Development and validation of the Pediatric Oncology Quality of Life Scale.

This study describes the development of a 21-item, parent report measure for assessing the quality of life (QOL) of children with cancer. The Pediatric Oncology Quality of Life Scale (POQOLS) provides a total score and three factor scores that assess physical function and role restriction, emotional distress, and reaction to current medical treatment. Internal consistency reliabilities of the total scale and the three factors were high, as was interparent agreement. In addition, POQOLS scores demonstrated good concurrent and discriminant relationships with scores on measures of adjustment hypothesized to covary with the dimensions of QOL assessed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Quality of Life Scale: A preliminary analysis.

Compared the Quality of Life Scale (QOL) with 2 problem-oriented scales in 55 community mental health center clients (9–58 yrs old). Statistical analysis suggested that 3 factors account for a respectable degree of variance: People, Health, and Providing. These preliminary results suggest that the QOL scale represents a simple but potentially useful approach to assessing process and product in mental health delivery systems. (5 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Reliability and validity of the Yale Global Tic Severity Scale.

To investigate the reliability and validity of the Yale Global Tic Severity Scale (YGTSS), 28 youth aged 6 to 17 years with Tourette's syndrome (TS) participated in the study. Data included clinician reports of tics and obsessive-compulsive disorder (OCD) severity, parent reports of tics, internalizing and externalizing problems, and child reports of depression and anxiety. All children participated in a 2nd YGTSS administration by the same rater 48 days later. Good internal consistency and stability were found for the YGTSS scores. YGTSS scores demonstrated strong correlations with parent-rated tic severity (r = .58-.68). YGTSS scores were not significantly related to measures of clinician ratings of OCD severity (r = .01-.15), parent ratings of externalizing and internalizing behavior (r = -.07-.20), and child ratings of depression (r = .02-.26) and anxiety (r = -.06 -.28). Findings suggest that the YGTSS is a reliable and valid instrument for the assessment of pediatric TS. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

FDG-PET and volumetric MRI in the evaluation of patients with partial epilepsy

We performed interictal FDG-PET- and MRI-based hippocampal volumetric measurements on 18 adult patients with complex partial epilepsy of temporal lobe origin in whom we had identified their ictal focus by video-telemetry EEG. Sixteen patients (89%) had regional hypometabolism, 11 (61%) had focal 1.5-tesla T2-weighted MRI (two structural abnormalities, nine hippocampal formation [HF] increased T2 signal), and nine (50%) had absolute HF atrophy ipsilateral to the temporal ictal focus. Ten (55%) had abnormal L/R HF ratios, nine ipsilateral to the EEG focus. All patients with abnormal MRI volumetric studies had focal PET abnormalities. Only seven had both abnormal HF volume ratios and T2 MRI (all increased HF T2 signal). There was a significant correlation between hippocampal volume and inferior mesial and lateral temporal lobe cerebral metabolic rate of glucose asymmetry index (p < 0.01), suggesting that hypometabolism may reflect hippocampal atrophy. PET is more sensitive than MRI volumetry in identifying the ictal focus but does not provide additional information when HF atrophy is present.     

Adaptation and psychometric properties of the German version of the Dissociative Experience Scale

We introduce the 'Fragebogen zu Dissoziativen Symptomen' (FDS), a German adaptation of the Dissociative Experience Scale (DES) which was developed to screen for dissociation within an ICD-10 framework. In addition to the original 28 DES items, the FDS contains 16 items covering dissociative phenomena included in the ICD-10, particularly pseudoneurological conversion symptoms. The psychometric properties of the FDS were studied in 927 clinical and nonclinical subjects from different diagnostic groups and compared to results of American studies. The scale had good test-retest reliability of .88, high internal consistency (split-half = .90, Cronbach's alpha = .94) and good construct validity. These results indicate that the FDS may be a valuable screen for dissociative psychopathology in German-speaking countries.     

Review of the Satisfaction With Life Scale.

