or review of interpretative opinions. (2) Career reserved positions... review agency designations of general and career reserved positions. If the Office finds that an agency... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Career reserved positions. 214.402...

The intersections of culture and power in clinician and interpreter relationships: A qualitative study.

PubMed

Becher, Emily H; Wieling, Elizabeth

2015-07-01

Ongoing racial/ethnic health disparities place increasing emphasis on the importance of interpreters in mental health treatment. Yet there is a limited body of research examining how interpreters and clinicians work together in delivering care. This article used an ethno-culturally informed qualitative procedure to ask interpreters and clinicians about their experiences in cross-language mental health treatment. Seventeen semistructured interviews were conducted with 10 interpreters and 7 clinicians. The interplay of power was experienced differently by interpreters and clinicians as exemplified by 3 categories of meaning: Interpreters speaking out, The relationship matters, and Who has the power? The authors recommend future research focus on the clinician-interpreter relationship as an essential piece of cross-cultural mental health delivery. (c) 2015 APA, all rights reserved).

18 CFR Appendix B to Part 2 - [Reserved

Code of Federal Regulations, 2012 CFR

2012-04-01

... 18 Conservation of Power and Water Resources 1 2012-04-01 2012-04-01 false [Reserved] B Appendix B to Part 2 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY GENERAL RULES GENERAL POLICY AND INTERPRETATIONS Appendix B to Part 2 [Reserved] ...

18 CFR Appendix B to Part 2 - [Reserved

Code of Federal Regulations, 2013 CFR

2013-04-01

... 18 Conservation of Power and Water Resources 1 2013-04-01 2013-04-01 false [Reserved] B Appendix B to Part 2 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY GENERAL RULES GENERAL POLICY AND INTERPRETATIONS Appendix B to Part 2 [Reserved] ...

18 CFR Appendix B to Part 2 - [Reserved

Code of Federal Regulations, 2010 CFR

2010-04-01

... 18 Conservation of Power and Water Resources 1 2010-04-01 2010-04-01 false [Reserved] B Appendix B to Part 2 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY GENERAL RULES GENERAL POLICY AND INTERPRETATIONS Appendix B to Part 2 [Reserved] ...

18 CFR Appendix B to Part 2 - [Reserved

Code of Federal Regulations, 2014 CFR

2014-04-01

... 18 Conservation of Power and Water Resources 1 2014-04-01 2014-04-01 false [Reserved] B Appendix B to Part 2 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY GENERAL RULES GENERAL POLICY AND INTERPRETATIONS Appendix B to Part 2 [Reserved] ...

Is There a Need For a Joint Reserve Components Command?

DTIC Science & Technology

2013-03-01

Bravo Zulu ”. If these words were heard by a Soldier, it might be interpreted as poor performance. By having one organization as a single source for...Commander, Joint Reserve Components Command. Creation of the JRCC would, in time, strengthen partnerships between the reserve components of each

12 CFR 204.132 - Treatment of loan strip participations.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 12 Banks and Banking 2 2010-01-01 2010-01-01 false Treatment of loan strip participations. 204.132 Section 204.132 Banks and Banking FEDERAL RESERVE SYSTEM BOARD OF GOVERNORS OF THE FEDERAL RESERVE SYSTEM RESERVE REQUIREMENTS OF DEPOSITORY INSTITUTIONS (REGULATION D) Interpretations § 204.132 Treatment of loan...

12 CFR 204.127 - Nondepository participation in “Federal funds” market.

Code of Federal Regulations, 2010 CFR

2010-01-01

... market. 204.127 Section 204.127 Banks and Banking FEDERAL RESERVE SYSTEM BOARD OF GOVERNORS OF THE FEDERAL RESERVE SYSTEM RESERVE REQUIREMENTS OF DEPOSITORY INSTITUTIONS (REGULATION D) Interpretations... selling depository institution. (c) The Board regards the notice requirements set out in 12 CFR 204.126 as...

Development and application of methods used to source prehistoric Southwestern maize: a review

USGS Publications Warehouse

Benson, Larry V.

2012-01-01

Archaeological cobs free of mineral contaminants should be used to source the soils in which they were grown. Mineral contaminants often contain much higher concentrations of metals than vegetal materials and can alter a cob’s apparent metal and heavy-isotope content. Cleaning a cob via immersion in an acid solution for more than a few minutes will result in the incongruent and sometimes complete leaching of metals, including strontium (Sr), from the cob. When using 87Sr/Sr to determine the location of potential agriculture fields, it is best to either integrate several depth-integrated soil samples or to integrate several vegetation samples from individual fields. Biologically labile Sr in semi-arid Southwestern soils largely originates from eolian source or sources and usually is not derived from underlying bedrock. Existing Sr-isotope data indicate that archaeological cobs from Aztec Ruins came from either the Mesa Verde-McElmo Dome or Totah areas, that Pueblo Bonito and Chetro Ketl cobs, from Chaco Canyon that predate A.D. 1130, probably came from the Rio Chaco corridor, and that cobs from Chaco Canyon, that postdate A.D. 1130, probably came from either the Totah or Zuni areas.

Novel approach to documenting expert ECG interpretation using eye tracking technology: a historical and biographical representation of the late Dr Rory Childers in action.

PubMed

Bond, R R; Kligfield, P D; Zhu, T; Finlay, D D; Drew, B; Guldenring, D; Breen, C; Clifford, G D; Wagner, G S

2015-01-01

The 12-lead electrocardiogram (ECG) is a complex set of cardiac signals that require a high degree of skill and clinical knowledge to interpret. Therefore, it is imperative to record and understand how expert readers interpret the 12-lead ECG. This short paper showcases how eye tracking technology and audio data can be fused together and visualised to gain insight into the interpretation techniques employed by an eminent ECG champion, namely Dr Rory Childers. Copyright © 2015 Elsevier Inc. All rights reserved.

12 CFR 250.180 - Reports of changes in control of management.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 12 Banks and Banking 3 2010-01-01 2010-01-01 false Reports of changes in control of management... FEDERAL RESERVE SYSTEM MISCELLANEOUS INTERPRETATIONS Interpretations § 250.180 Reports of changes in control of management. (a) Under a statute enacted September 12, 1964 (Pub. L. 88-593; 78 Stat. 940) all...

12 CFR 250.180 - Reports of changes in control of management.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 12 Banks and Banking 3 2011-01-01 2011-01-01 false Reports of changes in control of management... FEDERAL RESERVE SYSTEM MISCELLANEOUS INTERPRETATIONS Interpretations § 250.180 Reports of changes in control of management. (a) Under a statute enacted September 12, 1964 (Pub. L. 88-593; 78 Stat. 940) all...

75 FR 55622 - Self-Regulatory Organizations; NYSE Amex LLC; Notice of Filing and Immediate Effectiveness of...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-13

....3NY(d)(3). Under the proposed interpretation, after entering a Reserve Order, an ATP Holder may enter... provide ATP Holders with certainty with respect to the applicable exposure requirements for reserve orders...

31 CFR 545.405 - [Reserved

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false [Reserved] 545.405 Section 545.405 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY TALIBAN (AFGHANISTAN) SANCTIONS REGULATIONS Interpretations...

Training interpretation biases among individuals with body dysmorphic disorder symptoms.

PubMed

Premo, Julie E; Sarfan, Laurel D; Clerkin, Elise M

2016-03-01

The current study provided an initial test of a Cognitive Bias Modification for Interpretations (CBM-I) training paradigm among a sample with elevated BDD symptoms (N=86). As expected, BDD-relevant interpretations were reduced among participants who completed a positive (vs. comparison) training program. Results also pointed to the intriguing possibility that modifying biased appearance-relevant interpretations is causally related to changes in biased, socially relevant interpretations. Further, providing support for cognitive behavioral models, residual change in interpretations was associated with some aspects of in vivo stressor responding. However, contrary to expectations there were no significant effects of condition on emotional vulnerability to a BDD stressor, potentially because participants in both training conditions experienced reductions in biased socially-threatening interpretations following training (suggesting that the "comparison" condition was not inert). These findings have meaningful theoretical and clinical implications, and fit with transdiagnostic conceptualizations of psychopathology. Copyright © 2015 Elsevier Ltd. All rights reserved.

31 CFR 551.401 - [Reserved

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false [Reserved] 551.401 Section 551.401 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY SOMALIA SANCTIONS REGULATIONS Interpretations § 551.401...

Clinicians' Obligations to Use Qualified Medical Interpreters When Caring for Patients with Limited English Proficiency.

PubMed

Basu, Gaurab; Costa, Vonessa Phillips; Jain, Priyank

2017-03-01

Access to language services is a required and foundational component of care for patients with limited English proficiency (LEP). National standards for medical interpreting set by the US Department of Health and Human Services and by the National Council on Interpreting in Health Care establish the role of qualified medical interpreters in the provision of care in the United States. In the vignette, the attending physician infringes upon the patient's right to appropriate language services and renders unethical care. Clinicians are obliged to create systems and a culture that ensure quality care for patients with LEP. © 2017 American Medical Association. All Rights Reserved.

12 CFR 201.107 - Eligibility of demand paper for discount and as security for advances by Reserve Banks.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 12 Banks and Banking 2 2010-01-01 2010-01-01 false Eligibility of demand paper for discount and as... BOARD OF GOVERNORS OF THE FEDERAL RESERVE SYSTEM EXTENSIONS OF CREDIT BY FEDERAL RESERVE BANKS (REGULATION A) Interpretations § 201.107 Eligibility of demand paper for discount and as security for advances...

31 CFR 510.401 - [Reserved

Code of Federal Regulations, 2014 CFR

2014-07-01

... 31 Money and Finance:Treasury 3 2014-07-01 2014-07-01 false [Reserved] 510.401 Section 510.401 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY NORTH KOREA SANCTIONS REGULATIONS Interpretations § 510.401...

31 CFR 510.401 - [Reserved

Code of Federal Regulations, 2011 CFR

2011-07-01

... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false [Reserved] 510.401 Section 510.401 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY NORTH KOREA SANCTIONS REGULATIONS Interpretations § 510.401...

31 CFR 510.401 - [Reserved

Code of Federal Regulations, 2013 CFR

2013-07-01

... 31 Money and Finance:Treasury 3 2013-07-01 2013-07-01 false [Reserved] 510.401 Section 510.401 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY NORTH KOREA SANCTIONS REGULATIONS Interpretations § 510.401...

31 CFR 510.401 - [Reserved

Code of Federal Regulations, 2012 CFR

2012-07-01

... 31 Money and Finance:Treasury 3 2012-07-01 2012-07-01 false [Reserved] 510.401 Section 510.401 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY NORTH KOREA SANCTIONS REGULATIONS Interpretations § 510.401...

18 CFR 2.201 - [Reserved

Code of Federal Regulations, 2012 CFR

2012-04-01

... 18 Conservation of Power and Water Resources 1 2012-04-01 2012-04-01 false [Reserved] 2.201 Section 2.201 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY GENERAL RULES GENERAL POLICY AND INTERPRETATIONS Rules of General Applicability § 2.201...

18 CFR 2.201 - [Reserved

Code of Federal Regulations, 2013 CFR

2013-04-01

... 18 Conservation of Power and Water Resources 1 2013-04-01 2013-04-01 false [Reserved] 2.201 Section 2.201 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY GENERAL RULES GENERAL POLICY AND INTERPRETATIONS Rules of General Applicability § 2.201...

18 CFR 2.201 - [Reserved

Code of Federal Regulations, 2010 CFR

2010-04-01

... 18 Conservation of Power and Water Resources 1 2010-04-01 2010-04-01 false [Reserved] 2.201 Section 2.201 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY GENERAL RULES GENERAL POLICY AND INTERPRETATIONS Rules of General Applicability § 2.201...

18 CFR 2.201 - [Reserved

Code of Federal Regulations, 2014 CFR

2014-04-01

... 18 Conservation of Power and Water Resources 1 2014-04-01 2014-04-01 false [Reserved] 2.201 Section 2.201 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY GENERAL RULES GENERAL POLICY AND INTERPRETATIONS Rules of General Applicability § 2.201...

Blinded interpretation of study results can feasibly and effectively diminish interpretation bias.

PubMed

Järvinen, Teppo L N; Sihvonen, Raine; Bhandari, Mohit; Sprague, Sheila; Malmivaara, Antti; Paavola, Mika; Schünemann, Holger J; Guyatt, Gordon H

2014-07-01

Controversial and misleading interpretation of data from randomized trials is common. How to avoid misleading interpretation has received little attention. Herein, we describe two applications of an approach that involves blinded interpretation of the results by study investigators. The approach involves developing two interpretations of the results on the basis of a blinded review of the primary outcome data (experimental treatment A compared with control treatment B). One interpretation assumes that A is the experimental intervention and another assumes that A is the control. After agreeing that there will be no further changes, the investigators record their decisions and sign the resulting document. The randomization code is then broken, the correct interpretation chosen, and the manuscript finalized. Review of the document by an external authority before finalization can provide another safeguard against interpretation bias. We found the blinded preparation of a summary of data interpretation described in this article practical, efficient, and useful. Blinded data interpretation may decrease the frequency of misleading data interpretation. Widespread adoption of blinded data interpretation would be greatly facilitated were it added to the minimum set of recommendations outlining proper conduct of randomized controlled trials (eg, the Consolidated Standards of Reporting Trials statement). Copyright © 2014 The Authors. Published by Elsevier Inc. All rights reserved.

Methodological challenges in qualitative content analysis: A discussion paper.

PubMed

Graneheim, Ulla H; Lindgren, Britt-Marie; Lundman, Berit

2017-09-01

This discussion paper is aimed to map content analysis in the qualitative paradigm and explore common methodological challenges. We discuss phenomenological descriptions of manifest content and hermeneutical interpretations of latent content. We demonstrate inductive, deductive, and abductive approaches to qualitative content analysis, and elaborate on the level of abstraction and degree of interpretation used in constructing categories, descriptive themes, and themes of meaning. With increased abstraction and interpretation comes an increased challenge to demonstrate the credibility and authenticity of the analysis. A key issue is to show the logic in how categories and themes are abstracted, interpreted, and connected to the aim and to each other. Qualitative content analysis is an autonomous method and can be used at varying levels of abstraction and interpretation. Copyright © 2017 Elsevier Ltd. All rights reserved.

Computer-Interpreted Electrocardiograms: Benefits and Limitations.

PubMed

Schläpfer, Jürg; Wellens, Hein J

2017-08-29

Computerized interpretation of the electrocardiogram (CIE) was introduced to improve the correct interpretation of the electrocardiogram (ECG), facilitating health care decision making and reducing costs. Worldwide, millions of ECGs are recorded annually, with the majority automatically analyzed, followed by an immediate interpretation. Limitations in the diagnostic accuracy of CIE were soon recognized and still persist, despite ongoing improvement in ECG algorithms. Unfortunately, inexperienced physicians ordering the ECG may fail to recognize interpretation mistakes and accept the automated diagnosis without criticism. Clinical mismanagement may result, with the risk of exposing patients to useless investigations or potentially dangerous treatment. Consequently, CIE over-reading and confirmation by an experienced ECG reader are essential and are repeatedly recommended in published reports. Implementation of new ECG knowledge is also important. The current status of automated ECG interpretation is reviewed, with suggestions for improvement. Copyright © 2017 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

Don't panic: interpretation bias is predictive of new onsets of panic disorder.

PubMed

Woud, Marcella L; Zhang, Xiao Chi; Becker, Eni S; McNally, Richard J; Margraf, Jürgen

2014-01-01

Psychological models of panic disorder postulate that interpretation of ambiguous material as threatening is an important maintaining factor for the disorder. However, demonstrations of whether such a bias predicts onset of panic disorder are missing. In the present study, we used data from the Dresden Prediction Study, in which a epidemiologic sample of young German women was tested at two time points approximately 17 months apart, allowing the study of biased interpretation as a potential risk factor. At time point one, participants completed an Interpretation Questionnaire including two types of ambiguous scenarios: panic-related and general threat-related. Analyses revealed that a panic-related interpretation bias predicted onset of panic disorder, even after controlling for two established risk factors: anxiety sensitivity and fear of bodily sensations. This is the first prospective study demonstrating the incremental validity of interpretation bias as a predictor of panic disorder onset. Copyright © 2013 Elsevier Ltd. All rights reserved.

A randomized control trial comparing use of a novel electrocardiogram simulator with traditional teaching in the acquisition of electrocardiogram interpretation skill.

PubMed

Fent, Graham; Gosai, Jivendra; Purva, Makani

2016-01-01

Accurate interpretation of the electrocardiogram (ECG) remains an essential skill for medical students and junior doctors. While many techniques for teaching ECG interpretation are described, no single method has been shown to be superior. This randomized control trial is the first to investigate whether teaching ECG interpretation using a computer simulator program or traditional teaching leads to improved scores in a test of ECG interpretation among medical students and postgraduate doctors immediately after and 3months following teaching. Participants' opinions of the program were assessed using a questionnaire. There were no differences in ECG interpretation test scores immediately after or 3months after teaching in the lecture or simulator groups. At present therefore, there is insufficient evidence to suggest that ECG simulator programs are superior to traditional teaching. Copyright © 2016 Elsevier Inc. All rights reserved.

12 CFR 220.108 - International Bank Securities.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 12 Banks and Banking 3 2011-01-01 2011-01-01 false International Bank Securities. 220.108 Section 220.108 Banks and Banking FEDERAL RESERVE SYSTEM (CONTINUED) BOARD OF GOVERNORS OF THE FEDERAL RESERVE SYSTEM CREDIT BY BROKERS AND DEALERS (REGULATION T) Interpretations § 220.108 International Bank...

12 CFR 220.108 - International Bank Securities.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 12 Banks and Banking 3 2010-01-01 2010-01-01 false International Bank Securities. 220.108 Section 220.108 Banks and Banking FEDERAL RESERVE SYSTEM (CONTINUED) BOARD OF GOVERNORS OF THE FEDERAL RESERVE SYSTEM CREDIT BY BROKERS AND DEALERS (REGULATION T) Interpretations § 220.108 International Bank...

12 CFR 213.9 - Relation to state laws.

Code of Federal Regulations, 2010 CFR

2010-01-01

... greater protection and benefit to the consumer. A state, through an official having primary enforcement or interpretative responsibilities for the state consumer leasing law, may apply to the Board for a preemption... Banks and Banking FEDERAL RESERVE SYSTEM BOARD OF GOVERNORS OF THE FEDERAL RESERVE SYSTEM CONSUMER...

Firearms, bullets, and wound ballistics: an imaging primer.

PubMed

Hanna, Tarek N; Shuaib, Waqas; Han, Tatiana; Mehta, Ajeet; Khosa, Faisal

2015-07-01

Based on its intrinsic mass and velocity, a bullet has an upper limit of wounding potential. Actual wound severity is a function of the bullet construction and trajectory, as well as the properties of the tissues traversed. Interpreting physicians must evaluate the bullet trajectory and describe patterns of injury resulting from the effect of energy transfer from the projectile into living tissue. A basic understanding of firearms, projectiles, and wound ballistics can help the interpreting physicians in conceptualizing these injuries and interpreting these cases. Copyright © 2015 Elsevier Ltd. All rights reserved.

Development and evaluation of geochemical methods for the sourcing of archaeological maize

USGS Publications Warehouse

Benson, L.V.; Taylor, Howard E.; Peterson, K.A.; Shattuck, B.D.; Ramotnik, C.A.; Stein, J.R.

2008-01-01

Strontium (Sr)-isotope values on bone from deer mice pairs from 12 field sites in the Chaco Canyon area, New Mexico, were compared with isotope values of synthetic soil waters from the same fields. The data indicate that mice obtain Sr from near-surface sources and that soil samples collected at depths ranging from 25 to 95 cm contain Sr that is more accessible to the deep roots of maize; thus, synthetic soil solutions provide better data for the sourcing of archaeological maize. However, the Sr-isotope composition of mice may be more valuable in sourcing archaeological remains of animals such as rabbit, turkey, and deer. In a separate study, five Native American maize (Zea mays L. ssp. mays) accessions grown out at New Mexico State University Agricultural Science Center, Farmington, New Mexico were used to determine if soil-water metal pairs partition systematically into cobs and kernels. The sampled maize included landraces from three Native American groups (Acoma, Hopi, Zuni) that still occupy the Four Corners area. Two cobs each were picked from 10 plants of each landrace. Partitioning of the Ba/Mn, Ba/Sr, Ca/Sr, and K/Rb metal pairs from the soil water to the cob appears to behave in a systematic fashion. In addition, 51 rare earth element (REE) pairs also appear to systematically partition from the soil water into cobs; however, the ratios of the REE dissolved in the soil waters are relatively invariant; therefore, the distribution coefficients that describe the partitioning of REE from the soil water to the cob may not apply to archeological cobs grown under chemically heterogeneous conditions. Partitioning of Ba/Rb, Ba/Sr, Mg/P, and Mn/P metal pairs from the soil water to kernels also behaves in a systematic fashion. Given that modern Native American landraces were grown under optimal environmental conditions that may not have been duplicated by prehistoric Native Americans, the distribution coefficients obtained in this study should be used with caution. ?? 2007 Elsevier Ltd. All rights reserved.

Covariance between predation risk and nutritional preferences confound interpretations of giving-up density experiments.

PubMed

McMahon, Jordan D; Lashley, Marcus A; Brooks, Christopher P; Barton, Brandon T

2018-04-26

Giving-up density (GUD) experiments have been a foundational method to evaluate perceived predation risk, but rely on the assumption that food preferences are absolute, so that areas with higher GUDs can be interpreted as having higher risk. However, nutritional preferences are context dependent and can change with risk. We used spiders and grasshoppers to test the hypothesis that covariance in nutritional preferences and risk may confound the interpretation of GUD experiments. We presented grasshoppers with carbohydrate-rich and protein-rich diets, in the presence and absence of spider predators. Predators reduced grasshopper preference for the protein-rich food, but increased their preference for the carbohydrate-rich food. We then measured GUDs with both food types under different levels of risk (spider density, 0 - 5). As expected, GUDs increased with spider density indicating increasing risk, but only when using protein-rich food. With carbohydrate-rich food, GUD was independent of predation risk. Our results demonstrate that predation risk and nutritional preferences covary and can confound interpretation of GUD experiments. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

Tectonic Setting and Characteristics of Natural Fractures in MesaVerde and Dakota Reservoirs of the San Juan Basin

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

LORENZ,JOHN C.; COOPER,SCOTT P.

2000-12-20

The Cretaceous strata that fill the San Juan Basin of northwestern New Mexico and southwestern Colorado were shortened in a generally N-S to NN13-SSW direction during the Laramide orogeny. This shortening was the result of compression of the strata between southward indentation of the San Juan Uplift at the north edge of the basin and northward to northeastward indentation of the Zuni Uplift from the south. Right-lateral strike-slip motion was concentrated at the eastern and western basin margins of the basin to form the Hogback Monocline and the Nacimiento Uplift at the same time, and small amounts of shear maymore » have been pervasive within the basin as well. Vertical extension fractures, striking N-S to NNE-SSW with local variations (parallel to the Laramide maximum horizontal compressive stress), formed in both Mesaverde and Dakota sandstones under this system, and are found in outcrops and in the subsurface of the San Juan Basin. The immature Mesaverde sandstones typically contain relatively long, irregular, vertical extension fractures, whereas the quartzitic Dakota sandstones contain more numerous, shorter, sub-parallel, closely spaced, extension fractures. Conjugate shear planes in several orientations are also present locally in the Dakota strata.« less

Prospects for the commercial development of hot dry rock geothermal energy in New Mexico

NASA Astrophysics Data System (ADS)

Duchane, D. V.; Goff, F.

A vast store of energy is available to the world in the form of hot dry rock (HDR) which exists almost everywhere beneath the surface of the earth. The Los Alamos National Laboratory has developed technology to mine the heat from HDR by using techniques developed in the petroleum industry. In practice, an artificial reservoir is created in the hot rock and water is circulated through the reservoir to extract the thermal energy and bring it to the surface. There are virtually no adverse environmental effects from an HDR plant when the system is operated in a closed-loop mode with the process water continually recirculated. An experimental plant at Fenton Hill, NM is now undergoing long-term testing to demonstrate that energy can be obtained from HDR on a sustained basis with operational procedures which are readily adaptable to industry. Significant HDR resources exist in the state of New Mexico. Resources in the Valles Caldera, Zuni Uplift, and Rio Grande Rift have been evaluated in detail. Studies indicate that it should be possible to economically develop high grade HDR resources with technology available today. As advanced concepts for developing and operating HDR systems are investigated, even more widespread utilization of the technology will be commercially feasible.

12 CFR 225.141 - Operations subsidiaries of a bank holding company.

Code of Federal Regulations, 2010 CFR

2010-01-01

... company. 225.141 Section 225.141 Banks and Banking FEDERAL RESERVE SYSTEM (CONTINUED) BOARD OF GOVERNORS OF THE FEDERAL RESERVE SYSTEM BANK HOLDING COMPANIES AND CHANGE IN BANK CONTROL (REGULATION Y) Regulations Financial Holding Companies Interpretations § 225.141 Operations subsidiaries of a bank holding...

Not all are desired: providers' views on interpreters' emotional support for patients.

PubMed

Hsieh, Elaine; Hong, Soo Jung

2010-11-01

This study examines (a) providers' expectations and concerns for interpreters' emotional support, and (b) the complexity and dilemma for interpreters to offer emotional support in health care settings. We recruited 39 providers from 5 specialties to participate in in-depth interviews or focus groups. Grounded theory was used for data analysis to identify providers' expectations and concerns for interpreters' emotional support. From the providers' perspective, interpreters' emotional support: (a) is embodied through their physical presence, (b) is to be both a human being but also a professional, (c) represents the extension of the providers' care, and (d) imposes potential risks to quality of care. Emotional support in bilingual health care is accomplished through the alliance of providers and interpreters, complementing each other to support patients' emotional needs. Interpreters should be vigilant about how their emotional support may impact the provider-patient relationship and the providers' therapeutic objectives. Interpreters should be aware that providers also rely on them to provide emotional support, which highlights the importance of giving medical talk and rapport-building talk equal attention in medical encounters. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

Performing and Interpreting Fractional Flow Reserve Measurements in Clinical Practice: An Expert Consensus Document

PubMed Central

Rudolph, Tanja; Rieber, Johannes; Eggebrecht, Holger; Richardt, Gert; Schmitz, Thomas; Werner, Nikos; Boenner, Florian; Möllmann, Helge

2017-01-01

Fractional flow reserve (FFR) measurements can determine the haemodynamic relevance of coronary artery stenoses. Current guidelines recommend their use in lesions in the absence of non-invasive proof of ischaemia. The prognostic impact of FFR has been evaluated in randomised trials, and it has been shown that revascularisation can be safely deferred if FFR is >0.80, while revascularisation of stenoses with FFR values ≤0.80 results in significantly lower event rates compared to medical treatment. Left main stenoses, aorto-ostial lesions, as well as patients with left ventricular hypertrophy and severely-impaired ejection fraction, have been excluded from large, randomised trials. While FFR measurements are relatively straightforward to perform, uncertainty about procedural logistics, as well as data acquisition and interpretation in specific situations, could explain why they are not widely used in clinical practice. We summarise the clinical data in support of FFR measurements, and provide recommendations for performing and interpreting the procedure. PMID:29588737

Experiences of Kurdish war-wounded refugees in communication with Swedish authorities through interpreter.

PubMed

Fatahi, Nabi; Nordholm, Lena; Mattsson, Bengt; Hellström, Mikael

2010-02-01

To study experiences of war-wounded Kurdish refugees with respect to cross-cultural communication through interpreters. Semi-structured interviews were conducted with ten men, aged 31-42. Content analysis was used for analysis and interpretation of data. War-wounded Kurdish refugees experienced a number of difficulties regarding communication through interpreters, mainly related to the insufficient language link to the Swedish authorities, particularly health care personnel. In many instances, interpreters were selected based on the immigrant's citizenship rather than mother tongue, leading to a more complex, tri-lingual interpretation situation. Differences in cultural background, fear, suspicion and lack of confidence in interpreters were addressed as other problems by the participants. Interpreter competence and patient confidence in the interpreter are essential for an adequate cross-cultural health communication. Assignment of interpreters should be based on knowledge of the patient's/client's mother tongue, rather than citizenship, and the outcome is improved by a common ethnic and cultural background of interpreter and patient/client. Our study should be considered as a pilot study, and the results should be validated in larger cohorts as well as in other ethnic and language groups. In order to minimize communication misunderstandings, complicated tri-lingual interpretation situations should be avoided. Interpreters should ideally be assigned according to patient's/client's mother tongue rather than citizenship. Interpreters' competence and patient's/client's confidence in interpreter may have significant impact on communication outcome. Copyright 2009 Elsevier Ireland Ltd. All rights reserved.

Secondary Interpretation of CT Examinations: Frequency and Payment in the Medicare Fee-for-Service Population.

PubMed

Lu, Michael T; Hallett, Travis R; Hemingway, Jennifer; Hughes, Danny R; Hoffmann, Udo; Duszak, Richard

2016-09-01

Secondary interpretation of diagnostic imaging examinations (providing a second formal interpretation for imaging performed at another institution) may reduce repeat imaging after transfer of care. Recently, CMS requested information to guide payment policy. We aimed to study historic trends in submitted claims and payments for secondary interpretation services in the Medicare fee-for-service population. Applying current procedural terminology codes by body part to Medicare Part B aggregate claims files, we identified all CT interpretation services rendered between 1999 and 2012. Secondary interpretation services were identified using combined code modifiers 26 and 77, in accordance with CMS billing guidelines. The frequencies of billed and denied services were extracted for primary and secondary CT interpretation services. Primary versus secondary interpretation denial rates were calculated and compared. Of all 227 million Medicare Part B claims for CT services, 299,468 (0.13%) were for secondary interpretation services. From 1999 to 2012, growth in secondary interpretation claims outpaced that in primary interpretation claims (+811% versus +56%; compound annual growth rate 17% versus 3.2%). As a percentage of all services, secondary interpretations increased from 0.05% in 1999 to 0.30% in 2012. Denial rates for second interpretations decreased from 1999 to 2012 (12.7% to 7.0%), and now approach those for primary interpretations (5.4% in 2012). Medicare claims for secondary interpretation of CT examinations are growing but account for less than 1% of all billed CT interpretation services. Denial rates are similar to those of primary interpretation services. Copyright © 2016 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Hydrology of Area 62, Northern Great Plains and Rocky Mountain Coal Provinces, New Mexico and Arizona

USGS Publications Warehouse

Roybal, F.E.; Wells, J.G.; Gold, R.L.; Flager, J.V.

1984-01-01

This report summarizes available hydrologic data for Area 62 and will aid leasing decisions, and the preparation and appraisal of environmental impact studies and mine-permit applications. Area 62 is located at the southern end of the Rocky Mountain Coal Province in parts of New Mexico and Arizona and includes approximately 9,500 square miles. Surface mining alters, at least temporarily, the environment; if the areas are unreclaimed, there can be long-term environmental consequences. The land-ownership pattern in Area 62 is complicated. The checkerboard pattern created by several types of ownership makes effective management of these lands difficult. The climate generally is semiarid with average annual precipitation ranging from 10 to 20 inches. Pinons, junipers, and grasslands cover most of the area, and much of it is used for grazing by livestock. Soils vary with landscape, differing from flood plains and hillslopes to mountain slopes. The major structural features of this area were largely developed during middle Tertiary time. The main structural features are the southern San Juan Basin and the Mogollon slope. Coal-bearing rocks are present in four Cretaceous rock units of the Mesaverde Group: the Gallup Sandstone, the Dileo Coal Member, and the Gibson Coal Member of the Crevasse Canyon Formation, and the Cleary Coal Member of the Menefee Formation. Area 62 is drained by Black Creek, the Puerco River, the Zuni River, Carrizo Wash-Largo Creek, and the Rio San Jose. Only at the headwaters of the Zuni River is the flow perennial. The streamflow-gaging station network consists of 25 stations operated for a variety of needs. Streamflow changes throughout the year with variation related directly to rainfall and snowmelt. Base flow in Area 62 is zero indicating no significant ground-water discharge. Mountainous areas contribute the highest mean annual runoff of 1.0 inch. Very few water-quality data are available for the surface-water stations. Of the nine surface-water stations that have water-quality data, only one has chemical analyses from more than 10 samples. Therefore, sufficient data to characterize the area in detail are not available. Suspended sediment data are available only for a few surface- water stations in the area. Erosion rates generally are less than 1 acre-foot per square mile per year. Greater erosion rates are found within the badland areas. Water levels are periodically measured at 21 selected wells in Area 62. These observation wells are located mostly along the Rio San Jose and northeast of Gallup, New Mexico. The recharge to ground-water aquifers generally coincide with areas of greater precipitation in the mountainous areas. Depth to water below land surface is generally less than 200 feet. Well yields of 100 gallons per minute are common in most of the area. Ground-water quality is variable both within each aquifer and between aquifers. Water quality generally is best near recharge areas. Historical and current data related to stream discharge, water quality, and suspended sediment are available from computer files in the U.S. Geological Survey's National Water Data Storage and Retrieval System (WATSTORE) and through the National Water Data Exchange (NAWDEX).

12 CFR 225.113 - Services under section 4(a) of Bank Holding Company Act.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Company Act. 225.113 Section 225.113 Banks and Banking FEDERAL RESERVE SYSTEM (CONTINUED) BOARD OF GOVERNORS OF THE FEDERAL RESERVE SYSTEM BANK HOLDING COMPANIES AND CHANGE IN BANK CONTROL (REGULATION Y) Regulations Financial Holding Companies Interpretations § 225.113 Services under section 4(a) of Bank Holding...

Interpretation of ambiguous social scenarios in social phobia and depression: evidence from event-related brain potentials.

PubMed

Moser, Jason S; Huppert, Jonathan D; Foa, Edna B; Simons, Robert F

2012-02-01

In the current study, event-related potentials (ERPs) and behavioral responses were measured in individuals meeting diagnostic criteria for social phobia, depression, their combination, or neither in order to examine the unique and combined effects of social phobia and depression on the interpretation of ambiguous social scenarios. ERPs revealed a lack of positive interpretation bias and some suggestion of a negative bias in the semantic expectancy N4 component across all clinical groups. Furthermore, socially phobic and comorbid individuals showed reductions in baseline attention allocation to the task, as indexed by P6 amplitude. RT and accuracy likewise revealed a lack of positive interpretation bias across disordered groups. When considered on a continuum across all samples, social phobia and depression symptoms were related to the N4 interpretation bias effect whereas P6 amplitude reduction and RT interpretation bias appeared uniquely associated with social phobia. Copyright © 2011 Elsevier B.V. All rights reserved.

The effects of a novel hostile interpretation bias modification paradigm on hostile interpretations, mood, and aggressive behavior.

PubMed

AlMoghrabi, Nouran; Huijding, Jorg; Franken, Ingmar H A

2018-03-01

Cognitive theories of aggression propose that biased information processing is causally related to aggression. To test these ideas, the current study investigated the effects of a novel cognitive bias modification paradigm (CBM-I) designed to target interpretations associated with aggressive behavior. Participants aged 18-33 years old were randomly assigned to either a single session of positive training (n = 40) aimed at increasing prosocial interpretations or negative training (n = 40) aimed at increasing hostile interpretations. The results revealed that the positive training resulted in an increase in prosocial interpretations while the negative training seemed to have no effect on interpretations. Importantly, in the positive condition, a positive change in interpretations was related to lower anger and verbal aggression scores after the training. In this condition, participants also reported an increase in happiness. In the negative training no such effects were found. However, the better participants performed on the negative training, the more their interpretations were changed in a negative direction and the more aggression they showed on the behavioral aggression task. Participants were healthy university students. Therefore, results should be confirmed within a clinical population. These findings provide support for the idea that this novel CBM-I paradigm can be used to modify interpretations, and suggests that these interpretations are related to mood and aggressive behavior. Copyright © 2017 Elsevier Ltd. All rights reserved.

Interpretation modification training reduces social anxiety in clinically anxious children.

PubMed

Klein, Anke M; Rapee, Ronald M; Hudson, Jennifer L; Schniering, Carolyn A; Wuthrich, Viviana M; Kangas, Maria; Lyneham, Heidi J; Souren, Pierre M; Rinck, Mike

2015-12-01

The present study was designed to examine the effects of training in positive interpretations in clinically anxious children. A total of 87 children between 7 and 12 years of age were randomly assigned to either a positive cognitive bias modification training for interpretation (CMB-I) or a neutral training. Training included 15 sessions in a two-week period. Children with an interpretation bias prior to training in the positive training group showed a significant reduction in interpretation bias on the social threat scenarios after training, but not children in the neutral training group. No effects on interpretation biases were found for the general threat scenarios or the non-threat scenarios. Furthermore, children in the positive training did not self-report lower anxiety than children in the neutral training group. However, mothers and fathers reported a significant reduction in social anxiety in their children after positive training, but not after neutral training. This study demonstrated that clinically anxious children with a prior interpretation bias can be trained away from negative social interpretation biases and there is some evidence that this corresponds to reductions in social anxiety. This study also highlights the importance of using specific training stimuli. Copyright © 2015 Elsevier Ltd. All rights reserved.

Cognitive bias modification of interpretation in children with social anxiety disorder.

PubMed

Orchard, Faith; Apetroaia, Adela; Clarke, Kiri; Creswell, Cathy

2017-01-01

Negative (or a lack of positive) interpretation of ambiguous social situations has been hypothesised to maintain social anxiety disorder in children, yet there is currently limited evidence to support this. Cognitive Bias Modification of Interpretation (CBM-I) provides a means to explore the causal influence of interpretation bias on social anxiety disorder, and has been associated with a reduction in social anxiety symptoms in adults. Seven to twelve year old children with a diagnosis of social anxiety disorder completed CBM-I training, adapted from materials designed for socially anxious children in the community, or no training. Effects on interpretation bias and social anxiety were assessed. The adapted CBM-I training was not associated with significant changes in benign or negative interpretation. Unsurprisingly given the lack of successful interpretation training, there were no significant changes in child or parent reported social anxiety symptoms, clinician-rated severity or diagnoses and change in interpretation was not significantly associated with change in social anxiety. These findings contrast with some studies with community populations although it is possible that more intensive CBM-I training is required to fully test this hypothesis among clinical groups. Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.

Working with interpreters: The challenges of introducing Option Grid patient decision aids.

PubMed

Wood, Fiona; Phillips, Katie; Edwards, Adrian; Elwyn, Glyn

2017-03-01

We aimed to observe how an Option Grid™ decision aid for clinical encounters might be used where an interpreter is present, and to assess the impact of its use on shared decision making. Data were available from three clinical consultations between patient, clinician (a physiotherapist), and interpreter about knee osteoarthritis. Clinicians were trained in the use of an Option Grid decision aid and the tool was used. Consultations were audio-recorded, transcribed, and translated by independent translators into English. Analysis revealed the difficulties with introducing a written decision aid into an interpreted consultation. The extra discussion needed between the clinician and interpreter around the principles and purpose of shared decision making and instructions regarding the Option Grid decision aid proved challenging and difficult to manage. Discussion of treatment options while using an Option Grid decision aid was predominantly done between clinician and interpreter. The patient appeared to have little involvement in discussion of treatment options. Patients were not active participants within the discussion. Further work needs to be done on how shared decision making can be achieved within interpreted consultations. Option Grid decision aids are not being used as intended in interpreted consultations. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

The relation between social anxiety and biased interpretations in adolescents with mild intellectual disabilities.

PubMed

Houtkamp, Esther O; van der Molen, Mariët J; de Voogd, E Leone; Salemink, Elske; Klein, Anke M

2017-08-01

Cognitive theories of anxiety emphasize the importance of cognitive processes in the onset and maintenance of anxiety disorders. However, little is known about these processes in children and adolescents with Mild Intellectual Disabilities (MID). The aim of this study was to investigate interpretation bias and its content-specificity in adolescents with MID who varied in their levels of social anxiety. In total, 631 adolescents from seven special secondary schools for MID filled in questionnaires to measure their levels of social anxiety. They also completed the Interpretation Recognition Task to measure how they interpret ambiguous situations. Adolescents with higher self-reported levels of social anxiety interpreted ambiguous scenarios as more negative than adolescents with lower self-reported social anxiety. Furthermore, this negative interpretation was specific for social situations; social anxiety was only associated with ambiguous social anxiety-related scenarios, but not with other anxiety-related scenarios. These findings support the hypothesis that socially anxious adolescents with MID display an interpretation bias that is specific for stimuli that are relevant for their own anxiety. This insight is useful for improving treatments for anxious adolescents with MID by targeting content-specific interpretation biases. Copyright © 2017 Elsevier Ltd. All rights reserved.

Weather summaries for Coram Experimental Forest, northwestern Montana-an International Biosphere Reserve

Treesearch

Roger D. Hungerford; Joyce A. Schlieter

1984-01-01

Presents weather data summaries (1934-82) for most of the weather stations within the Coram Experimental Forest (a Biosphere Reserve) in northwestern Montana and for three stations adjacent to the Forest. These data aid in the interpretation of silvicultural and other biological research, particularly the relationships of climatological variations to forest growth and...

12 CFR 225.104 - “Services” under section 4(c)(1) of Bank Holding Company Act.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Holding Company Act. 225.104 Section 225.104 Banks and Banking FEDERAL RESERVE SYSTEM (CONTINUED) BOARD OF GOVERNORS OF THE FEDERAL RESERVE SYSTEM BANK HOLDING COMPANIES AND CHANGE IN BANK CONTROL (REGULATION Y) Regulations Financial Holding Companies Interpretations § 225.104 “Services” under section 4(c)(1) of Bank...

12 CFR 225.134 - Escrow arrangements involving bank stock resulting in a violation of the Bank Holding Company Act.

Code of Federal Regulations, 2010 CFR

2010-01-01

... resulting in a violation of the Bank Holding Company Act. 225.134 Section 225.134 Banks and Banking FEDERAL RESERVE SYSTEM (CONTINUED) BOARD OF GOVERNORS OF THE FEDERAL RESERVE SYSTEM BANK HOLDING COMPANIES AND CHANGE IN BANK CONTROL (REGULATION Y) Regulations Financial Holding Companies Interpretations § 225.134...

12 CFR 225.109 - “Services” under section 4(c)(1) of Bank Holding Company Act.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Holding Company Act. 225.109 Section 225.109 Banks and Banking FEDERAL RESERVE SYSTEM (CONTINUED) BOARD OF GOVERNORS OF THE FEDERAL RESERVE SYSTEM BANK HOLDING COMPANIES AND CHANGE IN BANK CONTROL (REGULATION Y) Regulations Financial Holding Companies Interpretations § 225.109 “Services” under section 4(c)(1) of Bank...

25 CFR 170.137 - What types of activities can a recreation, tourism, and trails program include?

Code of Federal Regulations, 2012 CFR

2012-04-01

... INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM Indian Reservation Roads Program Policy and... interpretative signs; (4) Provision for non-motorized trail activities including pedestrians and bicycles; (5... pedestrian walkways (see 23 U.S.C. 217); and (14) Trail access roads. (b) The items listed in paragraph (a...

25 CFR 170.137 - What types of activities can a recreation, tourism, and trails program include?

Code of Federal Regulations, 2013 CFR

2013-04-01

... INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM Indian Reservation Roads Program Policy and... interpretative signs; (4) Provision for non-motorized trail activities including pedestrians and bicycles; (5... pedestrian walkways (see 23 U.S.C. 217); and (14) Trail access roads. (b) The items listed in paragraph (a...

25 CFR 170.137 - What types of activities can a recreation, tourism, and trails program include?

Code of Federal Regulations, 2014 CFR

2014-04-01

... INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM Indian Reservation Roads Program Policy and... interpretative signs; (4) Provision for non-motorized trail activities including pedestrians and bicycles; (5... pedestrian walkways (see 23 U.S.C. 217); and (14) Trail access roads. (b) The items listed in paragraph (a...

25 CFR 170.137 - What types of activities can a recreation, tourism, and trails program include?

Code of Federal Regulations, 2011 CFR

2011-04-01

... INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM Indian Reservation Roads Program Policy and... interpretative signs; (4) Provision for non-motorized trail activities including pedestrians and bicycles; (5... pedestrian walkways (see 23 U.S.C. 217); and (14) Trail access roads. (b) The items listed in paragraph (a...

Radiology Workflow Dynamics: How Workflow Patterns Impact Radiologist Perceptions of Workplace Satisfaction.

PubMed

Lee, Matthew H; Schemmel, Andrew J; Pooler, B Dustin; Hanley, Taylor; Kennedy, Tabassum; Field, Aaron; Wiegmann, Douglas; Yu, John-Paul J

2017-04-01

The study aimed to assess perceptions of reading room workflow and the impact separating image-interpretive and nonimage-interpretive task workflows can have on radiologist perceptions of workplace disruptions, workload, and overall satisfaction. A 14-question survey instrument was developed to measure radiologist perceptions of workplace interruptions, satisfaction, and workload prior to and following implementation of separate image-interpretive and nonimage-interpretive reading room workflows. The results were collected over 2 weeks preceding the intervention and 2 weeks following the end of the intervention. The results were anonymized and analyzed using univariate analysis. A total of 18 people responded to the preintervention survey: 6 neuroradiology fellows and 12 attending neuroradiologists. Fifteen people who were then present for the 1-month intervention period responded to the postintervention survey. Perceptions of workplace disruptions, image interpretation, quality of trainee education, ability to perform nonimage-interpretive tasks, and quality of consultations (P < 0.0001) all improved following the intervention. Mental effort and workload also improved across all assessment domains, as did satisfaction with quality of image interpretation and consultative work. Implementation of parallel dedicated image-interpretive and nonimage-interpretive workflows may improve markers of radiologist perceptions of workplace satisfaction. Copyright © 2017 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.

Informal interpreting in general practice: Are interpreters' roles related to perceived control, trust, and satisfaction?

