Influence of climate on clinical diagnostic dry eye tests: pilot study

Purpose. To analyze dry eye disease (DED) tests and their consistency in similar nonsymptomatic population samples living in two geographic locations with different climates (Continental vs. Atlantic). Methods. This is a pilot study including 14 nonsymptomatic residents from Valladolid (Continental climate, Spain) and 14 sex-matched and similarly aged residents from Braga (Atlantic climate, Portugal); they were assessed during the same season (spring) of two consecutive years. Phenol red thread test, conjunctival hyperemia, fluorescein tear breakup time, corneal and conjunctival staining, and Schirmer test were evaluated on three different consecutive visits. Reliability was assessed using the intraclass correlation coefficient and weighted kappa (J) coefficient for quantitative and ordinal variables, respectively. Results. Fourteen subjects were recruited in each city with a mean (TSD) age of 63.0 (T1.7) and 59.1 (T0.9) years (p = 0.08) in Valladolid and Braga, respectively. Intraclass correlation coefficient and J values of the tests performed were below 0.69 and 0.61, respectively, for both samples, thus showing moderate to poor reliability. Subsequently, comparisons were made between the results corresponding to the middle and higher outdoor relative humidity (RH) visit in each location as there were no differences in mean temperature (p Q 0.75) despite RH values significantly differing (p e 0.005). Significant (p e 0.05) differences were observed between Valladolid and Braga samples on tear breakup time (middle RH visit, 2.76 T 0.60 vs. 5.26 T 0.64 seconds; higher RH visit, 2.61 T 0.32 vs. 5.78 T 0.88 seconds) and corneal (middle RH, 0.64 T 0.17 vs. 0.14 T 0.10; higher RH, 0.60 T 0.22 vs. 0.0 T 0.0) and conjunctival staining (middle RH, 0.61 T 0.17 vs. 0.14 T 0.08; higher RH, 0.57 T 0.15 vs. 0.18 T 0.09). Conclusions. This pilot study provides initial evidence to support that DED test outcomes assessing the ocular surface integrity and tear stability are climate dependent. Future large-sample studies should support these outcomes also in DED patients. This knowledge is fundamental for multicenter clinical trials. Lack of consistency in diagnostic clinical tests for DED was also corroborated. (Optom Vis Sci 2015;92:e284Ye289)

Ontological representation of tumor-node-metastasis classification and an ontology-driven classifier: a study on colorectal cancer

Dissertação de mestrado integrado em Engenharia Biomédica (área de especialização em Informática Médica)

Moody choice

If choices depend on the decision maker's mood, is the attempt to derive any consistency in choice doomed? In this paper we argue that, even with full unpredictability of mood, the way choices from a menu relate to choices from another menu exhibits some structure. We present two alternative models of 'moody choice' and show that, in either of them, not all choice patterns are possible. Indeed, we characterise both models in terms of consistency requirements of the observed choice data.

Morphodynamic analysis of cerebral aneurysm pulsation from time-resolved rotational angiography

This paper presents a technique to estimate and model patient-specific pulsatility of cerebral aneurysms over onecardiac cycle, using 3D rotational X-ray angiography (3DRA) acquisitions. Aneurysm pulsation is modeled as a time varying-spline tensor field representing the deformation applied to a reference volume image, thus producing the instantaneousmorphology at each time point in the cardiac cycle. The estimated deformation is obtained by matching multiple simulated projections of the deforming volume to their corresponding original projections. A weighting scheme is introduced to account for the relevance of each original projection for the selected time point. The wide coverage of the projections, together with the weighting scheme, ensures motion consistency in all directions. The technique has been tested on digital and physical phantoms that are realistic and clinically relevant in terms of geometry, pulsation and imaging conditions. Results from digital phantomexperiments demonstrate that the proposed technique is able to recover subvoxel pulsation with an error lower than 10% of the maximum pulsation in most cases. The experiments with the physical phantom allowed demonstrating the feasibility of pulsation estimation as well as identifying different pulsation regions under clinical conditions.

Event-related potential analyses via single-subject topographic classification.

