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Appropriate Indicators (appropriate + indicator)
Selected AbstractsAccessibility and attitudinal barriers encountered by Chinese travellers with physical disabilitiesINTERNATIONAL JOURNAL OF TOURISM RESEARCH, Issue 3 2007Yuhua Bi Abstract The China travel industry is growing rapidly and is expected to grow even more in the next 15 years. Another segment of the population that is increasing is individuals with physical disabilities. China has enacted several laws to enhance the quality of life for individuals with disabilities and to make travel more accessible. Although individuals with physical disabilities travel less than those without disabilities, the potential market is expanding. If travellers with physical disabilities encounter few barriers during their travels, they may travel even more in the future. This study examined four tourism industry sectors in China in terms of the accessibility and attitudinal barriers that participants with physical disabilities encountered. The four sectors were transportation, accommodations, eating,drinking establishments and attractions. Furthermore, comparisons were conducted on the participants' functioning level, income and types of mobility assistive devices they used. Results suggested that participants' functioning level was an appropriate indicator of the amount of barriers they encountered while travelling. Conversely, the amount of barriers encountered by the participants was not predicated by their income or the type of devices they used. Copyright © 2007 John Wiley & Sons, Ltd. [source] Patients' evaluations of the quality of care: influencing factors and the importance of engagementJOURNAL OF ADVANCED NURSING, Issue 5 2005Sophie H. Staniszewska BSc DPhil Aims., This paper reports a study exploring the process of patient evaluation and identifying the factors which influence this. Background., Patient experiences of health care have become a central focus for researchers, policymakers, clinicians and patient groups in many countries. While surveys of patient experiences have become increasingly common internationally, concerns about the validity of concepts such as satisfaction have cast doubt on the utility of their findings. These concerns reflect our limited understanding of patient evaluation and the factors that can influence this process. Methods., A qualitative design was adopted, using semi-structured interviews with a sample of outpatients in their homes in one county in England. In total, 41 patients participated in the study and were interviewed before their appointment. Of these patients, 37 were interviewed again after their appointment. Six of the latter were then re-interviewed 6 weeks after the appointment to explore whether evaluations had changed. Findings., Patient evaluation was influenced by a number of factors, including gratitude, faith, loyalty, luck and equity. The overall effect was to prompt positive evaluation, even when care was poor. These factors should be accounted for in the interpretation of patient experiences surveys. Patient experiences were further influenced by their sense of engagement with the system. A negative sense of engagement could have a major impact on the patient, resulting in disappointment or fear and a desire to leave the health care system, and in a negative evaluation of a specific aspect of care. Conclusions., Engagement may provide a more appropriate indicator of negative experience than dissatisfaction. The influence of these factors should be considered in future attempts to develop more sensitive and appropriate methods of eliciting patient experiences. [source] Assessing postprandial glucose using 1,5-anhydroglucitol: An integrative literature reviewJOURNAL OF THE AMERICAN ACADEMY OF NURSE PRACTITIONERS, Issue 10 2009Brian Lee Christensen MS, CDE CDE-certified Diabetes Educator, FNP-BC Abstract Purpose: Recent studies have determined postprandial blood glucose is an independent risk factor for macrovascular complications. This risk exists, despite having HbA1C results within acceptable ranges for diabetes. 