Iowa Unemployment Rates by County, March 2016

Iowa Unemployment Rates by County map produced by the Iowa Workforce Development.

Behavioral changes in brain-injured critical care adults with different levels of consciousness during nociceptive stimulation: an observational study.

PURPOSE: The primary objective of this study was to describe the frequency of behaviors observed during rest, a non-nociceptive procedure, and a nociceptive procedure in brain-injured intensive care unit (ICU) patients with different levels of consciousness (LOC). Second, it examined the inter-rater reliability and discriminant and concurrent validity of the behavioral checklist used. METHODS: The non-nociceptive procedure involved calling the patient and shaking his/her shoulder. The nociceptive procedure involved turning the patient. The frequency of behaviors was recorded using a behavioral checklist. RESULTS: Patients with absence of movement, or stereotyped flexion or extension responses to a nociceptive stimulus displayed more behaviors during turning (median 5.5, range 0-14) than patients with localized responses (median 4, range 0-10) or able to self-report their pain (median 4, range 0-10). Face flushing, clenched teeth, clenched fist, and tremor were more frequent in patients with absence of movement, or stereotyped responses to a nociceptive stimulus. The reliability of the checklist was supported by a high intra-class correlation coefficient (0.77-0.92), and the internal consistency was acceptable in all three groups (KR 20, 0.71-0.85). Discriminant validity was supported as significantly more behaviors were observed during nociceptive stimulation than at rest. Concurrent validity was confirmed as checklist scores were correlated to the patients' self-reports of pain (r s = 0.53; 95 % CI 0.21-0.75). CONCLUSION: Brain-injured patients reacted significantly more during a nociceptive stimulus and the number of observed behaviors was higher in patients with a stereotyped response.

The Fairness of Media Coverage in Question: An Analysis of Referendum Campaigns on Welfare State Issues in Switzerland

The mass media are assigned an important role in political campaigns on popular votes. This article asks how the press communicates political issues to citizens during referendum campaigns, and whether some minimal criteria for successful public deliberation are met. The press coverage of all 24 ballot votes on welfare state issues from 1995 to 2004 in Switzerland is examined, distinguishing seven criteria to judge how news coverage compares to idealized notions of the media's role in the democratic process: coverage intensity, time for public deliberation, balance in media coverage, source independence and inclusiveness, substantive coverage, and spatial homogeneity. The results of our quantitative analysis suggest that the press does fulfil these normative requirements to a reasonable extent and that fears about biased or deceitful media treatment of ballot issues are not well-founded. However, some potential for optimizing the coverage of referendum campaigns by the Swiss press does exist

Radiaalikompressorin valinta hiilivetyteollisuudessa

Tutkimuksen tavoitteena oli selvittää hiilivetyteollisuudessa käytettävien radiaali-kompressorien ominaisuuksia, toimintaympäristöjä, turvallisuusasioita, etuja ja rajoitteita. Tämän lisäksi selvitettiin vaihtoehtoisia yleisesti käytettyjä menetelmiä radiaalikompressorien simuloimiseksi. Työssä tutkittiin myös kaupallisten mitoitusohjelmien soveltuvuutta laitesuunnittelun tueksi Neste Jacobs Oy:ssä. Työn kirjallisuusosassa käsiteltiin radiaalikompressorien toimintaympäristöjä, säätötapoja sekä näistäja muista tekijöistä aiheutuvia rajoitteita ja vaatimuksia. Kirjallisuustutkimuksen perusteella laadittiin tarkistuslista asioista, jotka tulee selvittää ennenvarsinaista radiaalikompressorien mitoittamista. Soveltuvaakaupallista kompressorien mitoitusohjelmaa ei tutkimuksessa löytynyt. Tämän vuoksi työn kokeellisessa osassa laadittiin Excel-laskentataulukko, joka perustuu yhteen kirjallisuusosassa esitettyyn mitoitustapaan. Laaditun laskentataulukon soveltuvuutta kompressorien esivalintaan testattiin vertailemalla ohjelman mitoituksia Neste Jacobs Oy:llä käytössä olevaan mitoitusohjelmaan ja toiseen työssä esitettyyn mitoitus-menetelmään. Lisäksi Excel-laskentataulukon ja Neste Jacobs Oy:n ohjelman mitoituksia verrattiin todellisen, käytössä olevan kompressorin suunnittelu- ja operointiarvoihin. Lisäksi tutkimuksessa arvioitiin laaditun laskentataulukon käytettävyyttä, rajoitteita ja kehitysmahdollisuuksia. Saatujen tulosten perusteella työssä laadittu laskentataulukko soveltuu sellaisenaan Neste Jacobs Oy:n radiaalikompressorien simulointiin.

