Psychometric properties of questionnaires on functional health status in oropharyngeal dysphagia: A systematic literature review

Introduction: Questionnaires on Functional Health Status (FHS) are part of the assessment of oropharyngeal dysphagia. Objective: To conduct a systematic review of the literature on the psychometric properties of English-language FHS questionnaires in adults with oropharyngeal dysphagia. Methods: A systematic search was performed using the electronic databases Pubmed and Embase. The psychometric properties of the questionnaires were determined based on the COSMIN taxonomy of measurement properties and definitions for health-related patient-reported outcomes and the COSMIN checklist using preset psychometric criteria. Results: Three questionnaires were included: the Eating Assessment Tool (EAT-10), the Swallowing Outcome after Laryngectomy (SOAL), and the Self-report Symptom Inventory. The Sydney Swallow Questionnaire (SSQ) proved to be identical to the Modified Self-report Symptom Inventory. All FHS questionnaires obtained poor overall methodological quality scores for most measurement properties. Conclusions: The retrieved FHS questionnaires need psychometric reevaluation; if the overall methodological quality shows satisfactory improvement on most measurement properties, the use of the questionnaires in daily clinic and research can be justified. However, in case of insufficient validity and/or reliability scores, new FHS questionnaires need to be developed using and reporting on preestablished psychometric criteria as recommended in literature

Psychometric properties of questionnaires on functional health status in oropharyngeal dysphagia: A systematic literature review

Introduction: Questionnaires on Functional Health Status (FHS) are part of the assessment of oropharyngeal dysphagia. Objective: To conduct a systematic review of the literature on the psychometric properties of English-language FHS questionnaires in adults with oropharyngeal dysphagia. Methods: A systematic search was performed using the electronic databases Pubmed and Embase. The psychometric properties of the questionnaires were determined based on the COSMIN taxonomy of measurement properties and definitions for health-related patient-reported outcomes and the COSMIN checklist using preset psychometric criteria. Results: Three questionnaires were included: the Eating Assessment Tool (EAT-10), the Swallowing Outcome after Laryngectomy (SOAL), and the Self-report Symptom Inventory. The Sydney Swallow Questionnaire (SSQ) proved to be identical to the Modified Self-report Symptom Inventory. All FHS questionnaires obtained poor overall methodological quality scores for most measurement properties. Conclusions: The retrieved FHS questionnaires need psychometric reevaluation; if the overall methodological quality shows satisfactory improvement on most measurement properties, the use of the questionnaires in daily clinic and research can be justified. However, in case of insufficient validity and/or reliability scores, new FHS questionnaires need to be developed using and reporting on preestablished psychometric criteria as recommended in literature

Nitrate concentrations in the Gulp catchment: some spatial and temporal considerations

in a chaik catchrnent in the Belgium-Dutch boundary region the median N03- concentration was 30 mg/l in 1991. Groundwater in wells, which are mostly located close to the villages, is more polluted than spring water of surface water from the Gulp brook. Median N03- concentrations were 39, 22 and 17 mgll, respectively. Since 1980 time- series of N03- from two gauging stations in the Gulp brook have showed a distinct seasonal pattern. in wet penods (winter), when the discharge is higher, the nitrate concentration also is higher (30-35 mg N03-A), whereas in dry penods the opposite occurs; i.e. lower discharge and nitrate concentrations (10-15 mg N03-A). The positive correlation between the discharge and the N03- concentrations cannot be explained by the contribution of overland flow and interflow (quick flow components) probably having higher N03- contents. Saturated groundwater modelling shows that water following different flow paths might be an explanation. In periods with high groundwater recharge, young groundwater in the upper chaik layer can bypass medium- aged and old groundwater in the lower chaik and greensands. Young groundwater is likely to have higher N03- concentrations than old groundwater. So, in penods with high groundwater recharge the stream flow of the Gulp brook might consist of more young groundwater with higher NO3- concentrations, whereas in periods with low recharge mainly old groundwater with lower NO3- concentrations feeds the Gulp

The effectiveness of individual schema therapy in older adults with borderline personality disorder:Protocol of a multiple-baseline study

BackgroundThe treatment of borderline personality disorder (BPD) has been examined extensively in adults up to the age of fifty in the past quarter of a century, but there is still a world to discover in treating BPD in older adults. The aim of the study is to investigate the effectiveness of schema therapy in older adults with BPD.Methods/designA multiple baseline design is used in which participants are randomly assigned to baseline length. The primary outcome measure is assessed weekly and consists of the credibility of negative core beliefs. Secondary outcome measures are quality of life, psychological distress, early maladaptive schemas, schema modes, severity of BPD symptoms and meeting the criteria for BPD. Ten older adults (age > 60 years) with BPD are treated with schema therapy, with weekly sessions during one year. This treatment phase is preceded by a baseline phase varying from 4 to 8 weeks. After treatment, there is a 6-month follow-up phase with monthly booster sessions.DiscussionTo our knowledge, this is the first empirical study of the effectiveness of psychotherapeutic treatment for BPD in older adults. Because of the different manifestation of BPD in later life, besides section II DSM-5 criteria, the alternative, dimensional model for personality disorders of DSM-5 is used to assess BPD in older adults

