57 research outputs found

    The Expanding Spectrum of Pediatric Practice

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    Measurement invariance of a direct behavior rating multi item scale across occasions

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    Direct Behavior Rating (DBR) as a behavioral progress monitoring tool can be designed as longitudinal assessment with only short intervals between measurement points. The reliability of these instruments has been mostly evaluated in observational studies with small samples based on generalizability theory. However, for a standardized use in the pedagogical field, a larger and broader sample is required in order to assess measurement invariance between different participant groups and over time. Therefore, we constructed a DBR, the Questionnaire for Monitoring Behavior in Schools (QMBS) with multiple items to measure the occurrence of specific externalizing and internalizing student classroom behaviors on a Likert scale (1 = never to 7 = always). In a pilot study, two trained raters observed 16 primary education students and rated the student behavior over all items with a satisfactory reliability. In the main study, 108 regular primary school students, 97 regular secondary students, and 14 students in a clinical setting were rated daily over one week (five measurement points). Item response theory (IRT) analyses confirmed the technical adequacy of the instrument and latent growth models demonstrated the instrument’s stability over time. Further development of the instrument and study designs to implement DBRs is discussed

    ZfM - Levumi. Tests zum Zahlenverständnis zur Lernverlaufsdiagnostik - „Zahlen finden“ der Onlineplattform www.levumi.de

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    Die Onlineplattform Levumi (www.levumi.de) verfügt im Bereich Mathematik Grundlagen - Zahlenverständnis über die Testverfahren „Zahlen finden“ im Zahlenraum bis 10, bis 20, bis 100 und bis 1000. Die Anforderung der Tests besteht darin auf einem nahezu unbeschrifteten Zahlenstrahl die Position einer Zahl zu schätzen. Dieser Zahlenverständnistest ist als schülerzentrierter Speedtest mit einer Durchführungszeit von drei Minuten konstruiert. Im Folgenden wird ein kurzer Einblick in die Konzeption der Testverfahren „Zahlen finden“ und deren Umsetzung auf der Onlineplattform Levumi gegeben. Zur Übersicht sind dem Dokument die Itemlisten angehängt

    Using Theory-Based Test Construction to Develop a New Curriculum-Based Measurement for Sentence Reading Comprehension

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    Reading comprehension at sentence level is a core component in the students' comprehension development, but there is a lack of comprehension assessments at the sentence level, which respect the theory of reading comprehension. In this article, a new web-based sentence-comprehension assessment for German primary school students is developed and evaluated using a curriculum-based measurement (CBM) framework. The test focuses on sentence level reading comprehension as an intermediary between word and text comprehension. The construction builds upon the theory of reading comprehension using CBM-Maze techniques. It is consistent on all tasks and contains different syntactic and semantic structures within the items. This paper presents the test development, a description of the item performance, an analysis of its factor structure, and tests of measurement invariance, and group comparisons (i.e., across gender, immigration background, over two measurement points, and the presence of special educational needs; SEN). Third grade students (n = 761) with and without SEN finished two CBM tests over 3 weeks. Results reveal that items had good technical adequacy, the constructed test is unidimensional, and it is valid for students both with and without SEN. Similarly, it is valid for both sexes, and results are valid across both measurement points. We discuss our method for creating a unidimensional test based on multiple item difficulties and make recommendations for future test construction

    Spatial clustering of emergency department visits by asthmatic children in an urban area: south-western Detroit, Michigan