Acerca de los tipos de dos Veronica rifeñas.

Hace unos años, se publicó en esta misma sección una nota sobre Veronica rosea (Soriano, 1996), en la que se anticipaba el tratamiento de este taxón en la checklist de la fl ora del norte de Marruecos (Valdés & al. 2002; Soriano, 2002). Entre otras cosas, se formalizaba en ella la descripción de V. rosea subsp. atlantica var. macrantha, propuesta por Pau como V. rosea var. macrantha y distribuida por Font Quer en el Iter maroccanum de 1930, aunque sin la diagnosis correspondiente.

Acerca de los tipos de dos Veronica rifeñas.

Hace unos años, se publicó en esta misma sección una nota sobre Veronica rosea (Soriano, 1996), en la que se anticipaba el tratamiento de este taxón en la checklist de la fl ora del norte de Marruecos (Valdés & al. 2002; Soriano, 2002). Entre otras cosas, se formalizaba en ella la descripción de V. rosea subsp. atlantica var. macrantha, propuesta por Pau como V. rosea var. macrantha y distribuida por Font Quer en el Iter maroccanum de 1930, aunque sin la diagnosis correspondiente.

Acerca de los tipos de dos Veronica rifeñas.

Hace unos años, se publicó en esta misma sección una nota sobre Veronica rosea (Soriano, 1996), en la que se anticipaba el tratamiento de este taxón en la checklist de la fl ora del norte de Marruecos (Valdés & al. 2002; Soriano, 2002). Entre otras cosas, se formalizaba en ella la descripción de V. rosea subsp. atlantica var. macrantha, propuesta por Pau como V. rosea var. macrantha y distribuida por Font Quer en el Iter maroccanum de 1930, aunque sin la diagnosis correspondiente.

Acerca de los tipos de dos Veronica rifeñas.

Hace unos años, se publicó en esta misma sección una nota sobre Veronica rosea (Soriano, 1996), en la que se anticipaba el tratamiento de este taxón en la checklist de la fl ora del norte de Marruecos (Valdés & al. 2002; Soriano, 2002). Entre otras cosas, se formalizaba en ella la descripción de V. rosea subsp. atlantica var. macrantha, propuesta por Pau como V. rosea var. macrantha y distribuida por Font Quer en el Iter maroccanum de 1930, aunque sin la diagnosis correspondiente.

Acerca de los tipos de dos Veronica rifeñas.

Hace unos años, se publicó en esta misma sección una nota sobre Veronica rosea (Soriano, 1996), en la que se anticipaba el tratamiento de este taxón en la checklist de la fl ora del norte de Marruecos (Valdés & al. 2002; Soriano, 2002). Entre otras cosas, se formalizaba en ella la descripción de V. rosea subsp. atlantica var. macrantha, propuesta por Pau como V. rosea var. macrantha y distribuida por Font Quer en el Iter maroccanum de 1930, aunque sin la diagnosis correspondiente.

Acerca de los tipos de dos Veronica rifeñas.

Hace unos años, se publicó en esta misma sección una nota sobre Veronica rosea (Soriano, 1996), en la que se anticipaba el tratamiento de este taxón en la checklist de la fl ora del norte de Marruecos (Valdés & al. 2002; Soriano, 2002). Entre otras cosas, se formalizaba en ella la descripción de V. rosea subsp. atlantica var. macrantha, propuesta por Pau como V. rosea var. macrantha y distribuida por Font Quer en el Iter maroccanum de 1930, aunque sin la diagnosis correspondiente.