PubMed

Zendedel, Rena; Schouten, Barbara C; van Weert, Julia C M; van den Putte, Bas

2018-06-01

The aim of this observational study was twofold. First, we examined how often and which roles informal interpreters performed during consultations between Turkish-Dutch migrant patients and general practitioners (GPs). Second, relations between these roles and patients' and GPs' perceived control, trust in informal interpreters and satisfaction with the consultation were assessed. A coding instrument was developed to quantitatively code informal interpreters' roles from transcripts of 84 audio-recorded interpreter-mediated consultations in general practice. Patients' and GPs' perceived control, trust and satisfaction were assessed in a post consultation questionnaire. Informal interpreters most often performed the conduit role (almost 25% of all coded utterances), and also frequently acted as replacers and excluders of patients and GPs by asking and answering questions on their own behalf, and by ignoring and omitting patients' and GPs' utterances. The role of information source was negatively related to patients' trust and the role of GP excluder was negatively related to patients' perceived control. Patients and GPs are possibly insufficiently aware of the performed roles of informal interpreters, as these were barely related to patients' and GPs' perceived trust, control and satisfaction. Patients and GPs should be educated about the possible negative consequences of informal interpreting. Copyright © 2018 Elsevier B.V. All rights reserved.

Growth of language-related brain areas after foreign language learning.

PubMed

Mårtensson, Johan; Eriksson, Johan; Bodammer, Nils Christian; Lindgren, Magnus; Johansson, Mikael; Nyberg, Lars; Lövdén, Martin

2012-10-15

The influence of adult foreign-language acquisition on human brain organization is poorly understood. We studied cortical thickness and hippocampal volumes of conscript interpreters before and after three months of intense language studies. Results revealed increases in hippocampus volume and in cortical thickness of the left middle frontal gyrus, inferior frontal gyrus, and superior temporal gyrus for interpreters relative to controls. The right hippocampus and the left superior temporal gyrus were structurally more malleable in interpreters acquiring higher proficiency in the foreign language. Interpreters struggling relatively more to master the language displayed larger gray matter increases in the middle frontal gyrus. These findings confirm structural changes in brain regions known to serve language functions during foreign-language acquisition. Copyright © 2012 Elsevier Inc. All rights reserved.

Limited English proficient Hmong- and Spanish-speaking patients' perceptions of the quality of interpreter services.

PubMed

Lor, Maichou; Xiong, Phia; Schwei, Rebecca J; Bowers, Barbara J; Jacobs, Elizabeth A

2016-02-01

Language barriers are a large and growing problem for patients in the US and around the world. Interpreter services are a standard solution for addressing language barriers and most research has focused on utilization of interpreter services and their effect on health outcomes for patients who do not speak the same language as their healthcare providers including nurses. However, there is limited research on patients' perceptions of these interpreter services. To examine Hmong- and Spanish-speaking patients' perceptions of interpreter service quality in the context of receiving cancer preventive services. Twenty limited English proficient Hmong (n=10) and Spanish-speaking participants (n=10) ranging in age from 33 to 75 years were interviewed by two bilingual researchers in a Midwestern state. Interviews were audio taped, transcribed verbatim, and translated into English. Analysis was done using conventional content analysis. The two groups shared perceptions about the quality of interpreter services as variable along three dimensions. Specifically, both groups evaluated quality of interpreters based on the interpreters' ability to provide: (a) literal interpretation, (b) cultural interpretation, and (c) emotional interpretation during the health care encounter. The groups differed, however, on how they described the consequences of poor interpretation quality. Hmong participants described how poor quality interpretation could lead to: (a) poor interpersonal relationships among patients, providers, and interpreters, (b) inability of patients to follow through with treatment plans, and (c) emotional distress for patients. Our study highlights the fact that patients are discerning consumers of interpreter services; and could be effective partners in efforts to reform and enhance interpreter services. Copyright © 2015 Elsevier Ltd. All rights reserved.

[Monitorization of respiratory mechanics in the ventilated patient].

PubMed

García-Prieto, E; Amado-Rodríguez, L; Albaiceta, G M

2014-01-01

Monitoring during mechanical ventilation allows the measurement of different parameters of respiratory mechanics. Accurate interpretation of these data can be useful for characterizing the situation of the different components of the respiratory system, and for guiding ventilator settings. In this review, we describe the basic concepts of respiratory mechanics, their interpretation, and their potential use in fine-tuning mechanical ventilation. Copyright © 2013 Elsevier España, S.L. y SEMICYUC. All rights reserved.

Digital recovery, modification, and analysis of Tetra Tech seismic horizon mapping, National Petroleum Reserve Alaska (NPRA), northern Alaska

USGS Publications Warehouse

Saltus, R.W.; Kulander, Christopher S.; Potter, Christopher J.

2002-01-01

We have digitized, modified, and analyzed seismic interpretation maps of 12 subsurface stratigraphic horizons spanning portions of the National Petroleum Reserve in Alaska (NPRA). These original maps were prepared by Tetra Tech, Inc., based on about 15,000 miles of seismic data collected from 1974 to 1981. We have also digitized interpreted faults and seismic velocities from Tetra Tech maps. The seismic surfaces were digitized as two-way travel time horizons and converted to depth using Tetra Tech seismic velocities. The depth surfaces were then modified by long-wavelength corrections based on recent USGS seismic re-interpretation along regional seismic lines. We have developed and executed an algorithm to identify and calculate statistics on the area, volume, height, and depth of closed structures based on these seismic horizons. These closure statistics are tabulated and have been used as input to oil and gas assessment calculations for the region. Directories accompanying this report contain basic digitized data, processed data, maps, tabulations of closure statistics, and software relating to this project.

Modifying interpretation biases: Effects on symptomatology, behavior, and physiological reactivity in social anxiety.

PubMed

Nowakowski, Matilda E; Antony, Martin M; Koerner, Naomi

2015-12-01

The present study investigated the effects of computerized interpretation training and cognitive restructuring on symptomatology, behavior, and physiological reactivity in an analogue social anxiety sample. Seventy-two participants with elevated social anxiety scores were randomized to one session of computerized interpretation training (n = 24), cognitive restructuring (n = 24), or an active placebo control condition (n = 24). Participants completed self-report questionnaires focused on interpretation biases and social anxiety symptomatology at pre and posttraining and a speech task at posttraining during which subjective, behavioral, and physiological measures of anxiety were assessed. Only participants in the interpretation training condition endorsed significantly more positive than negative interpretations of ambiguous social situations at posttraining. There was no evidence of generalizability of interpretation training effects to self-report measures of interpretation biases and symptomatology or the anxiety response during the posttraining speech task. Participants in the cognitive restructuring condition were rated as having higher quality speeches and showing fewer signs of anxiety during the posttraining speech task compared to participants in the interpretation training condition. The present study did not include baseline measures of speech performance or computer assessed interpretation biases. The results of the present study bring into question the generalizability of computerized interpretation training as well as the effectiveness of a single session of cognitive restructuring in modifying the full anxiety response. Clinical and theoretical implications are discussed. Copyright © 2015 Elsevier Ltd. All rights reserved.

Decision Model for Forecasting Projected Naval Enlisted Reserve Attainments

DTIC Science & Technology

2008-12-01

Command CM Construction Mechanic CS Culinary Specialist CTA Cryptologic Technician - Administrative CTI Cryptologic Technician - Interpretive...services are utilized to compile databases of active duty and reserve accession and loss Category Arts and Photography Journalist (JO) Photographer’s...MM) Mineman (MN) Torpedoman’s Mate (TM) Food, Restaurant, and Lodging Culinary Specialist (CS) Human Resources Navy Counselor (NC) Personnelman (PN

[Cognitive Reserve Scale: testing the theoretical model and norms].

PubMed

Leon-Estrada, I; Garcia-Garcia, J; Roldan-Tapia, L

2017-01-01

The cognitive reserve theory may contribute to explain cognitive performance differences among individuals with similar cognitive decline and among healthy ones. However, more psychometric analysis are needed to guarantee the usage of tests for assessing cognitive reserve. To study validity evidences in relation to the structure of the Cognitive Reserve Scale (CRS) and to create reference norms to interpret the scores. A total of 172 participants completed the scale and they were classified into two age groups: aged 36-64 years (n = 110) and 65-88 years (n = 62). The exploratory factor analysis using ESEM revealed that the data fitted the proposed model. Overall, the discriminative indices were acceptable (between 0.21 and 0.50) and congruence was observed in the periods of young adulthood, adulthood and late adulthood, in both age group. Besides, the index of reliability (Cronbach's alpha: 0.80) and the typical mean error test (mean: 51.40 ± 11.11) showed adequate values for this type of instrument. The CRS seemed to be set under the hypothetical theoretical model, and the scores might be interpreted by the norms showed. This study provided guarantees for the usage of the CRS in research.

Interpretational confounding is due to misspecification, not to type of indicator: comment on Howell, Breivik, and Wilcox (2007).

PubMed

Bollen, Kenneth A

2007-06-01

R. D. Howell, E. Breivik, and J. B. Wilcox (2007) have argued that causal (formative) indicators are inherently subject to interpretational confounding. That is, they have argued that using causal (formative) indicators leads the empirical meaning of a latent variable to be other than that assigned to it by a researcher. Their critique of causal (formative) indicators rests on several claims: (a) A latent variable exists apart from the model when there are effect (reflective) indicators but not when there are causal (formative) indicators, (b) causal (formative) indicators need not have the same consequences, (c) causal (formative) indicators are inherently subject to interpretational confounding, and (d) a researcher cannot detect interpretational confounding when using causal (formative) indicators. This article shows that each claim is false. Rather, interpretational confounding is more a problem of structural misspecification of a model combined with an underidentified model that leaves these misspecifications undetected. Interpretational confounding does not occur if the model is correctly specified whether a researcher has causal (formative) or effect (reflective) indicators. It is the validity of a model not the type of indicator that determines the potential for interpretational confounding. Copyright 2007 APA, all rights reserved.

The Middle Jurassic Entrada Sandstone near Gallup, New Mexico

USGS Publications Warehouse

Robertson, J.F.; O'Sullivan, R. B.

2001-01-01

Near Gallup, New Mexico, the Middle Jurassic Entrada Sandstone consists of, in ascending order, the Iyanbito Member, the Rehoboth Member, and an upper sandstone member. The Rehoboth Member is named herein to replace the middle siltstone member, with a type section located 26 km east of Gallup. The Iyanbito Member has been erroneously equated with the Wingate Sandstone of northeast Arizona, and the Rehoboth Member has been miscorrelated with the Dewey Bridge Member of the Entrada in Utah. The Dewey Bridge is an older unit that does not extend into New Mexico. The Iyanbito Member, east of Gallup, overlies the J-2 unconformity and the eroded tops of the Owl Rock and Petrified Forest Members of the Chinle Formation. The Wingate Sandstone of the Lower Jurassic Glen Canyon Group overlies the J-0 unconformity and the underlying Rock Point Member (topmost unit) of the Chinle Formation in northeast Arizona. Both the Wingate Sandstone and the Rock Point Member are missing east of Gallup below the J-2 unconformity. Similarly, the Wingate is missing southwest of Gallup, near Lupton, Arizona, but the Rock Point Member is present and underlies the Iyanbito from Zuni northward to Toadlena, New Mexico. The Wingate and other formations of the Glen Canyon Group thin and wedge out southward and eastward in northeast Arizona. The J-2 unconformity truncates the Wingate Sandstone and the underlying J-0 unconformity, 5 km north of Toadlena.

Workflow Dynamics and the Imaging Value Chain: Quantifying the Effect of Designating a Nonimage-Interpretive Task Workflow.

PubMed

Lee, Matthew H; Schemmel, Andrew J; Pooler, B Dustin; Hanley, Taylor; Kennedy, Tabassum A; Field, Aaron S; Wiegmann, Douglas; Yu, John-Paul J

To assess the impact of separate non-image interpretive task and image-interpretive task workflows in an academic neuroradiology practice. A prospective, randomized, observational investigation of a centralized academic neuroradiology reading room was performed. The primary reading room fellow was observed over a one-month period using a time-and-motion methodology, recording frequency and duration of tasks performed. Tasks were categorized into separate image interpretive and non-image interpretive workflows. Post-intervention observation of the primary fellow was repeated following the implementation of a consult assistant responsible for non-image interpretive tasks. Pre- and post-intervention data were compared. Following separation of image-interpretive and non-image interpretive workflows, time spent on image-interpretive tasks by the primary fellow increased from 53.8% to 73.2% while non-image interpretive tasks decreased from 20.4% to 4.4%. Mean time duration of image interpretation nearly doubled, from 05:44 to 11:01 (p = 0.002). Decreases in specific non-image interpretive tasks, including phone calls/paging (2.86/hr versus 0.80/hr), in-room consultations (1.36/hr versus 0.80/hr), and protocoling (0.99/hr versus 0.10/hr), were observed. The consult assistant experienced 29.4 task switching events per hour. Rates of specific non-image interpretive tasks for the CA were 6.41/hr for phone calls/paging, 3.60/hr for in-room consultations, and 3.83/hr for protocoling. Separating responsibilities into NIT and IIT workflows substantially increased image interpretation time and decreased TSEs for the primary fellow. Consolidation of NITs into a separate workflow may allow for more efficient task completion. Copyright © 2017 Elsevier Inc. All rights reserved.

A multiple reader scoring system for Nasal Potential Difference parameters.

PubMed

Solomon, George M; Liu, Bo; Sermet-Gaudelus, Isabelle; Fajac, Isabelle; Wilschanski, Michael; Vermeulen, Francois; Rowe, Steven M

2017-09-01

Nasal Potential Difference (NPD) is a biomarker of CFTR activity used to diagnose CF and monitor experimental therapies. Limited studies have been performed to assess agreement between expert readers of NPD interpretation using a scoring algorithm. We developed a standardized scoring algorithm for "interpretability" and "confidence" for PD (potential difference) measures, and sought to determine the degree of agreement on NPD parameters between trained readers. There was excellent agreement for interpretability between NPD readers for CF and fair agreement for normal tracings but slight agreement of interpretability in indeterminate tracings. Amongst interpretable tracings, excellent correlation of mean scores for Ringer's Baseline PD, Δ amiloride , and Δ Cl-free+Isoproterenol was observed. There was slight agreement regarding confidence of the interpretable PD tracings, resulting in divergence of the Ringers and Δ amiloride , and ΔCl -free+Isoproterenol PDs between "high" and "low" confidence CF tracings. A multi-reader process with adjudication is important for scoring NPDs for diagnosis and in monitoring of CF clinical trials. Copyright © 2017 European Cystic Fibrosis Society. Published by Elsevier B.V. All rights reserved.

Effects of language concordance and interpreter use on therapeutic alliance in Spanish-speaking integrated behavioral health care patients.

PubMed

Villalobos, Bianca T; Bridges, Ana J; Anastasia, Elizabeth A; Ojeda, Carlos A; Rodriguez, Juventino Hernandez; Gomez, Debbie

2016-02-01

The discrepancy between the growing number of Spanish speakers in the U.S. and the availability of bilingual providers creates a barrier to accessing quality mental health care. Use of interpreters provides one strategy for overcoming this linguistic barrier; however, concerns about whether sessions with interpreters, versus bilingual providers, impede therapeutic alliance remain. The current study explored associations between the use of interpreters and therapeutic alliance in a sample of 458 Spanish-speaking patients seen for integrated behavioral health visits at primary care clinics. Patients completed a brief (4 item) therapeutic alliance scale at their behavioral health appointment. In addition, to supplement the quantitative study data, a pilot study of 30 qualitative interviews was conducted with a new sample of 10 Spanish-speaking patients, 10 behavioral health consultants (BHCs), and 10 trained interpreters. Quantitative results showed that interpreter use did not relate to therapeutic alliance, even when controlling for relevant demographic variables. However, qualitative interviews suggested major themes regarding the relative benefits and challenges of using interpreters for patients, interpreters, and BHCs. In interviews, patients expressed a strong preference for bilingual providers. Benefits included greater privacy, sense of trust, and accuracy of communication. However, in their absence, interpreters were seen as increasing access to services and facilitating communication with providers, thereby addressing the behavioral health needs of patients with limited English proficiency. BHCs and interpreters emphasized the importance of interpreter training and a good collaborative relationship with interpreters to minimize negative effects on the quality of care. (c) 2016 APA, all rights reserved).

Electrocardiographic interpretation skills of cardiology residents: are they competent?

PubMed

Sibbald, Matthew; Davies, Edward G; Dorian, Paul; Yu, Eric H C

2014-12-01

Achieving competency at electrocardiogram (ECG) interpretation among cardiology subspecialty residents has traditionally focused on interpreting a target number of ECGs during training. However, there is little evidence to support this approach. Further, there are no data documenting the competency of ECG interpretation skills among cardiology residents, who become de facto the gold standard in their practice communities. We tested 29 Cardiology residents from all 3 years in a large training program using a set of 20 ECGs collected from a community cardiology practice over a 1-month period. Residents interpreted half of the ECGs using a standard analytic framework, and half using their own approach. Residents were scored on the number of correct and incorrect diagnoses listed. Overall diagnostic accuracy was 58%. Of 6 potentially life-threatening diagnoses, residents missed 36% (123 of 348) including hyperkalemia (81%), long QT (52%), complete heart block (35%), and ventricular tachycardia (19%). Residents provided additional inappropriate diagnoses on 238 ECGs (41%). Diagnostic accuracy was similar between ECGs interpreted using an analytic framework vs ECGs interpreted without an analytic framework (59% vs 58%; F(1,1333) = 0.26; P = 0.61). Cardiology resident proficiency at ECG interpretation is suboptimal. Despite the use of an analytic framework, there remain significant deficiencies in ECG interpretation among Cardiology residents. A more systematic method of addressing these important learning gaps is urgently needed. Copyright © 2014 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.

Interpretation of Medical Findings in Suspected Child Sexual Abuse: An Update for 2018.

PubMed

Adams, Joyce A; Farst, Karen J; Kellogg, Nancy D

2018-06-01

Most sexually abused children will not have signs of genital or anal injury, especially when examined nonacutely. A recent study reported that only 2.2% (26 of 1160) of sexually abused girls examined nonacutely had diagnostic physical findings, whereas among those examined acutely, the prevalence of injuries was 21.4% (73 of 340). It is important for health care professionals who examine children who might have been sexually abused to be able to recognize and interpret any physical signs or laboratory results that might be found. In this review we summarize new data and recommendations concerning documentation of medical examinations, testing for sexually transmitted infections, interpretation of lesions caused by human papillomavirus and herpes simplex virus in children, and interpretation of physical examination findings. Updates to a table listing an approach to the interpretation of medical findings is presented, and reasons for changes are discussed. Copyright © 2017 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.

Interpretive style and intolerance of uncertainty in individuals with anxiety disorders: a focus on generalized anxiety disorder.

PubMed

Anderson, Kristin G; Dugas, Michel J; Koerner, Naomi; Radomsky, Adam S; Savard, Pierre; Turcotte, Julie

2012-12-01

Interpretations of negative, positive, and ambiguous situations were examined in individuals with generalized anxiety disorder (GAD), other anxiety disorders (ANX), and no psychiatric condition (CTRL). Additionally, relationships between specific beliefs about uncertainty (Uncertainty Has Negative Behavioral and Self-Referent Implications [IUS-NI], and Uncertainty Is Unfair and Spoils Everything [IUS-US]) and interpretations were explored. The first hypothesis (that the clinical groups would report more concern for negative, positive, and ambiguous situations than would the CTRL group) was supported. The second hypothesis (that the GAD group would report more concern for ambiguous situations than would the ANX group) was not supported; both groups reported similar levels of concern for ambiguous situations. Exploratory analyses revealed no differences between the GAD and ANX groups in their interpretations of positive and negative situations. Finally, the IUS-US predicted interpretations of negative and ambiguous situations in the full sample, whereas the IUS-NI did not. Clinical implications are discussed. Copyright © 2012 Elsevier Ltd. All rights reserved.

Imaging Practice Patterns: Referral Network Analysis of a Single State of Origination.

PubMed

Grayson, James; Basciano, Peter; Rawson, James V; Klein, Kandace

2015-12-01

The aim of this study was to examine the referral pattern of imaging studies requested in a single state compared with the potential location of interpretation. Analysis of Medicare patients in a DocGraph data set was performed to identify sequential different physician services claims for the same patient for which the second claim was for services provided by a radiologist. In the 2011 Medicare population, radiology referrals from physicians practicing in Georgia resulted in 76.5% of radiology interpretations by radiologists inside the state of Georgia. The states bordering Georgia accounted for 11.6% of interpretations in the Georgia market. The remaining interpretations were distributed throughout the remainder of the country. A significant proportion of routine imaging interpretation occurs outside the state in which an examination is performed. Additional studies are needed to identify complex drivers of imaging referral patterns, such as patient geographic location and demographics, radiologist workforce distribution, contractual obligations, and social relationships. Copyright © 2015 American College of Radiology. Published by Elsevier Inc. All rights reserved.

An evaluation of eye tracking technology in the assessment of 12 lead electrocardiography interpretation.

PubMed

Breen, Cathal J; Bond, Raymond; Finlay, Dewar

2014-01-01

This study investigated eye tracking technology for 12 lead electrocardiography interpretation to Healthcare Scientist students. Participants (n=33) interpreted ten 12 lead ECG recordings and randomized to receive objective individual appraisal on their efforts either by traditional didactic format or by eye tracker software. One hundred percent of participants reported the experience positively at improving their ECG interpretation competency. ECG analysis time ranged between 13.2 and 59.5s. The rhythm strip was the most common lead studied and fixated on for the longest duration (mean 9.9s). Lead I was studied for the shortest duration (mean 0.25s). Feedback using eye tracking data during ECG interpretation did not produce any significant variation between the assessment marks of the study and the control groups (p=0.32). Although the hypothesis of this study was rejected active teaching and early feedback practices are recommended within this discipline. Copyright © 2014 Elsevier Inc. All rights reserved.

The evaluation of an open source online training system for teaching 12 lead electrocardiographic interpretation.

PubMed

Breen, Cathal; Zhu, Tingting; Bond, Raymond; Finlay, Dewar; Clifford, Gari

2016-01-01

The aim of this study is to present and evaluate the integration of a low resource JavaScript based ECG training interface (CrowdLabel) and a standardised curriculum for self-guided tuition in ECG interpretation. Participants practiced interpreting ECGs weekly using the CrowdLabel interface to assist with the learning of the traditional didactic taught course material during a 6 week training period. To determine competency students were tested during week 7. A total of 245 unique ECG cases were submitted by each student. Accuracy scores during the training period ranged from 0-59.5% (median = 33.3%). Conversely accuracy scores during the test ranged from 30 - 70% (median = 37.5%) (p < 0.05). There was no correlation between students who interpreted high numbers of ECGs during the training period and their marks obtained. CrowdLabel is shown to be a readily accessible dedicated learning platform to support ECG interpretation competency. Copyright © 2016 Elsevier Inc. All rights reserved.

On telling the whole story: facts and interpretations in autobiographical memory narratives from childhood through midadolescence.

PubMed

Pasupathi, Monisha; Wainryb, Cecilia

2010-05-01

This article examines age differences from childhood through middle adolescence in the extent to which children include factual and interpretive information in constructing autobiographical memory narratives. Factual information is defined as observable or perceptible information available to all individuals who experience a given event, while interpretive information is defined as information that articulates the desires, emotions, beliefs, and thoughts of the participant and other individuals who experience an event. Developmental research suggests that the latter type of information should become particularly prevalent in later adolescence, while the former should be abundantly evident by age 8. Across 2 studies, we found evidence for strong increases in interpretive information during adolescence, but not before. These increases were evident across different types of events, and across different subtypes of interpretive content. The results are discussed in terms of their implications for the development of autobiographical memory in childhood and adolescence. 2010 APA, all rights reserved

Interpretation of way-finding healthcare symbols by a multicultural population: navigation signage design for global health.

PubMed

Hashim, Muhammad Jawad; Alkaabi, Mariam Salem Khamis Matar; Bharwani, Sulaiman

2014-05-01

The interpretation of way-finding symbols for healthcare facilities in a multicultural community was assessed in a cross-sectional study. One hundred participants recruited from Al Ain city in the United Arab Emirates were asked to interpret 28 healthcare symbols developed at Hablamos Juntos (such as vaccinations and laboratory) as well as 18 general-purpose symbols (such as elevators and restrooms). The mean age was 27.6 years (16-55 years) of whom 84 (84%) were females. Healthcare symbols were more difficult to comprehend than general-purpose signs. Symbols referring to abstract concepts were the most misinterpreted including oncology, diabetes education, outpatient clinic, interpretive services, pharmacy, internal medicine, registration, social services, obstetrics and gynecology, pediatrics and infectious diseases. Interpretation rates varied across cultural backgrounds and increased with higher education and younger age. Signage within healthcare facilities should be tested among older persons, those with limited literacy and across a wide range of cultures. Copyright © 2013 Elsevier Ltd and The Ergonomics Society. All rights reserved.

Brain signals do not demonstrate unconscious decision making: an interpretation based on graded conscious awareness.

PubMed

Miller, Jeff; Schwarz, Wolf

2014-02-01

Neuroscientific studies have shown that brain activity correlated with a decision to move can be observed before a person reports being consciously aware of having made that decision (e.g., Libet, Gleason, Wright, & Pearl, 1983; Soon, Brass, Heinze, & Haynes, 2008). Given that a later event (i.e., conscious awareness) cannot cause an earlier one (i.e., decision-related brain activity), such results have been interpreted as evidence that decisions are made unconsciously (e.g., Libet, 1985). We argue that this interpretation depends upon an all-or-none view of consciousness, and we offer an alternative interpretation of the early decision-related brain activity based on models in which conscious awareness of the decision to move develops gradually up to the level of a reporting criterion. Under this interpretation, the early brain activity reflects sub-criterion levels of awareness rather than complete absence of awareness and thus does not suggest that decisions are made unconsciously. Copyright © 2013 Elsevier Inc. All rights reserved.

Machine Learning in Radiology: Applications Beyond Image Interpretation.

PubMed

Lakhani, Paras; Prater, Adam B; Hutson, R Kent; Andriole, Kathy P; Dreyer, Keith J; Morey, Jose; Prevedello, Luciano M; Clark, Toshi J; Geis, J Raymond; Itri, Jason N; Hawkins, C Matthew

2018-02-01

Much attention has been given to machine learning and its perceived impact in radiology, particularly in light of recent success with image classification in international competitions. However, machine learning is likely to impact radiology outside of image interpretation long before a fully functional "machine radiologist" is implemented in practice. Here, we describe an overview of machine learning, its application to radiology and other domains, and many cases of use that do not involve image interpretation. We hope that better understanding of these potential applications will help radiology practices prepare for the future and realize performance improvement and efficiency gains. Copyright © 2017 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Interpreting suffering from illness: The role of culture and repressive suffering construal.

PubMed

Yang, Qian; Liu, Shi; Sullivan, Daniel; Pan, Shengdong

2016-07-01

Mental and physical illnesses are among the most prominent forms of suffering. Cultural worldviews provide tools for making sense of and coping with suffering. In this research, we examine how culture influences both experts' and laypeople's interpretation of suffering from illness. We focus on one type of interpretation of suffering- repressive suffering construal-an interpretation that frames suffering both as the result of immorality on the part of the sufferer and as having the function of maintaining social order by curtailing deviance. We sought to test whether this type of suffering interpretation is more common in cultural ecologies (e.g., urban vs. rural; higher vs. lower status) traditionally associated with collectivist values. Study 1 used data from the General Social Survey to examine variation in suffering interpretation in a representative sample of the U.S. Study 2 examined variation in suffering interpretation with a survey completed by a subsample of Chinese health-care professionals. Study 1 found that U.S. citizens living in a rural environment are more likely to interpret illnesses as being the fault of the sufferer. Study 2 found that those from a lower-SES background are more likely to interpret illnesses in a repressive fashion. In these studies, family size mediates the effect of ecological conditions on RSC. Our research highlights how ecological variables associated with collectivism may bias both laypeople and professionals to interpret suffering from illness in a more repressive way. Copyright © 2016 Elsevier Ltd. All rights reserved.

Geologic framework, regional aquifer properties (1940s-2009), and spring, creek, and seep properties (2009-10) of the upper San Mateo Creek Basin near Mount Taylor, New Mexico

USGS Publications Warehouse

Langman, Jeff B.; Sprague, Jesse E.; Durall, Roger A.

2012-01-01

The U.S. Geological Survey, in cooperation with the U.S. Forest Service, examined the geologic framework, regional aquifer properties, and spring, creek, and seep properties of the upper San Mateo Creek Basin near Mount Taylor, which contains areas proposed for exploratory drilling and possible uranium mining on U.S. Forest Service land. The geologic structure of the region was formed from uplift of the Zuni Mountains during the Laramide Orogeny and the Neogene volcanism associated with the Mount Taylor Volcanic Field. Within this structural context, numerous aquifers are present in various Paleozoic and Mesozoic sedimentary formations and the Quaternary alluvium. The distribution of the aquifers is spatially variable because of the dip of the formations and erosion that produced the current landscape configuration where older formations have been exhumed closer to the Zuni Mountains. Many of the alluvial deposits and formations that contain groundwater likely are hydraulically connected because of the solid-matrix properties, such as substantive porosity, but shale layers such as those found in the Mancos Formation and Chinle Group likely restrict vertical flow. Existing water-level data indicate topologically downgradient flow in the Quaternary alluvium and indiscernible general flow patterns in the lower aquifers. According to previously published material and the geologic structure of the aquifers, the flow direction in the lower aquifers likely is in the opposite direction compared to the alluvium aquifer. Groundwater within the Chinle Group is known to be confined, which may allow upward migration of water into the Morrison Formation; however, confining layers within the Chinle Group likely retard upward leakage. Groundwater was sodium-bicarbonate/sulfate dominant or mixed cation-mixed anion with some calcium/bicarbonate water in the study area. The presence of the reduction/oxidation-sensitive elements iron and manganese in groundwater indicates reducing conditions at some time or in some location(s) in most aquifers. Frequent detections of zinc in the alluvium aquifer may represent anthropogenic influences such as mining. Along the mesas in the upper San Mateo Creek Basin, springs that form various creeks, including El Rito and San Mateo Creeks, discharge from the basalt-cap layer and the upper Cretaceous sedimentary layers. Streamflow in El Rito and San Mateo Creeks flows down steep gradients near the mesas sustained by groundwater discharges, and this streamflow transitions to shallow groundwater contained within the valley alluvium through infiltration where the subsequent groundwater is restricted from downward migration by the shaly Menefee Formation. This shallow groundwater reemerges at seeps where the land surface has been eroded below the groundwater level. Spring- and creek-water samples contained small amounts of dissolved solutes, and seep water contained substantially larger amounts of dissolved solutes. The pH of water within the creeks was neutral to alkaline, and all locations exhibited well-oxygenated conditions, although typically at substantially less than saturated levels. Changes in the stable-isotope ratios of water between spring and summer samples indicate differences in source-water inputs that likely pertain to seasonal recharge sources. Results of the water-isotope analysis and geochemical modeling indicate little evaporation and chemical weathering at the spring and creek sites but stronger evaporation and chemical weathering by the time the water reaches the seep locations in the center of the upper San Mateo Creek Basin.

15 CFR 921.80 - Application information.

Code of Federal Regulations, 2011 CFR

2011-01-01

...-site selection, operation and management, research, and education and interpretive awards. The... MANAGEMENT NATIONAL ESTUARINE RESEARCH RESERVE SYSTEM REGULATIONS General Financial Assistance Provisions... awards for preacquisition, acquisition and development, operation and management, and special education...

ClinVar miner: Demonstrating utility of a web-based tool for viewing and filtering clinvar data.

PubMed

Henrie, Alex; Hemphill, Sarah E; Ruiz-Schultz, Nicole; Cushman, Brandon; DiStefano, Marina T; Azzariti, Danielle; Harrison, Steven M; Rehm, Heidi L; Eilbeck, Karen

2018-05-23

ClinVar Miner is a web-based suite that utilizes the data held in the National Center for Biotechnology Information's ClinVar archive. The goal is to render the data more accessible to processes pertaining to conflict resolution of variant interpretation as well as tracking details of data submission and data management for detailed variant curation. Here we establish the use of these tools to address three separate use-cases and to perform analyses across submissions. We demonstrate that the ClinVar Miner tools are an effective means to browse and consolidate data for variant submitters, curation groups, and general oversight. These tools are also relevant to the variant interpretation community in general. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

Interpretation bias for uncertain threat: A replication and extension.

PubMed

Oglesby, Mary E; Raines, Amanda M; Short, Nicole A; Capron, Daniel W; Schmidt, Norman B

2016-06-01

Intolerance of uncertainty (IU) has been proposed as an important transdiagnostic variable within various anxiety-related disorders. Research has suggested that individuals high in IU may interpret ambiguous information in a more threatening manner, suggesting a negative interpretation bias for uncertain information. However, interpretation biases within IU have not been adequately tested in the literature. The current study evaluated negative interpretation biases for uncertain information by directly measuring an individual's interpretations of ambiguous information across two samples. Participants consisted of 76 (Study 1; 72.4% female) and 31 (Study 2; 81% female) undergraduate students. Results indicated that individuals high in IU interpret ambiguous scenarios as more threatening compared to negative and/or positive scenarios (β = .45, p = .02). In addition, individuals high in IU showed a negative interpretation bias for ambiguous information, but not benign information (Study 1: β = -.40, p < .001; Study 2: β = -.57, p = .002). Future research should attempt to replicate these findings within clinical populations. In addition, future work would benefit from the inclusion of behavioral assessments of IU. These findings are the first to detect the presence of a negative interpretation bias for uncertain information among individuals high in IU utilizing a task designed to directly measure an individual's interpretation of information. Given the efficacy and low economic burden associated with interpretation bias modification protocols, and the transdiagnostic nature of IU, targeting IU within these protocols could have a tremendous public health impact. Copyright © 2015 Elsevier Ltd. All rights reserved.

Time rescaling and pattern formation in biological evolution.

PubMed

Igamberdiev, Abir U

2014-09-01

Biological evolution is analyzed as a process of continuous measurement in which biosystems interpret themselves in the environment resulting in changes of both. This leads to rescaling of internal time (heterochrony) followed by spatial reconstructions of morphology (heterotopy). The logical precondition of evolution is the incompleteness of biosystem's internal description, while the physical precondition is the uncertainty of quantum measurement. The process of evolution is based on perpetual changes in interpretation of information in the changing world. In this interpretation the external biospheric gradients are used for establishment of new features of organization. It is concluded that biological evolution involves the anticipatory epigenetic changes in the interpretation of genetic symbolism which cannot generally be forecasted but can provide canalization of structural transformations defined by the existing organization and leading to predictable patterns of form generation. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

New physicochemical interpretations for the adsorption of food dyes on chitosan films using statistical physics treatment.

PubMed

Dotto, G L; Pinto, L A A; Hachicha, M A; Knani, S

2015-03-15

In this work, statistical physics treatment was employed to study the adsorption of food dyes onto chitosan films, in order to obtain new physicochemical interpretations at molecular level. Experimental equilibrium curves were obtained for the adsorption of four dyes (FD&C red 2, FD&C yellow 5, FD&C blue 2, Acid Red 51) at different temperatures (298, 313 and 328 K). A statistical physics formula was used to interpret these curves, and the parameters such as, number of adsorbed dye molecules per site (n), anchorage number (n'), receptor sites density (NM), adsorbed quantity at saturation (N asat), steric hindrance (τ), concentration at half saturation (c1/2) and molar adsorption energy (ΔE(a)) were estimated. The relation of the above mentioned parameters with the chemical structure of the dyes and temperature was evaluated and interpreted. Copyright © 2014 Elsevier Ltd. All rights reserved.

Teaching thoughtful practice: narrative pedagogy in addictions education.

PubMed

Vandermause, Roxanne K; Townsend, Ryan P

2010-07-01

Preparing practitioners for this rapidly changing and demanding health care environment is challenging. A surge in knowledge development and scientific advancement has placed a priority on technical skill and a focus on content driven educational processes that prepare students for evidence-based practice. However, the most difficult health care scenarios require thinking-in-action and thoughtfulness as well as didactic knowledge. It is our contention that interpretive educational methods, like narrative pedagogy, will promote judgment-based practice that includes use of evidence and delivery of thoughtful care. In this article, we describe and interpret a narrative approach to addictions content and teaching thoughtful practice. We present our pedagogical process, including observations and field notes, to show how interpretive pedagogies can be introduced into nursing curricula. By presenting this process, the reader is invited to consider interpretive methods as a way to inspire and habituate thoughtful practice and judgment-based care. Copyright 2009 Elsevier Ltd. All rights reserved.

Parenting practices, interpretive biases, and anxiety in Latino children.

PubMed

Varela, R Enrique; Niditch, Laura A; Hensley-Maloney, Lauren; Moore, Kathryn W; Creveling, C Christiane

2013-03-01

A number of factors are believed to confer risk for anxiety development in children; however, cultural variation of purported risk factors remains unclear. We examined relations between controlling and rejecting parenting styles, parental modeling of anxious behaviors, child interpretive biases, and child anxiety in a mixed clinically anxious (n=27) and non-clinical (n=20) sample of Latino children and at least one of their parents. Families completed discussion-based tasks and questionnaires in a lab setting. Results indicated that child anxiety was: linked with parental control and child interpretative biases, associated with parental modeling of anxious behaviors at a trend level, and not associated with low parental acceptance. Findings that controlling parenting and child interpretive biases were associated with anxiety extend current theories of anxiety development to the Latino population. We speculate that strong family ties may buffer Latino children from detrimental effects of perceived low parental acceptance. Copyright © 2013 Elsevier Ltd. All rights reserved.

Asymmetrical transfer effects of cognitive bias modification: Modifying attention to threat influences interpretation of emotional ambiguity, but not vice versa.

PubMed

Bowler, J O; Hoppitt, L; Illingworth, J; Dalgleish, T; Ononaiye, M; Perez-Olivas, G; Mackintosh, B

2017-03-01

It is well established that attention bias and interpretation bias each have a key role in the development and continuation of anxiety. How the biases may interact with one another in anxiety is, however, poorly understood. Using cognitive bias modification techniques, the present study examined whether training a more positive interpretation bias or attention bias resulted in transfer of effects to the untrained cognitive domain. Differences in anxiety reactivity to a real-world stressor were also assessed. Ninety-seven first year undergraduates who had self-reported anxiety were allocated to one of four groups: attention bias training (n = 24), interpretation bias training (n = 26), control task training (n = 25) and no training (n = 22). Training was computer-based and comprised eight sessions over four weeks. Baseline and follow-up measures of attention and interpretation bias, anxiety and depression were taken. A significant reduction in threat-related attention bias and an increase in positive interpretation bias occurred in the attention bias training group. The interpretation bias training group did not exhibit a significant change in attention bias, only interpretation bias. The effect of attention bias training on interpretation bias was significant as compared with the two control groups. There were no effects on self-report measures. The extent to which interpretive training can modify attentional processing remains unclear. Findings support the idea that attentional training might have broad cognitive consequences, impacting downstream on interpretive bias. However, they do not fully support a common mechanism hypothesis, as interpretive training did not impact on attentional bias. Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.

A decision support system and rule-based algorithm to augment the human interpretation of the 12-lead electrocardiogram.

PubMed

Cairns, Andrew W; Bond, Raymond R; Finlay, Dewar D; Guldenring, Daniel; Badilini, Fabio; Libretti, Guido; Peace, Aaron J; Leslie, Stephen J

The 12-lead Electrocardiogram (ECG) has been used to detect cardiac abnormalities in the same format for more than 70years. However, due to the complex nature of 12-lead ECG interpretation, there is a significant cognitive workload required from the interpreter. This complexity in ECG interpretation often leads to errors in diagnosis and subsequent treatment. We have previously reported on the development of an ECG interpretation support system designed to augment the human interpretation process. This computerised decision support system has been named 'Interactive Progressive based Interpretation' (IPI). In this study, a decision support algorithm was built into the IPI system to suggest potential diagnoses based on the interpreter's annotations of the 12-lead ECG. We hypothesise semi-automatic interpretation using a digital assistant can be an optimal man-machine model for ECG interpretation. To improve interpretation accuracy and reduce missed co-abnormalities. The Differential Diagnoses Algorithm (DDA) was developed using web technologies where diagnostic ECG criteria are defined in an open storage format, Javascript Object Notation (JSON), which is queried using a rule-based reasoning algorithm to suggest diagnoses. To test our hypothesis, a counterbalanced trial was designed where subjects interpreted ECGs using the conventional approach and using the IPI+DDA approach. A total of 375 interpretations were collected. The IPI+DDA approach was shown to improve diagnostic accuracy by 8.7% (although not statistically significant, p-value=0.1852), the IPI+DDA suggested the correct interpretation more often than the human interpreter in 7/10 cases (varying statistical significance). Human interpretation accuracy increased to 70% when seven suggestions were generated. Although results were not found to be statistically significant, we found; 1) our decision support tool increased the number of correct interpretations, 2) the DDA algorithm suggested the correct interpretation more often than humans, and 3) as many as 7 computerised diagnostic suggestions augmented human decision making in ECG interpretation. Statistical significance may be achieved by expanding sample size. Copyright © 2017 Elsevier Inc. All rights reserved.

Interpreter services in emergency medicine.

PubMed

Chan, Yu-Feng; Alagappan, Kumar; Rella, Joseph; Bentley, Suzanne; Soto-Greene, Marie; Martin, Marcus

2010-02-01

Emergency physicians are routinely confronted with problems associated with language barriers. It is important for emergency health care providers and the health system to strive for cultural competency when communicating with members of an increasingly diverse society. Possible solutions that can be implemented include appropriate staffing, use of new technology, and efforts to develop new kinds of ties to the community served. Linguistically specific solutions include professional interpretation, telephone interpretation, the use of multilingual staff members, the use of ad hoc interpreters, and, more recently, the use of mobile computer technology at the bedside. Each of these methods carries a specific set of advantages and disadvantages. Although professionally trained medical interpreters offer improved communication, improved patient satisfaction, and overall cost savings, they are often underutilized due to their perceived inefficiency and the inconclusive results of their effect on patient care outcomes. Ultimately, the best solution for each emergency department will vary depending on the population served and available resources. Access to the multiple interpretation options outlined above and solid support and commitment from hospital institutions are necessary to provide proper and culturally competent care for patients. Appropriate communications inclusive of interpreter services are essential for culturally and linguistically competent provider/health systems and overall improved patient care and satisfaction. Copyright (c) 2010 Elsevier Inc. All rights reserved.

National Petroleum Reserve-Alaska (NPRA) core images and well data

USGS Publications Warehouse

Houseknecht, D. W.

2002-01-01

This report contains photographic images and data from petroleum exploration wells drilled within and near the National Petroleum Reserve-Alaska (NPRA). The volume is organized into six chapters, each of which contains images and well data (including a GIS project of public domain cores) pertinent to the geology and petroleum potential of NPRA. This product is a compilation of data not available elsewhere and contains limited interpretive material.

The "delivery" of Adam: a medical interpretation of Michelangelo.

PubMed

Di Bella, Stefano; Taglietti, Fabrizio; Iacobuzio, Andrea; Johnson, Emma; Baiocchini, Andrea; Petrosillo, Nicola

2015-04-01

This article describes what we believe to be the key to interpreting the concept represented by Michelangelo's painting the Creation of Adam. This fresco, one of his most famous masterpieces, is situated in the heart of the Sistine Chapel and is viewed by millions of people every year. A man of many talents, Michelangelo's proficiency in anatomical dissection is reflected in his artwork. As such, analyses of hidden meanings in this fresco have been ascribed, including the concept of the "Brain-God." However, we see a postpartum uterus and adjacent anatomy, justifying our interpretation that Michelangelo was depicting something far more fundamental: the birth of mankind. Copyright © 2015 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. All rights reserved.

Indication, organization, practical implementation and interpretation guidelines for retrospective CGM recording: A French position statement.

PubMed

Joubert, M; Baillot-Rudoni, S; Catargi, B; Charpentier, G; Esvant, A; Franc, S; Guerci, B; Guilhem, I; Melki, V; Merlen, E; Penfornis, A; Renard, E; Riveline, J P; Schaepelynck, P; Sola-Gazagnes, A; Hanaire, H

2015-12-01

The benefits of retrospective continuous glucose monitoring (retroCGM) recording have been widely explored in clinical studies, and many diabetes physicians routinely use this examination. However, the method of interpretation of CGM recordings has never been precisely described. An expert French panel of physicians met for two days to discuss several aspects of retroCGM use and to produce a position statement. The guidelines cover the indications for retroCGM, the general organization and practical implementation of CGM recordings, a description of the different devices available and guidelines for the interpretation of retroCGM recordings. This consensus document should help clinicians in the proper use of retroCGM. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

Time-lapse microscopy patent upheld in Europe: response to Pearce.

PubMed

Sterckx, Sigrid; Cockbain, Julian; Pennings, Guido

2017-02-01

In this piece, we comment on the article by Pearce earlier in this journal. As Pearce correctly points out, what is fundamentally at issue in ESHRE et al's opposition to Stanford University's European patent on time-lapse microscopy is whether an exclusion from patentability, here of methods of medical diagnosis, should be interpreted narrowly or not. In the present case, the dominant piece of case law from the European Patent Office (EPO) gives a narrow interpretation of what a method of diagnosis must be in order not to be patentable. In their submissions to the EPO, ESHRE et al. have argued that this narrow interpretation is unfounded and incorrect. Copyright © 2016 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.

Visual gravity cues in the interpretation of biological movements: neural correlates in humans.

PubMed

Maffei, Vincenzo; Indovina, Iole; Macaluso, Emiliano; Ivanenko, Yuri P; A Orban, Guy; Lacquaniti, Francesco

2015-01-01

Our visual system takes into account the effects of Earth gravity to interpret biological motion (BM), but the neural substrates of this process remain unclear. Here we measured functional magnetic resonance (fMRI) signals while participants viewed intact or scrambled stick-figure animations of walking, running, hopping, and skipping recorded at normal or reduced gravity. We found that regions sensitive to BM configuration in the occipito-temporal cortex (OTC) were more active for reduced than normal gravity but with intact stimuli only. Effective connectivity analysis suggests that predictive coding of gravity effects underlies BM interpretation. This process might be implemented by a family of snapshot neurons involved in action monitoring. Copyright © 2014 Elsevier Inc. All rights reserved.

