317 research outputs found
PREDICTORS OF LAND VALUE SOLD AT AUCTION IN RICHLAND, EDWARDS, AND LAWRENCE ILLINOIS COUNTIES
With increasing land prices and high inputs prices, it is essential for farmers and investors to understand the land-specific determinants that drive value. A growing population and less farmable acres increases the need for a better understanding of the variables that may impact selling price. By implementing the auction method to sell land, the landowner is thought to receive the market price for the land sold on a specific time, date, and location. However, there has been very little research that describes the relationship between land variables and selling price when land is sold at auction. This study explores the potential relationship between land variables and the selling price of the land sold at live auction. With the results, farmers, investors, and auctioneers may be able to better understand the determinants of land value for land sold at auction. Investors and farmers might have more information available to them for valuing land when land is sold at live auction
Convection-Enhanced Delivery for Targeted Delivery of Antiglioma Agents: The Translational Experience
Recent improvements in the understanding of glioblastoma (GBM) have allowed for increased ability to develop specific, targeted therapies. In parallel, however, there is a need for effective methods of delivery to circumvent the therapeutic obstacles presented by the blood-brain barrier and systemic side effects. The ideal delivery system should allow for adequate targeting of the tumor while minimizing systemic exposure, applicability across a wide range of potential therapies, and have existing safe and efficacious systems that allow for widespread application. Though many alternatives to systemic delivery have been developed, this paper will focus on our experience with convection-enhanced delivery (CED) and our focus on translating this technology from pre-clinical studies to the treatment of human GBM
Patient-reported outcomes in performance measurement
Patient-reported outcomes (PROs) are measures of how patients feel or what they are able to do in the context of their health status; PROs are reports, usually on questionnaires, about a patient's health conditions, health behaviors, or experiences with health care that individuals report directly, without modification of responses by clinicians or others; thus, they directly reflect the voice of the patient. PROs cover domains such as physical health, mental and emotional health, functioning, symptoms and symptom burden, and health behaviors. They are relevant for many activities: helping patients and their clinicians make informed decisions about health care, monitoring the progress of care, setting policies for coverage and reimbursement of health services, improving the quality of health care services, and tracking or reporting on the performance of health care delivery organizations. We address the major methodological issues related to choosing, administering, and using PROs for these purposes, particularly in clinical practice settings. We include a framework for best practices in selecting PROs, focusing on choosing appropriate methods and modes for administering PRO measures to accommodate patients with diverse linguistic, cultural, educational, and functional skills, understanding measures developed through both classic and modern test theory, and addressing complex issues relating to scoring and analyzing PRO data.Publishe
Patient-reported outcomes in performance measurement
Patient-reported outcomes (PROs) are measures of how patients feel or what they are able to do in the context of their health status; PROs are reports, usually on questionnaires, about a patient's health conditions, health behaviors, or experiences with health care that individuals report directly, without modification of responses by clinicians or others; thus, they directly reflect the voice of the patient. PROs cover domains such as physical health, mental and emotional health, functioning, symptoms and symptom burden, and health behaviors. They are relevant for many activities: helping patients and their clinicians make informed decisions about health care, monitoring the progress of care, setting policies for coverage and reimbursement of health services, improving the quality of health care services, and tracking or reporting on the performance of health care delivery organizations. We address the major methodological issues related to choosing, administering, and using PROs for these purposes, particularly in clinical practice settings. We include a framework for best practices in selecting PROs, focusing on choosing appropriate methods and modes for administering PRO measures to accommodate patients with diverse linguistic, cultural, educational, and functional skills, understanding measures developed through both classic and modern test theory, and addressing complex issues relating to scoring and analyzing PRO data
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Development of a coal-fired gas turbine cogeneration system: Status report
The Allison Advanced Coal-Fueled Turbine Program is now in the sixth year of a development effort that has led to a POC engine demonstration test on a Coal-Water-Slurry (CWS) fuel. Earlier forecasts by CWS suppliers that suitable CWS fuels would be commercially available at an economic price have not been realized. A program replan has, therefore, been executed that incorporates the use of readily available dry pulverized coal. To support this program, technology issues relating to combustor performance and emission control, hot gas cleanup, and turbine deposition, erosion and corrosion (DEC) have been addressed. In addition, system assessment studies have been performed to evaluate the commercial prospects for small ( 100 MWe) utility-sized gas turbines. These results are reported by Wenglarz (1992). Combustor and engine tests on dry coal are now planned in preparation for a commercial demonstration that will follow the completion of this program
The development and cognitive testing of the positive outcomes HIV PROM: a brief novel patient-reported outcome measure for adults living with HIV
Background
People living with HIV experience burdensome multidimensional symptoms and concerns requiring person-centred care. Routine use of patient reported outcome measures can improve outcomes. There is no brief patient reported outcome measure (PROM) that currently reflects the breadth of concerns for people living with HIV. This study aimed to develop and cognitively test a brief novel patient reported outcome measure for use within routine adult HIV careâ the âPositive Outcomesâ HIV PROM.
Methods
Development followed the COSMIN taxonomy and guidance for relevance and comprehensiveness, and Rothrock guidance on development of valid patient reported outcome measures. The Positive Outcomes HIV PROM was developed by a steering group (people living with HIV, HIV professionals and health services researchers) using findings from a previously reported qualitative study of priority outcomes for people living with HIV. The prototype measure was cognitively tested with a purposive sample of people living with HIV.
Results
The Positive Outcomes HIV PROM consists of 23 questions (22 structured, and one open question) informed by the priorities of key stakeholders (nâ=â28 people living with HIV, nâ=â21 HIV professionals and nâ=â8 HIV commissioners) to ensure face and content validity, and refined through cognitive testing (nâ=â6 people living with HIV). Cognitive testing demonstrated high levels of acceptability and accessibility.
Conclusions
The Positive Outcomes HIV PROM is the first brief patient reported outcome measure reflecting the diverse needs of people living with HIV designed specifically for use in the clinical setting to support patient assessment and care, and drive service quality improvement. It is derived from primary data on the priority outcomes for people living with HIV and is comprehensive and acceptable. Further psychometric testing is required to ensure reliability and responsiveness
Joint Metabonomic and Instrumental Analysis for the Classification of Migraine Patients with 677-MTHFR Mutations
Migraine is a neurological disorder that correlates with an increased risk of cerebrovascular lesions. Genetic mutations of the MTHFR gene are correlated to migraine and to the increased risk of artery pathologies. Also, migraine patients show altered hematochemical parameters, linked to an impaired platelet aggregation mechanism. Hence, the vascular assessment of migraineurs is of primary importance
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