Measurement strategies

Author(s):  
Adele Goldberg
Author(s):  
Eric J. Bruns ◽  
Philip H. Benjamin ◽  
Richard N. Shepler ◽  
Marianne Kellogg ◽  
Hunter Pluckebaum ◽  
...  

AbstractIntensive Home Based Treatment (IHBT) is a critical component of the continuum of community-based behavioral healthcare for youth with serious emotional disorder (SED) and their families. Yet despite being used nationwide at costs of over $100 million annually in some states, a well-vetted, research-based set of quality standards for IHBT has yet to be developed. The current project aimed to define program and practice standards for IHBT, drawing upon literature review, expert interviews, and a systematic Delphi process engaging over 80 participants, including IHBT developers, experts in evidence-based youth mental health, youth and family advocates, IHBT providers, and state policymakers. After two rounds of quantitative and qualitative input, adequate consensus was achieved on 32 IHBT Program Standards and 43 IHBT Practice Standards. These standards hold potential for informing efforts such as development of state regulations, provider contracts, memoranda of agreement, and training and workforce development initiatives. Translation of the quality standards into measurement strategies holds potential for providing a method of continuous quality improvement across multiple levels as well as use in research on IBHT.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Robert Peter Reimer ◽  
Konstantin Klein ◽  
Miriam Rinneburger ◽  
David Zopfs ◽  
Simon Lennartz ◽  
...  

AbstractComputed tomography in suspected urolithiasis provides information about the presence, location and size of stones. Particularly stone size is a key parameter in treatment decision; however, data on impact of reformatation and measurement strategies is sparse. This study aimed to investigate the influence of different image reformatations, slice thicknesses and window settings on stone size measurements. Reference stone sizes of 47 kidney stones representative for clinically encountered compositions were measured manually using a digital caliper (Man-M). Afterwards stones were placed in a 3D-printed, semi-anthropomorphic phantom, and scanned using a low dose protocol (CTDIvol 2 mGy). Images were reconstructed using hybrid-iterative and model-based iterative reconstruction algorithms (HIR, MBIR) with different slice thicknesses. Two independent readers measured largest stone diameter on axial (2 mm and 5 mm) and multiplanar reformatations (based upon 0.67 mm reconstructions) using different window settings (soft-tissue and bone). Statistics were conducted using ANOVA ± correction for multiple comparisons. Overall stone size in CT was underestimated compared to Man-M (8.8 ± 2.9 vs. 7.7 ± 2.7 mm, p < 0.05), yet closely correlated (r = 0.70). Reconstruction algorithm and slice thickness did not significantly impact measurements (p > 0.05), while image reformatations and window settings did (p < 0.05). CT measurements using multiplanar reformatation with a bone window setting showed closest agreement with Man-M (8.7 ± 3.1 vs. 8.8 ± 2.9 mm, p < 0.05, r = 0.83). Manual CT-based stone size measurements are most accurate using multiplanar image reformatation with a bone window setting, while measurements on axial planes with different slice thicknesses underestimate true stone size. Therefore, this procedure is recommended when impacting treatment decision.


2017 ◽  
Vol 58 ◽  
pp. 276-286 ◽  
Author(s):  
Olavo Luppi Silva ◽  
Raul Gonzalez Lima ◽  
Thiago Castro Martins ◽  
Fernando Silva de Moura ◽  
Renato Seiji Tavares ◽  
...  

1996 ◽  
Vol 270 (1) ◽  
pp. C12-C30 ◽  
Author(s):  
A. S. Verkman ◽  
A. N. van Hoek ◽  
T. Ma ◽  
A. Frigeri ◽  
W. R. Skach ◽  
...  