Introduction: Responses to external stimuli are typically investigated by averaging peri-stimulus electroencephalography (EEG) epochs in order to derive event-related potentials (ERPs) across the electrode montage, under the assumption that signals that are related to the external stimulus are fixed in time across trials. We demonstrate the applicability of a single-trial model based on patterns of scalp topographies (De Lucia et al, 2007) that can be used for ERP analysis at the single-subject level. The model is able to classify new trials (or groups of trials) with minimal a priori hypotheses, using information derived from a training dataset. The features used for the classification (the topography of responses and their latency) can be neurophysiologically interpreted, because a difference in scalp topography indicates a different configuration of brain generators. An above chance classification accuracy on test datasets implicitly demonstrates the suitability of this model for EEG data. Methods: The data analyzed in this study were acquired from two separate visual evoked potential (VEP) experiments. The first entailed passive presentation of checkerboard stimuli to each of the four visual quadrants (hereafter, "Checkerboard Experiment") (Plomp et al, submitted). The second entailed active discrimination of novel versus repeated line drawings of common objects (hereafter, "Priming Experiment") (Murray et al, 2004). Four subjects per experiment were analyzed, using approx. 200 trials per experimental condition. These trials were randomly separated in training (90%) and testing (10%) datasets in 10 independent shuffles. In order to perform the ERP analysis we estimated the statistical distribution of voltage topographies by a Mixture of Gaussians (MofGs), which reduces our original dataset to a small number of representative voltage topographies. We then evaluated statistically the degree of presence of these template maps across trials and whether and when this was different across experimental conditions. Based on these differences, single-trials or sets of a few single-trials were classified as belonging to one or the other experimental condition. Classification performance was assessed using the Receiver Operating Characteristic (ROC) curve. Results: For the Checkerboard Experiment contrasts entailed left vs. right visual field presentations for upper and lower quadrants, separately. The average posterior probabilities, indicating the presence of the computed template maps in time and across trials revealed significant differences starting at ~60-70 ms post-stimulus. The average ROC curve area across all four subjects was 0.80 and 0.85 for upper and lower quadrants, respectively and was in all cases significantly higher than chance (unpaired t-test, p<0.0001). In the Priming Experiment, we contrasted initial versus repeated presentations of visual object stimuli. Their posterior probabilities revealed significant differences, which started at 250ms post-stimulus onset. The classification accuracy rates with single-trial test data were at chance level. We therefore considered sub-averages based on five single trials. We found that for three out of four subjects' classification rates were significantly above chance level (unpaired t-test, p<0.0001). Conclusions: The main advantage of the present approach is that it is based on topographic features that are readily interpretable along neurophysiologic lines. As these maps were previously normalized by the overall strength of the field potential on the scalp, a change in their presence across trials and between conditions forcibly reflects a change in the underlying generator configurations. The temporal periods of statistical difference between conditions were estimated for each training dataset for ten shuffles of the data. Across the ten shuffles and in both experiments, we observed a high level of consistency in the temporal periods over which the two conditions differed. With this method we are able to analyze ERPs at the single-subject level providing a novel tool to compare normal electrophysiological responses versus single cases that cannot be considered part of any cohort of subjects. This aspect promises to have a strong impact on both basic and clinical research.

Effectiveness of Work Zone Intelligent Transportation Systems, TPF-5(081), 2013

In the last decade, Intelligent Transportation Systems (ITS) have increasingly been deployed in work zones by state departments of transportation. Also known as smart work zone systems they improve traffic operations and safety by providing real-time information to travelers, monitoring traffic conditions, and managing incidents. Although there have been numerous ITS deployments in work zones, a framework for evaluating the effectiveness of these deployments does not exist. To justify the continued development and implementation of smart work zone systems, this study developed a framework to determine ITS effectiveness for specific work zone projects. The framework recommends using one or more of five performance measures: diversion rate, delay time, queue length, crash frequency, and speed. The monetary benefits and costs of ITS deployment in a work zone can then be computed using the performance measure values. Such ITS computations include additional considerations that are typically not present in standard benefit-cost computations. The proposed framework will allow for consistency in performance measures across different ITS studies thus allowing for comparisons across studies or for meta analysis. In addition, guidance on the circumstances under which ITS deployment is recommended for a work zone is provided. The framework was illustrated using two case studies: one urban work zone on I-70 and one rural work zone on I-44, in Missouri. The goals of the two ITS deployments were different – the I-70 ITS deployment was targeted at improving mobility whereas the I-44 deployment was targeted at improving safety. For the I-70 site, only permanent ITS equipment that was already in place was used for the project and no temporary ITS equipment was deployed. The permanent DMS equipment serves multiple purposes, and it is arguable whether that cost should be attributed to the work zone project. The data collection effort for the I-70 site was very significant as portable surveillance captured the actual diversion flows to alternative routes. The benefit-cost ratio for the I-70 site was 2.1 to 1 if adjusted equipment costs were included and 6.9 to 1 without equipment costs. The safety-focused I-44 ITS deployment had an estimated benefit-cost ratio of 3.2 to 1.