When Seeing Isn't Believing: How Math Can Guide Our Interpretation of Measurements and Experiments.

PubMed

Macklin, Paul

2017-08-23

Mathematical thought experiments probe the meaning and pitfalls of experimental measurements and demonstrate that caution is in order when measuring heterogeneity. Copyright © 2017 Elsevier Inc. All rights reserved.

21 CFR 105.3 - Definitions and interpretations.

Code of Federal Regulations, 2010 CFR

2010-04-01

... usual diet with any vitamin, mineral, or other dietary property. Any such particular use of a food is a... for use in the diets of diabetics and is therefore a special dietary use. (b)-(d) [Reserved] (e) For...

Teaching crucial skills: An electrocardiogram teaching module for medical students.

PubMed

Chudgar, Saumil M; Engle, Deborah L; Grochowski, Colleen O'Connor; Gagliardi, Jane P

2016-01-01

Medical student performance in electrocardiogram (ECG) interpretation at our institution could be improved. Varied resources exist to teach students this essential skill. We created an ECG teaching module (ECGTM) of 75 cases representing 15 diagnoses to improve medical students' performance and confidence in ECG interpretation. Students underwent pre- and post-clerkship testing to assess ECG interpretation skills and confidence and also end-of-clinical-year testing in ECG and laboratory interpretation. Performance was compared for the years before and during ECGTM availability. Eighty-four percent of students (total n=101) reported using the ECGTM; 98% of those who used it reported it was useful. Students' performance and confidence were higher on the post-test. Students with access to the ECGTM (n=101) performed significantly better than students from the previous year (n=90) on the end-of-year ECG test. The continuous availability of an ECGTM was associated with improved confidence and ability in ECG interpretation. The ECGTM may be another available tool to help students as they learn to read ECGs. Copyright © 2016 Elsevier Inc. All rights reserved.

Interpretation of clinical relevance of X-chromosome copy number variations identified in a large cohort of individuals with cognitive disorders and/or congenital anomalies.

PubMed

Willemsen, Marjolein H; de Leeuw, Nicole; de Brouwer, Arjan P M; Pfundt, Rolph; Hehir-Kwa, Jayne Y; Yntema, Helger G; Nillesen, Willy M; de Vries, Bert B A; van Bokhoven, Hans; Kleefstra, Tjitske

2012-11-01

Genome-wide array studies are now routinely being used in the evaluation of patients with cognitive disorders (CD) and/or congenital anomalies (CA). Therefore, inevitably each clinician is confronted with the challenging task of the interpretation of copy number variations detected by genome-wide array platforms in a diagnostic setting. Clinical interpretation of autosomal copy number variations is already challenging, but assessment of the clinical relevance of copy number variations of the X-chromosome is even more complex. This study provides an overview of the X-Chromosome copy number variations that we have identified by genome-wide array analysis in a large cohort of 4407 male and female patients. We have made an interpretation of the clinical relevance of each of these copy number variations based on well-defined criteria and previous reports in literature and databases. The prevalence of X-chromosome copy number variations in this cohort was 57/4407 (∼1.3%), of which 15 (0.3%) were interpreted as (likely) pathogenic. Copyright © 2012 Elsevier Masson SAS. All rights reserved.

Validating multiplexes for use in conjunction with modern interpretation strategies.

PubMed

Taylor, Duncan; Bright, Jo-Anne; McGoven, Catherine; Hefford, Christopher; Kalafut, Tim; Buckleton, John

2016-01-01

In response to requests from the forensic community, commercial companies are generating larger, more sensitive, and more discriminating STR multiplexes. These multiplexes are now applied to a wider range of samples including complex multi-person mixtures. In parallel there is an overdue reappraisal of profile interpretation methodology. Aspects of this reappraisal include 1. The need for a quantitative understanding of allele and stutter peak heights and their variability, 2. An interest in reassessing the utility of smaller peaks below the often used analytical threshold, 3. A need to understand not just the occurrence of peak drop-in but also the height distribution of such peaks, and 4. A need to understand the limitations of the multiplex-interpretation strategy pair implemented. In this work we present a full scheme for validation of a new multiplex that is suitable for informing modern interpretation practice. We predominantly use GlobalFiler™ as an example multiplex but we suggest that the aspects investigated here are fundamental to introducing any multiplex in the modern interpretation environment. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

Oil and gas reserves estimates

USGS Publications Warehouse

Harrell, R.; Gajdica, R.; Elliot, D.; Ahlbrandt, T.S.; Khurana, S.

2005-01-01

This article is a summary of a panel session at the 2005 Offshore Technology Conference. Oil and gas reserves estimates are further complicated with the expanding importance of the worldwide deepwater arena. These deepwater reserves can be analyzed, interpreted, and conveyed in a consistent, reliable way to investors and other stakeholders. Continually improving technologies can lead to improved estimates of production and reserves, but the estimates are not necessarily recognized by regulatory authorities as an indicator of "reasonable certainty," a term used since 1964 to describe proved reserves in several venues. Solutions are being debated in the industry to arrive at a reporting mechanism that generates consistency and at the same time leads to useful parameters in assessing a company's value without compromising confidentiality. Copyright 2005 Offshore Technology Conference.

Genomics for paediatricians: promises and pitfalls.

PubMed

Hammond, Carrie Louise; Willoughby, Josh Matthew; Parker, Michael James

2018-03-24

In recent years, there have been significant advances in genetic technologies, evolving the field of genomics from genetics. This has huge diagnostic potential, as genomic testing increasingly becomes part of mainstream medicine. However, there are numerous potential pitfalls in the interpretation of genomic data. It is therefore essential that we educate clinicians more widely about the appropriate interpretation and utilisation of genomic testing. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Ultrasound physics in a nutshell.

PubMed

Coltrera, Marc D

2010-12-01

This content presents to the neophyte ultrasonographer the essential nutshell of information needed to properly interpret ultrasound images. Basic concepts of physics related to ultrasound are supported with formulas and related to clinical use. Copyright © 2010 Elsevier Inc. All rights reserved.

Computed Tomography of the Musculoskeletal System.

PubMed

Ballegeer, Elizabeth A

2016-05-01

Computed tomography (CT) has specific uses in veterinary species' appendicular musculoskeletal system. Parameters for acquisition of images, interpretation limitations, as well as published information regarding its use in small animals is reviewed. Copyright © 2016 Elsevier Inc. All rights reserved.

Refilling the half-empty glass--Investigating the potential role of the Interpretation Modification Paradigm for Depression (IMP-D).

PubMed

Möbius, Martin; Tendolkar, Indira; Lohner, Valerie; Baltussen, Mirte; Becker, Eni S

2015-12-01

Cognitive biases are known to cause and maintain depression. However, little research has been done on techniques targeting interpretation tendencies found in depression, despite the promising findings of anxiety studies. This paper presents two experiments, investigating the suitability of an Interpretation Modification Paradigm for Depression (IMP-D) in healthy individuals, which has already proven its effectiveness in anxiety (Beard & Amir, 2008). Different from other paradigms, the IMP-D aims at modifying an interpretation bias on response- and on a more implicit reaction time-level, making this task less susceptible to demand effects. The Word-Sentence Association Paradigm for Depression (Hindash & Amir, 2011) was modified and administered in healthy volunteers (experiment I: N = 81; experiment II: N = 105). To enhance a positive interpretation bias, endorsing benign and rejecting negative interpretations of ambiguous scenarios was reinforced through feedback. This intervention was compared to the opposite training (both experiments) and a control training (experiment II only). Both experiments revealed a significant increase in bias towards benign interpretations on the level of overt decisions, while only in the first experiment a change was found on a reaction time level. These modifications are not reflected in group-differences in emotional vulnerability. Possible limitations regarding the reliability of inter-dependent response and reaction time measures are discussed. The IMP-D is able to modify interpretation biases, but adaptations are required to maximize its beneficial effects. Copyright © 2015 Elsevier Ltd. All rights reserved.

Interpretation of ambiguity: Differences between children and adolescents with and without an anxiety disorder.

PubMed

Waite, Polly; Codd, Jon; Creswell, Cathy

2015-12-01

Theory and treatment of anxiety disorders in young people are commonly based on the premise that interpretation biases found in anxious adults are also found in children and adolescents. Although there is some evidence that this may be the case, studies have not typically taken age into account, which is surprising given the normative changes in cognition that occur throughout childhood. The aim of the current study was to identify whether associations between anxiety disorder status and interpretation biases differed in children and adolescents. The responses of children (7-10 years) and adolescents (13-16 years) with and without anxiety disorders (n=120) were compared on an ambiguous scenarios task. Children and adolescents with an anxiety disorder showed significantly higher levels of threat interpretation and avoidant strategies than non-anxious children and adolescents. However, age significantly moderated the effect of anxiety disorder status on interpretation of ambiguity, in that adolescents with anxiety disorders showed significantly higher levels of threat interpretation and associated negative emotion than non-anxious adolescents, but a similar relationship was not observed among children. The findings suggest that theoretical accounts of interpretation biases in anxiety disorders in children and adolescents should distinguish between different developmental periods. For both ages, treatment that targets behavioral avoidance appears warranted. However, while adolescents are likely to benefit from treatment that addresses interpretation biases, there may be limited benefit for children under the age of ten. Copyright © 2015 The Authors. Published by Elsevier B.V. All rights reserved.

Developmental changes in facial expressions of emotions in the strange situation during the second year of life.

PubMed

Izard, Carroll E; Abe, Jo Ann A

2004-09-01

Infants' expressions of discrete emotions were coded during the more stressful episodes (4 through 8) of the Strange Situation at 13 and 18 months. The data showed a significant decrease in full-face expressions (more complex configurations of movements) and a significant increase in component expressions (simpler and more constrained patterns of movements). The authors interpreted this trend as a developmental change toward more regulated and less intense emotions. Consistent with this view, the aggregate index of infants' full-face negative emotion expressions, interpreted as reflecting relatively unregulated intense emotions, correlated significantly with maternal ratings of difficult temperament. The authors discuss alternative interpretations of the findings in terms of changes in reactivity/arousability and the emerging capacity for self-regulation. (c) 2004 APA, all rights reserved

2 CFR 225.30 - OMB responsibilities.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Grants and Agreements OFFICE OF MANAGEMENT AND BUDGET CIRCULARS AND GUIDANCE Reserved COST PRINCIPLES FOR... Office of Management and Budget (OMB) will review agency regulations and implementation of this part, and will provide policy interpretations and assistance to insure effective and efficient implementation...

The medium is the message: thoughts on picture perfect presentation.

PubMed

Jupiter, Daniel C

2013-01-01

Clear presentation of results leads to easier interpretation and appreciation by readers. Opinions and tips are offered to ease clear communication. Copyright © 2013 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

Threat processing in generalized social phobia: an investigation of interpretation biases in ambiguous facial affect.

PubMed

Jusyte, Aiste; Schönenberg, Michael

2014-06-30

Facial affect is one of the most important information sources during the course of social interactions, but it is susceptible to distortion due to the complex and dynamic nature. Socially anxious individuals have been shown to exhibit alterations in the processing of social information, such as an attentional and interpretative bias toward threatening information. This may be one of the key factors contributing to the development and maintenance of anxious psychopathology. The aim of the current study was to investigate whether a threat-related interpretation bias is evident for ambiguous facial stimuli in a population of individuals with a generalized Social Anxiety Disorder (gSAD) as compared to healthy controls. Participants judged ambiguous happy/fearful, angry/fearful and angry/happy blends varying in intensity and rated the predominant affective expression. The results obtained in this study do not indicate that gSAD is associated with a biased interpretation of ambiguous facial affect. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

Should culture affect practice? A comparison of prognostic discussions in consultations with immigrant versus native-born cancer patients.

PubMed

Butow, Phyllis N; Sze, Ming; Eisenbruch, Maurice; Bell, Melaine L; Aldridge, Lynley J; Abdo, Sarah; Tanious, Michelle; Dong, Skye; Iedema, Rick; Vardy, Janette; Hui, Rina; Boyle, Francis; Liauw, Winston; Goldstein, David

2013-08-01

Poor prognosis is difficult to impart, particularly across a cultural divide. This study compared prognostic communication with immigrants (with and without interpreters) versus native-born patients in audio-taped oncology consultations. Ten oncologists, 78 patients (31 Australian-born, 47 immigrants) and 115 family members participated. The first two consultations after diagnosis of incurable disease were audiotaped, transcribed and coded. 142 consultations were included in the analysis. Fifty percent of doctor and 59% of patient prognostic speech units were not interpreted or interpreted non-equivalently when an interpreter was present. Immigrant status predicted few prognostic facts, and oncologist characteristics no prognostic facts, disclosed. Oncologists were significantly less likely to convey hope to immigrants (p=0.0004), and more likely to use medical jargon (p=0.009) than with Australian-born patients. Incurable disease status and a limited life span were commonly acknowledged, generally with no timeframe provided. Physical issues were discussed more commonly than emotional aspects. While culture did not appear to influence doctor speech, interpreters filtered or blocked much prognostic communication. Initiatives to empower all patients to attain needed information, optimise communication when an interpreter is present and train cancer health professionals in culturally appropriate care, are urgently required. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

Trace mineral feeding and assessment.

PubMed

Swecker, William S

2014-11-01

This article gives practitioners an overview of trace mineral requirements, supplementation, and assessment in dairy herds. In addition, a step-by-step guideline for liver biopsy in cows is provided with interpretive results from a sample herd. Copyright © 2014 Elsevier Inc. All rights reserved.

Consumer confusion between prescription drug precautions and side effects.

PubMed

Amoozegar, Jacqueline B; Rupert, Douglas J; Sullivan, Helen W; O'Donoghue, Amie C

2017-06-01

Multiple studies have identified consumers' difficulty correctly interpreting risk information provided about prescription drugs, whether in printed format or online. This study's purpose was to explore whether consumers can distinguish between prescription drug precautions and side effects presented on brand-name drug websites. Participants (n=873) viewed fictitious drug websites that presented both precautions and side effects for one of four drugs, and they completed a survey assessing recall and comprehension. We coded open-ended recall data to identify whether drug precautions were mentioned and, if so, how they were interpreted. Approximately 15% of participants mentioned at least one drug precaution. The majority (59.7%) misinterpreted precautions as potential side effects. Participants who misinterpreted precautions rated the drugs as significantly more likely to cause side effects than participants who accurately interpreted the precautions. Age, education, literacy, and other factors did not appear to predict precaution interpretation. At least some consumers are likely to interpret precautions on drug websites as potential side effects, which might affect consumer preferences, treatment decisions, and medication safety. Healthcare providers should be aware of this potential confusion, assess patients' understanding of precautions and potential side effects, and address any misunderstandings. Copyright © 2017 Elsevier Ireland Ltd. All rights reserved.

Micropaleontology of selected wells and seismic shot holes, northern Alaska

USGS Publications Warehouse

Mickey, Michael B.; Haga, Hideyo; Bird, Kenneth J.

2006-01-01

This report provides micropaleontologic data (foraminifera, pollen, spores, and microplankton) and interpretations of the rocks penetrated by 49 wells and 3,134 seismic shot holes distributed among 73 seismic lines (figs. 1, 2; table 1). All shot holes and 30 wells are located within the National Petroleum Reserve in Alaska (NPRA); the remaining 19 wells are located adjacent to the NPRA. The biostratigraphic zonation scheme, stratigraphy, and geologic ages followed in this study are summarized in figure 3. This update brings paleontologic analyses performed at various times over several decades to a current, unified set of interpretations that benefit from the evolution of northern Alaska biostratigraphic understanding developed during the past 33-years by Mickey and Haga. For each well, paleontologic information includes microfossil distribution charts, data spreadsheets, diversity graphs, and interpretive reports describing age and environments of deposition. Three biostratigraphic well-correlation sections that relate Chukchi Sea wells to onshore northwestern NPRA wells are also included. For all analyzed seismic shot hole samples, foraminiferal age and environmental interpretations are provided; palynological interpretations are provided only for those shot hole samples collected and analyzed after 1976, a little less than half of the total number of samples.

Visual Access in Interpreter-Mediated Learning Situations for Deaf and Hard-of-Hearing High School Students Where an Artifact Is in Use.

PubMed

Berge, Sigrid Slettebakk; Thomassen, Gøril

2016-04-01

This article highlights interpreter-mediated learning situations for deaf high school students where such mediated artifacts as technical machines, models, and computer graphics are used by the teacher to illustrate his or her teaching. In these situations, the teacher's situated gestures and utterances, and the artifacts will contribute independent pieces of information. However, the deaf student can only have his or her visual attention focused on one source at a time. The problem to be addressed is how the interpreter coordinates the mediation when it comes to deaf students' visual orientation. The presented discourse analysis is based on authentic video recordings from inclusive learning situations in Norway. The theoretical framework consists of concepts of role, footing, and face-work (Goffman, E. (1959). The presentation of self in everyday life. London, UK: Penguin Books). The findings point out dialogical impediments to visual access in interpreter-mediated learning situations, and the article discusses the roles and responsibilities of teachers and educational interpreters. © The Author 2015. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Interpretation bias in Cluster-C and borderline personality disorders.

PubMed

Arntz, Arnoud; Weertman, Anoek; Salet, Sjoerd

2011-08-01

Cognitive therapy (CT) assumes that personality disorders (PDs) are characterized by interpretational biases that maintain the disorder. Changing interpretations is therefore a major aim of CT of PDs. This study tested whether Borderline PD (BPD), Avoidant and Dependent PD (AV/DEPD), and Obsessive-Compulsive PD (OCPD) are characterized by specific interpretations. Among the 122 participants there were 55 PD patients (17 BPD, 30 AV/DEPD, 29 OCPD diagnoses), 26 axis-1 patients, and 41 nonpatients. Participants put themselves into 10 scripts of negative events and noted feelings, thoughts and behaviors that came to mind. Next, they chose between hypothesized BPD-specific, AV/DEPD-specific, and OCPD-specific interpretations of each event (forced choice). Lastly, participants rated belief in each interpretation. Regression analyses revealed that forced choices and belief ratings supported the CT-model of BPD and AV/DEP: interpretations were specific. The alleged OCPD-beliefs were however not specifically related to OCPD, with relatively high popularity in axis-1 patients and nonpatients. The open responses were classified by judges blind for diagnoses, with the following results. BPD was characterized by low levels of solution-focused and healthy-flexible/accepting responses, and higher levels of criticizing others and malevolent interpretations of others. AV/DEPD was characterized by lower levels of solution-focused responses, and higher levels of self-criticism, negative emotions, guilt and fear of judgment, as well as lower levels of other-criticism. OCPD only showed trends for lower healthy responses, and higher compulsiveness and worry. It is concluded that the assumptions of CT are supported for BPD and AV/DEPD, but not - at least not on the explicit interpretational level - for OCPD. CT of OCPD might need a slightly different approach. Copyright © 2011 Elsevier Ltd. All rights reserved.

Prehospital Acute ST-Elevation Myocardial Infarction Identification in San Diego: A Retrospective Analysis of the Effect of a New Software Algorithm.

PubMed

Coffey, Christanne; Serra, John; Goebel, Mat; Espinoza, Sarah; Castillo, Edward; Dunford, James

2018-05-03

A significant increase in false positive ST-elevation myocardial infarction (STEMI) electrocardiogram interpretations was noted after replacement of all of the City of San Diego's 110 monitor-defibrillator units with a new brand. These concerns were brought to the manufacturer and a revised interpretive algorithm was implemented. This study evaluated the effects of a revised interpretation algorithm to identify STEMI when used by San Diego paramedics. Data were reviewed 6 months before and 6 months after the introduction of a revised interpretation algorithm. True-positive and false-positive interpretations were identified. Factors contributing to an incorrect interpretation were assessed and patient demographics were collected. A total of 372 (234 preimplementation, 138 postimplementation) cases met inclusion criteria. There was a significant reduction in false positive STEMI (150 preimplementation, 40 postimplementation; p < 0.001) after implementation. The most common factors resulting in false positive before implementation were right bundle branch block, left bundle branch block, and atrial fibrillation. The new algorithm corrected for these misinterpretations with most postimplementation false positives attributed to benign early repolarization and poor data quality. Subsequent follow-up at 10 months showed maintenance of the observed reduction in false positives. This study shows that introducing a revised 12-lead interpretive algorithm resulted in a significant reduction in the number of false positive STEMI electrocardiogram interpretations in a large urban emergency medical services system. Rigorous testing and standardization of new interpretative software is recommended before introduction into a clinical setting to prevent issues resulting from inappropriate cardiac catheterization laboratory activations. Copyright © 2018 Elsevier Inc. All rights reserved.

Day of Week, Site of Service, and Patient Complexity Differences in Venous Ultrasound Interpreted by Radiologists Versus Nonradiologists.

PubMed

Prabhakar, Anand M; Gottumukkala, Ravi V; Wang, Wenyi; Hughes, Danny R; Duszak, Richard

2018-05-07

Nationally, nonradiologists interpret an increasing proportion of lower extremity venous duplex ultrasound (LEVDU) examinations. We aimed to study day of week, site of service, and patient complexity differences in LEVDU services interpreted by radiologists versus nonradiologists. Using carrier claims files for a 5% national sample of Medicare beneficiaries from 2012 to 2015, we retrospectively classified all LEVDU examinations by physician specialty (radiologist versus nonradiologist), day of week (weekday versus weekend), site of service, and patient Charlson Comorbidity Index (CCI) scores. Pearson's χ 2 was used to test statistical significance. Of 760,433 LEVDU examinations for which provider specialty could be determined, 439,964 (58%) were interpreted by radiologists and 320,469 (42%) by nonradiologists. On weekends, radiologists interpreted 75% (66,094 of 88,244) and nonradiologists 25% (22,150 of 88,244) (P < .0001). Of LEVDU examinations interpreted by radiologists, 57% were performed in the inpatient or emergency department settings, and 70% of LEVDU examinations interpreted by nonradiologists were performed in the private office or outpatient hospital setting. Radiologists interpreted a slightly larger proportion (17%) of their examinations on patients with more comorbidities (CCI of ≥3) than nonradiologists (15%) (P < .0001). Compared with nonradiologists, radiologists interpret a disproportionately larger share of weekend (versus weekday) LEVDU examinations and a considerably larger proportion in higher acuity settings. Additionally, the patients on whom they render services have more comorbidities. To optimize around-the-clock patient access to necessary imaging, emerging quality payment programs should consider the timing and sites of service, as well as patient complexity. Copyright © 2018 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Use of the Surface Electrocardiogram to Define the Nature of Challenging Arrhythmias.

PubMed

Singh, David K; Peter, C Thomas

2016-03-01

Despite unprecedented advances in technology, the electrocardiogram (ECG) remains essential to the practice of modern electrophysiology. Since its emergence at the turn of the nineteenth century, the form of the ECG has changed little. What has changed is our ability to understand the complex mechanisms that underlie various arrhythmias. In this article, the authors review several important principles of ECG interpretation by providing illustrative tracings. The authors also highlight several important concepts that be can used in ECG analysis. There are several fundamental principles that should be considered in ECG interpretation. Copyright © 2016 Elsevier Inc. All rights reserved.

Clinical Trial Design in Neuroendocrine Tumors.

PubMed

Halperin, Daniel M; Yao, James C

2016-02-01

Neuroendocrine tumors (NETs) present tremendous opportunities for productive clinical investigation, but substantial challenges as well. Investigators must be aware of common pitfalls in study design, informed by an understanding of the history of trials in the field, to make the best use of available data and our patient volunteers. We believe the salient issues in clinical trial design and interpretation in the NET field are patient homogeneity, standardized response assessment, and rigorous design and execution. Whether designing or interpreting a study in patients with NET, these principles should drive assessment. Copyright © 2016 Elsevier Inc. All rights reserved.

BIA interpretation techniques for vegetation mapping using thematic mapper false color composites (interim report for San Carlos Reservation)

USGS Publications Warehouse

Bonner, W.J.; English, T.C.; Haas, R.H.; Feagan, T.R.; McKinley, R.A.

1987-01-01

The Bureau of Indian Affairs (BIA) is responsible for the natural resource management of approximately 52 million acres of Trust lands in the contiguous United States. The lands are distributed in a "patchwork" fashion throughout the country. Management responsibilities on these areas include: minerals, range, timber, fish and wildlife, agricultural, cultural, and archaeological resources. In an age of decreasing natural resources and increasing natural resource values, effective multiple resource management is critical. BIA has adopted a "systems approach" to natural resource management which utilizes Geographic Information System (GIS) technology. The GIS encompasses a continuum of spatial and relational data elements, and included functional capabilities such as: data collection, data entry, data base development, data analysis, data base management, display, and report generalization. In support of database development activities, BIA and BLM/TGS conducted a cooperative effort to investigate the potential of 1:100,000 scale Thematic Mapper (TM) False Color Composites (FCCs) for providing vegetation information suitable for input to the GIS and to later be incorporated as a generalized Bureau wide land cover map. Land cover information is critical as the majority of reservations currently have no land cover information in either map or digital form. This poster outlines an approach which includes the manual interpretation of land cover using TM FCCs, the digitizing of interpreted polygons, and the editing of digital data, used upon ground truthing exercises. An efficient and cost-effective methodology for generating large area land cover information is illustrated for the Mineral Strip area on the San Carlos Indian Reservation in Arizona. Techniques which capitalize on the knowledge of the local natural resources professionals, while minimizing machine processing requirements, are suggested.

Regional seismic lines reprocessed using post-stack processing techniques; National Petroleum Reserve, Alaska

USGS Publications Warehouse

Miller, John J.; Agena, W.F.; Lee, M.W.; Zihlman, F.N.; Grow, J.A.; Taylor, D.J.; Killgore, Michele; Oliver, H.L.

2000-01-01

This CD-ROM contains stacked, migrated, 2-Dimensional seismic reflection data and associated support information for 22 regional seismic lines (3,470 line-miles) recorded in the National Petroleum Reserve ? Alaska (NPRA) from 1974 through 1981. Together, these lines constitute about one-quarter of the seismic data collected as part of the Federal Government?s program to evaluate the petroleum potential of the Reserve. The regional lines, which form a grid covering the entire NPRA, were created by combining various individual lines recorded in different years using different recording parameters. These data were reprocessed by the USGS using modern, post-stack processing techniques, to create a data set suitable for interpretation on interactive seismic interpretation computer workstations. Reprocessing was done in support of ongoing petroleum resource studies by the USGS Energy Program. The CD-ROM contains the following files: 1) 22 files containing the digital seismic data in standard, SEG-Y format; 2) 1 file containing navigation data for the 22 lines in standard SEG-P1 format; 3) 22 small scale graphic images of each seismic line in Adobe Acrobat? PDF format; 4) a graphic image of the location map, generated from the navigation file, with hyperlinks to the graphic images of the seismic lines; 5) an ASCII text file with cross-reference information for relating the sequential trace numbers on each regional line to the line number and shotpoint number of the original component lines; and 6) an explanation of the processing used to create the final seismic sections (this document). The SEG-Y format seismic files and SEG-P1 format navigation file contain all the information necessary for loading the data onto a seismic interpretation workstation.

Cross Talk: Evaluation of a Curriculum to Teach Medical Students How to Use Telephone Interpreter Services.

PubMed

Omoruyi, Emma A; Dunkle, Jesse; Dendy, Colby; McHugh, Erin; Barratt, Michelle S

2018-03-01

Telephone interpretation and recent technology advances assist patients with more timely access to rare languages, but no one has examined the role of this technology in the medical setting and how medical students can be prepared for their use. We sought to determine if structured curriculum on interpretation would promote learners self-reported competency in these encounters and if proficiency would be demonstrated in actual patient encounters. Training on the principles of interpreter use with a focus on communication technology was added to medical student education. The students later voluntarily completed a retrospective pre/post training competency self-assessment. A cohort of students rotating at a clinical site had a blinded review of their telephone interpretation encounters scored on a modified validated scale and compared to scored encounters with preintervention learners. Nested ANOVA models were used for audio file analysis. A total of 176 students who completed the training reported a statistically significant improvement in all 4 interpretation competency domains. Eighty-three audio files were analyzed from students before and after intervention. These scored encounters showed no statistical difference between the scores of the 2 groups. However, plotting the mean scores over time from each encounter suggests that those who received the curriculum started their rotation with higher scores and maintained those scores. In an evaluation of learners' ability to use interpreters in actual patient encounters, focused education led to earlier proficiency of using interpreters compared to peers who received no training. Copyright © 2018 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.

Interpretive versus noninterpretive content in top-selling radiology textbooks: what are we teaching medical students?

PubMed

Webb, Emily M; Vella, Maya; Straus, Christopher M; Phelps, Andrew; Naeger, David M

2015-04-01

There are little data as to whether appropriate, cost effective, and safe ordering of imaging examinations are adequately taught in US medical school curricula. We sought to determine the proportion of noninterpretive content (such as appropriate ordering) versus interpretive content (such as reading a chest x-ray) in the top-selling medical student radiology textbooks. We performed an online search to identify a ranked list of the six top-selling general radiology textbooks for medical students. Each textbook was reviewed including content in the text, tables, images, figures, appendices, practice questions, question explanations, and glossaries. Individual pages of text and individual images were semiquantitatively scored on a six-level scale as to the percentage of material that was interpretive versus noninterpretive. The predominant imaging modality addressed in each was also recorded. Descriptive statistical analysis was performed. All six books had more interpretive content. On average, 1.4 pages of text focused on interpretation for every one page focused on noninterpretive content. Seventeen images/figures were dedicated to interpretive skills for every one focused on noninterpretive skills. In all books, the largest proportion of text and image content was dedicated to plain films (51.2%), with computed tomography (CT) a distant second (16%). The content on radiographs (3.1:1) and CT (1.6:1) was more interpretive than not. The current six top-selling medical student radiology textbooks contain a preponderance of material teaching image interpretation compared to material teaching noninterpretive skills, such as appropriate imaging examination selection, rational utilization, and patient safety. Copyright © 2015 AUR. Published by Elsevier Inc. All rights reserved.

Survey of United States Army Reserve (USAR) Troop Program Unit (TPU) soldiers 1989. Tabulation of Questionnaire Responses: Cross-Sectional Sample: Junior Enlisted (E1-E4)

DTIC Science & Technology

1989-09-30

information for use by readers to interpret the tabulation volumes accompanying the final project report: 1989 Survey of U.S. Army Reserve (USAR) Troop...34stayers" who were used as the sample to generate the first longitudinal Tabulation Volume. Comparing questionnaire response frequencies between the...as described below). Detailed below are the specific crossing variables used for the cross-sectional and longitudinal Tabulation Volumes. Cross

Grappling with cultural differences; communication between oncologists and immigrant cancer patients with and without interpreters.

PubMed

Butow, Phyllis; Bell, Melanie; Goldstein, David; Sze, Ming; Aldridge, Lynley; Abdo, Sarah; Mikhail, Michelle; Dong, Skye; Iedema, Rick; Ashgari, Ray; Hui, Rina; Eisenbruch, Maurice

2011-09-01

Immigrants report challenges communicating with their health team. This study compared oncology consultations of immigrants with and without interpreters vs Anglo-Australian patients. Patients with newly diagnosed incurable cancer who had immigrated from Arabic, Chinese or Greek speaking countries or were Anglo-Australian, and family members, were recruited from 10 medical oncologists in 9 hospitals. Two consultations from each patient were audio-taped, transcribed, translated into English and coded. Seventy-eight patients (47 immigrant and 31 Anglo-Australian) and 115 family members (77 immigrant and 38 Anglo Australian) participated in 141 audio-taped consultations. Doctors spoke less to immigrants with interpreters than to Anglo-Australians (1443 vs. 2246 words, p=0.0001), spent proportionally less time on cancer related issues (p=0.005) and summarising and informing (p≤0.003) and more time on other medical issues (p=0.0008) and directly advising (p=0.0008). Immigrants with interpreters gave more high intensity cues (10.4 vs 7.4). Twenty percent of cues were not interpreted. Doctors tended to delay responses to or ignore more immigrant than Anglo-Australian cues (13% vs 5%, p=0.06). Immigrant cancer patients with interpreters experience different interactions with their doctors than Anglo-Australians, which may compromise their well-being and decisions. Guidelines and proven training programmes are needed to improve communication with immigrant patients, particularly those with interpreters. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

Unresolved questions associated with the management of ventricular pre-excitation syndrome.

PubMed

Brembilla-Perrot, Béatrice; Girerd, Nicolas; Sellal, Jean-Marc

2018-05-13

many recent recommendations concern the management of pre-excitation syndrome. In clinical practice, they are sometimes difficult to use. The purpose of the authors was to discuss the main problems associated with this management. This article is protected by copyright. All rights reserved Three problems are encountered: 1) the reality of the absence of symptoms or the interpretation of atypical symptoms, 2) the electrocardiographic diagnosis of pre-excitation syndrome that can be missed and 3) the exact electrophysiological protocol and its interpretation used for the evaluation of the prognosis Because of significant progress largely related to the development of curative treatment, it seems easy to propose ablation in many patients despite the related risks of invasive studies and to minimize the invasive risk by only performing ablation for patients with at-risk pathways. However, there is a low risk of spontaneous events in truly asymptomatic patients and the indication of accessory pathway ablation should be discussed case by case. This article is protected by copyright. All rights reserved.

The Syrian Vulnerable Person Resettlement Programme: evaluation of Edinburgh's reception arrangements.

PubMed

Weir, Katherine E A; Wilson, Sheila J; Gorman, Dermot R

2017-11-07

During 2015 and 2016 a group of Syrian refugees were resettled in Edinburgh, Scotland under the United Kingdom Government Syrian Vulnerable Person Resettlement Programme. We evaluate the strengths and weaknesses of the settling in arrangements for these refugees. Semi-structured interviews were conducted with five Arabic interpreters who had worked extensively with these refugees. Interviews sought their impressions about what went well or was not successful. Interviews were transcribed and key themes extracted and analysed. Six themes emerged: 'first impressions', language skills, different healthcare systems, health of the refugees, relationships between the interpreters and refugees and support for the interpreters. The welcoming arrangements went well and exceeded refugees' and interpreters' expectations. There was perhaps too much information given immediately and reinforcing details about various public services and facilities after a first few months would be worthwhile. The Syrians were unfamiliar with NHS structures and found lack of direct specialist access surprising. Problems were amplified by low English levels. A need for Arabic literacy classes was also identified. Interpreters were often used informally out-of-hours and a better system with first contact in Arabic should be established. Interpreters find this work particularly stressful and the provision of psychological support for them should be prioritized. © The Author 2017. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

Long-term effects of transference interpretation in dynamic psychotherapy of personality disorders.

PubMed

Høglend, P; Dahl, H-S; Hersoug, A G; Lorentzen, S; Perry, J C

2011-10-01

Only a few treatment studies of personality disorders (PD) patients are on longer-term psychotherapy, general outcome measures are used, and follow-up periods are usually short. More studies of long-term therapies, using outcome measures of core psychopathology, are needed. This study is a dismantling randomized controlled clinical trial, specifically designed to study long-term effects of transference interpretation. Forty-six patients with mainly cluster C personality disorders were randomly assigned to 1 year of dynamic psychotherapy with or without transference interpretations. The outcome measures were remission from PD, improvement in interpersonal functioning, and use of mental health resources in the 3-year period after treatment termination. After therapy with transference interpretation PD-patients improved significantly more in core psychopathology and interpersonal functioning, the drop-out rate was reduced to zero, and use of health services was reduced to 50%, compared to therapy without this ingredient. Three years after treatment termination, 73% no longer met diagnostic criteria for any PD in the transference group, compared to 44% in the comparison group. PD-patients with co-morbid disorders improved in both treatment arms in this study. However, transference interpretation improved outcome substantially more. Long-term psychotherapy that includes transference interpretation is an effective treatment for cluster C personality disorders and milder cluster B personality disorders. Copyright © 2010 Elsevier Masson SAS. All rights reserved.

Reliability and main findings of the FEES-Tensilon Test in patients with myasthenia gravis and dysphagia.

PubMed

Im, Sun; Suntrup-Krueger, Sonja; Colbow, Sigrid; Sauer, Sonja; Claus, Inga; Meuth, Sven G; Dziewas, Rainer; Warnecke, Tobias

2018-05-26

Diagnosis of pharyngeal dysphagia caused by myasthenia gravis (MG) based on clinical examination alone is often challenging. Flexible endoscopic evaluation of swallowing (FEES) combined with Tensilon (edrophonium) application, referred to as the FEES-Tensilon Test, was developed to improve diagnostic accuracy and to detect the main symptoms of pharyngeal dysphagia in MG. Here we investigated inter- and intra-rater reliability of the FEES-Tensilon Test and analyzed the main endoscopic findings. Four experienced raters reviewed a total of 20 FEES-Tensilon-Test videos in randomized order. Residue severity was graded at 4 different pharyngeal spaces before and after Tensilon administration. All interpretations were performed twice per rater, 4 weeks apart (a total of 160 scorings). Intra-rater test-retest reliability and inter-rater reliability levels were calculated. The most frequent FEES findings in MG patients before Tensilon application were prominent residues of semi solids spread all over the hypopharynx in varying locations. The reliability level in the interpretation of the FEES-Tensilon test was excellent regardless of the raters' profession or years of experience with FEES. All 4 raters showed high inter- and intra- reliability levels in interpreting the FEES-Tensilon Test based on residue clearance (kappa=0.922, 0.981). Degree of residue normalization in the vallecular space after Tensilon application showed the highest inter- and intra-rater reliability level (kappa=0.863, 0.957) followed by the epiglottis (kappa=0.813, 0.946) and pyriform sinuses (kappa=0.836, 0.929). Interpretation of the FEES-Tensilon Test based on residue severity and degree of Tensilon clearance, especially in the vallecular space, is consistent and reliable. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

Statistical Challenges in "Big Data" Human Neuroimaging.

PubMed

Smith, Stephen M; Nichols, Thomas E

2018-01-17

Smith and Nichols discuss "big data" human neuroimaging studies, with very large subject numbers and amounts of data. These studies provide great opportunities for making new discoveries about the brain but raise many new analytical challenges and interpretational risks. Copyright © 2017 Elsevier Inc. All rights reserved.

Outdoor Recreation at Brock University

ERIC Educational Resources Information Center

Breunig, Mary; O'Connell, Tim; Hutson, Garrett

2007-01-01

Brock University offers both undergraduate and graduate programs and is host to approximately 17,000 students. It is the only Canadian university located in a World Biosphere Reserve--the Niagara Escarpment. The Bruce Trail passes through campus, and offers ample opportunities for hiking, mountain biking, nature interpretation and outdoor…

The Twenty-First Century University: Some Reservations.

ERIC Educational Resources Information Center

Wasser, Henry

2001-01-01

Asserts that the university is in the process of transformation and that interpretations of data intended to show the features of this reinvented university are not completely satisfactory. Suggests that previously published views may be too optimistic and hierarchical, and that an egalitarian if pluralistic university structure and…

The Amelia Bedelia effect: world knowledge and the goal bias in language acquisition.

PubMed

Srinivasan, Mahesh; Barner, David

2013-09-01

How does world knowledge interact with syntax to constrain linguistic interpretation? We explored this question by testing children's acquisition of verbs like weed and water, which have opposite meanings despite occurring in the same syntactic frames. Whereas "weed the garden" treats "the garden" as a source, "water the garden" treats it as a goal. In five experiments, we asked how children learn these verbs. Previous theories predict that verbs which describe the transfer of an object with respect to its natural origin (e.g., "weed the garden") should receive source interpretations, whereas verbs that describe the transfer of an object with respect to something it is functionally related to (e.g., "water the garden") should receive goal interpretations. Therefore, acquiring world knowledge - about the natural origins and functional uses of objects - should be sufficient for differentiating between source and goal meanings. Experiments 1 and 2 casted doubt on this hypothesis, as 4- and 5-year-olds failed to use their world knowledge when interpreting these verbs and instead overextended goal interpretations. For example, children interpreted "weed the garden" to mean "put weeds onto a garden", even when they knew the natural origin of weeds. Experiment 3 tested children's interpretation of novel verbs and directly manipulated their access to relevant world knowledge. While younger children continued to exhibit a goal bias and failed to use world knowledge, older children generalized goal and source interpretations to novel verbs according to world knowledge. In Experiments 4 and 5, we confirmed that adults use world knowledge to guide their interpretation of novel verbs, but also showed that even adults prefer goal interpretations when they are made contextually plausible. We argue that children ultimately overcome a goal bias by learning to use their world knowledge to weigh the plausibility of events (e.g., of putting weeds into a garden). Copyright © 2013 Elsevier B.V. All rights reserved.

Assessing and conceptualizing frontal EEG asymmetry: An updated primer on recording, processing, analyzing, and interpreting frontal alpha asymmetry.

PubMed

Smith, Ezra E; Reznik, Samantha J; Stewart, Jennifer L; Allen, John J B

2017-01-01

Frontal electroencephalographic (EEG) alpha asymmetry is widely researched in studies of emotion, motivation, and psychopathology, yet it is a metric that has been quantified and analyzed using diverse procedures, and diversity in procedures muddles cross-study interpretation. The aim of this article is to provide an updated tutorial for EEG alpha asymmetry recording, processing, analysis, and interpretation, with an eye towards improving consistency of results across studies. First, a brief background in alpha asymmetry findings is provided. Then, some guidelines for recording, processing, and analyzing alpha asymmetry are presented with an emphasis on the creation of asymmetry scores, referencing choices, and artifact removal. Processing steps are explained in detail, and references to MATLAB-based toolboxes that are helpful for creating and investigating alpha asymmetry are noted. Then, conceptual challenges and interpretative issues are reviewed, including a discussion of alpha asymmetry as a mediator/moderator of emotion and psychopathology. Finally, the effects of two automated component-based artifact correction algorithms-MARA and ADJUST-on frontal alpha asymmetry are evaluated. Copyright © 2016 Elsevier B.V. All rights reserved.

Characterizing multivariate decoding models based on correlated EEG spectral features.

PubMed

McFarland, Dennis J

2013-07-01

Multivariate decoding methods are popular techniques for analysis of neurophysiological data. The present study explored potential interpretative problems with these techniques when predictors are correlated. Data from sensorimotor rhythm-based cursor control experiments was analyzed offline with linear univariate and multivariate models. Features were derived from autoregressive (AR) spectral analysis of varying model order which produced predictors that varied in their degree of correlation (i.e., multicollinearity). The use of multivariate regression models resulted in much better prediction of target position as compared to univariate regression models. However, with lower order AR features interpretation of the spectral patterns of the weights was difficult. This is likely to be due to the high degree of multicollinearity present with lower order AR features. Care should be exercised when interpreting the pattern of weights of multivariate models with correlated predictors. Comparison with univariate statistics is advisable. While multivariate decoding algorithms are very useful for prediction their utility for interpretation may be limited when predictors are correlated. Copyright © 2013 International Federation of Clinical Neurophysiology. Published by Elsevier Ireland Ltd. All rights reserved.

Prediction versus aetiology: common pitfalls and how to avoid them.

PubMed

van Diepen, Merel; Ramspek, Chava L; Jager, Kitty J; Zoccali, Carmine; Dekker, Friedo W

2017-04-01

Prediction research is a distinct field of epidemiologic research, which should be clearly separated from aetiological research. Both prediction and aetiology make use of multivariable modelling, but the underlying research aim and interpretation of results are very different. Aetiology aims at uncovering the causal effect of a specific risk factor on an outcome, adjusting for confounding factors that are selected based on pre-existing knowledge of causal relations. In contrast, prediction aims at accurately predicting the risk of an outcome using multiple predictors collectively, where the final prediction model is usually based on statistically significant, but not necessarily causal, associations in the data at hand.In both scientific and clinical practice, however, the two are often confused, resulting in poor-quality publications with limited interpretability and applicability. A major problem is the frequently encountered aetiological interpretation of prediction results, where individual variables in a prediction model are attributed causal meaning. This article stresses the differences in use and interpretation of aetiological and prediction studies, and gives examples of common pitfalls. © The Author 2017. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved.

The role of computerized diagnostic proposals in the interpretation of the 12-lead electrocardiogram by cardiology and non-cardiology fellows.

PubMed

Novotny, Tomas; Bond, Raymond; Andrsova, Irena; Koc, Lumir; Sisakova, Martina; Finlay, Dewar; Guldenring, Daniel; Spinar, Jindrich; Malik, Marek

2017-05-01

Most contemporary 12-lead electrocardiogram (ECG) devices offer computerized diagnostic proposals. The reliability of these automated diagnoses is limited. It has been suggested that incorrect computer advice can influence physician decision-making. This study analyzed the role of diagnostic proposals in the decision process by a group of fellows of cardiology and other internal medicine subspecialties. A set of 100 clinical 12-lead ECG tracings was selected covering both normal cases and common abnormalities. A team of 15 junior Cardiology Fellows and 15 Non-Cardiology Fellows interpreted the ECGs in 3 phases: without any diagnostic proposal, with a single diagnostic proposal (half of them intentionally incorrect), and with four diagnostic proposals (only one of them being correct) for each ECG. Self-rated confidence of each interpretation was collected. Availability of diagnostic proposals significantly increased the diagnostic accuracy (p<0.001). Nevertheless, in case of a single proposal (either correct or incorrect) the increase of accuracy was present in interpretations with correct diagnostic proposals, while the accuracy was substantially reduced with incorrect proposals. Confidence levels poorly correlated with interpretation scores (rho≈2, p<0.001). Logistic regression showed that an interpreter is most likely to be correct when the ECG offers a correct diagnostic proposal (OR=10.87) or multiple proposals (OR=4.43). Diagnostic proposals affect the diagnostic accuracy of ECG interpretations. The accuracy is significantly influenced especially when a single diagnostic proposal (either correct or incorrect) is provided. The study suggests that the presentation of multiple computerized diagnoses is likely to improve the diagnostic accuracy of interpreters. Copyright © 2017 Elsevier B.V. All rights reserved.

