793 resultados para Ward hierarchical scheme
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Signatur des Originals: S 36/F08178
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Signatur des Originals: S 36/F10207
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The central objective of this dissertation was to determine the feasibility of self-completed advance directives (AD) in older persons suffering from mild and moderate stages of dementia. This was accomplished by identifying differences in ability to complete AD among elderly subjects with increasing degrees of dementia and cognitive incompetence. Secondary objectives were to describe and compare advance directives completed by elders and identified proxy decision makers. Secondary objectives were accomplished by measuring the agreement between advance directives completed by proxy and elder, and comparing that agreement across groups defined by the elder's cognitive status. This cross-sectional study employed a structured interview to elicit AD, followed by a similar interview with a proxy decision maker identified by the elder. A stratified sampling scheme recruited elders with normal cognition, mild, and moderate forms of dementia using the Mini Mental-State Exam (MMSE). The Hopkins Competency Assessment Test (HCAT) was used for evaluation of competency to make medical decisions. Analysis was conducted on "between group" (non-demented $\leftrightarrow$ mild dementia $\leftrightarrow$ moderate dementia, and competent $\leftrightarrow$ incompetent) and "within group" (elder $\leftrightarrow$ family member) variation.^ The 118 elderly subjects interviewed were generally male, Caucasian, and of low socioeconomic status. Mean age was 77. Overall, elders preferred a "trial of therapy" regarding AD rather than to "always receive the therapy". No intervention was refused outright more often than it was accepted. A test-retest of elders' AD revealed stable responses. Eleven logic checks measured appropriateness of AD responses independent of preference. No difference was found in logic error rates between elders grouped by MMSE or HCAT. Agreement between proxy and elder responses showed significant dissimilarity, indicating that proxies were not making the same medical decisions as the elders.^ Conclusions based on these data are: (1) Self reporting AD is feasible among elders showing signs of cognitive impairment and they should be given all opportunities to complete advance directives, (2) variation in preferences for advance directives in cognitively impaired elders should not be assumed to be the effects of their impairment alone, (3) proxies do not appear to forego life-prolonging interventions in the face of increasing impairment in their ward, however, their advance directives choices are frequently not those of the elder they represent. ^
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Hierarchical linear growth model (HLGM), as a flexible and powerful analytic method, has played an increased important role in psychology, public health and medical sciences in recent decades. Mostly, researchers who conduct HLGM are interested in the treatment effect on individual trajectories, which can be indicated by the cross-level interaction effects. However, the statistical hypothesis test for the effect of cross-level interaction in HLGM only show us whether there is a significant group difference in the average rate of change, rate of acceleration or higher polynomial effect; it fails to convey information about the magnitude of the difference between the group trajectories at specific time point. Thus, reporting and interpreting effect sizes have been increased emphases in HLGM in recent years, due to the limitations and increased criticisms for statistical hypothesis testing. However, most researchers fail to report these model-implied effect sizes for group trajectories comparison and their corresponding confidence intervals in HLGM analysis, since lack of appropriate and standard functions to estimate effect sizes associated with the model-implied difference between grouping trajectories in HLGM, and also lack of computing packages in the popular statistical software to automatically calculate them. ^ The present project is the first to establish the appropriate computing functions to assess the standard difference between grouping trajectories in HLGM. We proposed the two functions to estimate effect sizes on model-based grouping trajectories difference at specific time, we also suggested the robust effect sizes to reduce the bias of estimated effect sizes. Then, we applied the proposed functions to estimate the population effect sizes (d ) and robust effect sizes (du) on the cross-level interaction in HLGM by using the three simulated datasets, and also we compared the three methods of constructing confidence intervals around d and du recommended the best one for application. At the end, we constructed 95% confidence intervals with the suitable method for the effect sizes what we obtained with the three simulated datasets. ^ The effect sizes between grouping trajectories for the three simulated longitudinal datasets indicated that even though the statistical hypothesis test shows no significant difference between grouping trajectories, effect sizes between these grouping trajectories can still be large at some time points. Therefore, effect sizes between grouping trajectories in HLGM analysis provide us additional and meaningful information to assess group effect on individual trajectories. In addition, we also compared the three methods to construct 95% confident intervals around corresponding effect sizes in this project, which handled with the uncertainty of effect sizes to population parameter. We suggested the noncentral t-distribution based method when the assumptions held, and the bootstrap bias-corrected and accelerated method when the assumptions are not met.^
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This article presents and technically describes a new field spectro-goniometer system for the ground-based characterization of the surface reflectance anisotropy under natural illumination conditions developed at the Alfred Wegener Institute (AWI). The spectro-goniometer consists of a Manual Transportable Instrument platform for ground-based Spectro-directional observations (ManTIS), and a hyperspectral sensor system. The presented measurement strategy shows that the AWI ManTIS field spectro-goniometer can deliver high quality hemispherical conical reflectance factor (HCRF) measurements with a pointing accuracy of ±6 cm within the constant observation center. The sampling of a ManTIS hemisphere (up to 30° viewing zenith, 360° viewing azimuth) needs approx. 18 min. The developed data processing chain in combination with the software used for the semi-automatic control provides a reliable method to reduce temporal effects during the measurements. The presented visualization and analysis approaches of the HCRF data of an Arctic low growing vegetation showcase prove the high quality of spectro-goniometer measurements. The patented low-cost and lightweight ManTIS instrument platform can be customized for various research needs and is available for purchase.