Engineering Study for the Evaluation of Public Road Administration and Maintenance Alternatives, HR-265, 1985

Iowa's public road system of 112,000 miles is one of the largest and the best in the nation. It represents a considerable financial investment of taxpayer revenues over the years. And, it requires a sustained investment to preserve an economical level of transport service into the future. In 1982, a Governor's Blue Ribbon Transportation Task Force evaluated the effectiveness of Iowa's entire transportation system. Four important Task Force recommendations dealt with public road administrative issues in Iowa. These issues were related to: (1) Design criteria and levels of maintenance; (2) Consistency in the use of standards among jurisdictions; (3) Consolidation of maintenance operations at one jurisdiction level; and (4) Jurisdicational authority for roads; The issues formed the background for Research Project HR-265.

Construction of a scale to evaluate the diurnal impact of insomnia

The objective of this study was to develop and validate a scale to assess the diurnal impact of insomnia. The Insomnia Diurnal Impact Scale (IDIS) comprises six items designed to evaluate the daytime effects of insomnia. The sychometric properties of the original scale were analysed in a sample of 172 students, while its ability to differentiate insomniacs and non-insomniacs (according to the International Classification of Diseases (ICD)-10 criteria) was examined in a sample of 79 psychiatric patients and 82 individuals from the community. The psychometric properties of the English version were then analysed in a sample of 44 Englishspeaking participants. The results showed the internal consistency coefficient to be very good (0.86), with testretest reliability at 1 month being 0.79. A single factor explained almost 60% of the variance. Correlation of the IDIS with other scales varied between moderate and high values. Sensitivity was 78% and specificity 57% in the community sample, while the corresponding figures for the psychiatric population were 83% and 63%. Cronbach's ¿ coefficient for the English version reached a value of 0.93. These results indicate that the IDIS shows adequate reliability and validity with both general and psychiatric populations, and also that it can discriminate between the presence and absence of insomnia. The English version presents good preliminary results regarding item-corrected total correlation and internal consistency. In conclusion, the IDIS appears to be a useful tool in the primary care and mental health contexts for assessing insomnia-related diurnal dysfunction.

Engineering Study for the Evaluation of Public Road Administration and Maintenance Alternatives, Executive Summary for HR-265, 1985

Iowa's public road system of 112,000 miles is one of the largest and the best in the nation. It represents a considerable financial investment of taxpayer revenues over the years. And, it requires a sustained investment to preserve an economical level of transport service into the future. In 1982, a Governor's Blue Ribbon Transportation Task Force evaluated the effectiveness of Iowa's entire transportation system. Four important Task Force recommendations dealt with public road administrative issues in Iowa. These issues were related to: 1. design criteria and levels of maintenance 2. consistency in the use of standards among jurisdictions 3. consolidation of maintenance operations at one jurisdictional level and 4. jurisdictional authority for roads. The issues formed the background for Research Project HR-265.