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    Objective This ecological study evaluates the correlation of asthma clusters with outdoor air pollution, race, and household income in South-western Detroit, Michigan. Design To attain this objective (1) a geographic information aystem (GIS) is utilized to evaluate the relationships between rates of emergency department (ED) admissions for asthma, race, and socio-economic status at the neighborhood block group level of analysis; (2) cluster statistical analyses are performed using Geomed software; and (3) the asthma risk from industrial air pollution was evaluated with windrose data and Screen3 air pollution model. Sample Data from five major hospitals with ED admissions of asthma patients (code 493), aged 0–15 years, are used to select a region of analysis with good geographical representation based on the catchment areas of hospitals in the study. A total of 2067 of the reported cases between 1 January 1993 and 30 June 1998, are successfully geocoded to a map, generating a no-match rate of 8.4%. Data on racial characteristics, population density, and household income levels are obtained from neighborhood block groups in the 1990 census report. Locations of major polluting industries within the study area are obtained from the Toxics Release Inventory. Results Spatial analysis identified a local asthma cluster roughly 2 km east (the predominant downwind direction) of the second and third largest air polluters (in terms of tonnage) in Wayne County. Evaluation of the industrial pollution with a focused cluster test, Screen3 air pollution model, and windrose figures, displayed weak association between ED asthma admissions and estimated levels of outdoor air pollution from these two facilities. The neighborhood block groups in the local asthma cluster are more closely correlated with high proportions of African Americans and low median household income. Implications for practice This study illustrates the strengths and weaknesses of GIS in the public health arena. It highlights the difficulty of disentangling the effects of exposure to outdoor air pollutants and socio-economic factors on ED asthmatics (reflecting asthma severity) among an urban population. This study also illustrates the need for population-based, as opposed to hospital-based, asthma data, and the need for block-groups, as opposed to zip codes, as a spatial unit of analysis in the evaluation and analysis of asthma-related risk factors.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/73994/1/j.1467-0658.2001.00143.x.pd

    LEO degradation of graphite and carbon-based composites aboard Space Shuttle Flight STS-46

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    Six different types of carbon and carbon-boron nitride composites were exposed to low Earth orbit aboard Space Shuttle flight STS-46. The samples received a nominal atomic oxygen fluence of 2.2 x 10(exp 20) atoms/sq cm in 42 hours of exposure. Pyrolytic graphite and highly oriented pyrolytic graphite showed significant degradation, and the measured erosion yield was within a factor of two of published values. The erosion yield of pyrolytic boron nitride was found to be 2.6 x 10(exp 26) cu cm/atom in plasma asher exposure, over 42 times lower than that of pyrolytic graphite. This low erosion yield makes graphite plus boron nitride mixtures quite resistant to low Earth orbit exposure. Evidence suggests that the graphitic component was preferentially etched, leaving the surface boron nitride rich. Degradation resistance increases with boron nitride composition. Carbon fiber/carbon composites degraded in low Earth orbit, and the carbon pitch binder was found to etch more easily than the graphite fibers which have much higher degradation resistance

    Transcranial electrical stimulation motor threshold can estimate individualized tDCS dosage from reverse-calculation electric-field modeling

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    Background Unique amongst brain stimulation tools, transcranial direct current stimulation (tDCS) currently lacks an easy or widely implemented method for individualizing dosage. Objective We developed a method of reverse-calculating electric-field (E-field) models based on Magnetic Resonance Imaging (MRI) scans that can estimate individualized tDCS dose. We also evaluated an MRI-free method of individualizing tDCS dose by measuring transcranial magnetic stimulation (TMS) motor threshold (MT) and single pulse, suprathreshold transcranial electrical stimulation (TES) MT and regressing it against E-field modeling. Key assumptions of reverse-calculation E-field modeling, including the size of region of interest (ROI) analysis and the linearity of multiple E-field models were also tested. Methods In 29 healthy adults, we acquired TMS MT, TES MT, and anatomical T1-weighted MPRAGE MRI scans with a fiducial marking the motor hotspot. We then computed a “reverse-calculated tDCS dose” of tDCS applied at the scalp needed to cause a 1.00 V/m E-field at the cortex. Finally, we examined whether the predicted E-field values correlated with each participant’s measured TMS MT or TES MT. Results We were able to determine a reverse-calculated tDCS dose for each participant using a 5 × 5 x 5 voxel grid region of interest (ROI) approach (average = 6.03 mA, SD = 1.44 mA, range = 3.75–9.74 mA). The Transcranial Electrical Stimulation MT, but not the Transcranial Magnetic Stimulation MT, significantly correlated with the ROI-based reverse-calculated tDCS dose determined by E-field modeling (R2= 0.45, p \u3c 0.001). Conclusions Reverse-calculation E-field modeling, alone or regressed against TES MT, shows promise as a method to individualize tDCS dose. The large range of the reverse-calculated tDCS doses between subjects underscores the likely need to individualize tDCS dose. Future research should further examine the use of TES MT to individually dose tDCS as an MRI-free method of dosing tDCS

