23,019 research outputs found

    Psychometric Properties of Questionnaires on Functional Health Status in Oropharyngeal Dysphagia: A Systematic Literature Review

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    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

    Extensions of Formal Hodge Structures

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    We define and study the properties of the category FHSn{\sf FHS}_n of formal Hodge structure of level n\le n following the ideas of L. Barbieri-Viale who discussed the case of level 1\le 1. As an application we describe the generalized Albanese variety of Esnault, Srinivas and Viehweg via the group \Ext^1 in FHSn{\sf FHS}_n. This formula generalizes the classical one to the case of proper but non necessarily smooth complex varieties.Comment: 23 page

    Greek Farm Households: Income inequality, poverty and distributional impact of farm income

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    This paper examines the incidence of income inequality and poverty, and the impact of farm income on inequality. A detailed typology of farm households (FHs) is developed, based on Household Budget Survey micro-data. Research findings reveal enormous variations among households with respect to income inequality and poverty. While Marginal- and Pluriactive- FHs do not seem to have an income problem, this is not the case for Farm Households. Poverty is a widespread phenomenon among Retired FHs. Farm income and non-farm income generate a combined stabilization effect, mitigating the overall inequality within households. Policy implications of these findings are discussed in the context of welfare aspects of agricultural policy.farm households, income inequality, poverty, distributional impact

    Optimal Grazing Termination Date for Dual-Purpose Winter Wheat Production

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    Dual-purpose winter wheat (fall-winter forage plus grain) production is an important economic enterprise in the southern Great Plains. Grazing termination to enable grain production is a critical decision. The objective is to determine the optimal grazing termination date for dual-purpose wheat. The value of knowing the occurrence of first hollow stem (FHS), a wheat growth threshold for grazing termination, is also determined. Results indicate that for most price situations grazing should be terminated at or before FHS. Marginal wheat returns from extended grazing were negative and the value of FHS information ranges from 1.50to1.50 to 10 per acre.dual-purpose, first hollow stem, plateau function, stocker cattle, value of information, wheat, Agribusiness, Agricultural Finance, Crop Production/Industries, Farm Management, Land Economics/Use, Livestock Production/Industries, Production Economics, Q12, Q16,

    Quality of child health care in the family health strategy

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    OBJECTIVE: to verify the quality of child health care in the Family Health Strategy (FHS) in a state capital of Northeastern Brazil. METHODS: a descriptive study using a quantitative approach was carried out in 2010 with 66 primary care (PC) teams represented by their doctors and nurses. The survey used part of the Evaluation for Quality Improvement of the Family Health Strategy² (AMQ), a self-rating instrument of the Brazilian Ministry of Health which evaluates the FHS actions and services and classifies them by the following quality-based standards of care: Elementary, undergoing development, Consolidated, Good or Advanced. RESULTS: 84.1% of the FHS-teams rated themselves as providing "Elementary" actions and services, and 47.7% of them considered that they provided "Advanced" ones. The health teams with less than four years of implementation rated themselves better. CONCLUSION: these findings suggest that most of the FHC-teams are providing care with an elementary standard of quality, and indicate that better quality child care is apparently delivered with by teams with less time of implementation

    Genetics Analysis Workshop 16 Problem 2: tTe Framingham Heart Study Data

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    Genetic Analysis Workshop 16 (GAW16) Problem 2 presented data from the Framingham Heart Study (FHS), an observational, prospective study of risk factors for cardiovascular disease begun in 1948. Data have been collected in three generations of family participants in the study and the data presented for GAW16 included phenotype data from all three generations, with four examinations of data collected repeatedly for the first two generations. The trait data consisted of information on blood pressure, hypertension treatment, lipid levels, diabetes and blood glucose, smoking, alcohol consumed, weight, and coronary heart disease incidence. Additionally, genotype data obtained through a genome-wide scan (FHS SHARe) of 550,000 single-nucleotide polymorphisms from Affymetrix chips were included with the GAW16 data. The genotype data were also used for GAW16 Problem 3, where simulated phenotypes were generated using the actual FHS genotypes. These data served to provide investigators with a rich resource to study the behavior of genome-wide scans with longitudinally collected family data and to develop and apply new procedures.National Heart, Lung and Blood Institute (2 N01-HC-25195-06); National Institutes of Health (National Institute of General Medical Sciences R01 GM031575