The future of leadership

The good news with regard to this (or any) chapter on the future of leadership is that there is one. There was a time when researchers called for a moratorium on new leadership theory and research (e.g., Miner, 1975) citing the uncertain future of the field. Then for a time there was a popular academic perspective that leadership did not really matter when it came to shaping organizational outcomes (Meindl & Ehrlich, 1987; Meindl, Ehrlich, & Dukerich, 1985; Pfeffer, 1977). That perspective was laid to rest by "realists" in the field (Day & Antonakis, 2012a) by means of empirical re-interpretation of the results used to support the position that leadership does not matter (Lieberson & O'Connor, 1972; Salancik & Pfeffer, 1977). Specifically, Day and Lord (1988) showed that when proper methodological concerns were addressed (e.g., controlling for industry and company size effects; incorporating appropriate time lags) that the impact of top-level leadership was considerable - explaining as much as 45% of the variance in measures of organizational performance. Despite some recent pessimistic sentiments about the "curiously unformed" state of leadership research and theory (Hackman & Wageman, 2007), others have argued that the field has continued to evolve and is potentially on the threshold of some significant breakthroughs (Day & Antonakis, 2012a). Leadership scholars have been re-energized by new directions in the field and research efforts have revitalized areas previously abandoned for apparent lack of consistency in findings (e.g., leadership trait theory). Our accumulated knowledge now allows us to explain the nature of leadership including its biological bases and other antecedents, and consequences with some degree of confidence. There are other comprehensive sources that review the extensive theoretical and empirical foundation of leadership (Bass, 2008; Day & Antonakis, 2012b) so that will not be the focus of the present chapter. Instead, we will take a future-oriented perspective in identifying particular areas within the leadership field that we believe offer promising perspectives on the future of leadership. Nonetheless, it is worthwhile as background to first provide an overview of how we see the leadership field changing over the past decade or so. This short chronicle will set the stage for a keener understanding of where the future contributions are likely to emerge. Overall, across nine major schools of leadership - trait, behavioural, contingency, contextual, relational, sceptics, information processing, New Leadership, biological and evolutionary - researchers have seen a resurgence in interest in one area, a high level of activity in at least four other areas, inactivity in three areas, and one that was modestly active in the previous decade but we think holds strong promise for the future (Gardner, Lowe, Moss, Mahoney, & Cogliser, 2010). We will next provide brief overviews of these nine schools and their respective levels of research activity (see Figure 1).

Painelajittimen toimintasakeuden nostaminen havupuusellun lajittelussa

Painelajittimien kyky poistaa epäpuhtauksia on parantunut erityisesti roottorien ja sihtirumpujen kehityksen myötä. Painelajittimella pystytään nykyisin poistamaan yhä pienempiä roskapartikkeleja, minkä ansiosta painelajittimilla pystytään korvaamaan pyörrepuhdistimia hienolajittelussa. Nykyään ratkaisevaa on lajittimen mahdollinen toimintasakeus ja energiankulutus, joihin voidaan vaikuttaa roottori- ja sihtiratkaisuin sekä laitteen ajotavalla. Lajittimen toimintasakeutta nostamalla voitaisiin saavuttaa etuja tuotantoprosessissa pienempien virtauksien ja prosessin paremman ajettavuuden vuoksi. Työssä tarkasteltiin painelajittimen rakenneparametreista roottorin ja sihtirummun sekä ajoparametreista syöttösakeuden, massarejektisuhteen, tuotantomäärän ja roottorin kehänopeuden vaikutusta painelajittimen toimintaan. Erityisesti tutkittiin mahdollisuuksia nostaa lajittelusakeutta ja sakeuden nostonvaikutusta lajittimen energiankulutukseen. Sellutehtaaseen rakennetussa koelajitinlinjassa pystyttiin perusrakenteeltaan nykyisenlaisella painelajittimella muuttamalla roottorin ja sihdin rakennetta sekä nostamalla roottorin kehänopeutta lajittelemaan laitteen mitoitustuotannossa massaa korkeimmillaan 4,8 %:n sakeudessa. Suurin saavutettu sakeus, jossa energiankulutusta voidaanpitää hyväksyttävänä oli 4,4%. Nykyisellä ajotavalla ja roottori- ja sihtirakenteella pystyttiin lajittelemaan massaa 3,2 %:ssa. Tuloksista voidaan päätellä, että massan lajittelu yli 5 %:n sakeudessa on mahdollista roottorirakennetta edelleen kehittämällä.

