990 resultados para Index Testing
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"Prepared under the supervision of William A. Radford, editor-in-chief ... Alfred Sidney Johnson ... editor in charge."
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"Acknowledgment is hereby given to E.W. Dean and G. H. B. Davis for the development of the viscosity index scale (Journal of Industrial and engineering chemistry, vol. 32, p. 102 (1940)) and to the Standard oil development co., for the compilation of these tables."
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Includes bibliographical references (p. 85) and index.
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Includes index.
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Includes index.
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Includes bibliographical notes and index.
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Objective: Our aim was to determine if insomnia severity, dysfunctional beliefs about sleep, and depression predicted sleep-related safety behaviors. Method: Standard sleep-related measures (such as the Insomnia Severity Index; the Dysfunctional Beliefs About Sleep scale; the Depression, Anxiety, and Stress Scale; and the Sleep-Related Behaviors Questionnaire) were administered. Additionally, 14 days of sleep diary (Pittsburg Sleep Diary) data and actual use of sleep-related behaviors were collected. Results: Regression analysis revealed that dysfunctional beliefs about sleep predicted sleep-related safety behaviors. Insomnia severity did not predict sleep-related safety behaviors. Depression accounted for the greatest amount of unique variance in the prediction of safety behaviors, followed by dysfunctional beliefs. Exploratory analysis revealed that participants with higher levels of depression used more sleep-related behaviors and reported greater dysfunctional beliefs about their sleep. Conclusion: The findings underlie the significant influence that dysfunctional beliefs have on individuals' behaviors. Moreover, the results suggest that depression may need to be considered as an explicit component of cognitive-behavioral models of insomnia. (c) 2006 Elsevier Inc. All rights reserved.
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Background: Cancer-related self-tests are currently available to buy in pharmacies or over the internet, including tests for faecal occult blood, PSA and haematuria. Self-tests have potential benefits (e.g. convenience) but there are also potential harms (e.g. delays in seeking treatment). The extent of cancer-related self-test use in the UK is not known. This study aimed to determine the prevalence of cancer-related self-test use. Methods: Adults (n = 5,545) in the West Midlands were sent a questionnaire that collected socio-demographic information and data regarding previous and potential future use of 18 different self-tests. Prevalence rates were directly standardised to the England population. The postcode based Index of Multiple Deprivation 2004 was used as aproxy measure of deprivation. Results: 2,925 (54%) usable questionnaires were returned. 1.2% (95% CI 0.83% to 1.66%) of responders reported having used a cancer related self test kit and a further 36% reported that they would consider using one in the future. Logistic regression analyses suggest that increasing age, deprivation category and employment status were associated with cancer-related self-test kit use. Conclusion: We conclude that one in 100 of the adult population have used a cancer-related self-test kit and over a third would consider using one in the future. Self-test kit use could alter perceptions of risk, cause psychological morbidity and impact on the demand for healthcare.
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OBJECTIVE: To determine the accuracy, acceptability and cost-effectiveness of polymerase chain reaction (PCR) and optical immunoassay (OIA) rapid tests for maternal group B streptococcal (GBS) colonisation at labour. DESIGN: A test accuracy study was used to determine the accuracy of rapid tests for GBS colonisation of women in labour. Acceptability of testing to participants was evaluated through a questionnaire administered after delivery, and acceptability to staff through focus groups. A decision-analytic model was constructed to assess the cost-effectiveness of various screening strategies. SETTING: Two large obstetric units in the UK. PARTICIPANTS: Women booked for delivery at the participating units other than those electing for a Caesarean delivery. INTERVENTIONS: Vaginal and rectal swabs were obtained at the onset of labour and the results of vaginal and rectal PCR and OIA (index) tests were compared with the reference standard of enriched culture of combined vaginal and rectal swabs. MAIN OUTCOME MEASURES: The accuracy of the index tests, the relative accuracies of tests on vaginal and rectal swabs and whether test accuracy varied according to the presence or absence of maternal risk factors. RESULTS: PCR was significantly more accurate than OIA for the detection of maternal GBS colonisation. Combined vaginal or rectal swab index tests were more sensitive than either test considered individually [combined swab sensitivity for PCR 84% (95% CI 79-88%); vaginal swab 58% (52-64%); rectal swab 71% (66-76%)]. The highest sensitivity for PCR came at the cost of lower specificity [combined specificity 87% (95% CI 85-89%); vaginal