1,5-Anhydroglucitol (1,5AG) has been proposed as an appropriate indicator to detect and screen for postprandial hyperglycemia (PPHG). This review discusses the efficacy of 1,5AG to predict PPHG in order to reveal those who may be at risk for macrovascular complications. Data Sources: An electronic search was conducted from 2003 to 2008 in the following databases: Medline, CINAHL, Health Source: Nursing/Academic Edition, and Pre-CINAHL. Any articles relating to 1,5AG as a marker for PPHG were used. The search was limited to any human research articles published in English. All articles were reviewed for additional relevant studies. Conclusions: 1,5AG was found to be a reliable indicator of PPHG, even when HbA1C levels were within target ranges. 1,5AG may be a simple and effective tool for primary care providers to identify those at risk for macrovascular complications, who would otherwise go unnoticed if assessed by HbA1C alone. [source] Classical QSAR Modeling of Anti-HIV 2,3-Diaryl-1,3-thiazolidin-4-onesMOLECULAR INFORMATICS, Issue 5 2005Kunal Roy Abstract Cytoprotection and cytotoxicity data of anti-HIV 2,3-diaryl-1,3-thiazolidin-4-ones were subjected to QSAR study using Fujita-Ban type analysis and a mixed approach based on Hansch and Fujita-Ban analyses. Apart from appropriate indicator and integer variables encoding different group contributions, different physicochemical variables like hydrophobicity (,) and steric (molar refractivity) parameters of aryl ring substituents of the compounds were used as predictor variables. Furthermore, Wang-Ford charges of the common atoms of the compounds calculated from molecular electrostatic potential surface of AM1 optimized geometries of the compounds and various topological parameters were used as additional descriptors. The variables for the multiple regression analyses were selected based on principal component factor analysis, and generated equations were statistically validated using leave-one-out technique and predicting the activity data of test set compounds. The statistical qualities of the equations for cytoprotection data (explained variance ranging 64.5,80.3%, leave-one-out predicted variance ranging 44.3,59.4%) are better than those for cytotoxicity data (explained variance ranging 59.7,60.6%, leave-one-out predicted variance ranging 52.4,54.4%). The analysis explores the structural and physicochemical requirements of the compounds for cytoprotection and cytotoxicity. [source] GENDER, STRUCTURAL DISADVANTAGE, AND URBAN CRIME: DO MACROSOCIAL VARIABLES ALSO EXPLAIN FEMALE OFFENDING RATES?,CRIMINOLOGY, Issue 2 2000DARRELL STEFFENSMEIER Building on prior macrosocial-crime research that sought to explain either total crime rates or male rates, this study links female offending rates to structural characteristics of U.S. cities. Specifically, we go beyond previous research by: (1) gender disaggregating the Uniform Crime Report (UCR) index-crime rates (homicide, robbery, aggravated assault, burglary, larceny-theft) across U.S. cities; (2) focusing explicitly on the effects of structural disadvantage variables on the index-offending rates of females; and (3) comparing the effects of the structural variables on female rates with those for male rates. Alternative measures of structural disadvantage are used to provide more theoretically appropriate indicators, such as gender-specific poverty and joblessness, and controls are included for age structure and structural variables related to offending. The main finding is consistent and powerful: The structural sources of high levels of female offending resemble closely those influencing male offending, but the effects tend to be stronger on male offending rates. [source] Improving the Evaluation of Rural Development Policy Pour une meilleure évaluation de la politique de développement rural Die Evaluation der Politik zur Entwicklung des ländlichen Raums verbessernEUROCHOICES, Issue 1 2010David Blandford Summary Improving the Evaluation of Rural Development Policy A previous EuroChoices (Vol. 7, No. 1) compared and contrasted approaches to rural development policy in the EU and US. This Special Issue focuses on the evaluation of these policies, drawing on a workshop held in June 2009 at OECD Conference Center in Paris. Evaluation is an activity that runs parallel with policymaking and is capable of contributing to effectiveness and efficiency at all stages. Evaluators, wherever they work and whatever aspect of rural development is their focus, face some common technical problems. These include multiple (and often ill-defined) policy objectives, the choice of appropriate indicators (especially the need to distinguish between outputs and outcomes), how to establish baseline values, where to draw boundaries in terms of impact and