Total Quality Management: Implications for Educational Assessment

The approach to quality that trans formed industry in Japan may help to improve educational quality in Ameri can schools. In 1982, W Edwards Deming identified 14 principles for the transformation of American industry. Recently he developed his "System of Profound Knowledge," which is even more fundamental than the 14 princi ples. Here's a look at their implica tions for education.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/66966/2/10.1177_019263659207654510.pd

External conditions drive optimal planting configurations for salt marsh restoration

Coastal salt marshes are threatened by erosion from storminess and sea level rise, with resulting losses in flood protection, wildlife and recreational space. Although more than $1 billion has been spent to reconcile losses, restoration has had varying success because of poor survival of planted patches in challenging wave and current conditions. Marsh expansion after colonization or replanting is regulated by positive and negative feedbacks between vegetation density and sediment capture. Dense vegetation stimulates sediment capture and vertical patch growth, but negatively constrains patch expansion by concentrating hydrological energy into erosion gullies along patch edges. Conversely, low-density vegetation may not simulate enough sediment capture, which increases plant dislodgement mortality. The strengths of positive and negative feedbacks will vary with wave exposure, but this has never been tested in natural conditions. We observed density-dependent sediment feedbacks, survival and lateral expansion by Sporobolus anglicus patches (0.8 × 0.8 m) planted at three levels of vegetation density, at each of three levels of wave forcing (three sites). We found interactive effects of plant density and forcing on the strength of positive and negative feedbacks. Density-dependent feedbacks only emerged in moderate and exposed conditions: classic marsh tussock patch shapes, which arise due to combined positive (vertical growth) and negative (gullies) feedbacks, were only associated with high density vegetation under exposed conditions. At high exposure, survival was enhanced by dense planting, which diverted energy away from the vegetation. In sheltered conditions, expansion was the greatest at medium density, while dense patches had high mortality and erosion. Synthesis and applications. Success of wetland restoration clearly hinges on considering interactions between environmental stress and planting density. In challenging high-exposure settings, dense planting in large patches should maximize success, as plant facilitation boosts sediment capture and negative edge effects (gullies) will represent a diminished proportion of larger patches. Yet, benefits of dense planting will switch from positive (facilitation) to negative (competition) with reduced environmental stress, when moderate-density planting might be optimal. Switches along stress gradients between positive and negative feedbacks are common across ecosystems. We call for wider integration of facilitation and stress–gradient principles into restoration design to safeguard restoration successes

Pregnancy complications as markers for subsequent maternal cardiovascular disease: Validation of a maternal recall questionnaire

Background: We designed and tested the validity of a questionnaire to characterize maternal recall of pregnancy complications associated with increased future cardiovascular disease risk, based on the 2011 American Heart Association (AHA) guidelines. Methods: A maternal recall questionnaire of pregnancy history was administered to 971 patients who had participated in a previous cohort study of 1,608 pregnant women. Medical records from the study pregnancy served as the gold standard. Prevalence, sensitivity (sens), specificity (spec), positive predictive value (PPV), negative predictive value (NPV), and/or Spearman's correlation coefficients (r) were calculated for each question. Results: A total of 526 (54%) individuals recontacted responded. Respondents were more likely to be older, white, educated, and nulliparous and were less likely to deliver low-birthweight infants in the study pregnancy than were individuals who did not respond. Mean length of recall was 4.35 years (standard deviation [SD] 0.46) postpartum. Maternal recall was most accurate for gestational diabetes (sens: 92%, spec: 98%, PPV: 79%, NPV: 99%), infant birthweight (r=0.95), and gestation length (r=0.85). Maternal recall was modest for preeclampsia (sens: 79%, spec: 97%, PPV: 68%, NPV: 98%) and pregnancy-associated hypertension, including preeclampsia or gestational hypertension (sens: 60%, spec: 95%, PPV: 64%, NPV: 94%). Conclusions: This validation study demonstrated that the majority of women could accurately recall a history of gestational diabetes, infant birthweight, and gestational age at delivery, 4 years postpartum on average. Recall of preeclampsia and pregnancy-associated hypertension overall was modest. Maternal report of these pregnancy conditions may help clinicians identify women at increased risk for cardiovascular disease

Ground Reaction Forces and Gait Parameters during Motorized and Non-Motorized Treadmill Walking and Runing on the International Space Station Treadmill

Both motorized (T-M) and non-motorized (T-NM) treadmill locomotion are used on the International Space Station (ISS) as countermeasures to the deleterious effects of prolonged weightlessness. However, the ground reaction forces (GRF) and gait parameters of these exercise modes have not been examined. The purpose of this study was to determine if differences in GRF and gait parameters exist while walking (1.34 m/s) and running (3.13 m/s) on T-M and T-NM. Dissimilar GRF and gait parameters suggest that T-M and T-NM locomotion may elicit different physiologic effects. T-NM may result in a reduced stimulus to bone formation due to a lower LR, but an increased energy cost as a result of shorter, more frequent strides. Therefore, the usage of each mode should depend upon the desired training stimulus

Phylogeny of Prokaryotes and Chloroplasts Revealed by a Simple Composition Approach on All Protein Sequences from Complete Genomes Without Sequence Alignment