This review summarizes recent progress in water-transporting mechanisms across cell membranes. Modern biophysical concepts of water transport and new measurement strategies are evaluated. A family of water-transporting proteins (water channels, aquaporins) has been identified, consisting of small hydrophobic proteins expressed widely in epithelial and nonepithelial tissues. The functional properties, genetics, and cellular distributions of these proteins are summarized. The majority of molecular-level information about water-transporting mechanisms comes from studies on CHIP28, a 28-kDa glycoprotein that forms tetramers in membranes; each monomer contains six putative helical domains surrounding a central aqueous pathway and functions independently as a water-selective channel. Only mutations in the vasopressin-sensitive water channel have been shown to cause human disease (non-X-linked congenital nephrogenic diabetes insipidus); the physiological significance of other water channels remains unproven. One mercurial-insensitive water channel has been identified, which has the unique feature of multiple overlapping transcriptional units. Systems for expression of water channel proteins are described, including Xenopus oocytes, mammalian and insect cells, and bacteria. Further work should be directed at elucidation of the role of water channels in normal physiology and disease, molecular analysis of regulatory mechanisms, and water channel structure determination at atomic resolution.


2015 ◽  
Vol 30 (12) ◽  
pp. 2516-2524 ◽  
Author(s):  
P. M. L. Hedberg ◽  
P. Peres ◽  
F. Fernandes ◽  
L. Renaud

This paper describes and discusses how isotope measurements of low content uranium materials can be optimized using a multi-ion counting system consisting of five discrete dynode electron multiplier (EM) detectors.


Atmosphere ◽  
2018 ◽  
Vol 9 (12) ◽  
pp. 457 ◽  
Author(s):  
Stefan Emeis ◽  
Norbert Kalthoff ◽  
Bianca Adler ◽  
Eric Pardyjak ◽  
Alexandre Paci ◽  
...  

Mountainous areas require appropriate measurement strategies to cover the full spectrum of details concerning the energy exchange at the Earth’s surface and to capture the spatiotemporal distribution of atmospheric dynamic and thermodynamic fields over them. This includes the range from turbulence to mesoscale processes and its interaction. The surface energy balance needs appropriate measurement strategies as well. In this paper, we present an overview of important experiments performed over mountainous terrain and summarize the available techniques for flow and energy measurements in complex terrain. The description includes ground-based and airborne in situ observations as well as ground-based and airborne remote sensing (passive and active) observations. Emphasis is placed on systems which retrieve spatiotemporal information on mesoscale and smaller scales, fitting mountainous terrain research needs. Finally, we conclude with a short list summarizing challenges and gaps one faces when dealing with measurements over complex terrain.


2018 ◽  
Vol 28 (5) ◽  
pp. 566-573 ◽  
Author(s):  
Thierry Gagné ◽  
Joseph G L Lee ◽  
Madeleine Steinmetz-Wood ◽  
Katherine L Frohlich

ObjectiveSocioeconomic circumstances are critically important to addressing smoking. In young adulthood (ages 18–25), dynamic transitions in education, employment, family and housing complicate the measurement of socioeconomic circumstances. To better understand approaches to capturing these circumstances, this methodological systematic review examined how socioeconomic characteristics used to identify social inequalities in smoking among young adults are measured.Data sourcesWe searched PubMed/MEDLINE, Scopus, EMBASE, ERIC and Sociological Abstracts, and used three prior reviews. We updated the search in March 2018.Study selectionTwo reviewers independently screened peer-reviewed records from OECD countries published in English, French, German or Spanish after 1995 whose samples covered at least 1 year between the ages of 18 and 25. We included 89 of 1320 records.Data extractionOne reviewer extracted study characteristics, indicators used to operationalise socioeconomic circumstances and each indicator’s relation to results on smoking (ie, significance and direction). We found 39 indicators of socioeconomic circumstances related to six broad domains. These indicators were used in 425 results.Data synthesisWe descriptively analysed the extracted data using evidence tables. Educational attainment was most common. Evidence of inequalities varied by indicator used. For example, there was inconsistent evidence regarding the role of parental characteristics and transition stages and insufficient evidence regarding personal income on smoking.ConclusionDespite its importance, studies have disproportionally examined inequalities among young adults using traditional indicators. The mismatch between young adults’ life transitions and measurement strategies may attenuate evidence of inequalities. We suggest strategies to improve future measurement.


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