Ulkoistettujen toimintojen hankintavaiheen kehittäminen

Arvioiden mukaan jopa kaksi kolmesta ulkoistuksesta epäonnistuu. Tällä tutkimuksella halutaan osaltaan selvittää tähän syitä. Tutkimus tarkentuu ulkoistuksen hankintavaiheeseen ja tarkastelee sen tyypillisiä kehitys kohteita. Tutkimukseen osallistui 25 Suomessa toimivaa suurtatai keskisuurta yritystä useilta eri toimialoilta. Kohdeyritysten toteuttamistaja vielä suunnitteilla olevista ulkoistusprojekteista kerättiin tietoa haastattelemalla yritysten henkilöitä, jotka olivat itse olleet mukana toteutuneissa ulkoistusprojekteissa. Haastatteluissa käytiin muun muassa tarkemmin läpi yhteensä 40 toteutunutta ulkoistusprojektia. Ulkoistamisen hankintavaiheesta luotiin tätä tutkimusta varten viisivaiheinen prosessimalli. Sen jälkeen kirjallisuudesta sekä aikaisemmista tutkimuksista etsittiin tietoa siitä, miten ulkoistuksen hankintavaiheessa tulisi menetellä. Vertaamalla haastatteluissa ilmi tulleita asioita kirjallisuuden esittämään teoriaan sekä aiemmissa tutkimuksissa esitettyihin havaintoihin löydettiin kohdeyritysten toteuttamien ulkoistusten hankintavaiheesta 13 selkeää kehityskohdetta. Tyypillisten kehityskohtien tunnistaminen mandollistaa näiden haasteiden huomioimisen ulkoistusprojektien suunnittelussa ja vähentää siten projektin epäonnistumisen riskiä. Lista tunnistetuista kehityskohteista muodostaa lähtökohdan yritysten oman ulkoistamistoiminnan kehittämiselle tarjoamalla listan osa-alueista, joiden toimintaa on syytä tarkastella lähemmin.

Sensory characteristics of 'Douradão' peaches submitted to modified atmosphere packaging

The sensory, physical and chemical characteristics of 'Douradão' peaches cold stored in different modified atmosphere packaging (LDPE bags of 30, 50, 60, 75µm thickness) were studied. After 14, 21 and 28 days of cold storage (1 ± 1 ºC and 90 ± 5% RH), samples were withdrawn from MAP and kept during 4 days in ambient air for ripening. Descriptive terminology and sensory profile of the peaches were developed by methodology based on the Quantitative Descriptive Analysis (QDA). The assessors consensually defined the sensory descriptors, their respective reference materials and the descriptive evaluation ballot. Fourteen individuals were selected as judges based on their discrimination capacity and reproducibility. Seven descriptors were generated showing similarities and differences among the samples. The data were analysed by ANOVA, Tukey test and Principal Component Analysis (PCA). The atmospheres that developed inside the different packaging materials during cold storage differed significantly. The PCA showed that MA50 and MA60 treatments were more characterized by the fresh peach flavour, fresh appearance, juiciness and flesh firmness, and were effective for keeping good quality of 'Douradão' peaches during 28 d of cold storage. The Control and MA30 treatments were characterized by the mealiness, the MA75 treatment showed lower intensity for all attributes evaluated and they were ineffective to maintain good quality of the fruits during cold storage. Higher correlation coefficients (positive) were found between fresh appearance and flesh firmness (0.95), fresh appearance and juiciness (0.97), ratio and intensity of fresh peach smell (0.81), as well as higher correlation coefficients (negative) between Hue angle and intensity of yellow colour (-0.91), fresh appearance and mealiness (-0.92), juiciness and mealiness (-0.95), firmness and mealiness (-0.94).

Statistical Reviewers Improve Reporting in Biomedical Articles: a Randomized Trial.