Korkeavaaleuksisen PGW-massan valmistaminen

Työssä haettiin optimaalista valkaisukemikaalien annostelusuhdetta mahdollisimman vaalean massan valmistamiseksi. Tarkoituksena oli myös selvittää käytettävän tehdasprosessin pullonkauloja ja esittää vaihtoehtoja prosessin kehittämiseksi. Kirjallisuusosassa tutustuttiin mekaanisen massan peroksidivalkaisuun ja erilaisiin prosessimalleihin sen suorittamiseksi. Kirjallisuudesta saatuja lähtötietoja sovellettiin sitten ensin laboratorio- ja laajemmin tehdaskokein käytäntöön. Laboratoriokokeissa haettiin optimaalista lipeäannosta vakioperoksidiannoksella. Lisäksi selvitettiin lämpötilan ja viipymäajan vaikutusta valkaisutulokseen. Tuloksista oli todettavissa, että sekä lämpötilan että lipeäannoksen kasvattaminen kiihdyttää valkaisureaktiota. Korkeammassa lämpötilassa tarvittava lipeäannos on pienempi. Lyhyellä viipymäajalla ja matalammalla lämpötilalla saavutetaan hyviä tuloksia vain suurella lipeäannoksella. Suurempaa silikaattiannosta käytettäessä valkaisun jälkeen mitattu loppupH oli korkeampi ja jäännösperoksidin määrä hieman suurempi kuin referenssipisteessä. Vaaleudessa ei merkittävää muutosta näkynyt. Yleisesti laboratoriokokeiden tulokset vastasivat kirjallisuudessa esitettyjä tuloksia. Tehdaskokeet suoritettiin kahdella peroksidiannoksella. Kummallekin peroksidiannokselle haettiin optimaalinen lipeäannos. Lisäksi seurattiin silikaattiannoksen vaikutusta syntyvään vaaleuteen. Varsinaisten kokeiden lisäksi suoritettiin lyhyt maksimivaaleuskoe suurella peroksidiannoksella käyttäen kahta eri lipeäannosta. Suurin mitattu vaaleus oli 79,3 % ISO. Peroksidiannoksella 2,5 % saavutettiin noin 14 ISO-yksikön vaaleudennousu, ja annoksella 3 % vaaleudennousu oli noin 16 yksikköä. Tehdaskokeiden aikana kokeiltiin myös kemikaalien laimennusveden määrän vaikutusta vaaleuteen. Veden määrän vähetessä valkaisusakeus nousi ja vaaleus parani. Hiomon nykyprosessille laadittiin aine- ja energiatase. Taseet tehtiin myös prosessille, jossa nykyvalkaisimoon on lisätty valkaistun massan pesu ja jäännöskemikaalien kierrätys. Taseiden tarkoituksena oli selvittää virtaavien jakeiden määriä ja prosessin energiatasapainoa eri tilanteissa. Massan puhtauden paranemista pesun aikana tarkasteltiin laskennallisesti. Tämän työn aikana kävi selväksi, että oikeilla valkaisukemikaalisuhteilla pystytään valmistamaan vaaleaa massaa. Viipymäaikaa lisäämällä valkaisuun saisi lisää tehoa, mutta vain tunnin viipymäajalla päästään jo hyviin tuloksiin. Vaaleusheittoja aiheuttavat valkaistavan massan lähtövaaleuden, sakeuden ja lämpötilan muutokset. Lisäksi viipymäajan muutokset aiheuttavat huojuntaa saavutettavaan loppuvaaleuteen.

Painehiomon tuotantokapasiteetin lisäyksen vaikutus painehiokkeen laatuominaisuuksiin