The Satisfaction With Life Scale (SWLS) was developed to assess satisfaction with the respondent's life as a whole. The scale does not assess satisfaction with life domains such as health or finances but allows Ss to integrate and weight these domains in whatever way they choose. Normative data are presented for the scale, which shows good convergent validity with other scales and with other types of assessments of subjective well-being. Life satisfaction as assessed by the SWLS shows a degree of temporal stability (e.g., .54 for 4 yrs), yet the SWLS has shown sufficient sensitivity to be potentially valuable to detect change in life satisfaction during the course of clinical intervention. Further, the scale shows discriminant validity from emotional well-being measures. The SWLS is recommended as a complement to scales that focus on psychopathology or emotional well-being because it assesses an individual's conscious evaluative judgment of his or her life by using the person's own criteria. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Algorithm on the clinical evaluation of epilepsy

The aetiology of growth retardation in children with X-linked hypophosphatemic rickets (HPR) has not been totally defined. We evaluated growth hormone (GH)/insulin-like growth factor-I (IGF-I) changes in relation to linear growth and biochemical parameters in seven children with X-linked hypophosphatemic rickets before and after treatment with 1,25-dihydroxyvitaminD3 and phosphate therapy for a year or more. Moreover, we compared patients' growth data and GH/IGF-I changes with those for 20 age-matched children with normal variant short stature (NVSS)[with normal GH secretion and height standard deviation score (HtSDS) before -2]. Before treatment, all children with HPR secreted normal GH in response to clonidine provocation (> 10 microgram/l) and their IGF-I concentration was significantly lower than those with NVSS. The HtSDS and growth velocity (GV) of children with HPR improved significantly after (-3.05, 8.9 cm/year, respectively) v. before (-3.9 and 4.1 cm/year, respectively) therapy. Their serum IGF-I concentration increased significantly from 76.7 ng/ml before to 99.6 ng/ml after treatment. In summary children with HPR had no abnormality of GH secretion but improvement of their linear growth was associated with significant increase of circulating IGF-I concentration after treatment.     

Adaptation and radiographic evaluation of four adhesive systems

Specific pathogen-free Mongolian gerbils were infected orally with Helicobacter pylori to establish a new small animal model of severe gastritis H. pylori was recovered by culture from both antrum and body over a 16-week period after a single inoculation. The number of H. pylori colonising the antrum was about 100-fold higher than in the body, and this was consistent throughout the experiment. Histological examination showed that all animals developed severe inflammation with infiltration of polymorphonuclear leucocytes and mononuclear cells into the lamina propria and submucosa of the antrum from 4 weeks after infection. From 8 weeks after infection, multifocal lymphoid follicles appeared in the lamina propria and submucosa, and micro-erosions were also observed in the epithelial layer. At 16 weeks after infection, ulceration with disruption of the lamina muscularis mucosae was observed in the antral mucosa. To determine whether H. pylori caused gastritis or not, infected gerbils were treated with amoxycillin. After the treatment, gastritis could not be seen in the gastric mucosa. Therefore, the Mongolian gerbil is a useful small animal model to study the pathogenesis of H. pylori in gastric ulceration and severe gastritis and to assess anti-H. pylori treatment.     

Construction of the Asian American Family Conflicts Scale.

This study describes the construction and initial validation of the Asian American Family Conflicts Scale (FCS) with 3 samples of Asian American college students. The scale consists of 10 typical Asian American family conflicts that are rated for likelihood of occurrence (FCS-Likelihood) and seriousness of conflict (FCS-Seriousness). In Study 1, FCS-Likelihood and FCS-Seriousness had sound internal reliability, stability, and construct validity. In Study 2, FCS-Likelihood correlated with socioeconomic and cultural orientation variables. Ethnic, generation, and language differences, as well as the parent–child acculturation gap hypothesis, also were confirmed for FCS-Likelihood. In Study 3, FCS-Likelihood correlated with measures of family cohesion, adaptability, and parent-child communication. Although further validation is necessary, FCS-Likelihood in particular is a potentially useful research and clinical instrument for assessing the quality of Asian American parent–child relationships. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Development and evaluation of the Air Travel Stress Scale.