    Basic Atomic Physics

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    Contains reports on five research projects.National Science Foundation Grant PHY 96-024740National Science Foundation Grant PHY 92-21489U.S. Navy - Office of Naval Research Contract N00014-96-1-0484Joint Services Electronics Program Grant DAAHO4-95-1-0038National Science Foundation Grant PHY95-14795U.S. Army Research Office Contract DAAHO4-94-G-0170U.S. Army Research Office Contract DAAG55-97-1-0236U.S. Army Research Office Contract DAAH04-95-1-0533U.S. Navy - Office of Naval Research Contract N00014-96-1-0432National Science Foundation Contract PHY92-22768David and Lucile Packard Foundation Grant 96-5158National Science Foundation Grant PHY 95-01984U.S. Army Research OfficeU.S. Navy - Office of Naval Research Contract N00014-96-1-0485AASERT N00014-94-1-080

    Characterization of patients with embolic strokes of undetermined source in the NAVIGATE ESUS randomized trial

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    Background: The New Approach Rivaroxaban Inhibition of Factor Xa in a Global Trial vs. ASA to Prevent Embolism in Embolic Stroke of Undetermined Source (NAVIGATE-ESUS) trial is a randomized phase-III trial comparing rivaroxaban versus aspirin in patients with recent ESUS. Aims: We aimed to describe the baseline characteristics of this large ESUS cohort to explore relationships among key subgroups. Methods: We enrolled 7213 patients at 459 sites in 31 countries. Prespecified subgroups for primary safety and efficacy analyses included age, sex, race, global region, stroke or transient ischemic attack prior to qualifying event, time to randomization, hypertension, and diabetes mellitus. Results: Mean age was 66.9 ± 9.8 years; 24% were under 60 years. Older patients had more hypertension, coronary disease, and cancer. Strokes in older subjects were more frequently cortical and accompanied by radiographic evidence of prior infarction. Women comprised 38% of participants and were older than men. Patients from East Asia were oldest whereas those from Latin America were youngest. Patients in the Americas more frequently were on aspirin prior to the qualifying stroke. Acute cortical infarction was more common in the United States, Canada, and Western Europe, whereas prior radiographic infarctions were most common in East Asia. Approximately forty-five percent of subjects were enrolled within 30 days of the qualifying stroke, with earliest enrollments in Asia and Eastern Europe. Conclusions: NAVIGATE-ESUS is the largest randomized trial comparing antithrombotic strategies for secondary stroke prevention in patients with ESUS. The study population encompasses a broad array of patients across multiple continents and these subgroups provide ample opportunities for future research

    Basic Atomic Physics

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    Contains reports on five research projects.Joint Services Electronics Program Contract DAAL03-92-C-0001Joint Services Electronics Program Grant DAAH04-95-1-0038National Science Foundation Grant PHY 92-21489U.S. Navy - Office of Naval Research Grant N00014-90-J-1322National Science Foundation Grant PHY 92-22768U.S. Army - Office of Scientific Research Grant DAAL03-92-G-0229U.S. Army - Office of Scientific Research Grant DAAL01-92-6-0197U.S. Navy - Office of Naval Research Grant N00014-89-J-1207Alfred P. Sloan FoundationU.S. Navy - Office of Naval Research Grant N00014-90-J-1642U.S. Navy - Office of Naval Research Grant N00014-94-1-080
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