The complete genomes of living organisms have provided much information on their phylogenetic relationships. Similarly, the complete genomes of chloroplasts have helped to resolve the evolution of this organelle in photosynthetic eukaryotes. In this paper we propose an alternative method of phylogenetic analysis using compositional statistics for all protein sequences from complete genomes. This new method is conceptually simpler than and computationally as fast as the one proposed by Qi et al. (2004b) and Chu et al. (2004). The same data sets used in Qi et al. (2004b) and Chu et al. (2004) are analyzed using the new method. Our distance-based phylogenic tree of the 109 prokaryotes and eukaryotes agrees with the biologists tree of life based on 16S rRNA comparison in a predominant majority of basic branching and most lower taxa. Our phylogenetic analysis also shows that the chloroplast genomes are separated to two major clades corresponding to chlorophytes s.l. and rhodophytes s.l. The interrelationships among the chloroplasts are largely in agreement with the current understanding on chloroplast evolution

Proper Distance Metrics for Phylogenetic Analysis Using Complete Genomes without Sequence Alignment

A shortcoming of most correlation distance methods based on the composition vectors without alignment developed for phylogenetic analysis using complete genomes is that the “distances” are not proper distance metrics in the strict mathematical sense. In this paper we propose two new correlation-related distance metrics to replace the old one in our dynamical language approach. Four genome datasets are employed to evaluate the effects of this replacement from a biological point of view. We find that the two proper distance metrics yield trees with the same or similar topologies as/to those using the old “distance” and agree with the tree of life based on 16S rRNA in a majority of the basic branches. Hence the two proper correlation-related distance metrics proposed here improve our dynamical language approach for phylogenetic analysis

Preterm birth and long-term maternal cardiovascular health

To investigate whether preterm birth (PTB) is associated with greater cardiovascular disease (CVD) risk in a longitudinal cohort

Ovine multiparity is associated with diminished vaginal muscularis, increased elastic fibres and vaginal wall weakness: implication for pelvic organ prolapse

This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/Pelvic Organ Prolapse (POP) is a major clinical burden affecting 25% of women, with vaginal delivery a major contributing factor. We hypothesised that increasing parity weakens the vagina by altering the extracellular matrix proteins and smooth muscle thereby leading to POP vulnerability. We used a modified POP-quantification (POP-Q) system and a novel pressure sensor to measure vaginal wall weakness in nulliparous, primiparous and multiparous ewes. These measurements were correlated with histological, biochemical and biomechanical properties of the ovine vagina. Primiparous and multiparous ewes had greater displacement of vaginal tissue compared to nulliparous at points Aa, Ap and Ba and lower pressure sensor measurements at points equivalent to Ap and Ba. Vaginal wall muscularis of multiparous ewes was thinner than nulliparous and had greater elastic fibre content. Collagen content was lower in primiparous than nulliparous ewes, but collagen organisation did not differ. Biomechanically, multiparous vaginal tissue was weaker and less stiff than nulliparous. Parity had a significant impact on the structure and function of the ovine vaginal wall, as the multiparous vaginal wall was weaker and had a thinner muscularis than nulliparous ewes. This correlated with “POP-Q” and pressure sensor measurements showing greater tissue laxity in multiparous compared to nulliparous ewes

Prednisolone or tetracosactide depot for infantile epileptic spasms syndrome? A prospective analysis of data embedded within two randomised controlled trials

OBJECTIVE: To report a prospectively planned analysis of two randomised controlled trials with embedded comparisons of prednisolone versus tetracosactide depot for the treatment of infantile epileptic spasms syndrome (IESS). METHODS: Individual patient data from patients randomly allocated to prednisolone or tetracosactide depot were analysed from two trials (UKISS, ICISS). The comparison was embedded within trials in which some patients also received vigabatrin but only patients receiving monotherapy with randomly allocated hormonal treatments are included in this analysis. The main outcome was cessation of spasms (Days 13-14 after randomisation). Lead time to treatment and underlying aetiology were taken into account. Cessation of spasms on Days 14-42 inclusive, electroclinical response (EEG Day 14), plus developmental and epilepsy outcomes (at 14 months in UKISS and 18 months in ICISS) are also reported. Minimum treatment was prednisolone 40 mg per day for two weeks or tetracosactide depot 0·5 mg IM on alternate days for two weeks, all followed by a reducing dose of prednisolone over two weeks. RESULTS: 126 infants were included in this study. On tetracosactide depot, 47 of 62 (76%) were free of spasms on Days 13-14 compared to 43 of 64 (67%) on prednisolone (difference 9%, 95% CI -7·2% to +25·2%, chi square 1·15, p = 0·28). For Day 14-42 cessation of spasms, on tetracosactide depot, 41 of 61 (67%) were free of spasms compared to 35 of 62 (56%) on prednisolone (difference 11%, 95% CI -6·4% to +28·4%, chi square 1·51, p = 0·22). There was no significant difference in mean VABS score between infants who received prednisolone compared with those who received tetracosactide depot (74·8 (SD 18·3) versus 78·0 (SD 20·2) t = -0·91 p = 0·36). The proportion with ongoing epilepsy at the time of developmental assessment was 20 of 61 (33%) in the tetracosactide group compared with 26 out of 63 (41%) in the prednisolone group (difference 8%, 95% CI -9·2% to +25·2%, Chi [2] 0·95, p = 0·33). SIGNIFICANCE: With hormone monotherapy, either prednisolone or tetracosactide depot may be recommended for infantile epileptic spasms syndrome