time, and the identification of additionality and causality. Ensuring that lessons learned from evaluation are actually applied is problematic. Experiences covered in this Issue include the use of macro and case-study approaches, and various schemes (investment in human and social capital, and agri-environment and forestry). There is an inherent tension between using a common approach across countries and regions in the interests of comparability and the flexibility needed to capture all the relevant factors in the diverse situations in which rural development actions take place. Un précédent numéro de EuroChoices (Vol. 7, No. 1) comparait et mettait en regard les approches de l'Union européenne et des États-Unis en terme de politique de développement rural. Ce numéro spécial est consacréà l'évaluation de la politique et tire parti d'un atelier qui s'est tenu en juin 2009 au Centre de Conférences de l'OCDE à Paris. L'évaluation va de pair avec l'élaboration des politiques et peut contribuer à améliorer l'efficacité et l'efficience à tous les stades. Quels que soient leur affiliation et l'aspect du développement rural sur lequel ils se concentrent, les évaluateurs sont confrontés à certains problèmes techniques communs. Il s'agit des objectifs multiples (et souvent mal définis) de la politique, du choix d'indicateurs pertinents (en particulier la nécessité de faire la différence entre produit et résultat), de la manière d'établir des valeurs de référence, de la fixation de limites en terme d'incidence et de durée, et de l'identification des effets additifs et de la causalité. Il est difficile de s'assurer que les leçons tirées des évaluations sont effectivement retenues. Les expériences rapportées dans ce numéro comprennent des approches macroéconomiques ou fondées sur des études de cas, et couvrent différents programmes (investissements dans le capital social et humain, mesures agroenvironnementales, mesures forestières). Il existe une tension évidente entre l'utilisation d'une approche commune entre chaque pays et région, qui vise la comparabilité, et la flexibilité qui permet de prendre en compte l'ensemble des différents facteurs des situations variées dans lesquelles les mesures de développement rural sont appliquées. In einer vorherigen Ausgabe von EuroChoices (7:1) wurden Herangehensweisen an die Politik zur Entwicklung des ländlichen Raums in der EU und in den USA verglichen und diskutiert. Diese Sonderausgabe beschäftigt sich auf der Grundlage eines Workshops, der im Juni 2009 am OECD-Hauptsitz in Paris abgehalten wurde, mit Politikevaluation. Die Evaluation erfolgt parallel zur Politikgestaltung und kann in jeder Phase zur Steigerung von Wirksamkeit und Effizienz beitragen. Evaluatoren stehen einigen allgemeinen technischen Problemen gegenüber , ganz gleich, wo sie arbeiten und welchen Aspekten ländlicher Entwicklung sie sich widmen. Dazu zählen multiple (und oftmals unzureichend definierte) politische Ziele; die Auswahl von geeigneten Indikatoren (hier muss insbesondere zwischen Endprodukten und Ergebnissen unterschieden werden); die Frage, wie Ausgangswerte festzulegen und wo Grenzen im Hinblick auf Auswirkungen und den zeitlichen Rahmen zu setzen sind; sowie die Identifizierung von Additionalität und Kausalität. Es ist schwierig sicherzustellen, dass die Erkenntnisse aus der Evaluation auch umgesetzt werden. Die in dieser Ausgabe aufgegriffenen Erfahrungen berücksichtigen u.a. Makro- und Fallstudienansätze sowie verschiedene Maßnahmen (Investitionen in Human-/Sozialkapital sowie Agrarumwelt und Forstwirtschaft). Es besteht eine grundsätzliche Spannung zwischen einer im Interesse der Vergleichbarkeit einheitlichen länder- und regionenübergreifenden Herangehensweise und einer Flexibilität bei der Erfassung aller relevanten Faktoren in den verschiedenen Situationen, in denen ländliche Entwicklung stattfindet. [source] ENUMERATION OF AEROMONAS FOR VERIFICATION OF THE HYGIENIC ADEQUACY OF SWINE CARCASS DRESSING PROCESSES,JOURNAL OF FOOD SAFETY, Issue 1 2000SHEW-LING YU ABSTRACT Populations of Aeromonas spp. and aerobic bacteria from dehairing equipment and from carcasses passing through different processing steps in a swine slaughtering plant were evaluated to identify the hygienic risks of each operation. Sponge samples were taken from the scraper flails in dehairing machines and the surface of the shackling table at pre- and post-operation times, with 20 samples from each location being