Diplomityön keskeisenä tavoitteena oli selvittää painehiomon tuotantokapasiteetin lisäyksen vaikutus painehiokkeen laatuominaisuuksiin. Tarkasteltavina painehiomon tuotanto-kapasiteettiin vaikuttavina tekijöinä olivat painehiomakoneen suihkuveden lämpötilan lasku sekä uuden rejektijauhimen käyttöönotto. Painehiomakoneen suihkuveden lämpötilan lasku 95 ºC:sta 70 ºC:een toteutettiin kahden viikon mittaisena koeajona. Tarkoituksena oli selvittää painehiontaprosessissa ja painehiokkeen sekä paperin laadussa tapahtuva muutos. PGW70-koeajolla saavutettiin mahdollisuus nostaa tuotantonopeutta hiomakivillä silti kuormittamatta liiaksi lajittelua ja rejektinkäsittelyä. Tarkasteltaessa painehiokkeen laatua PGW70-koeajossa kiteytyi tapahtunut laatumuutos lyhentyneestä kuidun pituudesta aiheutu-neeksi. Havaittiin, että alentamalla hiontalämpötilaa on mahdollista saavuttaa paremmat painehiokkeen pinta- ja optiset ominaisuudet lujuusominaisuuksien heiketessä hieman. Rejektijauhimen käyttöönottoon liittyvien tarkasteluiden tavoitteena oli selvittää uuden rejektijauhimen käyttöönoton myötä painehiokkeessa mahdollisesti tapahtuva laatumuutos. Lisäksi haluttiin tarkastella jauhetun rejektin laatuominaisuuksia rejektijauhimen energian ominaiskulutuksen eri tasoilla ja mahdollisuutta siirtää kuidutuksen painopistettä hiomakiviltä rejektijauhatukseen nostamalla kivenalusfreenestä. Varsinaisessa rejektijauhimen käyttöönottovaiheessa ei painehiokkeen laatumuutosta ollut havaittavissa. Rejektijauhimen kuormituskoeajossa ajettiin rejektijauhimella 2 koesarjaa, matalalla ja korkealla kivenalusfreeneksellä, kasvattaen rejektijauhimen EOK:a. Lisä-muuttujaksi koeajossa muodostui tahattomasti jauhatussakeus. Koejossa paras kuidun muokkau-tuvuus saavutettiin alhaisemmalla kivenalusfreeneksellä (130-140 ml) ja jauhatussakeudella (alle 40 %) korkeimmalla saavutetulla EOK:lla eli 0,80 MWh/t. Korkealla kivenalusfreeneksellä ja jauhatussakeudella tapahtunut jauhatus osoittautui kuituja katkovaksi. Karkeaan painehiokerejektiin tulisi kohdistaa huomattavasti enemmän jauhatusenergiaa kuin koeajossa oli mahdollista. Ongelmaksi siis muodostui rejektijauhimen heikko kuormitettavuus, jota tulee parantaa esimerkiksi terävalinnoin.

Psychometric Properties of the Spanish Human System Audit Short-Scale of Transformational Leadership

The aim of this research is to examine the psychometric properties of a Spanish version of the Human System Audit transformational leadership short-scale (HSA-TFL-ES). It is based on the concept of Bass developed in 1985. The HSA-TFL is a part of the wider Human System Audit frame. We analyzed the HSA-TFL-ES in five different samples with a total number of 1,718 workers at five sectors. Exploratory Factor Analysis corroborated a single factor in all samples that accounted for 66% to 73% of variance. The internal consistency in all samples was good (α = .92 - .95). Evidence was found for the convergent validity of the HSA-TFL-ES and the Multifactor Leadership Questionnaire. These results suggested that the HSA-TFL short-scale is a psychometrically sound measure of this construct and can be used for a combined and first overall measurement.

Yrityksen vaihto-omaisuustavoitteet kunnossapidon näkökulmasta

Varaosavarastoihin kohdistuu entistä enemmän samoja vaihto-omaisuuden hallinnan vaatimuksia kuin raaka-aine ja lopputuotevarastoihin. Tämän tutkimuksen tavoitteena oli selvittää, miten kunnossapito-organisaatio voi vastata näihin tavoitteisiin heikentämättä koneiden ja laitteiden teknistä käytettävyyttä ja lisäämättä riskiä tuotannon menetyksille. Kirjallisuudessa on esitetty suuri joukko eri lähtökohdista kehitettyjä analysointimalleja ja varastonpitopolitiikoita. Niiden avulla varaosia voidaan jakaa eri luokkiin ja niiden muodostamaa kokonaisuutta hallita. Teoriaosiossa on suoritettu kirjallisuuskatsaus käytetyimpiin menetelmiin ja tapaustutkimuksiin. Empiiriaosiossa menetelmien soveltuvuutta tutkittiin käytännössä. Tiedonkeruussa käytettiin case-yrityksen dokumentteja ja tietojärjestelmistä saatavaa tietoa, sekä havainnointia ja avoimia haastatteluita. Tutkimuksen tuloksena havaittiin merkittävä kehityspotentiaali, jonka hyödyntämiseksi saatiin määriteltyä tarpeisiin ja tutkimuksen lähtökohtana olleeseen viitekehykseen sopivat analysointi- ja varastonhallintamenetelmät. Varastokokonaisuuden hallintapolitiikka ehdotettiin lisättäväksi osaksi laatujärjestelmää. Sen avulla menetelmien johdonmukainen noudattaminen ja ohjeiden ajan tasalla pitäminen toteutuvat myös käytännössä.