Do framing effects reveal irrational choice?

PubMed

Mandel, David R

2014-06-01

Framing effects have long been viewed as compelling evidence of irrationality in human decision making, yet that view rests on the questionable assumption that numeric quantifiers used to convey the expected values of choice options are uniformly interpreted as exact values. Two experiments show that when the exactness of such quantifiers is made explicit by the experimenter, framing effects vanish. However, when the same quantifiers are given a lower bound (at least) meaning, the typical framing effect is found. A 3rd experiment confirmed that most people spontaneously interpret the quantifiers in standard framing tests as lower bounded and that their interpretations strongly moderate the framing effect. Notably, in each experiment, a significant majority of participants made rational choices, either choosing the option that maximized expected value (i.e., lives saved) or choosing consistently across frames when the options were of equal expected value. PsycINFO Database Record (c) 2014 APA, all rights reserved.

The use of interpreters in medical settings and forensic medical examinations in Australia: the relationship between medicine and linguistics.

PubMed

Schreiber, Jason R; Odell, Morris S

2014-07-01

Medical examinations are dependent on combining communication with professional competence. In the development of a global multicultural community with the use of multiple languages, doctors have become increasingly dependent on language facilitation such as interpreting and translation. Despite professional studies, the use of language facilitation with its associated problems has not been fully explored in graduate and post-graduate medical and forensic medical training. There may still be some lack of reciprocal understanding between the medical and linguistic fields, their ethics, obligations and limits although both fields and their ethical frameworks are closer related than might be expected. This article is a discussion that aims at providing a basic understanding of guidelines as to the origin and appropriate use of language interpretation in medical and forensic medical examinations. Copyright © 2014 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

Investigation into stutter ratio variability between different laboratories.

PubMed

Bright, Jo-Anne; Curran, James M

2014-11-01

The determination of parameters such as stutter ratio is important to inform a laboratory's forensic DNA profile interpretation strategy. As part of a large data analysis project to implement a continuous model of DNA profile interpretation we analysed stutter ratio data from eight different forensic laboratories for the Promega PowerPlex(®) 21 multiplex. This allowed a comparison of inter laboratory variation. The maximum difference for any one laboratory from the average of the best fit determined by the model was 0.31%. These results indicate that stutter ratios calculated from samples analysed using the same profiling kit are not expected to differ between laboratories, even those using different capillary electrophoresis platforms. A common set of laboratory parameters are able to be generated and used for profile interpretation at all laboratories using the same multiplex and cycle number, potentially reducing the need for individual laboratories to determine stutter ratios. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

Interpretation of B-type natriuretic peptides in the era of angiotensin receptor-neprilysin inhibitors.

PubMed

Bettencourt, Paulo; Fonseca, Cândida; Franco, Fátima; Andrade, Aurora; Brito, Dulce

2017-12-01

Assessment of serum levels of natriuretic peptides, especially the amino-terminal portion (NT-proBNP) and the carboxy-terminal portion (BNP) of pro-B-type natriuretic peptide, has had a highly significant clinical impact on the diagnosis and prognostic stratification of patients with heart failure (HF). They are now an instrument with recognized value in this context and several studies have demonstrated their value in tailoring therapy for these patients. Following the recent advent of angiotensin receptor-neprilysin inhibitors (ARNIs), there is a need to review how these two biomarkers are interpreted in HF. The use of ARNIs is associated with a reduction in NT-proBNP but an increase in BNP levels. The authors of this concise article review the interpretation of natriuretic peptide levels in the light of the most recent evidence. Copyright © 2017 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier España, S.L.U. All rights reserved.

Boy with cortical visual impairment and unilateral hemiparesis in Jeff Huntington's "Slip" (2011).

PubMed

Bianucci, R; Perciaccante, A; Appenzeller, O

2016-11-15

Face recognition is strongly associated with the human face and face perception is an important part in identifying health qualities of a person and is an integral part of so called spot diagnosis in clinical neurology. Neurology depends in part on observation, description and interpretation of visual information. Similar skills are required in visual art. Here we report a case of eye cortical visual impairment (CVI) and unilateral facial weakness in a boy depicted by the painter Jeff Huntington (2011). The corollary of this is that art serves medical clinical exercise. Art interpretation helps neurology students to apply the same skills they will use in clinical experience and to develop their observational and interpretive skills in non-clinical settings. Furthermore, the development of an increased awareness of emotional and character expression in the human face may facilitate successful doctor-patient relationships. Copyright © 2016 Elsevier B.V. All rights reserved.

Interpreting estimates of heritability--a note on the twin decomposition.

PubMed

Stenberg, Anders

2013-03-01

While most outcomes may in part be genetically mediated, quantifying genetic heritability is a different matter. To explore data on twins and decompose the variation is a classical method to determine whether variation in outcomes, e.g. IQ or schooling, originate from genetic endowments or environmental factors. Despite some criticism, the model is still widely used. The critique is generally related to how estimates of heritability may encompass environmental mediation. This aspect is sometimes left implicit by authors even though its relevance for the interpretation is potentially profound. This short note is an appeal for clarity from authors when interpreting the magnitude of heritability estimates. It is demonstrated how disregarding existing theoretical contributions can easily lead to unnecessary misinterpretations and/or controversies. The key arguments are relevant also for estimates based on data of adopted children or from modern molecular genetics research. Copyright © 2012 Elsevier B.V. All rights reserved.

[The caregiver's relationship with the sick body].

PubMed

Mercadier, Catherine

The patient-caregiver relationship is also a 'body-to-body' relationship. It brings into play sensory perceptions generating a cognitive and emotional interpretation. Maintaining the proper distance enables caregivers to remain professional while controlling the risk of 'symbolic contamination' and emotional overflow. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

WASP (Write a Scientific Paper) using Excel - 13: Correlation and Regression.

PubMed

Grech, Victor

2018-07-01

Correlation and regression measure the closeness of association between two continuous variables. This paper explains how to perform these tests in Microsoft Excel and their interpretation, as well as how to apply these tests dynamically using Excel's functions. Copyright © 2018 Elsevier B.V. All rights reserved.

Pain assessment in animal models of osteoarthritis.

PubMed

Piel, Margaret J; Kroin, Jeffrey S; van Wijnen, Andre J; Kc, Ranjan; Im, Hee-Jeong

2014-03-10

Assessment of pain in animal models of osteoarthritis is integral to interpretation of a model's utility in representing the clinical condition, and enabling accurate translational medicine. Here we describe behavioral pain assessments available for small and large experimental osteoarthritic pain animal models. Copyright © 2013 Elsevier B.V. All rights reserved.

Positron emission tomography/computed tomography in melanoma.

PubMed

Bourgeois, Austin C; Chang, Ted T; Fish, Lindsay M; Bradley, Yong C

2013-09-01

Fludeoxyglucose F 18 positron emission tomography/computed tomography (PET/CT) has been invaluable in the assessment of melanoma throughout the course of the disease. As with any modality, the studies are incomplete and more information will be gleaned as our experience progresses. Additionally, it is hoped that a newer PET agent in the pipeline will give us even greater success in the identification and subsequent treatment of melanoma. This article aims to examine the utilization of PET/CT in the staging, prognostication, and follow-up of melanoma while providing the physicians who order and interpret these studies practical guidelines and interpretive pitfalls. Copyright © 2013 Elsevier Inc. All rights reserved.

Mindfulness-Based Interventions for Hematology and Oncology Patients with Pain.

PubMed

Hess, Denise

2018-06-01

Pain is a reality for approximately half of all of patients with cancer and can negatively affect patient cognitive and emotional states, resulting in "total pain." Total pain may not respond to pharmacologic interventions and may pave the way for the onset of suffering, where suffering is defined as physical pain accompanied by negative cognitive interpretations. Mindfulness-based interventions provide an alternate interpretive framework for both pain and suffering and may lessen a patient's experience of pain. Mindfulness-based interventions have the potential to alter a patient's relationship to pain, reducing pain catastrophizing, and enhancing patient reported overall well-being. Copyright © 2018 Elsevier Inc. All rights reserved.

Strategies for Dealing with Missing Accelerometer Data.

PubMed

Stephens, Samantha; Beyene, Joseph; Tremblay, Mark S; Faulkner, Guy; Pullnayegum, Eleanor; Feldman, Brian M

2018-05-01

Missing data is a universal research problem that can affect studies examining the relationship between physical activity measured with accelerometers and health outcomes. Statistical techniques are available to deal with missing data; however, available techniques have not been synthesized. A scoping review was conducted to summarize the advantages and disadvantages of identified methods of dealing with missing data from accelerometers. Missing data poses a threat to the validity and interpretation of trials using physical activity data from accelerometry. Imputation using multiple imputation techniques is recommended to deal with missing data and improve the validity and interpretation of studies using accelerometry. Copyright © 2018 Elsevier Inc. All rights reserved.

Interpreting the near infrared region of explosives.

PubMed

Zapata, Félix; Ferreiro-González, Marta; García-Ruiz, Carmen

2018-06-07

The NIR spectra from 1000 to 2500 nm of 18 different explosives, propellant powders and energetic salts were collected and interpreted. NIR spectroscopy is known to provide information about the combination bands and overtones of highly anharmonic vibrations as those occurring in XH bonds (CH, NH and OH). Particularly intense and complex were the bands corresponding to the first combination region (2500-1900 nm) and first overtone stretching mode (2ν) of CH and NH bonds (1750-1450 nm). Inorganic oxidizing salts including sodium/potassium nitrate, sodium/potassium chlorate, and sodium/potassium perchlorate displayed low intense or no NIR bands. Copyright © 2018 Elsevier B.V. All rights reserved.

Efficient and optimized identification of generalized Maxwell viscoelastic relaxation spectra.

PubMed

Babaei, Behzad; Davarian, Ali; Pryse, Kenneth M; Elson, Elliot L; Genin, Guy M

2015-03-01

Viscoelastic relaxation spectra are essential for predicting and interpreting the mechanical responses of materials and structures. For biological tissues, these spectra must usually be estimated from viscoelastic relaxation tests. Interpreting viscoelastic relaxation tests is challenging because the inverse problem is expensive computationally. We present here an efficient algorithm that enables rapid identification of viscoelastic relaxation spectra. The algorithm was tested against trial data to characterize its robustness and identify its limitations and strengths. The algorithm was then applied to identify the viscoelastic response of reconstituted collagen, revealing an extensive distribution of viscoelastic time constants. Copyright © 2015 Elsevier Ltd. All rights reserved.

A computer-human interaction model to improve the diagnostic accuracy and clinical decision-making during 12-lead electrocardiogram interpretation.

PubMed

Cairns, Andrew W; Bond, Raymond R; Finlay, Dewar D; Breen, Cathal; Guldenring, Daniel; Gaffney, Robert; Gallagher, Anthony G; Peace, Aaron J; Henn, Pat

2016-12-01

The 12-lead Electrocardiogram (ECG) presents a plethora of information and demands extensive knowledge and a high cognitive workload to interpret. Whilst the ECG is an important clinical tool, it is frequently incorrectly interpreted. Even expert clinicians are known to impulsively provide a diagnosis based on their first impression and often miss co-abnormalities. Given it is widely reported that there is a lack of competency in ECG interpretation, it is imperative to optimise the interpretation process. Predominantly the ECG interpretation process remains a paper based approach and whilst computer algorithms are used to assist interpreters by providing printed computerised diagnoses, there are a lack of interactive human-computer interfaces to guide and assist the interpreter. An interactive computing system was developed to guide the decision making process of a clinician when interpreting the ECG. The system decomposes the interpretation process into a series of interactive sub-tasks and encourages the clinician to systematically interpret the ECG. We have named this model 'Interactive Progressive based Interpretation' (IPI) as the user cannot 'progress' unless they complete each sub-task. Using this model, the ECG is segmented into five parts and presented over five user interfaces (1: Rhythm interpretation, 2: Interpretation of the P-wave morphology, 3: Limb lead interpretation, 4: QRS morphology interpretation with chest lead and rhythm strip presentation and 5: Final review of 12-lead ECG). The IPI model was implemented using emerging web technologies (i.e. HTML5, CSS3, AJAX, PHP and MySQL). It was hypothesised that this system would reduce the number of interpretation errors and increase diagnostic accuracy in ECG interpreters. To test this, we compared the diagnostic accuracy of clinicians when they used the standard approach (control cohort) with clinicians who interpreted the same ECGs using the IPI approach (IPI cohort). For the control cohort, the (mean; standard deviation; confidence interval) of the ECG interpretation accuracy was (45.45%; SD=18.1%; CI=42.07, 48.83). The mean ECG interpretation accuracy rate for the IPI cohort was 58.85% (SD=42.4%; CI=49.12, 68.58), which indicates a positive mean difference of 13.4%. (CI=4.45, 22.35) An N-1 Chi-square test of independence indicated a 92% chance that the IPI cohort will have a higher accuracy rate. Interpreter self-rated confidence also increased between cohorts from a mean of 4.9/10 in the control cohort to 6.8/10 in the IPI cohort (p=0.06). Whilst the IPI cohort had greater diagnostic accuracy, the duration of ECG interpretation was six times longer when compared to the control cohort. We have developed a system that segments and presents the ECG across five graphical user interfaces. Results indicate that this approach improves diagnostic accuracy but with the expense of time, which is a valuable resource in medical practice. Copyright © 2016 Elsevier Inc. All rights reserved.

Testing theories of irony processing using eye-tracking and ERPs.

PubMed

Filik, Ruth; Leuthold, Hartmut; Wallington, Katie; Page, Jemma

2014-05-01

Not much is known about how people comprehend ironic utterances, and to date, most studies have simply compared processing of ironic versus non-ironic statements. A key aspect of the graded salience hypothesis, distinguishing it from other accounts (such as the standard pragmatic view and direct access view), is that it predicts differences between processing of familiar and unfamiliar ironies. Specifically, if an ironic utterance is familiar, then the ironic interpretation should be available without the need for extra inferential processes, whereas for unfamiliar ironies, the literal interpretation would be computed first, and a mismatch with context would lead to a re-interpretation of the statement as being ironic. We recorded participants' eye movements while they were reading (Experiment 1), and electrical brain activity while they were listening to (Experiment 2), familiar and unfamiliar ironies compared to non-ironic controls. Results show disruption to eye movements and an N400-like effect for unfamiliar ironies only, supporting the predictions of the graded salience hypothesis. In addition, in Experiment 2, a late positivity was found for both familiar and unfamiliar ironic materials, compared to non-ironic controls. We interpret this positivity as reflecting ongoing conflict between the literal and ironic interpretations of the utterance. PsycINFO Database Record (c) 2014 APA, all rights reserved.

A review of peer-assisted learning to deliver interprofessional supplementary image interpretation skills.

PubMed

Bain, P; Wareing, A; Henderson, I

2017-09-01

Peer-assisted learning provides a means through which individuals can learn from one another through a reciprocal process. Radiographic image interpretation skills are fundamental to both diagnostic radiography students and medical students due to their shared role in preliminary evaluation of conventional radiographic images. Medical students on graduation, may not be well prepared to carry out image interpretation, since evidence suggests that they perform less well than radiographers in e.g. Accident and Emergency situations. A review of literature was conducted exploring the application of peer-assisted learning within diagnostic radiography and health education more widely as well as the practice of initial image interpretation. An extensive and systematic search strategy was developed which provided a range of material related to the areas. An overview was obtained of the effectiveness of peer-assisted learning and the issues associated with development of image interpretation skills and a degree of discrepancy was identified between the two cohorts regarding their interpretative competence and confidence. This inconsistency may create an opportunity to apply peer-assisted learning, better preparing both disciplines for the practical application of image interpretation skills. The review identified the lack of a substantial evidence base relating to peer-assisted learning in radiography. Peer-assisted learning is not widely embraced in an interprofessional context. Multiple positive factors of such an intervention are identified which outweigh perceived negative issues. Student teacher and learner may benefit as should the clinical service from enhanced practitioner performance. The findings justify further research to develop the evidence base. Copyright © 2017 The College of Radiographers. Published by Elsevier Ltd. All rights reserved.

Downstream Imaging Utilization After Emergency Department Ultrasound Interpreted by Radiologists Versus Nonradiologists: A Medicare Claims-Based Study.

PubMed

Allen, Bibb; Carrol, L Van; Hughes, Danny R; Hemingway, Jennifer; Duszak, Richard; Rosenkrantz, Andrew B

2017-04-01

To study differences in imaging utilization downstream to initial emergency department (ED) ultrasound examinations interpreted by radiologists versus nonradiologists. Using 5% Medicare Research Identifiable Files from 2009 to 2014, we identified episodes where the place of service was "emergency room hospital" and the patient also underwent an ultrasound examination. We determined whether the initial ultrasound was interpreted by a radiologist or nonradiologist and then summed all additional imaging events occurring within 7, 14, and 30 days of each initial ED ultrasound. For each year and each study window, we calculated the mean number of downstream imaging procedures by specialty group. Of 200,357 ED ultrasound events, 163,569 (81.6%) were interpreted by radiologists and 36,788 (18.4%) by nonradiologists. Across all study years, ED patients undergoing ultrasound examinations interpreted by nonradiologists underwent 1.08, 1.22, and 1.34 additional diagnostic imaging studies at 7, 14, and 30 days, respectively (P < .01) compared with when the initial ultrasound examination was interpreted by a radiologist. From 2010 to 2014, the volume of downstream imaging for both radiologists and nonradiologists significantly decreased, with each year resulting in 0.08 fewer imaging examinations (P < .001) 14 days after the ED ultrasound event. Despite that decline, differences in downstream imaging between radiologists and nonradiologists persisted over time. Downstream imaging after an initial ED ultrasound is significantly reduced when the ultrasound examination is interpreted by a radiologist rather than a nonradiologist. Copyright © 2016 American College of Radiology. Published by Elsevier Inc. All rights reserved.

The Water Supply of El Morro National Monument

USGS Publications Warehouse

West, Samuel Wilson; Baldwin, Helene Louise

1964-01-01

In the land of enchantment, between Gallup and Grants, N. Mex., near the Zuni Mountains, a huge sandstone bluff rises abruptly 200 feet above the plain. The Spaniards called it 'El Morro,' which means 'the headland' or 'bluff.' Around it are other mesas and canyons and stands of pinon and ponderosa pine. Other great rocks are nearby, but none are as popular as El Morro, and none have been as important to the traveler. For at El Morro there is water. In that country, water is scarce and precious. In the old days, travelers from Santa Fe would tell each other about the pool of clear, refreshing water at the base of the huge rock. This is the story of the great bluff, its water supply, and the rocks around it. In the late summer of 1849, an American lieutenant of the Topographical Engineers, James H. Simpson, accompanied infantry and artillery troops on a reconnaissance march from Santa Fe into the Navajo Country. On September 18, at the urging of one Mr. Lewis, an Indian trader, Lieutenant Simpson left the main party in order to see 'half an acre of inscriptions' upon a huge rock (fig. 1) . Although somewhat dubious, the Lieutenant had allowed himself to be persuaded by Lewis that the trip was worthwhile. Taking with him an artist named R. H. Kern, another man by the name of Bird, and Mr. Lewis as guide, he set off through miles of desert country, filled with huge red and white sandstone rocks, 'some of them looking like steamboats, and others presenting very much the appearance of facades of heavy Egyptian architecture'.

Anatomy and history of an external quality assessment program for interpretative comments in clinical biochemistry.

PubMed

Vasikaran, Samuel D

2015-05-01

The provision of clinical interpretation of results, either verbally or in the printed report, may be considered an integral part of clinical biochemistry diagnostic service. Proficiency testing or external quality assessment (EQA) of such activity may be useful in education, training, continuing professional development and ensuring the quality of such service. Details of the Patient Report Comments Program (RPCProgram) developed by the Royal College of Pathologists of Australasia (RCPA) Chemical Pathology Quality Assurance Programs Pty Ltd (QAP) is described in this review. The program is aimed at pathologists, clinical scientists and trainees. Registered participants are provided a report with case details and a set of clinical biochemistry results at monthly intervals and submit an interpretative comment for the report. Comments received are broken up into components that are translated into common key phrases. An expert panel evaluates the key phrases, classifies them according to appropriateness and drafts a suggested comment, a case summary and a rationale, which are included in a summary report returned to participants. There is considerable diversity in the quality of interpretative comments received from participants of the PRCProgram. The primary purpose of EQA of interpretative commenting is educational self-assessment, and they are recognized as a continuing professional development activity. Whilst there is some evidence for the utility of interpretative comments in improving patient outcomes, evidence for the utility of EQA in improving quality of comments is awaited. Copyright © 2014 The Canadian Society of Clinical Chemists. Published by Elsevier Inc. All rights reserved.

What information on measurement uncertainty should be communicated to clinicians, and how?

PubMed

Plebani, Mario; Sciacovelli, Laura; Bernardi, Daniela; Aita, Ada; Antonelli, Giorgia; Padoan, Andrea

2018-02-02

The communication of laboratory results to physicians and the quality of reports represent fundamental requirements of the post-analytical phase in order to assure the right interpretation and utilization of laboratory information. Accordingly, the International Standard for clinical laboratories accreditation (ISO 15189) requires that "laboratory reports shall include the information necessary for the interpretation of the examination results". Measurement uncertainty (MU) is an inherent property of any quantitative measurement result which express the lack of knowledge of the true value and quantify the uncertainty of a result, incorporating the factors known to influence it. Even if the MU is not included in the report attributes of ISO 15189 and cannot be considered a post-analytical requirement, it is suggested as an information which should facilitate an appropriate interpretation of quantitative results (quantity values). Therefore, MU has two intended uses: for laboratory professionals, it gives information about the quality of measurements, providing evidence of the compliance with analytical performance characteristics; for physicians (and patients) it may help in interpretation of measurement results, especially when values are compared with reference intervals or clinical decision limits, providing objective information. Here we describe the way that MU should be added to laboratory reports in order to facilitate the interpretation of laboratory results and connecting efforts performed within laboratory to provide more accurate and reliable results with a more objective tool for their interpretation by physicians. Copyright © 2018 The Canadian Society of Clinical Chemists. Published by Elsevier Inc. All rights reserved.

Reduction redux.

PubMed

Shapiro, Lawrence

2018-04-01

Putnam's criticisms of the identity theory attack a straw man. Fodor's criticisms of reduction attack a straw man. Properly interpreted, Nagel offered a conception of reduction that captures everything a physicalist could want. I update Nagel, introducing the idea of overlap, and show why multiple realization poses no challenge to reduction so construed. Copyright © 2017 Elsevier Ltd. All rights reserved.

Evaluation Techniques for the Sandy Point Discovery Center, Great Bay National Estuarine Research Reserve.

ERIC Educational Resources Information Center

Heffernan, Bernadette M.

1998-01-01

Describes work done to provide staff of the Sandy Point Discovery Center with methods for evaluating exhibits and interpretive programming. Quantitative and qualitative evaluation measures were designed to assess the program's objective of estuary education. Pretest-posttest questionnaires and interviews are used to measure subjects' knowledge and…

Forensic Toxicology: An Introduction.

PubMed

Smith, Michael P; Bluth, Martin H

2016-12-01

This article presents an overview of forensic toxicology. The authors describe the three components that make up forensic toxicology: workplace drug testing, postmortem toxicology, and human performance toxicology. Also discussed are the specimens that are tested, the methods used, and how the results are interpreted in this particular discipline. Copyright © 2016 Elsevier Inc. All rights reserved.

12 CFR 204.133 - Multiple savings deposits treated as a transaction account.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 12 Banks and Banking 2 2012-01-01 2012-01-01 false Multiple savings deposits treated as a transaction account. 204.133 Section 204.133 Banks and Banking FEDERAL RESERVE SYSTEM BOARD OF GOVERNORS OF...) Interpretations § 204.133 Multiple savings deposits treated as a transaction account. (a) Authority. Under section...

12 CFR 204.133 - Multiple savings deposits treated as a transaction account.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 12 Banks and Banking 2 2014-01-01 2014-01-01 false Multiple savings deposits treated as a transaction account. 204.133 Section 204.133 Banks and Banking FEDERAL RESERVE SYSTEM BOARD OF GOVERNORS OF...) Interpretations § 204.133 Multiple savings deposits treated as a transaction account. (a) Authority. Under section...

Whispers in the Ear: Preschool Children's Conceptualisation of Secrets and Confidants

ERIC Educational Resources Information Center

Corson, Kimberly; Colwell, Malinda J.

2013-01-01

In this qualitative study, semi-structured interviews were conducted with three- to five-year olds ("n"?=?17) in a university-sponsored preschool programme. Analyses using interpretive phenomenology indicated that preschool children view secrets with a sense of intimacy, and they reserve disclosure for a particular person, usually their…

21 CFR 105.3 - Definitions and interpretations.

Code of Federal Regulations, 2013 CFR

2013-04-01

... usual diet with any vitamin, mineral, or other dietary property. Any such particular use of a food is a... for use in the diets of diabetics and is therefore a special dietary use. (b)-(d) [Reserved] (e) For the purposes of the regulations in this part, the terms infant, child, and adult mean persons not more...

21 CFR 105.3 - Definitions and interpretations.

Code of Federal Regulations, 2012 CFR

2012-04-01

... usual diet with any vitamin, mineral, or other dietary property. Any such particular use of a food is a... for use in the diets of diabetics and is therefore a special dietary use. (b)-(d) [Reserved] (e) For the purposes of the regulations in this part, the terms infant, child, and adult mean persons not more...

21 CFR 105.3 - Definitions and interpretations.

Code of Federal Regulations, 2014 CFR

2014-04-01

... usual diet with any vitamin, mineral, or other dietary property. Any such particular use of a food is a... for use in the diets of diabetics and is therefore a special dietary use. (b)-(d) [Reserved] (e) For the purposes of the regulations in this part, the terms infant, child, and adult mean persons not more...

21 CFR 105.3 - Definitions and interpretations.

Code of Federal Regulations, 2011 CFR

2011-04-01

... usual diet with any vitamin, mineral, or other dietary property. Any such particular use of a food is a... for use in the diets of diabetics and is therefore a special dietary use. (b)-(d) [Reserved] (e) For the purposes of the regulations in this part, the terms infant, child, and adult mean persons not more...

Developing Thinking Skills through Literature.

ERIC Educational Resources Information Center

Cobine, Gary R.

A critical reader "does more than simply soak up bits and pieces of information." He applies a personal reserve of knowledge and experience to a text to ascribe possible meanings. In other words, he interprets. In addition, he compares his own values and beliefs with those suggested to him by a text and defends them, if necessary. In…

77 FR 24999 - Self-Regulatory Organizations; The Options Clearing Corporation; Notice of Filing and Order...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-26

... operational capacity to effect a settlement with each clearing member, on an intraday basis, either routinely... 1301(c) provides OCC with the authority to effect intraday settlements and Interpretation and Policy .01 of Rule 1301 states OCC's policy of not requiring intraday variation payments while reserving OCC...

29 CFR 2509.75-2 - Interpretive bulletin relating to prohibited transactions.

Code of Federal Regulations, 2010 CFR

2010-07-01

... to corporations and partnerships, is consistent with section 401(b)(1) of the Act, relating to plan... assets of the plan. (b) [Reserved] (c) Applications of the fiduciary responsibility rules. The preceding...(b)(1) prohibits a fiduciary from dealing with the assets of the plan in his own interest or for his...

Logistic models--an odd(s) kind of regression.

PubMed

Jupiter, Daniel C

2013-01-01

The logistic regression model bears some similarity to the multivariable linear regression with which we are familiar. However, the differences are great enough to warrant a discussion of the need for and interpretation of logistic regression. Copyright © 2013 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

Borehole geophysical logs at Naval Weapons Industrial Reserve Plant, Dallas, Texas

USGS Publications Warehouse

Braun, Christopher L.; Anaya, Roberto; Kuniansky, Eve L.

2000-01-01

A shallow alluvial aquifer at the Naval Weapons Industrial Reserve Plant near Dallas, Texas, has been contaminated by organic solvents used in the fabrication and assembly of aircraft and aircraft parts. Natural gamma-ray and electromagnetic-induction borehole geophysical logs were obtained from 162 poly vinyl-chloride-cased wells at the plant and were integrated with existing lithologic data to improve site characterization of the subsurface alluvium. Software was developed for filtering and classifying the log data and for processing, analyzing, and creating graphical output of the digital data. The alluvium consists of mostly fine-grained low-permeability sediments; however for this study, the alluvium was classified into low, intermediate, and high clay-content sediments on the basis of the gamma-ray logs. The low clay-content sediments were interpreted as being relatively permeable, whereas the high clay-content sediments were interpreted as being relatively impermeable. Simple statistics were used to identify zones of potentially contaminated sediments on the basis of the gamma-ray log classifications and the electromagnetic-induction log conductivity data.

Questionnaire-based study showed that neonatal chest radiographs could be reliably interpreted using the WhatsApp messaging application.

PubMed

Gross, Itai; Langer, Yshia; Pasternak, Yehonatan; Abu Ahmad, Wiessam; Eventov-Friedman, Smadar; Koplewitz, Benjamin Z

2018-06-11

We surveyed whether clinicians used the WhatsApp messaging application to view neonatal chest radiographs and asked a sub-sample to compare them with computer screen viewings. The study was conducted at three university-affiliated medical centres in Israel from June-December 2016. Questionnaires on using smartphones for professional purposes were completed by 68/71 paediatric residents and 20/28 neonatologists. In addition, 11 neonatologists viewed 20 chest radiographs on a computer screen followed by a smartphone and 10 viewed the same radiographs in the opposite order, separated by a washout period of two months. After another two months, five from each group viewed the same radiographs on a computer screen. Different interpretations between viewing modes were assessed. Most respondents used WhatsApp to send chest radiographs for consultation: 82% of the paediatric residents and 80% of the neonatologists. The mean number of inconsistencies in diagnosis was 3.7/20 between two computer views and 2.9/20 between computer and smartphone views (p=0.88) and the disease severity means were 3.7/20 and 2.85/20, respectively (p=0.94). Neonatologists using WhatsApp only determined umbilical line placement in 80% of cases. WhatsApp was reliable for preliminary interpretation of neonatal chest radiographs, but caution was needed when assessing umbilical lines. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

Appendiceal goblet cell carcinoid: common errors in staging and clinical interpretation with a proposal for an improved terminology.

PubMed

Wen, Kwun Wah; Hale, Gillian; Shafizadeh, Nafis; Hosseini, Mojgan; Huang, Anne; Kakar, Sanjay

2017-07-01

Goblet cell carcinoid (GCC) is staged and treated as adenocarcinoma (AC) and not as neuroendocrine tumor (NET) or neuroendocrine carcinoma. The term carcinoid may lead to incorrect interpretation as NET. The aim of the study was to explore pitfalls in staging and clinical interpretation of GCC and mixed GCC-AC, and propose strategies to avoid common errors. Diagnostic terminology, staging, and clinical interpretation were evaluated in 58 cases (27 GCCs, 31 mixed GCC-ACs). Opinions were collected from 23 pathologists using a survey. Clinical notes were reviewed to assess the interpretation of pathology diagnoses by oncologists. NET staging was incorrectly used for 25% of GCCs and 5% of mixed GCC-ACs. In the survey, 43% of pathologists incorrectly indicated that NET staging is applicable to GCCs, and 43% incorrectly responded that Ki-67 proliferation index is necessary for GCC grading. Two cases each of GCC and mixed GCC-AC were incorrectly interpreted as neuroendocrine neoplasms by oncologists, and platinum-based therapy was considered for 2 GCC-AC cases because of the mistaken impression of neuroendocrine carcinoma created by use of the World Health Organization 2010 term mixed adenoneuroendocrine carcinoma. The term carcinoid in GCC and use of mixed adenoneuroendocrine carcinoma for mixed GCC-AC lead to errors in staging and treatment. We propose that goblet cell carcinoid should be changed to goblet cell carcinoma, whereas GCC with AC should be referred to as mixed GCC-AC with a comment about the proportion of each component and the histologic subtype of AC. This terminology will facilitate appropriate staging and clinical management, and avoid errors in interpretation. Copyright © 2017 Elsevier Inc. All rights reserved.

Minimal Clinically Important Difference: A Review of Outcome Measure Score Interpretation.

PubMed

Engel, Lisa; Beaton, Dorcas E; Touma, Zahi

2018-05-01

Clinicians, researchers, and outcome stakeholders have the crucial, albeit difficult, task of quantifying when a person or group experiences important change or difference on any given outcome measure, often in response to a specific intervention. The minimal clinically important difference (MCID) provides this quantified value of change/difference for a measure. There are many methods for MCID derivation, which can result in multiple values for the same measure. Thus, it is important for potential users of MCID values to be aware of the nuances of MCID development and cautions for interpreting values. This review outlines MCID-related definitions, methods, and guidelines. Copyright © 2018 Elsevier Inc. All rights reserved.

When expectation confounds iconic memory.

PubMed

Bachmann, Talis; Aru, Jaan

2016-10-01

In response to the methodological criticism (Bachmann & Aru, 2015) of the interpretation of their earlier experimental results (Mack, Erol, & Clarke, 2015) Mack, Erol, Clarke, and Bert (2016) presented new results that they interpret again in favor of the stance that an attention-free phenomenal iconic store does not exist. Here we once more question their conclusions. When their subjects were unexpectedly asked to report the letters instead of the post-cued circles in the 101th trial where letters were actually absent, they likely failed to see the empty display area because prior experience with letters in the preceding trials produced expectancy based illusory experience of letter-like objects. Copyright © 2016 Elsevier Inc. All rights reserved.

[Blood representations associated to chronic transfused patients: Symbolic interpretations and ethical perspectives].

PubMed

Petermann, R; Pêchard, M; Gesbert, C; Assez, N

2016-09-01

Since the beginning of the 20th century, major technological developments have been made in blood transfusion. Although numerous sociological studies have been conducted on donors, few have highlighted transfused patients, and in this case, the attention has almost exclusively been focused on transfusion risks in patients. Conversely, blood representations associated with the chronically transfused patients have not really been explored in the literature. Based on interviews conducted among chronically transfused patients (patients with hemoglobinopathy, malignant hemopathy or cancer), this present study enables to understand their needs and their expectations through their symbolic representations and their interpretations of blood transfusion, raising tensions as well ethical perspectives. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

Moral individualism and elective death.

PubMed

Prado, C G

2013-01-01

Moral individualism (Brooks, 2011; Smith, 2011) is a contemporary interpretation of morality as entirely a matter of personal choice. It is a popular rather than theory-based interpretation and has a number of social generative sources related to present-day preoccupation with individuality and personal distinctiveness. A key generative source is popularization of postmodernism, which prioritizes self-reinvention and provides moral individualism with the appearance of intellectual legitimacy. Moral individualism is a deeply flawed misconception of morality because it abolishes moral communality. My concern in this paper is that in doing so, it seriously jeopardizes productive discussion of the moral permissibility of elective death or choosing to die in despairingly and dire circumstances. Copyright © 2013 Elsevier Ltd. All rights reserved.

Human evolutionary genomics: ethical and interpretive issues.

PubMed

Vitti, Joseph J; Cho, Mildred K; Tishkoff, Sarah A; Sabeti, Pardis C

2012-03-01

Genome-wide computational studies can now identify targets of natural selection. The unique information about humans these studies reveal, and the media attention they attract, indicate the need for caution and precision in communicating results. This need is exacerbated by ways in which evolutionary and genetic considerations have been misapplied to support discriminatory policies, by persistent misconceptions of these fields and by the social sensitivity surrounding discussions of racial ancestry. We discuss the foundations, accomplishments and future directions of human evolutionary genomics, attending to ways in which the interpretation of good science can go awry, and offer suggestions for researchers to prevent misapplication of their work. Copyright © 2011 Elsevier Ltd. All rights reserved.

Practical interpretation of CYP2D6 haplotypes: Comparison and integration of automated and expert calling.

PubMed

Ruaño, Gualberto; Kocherla, Mohan; Graydon, James S; Holford, Theodore R; Makowski, Gregory S; Goethe, John W

2016-05-01

We describe a population genetic approach to compare samples interpreted with expert calling (EC) versus automated calling (AC) for CYP2D6 haplotyping. The analysis represents 4812 haplotype calls based on signal data generated by the Luminex xMap analyzers from 2406 patients referred to a high-complexity molecular diagnostics laboratory for CYP450 testing. DNA was extracted from buccal swabs. We compared the results of expert calls (EC) and automated calls (AC) with regard to haplotype number and frequency. The ratio of EC to AC was 1:3. Haplotype frequencies from EC and AC samples were convergent across haplotypes, and their distribution was not statistically different between the groups. Most duplications required EC, as only expansions with homozygous or hemizygous haplotypes could be automatedly called. High-complexity laboratories can offer equivalent interpretation to automated calling for non-expanded CYP2D6 loci, and superior interpretation for duplications. We have validated scientific expert calling specified by scoring rules as standard operating procedure integrated with an automated calling algorithm. The integration of EC with AC is a practical strategy for CYP2D6 clinical haplotyping. Copyright © 2016 Elsevier B.V. All rights reserved.

Graphic methods for interpreting longitudinal dyadic patterns from repeated-measures actor-partner interdependence models.

PubMed

Perry, Nicholas S; Baucom, Katherine J W; Bourne, Stacia; Butner, Jonathan; Crenshaw, Alexander O; Hogan, Jasara N; Imel, Zac E; Wiltshire, Travis J; Baucom, Brian R W

2017-08-01

Researchers commonly use repeated-measures actor-partner interdependence models (RM-APIM) to understand how romantic partners change in relation to one another over time. However, traditional interpretations of the results of these models do not fully or correctly capture the dyadic temporal patterns estimated in RM-APIM. Interpretation of results from these models largely focuses on the meaning of single-parameter estimates in isolation from all the others. However, considering individual coefficients separately impedes the understanding of how these associations combine to produce an interdependent pattern that emerges over time. Additionally, positive within-person, or actor, effects are commonly misinterpreted as indicating growth from one time point to the next when they actually represent decline. We suggest that change-as-outcome RM-APIMs and vector field diagrams (VFDs) can be used to improve the understanding and presentation of dyadic patterns of association described by standard RM-APIMs. The current article briefly reviews the conceptual foundations of RM-APIMs, demonstrates how change-as-outcome RM-APIMs and VFDs can aid interpretation of standard RM-APIMs, and provides a tutorial in making VFDs using multilevel modeling. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

Cued Speech Transliteration: Effects of Speaking Rate and Lag Time on Production Accuracy.

PubMed

Krause, Jean C; Tessler, Morgan P

2016-10-01

Many deaf and hard-of-hearing children rely on interpreters to access classroom communication. Although the exact level of access provided by interpreters in these settings is unknown, it is likely to depend heavily on interpreter accuracy (portion of message correctly produced by the interpreter) and the factors that govern interpreter accuracy. In this study, the accuracy of 12 Cued Speech (CS) transliterators with varying degrees of experience was examined at three different speaking rates (slow, normal, fast). Accuracy was measured with a high-resolution, objective metric in order to facilitate quantitative analyses of the effect of each factor on accuracy. Results showed that speaking rate had a large negative effect on accuracy, caused primarily by an increase in omitted cues, whereas the effect of lag time on accuracy, also negative, was quite small and explained just 3% of the variance. Increased experience level was generally associated with increased accuracy; however, high levels of experience did not guarantee high levels of accuracy. Finally, the overall accuracy of the 12 transliterators, 54% on average across all three factors, was low enough to raise serious concerns about the quality of CS transliteration services that (at least some) children receive in educational settings. © The Author 2016. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

State of the art in bile analysis in forensic toxicology.

PubMed

Bévalot, F; Cartiser, N; Bottinelli, C; Guitton, J; Fanton, L

2016-02-01

In forensic toxicology, alternative matrices to blood are useful in case of limited, unavailable or unusable blood sample, suspected postmortem redistribution or long drug intake-to-sampling interval. The present article provides an update on the state of knowledge for the use of bile in forensic toxicology, through a review of the Medline literature from 1970 to May 2015. Bile physiology and technical aspects of analysis (sampling, storage, sample preparation and analytical methods) are reported, to highlight specificities and consequences from an analytical and interpretative point of view. A table summarizes cause of death and quantification in bile and blood of 133 compounds from more than 200 case reports, providing a useful tool for forensic physicians and toxicologists involved in interpreting bile analysis. Qualitative and quantitative interpretation is discussed. As bile/blood concentration ratios are high for numerous molecules or metabolites, bile is a matrix of choice for screening when blood concentrations are low or non-detectable: e.g., cases of weak exposure or long intake-to-death interval. Quantitative applications have been little investigated, but small molecules with low bile/blood concentration ratios seem to be good candidates for quantitative bile-based interpretation. Further experimental data on the mechanism and properties of biliary extraction of xenobiotics of forensic interest are required to improve quantitative interpretation. Copyright © 2015 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.

Consumer understanding, interpretation and perceived levels of personal responsibility in relation to satiety-related claims.

PubMed

Bilman, Els M; Kleef, Ellen van; Mela, David J; Hulshof, Toine; van Trijp, Hans C M

2012-12-01

The aim of this study was to explore (a) whether and how consumers may (over-) interpret satiety claims, and (b) whether and to what extent consumers recognize that personal efforts are required to realize possible satiety-related or weight loss benefits. Following means-end chain theory, we explored for a number of satiety claims the extent of inference-making to higher-level benefits than actually stated in the claim, using internet-based questions and tasks. Respondents (N=1504) in U.K., France, Italy and Germany participated in the study. The majority of these respondents correctly interpret satiety-related claims; i.e. they largely limit their interpretation to what was actually stated. They do not expect a "magic bullet" effect, but understand that personal efforts are required to translate product attributes into potential weight control benefits. Less-restrained eaters were at lower risk for over-interpreting satiety-related claims, whilst respondents with a stronger belief that their weight is something that they can control accept more personal responsibility, and better understand that personal efforts are required to be effective in weight control. Overall, these results indicate there is likely to be a relatively low level of consumer misinterpretation of satiety-related claims on food products. Copyright © 2012 International Life Sciences Institute. Published by Elsevier Ltd.. All rights reserved.

The semiotics of medical image Segmentation.

PubMed

Baxter, John S H; Gibson, Eli; Eagleson, Roy; Peters, Terry M

2018-02-01

As the interaction between clinicians and computational processes increases in complexity, more nuanced mechanisms are required to describe how their communication is mediated. Medical image segmentation in particular affords a large number of distinct loci for interaction which can act on a deep, knowledge-driven level which complicates the naive interpretation of the computer as a symbol processing machine. Using the perspective of the computer as dialogue partner, we can motivate the semiotic understanding of medical image segmentation. Taking advantage of Peircean semiotic traditions and new philosophical inquiry into the structure and quality of metaphors, we can construct a unified framework for the interpretation of medical image segmentation as a sign exchange in which each sign acts as an interface metaphor. This allows for a notion of finite semiosis, described through a schematic medium, that can rigorously describe how clinicians and computers interpret the signs mediating their interaction. Altogether, this framework provides a unified approach to the understanding and development of medical image segmentation interfaces. Copyright © 2017 Elsevier B.V. All rights reserved.

Interpretative bias in spider phobia: Perception and information processing of ambiguous schematic stimuli.

PubMed

Haberkamp, Anke; Schmidt, Filipp

2015-09-01

This study investigates the interpretative bias in spider phobia with respect to rapid visuomotor processing. We compared perception, evaluation, and visuomotor processing of ambiguous schematic stimuli between spider-fearful and control participants. Stimuli were produced by gradually morphing schematic flowers into spiders. Participants rated these stimuli related to their perceptual appearance and to their feelings of valence, disgust, and arousal. Also, they responded to the same stimuli within a response priming paradigm that measures rapid motor activation. Spider-fearful individuals showed an interpretative bias (i.e., ambiguous stimuli were perceived as more similar to spiders) and rated spider-like stimuli as more unpleasant, disgusting, and arousing. However, we observed no differences between spider-fearful and control participants in priming effects for ambiguous stimuli. For non-ambiguous stimuli, we observed a similar enhancement for phobic pictures as has been reported previously for natural images. We discuss our findings with respect to the visual representation of morphed stimuli and to perceptual learning processes. Copyright © 2015 Elsevier B.V. All rights reserved.

Using probabilistic theory to develop interpretation guidelines for Y-STR profiles.

PubMed

Taylor, Duncan; Bright, Jo-Anne; Buckleton, John

2016-03-01

Y-STR profiling makes up a small but important proportion of forensic DNA casework. Often Y-STR profiles are used when autosomal profiling has failed to yield an informative result. Consequently Y-STR profiles are often from the most challenging samples. In addition to these points, Y-STR loci are linked, meaning that evaluation of haplotype probabilities are either based on overly simplified counting methods or computationally costly genetic models, neither of which extend well to the evaluation of mixed Y-STR data. For all of these reasons Y-STR data analysis has not seen the same advances as autosomal STR data. We present here a probabilistic model for the interpretation of Y-STR data. Due to the fact that probabilistic systems for Y-STR data are still some way from reaching active casework, we also describe how data can be analysed in a continuous way to generate interpretational thresholds and guidelines. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

[Case-non case studies: Principles, methods, bias and interpretation].

PubMed

Faillie, Jean-Luc

2017-10-31

Case-non case studies belongs to the methods assessing drug safety by analyzing the disproportionality of notifications of adverse drug reactions in pharmacovigilance databases. Used for the first time in the 1980s, the last few decades have seen a significant increase in the use of this design. The principle of the case-non case study is to compare drug exposure in cases of a studied adverse reaction with that of cases of other reported adverse reactions and called "non cases". Results are presented in the form of a reporting odds ratio (ROR), the interpretation of which makes it possible to identify drug safety signals. This article describes the principle of the case-non case study, the method of calculating the ROR and its confidence interval, the different modalities of analysis and how to interpret its results with regard to the advantages and limitations of this design. Copyright © 2017 Société française de pharmacologie et de thérapeutique. Published by Elsevier Masson SAS. All rights reserved.

