Development of a bedside scoring system for predicting a first recurrence ofClostridium difficile–associated diarrhea

2017 ◽  
Vol 74 (7) ◽  
pp. 474-482 ◽  
Author(s):  
Velliyur Viswesh ◽  
Ana L. Hincapie ◽  
Marie Yu ◽  
Linda Khatchatourian ◽  
Michael A. Nowak
Keyword(s):  
Scoring System ◽  
Ofclostridium Difficile ◽  
First Recurrence

Predictive scoring systems for brain metastasis at diagnosis and at recurrence in non-small cell lung cancer

2009 ◽  
Vol 27 (15_suppl) ◽  
pp. e19020-e19020
Author(s):  
S. T. Maunglay ◽  
W. J. Fulp ◽  
A. Chiappori ◽  
G. R. Simon
Keyword(s):  
Lung Cancer ◽  
Multivariate Analysis ◽  
Brain Metastasis ◽  
Small Cell Lung Cancer ◽  
Cell Lung Cancer ◽  
Scoring System ◽  
Scoring Systems ◽  
Small Cell ◽  
Small Cell Lung ◽  
First Recurrence

e19020 Background: Brain metastasis (BM) is a major cause of mortality and morbidity in Non Small Cell Lung Cancer (NSCLC) but large studies analyzing potential factors that could be predictive of BM at diagnosis or recurrence are lacking. We have developed 2 predictive scoring models to identify the patients at risk. Methods: A retrospective analysis on 4,294 NSCLC cases, seen between 1994 and 2006, at the Moffitt Cancer Center and Research Institute, Tampa, FL was performed utilizing the cancer center's registry data. 477 (11.12%) patients had BM at the time diagnosis and additional 252 (5.82%) patients developed new BM as first recurrence. Results: For patients with BM at diagnosis, age younger than 63 years, non squamous histology and current or never smoking status were all significant in both univariate and multivariate analysis (N= 4174). Based on calculated odds ratios, a scoring system of 0 to 6 points was developed for these patients. Higher scores predicted higher risk for BM (0- 2=3.38%, 3- 4=9.93%, 5=13.65% and 6=21.03%; p <.0001). For patients with new BM at first recurrence, age younger than 63 years, non squamous histology, and the stage at diagnosis (i.e., BM risk in stage III>IV>II>I), were all significant in both univariate and multivariate analysis (N=4291). Based on calculated odds ratios, a scoring system of 0 to 7 points was developed for these patients. Higher scores predicted higher risk for BM (0–1=3.38%, 2–3=4.72%, 4–5= 8.76%, and 6–7=11.83%; p<.0001). Similar risk percentage results were seen after testing the 2 scoring systems in 3 chronologically divided patient groups. Conclusions: The 2 scoring systems developed based only on clinical data were predictive of BM in NSCLC at diagnosis and recurrence. These scoring systems should be helpful for establishing initial and follow up cranial imaging schedules in NSCLC patients. [Table: see text] No significant financial relationships to disclose.

An Investigation of the Assumptions Underlying the Scoring System of the Arizona Articulation Proficiency Scale: Revised

1979 ◽  
Vol 10 (4) ◽  
pp. 241-245
Author(s):  
Richard J. Schissel ◽  
Linda B. James
Keyword(s):  
Scoring System ◽  
Frequency Of Occurrence

This study examines the assumptions underlying the scoring system of the Arizona Articulation Proficiency Scale: Revised. Twenty-one children between the ages of four years two months and six years 11 months were administered the Arizona Articulation Proficiency Scale: Revised and the Screening Deep Test of Articulation. The subjects' performance on the two tests was compared for the phones: [s], [l], [r], [t∫], [θ], [∫], [k], [f], and [t]. Results suggested that 1) the production of most sounds in only two contexts does not necessarily reflect the accuracy of production of those sounds in other contexts, and 2) for the sounds tested, the weightings assigned on the basis of their frequency of occurrence rather than the frequency with which they were misarticulated overestimated the extent of many articulation errors.

Qualitative and quantitative assessment of nailfold capillaries by capillaroscopy in healthy volunteers

VASA ◽  
2012 ◽  
Vol 41 (1) ◽  
pp. 19-26 ◽  
Author(s):  
Hoerth ◽  
Kundi ◽  
Katzenschlager ◽  
Hirschl
Keyword(s):  
Scoring System ◽  
Morphological Changes ◽  
Connective Tissue Diseases ◽  
Capillary Density ◽  
Diagnostic Value ◽  
Healthy Individuals ◽  
Extreme Position ◽  
Qualitative And Quantitative ◽  
Diffuse Loss ◽  
Density Results