collected at each time. Increased post-operation levels of Aeromonas spp. indicated a buildup and possible spread of these bacteria to carcasses. The belly skins of 40 dehaired carcasses were each sampled at five points along the process line which were after the shackling, after the final singeing, after the final polishing, after the final wash and after chilling. The levels of microbial contaminants on carcasses varied at each processing step. The heaviest contamination of carcasses with Aeromonas (1.88 log CFU/cm2) and aerobic bacteria (2.66 log CFU/cm2) occurred after shackling. Counts were reduced at other steps as a result of singeing, washing and chilling operations. However, singed carcasses were recontaminated with Aeromonas and aerobic bacteria during the polishing operation. Aeromonas hydrophila were the most prominent motile aeromonads (74.1%) recovered at the plant. The findings for Aeromonas spp. were similar to those for aerobic bacteria (r2= 0.9995) which suggested that Aeromonas spp. are appropriate indicators for assessing carcass dressing processes. [source] Alterations of DNA methylation and clinicopathological diversity of human cancersPATHOLOGY INTERNATIONAL, Issue 9 2008Yae Kanai Alterations of DNA methylation can account for the histological heterogeneity, reflected in the stepwise progression and complex biological characteristics of human cancers, that genetic alterations alone cannot explain. Analysis of DNA methylation status in tissue samples can be an aid to understanding the molecular mechanisms of multistage carcinogenesis. Human cancer cells show a drastic change in DNA methylation status, that is, overall DNA hypomethylation and regional DNA hypermethylation, which results in chromosomal instability and silencing of tumor-suppressor genes. Overexpression of DNA methyltransferase (DNMT) 1 is not a secondary result of increased cell proliferative activity but may underline the CpG island methylator phenotype of cancers. Splicing alteration of DNMT3B may result in chromosomal instability through DNA hypomethylation of pericentromeric satellite regions. Alterations of DNA methylation are observed even in the precancerous stage frequently associated with chronic inflammation and/or persistent viral infection or with cigarette smoking. Precancerous conditions showing alterations of DNA methylation may generate more malignant cancers. Aberrant DNA methylation is significantly associated with aggressiveness of cancers and poorer outcome of cancer patients. Genome-wide analysis of DNA methylation status based on array-based technology may identify DNA methylation profiles that can be used as appropriate indicators for carcinogenetic risk estimation and prognostication. [source] Financial Indicators for Critical Access HospitalsTHE JOURNAL OF RURAL HEALTH, Issue 3 2006George H. Pink PhD ABSTRACT:,Context: There is a growing recognition of the need to measure and report hospital financial performance. However, there exists little comparative financial indicator data specifically for critical access hospitals (CAHs). CAHs differ from other hospitals on a number of dimensions that might affect appropriate indicators of performance, including differences in Medicare reimbursement, limits on bed size and average length of stay, and relaxed staffing rules. Purpose: To develop comparative financial indicators specifically designed for CAHs using Medicare cost report data. Methods: A technical advisory group of individuals with extensive experience in rural hospital finance and operations provided advice to a research team from the University of North Carolina at Chapel Hill. Twenty indicators deemed appropriate for assessment of CAH financial condition were chosen and formulas determined. Issues 1 and 2 of the CAH Financial Indicators Report were mailed to the chief executive officers of 853 CAHs in the summer of 2004 and 1,092 CAHs in the summer of 2005, respectively. Each report included indicator values specifically for their CAH, indicator medians for peer groups, and an evaluation form. Findings: Chief executive officers found the indicators to be useful and the underlying formulas to be appropriate. The multiple years of data provide snapshots of the industry as a whole, rather than trend data for a constant set of hospitals. Conclusions: The CAH Financial Indicators Report is a useful first step toward comparative financial indicators for CAHs. [source] | ||||||||||||||||