The urgency for optimization and harmonization of thyroid hormone analyses and their interpretation in developmental and reproductive toxicology studies.

PubMed

Beekhuijzen, Manon; Schneider, Steffen; Barraclough, Narinder; Hallmark, Nina; Hoberman, Alan; Lordi, Sheri; Moxon, Mary; Perks, Deborah; Piersma, Aldert H; Makris, Susan L

2018-05-02

In recent years several OECD test guidelines have been updated and some will be updated shortly with the requirement to measure thyroid hormone levels in the blood of mammalian laboratory species. There is, however, an imperative need for clarification and guidance regarding the collection, assessment, and interpretation of thyroid hormone data for regulatory toxicology and risk assessment. Clarification and guidance is needed for 1) timing and methods of blood collection, 2) standardization and validation of the analytical methods, 3) triggers for additional measurements, 4) the need for T4 measurements in postnatal day (PND) 4 pups, and 5) the interpretation of changes in thyroid hormone levels regarding adversity. Discussions on these topics have already been initiated, and involve expert scientists from a number of international multisector organizations. This paper provides an overview of existing issues, current activities and recommendations for moving forward. Copyright © 2018 Elsevier Inc. All rights reserved.

Self organizing map neural networks approach for lithologic interpretation of nuclear and electrical well logs in basaltic environment, Southern Syria.

PubMed

Asfahani, J; Ahmad, Z; Ghani, B Abdul

2018-07-01

An approach based on self organizing map (SOM) artificial neural networks is proposed herewith oriented towards interpreting nuclear and electrical well logging data. The well logging measurements of Kodana well in Southern Syria have been interpreted by applying the proposed approach. Lithological cross-section model of the basaltic environment has been derived and four different kinds of basalt have been consequently distinguished. The four basalts are hard massive basalt, hard basalt, pyroclastic basalt and the alteration basalt products- clay. The results obtained by SOM artificial neural networks are in a good agreement with the previous published results obtained by other different techniques. The SOM approach is practiced successfully in the case study of the Kodana well logging data, and can be therefore recommended as a suitable and effective approach for handling huge well logging data with higher number of variables required for lithological discrimination purposes. Copyright © 2018 Elsevier Ltd. All rights reserved.

Interpretation of Biochemical Tests Using the Reference Change Value in Monitoring Adverse Effects of Oral Isotretinoin in 102 Ethnic Turkish Patients.

PubMed

Bugdayci, Guler; Polat, Mualla; Oguzman, Hamdi; Cinpolat, Havva Yasemin

2016-08-01

The aim of this study was to model the use of reference change values (RCVs) for the follow-up of 4 parameters of patients using oral isotretinoin which is gaining widespread popularity for monitoring the side effects of the treatment. 102 patients received 30 mg/day oral isotretinoin for 24 weeks for the diagnosis of acne vulgaris. Repetitive measurements of the patients were interpreted with RCVs, after comparing the first and second doses based on RCVs: TC, TG, AST and ALT results increased in 12%, 20%, 14% and 12% of the patients respectively. When the first dose was compared with the last dose, the increases were 20%, 29%, 22% and 18% respectively interpreted as significant changes based on laboratory medicine. A more sensitive follow-up is possible in the monitorization of adverse effects by using RCVs method. © American Society for Clinical Pathology, 2016. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Best practices for developmental toxicity assessment for classification and labeling.

PubMed

Daston, George; Piersma, Aldert; Attias, Leonello; Beekhuijzen, Manon; Chen, Connie; Foreman, Jennifer; Hallmark, Nina; Leconte, Isabelle

2018-05-14

Many chemicals are going through a hazard-based classification and labeling process in Europe. Because of the significant public health implications, the best science must be applied in assessing developmental toxicity data. The European Teratology Society and Health and Environmental Sciences Institute co-organized a workshop to consider best practices, including data quality and consistency, interpretation of developmental effects in the presence of maternal toxicity, human relevance of animal data, and limits of chemical classes. Recommendations included larger historical control databases, more pharmacokinetic studies in pregnant animals for dose setting and study interpretation, generation of mechanistic data to resolve questions about whether maternal toxicity is causative of developmental toxicity, and more rigorous specifications for what constitutes a chemical class. It is our hope that these recommendations will form the basis for subsequent consensus workshops and other scientific activities designed to improve the scientific robustness of data interpretation for classification and labeling. Copyright © 2018 Elsevier Inc. All rights reserved.

Highs and Lows in English Attachment.

PubMed

Grillo, Nino; Costa, João; Fernandes, Bruno; Santi, Andrea

2015-11-01

Grillo and Costa (2014) claim that Relative-Clause attachment ambiguity resolution is largely dependent on whether or not a Pseudo-Relative interpretation is available. Data from Italian, and other languages allowing Pseudo-Relatives, support this hypothesis. Pseudo-Relative availability, however, covaries with the semantics of the main predicate (e.g., perceptual vs. stative). Experiment 1 assesses whether this predicate distinction alone can account for prior attachment results by testing it with a language that disallows Pseudo-Relatives (i.e. English). Low Attachment was found independent of Predicate-Type. Predicate-Type did however have a minor modulatory role. Experiment 2 shows that English, traditionally classified as a Low Attachment language, can demonstrate High Attachment with sentences globally ambiguous between a Small-Clause and a reduced Relative-Clause interpretation. These results support a grammatical account of previous effects and provide novel evidence for the parser's preference of a Small-Clause over a Restrictive interpretation, crosslinguistically. Copyright © 2015 Elsevier B.V. All rights reserved.

Chance, determinism and the classical theory of probability.

PubMed

Vasudevan, Anubav

2018-02-01

This paper situates the metaphysical antinomy between chance and determinism in the historical context of some of the earliest developments in the mathematical theory of probability. Since Hacking's seminal work on the subject, it has been a widely held view that the classical theorists of probability were guilty of an unwitting equivocation between a subjective, or epistemic, interpretation of probability, on the one hand, and an objective, or statistical, interpretation, on the other. While there is some truth to this account, I argue that the tension at the heart of the classical theory of probability is not best understood in terms of the duality between subjective and objective interpretations of probability. Rather, the apparent paradox of chance and determinism, when viewed through the lens of the classical theory of probability, manifests itself in a much deeper ambivalence on the part of the classical probabilists as to the rational commensurability of causal and probabilistic reasoning. Copyright © 2017 Elsevier Ltd. All rights reserved.

Biases in attention, interpretation, memory, and associations in children with varying levels of spider fear: Inter-relations and prediction of behavior.

PubMed

Klein, Anke M; van Niekerk, Rianne; Ten Brink, Giovanni; Rapee, Ronald M; Hudson, Jennifer L; Bögels, Susan M; Becker, Eni S; Rinck, Mike

2017-03-01

Cognitive theories suggest that cognitive biases may be related and together influence the anxiety response. However, little is known about the interrelations of cognitive bias tasks and whether they allow for an improved prediction of fear-related behavior in addition to self-reports. This study simultaneously addressed several types of cognitive biases in children, to investigate attention bias, interpretation bias, memory bias and fear-related associations, their interrelations and the prediction of behavior. Eighty-one children varying in their levels of spider fear completed the Spider Anxiety and Disgust Screening for Children and performed two Emotional Stroop tasks, a Free Recall task, an interpretation task including size and distance indication, an Affective Priming Task, and a Behavioral Assessment Test. We found an attention bias, interpretation bias, and fear-related associations, but no evidence for a memory bias. The biases showed little overlap. Attention bias, interpretation bias, and fear-related associations predicted unique variance in avoidance of spiders. Interpretation bias and fear-related associations remained significant predictors, even when self-reported fear was included as a predictor. Children were not seeking help for their spider fear and were not tested on clinical levels of spider phobia. This is the first study to find evidence that different cognitive biases each predict unique variance in avoidance behavior. Furthermore, it is also the first study in which we found evidence for a relation between fear of spiders and size and distance indication. We showed that this bias is distinct from other cognitive biases. Copyright © 2016 Elsevier Ltd. All rights reserved.

How concerns and experiences with medical malpractice affect dermatopathologists' perceptions of their diagnostic practices when interpreting cutaneous melanocytic lesions.

PubMed

Carney, Patricia A; Frederick, Paul D; Reisch, Lisa M; Knezevich, Stevan; Piepkorn, Michael W; Barnhill, Raymond L; Elder, David E; Geller, Berta M; Titus, Linda; Weinstock, Martin A; Nelson, Heidi D; Elmore, Joann G

2016-02-01

We sought to identify characteristics associated with past malpractice lawsuits and how malpractice concerns may affect interpretive practices. We surveyed 207 of 301 (68.8%) eligible dermatopathologists who interpret melanocytic skin lesions in 10 states. The survey assessed dermatopathologists' demographic and clinical practice characteristics, perceptions of how medical malpractice concerns could influence their interpretive practices, and past malpractice lawsuits. Of dermatopathologists, 33% reported past malpractice experiences. Factors associated with being sued included older age (57 vs 48 years, P < .001), lack of board certification or fellowship training in dermatopathology (76.5% vs 53.2%, P = .001), and greater number of years interpreting melanocytic lesions (>20 years: 52.9% vs 20.1%, P < .001). Of participants, 64% reported being moderately or extremely confident in their melanocytic interpretations. Although most dermatopathologists believed that malpractice concerns increased their likelihood of ordering specialized pathology tests, obtaining recuts, and seeking a second opinion, none of these practices were associated with past malpractice. Most dermatopathologists reported concerns about potential harms to patients that may result from their assessments of melanocytic lesions. Limitations of this study include lack of validation of and details about the malpractice suits experienced by participating dermatopathologists. In addition, the study assessed perceptions of practice rather than actual practices that might be associated with malpractice incidents. Most dermatopathologists reported apprehension about how malpractice affects their clinical practice and are concerned about patient safety irrespective of whether they had actually experienced a medical malpractice suit. Copyright © 2015 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

12 CFR 221.121 - Extension of credit in certain stock option and stock purchase plans.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 12 Banks and Banking 3 2010-01-01 2010-01-01 false Extension of credit in certain stock option and stock purchase plans. 221.121 Section 221.121 Banks and Banking FEDERAL RESERVE SYSTEM (CONTINUED) BOARD... FOR THE PURPOSE OF PURCHASING OR CARRYING MARGIN STOCK (REGULATION U) Interpretations § 221.121...

The world as viewed by and with unpaired electrons.

PubMed

Eaton, Sandra S; Eaton, Gareth R

2012-10-01

Recent advances in electron paramagnetic resonance (EPR) include capabilities for applications to areas as diverse as archeology, beer shelf life, biological structure, dosimetry, in vivo imaging, molecular magnets, and quantum computing. Enabling technologies include multifrequency continuous wave, pulsed, and rapid scan EPR. Interpretation is enhanced by increasingly powerful computational models. Copyright © 2012 Elsevier Inc. All rights reserved.

Clinical canine dental radiography.

PubMed

Bannon, Kristin M

2013-05-01

The purpose of this article is to provide small animal veterinarians in private practice a guideline for interpretation of the most common findings in canine intraoral radiology. Normal oral and dental anatomy is presented. A brief review of variations of normal, common periodontal and endodontic pathology findings and developmental anomalies is provided. Copyright © 2013 Elsevier Inc. All rights reserved.

Using Geographic Information Systems to measure retail food environments: Discussion of methodological considerations and a proposed reporting checklist (Geo-FERN).

PubMed

Wilkins, Emma L; Morris, Michelle A; Radley, Duncan; Griffiths, Claire

2017-03-01

Geographic Information Systems (GIS) are widely used to measure retail food environments. However the methods used are hetrogeneous, limiting collation and interpretation of evidence. This problem is amplified by unclear and incomplete reporting of methods. This discussion (i) identifies common dimensions of methodological diversity across GIS-based food environment research (data sources, data extraction methods, food outlet construct definitions, geocoding methods, and access metrics), (ii) reviews the impact of different methodological choices, and (iii) highlights areas where reporting is insufficient. On the basis of this discussion, the Geo-FERN reporting checklist is proposed to support methodological reporting and interpretation. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

Feet and fertility in the healing temples: a symbolic communication system between gods and men?

PubMed

Cilione, Marco; Marinozzi, Silvia; Gazzaniga, Valentina

2018-06-09

Anatomical ex-votos of feet have always been interpreted as representing the unhealthy part of the body for which patients were asking healing. However, according to the archaeological data and literary sources, another interpretation is also possible: the purpose of this article is to focus on the strong relationship between feet and fertility in the ancient world by cross-referencing the available archaeological evidence with the scientific data relating to this topic. That shed light on an important aspect of the Healing Temples in Greek and Roman medicine. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Subsurface temperatures and geothermal gradients on the North Slope, Alaska

USGS Publications Warehouse

Collett, Timothy S.; Bird, Kenneth J.; Magoon, Leslie B.

1989-01-01

Geothermal gradients as interpreted from a series of high-resolution stabilized well-bore-temperature surveys from 46 North Slope, Alaska, wells vary laterally and vertically throughout the near-surface sediment (0-2,000 m). The data from these surveys have been used in conjunction with depths of ice-bearing permafrost, as interpreted from 102 well logs, to project geothermal gradients within and below the ice-bearing permafrost sequence. The geothermal gradients calculated from the projected temperature profiles are similar to the geothermal gradients measured in the temperature surveys. Measured and projected geothermal gradients in the ice-bearing permafrost sequence range from 1.5??C/100m in the Prudhoe Bay area to 5.1??C/100m in the National Petroleum Reserve in Alaska (NPRA).

Interpretation of statistical results.

PubMed

García Garmendia, J L; Maroto Monserrat, F

2018-02-21

The appropriate interpretation of the statistical results is crucial to understand the advances in medical science. The statistical tools allow us to transform the uncertainty and apparent chaos in nature to measurable parameters which are applicable to our clinical practice. The importance of understanding the meaning and actual extent of these instruments is essential for researchers, the funders of research and for professionals who require a permanent update based on good evidence and supports to decision making. Various aspects of the designs, results and statistical analysis are reviewed, trying to facilitate his comprehension from the basics to what is most common but no better understood, and bringing a constructive, non-exhaustive but realistic look. Copyright © 2018 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.

Sustainable Management of Springs and Associated Wetlands in Aridland Regions: A Water Quality Perspective for Cibola National Forest, NM

NASA Astrophysics Data System (ADS)

Paffett, K.; Crossey, L. J.; Crowley, L.; Karlstrom, K. E.

2010-12-01

In the arid southwestern U.S., springs and their associated wetlands provide an opportunity for diverse ecosystems to flourish. With increasing encroachment, multiple-use requirements and increasing groundwater depletion, a better understanding of how the springs function is needed in order to properly manage the springs as a resource. Critical data on spring status (discharge patterns across seasons and water quality) are lacking for most springs. New strategies and environmental sensors can be employed to provide baseline information, as well as continuous data. We report here on systematic evaluation of a suite of springs of the Cibola National Forest in central New Mexico, including characteristics of discharge and water quality. The work is prompted by concerns on preservation of vital habitat for the Zuni Bluehead Sucker in portions of the Cibola National Forest. Spring occurrence includes a range of elevation (2000-2500m), vegetation type (arid grasslands to alpine wilderness), impact (livestock use, increased groundwater withdrawal, species of concern, and increased recreational use), and water quality (potable to saline). Many of the springs occur along fault structures, and are fed by groundwater from confined aquifer systems. Two levels of protocols are described: Level One for developing a baseline survey for water quality in managed lands (geospatial data, geologic map, systematic photography, discharge estimate and field-determined water quality parameters); and Level Two Impact Evaluation Monitoring (includes high-resolution geologic mapping, major ion chemistry, multiple sampling dates, and real-time autonomous logging of several parameters including temperature, pH, conductance and dissolved oxygen). Data collected from the surveys are stored in a geospatial repository to serve as background for future monitoring of the water resources in the area.

Stream hierarchy defines riverscape genetics of a North American desert fish.

PubMed

Hopken, Matthew W; Douglas, Marlis R; Douglas, Michael E

2013-02-01

Global climate change is apparent within the Arctic and the south-western deserts of North America, with record drought in the latter reflected within 640,000 km(2) of the Colorado River Basin. To discern the manner by which natural and anthropogenic drivers have compressed Basin-wide fish biodiversity, and to establish a baseline for future climate effects, the Stream Hierarchy Model (SHM) was employed to juxtapose fluvial topography against molecular diversities of 1092 Bluehead Sucker (Catostomus discobolus). MtDNA revealed three geomorphically defined evolutionarily significant units (ESUs): Bonneville Basin, upper Little Colorado River and the remaining Colorado River Basin. Microsatellite analyses (16 loci) reinforced distinctiveness of the Bonneville Basin and upper Little Colorado River, but subdivided the Colorado River Basin into seven management units (MUs). One represents a cline of three admixed gene pools comprising the mainstem and its lower-gradient tributaries. Six others are not only distinct genetically but also demographically (i.e. migrants/generation <9.7%). Two of these (i.e. Grand Canyon and Canyon de Chelly) are defined by geomorphology, two others (i.e. Fremont-Muddy and San Raphael rivers) are isolated by sharp declivities as they drop precipitously from the west slope into the mainstem Colorado/Green rivers, another represents an isolated impoundment (i.e. Ringdahl Reservoir), while the last corresponds to a recognized subspecies (i.e. Zuni River, NM). Historical legacies of endemic fishes (ESUs) and their evolutionary potential (MUs) are clearly represented in our data, yet their arbiter will be the unrelenting natural and anthropogenic water depletions that will precipitate yet another conservation conflict within this unique but arid region. © 2012 Blackwell Publishing Ltd.

“Puerto Rico: gateway to landscape” from an ecological perspective

Treesearch

Grizelle Gonzalez

2015-01-01

The exhibit Puerto Rico: Gateway to Landscape proposes to explore various ways in which citizens approach the landscape, or construct it – inside and outside the city – and considers city planning, the creation of parks and natural reserves, and their interpretation. From a perspective of citizen involvement, this thematic scaffolding related to landscape and the...

Paediatric cochlear implantation factors that affect outcomes.

PubMed

Driver, Sandra; Jiang, Dan

2017-01-01

Cochlear implantation is an established surgical intervention for individuals with bilateral severe to profound sensorineural hearing loss. The aim of the interevention is to provide the individual with a sensation of sound which they can learn to interpret with meaning. Outcomes vary considerably and the factors that impact on outcomes will be discussed. Crown Copyright © 2016. Published by Elsevier Ltd. All rights reserved.

Learning and memory in Octopus vulgaris: a case of biological plasticity.

PubMed

Zarrella, Ilaria; Ponte, Giovanna; Baldascino, Elena; Fiorito, Graziano

2015-12-01

Here we concisely summarize major aspects of the learning capabilities of the cephalopod mollusc Octopus vulgaris, a solitary living marine invertebrate. We aim to provide a backdrop against which neurobiology of these animals can be further interpreted and thus soliciting further interest for one of the most advanced members of invertebrate animals. Copyright © 2015 Elsevier Ltd. All rights reserved.

Identifying gaps in conservation networks: of indicators and uncertainty in geographic-based analyses

Treesearch

Curtis H. Flather; Kenneth R. Wilson; Denis J. Dean; William C. McComb

1997-01-01

Mapping of biodiversity elements to expose gaps in. conservation networks has become a common strategy in nature-reserve design. We review a set of critical assumptions and issues that influence the interpretation and implementation of gap analysis, including: (1) the assumption that a subset of taxa can be used to indicate overall diversity patterns, and (2) the...

Madonna della Pietá by Michelangelo.

PubMed

Wentz, Margaret R

2018-05-01

Recognizing the contribution art has had in the Mayo Clinic environment since the original Mayo Clinic Building was finished in 1914, Mayo Clinic Proceedings features some of the numerous works of art displayed throughout the buildings and grounds on Mayo Clinic campuses as interpreted by the author. Copyright © 2018 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. All rights reserved.

From air to land: understanding water resources through plant-based multidisciplinary research.

PubMed

Silva, Lucas C R

2015-07-01

Current global challenges require solutions that cannot be delivered by any one field alone. New developments in the analysis and interpretation of plant-derived climatic records bridge traditional disciplines, advancing understanding of phenomena of great ecological and societal significance, specifically, those related to changes in the terrestrial water cycle. Copyright © 2015 Elsevier Ltd. All rights reserved.

12 CFR 221.115 - Accepting a purpose statement through the mail without benefit of face-to-face interview.

Code of Federal Regulations, 2012 CFR

2012-01-01

... without benefit of face-to-face interview. 221.115 Section 221.115 Banks and Banking FEDERAL RESERVE...) Interpretations § 221.115 Accepting a purpose statement through the mail without benefit of face-to-face interview... wishes to obtain the required purpose statement by mail rather than by a face-to-face interview. Personal...

12 CFR 221.115 - Accepting a purpose statement through the mail without benefit of face-to-face interview.

Code of Federal Regulations, 2013 CFR

2013-01-01

... without benefit of face-to-face interview. 221.115 Section 221.115 Banks and Banking FEDERAL RESERVE...) Interpretations § 221.115 Accepting a purpose statement through the mail without benefit of face-to-face interview... wishes to obtain the required purpose statement by mail rather than by a face-to-face interview. Personal...

12 CFR 221.115 - Accepting a purpose statement through the mail without benefit of face-to-face interview.

Code of Federal Regulations, 2014 CFR

2014-01-01

... without benefit of face-to-face interview. 221.115 Section 221.115 Banks and Banking FEDERAL RESERVE...) Interpretations § 221.115 Accepting a purpose statement through the mail without benefit of face-to-face interview... wishes to obtain the required purpose statement by mail rather than by a face-to-face interview. Personal...

Machine learning approaches in medical image analysis: From detection to diagnosis.

PubMed

de Bruijne, Marleen

2016-10-01

Machine learning approaches are increasingly successful in image-based diagnosis, disease prognosis, and risk assessment. This paper highlights new research directions and discusses three main challenges related to machine learning in medical imaging: coping with variation in imaging protocols, learning from weak labels, and interpretation and evaluation of results. Copyright © 2016 Elsevier B.V. All rights reserved.

Chilkat Ceremonial Dancing Blanket - Circa 1870s.

PubMed

Wentz, Margaret R

2017-05-01

Recognizing the contribution art has had in the Mayo Clinic environment since the original Mayo Clinic Building was finished in 1914, Mayo Clinic Proceedings features some of the numerous works of art displayed throughout the buildings and grounds on Mayo Clinic campuses as interpreted by the author. Copyright © 2017 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. All rights reserved.

Evaluation of a simple phenotypic method for the detection of carbapenemase-producing Enterobacteriaceae.

PubMed

Saito, Ryoichi; Koyano, Saho; Dorin, Misato; Higurashi, Yoshimi; Misawa, Yoshiki; Nagano, Noriyuki; Kaneko, Takamasa; Moriya, Kyoji

2015-01-01

We investigated the performance of a phenotypic test, the Carbapenemase Detection Set (MAST-CDS), for the identification of carbapenemase-producing Enterobacteriaceae. Our results indicated that MAST-CDS is rapid, easily performed, simple to interpret, and highly sensitive for the identification of carbapenemase producers, particularly imipenemase producers. Copyright © 2014 Elsevier B.V. All rights reserved.

Multivariate time series analysis of neuroscience data: some challenges and opportunities.

PubMed

Pourahmadi, Mohsen; Noorbaloochi, Siamak

2016-04-01

Neuroimaging data may be viewed as high-dimensional multivariate time series, and analyzed using techniques from regression analysis, time series analysis and spatiotemporal analysis. We discuss issues related to data quality, model specification, estimation, interpretation, dimensionality and causality. Some recent research areas addressing aspects of some recurring challenges are introduced. Copyright © 2015 Elsevier Ltd. All rights reserved.

Standardized reporting of resection technique during nephron-sparing surgery: the surface-intermediate-base margin score.

PubMed

Minervini, Andrea; Carini, Marco; Uzzo, Robert G; Campi, Riccardo; Smaldone, Marc C; Kutikov, Alexander

2014-11-01

A standardized reporting system of nephron-sparing surgery resection techniques is lacking. The surface-intermediate-base scoring system represents a formal reporting instrument to assist in interpretation of reported data and to facilitate comparisons in the urologic literature. Copyright © 2014 European Association of Urology. Published by Elsevier B.V. All rights reserved.

12 CFR 221.115 - Accepting a purpose statement through the mail without benefit of face-to-face interview.

Code of Federal Regulations, 2011 CFR

2011-01-01

... without benefit of face-to-face interview. 221.115 Section 221.115 Banks and Banking FEDERAL RESERVE...) Interpretations § 221.115 Accepting a purpose statement through the mail without benefit of face-to-face interview... wishes to obtain the required purpose statement by mail rather than by a face-to-face interview. Personal...

12 CFR 221.115 - Accepting a purpose statement through the mail without benefit of face-to-face interview.

Code of Federal Regulations, 2010 CFR

2010-01-01

... without benefit of face-to-face interview. 221.115 Section 221.115 Banks and Banking FEDERAL RESERVE...) Interpretations § 221.115 Accepting a purpose statement through the mail without benefit of face-to-face interview... wishes to obtain the required purpose statement by mail rather than by a face-to-face interview. Personal...

Oculina Bank: Sidescan sonar and sediment data from a deep-water coral reef habitat off east-central Florida

USGS Publications Warehouse

Scanlon, Kathryn M.; Briere, Peter R.; Koenig, Christopher C.

1999-01-01

The Experimental Oculina Research Reserve (EORR) is located along the shelf edge off east-central Florida in water depths of about 60 to 100 meters. It is about 7.5 km wide and 43 km long and encompasses numerous high-relief rocky pinnacles where Oculina varicosa, a fragile deep-water coral, grows. These coral reefs have historically been the sites of prolific grouper spawning aggregations and have supported a large variety of other reef fish (Gilmore and Jones, 1992). Serious decline of the fishery in the area prompted the establishment of the EORR.The data presented in this open-file report were collected as part of a cooperative project between the U.S. Geological Survey (USGS) Coastal and Marine Geology Program and the National Marine Fisheries Service (NMFS) of the National Oceanographic and Atmospheric Administration (NOAA). The project’s goal was to provide reconnaissance geologic maps of the Experimental Oculina Research Reserve and an unprotected control area north of the reserve to support the NMFS studies of grouper spawning aggregations. To accomplish this, we collected sidescan sonar data and sediment samples throughout both study areas and used video and observations from a manned submersible at selected sites. This report includes digital mosaics of the sidescan sonar data, tabulated sediment data, and interpretative maps of the seafloor geology. The video and submersible observations are not included in this report, but were used in the interpretation of the sidescan data.

Age-specific reference values for serum FSH and estradiol levels throughout the reproductive period.

PubMed

Grisendi, Valentina; Spada, Elena; Argento, Cindy; Plebani, Maddalena; Milani, Silvano; Seracchioli, Renato; Volpe, Annibale; La Marca, Antonio

2014-06-01

High serum day 3 FSH levels are associated with poor ovarian reserve and reduced fertility, but the interpretation of FSH values according to age is still not univocal. The purpose of this study was to determine age-dependent reference values in women with regular menstrual cycles and FSH as a guide for specialists. The study was performed at the Department of Mother-Infant of a University-based tertiary care centre. One-hundred ninety-two healthy normal menstruating women were recruited for the study. All patients attended the department on menstrual cycle day 3 for a blood sample for FSH and estradiol determination. A linear relationship between FSH or estradiol serum levels and age was observed. The FSH level increased by 0.11 IU for every year of age (1 IU for every 9 years of age). The values of FSH and estradiol corresponding to the 5th, 25th, 50th, 75th, 95th centiles for any specific age have been calculated. Serum FSH levels need to be interpreted according to age-dependent reference values. Serum FSH levels on 95th centile for any age may represent a warning sign for reduced ovarian reserve.

Children's and adults' interpretation of covariation data: Does symmetry of variables matter?

PubMed

Saffran, Andrea; Barchfeld, Petra; Sodian, Beate; Alibali, Martha W

2016-10-01

In a series of 3 experiments, the authors investigated the influence of symmetry of variables on children's and adults' data interpretation. They hypothesized that symmetrical (i.e., present/present) variables would support correct interpretations more than asymmetrical (i.e., present/absent) variables. Participants were asked to judge covariation in a series of data sets presented in contingency tables and to justify their judgments. Participants in Experiments 1 and 2 were elementary school children (Experiment 1: n = 52 second graders, n = 44 fourth graders; Experiment 2: n = 50 second graders). Participants in Experiment 3 were adults (n = 62). In Experiment 1, children in the symmetrical variables condition performed better than those in the asymmetrical variables condition. Children in the symmetrical variables condition judged more data patterns correctly and they more frequently justified their choices by referring to the complete table. Experiment 2 ruled out the possibility that this effect was caused by differences in question format. Even when question format was held constant, second graders performed better with symmetrical variables. Experiment 3 showed that adults' data interpretation is also affected by symmetry of variables. Collectively, these results indicate that symmetry of variables affects interpretation of covariation data. The authors argue that symmetrical variables provide a context for meaningful comparison. With asymmetrical variables, the importance of the comparison is less salient. Thus, the symmetry of variables should be considered by researchers as well as educators. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

Automatic interpretation and writing report of the adult waking electroencephalogram.

PubMed

Shibasaki, Hiroshi; Nakamura, Masatoshi; Sugi, Takenao; Nishida, Shigeto; Nagamine, Takashi; Ikeda, Akio

2014-06-01

Automatic interpretation of the EEG has so far been faced with significant difficulties because of a large amount of spatial as well as temporal information contained in the EEG, continuous fluctuation of the background activity depending on changes in the subject's vigilance and attention level, the occurrence of paroxysmal activities such as spikes and spike-and-slow-waves, contamination of the EEG with a variety of artefacts and the use of different recording electrodes and montages. Therefore, previous attempts of automatic EEG interpretation have been focussed only on a specific EEG feature such as paroxysmal abnormalities, delta waves, sleep stages and artefact detection. As a result of a long-standing cooperation between clinical neurophysiologists and system engineers, we report for the first time on a comprehensive, computer-assisted, automatic interpretation of the adult waking EEG. This system analyses the background activity, intermittent abnormalities, artefacts and the level of vigilance and attention of the subject, and automatically presents its report in written form. Besides, it also detects paroxysmal abnormalities and evaluates the effects of intermittent photic stimulation and hyperventilation on the EEG. This system of automatic EEG interpretation was formed by adopting the strategy that the qualified EEGers employ for the systematic visual inspection. This system can be used as a supplementary tool for the EEGer's visual inspection, and for educating EEG trainees and EEG technicians. Copyright © 2014 International Federation of Clinical Neurophysiology. Published by Elsevier Ireland Ltd. All rights reserved.

The impact of uncertain threat on affective bias: Individual differences in response to ambiguity.

PubMed

Neta, Maital; Cantelon, Julie; Haga, Zachary; Mahoney, Caroline R; Taylor, Holly A; Davis, F Caroline

2017-12-01

Individuals who operate under highly stressful conditions (e.g., military personnel and first responders) are often faced with the challenge of quickly interpreting ambiguous information in uncertain and threatening environments. When faced with ambiguity, it is likely adaptive to view potentially dangerous stimuli as threatening until contextual information proves otherwise. One laboratory-based paradigm that can be used to simulate uncertain threat is known as threat of shock (TOS), in which participants are told that they might receive mild but unpredictable electric shocks while performing an unrelated task. The uncertainty associated with this potential threat induces a state of emotional arousal that is not overwhelmingly stressful, but has widespread-both adaptive and maladaptive-effects on cognitive and affective function. For example, TOS is thought to enhance aversive processing and abolish positivity bias. Importantly, in certain situations (e.g., when walking home alone at night), this anxiety can promote an adaptive state of heightened vigilance and defense mobilization. In the present study, we used TOS to examine the effects of uncertain threat on valence bias, or the tendency to interpret ambiguous social cues as positive or negative. As predicted, we found that heightened emotional arousal elicited by TOS was associated with an increased tendency to interpret ambiguous cues negatively. Such negative interpretations are likely adaptive in situations in which threat detection is critical for survival and should override an individual's tendency to interpret ambiguity positively in safe contexts. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

Analysis and interpretation of electrical resistivity tomography data of alluvial aquifer of Tamanrasset Southern Algeria

NASA Astrophysics Data System (ADS)

Zeddouri, Aziez; Elkheir, Abderrahmane Ben; Hadj-Said, Samia; Taupin, Jean-Denis; Leduc, Christian; Patris, Nicholas

2018-05-01

A groundwater exploration work in the Tamanrasset region in southern Algeria was started in August 2016 to assess the water reserves in the hydrogeological system related to the Oued Tamanrasset underflow water table which overcomes a volcanic basement. Five (05) electrical resistivity tomography (ERT) surveys were conducted in Tamanrasset area by using ABEM Terrameter LS system. the low electrical contrast between wet alluvium and water saturated alterites makes difficult the electrical response interpretation. to overcome the difficulties of interpretation of ERT profiles, field investigations, laboratory tests and software simulations, were carried out in order to clearly identify the structure of the hydrogeological system. The experimental investigation of the electrical characteristics of the alluvium as a function of water saturation was carried by the use of two devices (Wenner α and Schlumberger). Samples true resistivity values varies between 50 Ω.m for a 100% saturated sample and 1250 Ω.m for a 25% saturation sample. The interpretation of the measurements by the RES2DINV software made it possible to give 2D images of the subsoil up to a depth of 50 m. the electrical contrast between the bedrock and the overlying formations made it possible to identify it, however, it was difficult to distinguish alterites from alluvium. A methodology combining piezometric survey, geo-electrical measurements and field observations improves the interpretation of electrical tomography profiles and the application of the ERT method for accurate characterization of water resources in the Tamanrasset region.

Comparison of two teaching methods for cardiac arrhythmia interpretation among nursing students.

PubMed

Varvaroussis, Dimitrios P; Kalafati, Maria; Pliatsika, Paraskevi; Castrén, Maaret; Lott, Carsten; Xanthos, Theodoros

2014-02-01

The aim of this study was to compare the six-stage method (SSM) for instructing primary cardiac arrhythmias interpretation to students without basic electrocardiogram (ECG) knowledge with a descriptive teaching method in a single educational intervention. This is a randomized trial. Following a brief instructional session, undergraduate nursing students, assigned to group A (SSM) and group B (descriptive teaching method), undertook a written test in cardiac rhythm recognition, immediately after the educational intervention (initial exam). Participants were also examined with an unannounced retention test (final exam), one month after instruction. Altogether 134 students completed the study. Interpretation accuracy for each cardiac arrhythmia was assessed. Mean score at the initial exam was 8.71±1.285 for group A and 8.74±1.303 for group B. Mean score at the final exam was 8.25±1.46 for group A vs 7.84±1.44 for group B. Overall results showed that the SSM was equally effective with the descriptive teaching method. The study showed that in each group bradyarrhythmias were identified correctly by more students than tachyarrhythmias. No significant difference between the two teaching methods was seen for any specific cardiac arrhythmia. The SSM effectively develops staff competency for interpreting common cardiac arrhythmias in students without ECG knowledge. More research is needed to support this conclusion and the method's effectiveness must be evaluated if being implemented to trainee groups with preexisting basic ECG interpretation knowledge. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

Modification of cognitive biases related to posttraumatic stress: A systematic review and research agenda.

PubMed

Woud, Marcella L; Verwoerd, Johan; Krans, Julie

2017-06-01

Cognitive models of Posttraumatic Stress Disorder (PTSD) postulate that cognitive biases in attention, interpretation, and memory represent key factors involved in the onset and maintenance of PTSD. Developments in experimental research demonstrate that it may be possible to manipulate such biases by means of Cognitive Bias Modification (CBM). In the present paper, we summarize studies assessing cognitive biases in posttraumatic stress to serve as a theoretical and methodological background. However, our main aim was to provide an overview of the scientific literature on CBM in (analogue) posttraumatic stress. Results of our systematic literature review showed that most CBM studies targeted attentional and interpretation biases (attention: five studies; interpretation: three studies), and one study modified memory biases. Overall, results showed that CBM can indeed modify cognitive biases and affect (analog) trauma symptoms in a training congruent manner. Interpretation bias procedures seemed effective in analog samples, and memory bias training proved preliminary success in a clinical PTSD sample. Studies of attention bias modification provided more mixed results. This heterogeneous picture may be explained by differences in the type of population or variations in the CBM procedure. Therefore, we sketched a detailed research agenda targeting the challenges for CBM in posttraumatic stress. Copyright © 2017 Elsevier Ltd. All rights reserved.

Outcome producing potential influences twelve-month-olds' interpretation of a novel action as goal-directed.

PubMed

Biro, Szilvia; Verschoor, Stephan; Coalter, Esther; Leslie, Alan M

2014-11-01

Learning about a novel, goal-directed action is a complex process. It requires identifying the outcome of the action and linking the action to its outcome for later use in new situations to predict the action or to anticipate its outcome. We investigated the hypothesis that linking a novel action to a salient change in the environment is critical for infants to assign a goal to the novel action. We report a study in which we show that 12-month-old infants, who were provided with prior experience with a novel action accompanied with a salient visible outcome in one context, can interpret the same action as goal-directed even in the absence of the outcome in another context. Our control condition shows that prior experience with the action, but without the salient effect, does not lead to goal-directed interpretation of the novel action. We also found that, for the case of 9-month-olds infants, prior experience with the outcome producing potential of the novel action does not facilitate a goal-directed interpretation of the action. However, this failure was possibly due to difficulties with generalizing the learnt association to another context rather than with linking the action to its outcome. Copyright © 2014 Elsevier Inc. All rights reserved.

Introduction to bifactor polytomous item response theory analysis.

PubMed

Toland, Michael D; Sulis, Isabella; Giambona, Francesca; Porcu, Mariano; Campbell, Jonathan M

2017-02-01

A bifactor item response theory model can be used to aid in the interpretation of the dimensionality of a multifaceted questionnaire that assumes continuous latent variables underlying the propensity to respond to items. This model can be used to describe the locations of people on a general continuous latent variable as well as on continuous orthogonal specific traits that characterize responses to groups of items. The bifactor graded response (bifac-GR) model is presented in contrast to a correlated traits (or multidimensional GR model) and unidimensional GR model. Bifac-GR model specification, assumptions, estimation, and interpretation are demonstrated with a reanalysis of data (Campbell, 2008) on the Shared Activities Questionnaire. We also show the importance of marginalizing the slopes for interpretation purposes and we extend the concept to the interpretation of the information function. To go along with the illustrative example analyses, we have made available supplementary files that include command file (syntax) examples and outputs from flexMIRT, IRTPRO, R, Mplus, and STATA. Supplementary data to this article can be found online at http://dx.doi.org/10.1016/j.jsp.2016.11.001. Data needed to reproduce analyses in this article are available as supplemental materials (online only) in the Appendix of this article. Copyright © 2016 Society for the Study of School Psychology. Published by Elsevier Ltd. All rights reserved.

Diagnostic reliability of MMPI-2 computer-based test interpretations.

PubMed

Pant, Hina; McCabe, Brian J; Deskovitz, Mark A; Weed, Nathan C; Williams, John E

2014-09-01

Reflecting the common use of the MMPI-2 to provide diagnostic considerations, computer-based test interpretations (CBTIs) also typically offer diagnostic suggestions. However, these diagnostic suggestions can sometimes be shown to vary widely across different CBTI programs even for identical MMPI-2 profiles. The present study evaluated the diagnostic reliability of 6 commercially available CBTIs using a 20-item Q-sort task developed for this study. Four raters each sorted diagnostic classifications based on these 6 CBTI reports for 20 MMPI-2 profiles. Two questions were addressed. First, do users of CBTIs understand the diagnostic information contained within the reports similarly? Overall, diagnostic sorts of the CBTIs showed moderate inter-interpreter diagnostic reliability (mean r = .56), with sorts for the 1/2/3 profile showing the highest inter-interpreter diagnostic reliability (mean r = .67). Second, do different CBTIs programs vary with respect to diagnostic suggestions? It was found that diagnostic sorts of the CBTIs had a mean inter-CBTI diagnostic reliability of r = .56, indicating moderate but not strong agreement across CBTIs in terms of diagnostic suggestions. The strongest inter-CBTI diagnostic agreement was found for sorts of the 1/2/3 profile CBTIs (mean r = .71). Limitations and future directions are discussed. PsycINFO Database Record (c) 2014 APA, all rights reserved.

The effects of belongingness on the Simultaneous Lightness Contrast: a virtual reality study.

PubMed

Soranzo, Alessandro; Lugrin, Jean-Luc; Wilson, Christopher J

2013-06-28

Simultaneous Lightness Contrast (SLC) is the phenomenon whereby a grey patch on a dark background appears lighter than an equal patch on a light background. Interestingly, the lightness difference between these patches undergoes substantial augmentation when the two backgrounds are patterned, thereby forming the articulated-SLC display. There are two main interpretations of these phenomena: The mid-level interpretation maintains that the visual system groups the luminance within a set of contiguous frameworks, whilst the high-level one claims that the visual system splits the luminance into separate overlapping layers corresponding to separate physical contributions. This research aimed to test these two interpretations by systematically manipulating the viewing distance and the horizontal distance between the backgrounds of both the articulated and plain SLC displays. An immersive 3D Virtual Reality system was employed to reproduce identical alignment and distances, as well as isolating participants from interfering luminance. Results showed that reducing the viewing distance resulted in increased contrast in both the plain- and articulated-SLC displays and that, increasing the horizontal distance between the backgrounds resulted in decreased contrast in the articulated condition but increased contrast in the plain condition. These results suggest that a comprehensive lightness theory should combine the two interpretations. Crown Copyright © 2013. Published by Elsevier Ltd. All rights reserved.

Health literacy, numeracy, and interpretation of graphical breast cancer risk estimates.

PubMed

Brown, Sandra M; Culver, Julie O; Osann, Kathryn E; MacDonald, Deborah J; Sand, Sharon; Thornton, Andrea A; Grant, Marcia; Bowen, Deborah J; Metcalfe, Kelly A; Burke, Harry B; Robson, Mark E; Friedman, Susan; Weitzel, Jeffrey N

2011-04-01

Health literacy and numeracy are necessary to understand health information and to make informed medical decisions. This study explored the relationships among health literacy, numeracy, and ability to accurately interpret graphical representations of breast cancer risk. Participants (N=120) were recruited from the Facing Our Risk of Cancer Empowered (FORCE) membership. Health literacy and numeracy were assessed. Participants interpreted graphs depicting breast cancer risk, made hypothetical treatment decisions, and rated preference of graphs. Most participants were Caucasian (98%) and had completed at least one year of college (93%). Fifty-two percent had breast cancer, 86% had a family history of breast cancer, and 57% had a deleterious BRCA gene mutation. Mean health literacy score was 65/66; mean numeracy score was 4/6; and mean graphicacy score was 9/12. Education and numeracy were significantly associated with accurate graph interpretation (r=0.42, p<0.001 and r=0.65, p<0.001, respectively). However, after adjusting for numeracy in multivariate linear regression, education added little to the prediction of graphicacy (r(2)=0.41 versus 0.42, respectively). In our highly health-literate population, numeracy was predictive of graphicacy. Effective risk communication strategies should consider the impact of numeracy on graphicacy and patient understanding. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

A new framework to enhance the interpretation of external validation studies of clinical prediction models.

PubMed

Debray, Thomas P A; Vergouwe, Yvonne; Koffijberg, Hendrik; Nieboer, Daan; Steyerberg, Ewout W; Moons, Karel G M

2015-03-01

It is widely acknowledged that the performance of diagnostic and prognostic prediction models should be assessed in external validation studies with independent data from "different but related" samples as compared with that of the development sample. We developed a framework of methodological steps and statistical methods for analyzing and enhancing the interpretation of results from external validation studies of prediction models. We propose to quantify the degree of relatedness between development and validation samples on a scale ranging from reproducibility to transportability by evaluating their corresponding case-mix differences. We subsequently assess the models' performance in the validation sample and interpret the performance in view of the case-mix differences. Finally, we may adjust the model to the validation setting. We illustrate this three-step framework with a prediction model for diagnosing deep venous thrombosis using three validation samples with varying case mix. While one external validation sample merely assessed the model's reproducibility, two other samples rather assessed model transportability. The performance in all validation samples was adequate, and the model did not require extensive updating to correct for miscalibration or poor fit to the validation settings. The proposed framework enhances the interpretation of findings at external validation of prediction models. Copyright © 2015 The Authors. Published by Elsevier Inc. All rights reserved.

Does cardiac catheterization laboratory activation by electrocardiography machine auto-interpretation reduce door-to-balloon time?

PubMed

Min, Mun Ki; Ryu, Ji Ho; Kim, Yong In; Park, Maeng Real; Park, Yong Myeon; Park, Sung Wook; Yeom, Seok Ran; Han, Sang Kyoon; Kim, Yang Weon

2014-11-01

In an attempt to begin ST-segment elevation myocardial infarction (STEMI) treatment more quickly (referred to as door-to-balloon [DTB] time) by minimizing preventable delays in electrocardiogram (ECG) interpretation, cardiac catheterization laboratory (CCL) activation was changed from activation by the emergency physician (code heart I) to activation by a single page if the ECG is interpreted as STEMI by the ECG machine (ECG machine auto-interpretation) (code heart II). We sought to determine the impact of ECG machine auto-interpretation on CCL activation. The study period was from June 2010 to May 2012 (from June to November 2011, code heart I; from December 2011 to May 2012, code heart II). All patients aged 18 years or older who were diagnosed with STEMI were evaluated for enrollment. Patients who experienced the code heart system were also included. Door-to-balloon time before and after code heart system were compared with a retrospective chart review. In addition, to determine the appropriateness of the activation, we compared coronary angiography performance rate and percentage of STEMI between code heart I and II. After the code heart system, the mean DTB time was significantly decreased (before, 96.51 ± 65.60 minutes; after, 65.40 ± 26.40 minutes; P = .043). The STEMI diagnosis and the coronary angiography performance rates were significantly lower in the code heart II group than in the code heart I group without difference in DTB time. Cardiac catheterization laboratory activation by ECG machine auto-interpretation does not reduce DTB time and often unnecessarily activates the code heart system compared with emergency physician-initiated activation. This system therefore decreases the appropriateness of CCL activation. Copyright © 2014 Elsevier Inc. All rights reserved.