On the design and simulation of an airlift loop bioreactor with microbubble generation by fluidic oscillation

Microbubble generation by a novel fluidic oscillator driven approach is analyzed, with a view to identifying the key design elements and their differences from standard approaches to airlift loop bioreactor design. The microbubble generation mechanism has been shown to achieve high mass transfer rates by the decrease of the bubble diameter, by hydrodynamic stabilization that avoids coalescence increasing the bubble diameter, and by longer residence times offsetting slower convection. The fluidic oscillator approach also decreases the friction losses in pipe networks and in nozzles/diffusers due to boundary layer disruption, so there is actually an energetic consumption savings in using this approach over steady flow. These dual advantages make the microbubble generation approach a promising component of a novel airlift loop bioreactor whose design is presented here. The equipment, control system for flow and temperature, and the optimization of the nozzle bank for the gas distribution system are presented. (C) 2009 The Institution of Chemical Engineers. Published by Elsevier B.V All rights reserved

Microbial catabolic activities are naturally selected by metabolic energy harvest rate

The fundamental trade-off between yield and rate of energy harvest per unit of substrate has been largely discussed as a main characteristic for microbial established cooperation or competition. In this study, this point is addressed by developing a generalized model that simulates competition between existing and not experimentally reported microbial catabolic activities defined only based on well-known biochemical pathways. No specific microbial physiological adaptations are considered, growth yield is calculated coupled to catabolism energetics and a common maximum biomass-specific catabolism rate (expressed as electron transfer rate) is assumed for all microbial groups. Under this approach, successful microbial metabolisms are predicted in line with experimental observations under the hypothesis of maximum energy harvest rate. Two microbial ecosystems, typically found in wastewater treatment plants, are simulated, namely: (i) the anaerobic fermentation of glucose and (ii) the oxidation and reduction of nitrogen under aerobic autotrophic (nitrification) and anoxic heterotrophic and autotrophic (denitrification) conditions. The experimentally observed cross feeding in glucose fermentation, through multiple intermediate fermentation pathways, towards ultimately methane and carbon dioxide is predicted. Analogously, two-stage nitrification (by ammonium and nitrite oxidizers) is predicted as prevailing over nitrification in one stage. Conversely, denitrification is predicted in one stage (by denitrifiers) as well as anammox (anaerobic ammonium oxidation). The model results suggest that these observations are a direct consequence of the different energy yields per electron transferred at the different steps of the pathways. Overall, our results theoretically support the hypothesis that successful microbial catabolic activities are selected by an overall maximum energy harvest rate

The impact of human-robot synchronization on anthropomorphization

To elucidate the working mechanism behind anthropomorphism, this study investigated whether human participants would anthropomorphize a robot more if they move synchronously versus non-synchronously with it, and whether this is affected by which of the two initiates the movements. We tested two competing hypotheses. The feature-overlap hypothesis predicts that moving in synchrony would increase perceived self-other feature overlap, which in turn might spread activation to codes of features related to humans—which should increase anthropomorphization. In contrast, the autonomy hypothesis predicts that unpredictability increases anthropomorphization, and thus that whenever the robot initiates movements, or when the human initiates movements to which the robot moves non-synchronously, there is an increased perception of the robot as a more human-like, intentionally acting creature, which in turn should increase anthropomorphization. We performed a study with synchrony as within-subjects factor, and initiator (robot or human) as between-subjects factor. To study the impact of synchrony on self-other overlap and perception of human likeness, participants completed two tasks that served as implicit measures of state anthropomorphization, and two questionnaires that served as explicit measures of state anthropomorphization toward the robot. The two implicit measures were the joint Simon task and one-shot Dictator Game. Additionally, participants filled in a trait anthropomorphization questionnaire, to enable correction for baseline tendencies to anthropomorphize. The synchrony manipulation did not affect the joint Simon effect, although there was an effect on average reaction time (RT), where in the group in which the robot initiated the movement, RTs were slower when the human and robot moved non-synchronously. The Dictator Game offer and the state anthropomorphization questionnaires were not affected by the synchrony manipulation. There was, however, a positive correlation between current anthropomorphization of the robot and amount of money offered to it. Given that most measures were not systematically affected by our manipulation, it appears that either our design was suboptimal, or that synchronization does not affect the anthropomorphization of a robot.Action Contro

Neuromodulation of aerobic exercise - A review

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