Modeling the Variability of Labor Productivity in Masonry Construction

This paper proposes a methodology to model the variability of masonry labor productivity. The theoretical basis of baseline productivity relied upon the analysis of 14 projects sharing similar exogenous conditions and being similar in scope, size of components, specifications, quality requirements and design features. The data were collected using standardized data collection procedures that focused on task-level labor productivity; specifically, the measurement of work accomplished by a single crew in a single shift. Analysis showed that when daily productivity values fall between the control limits, loss of productivity is within normal variation while daily productivity values falling above the upper control limit imply a loss of productivity that is due to the work environment factors as within the normal variation, and in particular to certain significant influential factors that can be cited during that day. These results could have significant implications for construction managers seeking to improve overall project performance

The timed barium swallow and its relationship to symptoms in achalasia: Analysis of surface area and emptying rate

BACKGROUND: Timed barium swallow (TBS) is used to objectively measure response following achalasia therapy; however, findings can be discordant with symptoms. We hypothesized that measurement of surface area of the residual barium column would improve its utility in measuring outcome. METHODS: In a single-center cohort, achalasia patients undergoing therapy between September 2015-2016 who had TBS were included. Four metrics of emptying were studied: Post-therapy residual barium (a) absolute height and (b) surface area and percentage reduction in (c) residual height (%H) and (d) surface area (%SA) compared to pretherapy. Metrics were evaluated against symptom response (Eckardt score). KEY RESULTS: Twenty-four achalasics (median age 43 year; 13 males) were included; 14 received pneumatic dilatation, and 10 had peroral endoscopic myotomy. Treatment resulted in significant reduction in median Eckardt score (7 to 1; P = .03), mean residual barium column height (14.7 ± 8.7 to 7.9 ± 6.0 cm; P = .01) and surface area (52.7 ± 43.5 to 24.5 ± 23.6 cm2 ; P = .02). There were 4 (17%) initial non-responders (Eckardt > 3). % SA was best at discriminating between responders and non-responders (area under curve 0.85 ± 0.08; sensitivity 100%, specificity 80%). Concordance with symptomatic response following therapy was 83% when using 45% as the cutoff for surface area reduction compared to pretherapy. Eight patients whose static barium height was discordant with symptoms became concordant when % SA was used as a measure of response. CONCLUSIONS & INFERENCES: Change in barium surface area is a superior measure of esophageal emptying and better correlates with treatment response than the conventional 5-minute barium height in defining objective response to achalasia therapy

Prediction Model for Construction Cost and Duration in Jordan

Risk is mitigated in the course of reliable prediction. A probabilistic model is proposed to predict the risk effects on time and cost of construction projects. Project managers and consultants can use the model in estimating project cost and duration based on historic data. Statistical regression models and sample tests are developed using real data of 140 projects. The research objective is to develop a model to predict project cost and duration based on historic data of similar projects. The model result can be used by project managers in the planning phase to validate the schedule critical path time and project budget. Research methodology is steered per the following progression: i) Conduct nonparametric test for project cost and time performance. ii) Develop generic multiple-regression models to predict project cost and duration using historic performance data. iii) The percent prediction error is statistically analyzed; and found to be substantial; thus, iv) Custom multiple regression models are developed for each project type to obtain statistically reliable results. In conclusion, the 95% point estimation of error margin= ±0.035%. Therefore, at a probability of 95%, the proposed model predicts the project cost and duration with a precision of ±0.035% of the mean cost and time

Productivity Improvement of Pre-cast Concrete Installation

The production process of pre-cast concrete installation is analyzed to investigate possible ways for onsite productivity improvement. Although manufactured construction enjoys higher quality and productivity, it is observed that it suffers delays compared to site built construction. Delay causes and respective severity are analyzed for improvement. Firstly, the production process is investigated using the production delay model. Forty cycle data are used in the analysis. The comparative impact and severity are measured for five delay causes, namely: labor, environmental, management, equipment and material on overall system productivity. It is found via the production delay analysis that material, followed by equipment availability then labor were major contributors to system delay. Secondly, statistical analysis on the installation cycle time of three pre-cast component types is carried out, in order to insure whether the delay observed via the first step is attributed to variation of pre-cast pieces. The data used in step one above were not pertinent to product type; therefore, other 90 cycle data are utilized in the statistical analysis, which indicated high variability in cycle time due to product type. Improvement can be achieved through proper scheduling of project equipment and resources. In addition, improvement should target the reduction of installation cycle time variability due to product type