Influences of Radiology Trainees on Screening Mammography Interpretation.

PubMed

Hawley, Jeffrey R; Taylor, Clayton R; Cubbison, Alyssa M; Erdal, B Selnur; Yildiz, Vedat O; Carkaci, Selin

2016-05-01

Participation of radiology trainees in screening mammographic interpretation is a critical component of radiology residency and fellowship training. The aim of this study was to investigate and quantify the effects of trainee involvement on screening mammographic interpretation and diagnostic outcomes. Screening mammograms interpreted at an academic medical center by six dedicated breast imagers over a three-year period were identified, with cases interpreted by an attending radiologist alone or in conjunction with a trainee. Trainees included radiology residents, breast imaging fellows, and fellows from other radiology subspecialties during breast imaging rotations. Trainee participation, patient variables, results of diagnostic evaluations, and pathology were recorded. A total of 47,914 mammograms from 34,867 patients were included, with an overall recall rate for attending radiologists reading alone of 14.7% compared with 18.0% when involving a trainee (P < .0001). Overall cancer detection rate for attending radiologists reading alone was 5.7 per 1,000 compared with 5.2 per 1,000 when reading with a trainee (P = .517). When reading with a trainee, dense breasts represented a greater portion of recalls (P = .0001), and more frequently, greater than one abnormality was described in the breast (P = .013). Detection of ductal carcinoma in situ versus invasive carcinoma or invasive cancer type was not significantly different. The mean size of cancers in patients recalled by attending radiologists alone was smaller, and nodal involvement was less frequent, though not statistically significantly. These results demonstrate a significant overall increase in recall rate when interpreting screening mammograms with radiology trainees, with no change in cancer detection rate. Radiology faculty members should be aware of this potentiality and mitigate tendencies toward greater false positives. Copyright © 2016 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Enhancing interpretability of automatically extracted machine learning features: application to a RBM-Random Forest system on brain lesion segmentation.

PubMed

Pereira, Sérgio; Meier, Raphael; McKinley, Richard; Wiest, Roland; Alves, Victor; Silva, Carlos A; Reyes, Mauricio

2018-02-01

Machine learning systems are achieving better performances at the cost of becoming increasingly complex. However, because of that, they become less interpretable, which may cause some distrust by the end-user of the system. This is especially important as these systems are pervasively being introduced to critical domains, such as the medical field. Representation Learning techniques are general methods for automatic feature computation. Nevertheless, these techniques are regarded as uninterpretable "black boxes". In this paper, we propose a methodology to enhance the interpretability of automatically extracted machine learning features. The proposed system is composed of a Restricted Boltzmann Machine for unsupervised feature learning, and a Random Forest classifier, which are combined to jointly consider existing correlations between imaging data, features, and target variables. We define two levels of interpretation: global and local. The former is devoted to understanding if the system learned the relevant relations in the data correctly, while the later is focused on predictions performed on a voxel- and patient-level. In addition, we propose a novel feature importance strategy that considers both imaging data and target variables, and we demonstrate the ability of the approach to leverage the interpretability of the obtained representation for the task at hand. We evaluated the proposed methodology in brain tumor segmentation and penumbra estimation in ischemic stroke lesions. We show the ability of the proposed methodology to unveil information regarding relationships between imaging modalities and extracted features and their usefulness for the task at hand. In both clinical scenarios, we demonstrate that the proposed methodology enhances the interpretability of automatically learned features, highlighting specific learning patterns that resemble how an expert extracts relevant data from medical images. Copyright © 2017 Elsevier B.V. All rights reserved.

Reply to 'On the reliability of the CD123-endowed basophil activation test (BAT) and its application in food allergy'.

PubMed

Appel, Michael Y; Nachshon, Liat; Elizur, Arnon; Levy, Michael B; Katz, Yitzhak; Goldberg, Michael R

2018-06-19

In response to the comments of Chirumbolo et al. concerning our recent paper 1 , we note that this group has published comments with similar concerns, in reply to various papers over the past several years 2-9 . Their general concern is that basophil gating strategies employed for the basophil activation test (BAT) vary between different publications, with potential for nonmaximal basophil purity to affect the interpretation of the BAT and thus its overall accuracy. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

Interpretation of remotely downloaded pocket-size cardiac ultrasound images on a web-enabled smartphone: validation against workstation evaluation.

PubMed

Choi, Brian G; Mukherjee, Monica; Dala, Praveen; Young, Heather A; Tracy, Cynthia M; Katz, Richard J; Lewis, Jannet F

2011-12-01

Pocket-size ultrasound has increased echocardiographic portability, but expert point-of-care interpretation may not be readily available. The aim of this study was to test the hypothesis that remote interpretation on a smartphone with dedicated medical imaging software can be as accurate as on a workstation. Eighty-nine patients in a remote Honduran village underwent echocardiography by a nonexpert using a pocket-size ultrasound device. Images were sent for verification of point-of-care diagnosis to two expert echocardiographers in the United States reading on a workstation. Studies were then anonymized, randomly ordered, and reinterpreted on a smartphone with a dedicated, Health Insurance Portability and Accountability Act-compliant application. Point-of-care diagnosis was considered accurate if any abnormal finding was matched and categorized at the same level of severity (mild, moderate, or severe) by either expert interpretation. The mean age was 54 ± 23 years, and 57% of patients were women. The most common indications for echocardiography were arrhythmia (33%), cardiomyopathy (28%), and syncope (15%). Using the workstation, point-of-care diagnoses were changed in 38% of cases by expert overread (41% left ventricular function correction, 38% valvulopathy correction, 18% poor image quality). Expert interobserver agreement was excellent at 82%, with a Cohen's κ value of 0.82 (95% confidence interval, 0.70-0.94). Intraobserver agreement comparing interpretations on workstations and smartphones was 90%, with a Cohen's κ value of 0.86 (95% confidence interval, 0.76-0.97), signifying excellent intertechnology agreement. Remote expert echocardiographic interpretation can provide backup support to point-of-care diagnosis by nonexperts when read on a dedicated smartphone-based application. Mobile-to-mobile consultation may improve access in previously inaccessible locations to accurate echocardiographic interpretation by experienced cardiologists. Copyright © 2011 American Society of Echocardiography. Published by Mosby, Inc. All rights reserved.

Communication when patients are conscious during respirator treatment--a hermeneutic observation study.

PubMed

Karlsson, Veronika; Forsberg, Anna; Bergbom, Ingegerd

2012-08-01

The aim of this study was to observe, interpret and describe nurses' communication with conscious patients receiving mechanical ventilation treatment (MVT) in an intensive care unit (ICU), and to examine if such communication could be interpreted as caring. Hermeneutic observational study inspired by the philosophy of Gadamer. Nineteen patients were observed on several occasions for a total of 66 hours, when conscious during MVT. A form of caring communication was identified and interpreted as comprising seven themes: being attentive and watchful, being inclusive and involving, being connected, remaining close, being reassuring and providing security, keeping company and using humour and using a friendly approach. Communication that mediated a non-caring approach was also identified and described under two thematic headings, i.e. being neglectful and being absent. Caring is communicated by the caring act of "standing-by" the patient. Caring or non-caring is communicated in non-verbal and verbal communication, in the words used, the tone of voice and behaviour, as well as in the performance of nursing care activities. Copyright © 2011 Elsevier Ltd. All rights reserved.

Using computerised interactive response technology to assess electrocardiographers and for aggregating diagnoses.

PubMed

Peace, Aaron; Ramsewak, Adesh; Cairns, Andrew; Finlay, Dewar; Guldenring, Daniel; Clifford, Gari; Bond, Raymond

2015-01-01

The 12-lead electrocardiogram (ECG) is a crucial diagnostic tool. However, the ideal method to assess competency in ECG interpretation remains unclear. We sought to evaluate whether keypad response technology provides a rapid, interactive way to assess ECG knowledge. 75 participants were enrolled [32 (43%) Primary Care Physicians, 24 (32%) Hospital Medical Staff and 19 (25%) Nurse Practitioners]. Nineteen ECGs with 4 possible answers were interpreted. Out of 1425 possible decisions 1054 (73.9%) responses were made. Only 570/1425 (40%) of the responses were correct. Diagnostic accuracy varied (0% to 78%, mean 42%±21%) across the entire cohort. Participation was high, (median 83%, IQR 50%-100%). Hospital Medical Staff had significantly higher diagnostic accuracy than nurse practitioners (50±20% vs. 38±19%, p=0.04) and Primary Care Physicians (50±20% vs. 40±21%, p=0.07) although not significant. Interactive voting systems can be rapidly and successfully used to assess ECG interpretation. Further education is necessary to improve diagnostic accuracy. Crown Copyright © 2015. Published by Elsevier Inc. All rights reserved.

A data-driven approach for quality assessment of radiologic interpretations.

PubMed

Hsu, William; Han, Simon X; Arnold, Corey W; Bui, Alex At; Enzmann, Dieter R

2016-04-01

Given the increasing emphasis on delivering high-quality, cost-efficient healthcare, improved methodologies are needed to measure the accuracy and utility of ordered diagnostic examinations in achieving the appropriate diagnosis. Here, we present a data-driven approach for performing automated quality assessment of radiologic interpretations using other clinical information (e.g., pathology) as a reference standard for individual radiologists, subspecialty sections, imaging modalities, and entire departments. Downstream diagnostic conclusions from the electronic medical record are utilized as "truth" to which upstream diagnoses generated by radiology are compared. The described system automatically extracts and compares patient medical data to characterize concordance between clinical sources. Initial results are presented in the context of breast imaging, matching 18 101 radiologic interpretations with 301 pathology diagnoses and achieving a precision and recall of 84% and 92%, respectively. The presented data-driven method highlights the challenges of integrating multiple data sources and the application of information extraction tools to facilitate healthcare quality improvement. © The Author 2015. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Shared function knowledge: infants' attention to function information in communicative contexts.

PubMed

Träuble, Birgit; Bätz, Johannes

2014-08-01

Humans are specifically adapted to knowledge acquisition and transfer by social communication. According to natural pedagogy theory, infants are highly sensitive to signals that indicate a teacher's communicative intention and are biased to interpret communicative contexts as conveying relevant and generalizable knowledge that is also shared by other conspecifics. We investigated whether infants as young as 12 months interpret ostensively communicated object-directed emotion expressions as generalizable and shareable with others. Given that young infants pay particular attention to information about objects' functions, we were interested in whether the shareability assumption also holds for emotional attitudes toward functional features of unfamiliar objects. The results suggest that 12-month-olds (N=80) flexibly interpret another person's emotion displays toward unfamiliar artifacts either as object-centered and generalizable attitudes or as person-centered subjective attitudes, depending on the communicative characteristics of the learning context. Furthermore, the transfer of ostensively communicated information about the artifacts depended on their functional usability, which is consistent with infants' early sensitivity to function information in various areas of cognitive development. Copyright © 2014 Elsevier Inc. All rights reserved.

Electrocardiographic intricacies clarified by echocardiography--should the electrocardiogram be interpreted echocardiographically?

PubMed

Ker, James

2012-07-12

During the past century the electrocardiogram (ECG) has established itself as an integral part of the cardiovascular examination. Since the first direct recordings of cardiac potentials by Waller in 1887, to the invention of the string galvanometer by Willem Einthoven in 1901, to use in the clinic by 1910, the electrocardiogram has become the most widely used clinical tool in the diagnosis of virtually every type of heart disease. Currently up to 20 million ECGs are performed annually in the United States alone. However, in this era of readily available echocardiography, an important caveat in the interpretation of the electrocardiogram has emerged: variants of intracardiac structures which might mimic disease on the ECG. In this perspective various structural variants of intracardiac structures, specifically variants of papillary muscles and subaortic muscular bands, will be shown, together with their associated electrocardiographic changes, mimicking disease. It is concluded that in this era of readily available echocardiography, the electrocardiogram should be interpreted echocardiographically in instances where intricate variations are seen on the surface electrocardiogram. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

Factor structure of the Wechsler Intelligence Scale for Children-Fifth Edition: Exploratory factor analyses with the 16 primary and secondary subtests.

PubMed

Canivez, Gary L; Watkins, Marley W; Dombrowski, Stefan C

2016-08-01

The factor structure of the 16 Primary and Secondary subtests of the Wechsler Intelligence Scale for Children-Fifth Edition (WISC-V; Wechsler, 2014a) standardization sample was examined with exploratory factor analytic methods (EFA) not included in the WISC-V Technical and Interpretive Manual (Wechsler, 2014b). Factor extraction criteria suggested 1 to 4 factors and results favored 4 first-order factors. When this structure was transformed with the Schmid and Leiman (1957) orthogonalization procedure, the hierarchical g-factor accounted for large portions of total and common variance while the 4 first-order factors accounted for small portions of total and common variance; rendering interpretation at the factor index level less appropriate. Although the publisher favored a 5-factor model where the Perceptual Reasoning factor was split into separate Visual Spatial and Fluid Reasoning dimensions, no evidence for 5 factors was found. It was concluded that the WISC-V provides strong measurement of general intelligence and clinical interpretation should be primarily, if not exclusively, at that level. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

The value of fame: preadolescent perceptions of popular media and their relationship to future aspirations.

PubMed

Uhls, Yalda T; Greenfield, Patricia M

2012-03-01

In line with Greenfield's (2009) theory of social change and human development, current popular preadolescent TV shows suggest that fame, an individualistic goal, is an important and achievable aspiration (Uhls & Greenfield, 2011). Such messages may be particularly salient for preadolescents, ages 10-12. This study used focus groups and mixed analytic methods (qualitative and quantitative) to examine how popular media, passive and interactive, are interpreted by preadolescents and how their interpretations relate to their media practices and future goals. Quantitative analysis revealed that fame was the number one value, selected as the most important value for participants' future goals significantly more frequently than expected by chance. Qualitative analysis of focus group discourse suggested that (a) youth absorb messages in their media environment regarding fame as a future goal and (b) their interpretations of these messages highlight the importance and value of public recognition. Enacting the value of fame, the majority of preadolescent participants use online video sharing sites (e.g., YouTube) to seek an audience beyond their immediate community. PsycINFO Database Record (c) 2012 APA, all rights reserved.

The visual attention span deficit in dyslexia is visual and not verbal.

PubMed

Lobier, Muriel; Zoubrinetzky, Rachel; Valdois, Sylviane

2012-06-01

The visual attention (VA) span deficit hypothesis of dyslexia posits that letter string deficits are a consequence of impaired visual processing. Alternatively, some have interpreted this deficit as resulting from a visual-to-phonology code mapping impairment. This study aims to disambiguate between the two interpretations by investigating performance in a non-verbal character string visual categorization task with verbal and non-verbal stimuli. Results show that VA span ability predicts performance for the non-verbal visual processing task in normal reading children. Furthermore, VA span impaired dyslexic children are also impaired for the categorization task independently of stimuli type. This supports the hypothesis that the underlying impairment responsible for the VA span deficit is visual, not verbal. Copyright © 2011 Elsevier Srl. All rights reserved.

Revealing plant cryptotypes: defining meaningful phenotypes among infinite traits.

PubMed

Chitwood, Daniel H; Topp, Christopher N

2015-04-01

The plant phenotype is infinite. Plants vary morphologically and molecularly over developmental time, in response to the environment, and genetically. Exhaustive phenotyping remains not only out of reach, but is also the limiting factor to interpreting the wealth of genetic information currently available. Although phenotyping methods are always improving, an impasse remains: even if we could measure the entirety of phenotype, how would we interpret it? We propose the concept of cryptotype to describe latent, multivariate phenotypes that maximize the separation of a priori classes. Whether the infinite points comprising a leaf outline or shape descriptors defining root architecture, statistical methods to discern the quantitative essence of an organism will be required as we approach measuring the totality of phenotype. Copyright © 2015 Elsevier Ltd. All rights reserved.

Sibling composition, executive function, and children's thinking about mental diversity.

PubMed

Kennedy, Katie; Lagattuta, Kristin Hansen; Sayfan, Liat

2015-04-01

Prior investigations of relations between sibling composition and theory of mind have focused almost exclusively on false belief understanding in children 6 years of age and younger. The current work expands previous research by examining whether sibling composition predicts 4- to 11-year-olds' (N=192) more advanced mental state reasoning on interpretive theory of mind tasks. Even when controlling for age and executive function, children with a greater number of older siblings or with more same-sex siblings demonstrated stronger knowledge in both their predictions and explanations that people with different past experiences can have diverse interpretations of ambiguous stimuli. These data provide some of the first documentation of sibling constellations that predict individual differences in theory of mind during middle childhood. Copyright © 2014 Elsevier Inc. All rights reserved.

The morpho-mechanical basis of ammonite form.

PubMed

Moulton, D E; Goriely, A; Chirat, R

2015-01-07

Ammonites are a group of extinct cephalopods that garner tremendous interest over a range of scientific fields and have been a paradigm for biochronology, palaeobiology, and evolutionary theories. Their defining feature is the spiral geometry and ribbing pattern through which palaeontologists infer phylogenetic relationships and evolutionary trends. Here, we develop a morpho-mechanical model for ammonite morphogenesis. While a wealth of observations have been compiled on ammonite form, and several functional interpretations may be found, this study presents the first quantitative model to explain rib formation. Our approach, based on fundamental principles of growth and mechanics, gives a natural explanation for the morphogenesis and diversity of ribs, uncovers intrinsic laws linking ribbing and shell geometry, and provides new opportunities to interpret ammonites' and other mollusks' evolution. Copyright © 2014 Elsevier Ltd. All rights reserved.

Solvent effect on the vibrational spectra of Carvedilol.

PubMed

Billes, Ferenc; Pataki, Hajnalka; Unsalan, Ozan; Mikosch, Hans; Vajna, Balázs; Marosi, György

2012-09-01

Carvedilol (CRV) is an important medicament for heart arrhythmia. The aim of this work was the interpretation of its vibrational spectra with consideration on the solvent effect. Infrared and Raman spectra were recorded in solid state as well in solution. The experimental spectra were evaluated using DFT quantum chemical calculations computing the optimized structure, atomic net charges, vibrational frequencies and force constants. The same calculations were done for the molecule in DMSO and aqueous solutions applying the PCM method. The calculated force constants were scaled to the experimentally observed solid state frequencies. The characters of the vibrational modes were determined by their potential energy distributions. Solvent effects on the molecular properties were interpreted. Based on these results vibrational spectra were simulated. Copyright © 2012 Elsevier B.V. All rights reserved.

Connectionist interpretation of the association between cognitive dissonance and attention switching.

PubMed

Matsumoto, Takao

2014-12-01

A novel connectionist model accounting for cognitive dissonance is described, in which the concepts of self and attention switching are considered. The model is composed of a unit corresponding to self, a bistable pair comprising two units relevant to two dissonant cognitions, and links whose weights correspond to cognitive evaluations. The model makes it possible to use mathematical formulas to represent the cognitive-dissonance process. Analysis reveals that the model fits experimental data of major paradigms in cognitive dissonance theory. The model shows that attention switching, which is produced by internal and external stimuli, causes building-up of cognitive dissonance and retardation of its reduction. The psychological phenomenon of selective exposure is interpreted on the basis of the operation of the model. Copyright © 2014 Elsevier Ltd. All rights reserved.

Management of cyanide toxicity in patients with burns.

PubMed

MacLennan, Louise; Moiemen, Naiem

2015-02-01

The importance of cyanide toxicity as a component of inhalational injury in patients with burns is increasingly being recognised, and its prompt recognition and management is vital for optimising burns survival. The evidence base for the use of cyanide antidotes is limited by a lack of randomised controlled trials in humans, and in addition consideration must be given to the concomitant pathophysiological processes in patients with burns when interpreting the literature. We present a literature review of the evidence base for cyanide antidotes with interpretation in the context of patients with burns. We conclude that hydroxycobalamin should be utilised as the first-line antidote of choice in patients with burns with inhalational injury where features consistent with cyanide toxicity are present. Copyright © 2014 Elsevier Ltd and ISBI. All rights reserved.

Newborn screening for proximal urea cycle disorders: Current evidence supporting recommendations for newborn screening.

PubMed

Merritt, J Lawrence; Brody, Linnea L; Pino, Gisele; Rinaldo, Piero

2018-04-20

Current newborn screening (NBS) for urea cycle disorders (UCD) is incomplete as only distal UCDs are included in most NBS programs by measuring elevated amino acid concentrations. NBS for the proximal UCDs involves the detection in NBS spots of low citrulline values, a finding which is often overlooked because it is considered to be inadequate. We retrospectively analyzed NBS blood spots from known UCD patients comparing the utility of the Region 4 Stork (R4S) interpretive tools to conventional cutoff based interpretation. This study shows the utility of R4S tools in detecting all UCDs, and provides evidence to support the nomination to add proximal UCDs to the recommended uniform screening panel. Copyright © 2018 Elsevier Inc. All rights reserved.

[Post-mortem microbiology analysis].

PubMed

Fernández-Rodríguez, Amparo; Alberola, Juan; Cohen, Marta Cecilia

2013-12-01

Post-mortem microbiology is useful in both clinical and forensic autopsies, and allows a suspected infection to be confirmed. Indeed, it is routinely applied to donor studies in the clinical setting, as well as in sudden and unexpected death in the forensic field. Implementation of specific sampling techniques in autopsy can minimize the possibility of contamination, making interpretation of the results easier. Specific interpretation criteria for post-mortem cultures, the use of molecular diagnosis, and its fusion with molecular biology and histopathology have led to post-mortem microbiology playing a major role in autopsy. Multidisciplinary work involving microbiologists, pathologists, and forensic physicians will help to improve the achievements of post-mortem microbiology, prevent infectious diseases, and contribute to a healthier population. Crown Copyright © 2012. Published by Elsevier Espana. All rights reserved.

An investigation of African American and European American students' perception of teaching behavior.

PubMed

Cauley, Bridget; Immekus, Jason C; Pössel, Patrick

2017-12-01

Teaching behaviors are associated with a range of student academic and mental health outcomes. Substantial academic, school disciplinary, and mental health disparities across African American and European American students suggest that diverse students may view and interpret teaching behaviors differently. The Teaching Behavior Questionnaire measures students' perceptions of teaching behaviors. The purpose of the current study was to examine the scale's factor structure among European American high school students using exploratory factor analysis and, subsequently, cross-validate using confirmatory factor analysis based on African American student data. Results supported reconceptualizing the scale according to a three-factor model in both groups. Implications related to the interpretation and use of scores are discussed. Copyright © 2017 Society for the Study of School Psychology. Published by Elsevier Ltd. All rights reserved.

Installation Restoration Program Phase 1 - Records Search, O’Hare Air Reserve Forces Facility, Illinois

DTIC Science & Technology

1983-12-01

clarifiers, activated sludge units, trickling filters, aerobic and anaerobic digesters, and various dowatering devices and recommendations for...for locations of water- bearing fractures. Additional responsibilities included drilling with mud and air rotary drilling rigs as well as bucket auger...interpretation. Also conducted earth resistivity surveys in Georgia and Alabama Piedmont Provinces for locations of water- bearing fractures. Additional

Marine Forces Reserve: Accelerating Knowledge Flow through Asynchronous Learning Technologies

DTIC Science & Technology

2014-12-19

pedagogic techniques that are infeasible in the classroom, and they suggest that in some respects technologically intermediated learning can be even better...appropriate for this research (Yin, 1994). We employ multiple techniques for data collection in the field. Foremost, through a unique relationship between...initial interpretations are both grounded firmly in the data and meaningful to organization participants. The Researchers’ relationship with the focal

Decades of transition for the US reserves: changing demands on reserve identity and mental well-being.

PubMed

Griffith, James

2011-04-01

The US strategic defence policy has undergone dramatic changes in the last two decades, with more recent changes having placed increased demands on members of the reserve components. Rapid and often unexpected call-ups of reserves for operational missions, both domestic and international, required meeting standards for mobilization and deployment. Standards were in place but not necessarily met. Mobilizations pointed to several areas of unpreparedness; at first, obvious areas, such as members being physically unfit, inadequately trained and improperly equipped and less than competent unit leaders; and later, less obvious areas, in particular, emergent personal adjustment problems. During these mobilizations, unique consequences of stressors on individual reservists were evident, including worries about family and civilian job during deployment, adjustments to returning and reintegration, post-deployment post-traumatic stress disorder and related symptoms, and now suicide. Some have explained these findings, though lacking is a broad explanatory framework. Reserve identity is offered as a preliminary concept to interpret reservists' deployment experiences, post-deployment adjustment, and associated mental health needs, providing a basis for preventive intervention strategies.

Comments on the New International Criteria for Electrocardiographic Interpretation in Athletes.

PubMed

Serratosa-Fernández, Luis; Pascual-Figal, Domingo; Masiá-Mondéjar, María Dolores; Sanz-de la Garza, María; Madaria-Marijuan, Zigor; Gimeno-Blanes, Juan Ramón; Adamuz, Carmen

2017-11-01

Sudden cardiac death is the most common medical cause of death during the practice of sports. Several structural and electrical cardiac conditions are associated with sudden cardiac death in athletes, most of them showing abnormal findings on resting electrocardiogram (ECG). However, because of the similarity between some ECG findings associated with physiological adaptations to exercise training and those of certain cardiac conditions, ECG interpretation in athletes is often challenging. Other factors related to ECG findings are race, age, sex, sports discipline, training intensity, and athletic background. Specific training and experience in ECG interpretation in athletes are therefore necessary. Since 2005, when the first recommendations of the European Society of Cardiology were published, growing scientific evidence has increased the specificity of ECG standards, thus lowering the false-positive rate while maintaining sensitivity. New international consensus guidelines have recently been published on ECG interpretation in athletes, which are the result of consensus among a group of experts in cardiology and sports medicine who gathered for the first time in February 2015 in Seattle, in the United States. The document is an important milestone because, in addition to updating the standards for ECG interpretation, it includes recommendations on appropriate assessment of athletes with abnormal ECG findings. The present article reports and discusses the most novel and relevant aspects of the new standards. Nevertheless, a complete reading of the original consensus document is highly recommended. Copyright © 2017 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved.

Multi-reader ROC studies with split-plot designs: a comparison of statistical methods.

PubMed

Obuchowski, Nancy A; Gallas, Brandon D; Hillis, Stephen L

2012-12-01

Multireader imaging trials often use a factorial design, in which study patients undergo testing with all imaging modalities and readers interpret the results of all tests for all patients. A drawback of this design is the large number of interpretations required of each reader. Split-plot designs have been proposed as an alternative, in which one or a subset of readers interprets all images of a sample of patients, while other readers interpret the images of other samples of patients. In this paper, the authors compare three methods of analysis for the split-plot design. Three statistical methods are presented: the Obuchowski-Rockette method modified for the split-plot design, a newly proposed marginal-mean analysis-of-variance approach, and an extension of the three-sample U-statistic method. A simulation study using the Roe-Metz model was performed to compare the type I error rate, power, and confidence interval coverage of the three test statistics. The type I error rates for all three methods are close to the nominal level but tend to be slightly conservative. The statistical power is nearly identical for the three methods. The coverage of 95% confidence intervals falls close to the nominal coverage for small and large sample sizes. The split-plot multireader, multicase study design can be statistically efficient compared to the factorial design, reducing the number of interpretations required per reader. Three methods of analysis, shown to have nominal type I error rates, similar power, and nominal confidence interval coverage, are available for this study design. Copyright © 2012 AUR. All rights reserved.

Using hermeneutic phenomenology and the ethnographic principle of cultural interpretation with Malaysian nurses.

PubMed

Arunasalam, Nirmala

2018-06-07

The interpretive paradigm and hermeneutic phenomenological design are the most popular methods used in international cross-cultural research in healthcare, nurse education and nursing practice. Their inherent appeal is that they help researchers to explore experiences. The ethnographic principle of cultural interpretation can also be used to provide meaning, clarity and insight. To examine the use of hermeneutic phenomenology and the ethnographic principle of cultural interpretation in a research study conducted with Malaysian nurses on part-time, transnational, post-registration, top-up nursing degree programmes provided by one Australian and two UK universities. To enable the researcher to undertake international cross-cultural research and illuminate Malaysian nurses' views for the reader, cultural aspects need to be considered, as they will influence the information participants provide. Useful strategies that western researchers can adopt to co-create research texts with interviewees are outlined. The paradigm and research designs used in the study revealed the views and experiences of Malaysian nurses. Hermeneutic phenomenology enabled the exploration of participants' experiences, and the ethnographic principle of cultural interpretation enabled the researcher's reflexivity to provide emic and etic views for the reader. This paper adds to the discussion of the paradigms and research designs used for international, cross-cultural research in Asia. It identifies the influence participants' cultural values have on their confidence and level of disclosure with western researchers. ©2018 RCN Publishing Company Ltd. All rights reserved. Not to be copied, transmitted or recorded in any way, in whole or part, without prior permission of the publishers.

Moral mediation in interpreted health care consultations.

PubMed

Seale, Clive; Rivas, Carol; Al-Sarraj, Hela; Webb, Sarah; Kelly, Moira

2013-12-01

This paper reports on the moral work done in routine diabetes review consultations in primary care with nurses. Consultations with fluent English speakers are compared with consultations where an interpreter was present, largely involving patients of Bangladeshi origin. The study setting was Tower Hamlets in London, where type 2 diabetes is particularly common. Existing research has shown some dissatisfaction with diabetes care amongst Bangladeshi patients, and studies of care providers in other locations suggest that they at times experience the care of this group as particularly challenging. Through analysis of video-recorded consultations recorded in 2010-2011 we shed light on possible reasons for these difficulties. The 12 non-English speakers often experienced difficulties in raising issues that concerned them, particularly if their interpreter did not translate their utterance because it was deemed to be unrelated to diabetes. These difficulties were not shared by the 24 fluent English speakers, who also found it easier to convey a positive moral reputation and to excuse behaviour that deviated from recommended self-management practices. Interpreters at times also acted as moral mediators. For example, where a participant in the consultation made statements that appeared to convey a negative moral judgement of an other participant, these would often go untranslated. Probably, neither health care providers nor patients are fully aware of the nature of their communication difficulties. Given this, interpreters possess considerable power to influence matters. Understanding the moral work of consultations is important in explaining the findings of other studies showing difficulties in the provision of diabetes care to people with limited English language skills. Copyright © 2013 Elsevier Ltd. All rights reserved.

Building interpretable predictive models for pediatric hospital readmission using Tree-Lasso logistic regression.

PubMed

Jovanovic, Milos; Radovanovic, Sandro; Vukicevic, Milan; Van Poucke, Sven; Delibasic, Boris

2016-09-01

Quantification and early identification of unplanned readmission risk have the potential to improve the quality of care during hospitalization and after discharge. However, high dimensionality, sparsity, and class imbalance of electronic health data and the complexity of risk quantification, challenge the development of accurate predictive models. Predictive models require a certain level of interpretability in order to be applicable in real settings and create actionable insights. This paper aims to develop accurate and interpretable predictive models for readmission in a general pediatric patient population, by integrating a data-driven model (sparse logistic regression) and domain knowledge based on the international classification of diseases 9th-revision clinical modification (ICD-9-CM) hierarchy of diseases. Additionally, we propose a way to quantify the interpretability of a model and inspect the stability of alternative solutions. The analysis was conducted on >66,000 pediatric hospital discharge records from California, State Inpatient Databases, Healthcare Cost and Utilization Project between 2009 and 2011. We incorporated domain knowledge based on the ICD-9-CM hierarchy in a data driven, Tree-Lasso regularized logistic regression model, providing the framework for model interpretation. This approach was compared with traditional Lasso logistic regression resulting in models that are easier to interpret by fewer high-level diagnoses, with comparable prediction accuracy. The results revealed that the use of a Tree-Lasso model was as competitive in terms of accuracy (measured by area under the receiver operating characteristic curve-AUC) as the traditional Lasso logistic regression, but integration with the ICD-9-CM hierarchy of diseases provided more interpretable models in terms of high-level diagnoses. Additionally, interpretations of models are in accordance with existing medical understanding of pediatric readmission. Best performing models have similar performances reaching AUC values 0.783 and 0.779 for traditional Lasso and Tree-Lasso, respectfully. However, information loss of Lasso models is 0.35 bits higher compared to Tree-Lasso model. We propose a method for building predictive models applicable for the detection of readmission risk based on Electronic Health records. Integration of domain knowledge (in the form of ICD-9-CM taxonomy) and a data-driven, sparse predictive algorithm (Tree-Lasso Logistic Regression) resulted in an increase of interpretability of the resulting model. The models are interpreted for the readmission prediction problem in general pediatric population in California, as well as several important subpopulations, and the interpretations of models comply with existing medical understanding of pediatric readmission. Finally, quantitative assessment of the interpretability of the models is given, that is beyond simple counts of selected low-level features. Copyright © 2016 Elsevier B.V. All rights reserved.

Using a cultural-ecological framework to explore dietary beliefs and practices during pregnancy and lactation among women in Adivasi communities in the Nilgiris Biosphere Reserve, India.

PubMed

Craig, Hope C; Jeyanthi, R; Pelto, Gretel; Willford, Andrew C; Stoltzfus, Rebecca J

2018-01-01

This article explores maternal dietary beliefs and practices gathered through interviews with mothers of infants and young children in Adivasi communities in the Nilgiris Biosphere Reserve, India. Guided by focused ethnographic study methods, interviews were conducted with 33 key informants. We used a cultural-ecological framework to analyze and interpret the texts that were elicited from women about dietary beliefs and eating patterns during pregnancy and lactation. We identify differences between what women were advised to eat, felt they should eat, and reported consuming. The findings offer guidance for interventions to improve maternal diets in this vulnerable population.

Modifying interpretation biases in body dysmorphic disorder: Evaluation of a brief computerized treatment.

PubMed

Summers, Berta J; Cougle, Jesse R

2016-12-01

Individuals meeting diagnostic criteria for body dysmorphic disorder (BDD; N = 40) were enrolled in a randomized, four-session trial comparing interpretation bias modification (IBM) training designed to target social evaluation- and appearance-related interpretation biases with a placebo control training condition (PC). Sessions took place over the course of two weeks (two sessions per week). Analyses indicated that, relative to the PC condition, IBM led to a significant increase in benign biases and reduction in threat biases at post-treatment. IBM also led to greater reductions in BDD symptoms compared to PC, though this effect was present at high but not low levels of pre-treatment BDD symptoms. Additionally, compared to PC, IBM led to lower urge to check and lower fear in response to an in vivo appearance-related stressor (having their picture taken from different angles), though the latter effect was present only among those reporting elevated fear at pre-treatment. The effects of treatment on interpretation biases and BDD symptoms were largely maintained at a one-month follow-up assessment. Moderated-mediation analyses showed that change in threat bias mediated the effect of condition on post-treatment symptoms for individuals high in pre-treatment BDD symptoms. The current study provides preliminary support for the efficacy of IBM for BDD. Copyright © 2016 Elsevier Ltd. All rights reserved.

Conceptualising the 'community' as a recipient of money--A critical literature review, and implications for health and inequalities.

PubMed

Reynolds, Joanna; Egan, Matt; Renedo, Alicia; Petticrew, Mark

2015-10-01

There is increasing attention on how money may bring about positive changes to health, and money-based development approaches are becoming more commonplace at the 'community' level, including in high-income countries. However, little attention has been paid to how the 'community' might be varyingly conceptualised in these scenarios, or to the potential implications of this for interpreting the impacts of such health improvement approaches. This paper presents a critical interpretive review of literature presenting different scenarios from high-income countries in which the 'community' receives money, to explore how 'community' is conceptualised in relation to this process. Some texts gave explicit definitions of 'community', but multiple other conceptualisations were interpreted across all texts, conveyed through the construction of 'problematics', and descriptions of how and why money was given. The findings indicate that the flow of money shapes how conceptualisations of 'community' are produced, and that the implicit power relations and inequalities can construct and privilege particular sets of identities and relationships throughout the process. This highlights implications for approaching public health evaluations of giving money to 'communities', and for better understanding how it might bring about change to health and inequalities, where the 'community' cannot be interpreted merely as a setting or recipient of such an intervention, but something constructed and negotiated through the flow of money itself. Copyright © 2015 Elsevier Ltd. All rights reserved.

Construal levels of healthy eating. Exploring consumers' interpretation of health in the food context.

PubMed

Ronteltap, Amber; Sijtsema, Siet J; Dagevos, Hans; de Winter, Mariët A

2012-10-01

Although many studies consider health and food, little is known about consumers' actual interpretation of healthy eating. This study aims to explore, operationalise, and test consumers' interpretation of healthy eating by using insights from construal level theory. In this exploratory research three consecutive studies were executed, applying focus group (n=35) and two quasi-experimental studies with, respectively 97 and 235 respondents. Respondents appeared to use different levels for their judgment of food products' healthiness. Thinking about healthy eating can take place at a concrete representation level (e.g. "an apple contains vitamins"), but also at an abstract representation level (e.g. "it depends how much you eat"). The main yield of this paper is the coding scheme with exemplary phrasings used by consumers for different representations of healthy eating. This study shows that healthy eating does not always mean the same for different individuals, it depends at least partly on the representation level they are reasoning from. Both in academic reasoning and public health interventions health and healthy eating are usually discussed as universal and univocal concepts. However, this paper argues that healthy eating is not as clear-cut for consumers, and is not understood and interpreted identically by everybody. This paper suggests to take this insight into account in both future research and in the design of any communication message on healthy eating. Copyright © 2012 Elsevier Ltd. All rights reserved.

Reducing children's social anxiety symptoms: exploring a novel parent-administered cognitive bias modification training intervention.

PubMed

Lau, Jennifer Y F; Pettit, Eleanor; Creswell, Cathy

2013-07-01

Social fears and worries in children are common and impairing. Yet, questions have been raised over the efficacy, suitability and accessibility of current frontline treatments. Here, we present data on the effectiveness of a novel parent-administered Cognitive Bias Modification of Interpretations (CBM-I) training tool. CBM-I capitalises on findings demonstrating an association between anxiety symptoms and biased interpretations, the tendency to interpret ambiguous situations negatively. Through CBM-I training, participants are exposed to benign resolutions, and reinforced for selecting these. In adults and adolescents, CBM-I training is effective at reducing symptoms and mood reactivity. In the present study, we developed a novel, child-appropriate form of CBM-I training, by presenting training materials within bedtime stories, read by a parent to the child across three consecutive evenings. Compared to a test-retest control group (n = 17), children receiving CBM-I (n = 19) reported greater endorsement of benign interpretations of ambiguous situations post-training (compared to pre-training). These participants (but not the test-retest control group) also showed a significant reduction in social anxiety symptoms. Pending replication and extensions to a clinical sample, these data may implicate a cost-effective, mechanism-driven and developmentally-appropriate resource for targeting social anxiety problems in children. Copyright © 2013 Elsevier Ltd. All rights reserved.

Metaphorical interpretations of the educator-student relationship: An innovation in nursing educational research.

PubMed

Chan, Zenobia C Y; Chien, Wai Tong; Henderson, Saras

2018-01-01

Previous research has shown that collecting and analysing metaphors is a useful strategy in seeking data that are difficult to collect via verbal interviews or that cannot be represented by statistics. This study explored nursing students' perceptions of the educator-student relationship using metaphorical interpretation. A qualitative study with a personal essay approach was adopted. A total of 124 students were recruited from a nursing school in Hong Kong. A personal essay form was distributed to the participants. They were asked to give a metaphor with explanations to describe the power dynamics in the educator-student relationship, within 200 words in English or Chinese. After some thought, the participants each gave their own metaphor individually, because the aim of this study was to collect their subjective experiences. The results were presented as follows: a) The overall description of the metaphors; b) The three groups of metaphors; c) The fives natures of metaphors; d) The most significant metaphors; and e) The four thematic meanings - (i) nurturing role; (ii) guiding role; (iii) insufficient connection; and (iv) promoting development. The implications for research methods and nurse education of collecting and analyzing metaphors were discussed. Discrepancies in metaphorical interpretations are to be expected, as interpretations are dependent on the researchers' socio-cultural background, personal experiences, professional training, languages spoken, and other factors. Copyright © 2017 Elsevier Ltd. All rights reserved.

[Importance of quality control for the detection of β-lactam antibiotic resistance in Enterobacteriaceae].

PubMed

Rivera, Alba; Larrosa, Nieves; Mirelis, Beatriz; Navarro, Ferran

2014-02-01

β-lactam antimicrobial agents are frequently used to treat infections caused by Enterobacteriaceae. The main mechanism of resistance to these antibiotics is the production of certain enzymes, collectively named β-lactamases. Due to their substrate profile and their epidemiological implications, the most clinically important β-lactamases are extended-spectrum β-lactamases, class C β-lactamases and carbapenemases. Phenotypic detection of these enzymes may be complicated and is based on the use of specific inhibitors of each β-lactamase and on the loss of activity on some β-lactam indicators. Various international committees postulate that it is no longer necessary to interpret the susceptibility results or determine the mechanism of resistance. Several critics disagree, however, and consider that susceptibility results should be interpreted until more data are available on the clinical efficacy of treatment with β-lactams. Given these methodological difficulties and constant changes in the interpretation criteria, we consider that training and external quality controls are essential to keep updated in this field. For learning purposes, these external quality controls should always be accompanied by a review of the results and methodology used, and the analysis of errors. In this paper we review and contextualize all the aspects related to the detection and interpretation of these β-lactamases. Copyright © 2014 Elsevier España, S.L. All rights reserved.

How people interpret healthy eating: contributions of qualitative research.

PubMed

Bisogni, Carole A; Jastran, Margaret; Seligson, Marc; Thompson, Alyssa

2012-01-01

To identify how qualitative research has contributed to understanding the ways people in developed countries interpret healthy eating. Bibliographic database searches identified reports of qualitative, empirical studies published in English, peer-reviewed journals since 1995. Authors coded, discussed, recoded, and analyzed papers reporting qualitative research studies related to participants' interpretations of healthy eating. Studies emphasized a social constructionist approach, and most used focus groups and/or individual, in-depth interviews to collect data. Study participants explained healthy eating in terms of food, food components, food production methods, physical outcomes, psychosocial outcomes, standards, personal goals, and as requiring restriction. Researchers described meanings as specific to life stages and different life experiences, such as parenting and disease onset. Identity (self-concept), social settings, resources, food availability, and conflicting considerations were themes in participants' explanations for not eating according to their ideals for healthy eating. People interpret healthy eating in complex and diverse ways that reflect their personal, social, and cultural experiences, as well as their environments. Their meanings include but are broader than the food composition and health outcomes considered by scientists. The rich descriptions and concepts generated by qualitative research can help practitioners and researchers think beyond their own experiences and be open to audience members' perspectives as they seek to promote healthy ways of eating. Copyright © 2012 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.

Young children show representational flexibility when interpreting drawings.

PubMed

Allen, Melissa L; Nurmsoo, Erika; Freeman, Norman

2016-02-01

Drawings can be ambiguous and represent more than one entity. In three experiments, we examine whether young children show representational flexibility by allowing one picture to be called by a second name. We also evaluate the hypothesis that children who are representationally flexible see the artist's intention as binding, rather than changeable. In Experiment 1, an artist declared what she intended to draw (e.g. a balloon) but then produced an ambiguous drawing. Children were asked whether the drawings could be interpreted differently (e.g. 'could this be a lollipop?') in the presence of a perceptually similar or dissimilar distractor (e.g., lollipop or snake). Six-year-olds accepted two labels for drawings in both conditions, but four-year-olds only did so in the dissimilar condition. Experiment 2 probed each possible interpretation more deeply by asking property questions (e.g., 'does it float?, does it taste good?'). Preschoolers who understood that the ambiguous drawing could be given two interpretations nevertheless mostly endorsed only properties associated with the prior intent. Experiment 3 provided converging evidence that 4-year-olds were representationally flexible using a paradigm that did not rely upon modal questioning. Taken together, our results indicate that even 4-year-olds understand that pictures may denote more than one referent, they still think of the symbol as consistent with the artist's original intention. Copyright © 2015 Elsevier B.V. All rights reserved.

Value of automatic patient motion detection and correction in myocardial perfusion imaging using a CZT-based SPECT camera.

PubMed

van Dijk, Joris D; van Dalen, Jorn A; Mouden, Mohamed; Ottervanger, Jan Paul; Knollema, Siert; Slump, Cornelis H; Jager, Pieter L

2018-04-01

Correction of motion has become feasible on cadmium-zinc-telluride (CZT)-based SPECT cameras during myocardial perfusion imaging (MPI). Our aim was to quantify the motion and to determine the value of automatic correction using commercially available software. We retrospectively included 83 consecutive patients who underwent stress-rest MPI CZT-SPECT and invasive fractional flow reserve (FFR) measurement. Eight-minute stress acquisitions were reformatted into 1.0- and 20-second bins to detect respiratory motion (RM) and patient motion (PM), respectively. RM and PM were quantified and scans were automatically corrected. Total perfusion deficit (TPD) and SPECT interpretation-normal, equivocal, or abnormal-were compared between the noncorrected and corrected scans. Scans with a changed SPECT interpretation were compared with FFR, the reference standard. Average RM was 2.5 ± 0.4 mm and maximal PM was 4.5 ± 1.3 mm. RM correction influenced the diagnostic outcomes in two patients based on TPD changes ≥7% and in nine patients based on changed visual interpretation. In only four of these patients, the changed SPECT interpretation corresponded with FFR measurements. Correction for PM did not influence the diagnostic outcomes. Respiratory motion and patient motion were small. Motion correction did not appear to improve the diagnostic outcome and, hence, the added value seems limited in MPI using CZT-based SPECT cameras.

Comments on how Mack et al. (2015) (do not) see iconic memory.

PubMed

Bachmann, Talis; Aru, Jaan

2015-07-01

In a recent paper (Mack et al., 2015) the effect of attentional manipulations on partial report performance was investigated. The results were interpreted in favor of the stance that an attention-free phenomenal iconic store does not exist. Therefore, the authors argue that consciousness requires attention. Here we question their conclusions both on the methodological and conceptual grounds. Copyright © 2015 Elsevier Inc. All rights reserved.