swab 92% (90-94%); rectal swab 92% (90-93%)]. The sensitivity and specificity of rapid tests varied according to the presence or absence of maternal risk factors, but not consistently. PCR results were determinants of neonatal GBS colonisation, but maternal risk factors were not. Overall levels of acceptability for rapid testing amongst participants were high. Vaginal swabs were more acceptable than rectal swabs. South Asian women were least likely to have participated in the study and were less happy with the sampling procedure and with the prospect of rapid testing as part of routine care. Midwives were generally positive towards rapid testing but had concerns that it might lead to overtreatment and unnecessary interference in births. Modelling analysis revealed that the most cost-effective strategy was to provide routine intravenous antibiotic prophylaxis (IAP) to all women without screening. Removing this strategy, which is unlikely to be acceptable to most women and midwives, resulted in screening, based on a culture test at 35-37 weeks' gestation, with the provision of antibiotics to all women who screened positive being most cost-effective, assuming that all women in premature labour would receive IAP. The results were sensitive to very small increases in costs and changes in other assumptions. Screening using a rapid test was not cost-effective based on its current sensitivity, specificity and cost. CONCLUSIONS: Neither rapid test was sufficiently accurate to recommend it for routine use in clinical practice. IAP directed by screening with enriched culture at 35-37 weeks' gestation is likely to be the most acceptable cost-effective strategy, although it is premature to suggest the implementation of this strategy at present.
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Many papers claim that a Log Periodic Power Law (LPPL) model fitted to financial market bubbles that precede large market falls or 'crashes', contains parameters that are confined within certain ranges. Further, it is claimed that the underlying model is based on influence percolation and a martingale condition. This paper examines these claims and their validity for capturing large price falls in the Hang Seng stock market index over the period 1970 to 2008. The fitted LPPLs have parameter values within the ranges specified post hoc by Johansen and Sornette (2001) for only seven of these 11 crashes. Interestingly, the LPPL fit could have predicted the substantial fall in the Hang Seng index during the recent global downturn. Overall, the mechanism posited as underlying the LPPL model does not do so, and the data used to support the fit of the LPPL model to bubbles does so only partially. © 2013.
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Mechanisms of a change in the refractive index appearing in an intensely diode-pumped Yb:YAG-laser disk element are studied with the help of polarisation interferometry and dynamic grating testing. It is found that changes in the electronic component of the refractive index arising upon changing the populations of electronic levels of Yb ions (the ground F state and the upper F level of the laser transition) and caused by the difference in the polarisability of these levels are an order of magnitude greater than thermal changes in the refractive index. It is shown that the difference Δp in the polarisability at the probe wavelength of 633 nm is 1.9 × 10 cm and at the laser transition wavelength of 1029 nm is 1.6 × 10 cm. ©2006 Kvantovaya Elektronika and Turpion Ltd.
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2010 Mathematics Subject Classification: 62F10, 62F12.
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Reconstructing past ocean salinity is important for assessing paleoceanographic change and therefore past climatic dynamics. Commonly, sea water salinity reconstruction is based on foraminifera oxygen isotope ratio values combined with sea surface temperature reconstruction. However, the approach relies on multiple proxies, resulting in relatively large uncertainty and, consequently, relatively low accuracy of salinity estimates. An alternative tool for past ocean salinity reconstruction is the hydrogen isotope composition of long chain (C37) alkenones (dDalkenone). Here, we applied dDalkenone to a 39 ka long coastal sediment record from the Eastern South African continental shelf in the Mozambique Channel, close to the Zambezi River mouth. Despite changes in global sea water dD related to glacial - interglacial ice volume effects, no clear changes were observed in the dDalkenone record throughout the entire 39 ka. The BIT index record from the same core showed high BIT values during the glacial and low values during the Holocene. This indicates a more pronounced freshwater influence at the core location during the glacial, resulting in alkenones depleted in deuterium during that time and, thereby, explains the lack of a clear glacial-interglacial alkenone dD shift. Correlation between the BIT index and dDalkenone during the glacial period suggests that increased continental runoff potentially changed the growth conditions of the alkenone producing haptophytes, promoting coastal haptophyte species with generally more enriched dDalkenone values. We therefore suggest that the application of dDalkenone for reconstructing past salinity in coastal settings may be complicated by changes in the alkenone producing haptophyte community.