Background: Nailfold capillaroscopy (NVC) is a diagnostic tool particularly useful in the differential diagnosis of rheumatic and connective tissue diseases. Although successfully applied since many years, little is known about prevalence and distribution of NVC changes in healthy individuals. Probands and methods: NVC was performed in 120 individuals (57 men and 63 women; age 18 to 70 years) randomly selected according to predefined age and sex strata. Diseases associated with NVC changes were excluded. The nailfolds of eight fingers were assessed according to standardized procedures. A scoring system was developed based on the distribution of the number of morphologically deviating capillaries, microhaemorrhages, and capillary density. Results: Only 18 individuals (15 %) had no deviation in morphology, haemorrhages, or capillary density on any finger. Overall 67 % had morphological changes, 48 % had microhaemorrhages, and 40 % of volunteers below 40 years of age and 18 % above age 40 had less than 8 capillaries/mm. Among morphological changes tortous (43 %), ramified (47 %), and bushy capillaries (27 %) were the most frequently altered capillary types. A semiquantitative scoring system was developed in such a way that a score above 1 indicates an extreme position (above the 90th percentile) in the distribution of scores among healthy individuals. Conclusions: Altered capillaries occur frequently among healthy individuals and should be interpreted as normal unless a suspicious increase in their frequency is determined by reference to the scoring system. Megacapillaries and diffuse loss of capillaries were not found and seem to be of specific diagnostic value.

Professionelle Wahrnehmung und Fachkraft-Kind-Interaktion von KiTa-Fachkräften

2020 ◽  
pp. 1-15
Author(s):  
Christoph Mischo ◽  
Katrin Wolstein ◽  
Svenja Peters
Keyword(s):  
Scoring System ◽  
Classroom Assessment ◽  
Classroom Assessment Scoring System ◽  
Professionelle Wahrnehmung

Zusammenfassung. Die Professionelle Wahrnehmung von Pädagoginnen und Pädagogen als Fähigkeit zur Identifikation, Interpretation und Bewertung relevanter Merkmale pädagogischer Interaktion stellt eine wichtige pädagogische Teilkompetenz dar. Empirisch untersucht ist die Professionelle Wahrnehmung insbesondere bei Lehrkräften, kaum dagegen bei Fachkräften in KiTas. Ziel dieser Studie ist daher die Untersuchung von Zusammenhängen zwischen der Professionellen Wahrnehmung und dem beobachteten Handeln von KiTa-Fachkräften. Zur Evokation der Professionellen Wahrnehmung wurden 120 Teilnehmerinnen und Teilnehmern typische Fachkraft-Kind-Interaktionen als Video-Stimuli dargeboten. Die Erfassung der Professionellen Wahrnehmung erfolgte mit zwei offenen (Lautes Denken und retrospektives Interview) sowie mit einem geschlossenen Antwortformat (Rating-Skalen). Zur Einschätzung der Qualität des Interaktionsverhaltens der Fachkräfte wurde das international gut etablierte Classroom Assessment Scoring System (CLASS Pre-K) eingesetzt. Bei der Zusammenhangsprüfung im Rahmen eines Strukturgleichungsmodells mit latenten Variablen zeigte nur die mit der Methode des Lauten Denkens erfasste Professionelle Wahrnehmung Zusammenhänge mit den CLASS-Domänen Organisation des KiTA-Alltags und Lernunterstützung. Die Ergebnisse werden im Hinblick auf die Implikationen der Erhebungsmethodik für die Professionelle Wahrnehmung diskutiert.

Situative Unterschiede der Interaktionsqualität im Verlauf des Kindergartenalltags

2016 ◽  
Vol 5 (4) ◽  
pp. 206-213 ◽  
Author(s):  
Andreas Wildgruber ◽  
Monika Wertfein ◽  
Claudia Wirts ◽  
Marina Kammermeier ◽  
Erik Danay
Keyword(s):  
Scoring System ◽  
Classroom Assessment ◽  
Fand Sich ◽  
Classroom Assessment Scoring System

Zusammenfassung. Die Interaktionen zwischen pädagogischen Fachkräften und Kindern sind von zentraler Bedeutung für die Moderation des kindlichen Lernens und der kindlichen Entwicklung. Angesichts der Variabilität der Interaktionen im Tagesverlauf wurde in dieser explorativen Studie untersucht, inwieweit sich Unterschiede der Interaktionsqualität zwischen verschiedenen typischen Situationen (Freispiel, moderierte Aktivitäten, Lesesituationen, Garten, Essen) in Kindertageseinrichtungen zeigen. Bei 85 Fachkräften in bayerischen Kindergärten wurden die Interaktionen zwischen Fachkräften und Kindern jeweils einen Vormittag teilnehmend beobachtet und mit dem Verfahren „Classroom Assessment Scoring System Pre-K“ ( Pianta, La Paro & Hamre, 2008 ) geratet. Es zeigte sich zum einen in Essenssituationen eine niedrigere Interaktionsqualität als in den anderen Situationen. Zum anderen fand sich vor allem im Bereich der Lernunterstützung in Lesesituationen und moderierten Aktivitäten eine höhere Interaktionsqualität als im Freispiel. Die simultane Berücksichtigung der beiden Faktoren Tageszeit und Situation ergab, dass die gefundenen Effekte auf den Faktor Situation zurückzuführen waren.

Hand OA Atlas Moves Scoring System Forward

2010 ◽  
Vol 40 (12) ◽  
pp. 53
Author(s):  
CHRISTINE KILGORE
Keyword(s):  
Scoring System
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