Survey of United States Army Reserve (USAR) Troop Program Unit (TPU) soldiers - 1989

DTIC Science & Technology

1989-09-30

TABULATION VOLUMES This material provides information for use by readers to interpret the tabulation volumes accompanying the final project report...questionnaire responses of the junior enlisted "stayers" who were used as the sample to generate the first longitudinal Tabulation Volume. Comparing...crossed by Iselected demographic variables (as described below). Detailed below are the specific crossing variables used for the cross-sectional and

In response to the December 2016 article entitled "Vegetarian diet and all-cause mortality: Evidence from a large population-based Australian cohort - the 45 and Up Study".

PubMed

Taylor, Nathan G A

2017-07-01

In response to the December 2016 article entitled "Vegetarian diet and all-cause mortality: Evidence from a large population-based Australian cohort - the 45 and Up Study". A brief analysis of the article with suggestions for interpretation and considerations for future research. Copyright © 2017 Elsevier Inc. All rights reserved.

Overhead throwing injuries of the shoulder and elbow.

PubMed

Anderson, Mark W; Alford, Bennett A

2010-11-01

Injuries to the shoulder and elbow are common in athletes involved in sporting activities that require overhead motion of the arm. An understanding of the forces involved in the throwing motion, the anatomic structures most at risk, and the magnetic resonance imaging appearances of the most common associated injuries can help to improve diagnostic accuracy when interpreting imaging studies in these patients. Copyright © 2010 Elsevier Inc. All rights reserved.

Correlation of coal beds in the Fruitland Formation as interpreted from geophysical logs, east-central San Juan County, New Mexico

USGS Publications Warehouse

Sandberg, Dorothy T.

1986-01-01

Correlation of coal beds in the Fruitland Formation (Upper Cretaceous) in the subsurface, from interpretation of geophysical logs, is an outgrowth of unpublished studies of deep coal on the Navajo Reservation by the author in the Toadlena 30 x 60 minute quadrangle, New Mexico, and by W. J. Mapel in the Farmington 30 x 60 minute quadrangle, New Mexico.  The lines of sections of this report extend eastward from the reservation into east-central San Juan County, which is in the western part of the San Juan Basin.  In this area, the rocks dip gently northeast toward the central part of the basin.  The thick coal is less than 1,500 feet beneath the surface.  Of the 53 logs in the sections, 48 are from oil- and gas-test holes, and 5 are from coal-test holes (see table 1).  Stratigraphic relations of the Upper Cretaceous Lewis Shale, Pictured Cliffs Sandstone, and Fruitland Formation, shown on the cross sections and briefly reviewed below, have been previously described for this or other parts of the San Juan Basin by Hayes and Zapp (1955), Beaumont (1971), Fassett and hinds (1971), O;Sullivan and other (1972), and Molenaar (1983), among others.

Introduction to a special issue on concept mapping.

PubMed

Trochim, William M; McLinden, Daniel

2017-02-01

Concept mapping was developed in the 1980s as a unique integration of qualitative (group process, brainstorming, unstructured sorting, interpretation) and quantitative (multidimensional scaling, hierarchical cluster analysis) methods designed to enable a group of people to articulate and depict graphically a coherent conceptual framework or model of any topic or issue of interest. This introduction provides the basic definition and description of the methodology for the newcomer and describes the steps typically followed in its most standard canonical form (preparation, generation, structuring, representation, interpretation and utilization). It also introduces this special issue which reviews the history of the methodology, describes its use in a variety of contexts, shows the latest ways it can be integrated with other methodologies, considers methodological advances and developments, and sketches a vision of the future of the method's evolution. Copyright © 2016 Elsevier Ltd. All rights reserved.

Evolution of dinosaur epidermal structures.

PubMed

Barrett, Paul M; Evans, David C; Campione, Nicolás E

2015-06-01

Spectacularly preserved non-avian dinosaurs with integumentary filaments/feathers have revolutionized dinosaur studies and fostered the suggestion that the dinosaur common ancestor possessed complex integumentary structures homologous to feathers. This hypothesis has major implications for interpreting dinosaur biology, but has not been tested rigorously. Using a comprehensive database of dinosaur skin traces, we apply maximum-likelihood methods to reconstruct the phylogenetic distribution of epidermal structures and interpret their evolutionary history. Most of these analyses find no compelling evidence for the appearance of protofeathers in the dinosaur common ancestor and scales are usually recovered as the plesiomorphic state, but results are sensitive to the outgroup condition in pterosaurs. Rare occurrences of ornithischian filamentous integument might represent independent acquisitions of novel epidermal structures that are not homologous with theropod feathers. © 2015 The Author(s) Published by the Royal Society. All rights reserved.

Endangered species and a threatened discipline: behavioural ecology.

PubMed

Caro, Tim; Sherman, Paul W

2011-03-01

Behavioural ecologists often see little connection between the current conservation crisis and the future of their discipline. This view is myopic because our abilities to investigate and interpret the adaptive significance and evolutionary histories of behaviours are increasingly being compromised in human-dominated landscapes because of species extinctions, habitat destruction, invasive species, pollution, and climate change. In this review, we argue that many central issues in behavioural ecology will soon become prohibitively difficult to investigate and interpret, thus impeding the rapid progress that characterizes the field. To address these challenges, behavioural ecologists should design studies not only to answer basic scientific questions but also to provide ancillary information for protection and management of their study organisms and habitats, and then share their biological insights with the applied conservation community. Copyright © 2010 Elsevier Ltd. All rights reserved.

Artificial intelligence for breast cancer screening: Opportunity or hype?

PubMed

Houssami, Nehmat; Lee, Christoph I; Buist, Diana S M; Tao, Dacheng

2017-12-01

Interpretation of mammography for breast cancer (BC) screening can confer a mortality benefit through early BC detection, can miss a cancer that is present or fast growing, or can result in false-positives. Efforts to improve screening outcomes have mostly focused on intensifying imaging practices (double instead of single-reading, more frequent screens, or supplemental imaging) that may add substantial resource expenditures and harms associated with population screening. Less attention has been given to making mammography screening practice 'smarter' or more efficient. Artificial intelligence (AI) is capable of advanced learning using large complex datasets and has the potential to perform tasks such as image interpretation. With both highly-specific capabilities, and also possible un-intended (and poorly understood) consequences, this viewpoint considers the promise and current reality of AI in BC detection. Copyright © 2017 Elsevier Ltd. All rights reserved.

Automatic reference selection for quantitative EEG interpretation: identification of diffuse/localised activity and the active earlobe reference, iterative detection of the distribution of EEG rhythms.

PubMed

Wang, Bei; Wang, Xingyu; Ikeda, Akio; Nagamine, Takashi; Shibasaki, Hiroshi; Nakamura, Masatoshi

2014-01-01

EEG (Electroencephalograph) interpretation is important for the diagnosis of neurological disorders. The proper adjustment of the montage can highlight the EEG rhythm of interest and avoid false interpretation. The aim of this study was to develop an automatic reference selection method to identify a suitable reference. The results may contribute to the accurate inspection of the distribution of EEG rhythms for quantitative EEG interpretation. The method includes two pre-judgements and one iterative detection module. The diffuse case is initially identified by pre-judgement 1 when intermittent rhythmic waveforms occur over large areas along the scalp. The earlobe reference or averaged reference is adopted for the diffuse case due to the effect of the earlobe reference depending on pre-judgement 2. An iterative detection algorithm is developed for the localised case when the signal is distributed in a small area of the brain. The suitable averaged reference is finally determined based on the detected focal and distributed electrodes. The presented technique was applied to the pathological EEG recordings of nine patients. One example of the diffuse case is introduced by illustrating the results of the pre-judgements. The diffusely intermittent rhythmic slow wave is identified. The effect of active earlobe reference is analysed. Two examples of the localised case are presented, indicating the results of the iterative detection module. The focal and distributed electrodes are detected automatically during the repeating algorithm. The identification of diffuse and localised activity was satisfactory compared with the visual inspection. The EEG rhythm of interest can be highlighted using a suitable selected reference. The implementation of an automatic reference selection method is helpful to detect the distribution of an EEG rhythm, which can improve the accuracy of EEG interpretation during both visual inspection and automatic interpretation. Copyright © 2013 IPEM. Published by Elsevier Ltd. All rights reserved.

Sensitivity and Specificity of Emergency Physicians and Trainees for Identifying Internally Concealed Drug Packages on Abdominal Computed Tomography Scan: Do Lung Windows Improve Accuracy?

PubMed

Asha, Stephen Edward; Cooke, Andrew

2015-09-01

Suspected body packers may be brought to emergency departments (EDs) close to international airports for abdominal computed tomography (CT) scanning. Senior emergency clinicians may be asked to interpret these CT scans. Missing concealed drug packages have important clinical and forensic implications. The accuracy of emergency clinician interpretation of abdominal CT scans for concealed drugs is not known. Limited evidence suggests that accuracy for identification of concealed packages can be increased by viewing CT images on "lung window" settings. To determine the accuracy of senior emergency clinicians in interpreting abdominal CT scans for concealed drugs, and to determine if this accuracy was improved by viewing scans on both abdominal and lung window settings. Emergency clinicians blinded to all patient identifiers and the radiology report interpreted CT scans of suspected body packers using standard abdominal window settings and then with the addition of lung window settings. The reference standard was the radiologist's report. Fifty-five emergency clinicians reported 235 CT scans. The sensitivity, specificity, and accuracy of interpretation using abdominal windows was 89.9% (95% confidence interval [CI] 83.0-94.7), 81.9% (95% CI 73.7-88.4), and 86.0% (95% CI 81.5-90.4), respectively, and with both window settings was 94.1% (95% CI 88.3-97.6), 76.7% (95% CI 68.0-84.1), 85.5% (95% CI 81.0-90.0), respectively. Diagnostic accuracy was similar regardless of the clinician's experience. Interrater reliability was moderate (kappa 0.46). The accuracy of interpretation of abdominal CT scans performed for the purpose of detecting concealed drug packages by emergency clinicians is not high enough to safely discharge these patients from the ED. The use of lung windows improved sensitivity, but at the expense of specificity. Crown Copyright © 2015. Published by Elsevier Inc. All rights reserved.

Who collects professional fees for neuroradiology interpretation, radiologists or nonradiologists?

PubMed

Babiarz, Lukasz S; Yousem, David M; Parker, Laurence; Rao, Vijay

2012-07-01

An increasing portion of imaging studies are performed by nonradiologists, especially for modalities with the highest relative value units. The aim of this study was to examine the trends in neuroradiologic interpretation among radiologists, neurologists, neurosurgeons, and other specialists within the Medicare population. The number of neuroradiologic studies interpreted by radiologists, neurologists, neurosurgeons, and other specialists in the inpatient, hospital outpatient, and private office settings was determined from the CMS Physician/Supplier Procedure Summary Master Files for 1996 to 2010. Studies billed through professional and global charges were aggregated. Utilization rates and utilization rate compound annual growth rates were computed by specialty and by imaging study. In 1996, radiologists interpreted 4,802,490 (93.7%) CMS neuroradiologic procedures, neurologists 77,312 (1.5%), neurosurgeons 9,825 (0.19%), and other specialists 234,423 (4.6%). In 2010, radiologists interpreted 11,476,376 (93.5%) procedures, neurologists 101,172 (0.8%), neurosurgeons 20,697 (0.17%), and other specialists 680,786 (5.5%). Neurology and neurosurgery lost market share at all sites. Radiology's share increased in the inpatient (from 94.8% to 98.7%) and hospital outpatient (from 95% to 98.7%) settings but decreased in the private office setting (from 88.2% to 73.1%). Lost market share was captured by the other CMS specialty categories, including independent diagnostic testing facilities and multidisciplinary groups, many of which included radiologists. There was marked growth (140%) in neuroradiologic studies between 1996 and 2010 in the Medicare patient population. Radiologists' share of the total neuroradiologic interpretations remained unchanged and constituted 93.5% in 2010. Radiology's market share has shown growth in the inpatient and hospital outpatient sectors but not the private office sector, where independent diagnostic testing facilities, multidisciplinary groups, and other specialists have seen increases. Copyright © 2012 American College of Radiology. Published by Elsevier Inc. All rights reserved.

A multiobserver study of the effects of including point-of-care patient photographs with portable radiography: a means to detect wrong-patient errors.

PubMed

Tridandapani, Srini; Ramamurthy, Senthil; Provenzale, James; Obuchowski, Nancy A; Evanoff, Michael G; Bhatti, Pamela

2014-08-01

To evaluate whether the presence of facial photographs obtained at the point-of-care of portable radiography leads to increased detection of wrong-patient errors. In this institutional review board-approved study, 166 radiograph-photograph combinations were obtained from 30 patients. Consecutive radiographs from the same patients resulted in 83 unique pairs (ie, a new radiograph and prior, comparison radiograph) for interpretation. To simulate wrong-patient errors, mismatched pairs were generated by pairing radiographs from different patients chosen randomly from the sample. Ninety radiologists each interpreted a unique randomly chosen set of 10 radiographic pairs, containing up to 10% mismatches (ie, error pairs). Radiologists were randomly assigned to interpret radiographs with or without photographs. The number of mismatches was identified, and interpretation times were recorded. Ninety radiologists with 21 ± 10 (mean ± standard deviation) years of experience were recruited to participate in this observer study. With the introduction of photographs, the proportion of errors detected increased from 31% (9 of 29) to 77% (23 of 30; P = .006). The odds ratio for detection of error with photographs to detection without photographs was 7.3 (95% confidence interval: 2.29-23.18). Observer qualifications, training, or practice in cardiothoracic radiology did not influence sensitivity for error detection. There is no significant difference in interpretation time for studies without photographs and those with photographs (60 ± 22 vs. 61 ± 25 seconds; P = .77). In this observer study, facial photographs obtained simultaneously with portable chest radiographs increased the identification of any wrong-patient errors, without substantial increase in interpretation time. This technique offers a potential means to increase patient safety through correct patient identification. Copyright © 2014 AUR. Published by Elsevier Inc. All rights reserved.

A possible new approach to understanding mental disorder.

PubMed

Sharples, P J

2012-09-01

The aetiology of mental disorders is not fully understood. This paper presents an analysis of the conceptual control process exploring the tools of conceptual application and the phases and the mechanism of the control process and seeks to show how the illness states of mental disorder naturally come to occur. Living occurs in a world of change. For living to occur some control is required and to exert control, to provide direction for the conceptual process, some interpretation of significance, some definition of need is also required. Such interpretation, monitoring significance in relation to the many aspects of change, forms the base on which living occurs. Change in human terms is intrinsically insecure and interpretation of significance is an interpretation of security, an interpretation of control in living. Conceptual control is a process applied to maintain security, to maintain a secure base for the interpretation of significance, it is a process applied to produce and hold a sense of control. Powering a process, producing and holding a sense of control, is an active process and so requires some form of energy. Human beings have a sense of that energy, something exhibited in terms such as full of energy, tired, exhausted. As energy is required to power the control process, accompanying the sense of energy is a sense of the ability to provide power, is a sense of the ability to hold and maintain control, is a sense of security. As available energy reduces there is difficulty holding the same sense of control, a person in the same setting comes to feel more insecure. This can result in a person experiencing mental disorder from mild to severe degree. Mild where conceptual process is applied to manage just one or a very few particular needs, severe and more general where the insecurity affects the base of interpretation. In this later case seeking to protect security can lead to mania, mood-incongruent delusions, schizophrenia. Failing ability to protect can lead to generalized anxiety disorder, mood-congruent delusions, different presentations and degrees of depression. Copyright © 2012 Elsevier Ltd. All rights reserved.

On the interpretation of weight vectors of linear models in multivariate neuroimaging.

PubMed

Haufe, Stefan; Meinecke, Frank; Görgen, Kai; Dähne, Sven; Haynes, John-Dylan; Blankertz, Benjamin; Bießmann, Felix

2014-02-15

The increase in spatiotemporal resolution of neuroimaging devices is accompanied by a trend towards more powerful multivariate analysis methods. Often it is desired to interpret the outcome of these methods with respect to the cognitive processes under study. Here we discuss which methods allow for such interpretations, and provide guidelines for choosing an appropriate analysis for a given experimental goal: For a surgeon who needs to decide where to remove brain tissue it is most important to determine the origin of cognitive functions and associated neural processes. In contrast, when communicating with paralyzed or comatose patients via brain-computer interfaces, it is most important to accurately extract the neural processes specific to a certain mental state. These equally important but complementary objectives require different analysis methods. Determining the origin of neural processes in time or space from the parameters of a data-driven model requires what we call a forward model of the data; such a model explains how the measured data was generated from the neural sources. Examples are general linear models (GLMs). Methods for the extraction of neural information from data can be considered as backward models, as they attempt to reverse the data generating process. Examples are multivariate classifiers. Here we demonstrate that the parameters of forward models are neurophysiologically interpretable in the sense that significant nonzero weights are only observed at channels the activity of which is related to the brain process under study. In contrast, the interpretation of backward model parameters can lead to wrong conclusions regarding the spatial or temporal origin of the neural signals of interest, since significant nonzero weights may also be observed at channels the activity of which is statistically independent of the brain process under study. As a remedy for the linear case, we propose a procedure for transforming backward models into forward models. This procedure enables the neurophysiological interpretation of the parameters of linear backward models. We hope that this work raises awareness for an often encountered problem and provides a theoretical basis for conducting better interpretable multivariate neuroimaging analyses. Copyright © 2013 The Authors. Published by Elsevier Inc. All rights reserved.

A novel interpretation of the Fractional Inhibitory Concentration Index: The case Origanum vulgare L. and Leptospermum scoparium J. R. et G. Forst essential oils against Staphylococcus aureus strains.

PubMed

Fratini, Filippo; Mancini, Simone; Turchi, Barbara; Friscia, Elisabetta; Pistelli, Luisa; Giusti, Giulia; Cerri, Domenico

2017-01-01

Origanum vulgare (oregano) and Leptospermum scoparium (manuka) were traditionally employed as natural remedies for infected wounds and skin injuries where Staphylococcus aureus is mainly involved. The first aim of this study was to investigate oregano and manuka essential oils (EOs) chemical compositions and evaluate their antibacterial activity (MIC, Minimum Inhibitory Concentration) against fourteen S. aureus wild strains. The second aim was to evaluate the antibacterial activities of oregano and manuka EOs mixed in different combination (FIC, Fractional Inhibitory Concentration) with an improved chequerboard technique. This allowed to avoid the usual uncertainty in the determination of MIC and FIC values and to obtain a more precise interpretation of FIC indexes (FICIs). Moreover, FICIs were discussed on the basis of a novel interpretation method to evaluate the synergistic/antagonistic effect of EOs mixtures. The most representative compounds in oregano EO were Carvacrol (65.93%), p-Cymene (9.33%) and γ-Terpinene (5.25%), while in manuka EO were Leptospermone (31.65%), cis-Calamenene (15.93%) and Flavesone (6.92%). EOs presented MIC values ranging from 1:2048 to 1:4096 v/v and FIC values ranging from 0.125 to 1. According to our interpretation, a synergistic effect (34.68%), a commutative effect (15.32%) and an indifferent effect (50.00%) and no antagonistic effect were observed. Conversely, according to two previously proposed FICI interpretation models, 1.80% synergistic effect could be observed and, respectively, 98.20% indifferent effect or 48.20% additive effect and 50.00% indifferent effect. As practical results, oregano and manuka EOs may be an effective alternative to chemotherapic drugs in staphylococcal infections and useful tools to enhance food security. Copyright © 2016 Elsevier GmbH. All rights reserved.

Metabolic modeling helps interpret transcriptomic changes during malaria.

PubMed

Tang, Yan; Gupta, Anuj; Garimalla, Swetha; Galinski, Mary R; Styczynski, Mark P; Fonseca, Luis L; Voit, Eberhard O

2018-06-01

Disease represents a specific case of malfunctioning within a complex system. Whereas it is often feasible to observe and possibly treat the symptoms of a disease, it is much more challenging to identify and characterize its molecular root causes. Even in infectious diseases that are caused by a known parasite, it is often impossible to pinpoint exactly which molecular profiles of components or processes are directly or indirectly altered. However, a deep understanding of such profiles is a prerequisite for rational, efficacious treatments. Modern omics methodologies are permitting large-scale scans of some molecular profiles, but these scans often yield results that are not intuitive and difficult to interpret. For instance, the comparison of healthy and diseased transcriptome profiles may point to certain sets of involved genes, but a host of post-transcriptional processes and regulatory mechanisms renders predictions regarding metabolic or physiological consequences of the observed changes in gene expression unreliable. Here we present proof of concept that dynamic models of metabolic pathway systems may offer a tool for interpreting transcriptomic profiles measured during disease. We illustrate this strategy with the interpretation of expression data of genes coding for enzymes associated with purine metabolism. These data were obtained during infections of rhesus macaques (Macaca mulatta) with the malaria parasite Plasmodium cynomolgi or P. coatneyi. The model-based interpretation reveals clear patterns of flux redistribution within the purine pathway that are consistent between the two malaria pathogens and are even reflected in data from humans infected with P. falciparum. This article is part of a Special Issue entitled: Accelerating Precision Medicine through Genetic and Genomic Big Data Analysis edited by Yudong Cai & Tao Huang. Copyright © 2017 Elsevier B.V. All rights reserved.

Keep your bias to yourself: How deliberating with differently biased others affects mock-jurors' guilt decisions, perceptions of the defendant, memories, and evidence interpretation.

PubMed

Ruva, Christine L; Guenther, Christina C

2017-10-01

This experiment explored how mock-jurors' (N = 648) guilt decisions, perceptions of the defendant, memories, and evidence interpretation varied as a function of jury type and pretrial publicity (PTP); utilizing a 2 (jury type: pure-PTP vs. mixed-PTP) × 3 (PTP: defendant, victim, and irrelevant) factorial design. Mock-juries (N = 126) were composed of jurors exposed to the same type of PTP (pure-PTP; e.g., defendant-PTP) or different types of PTP (mixed-PTP; e.g., half exposed to defendant-PTP and half to irrelevant-PTP). Before deliberations jurors exposed to defendant-PTP were most likely to vote guilty; while those exposed to victim-PTP were least likely. After deliberations, jury type and PTP affected jurors' guilt decisions. Specifically, jurors deliberating on pure-PTP juries had verdict distributions that closely resembled the predeliberation distributions. The verdict distributions of jurors on mixed-PTP juries suggested that jurors were influenced by those they deliberated with. Jurors not exposed to PTP appeared to incorporate bias from PTP-exposed jurors. Only PTP had significant effects on postdeliberation measures of memory and evidence interpretation. Mediation analyses revealed that evidence interpretation and defendant credibility assessments mediated the effect of PTP on guilt ratings. Taken together these findings suggest that during deliberations PTP bias can spread to jurors not previously exposed to PTP. In addition, juries composed of jurors exposed to different PTP slants, as opposed to a single PTP slant, can result in less biased decisions. Finally, deliberating with others who do not share similar biases may have little, if any, impact on biased evidence interpretation or memory errors. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

Radiology medical student education: an outcome-based survey of PGY-1 residents.

PubMed

Saha, Arnold; Roland, R Andrew; Hartman, Matthew S; Daffner, Richard H

2013-03-01

Postgraduate year (PGY)-1 residents are frequently required to order imaging studies and make preliminary interpretations on them. This study determines whether PGY-1 residents feel their radiology education in medical school sufficiently trained them for the clinical responsibilities of internship. This multicenter, institutional review board-approved survey asked PGY-1 trainees three categories of questions: 1) extent of medical school training for ordering and interpreting imaging studies, 2) confidence levels in ordering appropriate imaging studies and making common/emergent diagnoses, and 3) rating the importance of radiologic interpretation by interns. Respondents also submitted ideas for medical school teaching topics deemed most useful for interns. A total of 175 questionnaires were returned with good representation across specialties. Although 63.7% of interns were frequently asked to independently preview radiology studies, 12.6% received no formal radiology training in medical school. Participants rated chest radiographs as the most important study for interns to competently interpret (93.4% reporting very or extremely important). However, only 60.2% of interns reported high confidence in recognizing common/emergent pulmonary findings, and 56.3% for evaluating line and tube position. With regard to ordering imaging studies, 81.0% had never used or never heard of the American College of Radiology Appropriateness Criteria®. Only 33.1% had high confidence in knowing when to order oral/intravenous contrast. Similar low percentages had high confidence identifying and premedicating contrast allergies (36.4%) and knowing risk factors of nephrogenic systemic fibrosis (13.2%). PGY-1 residents feel that medical school curriculum emphasizing interpretation of chest radiographs and ordering appropriate imaging studies would better prepare students for the responsibilities of internship. Copyright © 2013 AUR. Published by Elsevier Inc. All rights reserved.

Intraradicular Appearances Affect Radiographic Interpretation of the Periapical Area.

PubMed

Biscontine, Ana C; Diliberto, Adam J; Hatton, John F; Woodmansey, Karl F

2017-12-01

No research exists evaluating the influences of specific variables such as obturation length, radiodensity, or the presence of voids on interpretation of periradicular area. The purpose of this study was to evaluate the effects of obturation length, radiodensity, and the presence of voids on the radiographic interpretations of periapical areas. In a Web-based survey, 3 test image groups of variable obturation lengths, radiodensities, and numbers of voids were presented to observers for evaluation of the periapical areas. Intracanal areas of the images were altered by using Adobe Photoshop to create 3 test image groups. Each observer reviewed 2 control images and 1 image from each test image group. Responses were recorded in a 5-point Likert-type scale. Within each test image group, the periapical areas were identical. Kruskal-Wallis, Mann-Whitney U, and Cliff's delta statistical tests were used to analyze results. A total of 748 observer responses were analyzed. Significant differences (P ≤ .01) in the median Likert-type scale responses were identified between the following paired groups: 3 mm short and 1 mm short, 3 mm short and flush, lower radiodensity and higher radiodensity, lower radiodensity and intermediate radiodensity, no voids and several voids, and several voids and single void. Effect sizes ranged from 0.19 to 0.41. Significant differences were noted within all 3 test image groups: length, radiodensity, and presence of voids. Length of obturation had the largest effect on interpretation of the periapical area, with the 3 mm short radiographic obturation length image interpreted less favorably. Copyright © 2017 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

Proposal for agar disk diffusion interpretive criteria for susceptibility testing of bovine mastitis pathogens using cefoperazone 30μg disks.

PubMed

Feßler, Andrea T; Kaspar, Heike; Lindeman, Cynthia J; Peters, Thomas; Watts, Jeffrey L; Schwarz, Stefan

2017-02-01

Cefoperazone is a third generation cephalosporin which is commonly used for bovine mastitis therapy. Bacterial pathogens involved in bovine mastitis are frequently tested for their susceptibility to cefoperazone. So far, the cefoperazone susceptibility testing using 30μg disks has been hampered by the lack of quality control (QC) ranges as well as the lack of interpretive criteria. In 2014, QC ranges for 30 μg cefoperazone disks have been established for Staphylococcus aureus ATCC ® 25923 and Escherichia coli ATCC ® 25922. As a next step, interpretive criteria for the susceptibility testing of bovine mastitis pathogens should be developed. For this, 637 bovine mastitis pathogens (including 112 S. aureus, 121 coagulase-negative staphylococci (CoNS), 103 E. coli, 101 Streptococcus agalactiae, 100 Streptococcus dysgalactiae and 100 Streptococcus uberis) were investigated by agar disk diffusion according to the document Vet01-A4 of the Clinical and Laboratory Standards Institute (CLSI) using 30μg cefoperazone disks and the results were compared to the corresponding MIC values as determined by broth microdilution also according to the aforementioned CLSI document. Based on the results obtained and taking into account the achievable milk concentration of cefoperazone after regular dosing, the following interpretive criteria were proposed as a guidance for mastitis diagnostic laboratories: for staphylococci and E. coli ≥23mm (susceptible), 18-22mm (intermediate) and ≤17mm (resistant) and for streptococci ≥18mm (susceptible), and ≤17mm (non-susceptible). These proposed interpretive criteria shall contribute to a harmonization of cefoperazone susceptibility testing of bovine mastitis pathogens. Copyright © 2016 Elsevier B.V. All rights reserved.

Processing demands upon cognitive, linguistic, and articulatory functions promote grey matter plasticity in the adult multilingual brain: Insights from simultaneous interpreters.

PubMed

Elmer, Stefan; Hänggi, Jürgen; Jäncke, Lutz

2014-05-01

Until now, considerable effort has been made to determine structural brain characteristics related to exceptional multilingual skills. However, at least one important question has not yet been satisfactorily addressed in the previous literature, namely whether and to which extent the processing demands upon cognitive, linguistic, and articulatory functions may promote grey matter plasticity in the adult multilingual brain. Based on the premise that simultaneous interpretation is a highly demanding linguistic task that places strong demands on executive and articulatory functions, here we compared grey matter volumes between professional simultaneous interpreters (SI) and multilingual control subjects. Thereby, we focused on a specific set of a-priori defined bilateral brain regions that have previously been shown to support neurocognitional aspects of language control and linguistic functions in the multilingual brain. These regions are the cingulate gyrus, caudate nucleus, frontal operculum (pars triangularis and opercularis), inferior parietal lobe (IPL) (supramarginal and angular gyrus), and the insula. As a main result, we found reduced grey matter volumes in professional SI, compared to multilingual controls, in the left middle-anterior cingulate gyrus, bilateral pars triangularis, left pars opercularis, bilateral middle part of the insula, and in the left supramarginal gyrus (SMG). Interestingly, grey matter volume in left pars triangularis, right pars opercularis, middle-anterior cingulate gyrus, and in the bilateral caudate nucleus was negatively correlated with the cumulative number of interpreting hours. Hence, we provide first evidence for an expertise-related grey matter architecture that may reflect a composite of brain characteristics that were still present before interpreting training and training-related changes. Copyright © 2014 Elsevier Ltd. All rights reserved.

Limited diagnostic value of Dual-Time-Point (18)F-FDG PET/CT imaging for classifying solitary pulmonary nodules in granuloma-endemic regions both at visual and quantitative analyses.

PubMed

Chen, Song; Li, Xuena; Chen, Meijie; Yin, Yafu; Li, Na; Li, Yaming

2016-10-01

This study is aimed to compare the diagnostic power of using quantitative analysis or visual analysis with single time point imaging (STPI) PET/CT and dual time point imaging (DTPI) PET/CT for the classification of solitary pulmonary nodules (SPN) lesions in granuloma-endemic regions. SPN patients who received early and delayed (18)F-FDG PET/CT at 60min and 180min post-injection were retrospectively reviewed. Diagnoses are confirmed by pathological results or follow-ups. Three quantitative metrics, early SUVmax, delayed SUVmax and retention index(the percentage changes between the early SUVmax and delayed SUVmax), were measured for each lesion. Three 5-point scale score was given by blinded interpretations performed by physicians based on STPI PET/CT images, DTPI PET/CT images and CT images, respectively. ROC analysis was performed on three quantitative metrics and three visual interpretation scores. One-hundred-forty-nine patients were retrospectively included. The areas under curve (AUC) of the ROC curves of early SUVmax, delayed SUVmax, RI, STPI PET/CT score, DTPI PET/CT score and CT score are 0.73, 0.74, 0.61, 0.77 0.75 and 0.76, respectively. There were no significant differences between the AUCs in visual interpretation of STPI PET/CT images and DTPI PET/CT images, nor in early SUVmax and delayed SUVmax. The differences of sensitivity, specificity and accuracy between STPI PET/CT and DTPI PET/CT were not significantly different in either quantitative analysis or visual interpretation. In granuloma-endemic regions, DTPI PET/CT did not offer significant improvement over STPI PET/CT in differentiating malignant SPNs in both quantitative analysis and visual interpretation. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Clinicians' interpretations of point of care urine culture versus laboratory culture results: analysis from the four-country POETIC trial of diagnosis of uncomplicated urinary tract infection in primary care.

PubMed

Hullegie, Saskia; Wootton, Mandy; Verheij, Theo J M; Thomas-Jones, Emma; Bates, Janine; Hood, Kerenza; Gal, Micaela; Francis, Nick A; Little, Paul; Moore, Michael; Llor, Carl; Pickles, Timothy; Gillespie, David; Kirby, Nigel; Brugman, Curt; Butler, Christopher C

2017-08-01

Urine culture at the point of care minimises delay between obtaining the sample and agar inoculation in a microbiology laboratory, and quantification and sensitivity results can be available more rapidly in primary care. To identify the degree to which clinicians' interpretations of a point-of-care-test (POCT) urine culture (Flexicult™ SSI-Urinary Kit) agrees with laboratory culture in women presenting to primary care with symptoms of uncomplicated urinary tract infections (UTI). Primary care clinicians used the Flexicult™-POCT, recorded their findings and took a photograph of the result, which was interpreted by microbiology laboratory technicians. Urine samples were additionally processed in routine care laboratories. Cross tabulations were used to identify important differences in organism identification, quantification and antibiotic susceptibility between these three sources of data. The influence of various laboratory definitions for UTI on culture were assessed. Primary care clinicians identified 202/289 urine samples (69.9%) as positive for UTI using the Flexicult™-POCT, whereas laboratory culture identified 94-190 (32.5-65.7%) as positive, depending on definition thresholds. 82.9% of samples identified positive for E. coli on laboratory culture were also considered positive for E. coli using the Flexicult™ -POCT, and susceptibilities were reasonably concordant. There were major discrepancies between laboratory staff interpretation of Flexicult™ photographs, clinicians' interpretation of the Flexicult™ test, and laboratory culture results. Flexicult™-POCT overestimated the positivity rate of urine samples for UTI when laboratory culture was used as the reference standard. However, it is unclear whether point-of-care or laboratory based urine culture provides the most valid diagnostic information. © The Author 2017. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Neurobiological model of stimulated dopamine neurotransmission to interpret fast-scan cyclic voltammetry data.

PubMed

Harun, Rashed; Grassi, Christine M; Munoz, Miranda J; Torres, Gonzalo E; Wagner, Amy K

2015-03-02

Fast-scan cyclic voltammetry (FSCV) is an electrochemical method that can assess real-time in vivo dopamine (DA) concentration changes to study the kinetics of DA neurotransmission. Electrical stimulation of dopaminergic (DAergic) pathways can elicit FSCV DA responses that largely reflect a balance of DA release and reuptake. Interpretation of these evoked DA responses requires a framework to discern the contribution of DA release and reuptake. The current, widely implemented interpretive framework for doing so is the Michaelis-Menten (M-M) model, which is grounded on two assumptions- (1) DA release rate is constant during stimulation, and (2) DA reuptake occurs through dopamine transporters (DAT) in a manner consistent with M-M enzyme kinetics. Though the M-M model can simulate evoked DA responses that rise convexly, response types that predominate in the ventral striatum, the M-M model cannot simulate dorsal striatal responses that rise concavely. Based on current neurotransmission principles and experimental FSCV data, we developed a novel, quantitative, neurobiological framework to interpret DA responses that assumes DA release decreases exponentially during stimulation and continues post-stimulation at a diminishing rate. Our model also incorporates dynamic M-M kinetics to describe DA reuptake as a process of decreasing reuptake efficiency. We demonstrate that this quantitative, neurobiological model is an extension of the traditional M-M model that can simulate heterogeneous regional DA responses following manipulation of stimulation duration, frequency, and DA pharmacology. The proposed model can advance our interpretive framework for future in vivo FSCV studies examining regional DA kinetics and their alteration by disease and DA pharmacology. Copyright © 2015 Elsevier B.V. All rights reserved.

Influence of graphic format on comprehension of risk information among American Indians.

PubMed

Sprague, Debra; LaVallie, Donna L; Wolf, Fredric M; Jacobsen, Clemma; Sayson, Kirsten; Buchwald, Dedra

2011-01-01

Presentation of risk information influences patients' ability to interpret health care options. Little is known about this relationship between risk presentation and interpretation among American Indians. Three hundred American Indian employees on a western American Indian reservation were invited to complete an anonymous written survey. All surveys included a vignette presenting baseline risk information about a hypothetical cancer and possible benefits of 2 prevention plans. Risk interpretation was assessed by correct answers to 3 questions evaluating the risk reduction associated with the plans. Numeric information was the same in all surveys, but framing varied; half expressed prevention benefits in terms of relative risk reduction and half in terms of absolute risk reduction. All surveys used text to describe the benefits of the 2 plans, but half included a graphic image. Surveys were distributed randomly. Responses were analyzed using binary logistic regression with the robust variance estimator to account for clustering of outcomes within participant. Use of a graphic image was associated with higher odds of correctly answering 3 risk interpretation questions (odds ratio = 2.5, 95% confidence interval = 1.5-4.0, P < 0.001) compared to the text-only format. These findings were similar to those of previous studies carried out in the general population. Neither framing information as relative compared to absolute risk nor the interaction between graphic image and relative risk presentation was associated with risk interpretation. One type of graphic image was associated with increased understanding of risk in a small sample of American Indian adults. The authors recommend further investigation of the effectiveness of other types of graphic displays for conveying health risk information to this population.

Is the phonological similarity effect in working memory due to proactive interference?

PubMed

Baddeley, Alan D; Hitch, Graham J; Quinlan, Philip T

2018-04-12

Immediate serial recall of verbal material is highly sensitive to impairment attributable to phonological similarity. Although this has traditionally been interpreted as a within-sequence similarity effect, Engle (2007) proposed an interpretation based on interference from prior sequences, a phenomenon analogous to that found in the Peterson short-term memory (STM) task. We use the method of serial reconstruction to test this in an experiment contrasting the standard paradigm in which successive sequences are drawn from the same set of phonologically similar or dissimilar words and one in which the vowel sound on which similarity is based is switched from trial to trial, a manipulation analogous to that producing release from PI in the Peterson task. A substantial similarity effect occurs under both conditions although there is a small advantage from switching across similar sequences. There is, however, no evidence for the suggestion that the similarity effect will be absent from the very first sequence tested. Our results support the within-sequence similarity rather than a between-list PI interpretation. Reasons for the contrast with the classic Peterson short-term forgetting task are briefly discussed. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

Atom probe tomography (APT) of carbonate minerals.

PubMed

Pérez-Huerta, Alberto; Laiginhas, Fernando; Reinhard, David A; Prosa, Ty J; Martens, Rich L

2016-01-01

Atom probe tomography (APT) combines the highest spatial resolution with chemical data at atomic scale for the analysis of materials. For geological specimens, the process of field evaporation and molecular ion formation and interpretation is not yet entirely understood. The objective of this study is to determine the best conditions for the preparation and analysis by APT of carbonate minerals, of great importance in the interpretation of geological processes, focusing on the bulk chemical composition. Results show that the complexity of the mass spectrum is different for calcite and dolomite and relates to dissimilarities in crystalochemical parameters. In addition, APT bulk chemistry of calcite closely matches the expected stoichiometry but fails to provide accurate atomic percentages for elements in dolomite under the experimental conditions evaluated in this work. For both calcite and dolomite, APT underestimates the amount of oxygen based on their chemical formula, whereas it is able to detect small percentages of elemental substitutions in crystal lattices. Overall, our results demonstrate that APT of carbonate minerals is possible, but further optimization of the experimental parameters are required to improve the use of atom probe tomography for the correct interpretation of mineral geochemistry. Copyright © 2015 Elsevier Ltd. All rights reserved.

Misuse of thermodynamics in the interpretation of isothermal titration calorimetry data for ligand binding to proteins.

PubMed

Pethica, Brian A

2015-03-01

Isothermal titration calorimetry (ITC) has given a mass of data on the binding of small molecules to proteins and other biopolymers, with particular interest in drug binding to proteins chosen as therapeutic indicators. Interpretation of the enthalpy data usually follows an unsound protocol that uses thermodynamic relations in circumstances where they do not apply. Errors of interpretation include incomplete definitions of ligand binding and equilibrium constants and neglect of the non-ideality of the solutions under study, leading to unreliable estimates of standard free energies and entropies of binding. The mass of reported thermodynamic functions for ligand binding to proteins estimated from ITC enthalpies alone is consequently of uncertain thermodynamic significance and utility. ITC and related experiments to test the protocol assumptions are indicated. A thermodynamic procedure avoiding equilibrium constants or other reaction models and not requiring protein activities is given. The discussion draws attention to the fundamental but neglected relation between the thermodynamic activity and bioactivity of drugs and to the generally unknown thermodynamic status of ligand solutions, which for drugs relates directly to effective therapeutic dosimetry. Copyright © 2014 Elsevier Inc. All rights reserved.

Stressors among Hispanic adults from immigrant families in the United States: Familismo as a context for ambivalence.

PubMed

Rojas, Sasha M; Grzywacz, Joseph G; Zapata Roblyer, Martha I; Crain, Rebecca; Cervantes, Richard C

2016-07-01

Ongoing exposure to social stressors is widely believed to undermine the health of Hispanic immigrant families. The current work aims to explore and interpret expressions of familismo as a framework through which postimmigration experiences are interpreted and potentially given meaning. Qualitative data were obtained from 16 focus groups in California and Massachusetts (N = 93). Fifty-two percent of the participants identified as male and 59% primarily spoke Spanish. Analyses revealed 3 distinct forms of ambivalence specific to familismo among Hispanic adults from immigrant families. Give and take described experiences wherein immigrants turn their backs on family in the short term to realize a better long-term future for the family. Negative change explained family misfortunes that arise in the pursuit of a better future for the family and creates doubts about the vision that motivated migration. Forced shifts suggests the navigation of daily life necessitates the inversion or abandonment of culturally idealized family roles and responsibilities. Hispanic adults from immigrant families described several situations in which competing views of familismo likely influenced the interpretation of unanticipated stressors. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

Framing effects are robust to linguistic disambiguation: A critical test of contemporary theory.

PubMed

Chick, Christina F; Reyna, Valerie F; Corbin, Jonathan C

2016-02-01

Theoretical accounts of risky choice framing effects assume that decision makers interpret framing options as extensionally equivalent, such that if 600 lives are at stake, saving 200 implies that 400 die. However, many scholars have argued that framing effects are caused, instead, by filling in pragmatically implied information. This linguistic ambiguity hypothesis is grounded in neo-Gricean pragmatics, information leakage, and schema theory. In 2 experiments, we conducted critical tests of the linguistic ambiguity hypothesis and its relation to framing. We controlled for this crucial implied information by disambiguating it using instructions and detailed examples, followed by multiple quizzes. After disambiguating missing information, we presented standard framing problems plus truncated versions, varying types of missing information. Truncations were also critical tests of prospect theory and fuzzy trace theory. Participants were not only college students, but also middle-age adults (who showed similar results). Contrary to the ambiguity hypothesis, participants who interpreted missing information as complementary to stated information nonetheless showed robust framing effects. Although adding words like "at least" can change interpretations of framing information, this form of linguistic ambiguity is not necessary to observe risky choice framing effects. (c) 2016 APA, all rights reserved).

Survey of family physicians' perspectives on management of immigrant patients: attitudes, barriers, strategies, and training needs.

PubMed

Papic, Ognjen; Malak, Ziad; Rosenberg, Ellen

2012-02-01

Immigrants in Canada form a significant portion of the population and have unique and complex health needs. This study was undertaken to evaluate family physicians' perspectives on the care of this population. Questionnaires were distributed to family physicians in Montreal (n=598). The main outcomes of interest were attitudes of family physicians to care of immigrants including barriers perceived, resources and strategies used to accommodate immigrant patients, as well as physicians' training in immigrant care. Family physicians find communication difficulties to be the key barrier and would like to see the access to interpreters improved. Very few physicians make use of professional interpreters. Only a minority of physicians have received specific cross-cultural competence training but those who have seem to provide better quality of care. Knowledge of physician perspectives is an essential element on which to base interventions to improve the quality of care to this population. Physicians should be reminded of the importance of using professional interpretation services in multi-lingual encounters. Cross-cultural training should be further advanced in Canadian medical curricula. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

Conflicts in language processing: a new perspective on the N400-P600 distinction.

PubMed

Frenzel, Sabine; Schlesewsky, Matthias; Bornkessel-Schlesewsky, Ina

2011-02-01

Conflicts in language processing often correlate with late positive event-related brain potentials (ERPs), particularly when they are induced by inconsistencies between different information types (e.g. syntactic and thematic/plausibility information). However, under certain circumstances, similar sentence-level interpretation conflicts (inanimate subjects) engender negativity effects (N400s) instead. The present ERP study was designed to shed light on this inconsistency. In previous studies showing monophasic positivities (P600s), the conflict was irresolvable and induced via a verb, whereas N400s were elicited by resolvable, argument-induced conflicts. Here, we therefore examined irresolvable argument-induced conflicts (pronoun case violations) in simple English sentences. Conflict strength was manipulated via the animacy of the first argument and the agreement status of the verb. Processing conflicts engendered a biphasic N400-late positivity pattern, with only the N400 sensitive to conflict strength (animacy). These results suggest that argument-induced conflicts engender N400 effects, (which we interpret in terms of increased competition for the Actor role) whereas irresolvable conflicts elicit late positivities (which we interpret as reflecting well-formedness categorisation). Copyright © 2010 Elsevier Ltd. All rights reserved.

Taking your own path: Individual differences in executive function and language processing skills in child learners.

PubMed

Woodard, Kristina; Pozzan, Lucia; Trueswell, John C

2016-01-01

Children as old as 5 or 6 years display selective difficulties in revising initial interpretive commitments, as indicated by both online and offline measures of sentence comprehension. It is likely, however, that individual children differ in how well they can recover from misinterpretations and in the age at which they become adult-like in these abilities. To better understand the cognitive functions that support sentence processing and revision, the current work investigated how individual differences in children's ability to interpret temporarily ambiguous sentences relate to individual differences in other linguistic and domain-general cognitive abilities. Children were tested over 2 days on a battery of executive function, working memory, and language comprehension tasks. Performance on these tasks was then used to predict online and offline measures of children's ability to revise initial misinterpretations of temporarily ambiguous sentences. We found two measures of children's cognitive flexibility to be related to their ambiguity resolution abilities. These results provide converging evidence for the hypothesis that the ability to revise initial interpretive commitments is supported by domain-general executive function abilities, which are highly variable and not fully developed in children. Copyright © 2015 Elsevier Inc. All rights reserved.