Reproducibility and rigor in rheumatology research

The pillars of scientific progress in rheumatology are experimentation and observation, followed by the publication of reliable and credible results. These data must then be independently verified, validated, and replicated. Peer and journal-specific technical and statistical reviews are paramount to improving rigor and reproducibility. In addition, research integrity, ethics, and responsible conduct training can help to reduce research misconduct and improve scientific evidence. As the number of published articles in rheumatology grows, the field has become critical for determining reproducibility. Prospective, longitudinal, randomized controlled clinical trials are the gold standard for evaluating clinical intervention efficacy and safety in this space. However, their applicability to larger, more representative patient populations with rheumatological disorders worldwide could be limited due to time, technical, and cost constraints involved with large-scale clinical trials. Accordingly, analysis of real-world, patient-centered clinical data retrieved from established healthcare inventories, such as electronic health records, medical billing reports, and disease registries, are increasingly used to report patient outcomes. Unfortunately, it is unknown whether this clinical research paradigm in rheumatology could be deployed in medically underserved regions

The Variations in the Altitudes Between the Sea Level and Ajloun Impact Heart Variables, but not Angiotensin Ii

Background: hypertension affects many people worldwide and it is highly prevalent in Jordan. Living at different areas with different attitudes may have impacts in hypertension. Study objectives: to identify the prevalence of hypertension in two areas in Jordan with different attitudes and to determine the impact of attitudes in hypertension and angiotensin II to be able to determine the appropriate antihypertensive drug for such population. Methodology: a cross-sectional study design was conducted to collect data from participants. The study included 1000 participants, 500 from each area. A constructed questionnaire was used in this study. Blood samples were taken from participants to assay for angiotensin II. Blood pressure was measured for all patients. Data was analyzed using SPSS version 20. Data was presented as means, frequencies, percentages. The relationship between variables was examined using independent T-test. Significance was considered at alpha level 0.05). Conclusions: living in high altitude is associated with increased potential to have increased levels of cardiac parameters independently of the level of angiotensin II and the therapeutic options for patients with hypertension should be taken into account

The Clinical Relevance of Manometric Esophagogastric Junction Outflow Obstruction Can Be Determined Using Rapid Drink Challenge and Solid Swallows

INTRODUCTION: Esophagogastric junction outflow obstruction (EGJOO) defined on high-resolution esophageal manometry (HRM) poses a management dilemma given marked variability in clinical manifestations. We hypothesized that findings from provocative testing (rapid drink challenge and solid swallows) could determine the clinical relevance of EGJOO. METHODS: In a retrospective cohort study, we included consecutive subjects between May 2016 and January 2020 with EGJOO. Standard HRM with 5-mL water swallows was followed by provocative testing. Barium esophagography findings were obtained. Cases with structural obstruction were separated from functional EGJOO, with the latter categorized as symptom-positive or symptom-negative. Only symptom-positive subjects were considered for achalasia-type therapies. Sensitivity and specificity for clinically relevant EGJOO during 5-mL water swallows, provocative testing, and barium were calculated. RESULTS: Of the 121 EGJOO cases, 76% had dysphagia and 25% had holdup on barium. Ninety-seven cases (84%) were defined as functional EGJOO. Symptom-positive EGJOO subjects were more likely to demonstrate abnormal motility and pressurization patterns and to reproduce symptoms during provocative testing, but not with 5-mL water swallows. Twenty-nine (30%) functional EGJOO subjects underwent achalasia-type therapy, with symptomatic response in 26 (90%). Forty-eight (49%) functional EGJOO cases were managed conservatively, with symptom remission in 78%. Although specificity was similar, provocative testing demonstrated superior sensitivity in identifying treatment responders from spontaneously remitting EGJOO (85%) compared with both 5-mL water swallows (54%; P < 0.01) and barium esophagography (54%; P = 0.02). DISCUSSION: Provocative testing during HRM is highly accurate in identifying clinically relevant EGJOO that benefits from therapy and should be routinely performed as part of the manometric protocol