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Las villas y aldeas de Castilla recorrieron juntas un largo y difícil camino desde los siglos medievales, cuando se fueron conformando como cuerpos políticos, basados en servicios recíprocos que aspiraban a alcanzar el bien común del conjunto. La naturaleza jerárquicamente desigual de dicho cuerpo fue acentuándose y las cabezas jurisdiccionales llevaron a la práctica unas relaciones de dominio cada vez más acusado frente a las aldeas. En estas comunidades rurales, linajes en ascenso aspiraban, no obstante, a ampliar sus propias cotas de autogobierno. La armonía que debía presidir el cuerpo común de villas y aldeas fue desapareciendo, y la política regia de ventas de villazgos con fines hacendísticos, iniciada por Carlos V, respondió a una demanda de segregación que solucionaba al mismo tiempo las aspiraciones jurisdiccionales de las comunidades rurales y de sus nuevas oligarquías así como las necesidades de ingresos extraordinarios de la real hacienda
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Fil: Sarachu, Pablo. Universidad Nacional de La Plata. Facultad de Humanidades y Ciencias de la Educación; Argentina.
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Las villas y aldeas de Castilla recorrieron juntas un largo y difícil camino desde los siglos medievales, cuando se fueron conformando como cuerpos políticos, basados en servicios recíprocos que aspiraban a alcanzar el bien común del conjunto. La naturaleza jerárquicamente desigual de dicho cuerpo fue acentuándose y las cabezas jurisdiccionales llevaron a la práctica unas relaciones de dominio cada vez más acusado frente a las aldeas. En estas comunidades rurales, linajes en ascenso aspiraban, no obstante, a ampliar sus propias cotas de autogobierno. La armonía que debía presidir el cuerpo común de villas y aldeas fue desapareciendo, y la política regia de ventas de villazgos con fines hacendísticos, iniciada por Carlos V, respondió a una demanda de segregación que solucionaba al mismo tiempo las aspiraciones jurisdiccionales de las comunidades rurales y de sus nuevas oligarquías así como las necesidades de ingresos extraordinarios de la real hacienda
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Fil: Sarachu, Pablo. Universidad Nacional de La Plata. Facultad de Humanidades y Ciencias de la Educación; Argentina.
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Fil: Sarachu, Pablo. Universidad Nacional de La Plata. Facultad de Humanidades y Ciencias de la Educación; Argentina.
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Las villas y aldeas de Castilla recorrieron juntas un largo y difícil camino desde los siglos medievales, cuando se fueron conformando como cuerpos políticos, basados en servicios recíprocos que aspiraban a alcanzar el bien común del conjunto. La naturaleza jerárquicamente desigual de dicho cuerpo fue acentuándose y las cabezas jurisdiccionales llevaron a la práctica unas relaciones de dominio cada vez más acusado frente a las aldeas. En estas comunidades rurales, linajes en ascenso aspiraban, no obstante, a ampliar sus propias cotas de autogobierno. La armonía que debía presidir el cuerpo común de villas y aldeas fue desapareciendo, y la política regia de ventas de villazgos con fines hacendísticos, iniciada por Carlos V, respondió a una demanda de segregación que solucionaba al mismo tiempo las aspiraciones jurisdiccionales de las comunidades rurales y de sus nuevas oligarquías así como las necesidades de ingresos extraordinarios de la real hacienda
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There is a demand for regularly updated, broad-scale, accurate land cover information in Victoria from multiple stakeholders. This paper documents the methods used to generate an annual dominant land cover (DLC) map for Victoria, Australia from 2009 to 2013. Vegetation phenology parameters derived from an annual time series of the Moderate Resolution Imaging Spectroradiometer Vegetation Indices 16-day 250 m (MOD13Q1) product were used to generate annual DLC maps, using a three-tiered hierarchical classification scheme. Classification accuracy at the broadest (primary) class level was over 91% for all years, while it ranged from 72 to 81% at the secondary class level. The most detailed class level (tertiary) had accuracy levels ranging from 61 to 68%. The approach used was able to accommodate variable climatic conditions, which had substantial impacts on vegetation growth patterns and agricultural production across the state between both regions and years. The production of an annual dataset with complete spatial coverage for Victoria provides a reliable base data set with an accuracy that is fit-for-purpose for many applications.