COMPOSE: Using temporal patterns for interpreting wearable sensor data with computer interpretable guidelines.

PubMed

Urovi, V; Jimenez-Del-Toro, O; Dubosson, F; Ruiz Torres, A; Schumacher, M I

2017-02-01

This paper describes a novel temporal logic-based framework for reasoning with continuous data collected from wearable sensors. The work is motivated by the Metabolic Syndrome, a cluster of conditions which are linked to obesity and unhealthy lifestyle. We assume that, by interpreting the physiological parameters of continuous monitoring, we can identify which patients have a higher risk of Metabolic Syndrome. We define temporal patterns for reasoning with continuous data and specify the coordination mechanisms for combining different sets of clinical guidelines that relate to this condition. The proposed solution is tested with data provided by twenty subjects, which used sensors for four days of continuous monitoring. The results are compared to the gold standard. The novelty of the framework stands in extending a temporal logic formalism, namely the Event Calculus, with temporal patterns. These patterns are helpful to specify the rules for reasoning with continuous data and in combining new knowledge into one consistent outcome that is tailored to the patient's profile. The overall approach opens new possibilities for delivering patient-tailored interventions and educational material before the patients present the symptoms of the disease. Copyright © 2016 Elsevier Ltd. All rights reserved.

Effects of optimism on gambling in the rat slot machine task.

PubMed

Rafa, Dominik; Kregiel, Jakub; Popik, Piotr; Rygula, Rafal

2016-03-01

Although gambling disorder is a serious social problem in modern societies, information about the behavioral traits that could determine vulnerability to this psychopathology is still scarce. In this study, we used a recently developed ambiguous-cue interpretation ​(ACI)​ paradigm to investigate whether 'optimism' and 'pessimism' as behavioral traits may determine the gambling-like behavior of rodents. In a series of ACI tests (cognitive bias screening), we identified rats that displayed 'pessimistic' and 'optimistic' traits. Subsequently, using the rat slot machine task (rSMT), we investigated if the 'optimistic'/'pessimistic' traits could determine the crucial feature of gambling-like behavior that has been investigated in rats and humans: the ​interpretation of 'near-miss' outcomes as a positive (i.e., win) situation. We found that 'optimists' did not interpret 'near-miss', 'near loss', or 'clear win' as win trials more often than ​their 'pessimistic' ​conspecifics; however, the 'optimists' were statistically more likely to reach for a reward in the hopeless 'clear loss' situation. This agrees with human studies and provides a platform for modeling interactions between behavioral traits and gambling in animals. Copyright © 2015 Elsevier B.V. All rights reserved.

Self-organization in cold atomic gases: a synchronization perspective.

PubMed

Tesio, E; Robb, G R M; Oppo, G-L; Gomes, P M; Ackemann, T; Labeyrie, G; Kaiser, R; Firth, W J

2014-10-28

We study non-equilibrium spatial self-organization in cold atomic gases, where long-range spatial order spontaneously emerges from fluctuations in the plane transverse to the propagation axis of a single optical beam. The self-organization process can be interpreted as a synchronization transition in a fully connected network of fictitious oscillators, and described in terms of the Kuramoto model. © 2014 The Author(s) Published by the Royal Society. All rights reserved.

Design and implementation of an external quality assessment program for HIV viral load measurements using dried blood spots.

PubMed

Prach, Lisa M; Puren, Adrian; Lippman, Sheri A; Carmona, Sergio; Stephenson, Sophie; Cutler, Ewalde; Barnhart, Scott; Liegler, Teri

2015-03-01

An external quality assurance program was developed for HIV-1 RNA viral load measurements taken from dried blood spots using a reference panel and field-collected specimens. The program demonstrated that accurate and reproducible quantitation can be obtained from field-collected specimens. Residual proviral DNA may confound interpretation in virologically suppressed subjects. Copyright © 2015, American Society for Microbiology. All Rights Reserved.

Another Piece of the Antibody Puzzle: Observations from the HALT study\\.

PubMed

Snyder, Laurie D; Tinckam, Kathryn J

2018-06-04

In the rapidly evolving domain of clinical transplantation immunobiology, the interrogation and interpretation of HLA antibodies and their associated clinical consequences are in the spotlight. In lung transplant, HLA antibodies, in particular donor specific antibodies (DSA), are a determining component of the lung transplant antibody mediated rejection (AMR) definition (1). DSA after lung transplant are widely regarded as poor prognosticator, though sparse data to date necessitate ongoing discourse and continued investigation into incidence, timing and treatment. Prior studies reported a wide range of DSA incidence with differing consequences on a background of highly variable timing, methods, antibody analytic strategies and clinical definitions. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

The rise of western rationalism: Paul Feyerabend's story.

PubMed

Preston, John

2016-06-01

I summarize certain aspects of Paul Feyerabend's account of the development of Western rationalism, show the ways in which that account is supposed to run up against an alternative, that of Karl Popper, and then try to give a preliminary comparison of the two. My interest is primarily in whether what Feyerabend called his 'story' constitutes a possible history of our epistemic concepts and their trajectory. I express some grave reservations about that story, and about Feyerabend's framework, finding Popper's views less problematic here. However, I also suggest that one important aspect of Feyerabend's material, his treatment of religious belief, can be given an interpretation which makes it tenable, and perhaps preferable to a Popperian approach. Copyright © 2015 Elsevier Ltd. All rights reserved.

Collaborative assessment of California spiny lobster population and fishery responses to a marine reserve network.

PubMed

Kay, Matthew C; Lenihan, Hunter S; Guenther, Carla M; Wilson, Jono R; Miller, Christopher J; Shrout, Samuel W

2012-01-01

Assessments of the conservation and fisheries effects of marine reserves typically focus on single reserves where sampling occurs over narrow spatiotemporal scales. A strategy for broadening the collection and interpretation of data is collaborative fisheries research (CFR). Here we report results of a CFR program formed in part to test whether reserves at the Santa Barbara Channel Islands, USA, influenced lobster size and trap yield, and whether abundance changes in reserves led to spillover that influenced trap yield and effort distribution near reserve borders. Industry training of scientists allowed us to sample reserves with fishery relevant metrics that we compared with pre-reserve fishing records, a concurrent port sampling program, fishery effort patterns, the local ecological knowledge (LEK) of fishermen, and fishery-independent visual surveys of lobster abundance. After six years of reserve protection, there was a four- to eightfold increase in trap yield, a 5-10% increase in the mean size (carapace length) of legal sized lobsters, and larger size structure of lobsters trapped inside vs. outside of three replicate reserves. Patterns in trap data were corroborated by visual scuba surveys that indicated a four- to sixfold increase in lobster density inside reserves. Population increases within reserves did not lead to increased trap yields or effort concentrations (fishing the line) immediately outside reserve borders. The absence of these catch and effort trends, which are indicative of spillover, may be due to moderate total mortality (Z = 0.59 for legal sized lobsters outside reserves), which was estimated from analysis of growth and length frequency data collected as part of our CFR program. Spillover at the Channel Islands reserves may be occurring but at levels that are insufficient to influence the fishery dynamics that we measured. Future increases in fishing effort (outside reserves) and lobster biomass (inside reserves) are likely and may lead to increased spillover, and CFR provides an ideal platform for continued assessment of fishery-reserve interactions.

Teleneurosonology: a novel application of transcranial and carotid ultrasound.

PubMed

Rubin, Mark N; Barrett, Kevin M; Freeman, W David; Lee Iannotti, Joyce K; Channer, Dwight D; Rabinstein, Alejandro A; Demaerschalk, Bart M

2015-03-01

To demonstrate the technical feasibility of interfacing transcranial Doppler (TCD) and carotid "duplex" ultrasonography (CUS) peripherals with telemedicine end points to provide real-time spectral waveform and duplex imaging data for remote review and interpretation. We performed remote TCD and CUS examinations on a healthy, volunteer employee from our institution without known cerebrovascular disease. The telemedicine end point was stationed in our institution's hospital where the neurosonology examinations took place and the control station was in a dedicated telemedicine room in a separate building. The examinations were performed by a postgraduate level neurohospitalist trainee (M.N.R.) and interpreted by an attending vascular neurologist, both with experience in the performance and interpretation of TCD and CUS. Spectral waveform and duplex ultrasound data were successfully transmitted from TCD and CUS instruments through a telemedicine end point to a remote reviewer at a control station. Image quality was preserved in all cases, and technical failures were not encountered. This proof-of-concept study demonstrates the technical feasibility of interfacing TCD and CUS peripherals with a telemedicine end point to provide real-time spectral waveform and duplex imaging data for remote review and interpretation. Medical diagnostic and telemedicine devices should be equipped with interfaces that allow simple transmission of high-quality audio and video information from the medical devices to the telemedicine technology. Further study is encouraged to determine the clinical impact of teleneurosonology. Copyright © 2015 National Stroke Association. Published by Elsevier Inc. All rights reserved.

Numeric rating scale: patients' perceptions of its use in postoperative pain assessments.

PubMed

Eriksson, Kerstin; Wikström, Lotta; Årestedt, Kristofer; Fridlund, Bengt; Broström, Anders

2014-02-01

The purpose of this study was to describe how patients perceive the use of the numeric rating scale in postoperative pain assessments. There are recommendations to use a pain scale to follow patients' postoperative pain. Most patients prefer the NRS but there is a discrepancy between patients and healthcare professionals how to interpret the ratings from the pain assessments. A descriptive design with a phenomenographic approach was used. Semi structured interviews were held with 25 patients. Three description categories emerged that illustrate patients' perceptions; use of the NRS facilitated communication of pain, it put demands on healthcare professionals and care routines and it contained interpretation difficulties. The NRS has a place in pain management according to the patients but there is a need for a dialogue to give the patients the opportunity to describe their pain and set a common goal. Copyright © 2014 Elsevier Inc. All rights reserved.

"Flashburning"--interpreting the presence of heat damage to a suspect's clothing and footwear in the investigation of fires.

PubMed

Leung, Eric H; Halliday, David X

2010-12-01

When volatile flammable vapours are released, they can mix with surrounding air and form a vapour cloud. Ignition of this fuel/air mixture will produce a flame front that will flash through the vapour. Items exposed to the flame front, including a suspect's clothing and footwear, may sustain superficial heat damage. At The Forensic Science Service Ltd this is referred to as flashburning. This paper describes the concept of flashburning, the laboratory methodology used to identify it and how an assessment on the overall distribution of that damage may allow a scientist to evaluate its evidential significance. Two anonymised casework examples are used to demonstrate how this information has been interpreted and used in evidence in United Kingdom courts of law. Copyright © 2010 Forensic Science Society. Published by Elsevier Ireland Ltd. All rights reserved.

Collectivism and the meaning of suffering.

PubMed

Sullivan, Daniel; Landau, Mark J; Kay, Aaron C; Rothschild, Zachary K

2012-12-01

People need to understand why an instance of suffering occurred and what purpose it might have. One widespread account of suffering is a repressive suffering construal (RSC): interpreting suffering as occurring because people deviate from social norms and as having the purpose of reinforcing the social order. Based on the theorizing of Emile Durkheim and others, we propose that RSC is associated with social morality-the belief that society dictates morality-and is encouraged by collectivist (as opposed to individualist) sentiments. Study 1 showed that dispositional collectivism predicts both social morality and RSC. Studies 2-4 showed that priming collectivist (vs. individualist) self-construal increases RSC of various types of suffering and that this effect is mediated by increased social morality (Study 4). Study 5 examined behavioral intentions, demonstrating that parents primed with a collectivist self-construal interpreted children's suffering more repressively and showed greater support for corporal punishment of children. (PsycINFO Database Record (c) 2012 APA, all rights reserved).

The social life of cognition.

PubMed

Korman, Joanna; Voiklis, John; Malle, Bertram F

2015-02-01

We begin by illustrating that long before the cognitive revolution, social psychology focused on topics pertaining to what is now known as social cognition: people's subjective interpretations of social situations and the concepts and cognitive processes underlying these interpretations. We then examine two questions: whether social cognition entails characteristic concepts and cognitive processes, and how social processes might themselves shape and constrain cognition. We suggest that social cognition relies heavily on generic cognition but also on unique concepts (e.g., agent, intentionality) and unique processes (e.g., projection, imitation, joint attention). We further suggest that social processes play a prominent role in the development and unfolding of several generic cognitive processes, including learning, attention, and memory. Finally, we comment on the prospects of a recently developing approach to the study of social cognition (social neuroscience) and two potential future directions (computational social cognition and social-cognitive robotics). Copyright © 2014 Elsevier B.V. All rights reserved.

Multivariate temporal dictionary learning for EEG.

PubMed

Barthélemy, Q; Gouy-Pailler, C; Isaac, Y; Souloumiac, A; Larue, A; Mars, J I

2013-04-30

This article addresses the issue of representing electroencephalographic (EEG) signals in an efficient way. While classical approaches use a fixed Gabor dictionary to analyze EEG signals, this article proposes a data-driven method to obtain an adapted dictionary. To reach an efficient dictionary learning, appropriate spatial and temporal modeling is required. Inter-channels links are taken into account in the spatial multivariate model, and shift-invariance is used for the temporal model. Multivariate learned kernels are informative (a few atoms code plentiful energy) and interpretable (the atoms can have a physiological meaning). Using real EEG data, the proposed method is shown to outperform the classical multichannel matching pursuit used with a Gabor dictionary, as measured by the representative power of the learned dictionary and its spatial flexibility. Moreover, dictionary learning can capture interpretable patterns: this ability is illustrated on real data, learning a P300 evoked potential. Copyright © 2013 Elsevier B.V. All rights reserved.

Incremental generation of answers during the comprehension of questions with quantifiers.

PubMed

Bott, Oliver; Augurzky, Petra; Sternefeld, Wolfgang; Ulrich, Rolf

2017-09-01

The paper presents a study on the online interpretation of quantified questions involving complex domain restriction, for instance, are all triangles blue that are in the circle. Two probe reaction time (RT) task experiments were conducted to study the incremental nature of answer generation while manipulating visual contexts and response hand overlap between tasks. We manipulated the contexts in such a way that the incremental answer to the question changed from 'yes' to 'no' or remained the same before and after encountering the extraposed relative clause. The findings of both experiments provide evidence for incremental answer preparation but only if the context did not involve the risk of answer revision. Our results show that preliminary output from incremental semantic interpretation results in response priming that facilitates congruent responses in the probe RT task. Copyright © 2017 Elsevier B.V. All rights reserved.

Methylation analysis of polysaccharides: Technical advice.

PubMed

Sims, Ian M; Carnachan, Susan M; Bell, Tracey J; Hinkley, Simon F R

2018-05-15

Glycosyl linkage (methylation) analysis is used widely for the structural determination of oligo- and poly-saccharides. The procedure involves derivatisation of the individual component sugars of a polysaccharide to partially methylated alditol acetates which are analysed and quantified by gas chromatography-mass spectrometry. The linkage positions for each component sugar can be determined by correctly identifying the partially methylated alditol acetates. Although the methods are well established, there are many technical aspects to this procedure and both careful attention to detail and considerable experience are required to achieve a successful methylation analysis and to correctly interpret the data generated. The aim of this article is to provide the technical details and critical procedural steps necessary for a successful methylation analysis and to assist researchers (a) with interpreting data correctly and (b) in providing the comprehensive data required for reviewers to fully assess the work. Copyright © 2018 Elsevier Ltd. All rights reserved.

Application of text mining in the biomedical domain.

PubMed

Fleuren, Wilco W M; Alkema, Wynand

2015-03-01

In recent years the amount of experimental data that is produced in biomedical research and the number of papers that are being published in this field have grown rapidly. In order to keep up to date with developments in their field of interest and to interpret the outcome of experiments in light of all available literature, researchers turn more and more to the use of automated literature mining. As a consequence, text mining tools have evolved considerably in number and quality and nowadays can be used to address a variety of research questions ranging from de novo drug target discovery to enhanced biological interpretation of the results from high throughput experiments. In this paper we introduce the most important techniques that are used for a text mining and give an overview of the text mining tools that are currently being used and the type of problems they are typically applied for. Copyright © 2015 Elsevier Inc. All rights reserved.

Toward customer-centric organizational science: A common language effect size indicator for multiple linear regressions and regressions with higher-order terms.

PubMed

Krasikova, Dina V; Le, Huy; Bachura, Eric

2018-06-01

To address a long-standing concern regarding a gap between organizational science and practice, scholars called for more intuitive and meaningful ways of communicating research results to users of academic research. In this article, we develop a common language effect size index (CLβ) that can help translate research results to practice. We demonstrate how CLβ can be computed and used to interpret the effects of continuous and categorical predictors in multiple linear regression models. We also elaborate on how the proposed CLβ index is computed and used to interpret interactions and nonlinear effects in regression models. In addition, we test the robustness of the proposed index to violations of normality and provide means for computing standard errors and constructing confidence intervals around its estimates. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

[Respiratory monitoring of pediatric patients in the Intensive Care Unit].

PubMed

Donoso, Alejandro; Arriagada, Daniela; Contreras, Dina; Ulloa, Daniela; Neumann, Megan

Respiratory monitoring plays an important role in the care of children with acute respiratory failure. Therefore, its proper use and correct interpretation (recognizing which signals and variables should be prioritized) should help to a better understanding of the pathophysiology of the disease and the effects of therapeutic interventions. In addition, ventilated patient monitoring, among other determinations, allows to evaluate various parameters of respiratory mechanics, know the status of the different components of the respiratory system and guide the adjustments of ventilatory therapy. In this update, the usefulness of several techniques of respiratory monitoring including conventional respiratory monitoring and more recent methods are described. Moreover, basic concepts of mechanical ventilation, their interpretation and how the appropriate analysis of the information obtained can cause an impact on the clinical management of the patient are defined. Copyright © 2016 Hospital Infantil de México Federico Gómez. Publicado por Masson Doyma México S.A. All rights reserved.

Conceptualizing mind, body, spirit interconnections through, and beyond, spiritual healing practices.

PubMed

Mark, Glenis; Lyons, Antonia

2014-01-01

Although research is increasingly exploring the concept of the mind, body, spirit (MBS) and its relevance to health and well-being, it remains difficult to precisely define it. This research aims to explore indigenous and non-indigenous spiritual healers' conceptualizations of MBS and consider implications for theory and practice. A total of 12 spiritual healers from Aotearoa/New Zealand participated in a semi-structured interview about their healing practices. The research interview asked participants to discuss how they conceptualized the mind, body, spirit in their work. The data were analyzed using interpretative data analysis. Transcripts of the interviews were analyzed using interpretative phenomenological analysis, which led to the identification of three major themes: MBS interconnections of healing, impacts on the mind and the body, and spiritual aspects of healing. These results are discussed in terms of their implications for concepts of healing and conceptualizations of MBS. Copyright © 2014 Elsevier Inc. All rights reserved.

[Promoting directives of the Quality Law of the Spanish National Health System: Computer-interpretable clinical practice guidelines].

PubMed

González-Ferrer, Arturo; Valcárcel, María Ángel

2018-04-01

The Cohesion and Quality Act of the National Health System promotes the use of new technologies to make it possible for health professionals put the scientific evidence into practice. In order to do this, there are technological tools, known as of computer-interpretable guidelines, which can help achieve this goal from an innovation perspective. They can be adopted using an iterative process, having a great initial potential as an educational tool, of quality and safety of the patient, in the decision making and, optionally, can be integrated with the electronic medical history, once they are rigorously validated. This article presents updates on these tools, reviews international projects, and personal experiences in which they have demonstrated their value, and highlights the advantages, risks, and limitations they present from a clinical point of view. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

Symptom overreporting and dissociative experiences: A qualitative review.

PubMed

Merckelbach, H; Boskovic, I; Pesy, D; Dalsklev, M; Lynn, S J

2017-03-01

We discuss a phenomenon that has received little attention to date in research on dissociative phenomena, namely that self-reports of these phenomena overlap with the tendency to overendorse eccentric items. We review the literature documenting the dissociation-overreporting link and then briefly discuss various interpretations of this link: (1) overreporting is an artifact of measuring dissociative symptoms; (2) dissociative psychopathology engenders overreporting of eccentric symptoms through fantasy proneness or impairments in internal monitoring; (3) an overreporting response style as is evident in malingerers, for example, promotes reports of dissociative symptoms. These three interpretations are not mutually exclusive. Also, the dissociation-overreporting link may have different origins among different samples. Because overreporting may introduce noise in datasets, we need more research specifically aimed at disentangling the dissociation-overreporting link. We suggest various avenues to accomplish this goal. Copyright © 2017 Elsevier Inc. All rights reserved.

Evolutionary anthropology and genes: investigating the genetics of human evolution from excavated skeletal remains.

PubMed

Anastasiou, Evilena; Mitchell, Piers D

2013-10-01

The development of molecular tools for the extraction, analysis and interpretation of DNA from the remains of ancient organisms (paleogenetics) has revolutionised a range of disciplines as diverse as the fields of human evolution, bioarchaeology, epidemiology, microbiology, taxonomy and population genetics. The paper draws attention to some of the challenges associated with the extraction and interpretation of ancient DNA from archaeological material, and then reviews the influence of paleogenetics on the field of human evolution. It discusses the main contributions of molecular studies to reconstructing the evolutionary and phylogenetic relationships between extinct hominins (human ancestors) and anatomically modern humans. It also explores the evidence for evolutionary changes in the genetic structure of anatomically modern humans in recent millennia. This breadth of research has led to discoveries that would never have been possible using traditional approaches to human evolution. Copyright © 2013 Elsevier B.V. All rights reserved.

ACR-SPR-STR Practice Parameter for the Performance of Cardiac Positron Emission Tomography - Computed Tomography (PET/CT) Imaging.

PubMed

Subramaniam, Rathan M; Janowitz, Warren R; Johnson, Geoffrey B; Lodge, Martin A; Parisi, Marguerite T; Ferguson, Mark R; Hellinger, Jeffrey C; Gladish, Gregory W; Gupta, Narainder K

2017-12-01

This clinical practice parameter has been developed collaboratively by the American College of Radiology (ACR), the Society for Pediatric Radiology (SPR), and the Society of Thoracic Radiology (STR). This document is intended to act as a guide for physicians performing and interpreting positron emission tomography-computed tomography (PET/CT) of cardiac diseases in adults and children. The primary value of cardiac PET/CT imaging include evaluation of perfusion, function, viability, inflammation, anatomy, and risk stratification for cardiac-related events such as myocardial infarction and death. Optimum utility of cardiac PET/CT is achieved when images are interpreted in conjunction with clinical information and laboratory data. Measurement of myocardial blood flow, coronary flow reserve and detection of balanced ischemia are significant advantages of cardiac PET perfusion studies. Increasingly cardiac PET/CT is used in diagnosis and treatment response assessment for cardiac sarcoidosis.

Integrated pathway-based transcription regulation network mining and visualization based on gene expression profiles.

PubMed

Kibinge, Nelson; Ono, Naoaki; Horie, Masafumi; Sato, Tetsuo; Sugiura, Tadao; Altaf-Ul-Amin, Md; Saito, Akira; Kanaya, Shigehiko

2016-06-01

Conventionally, workflows examining transcription regulation networks from gene expression data involve distinct analytical steps. There is a need for pipelines that unify data mining and inference deduction into a singular framework to enhance interpretation and hypotheses generation. We propose a workflow that merges network construction with gene expression data mining focusing on regulation processes in the context of transcription factor driven gene regulation. The pipeline implements pathway-based modularization of expression profiles into functional units to improve biological interpretation. The integrated workflow was implemented as a web application software (TransReguloNet) with functions that enable pathway visualization and comparison of transcription factor activity between sample conditions defined in the experimental design. The pipeline merges differential expression, network construction, pathway-based abstraction, clustering and visualization. The framework was applied in analysis of actual expression datasets related to lung, breast and prostrate cancer. Copyright © 2016 Elsevier Inc. All rights reserved.

Reliability and utility of citizen science reef monitoring data collected by Reef Check Australia, 2002-2015.

PubMed

Done, Terence; Roelfsema, Chris; Harvey, Andrew; Schuller, Laura; Hill, Jocelyn; Schläppy, Marie-Lise; Lea, Alexandra; Bauer-Civiello, Anne; Loder, Jennifer

2017-04-15

Reef Check Australia (RCA) has collected data on benthic composition and cover at >70 sites along >1000km of Australia's Queensland coast from 2002 to 2015. This paper quantifies the accuracy, precision and power of RCA benthic composition data, to guide its application and interpretation. A simulation study established that the inherent accuracy of the Reef Check point sampling protocol is high (<±7% error absolute), in the range of estimates of benthic cover from 1% to 50%. A field study at three reef sites indicated that, despite minor observer- and deployment-related biases, the protocol does reliably document moderate ecological changes in coral communities. The error analyses were then used to guide the interpretation of inter-annual variability and long term trends at three study sites in RCA's major 2002-2015 data series for the Queensland coast. Copyright © 2017 Elsevier Ltd. All rights reserved.

Methods employed for chest radiograph interpretation education for radiographers: A systematic review of the literature.

PubMed

McLaughlin, L; McConnell, J; McFadden, S; Bond, R; Hughes, C

2017-11-01

This systematic review aimed to determine the strength of evidence available in the literature on the effect of training to develop the skills required by radiographers to interpret plain radiography chest images. Thirteen articles feature within the review. Sample size varied from one reporting radiographer to 148 radiography students/experienced radiographers. The quality of the articles achieved a mean score of 7.5/10, indicating the evidence is strong and the quality of studies in this field is high. Investigative approaches included audit of participants' performance in clinical practice post formal training, evaluation of informal training and the impact of short feedback sessions on performance. All studies demonstrated positive attributions on user performance. Using a combination of training techniques can help maximise learning and accommodate those with different preferred learning types. Copyright © 2017 The College of Radiographers. Published by Elsevier Ltd. All rights reserved.

Responding to surrogate requests that seem inconsistent with a patient's living will.

PubMed

Vig, Elizabeth K; Sudore, Rebecca L; Berg, Karina M; Fromme, Erik K; Arnold, Robert M

2011-11-01

Clinicians may feel conflicted when a patient's legal decision maker is making decisions that seem inconsistent with a patient's living will. We provide evidence-based information to help clinicians consider whether a surrogate's inconsistent decisions are ethically appropriate. Surrogates are not flawless translators of their loved one's preferences; they are influenced by their own hopes and the current clinical context. Patients may be aware of this, are often concerned about burdening their loved ones, and often grant their surrogates leeway in interpreting their wishes. When appropriate, clinicians should respect surrogates' interpretations of patient values and take steps to decrease surrogate stress during the decision-making process. Finally, if clinicians are cognizant of their own values and preferences, they may recognize how these may affect their responses to certain clinical cases. Copyright © 2011 U.S. Cancer Pain Relief Committee. All rights reserved.

Acoustic and optical borehole-wall imaging for fractured-rock aquifer studies

USGS Publications Warehouse

Williams, J.H.; Johnson, C.D.

2004-01-01

Imaging with acoustic and optical televiewers results in continuous and oriented 360?? views of the borehole wall from which the character, relation, and orientation of lithologic and structural planar features can be defined for studies of fractured-rock aquifers. Fractures are more clearly defined under a wider range of conditions on acoustic images than on optical images including dark-colored rocks, cloudy borehole water, and coated borehole walls. However, optical images allow for the direct viewing of the character of and relation between lithology, fractures, foliation, and bedding. The most powerful approach is the combined application of acoustic and optical imaging with integrated interpretation. Imaging of the borehole wall provides information useful for the collection and interpretation of flowmeter and other geophysical logs, core samples, and hydraulic and water-quality data from packer testing and monitoring. ?? 2003 Elsevier B.V. All rights reserved.

An unusual case of murder-suicide: The importance of studying knots.

PubMed

D'Ovidio, Cristian; Rosato, Enrica; Carnevale, Aldo

2017-01-01

An atypical murder-suicide that involved a married couple over 80 years of age was investigated at the Institute of Legal Medicine of the University of Chieti-Pescara and is presented and discussed here. The whole story allows us to confront the difficulties involved in the discovery of a dead body in water when the circumstantial evidence does not allow any unique interpretation of the facts. The atypical and misleading element appeared to be how the body of the man was tied, with the interpretation inclined towards a homicidal manner of death. It was only by combining the contributions of each of the findings that emerged during the course of the autopsy with the circumstantial evidence from the site inspection that it was possible to reach resolution of this case, which was then identified as a murder-suicide. Copyright © 2016 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

[Introduction to Exploratory Factor Analysis (EFA)].

PubMed

Martínez, Carolina Méndez; Sepúlveda, Martín Alonso Rondón

2012-03-01

Exploratory Factor Analysis (EFA) has become one of the most frequently used statistical techniques, especially in the medical and social sciences. Given its popularity, it is essential to understand the basic concepts necessary for its proper application and to take into consideration the main strengths and weaknesses of this technique. To present in a clear and concise manner the main applications of this technique, to determine the basic requirements for its use providing a description step by step of its methodology, and to establish the elements that must be taken into account during its preparation in order to not incur in erroneous results and interpretations. Narrative review. This review identifies the basic concepts and briefly describes the objectives, design, assumptions, and methodology to achieve factor derivation, global adjustment evaluation, and adequate interpretation of results. Copyright © 2012 Asociación Colombiana de Psiquiatría. Publicado por Elsevier España. All rights reserved.

Decrease in osmotically driven water flux and transport through mangrove roots after oil spills in the presence and absence of dispersants.

PubMed

Tansel, Berrin; Arreaza, Ariadna; Tansel, Derya Z; Lee, Mengshan

2015-09-15

The objective of this study was to evaluate the effect of crude oil on water transport through mangroves roots in the presence and absence of dispersants. Water transport through the roots were evaluated experimentally using red mangrove root segments exposed to salt water contaminated with Louisiana crude oil for seven days in the presence and absence of Corexit 9500A (dispersant). Experimental observations were interpreted in view of the structural integrity and fouling phenomena observed on the epidermis and endodermis layers of the roots. The effects of oil on the radial water flux through the epidermis and endodermis were analyzed using a dual layer filtration model. Progression of fouling due to accumulation and penetration of the contaminants through the root layers were interpreted in relation to observed mangrove health (long and short term effects) reported in the literature. Copyright © 2015 Elsevier Ltd. All rights reserved.

A putative role for anti-Müllerian hormone (AMH) in optimising ovarian reserve expenditure.

PubMed

Pankhurst, Michael W

2017-04-01

The mammalian ovary has a finite supply of oocytes, which are contained within primordial follicles where they are arrested in a dormant state. The number of primordial follicles in the ovary at puberty is highly variable between females of the same species. Females that enter puberty with a small ovarian reserve are at risk of a shorter reproductive lifespan, as their ovarian reserve is expected to be depleted faster. One of the roles of anti-Müllerian hormone (AMH) is to inhibit primordial follicle activation, which slows the rate at which the ovarian reserve is depleted. A simple interpretation is that the function of AMH is to conserve ovarian reserve. However, the females with the lowest ovarian reserve and the greatest risk of early reserve depletion have the lowest levels of AMH. In contrast, AMH apparently strongly inhibits primordial follicle activation in females with ample ovarian reserve, for reasons that remain unexplained. The rate of primordial follicle activation determines the size of the developing follicle pool, which in turn, determines how many oocytes are available to be selected for ovulation. This review discusses the evidence that AMH regulates the size of the developing follicle pool by altering the rate of primordial follicle activation in a context-dependent manner. The expression patterns of AMH across life are also consistent with changing requirements for primordial follicle activation in the ageing ovary. A potential role of AMH in the fertility of ageing females is proposed herein. © 2017 Society for Endocrinology.

Survey of United States Army Reserve (USAR) Troop Program Unit (TPU) soldiers 1989. Tabulation of Questionnaire Responses: Cross-Sectional Sample: Officers and Enlisted Personnel

DTIC Science & Technology

1989-09-30

26 QUESTIONNAIRE INSTRUMENT ri. -I., DATA TABULATION VOLUMES This material provides information for use by readers to interpret...The second longitudinal Tabulation Volume reports the 1988 questionnaire responses of the junior enlisted "stayers" who were used as the sample to...the specific crossing variables used for the cross-sectional and longitudinal Tabulation Volumes. Cross-Sectional Tabulation Volumes. Demographic

Framework for Derivation of Water Quality Criteria Using the Biotic Ligand Model: Copper as a Case Study.

PubMed

Gondek, John C; Gensemer, Robert W; Claytor, Carrie A; Canton, Steven P; Gorsuch, Joseph W

2018-06-01

Acceptance of the Biotic Ligand Model (BLM) to derive aquatic life criteria, for metals in general and copper in particular, is growing amongst regulatory agencies worldwide. Thus, it is important to ensure that water quality data are used appropriately and consistently in deriving such criteria. Here we present a suggested BLM implementation framework (hereafter referred to as "the Framework") to help guide the decision-making process when designing sampling and analysis programs for use of the BLM to derive water quality criteria applied on a site-specific basis. Such a framework will help inform stakeholders on the requirements needed to derive BLM-based criteria, and thus, ensure the appropriate types and amount of data are being collected and interpreted. The Framework was developed for calculating BLM-based criteria when data are available from multiple sampling locations on a stream. The Framework aspires to promote consistency when applying the BLM across datasets of disparate water quality, data quantity, and spatial and temporal representativeness, and is meant to be flexible to maximize applicability over a wide range of scenarios. Therefore, the Framework allows for a certain level of interpretation and adjustment to address the issues unique to each dataset. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

General Mathematical Ability Predicts PASAT Performance in MS Patients: Implications for Clinical Interpretation and Cognitive Reserve.

PubMed

Sandry, Joshua; Paxton, Jessica; Sumowski, James F

2016-03-01

The Paced Auditory Serial Addition Test (PASAT) is used to assess cognitive status in multiple sclerosis (MS). Although the mathematical demands of the PASAT seem minor (single-digit arithmetic), cognitive psychology research links greater mathematical ability (e.g., algebra, calculus) to more rapid retrieval of single-digit math facts (e.g., 5+6=11). The present study evaluated the hypotheses that (a) mathematical ability is related to PASAT performance and (b) both the relationship between intelligence and PASAT performance as well as the relationship between education and PASAT performance are both mediated by mathematical ability. Forty-five MS patients were assessed using the Wechsler Test of Adult Reading, PASAT and Calculation Subtest of the Woodcock-Johnson-III. Regression based path analysis and bootstrapping were used to compute 95% confidence intervals and test for mediation. Mathematical ability (a) was related to PASAT (β=.61; p<.001) and (b) fully mediated the relationship between Intelligence and PASAT (β=.76; 95% confidence interval (CI95)=.28, 1.45; direct effect of Intelligence, β=.42; CI95=-.39, 1.23) as well as the relationship between Education and PASAT (β=2.43, CI95=.81, 5.16, direct effect of Education, β=.83, CI95=-1.95, 3.61). Mathematical ability represents a source of error in the clinical interpretation of cognitive decline using the PASAT. Domain-specific cognitive reserve is discussed.

Comparing efficiency of American Fisheries Society standard snorkeling techniques to environmental DNA sampling techniques

USGS Publications Warehouse

Ulibarri, Roy M.; Bonar, Scott A.; Rees, Christopher B.; Amberg, Jon J.; Ladell, Bridget; Jackson, Craig

2017-01-01

Analysis of environmental DNA (eDNA) is an emerging technique used to detect aquatic species through water sampling and the extraction of biological material for amplification. Our study compared the efficacy of eDNA methodology to American Fisheries Society (AFS) standard snorkeling surveys with regard to detecting the presence of rare fish species. Knowing which method is more efficient at detecting target species will help managers to determine the best way to sample when both traditional sampling methods and eDNA sampling are available. Our study site included three Navajo Nation streams that contained Navajo Nation Genetic Subunit Bluehead Suckers Catostomus discobolus and Zuni Bluehead Suckers C. discobolus yarrowi. We first divided the entire wetted area of streams into consecutive 100-m reaches and then systematically selected 10 reaches/stream for snorkel and eDNA surveys. Surface water samples were taken in 10-m sections within each 100-m reach, while fish presence was noted via snorkeling in each 10-m section. Quantitative PCR was run on each individual water sample in quadruplicate to test for the presence or absence of the target species. With eDNA sampling techniques, we were able to positively detect both species in two out of the three streams. Snorkeling resulted in positive detection of both species in all three streams. In streams where the target species were detected with eDNA sampling, snorkeling detected fish at 11–29 sites/stream, whereas eDNA detected fish at 3–12 sites/stream. Our results suggest that AFS standard snorkeling is more effective than eDNA for detecting target fish species. To improve our eDNA procedures, the amount of water collected and tested should be increased. Additionally, filtering water on-site may improve eDNA techniques for detecting fish. Future research should focus on standardization of eDNA sampling to provide a widely operational sampling tool.

Statewide Groundwater Recharge Modeling in New Mexico

NASA Astrophysics Data System (ADS)

Xu, F.; Cadol, D.; Newton, B. T.; Phillips, F. M.

2017-12-01

It is crucial to understand the rate and distribution of groundwater recharge in New Mexico because it not only largely defines a limit for water availability in this semi-arid state, but also is the least understood aspect of the state's water budget. With the goal of estimating groundwater recharge statewide, we are developing the Evapotranspiration and Recharge Model (ETRM), which uses existing spatial datasets to model the daily soil water balance over the state at a resolution of 250 m cell. The input datasets includes PRISM precipitation data, MODIS Normalized Difference Vegetation Index (NDVI), NRCS soils data, state geology data and reference ET estimates produced by Gridded Atmospheric Data downscalinG and Evapotranspiration Tools (GADGET). The current estimated recharge presents diffuse recharge only, not focused recharge as in channels or playas. Direct recharge measurements are challenging and rare, therefore we estimate diffuse recharge using a water balance approach. The ETRM simulated runoff amount was compared with USGS gauged discharge in four selected ephemeral channels: Mogollon Creek, Zuni River, the Rio Puerco above Bernardo, and the Rio Puerco above Arroyo Chico. Result showed that focused recharge is important, and basin characteristics can be linked with watershed hydrological response. As the sparse instruments in NM provide limited help in improving estimation of focused recharge by linking basin characteristics, the Walnut Gulch Experimental Watershed, which is one of the most densely gauged and monitored semiarid rangeland watershed for hydrology research purpose, is now being modeled with ETRM. Higher spatial resolution of field data is expected to enable detailed comparison of model recharge results with measured transmission losses in ephemeral channels. The final ETRM product will establish an algorithm to estimate the groundwater recharge as a water budget component of the entire state of New Mexico. Reference ET estimated by GADGET suggests 10% - 22% increase by the end of this century under IPCC AR4 A2 emission scenario. ETRM will help water planning for the state to face drought brought by the climate change.

Standardized Reporting of the Eczema Area and Severity Index (EASI) and the Patient-Oriented Eczema Measure (POEM): A Recommendation by the Harmonising Outcome Measures for Eczema (HOME) Initiative.

PubMed

Grinich, E; Schmitt, J; Küster, D; Spuls, P I; Williams, H C; Chalmers, J R; Thomas, K S; Apfelbacher, C; Prinsen, C A C; Furue, M; Stuart, B; Carter, B; Simpson, E

2018-05-10

Several organizations from multiple fields of medicine are setting standards for clinical research including protocol development, 1 harmonization of outcome reporting, 2 statistical analysis, 3 quality assessment 4 and reporting of findings. 1 Clinical research standardization facilitates the interpretation and synthesis of data, increases the usability of trial results for guideline groups and shared decision-making, and reduces selective outcome reporting bias. The mission of the Harmonising Outcome Measures for Eczema (HOME) initiative is to establish an agreed-upon core set of outcomes to be measured and reported in all clinical trials of atopic dermatitis (AD). This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

Reproductive ovarian testing and the alphabet soup of diagnoses: DOR, POI, POF, POR, and FOR.

PubMed

Pastore, Lisa M; Christianson, Mindy S; Stelling, James; Kearns, William G; Segars, James H

2018-01-01

There are large variations in the number of oocytes within each woman, and biologically, the total quantity is at its maximum before the woman is born. Scientific knowledge is limited about factors controlling the oocyte pool and how to measure it. Within fertility clinics, there is no uniform agreement on the diagnostic criteria for each common measure of ovarian reserve in women, and thus, studies often conflict. While declining oocyte quantity/quality is a normal physiologic occurrence as women age, some women experience diminished ovarian reserve (DOR) much earlier than usual and become prematurely infertile. Key clinical features of DOR are the presence of regular menstrual periods and abnormal-but-not-postmenopausal ovarian reserve test results. A common clinical challenge is counseling patients with conflicting ovarian reserve test results. The clinical diagnosis of DOR and the interpretation of ovarian reserve testing are complicated by changing lab testing options and processing for anti-mullerian hormone since 2010. Further, complicating the diagnostic and research scenario is the existence of other distinct yet related clinical terms, specifically premature ovarian failure, primary ovarian insufficiency, poor ovarian response, and functional ovarian reserve. The similarities and differences between the definitions of DOR with each of these four terms are reviewed. We recommend greater medical community involvement in terminology decisions, and the addition of DOR-specific medical subject-heading search terms.

Industry shows faith in deep Anadarko

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

Wroblewski, E.F.

1973-10-08

The shallow shelf of the Anadarko Basin furnished much gas from the Pennsylvanian and Mississippian reservoirs during the 1950s and 1960s. The search for gas reserves on the shelf will continue to go on for many years, because of the relatively low drilling cost even though the reserves per well on the shelf tend to be limited to about 1 to 3 billion cu ft/well. The much greater reserves of up to 50 billion cu ft/well found in the deeper part of the Anadarko Basin have made the deep Anadarko Basin an enticing area to look for major gas reserves.more » A regional Hunton map of the deep Anadarko Basin is presented showing fields that are producing from the Hunton and Simpson at depths of more than 15,000 ft. The fields shown on this map represent about 5 trillion cu ft of gas reserve. A generalized section showing only the major features and gross stratigraphic intervals also is presented. A seismic interpretation of the N. Carter structure on which the Lone Star l Baden is drilled is shown, one the seismic Springer structure and the other the seismic Hunton structure. The latter shows the faulting that exists below the Springer level.« less

Hematologic Assessment in Pet Rats, Mice, Hamsters, and Gerbils: Blood Sample Collection and Blood Cell Identification.

PubMed

Lindstrom, Nicole M; Moore, David M; Zimmerman, Kurt; Smith, Stephen A

2015-09-01

Hamsters, gerbils, rats, and mice are presented to veterinary clinics and hospitals for prophylactic care and treatment of clinical signs of disease. Physical examination, history, and husbandry practice information can be supplemented greatly by assessment of hematologic parameters. As a resource for veterinarians and their technicians, this article describes the methods for collection of blood, identification of blood cells, and interpretation of the hemogram in mice, rats, gerbils, and hamsters. Copyright © 2015 Elsevier Inc. All rights reserved.

Metastases to bones.

PubMed

Wick, Mark R

2014-01-01

Metastatic tumors involving the bones may derive from a number of visceral primary sites, and they can assume several histological appearances. In selected instances, diagnostic confusion with some primary bone tumors may eventuate, necessitating the use of adjunctive pathologic studies to reach a final interpretation. This review considers metastatic osseous neoplasms in the small-cell, large-polygonal-cell, and spindle-cell-pleomorphic microscopic categories. The use of immunohistology and molecular analysis to study such tumors is discussed. Copyright © 2014 Elsevier Inc. All rights reserved.

Cyanide does more to inhibit heme enzymes, than merely serving as an active-site ligand.

PubMed

Parashar, Abhinav; Venkatachalam, Avanthika; Gideon, Daniel Andrew; Manoj, Kelath Murali

2014-12-12

The toxicity of cyanide is hitherto attributed to its ability to bind to heme proteins' active site and thereby inhibit their activity. It is shown herein that the long-held interpretation is inadequate to explain several observations in heme-enzyme reaction systems. Generation of cyanide-based diffusible radicals in heme-enzyme reaction milieu could shunt electron transfers (by non-active site processes), and thus be detrimental to the efficiency of oxidative outcomes. Copyright © 2014 Elsevier Inc. All rights reserved.

Follow and Assume: The Operational Reserve in Security, Stability, Reconstruction, and Transition Operations

DTIC Science & Technology

2007-06-15

the lack of any or all of these items in order to de -legitimize the occupation force and or its follow on civilian government in order to gain a...operations will be used to compare and contrast, rather than trying to develop new patterns and themes based on primary sources. Delimitations of this study...chapter 4, “Analysis and Interpretation.” Based upon this analysis, in chapter 5, “Conclusions and Recommendations,” the research will develop and

Computer vision in cell biology.

PubMed

Danuser, Gaudenz

2011-11-23

Computer vision refers to the theory and implementation of artificial systems that extract information from images to understand their content. Although computers are widely used by cell biologists for visualization and measurement, interpretation of image content, i.e., the selection of events worth observing and the definition of what they mean in terms of cellular mechanisms, is mostly left to human intuition. This Essay attempts to outline roles computer vision may play and should play in image-based studies of cellular life. Copyright © 2011 Elsevier Inc. All rights reserved.

Pyrrole alkaloids from the fruits of Morus alba.

PubMed

Kim, Seon Beom; Chang, Bo Yoon; Hwang, Bang Yeon; Kim, Sung Yeon; Lee, Mi Kyeong

2014-12-15

Phytochemical investigation of the fruits of Morus alba afforded seventeen pyrrole alkaloids including five new compounds. The structures of five new pyrrole alkaloids, named morroles B-F (4, 5, 7, 16 and 17), were determined on the basis of spectroscopic interpretations. 4-[Formyl-5-(hydroxymethyl)-1H-pyrrol-1-yl]butanoate (2) was synthesized by chemical reaction but first isolated from nature. Among isolated compounds, compounds 6 and 14 significantly inhibited pancreatic lipase activity. Copyright © 2014 Elsevier Ltd. All rights reserved.