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OBJECTIVES: To report on the responsiveness testing and clinical utility of the 12-item Geriatric Self-Efficacy Index for Urinary Incontinence (GSE-UI). DESIGN: Prospective cohort study. SETTING: Six urinary incontinence (UI) outpatient clinics in Quebec, Canada. PARTICIPANTS: Community-dwelling incontinent adults aged 65 and older. MEASUREMENTS: The abridged 12-item GSE-UI, measuring older adults' level of confidence for preventing urine loss, was administered to all new consecutive incontinent patients 1 week before their initial clinic visit, at baseline, and 3 months posttreatment. At follow-up, a positive rating of improvement in UI was ascertained from patients and their physicians using the Patient's and Clinician's Global Impression of Improvement scales, respectively. Responsiveness of the GSE-UI was calculated using Guyatt's change index. Its clinical utility was determined using receiver operating curves. RESULTS: Eighty-nine of 228 eligible patients (39.0%) participated (mean age 72.6+5.8, range 65–90). At 3-month follow-up, 22.5% of patients were very much better, and 41.6% were a little or much better. Guyatt's change index was 2.6 for patients who changed by a clinically meaningful amount and 1.5 for patients having experienced any level of improvement. An improvement of 14 points on the 12-item GSE-UI had a sensitivity of 75.1% and a specificity of 78.2% for detecting clinically meaningful changes in UI status. Mean GSE-UI scores varied according to improvement status (P<.001) and correlated with changes in quality-of-life scores (r=0.7, P<.001) and reductions in UI episodes (r=0.4, P=.004). CONCLUSION: The GSE-UI is responsive and clinically useful.
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Knowledge-based radiation treatment is an emerging concept in radiotherapy. It
mainly refers to the technique that can guide or automate treatment planning in
clinic by learning from prior knowledge. Dierent models are developed to realize
it, one of which is proposed by Yuan et al. at Duke for lung IMRT planning. This
model can automatically determine both beam conguration and optimization ob-
jectives with non-coplanar beams based on patient-specic anatomical information.
Although plans automatically generated by this model demonstrate equivalent or
better dosimetric quality compared to clinical approved plans, its validity and gener-
ality are limited due to the empirical assignment to a coecient called angle spread
constraint dened in the beam eciency index used for beam ranking. To eliminate
these limitations, a systematic study on this coecient is needed to acquire evidences
for its optimal value.
To achieve this purpose, eleven lung cancer patients with complex tumor shape
with non-coplanar beams adopted in clinical approved plans were retrospectively
studied in the frame of the automatic lung IMRT treatment algorithm. The primary
and boost plans used in three patients were treated as dierent cases due to the
dierent target size and shape. A total of 14 lung cases, thus, were re-planned using
the knowledge-based automatic lung IMRT planning algorithm by varying angle
spread constraint from 0 to 1 with increment of 0.2. A modied beam angle eciency
index used for navigate the beam selection was adopted. Great eorts were made to assure the quality of plans associated to every angle spread constraint as good
as possible. Important dosimetric parameters for PTV and OARs, quantitatively
re
ecting the plan quality, were extracted from the DVHs and analyzed as a function
of angle spread constraint for each case. Comparisons of these parameters between
clinical plans and model-based plans were evaluated by two-sampled Students t-tests,
and regression analysis on a composite index built on the percentage errors between
dosimetric parameters in the model-based plans and those in the clinical plans as a
function of angle spread constraint was performed.
Results show that model-based plans generally have equivalent or better quality
than clinical approved plans, qualitatively and quantitatively. All dosimetric param-
eters except those for lungs in the automatically generated plans are statistically
better or comparable to those in the clinical plans. On average, more than 15% re-
duction on conformity index and homogeneity index for PTV and V40, V60 for heart
while an 8% and 3% increase on V5, V20 for lungs, respectively, are observed. The
intra-plan comparison among model-based plans demonstrates that plan quality does
not change much with angle spread constraint larger than 0.4. Further examination
on the variation curve of the composite index as a function of angle spread constraint
shows that 0.6 is the optimal value that can result in statistically the best achievable
plans.