Background. Although peer review is widely considered to be the most credible way of selecting manuscripts and improving the quality of accepted papers in scientific journals, there is little evidence to support its use. Our aim was to estimate the effects on manuscript quality of either adding a statistical peer reviewer or suggesting the use of checklists such as CONSORT or STARD to clinical reviewers or both. Methodology and Principal Findings. Interventions were defined as 1) the addition of a statistical reviewer to the clinical peer review process, and 2) suggesting reporting guidelines to reviewers; with"no statistical expert" and"no checklist" as controls. The two interventions were crossed in a 262 balanced factorial design including original research articles consecutively selected, between May 2004 and March 2005, by the Medicina Clinica (Barc) editorial committee. We randomized manuscripts to minimize differences in terms of baseline quality and type of study (intervention, longitudinal, cross-sectional, others). Sample-size calculations indicated that 100 papers provide an 80% power to test a 55% standardized difference. We specified the main outcome as the increment in quality of papers as measured on the Goodman Scale. Two blinded evaluators rated the quality of manuscripts at initial submission and final post peer review version. Of the 327 manuscripts submitted to the journal, 131 were accepted for further review, and 129 were randomized. Of those, 14 that were lost to follow-up showed no differences in initial quality to the followed-up papers. Hence, 115 were included in the main analysis, with 16 rejected for publication after peer review. 21 (18.3%) of the 115 included papers were interventions, 46 (40.0%) were longitudinal designs, 28 (24.3%) cross-sectional and 20 (17.4%) others. The 16 (13.9%) rejected papers had a significantly lower initial score on the overall Goodman scale than accepted papers (difference 15.0, 95% CI: 4.6- 24.4). The effect of suggesting a guideline to the reviewers had no effect on change in overall quality as measured by the Goodman scale (0.9, 95% CI: 20.3+2.1). The estimated effect of adding a statistical reviewer was 5.5 (95% CI: 4.3-6.7), showing a significant improvement in quality. Conclusions and Significance. This prospective randomized study shows the positive effect of adding a statistical reviewer to the field-expert peers in improving manuscript quality. We did not find a statistically significant positive effect by suggesting reviewers use reporting guidelines.

The REporting of Studies Conducted Using Observational Routinely-Collected Health Data (RECORD) Statement: Methods for Arriving at Consensus and Developing Reporting Guidelines.

OBJECTIVE: Routinely collected health data, collected for administrative and clinical purposes, without specific a priori research questions, are increasingly used for observational, comparative effectiveness, health services research, and clinical trials. The rapid evolution and availability of routinely collected data for research has brought to light specific issues not addressed by existing reporting guidelines. The aim of the present project was to determine the priorities of stakeholders in order to guide the development of the REporting of studies Conducted using Observational Routinely-collected health Data (RECORD) statement. METHODS: Two modified electronic Delphi surveys were sent to stakeholders. The first determined themes deemed important to include in the RECORD statement, and was analyzed using qualitative methods. The second determined quantitative prioritization of the themes based on categorization of manuscript headings. The surveys were followed by a meeting of RECORD working committee, and re-engagement with stakeholders via an online commentary period. RESULTS: The qualitative survey (76 responses of 123 surveys sent) generated 10 overarching themes and 13 themes derived from existing STROBE categories. Highest-rated overall items for inclusion were: Disease/exposure identification algorithms; Characteristics of the population included in databases; and Characteristics of the data. In the quantitative survey (71 responses of 135 sent), the importance assigned to each of the compiled themes varied depending on the manuscript section to which they were assigned. Following the working committee meeting, online ranking by stakeholders provided feedback and resulted in revision of the final checklist. CONCLUSIONS: The RECORD statement incorporated the suggestions provided by a large, diverse group of stakeholders to create a reporting checklist specific to observational research using routinely collected health data. Our findings point to unique aspects of studies conducted with routinely collected health data and the perceived need for better reporting of methodological issues.

Subtypes of adolescents with substance use disorders and psychiatric comorbidity using cluster and discriminant analysis of MMPI-A profiles

The main aim of this study was to replicate and extend previous results on subtypes of adolescents with substance use disorders (SUD), according to their Minnesota Multiphasic Personality Inventory for adolescents (MMPI-A) profiles. Sixty patients with SUD and psychiatric comorbidity (41.7% male, mean age = 15.9 years old) completed the MMPI-A, the Teen Addiction Severity Index (T-ASI), the Child Behaviour Checklist (CBCL), and were interviewed in order to determine DSMIV diagnoses and level of substance use. Mean MMPI-A personality profile showed moderate peaks in Psychopathic Deviate, Depression and Hysteria scales. Hierarchical cluster analysis revealed four profiles (acting-out, 35% of the sample; disorganized-conflictive, 15%; normative-impulsive, 15%; and deceptive-concealed, 35%). External correlates were found between cluster 1, CBCL externalizing symptoms at a clinical level and conduct disorders, and between cluster 2 and mixed CBCL internalized/externalized symptoms at a clinical level. Discriminant analysis showed that Depression, Psychopathic Deviate and Psychasthenia MMPI-A scales correctly classified 90% of the patients into the clusters obtained.