Despite anecdotal evidence suggesting that air travel is personally demanding, little research has examined air travel stress. To address these issues, the author developed and evaluated the 1st known measure of air travel stress--the Air Travel Stress Scale--in 3 studies. Exploratory and confirmatory factor analysis indicated 3 components: (a) anxious reactions to adverse air travel events, (b) angry reactions to other passengers as well as an antecedent of air travel stress, and (c) the lack of trust that the airlines/airports will ensure one's comfort and safety. Each component had good internal reliability and test-retest reliability over a 6- to 7-week interval. Each component showed evidence for discriminant and convergent validity. Implications for research into understanding and intervening on air travel stress are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Factor Validation of the Addiction Severity Index Scale Structure in Persons With Concurrent Disorders.

Confirmatory factor analysis was used to test the scale structure of the Addiction Severity Index (ASI) in a sample of 1,802 substance abusers (43% alcohol dependent) with a concurrent psychiatric disorder (46% with mood disorders). The fit of the original composite score model based on the work of P. L. McGahan, J. A. Griffith, R. Parente, & A. T. McLellan (1990) was compared with the evaluation indices (EIs) developed by A. I. Alterman et al. (1998). The 5-dimensional model based on the EIs was an overall better fit to the data. Internal consistency (Cronbach's alpha) for the EIs ranged from .66 (family domain) to .75 (legal domain). The 5 EIs were moderately correlated (rs = .42-.72) with the interviewer severity ratings from the ASI. Evaluation studies involving concurrent disordered substance abusers should use the EIs as summary measures of change. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Pre-postoperative neuropsychological evaluation in the surgical treatment of epilepsy

INTRODUCTION: Epilepsy is one of the most common neurological disorders, affecting about one percent of the world population. Pharmacological treatment fails in one-third of these patients. Surgical intervention has become an accepted treatment option for those patients with seizure disorders that are refractory to conventional therapies. Cortical resection and callosotomy are the most widely accepted methods of surgical intervention. A prerequisite for success in this type of surgical intervention is the preoperative clinical assessment of the epilepsy surgery candidate. DEVELOPMENT: This paper examines the current uses of neuropsychological assessment in an epilepsy surgery program. Several areas are addressed for discussion with respect to the contributions of neuropsychological assessment: the preoperative evaluation of the epilepsy surgery candidates, including the clinical examination of language and memory functions during the Wada test; the neuropsychological changes that result from surgery and the predictive role of neuropsychology in these areas, and prediction for seizure control following surgery. CONCLUSION: Assessment of cognitive functions is an important component of the preoperative evaluation of the epilepsy surgery candidate, and is needed in order to obtain complete diagnostic information.     

Factor structure of the Wechsler Memory Scale—Revised within a comprehensive neuropsychological battery.

Performed 2 principal factor analyses to examine the construct validity of the Wechsler Memory Scale—Revised (WMS—R) and to determine whether abstraction and memory factors can be extracted from the Halstead-Reitan Neuropsychological Test Battery (HRNB) results. Results from 237 patients support the validity of the verbal memory, delayed recall, and attention and concentration indices of the WMS—R but not the visual memory indices. No separate abstraction factor was found, and none of the HRNB measures loaded substantially on the memory factors defined by WMS—R subtests. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Description and psychometric evaluation of the Youth Counseling Impact Scale.

The present article describes and evaluates the Youth Counseling Impact Scale (YCIS; L. Bickman et al., 2007), a recently developed therapeutic process measure that assesses youths' perceptions of the impact individual mental health counseling sessions have on their thoughts, feelings, and behaviors. This measure is intended for frequent use in the mental health treatment of youths aged 11–18. It provides a general Impact score as well as two subscale scores: Insight and Change. Five hundred youths receiving mental health services participated in this investigation. Classical test theory, item response theory, confirmatory factor nalysis, and analyses of the relationship of the YCIS with other scales were used to evaluate the research questions. The results suggest that, overall, the YCIS is a well-functioning scale with good psychometric properties. The proposed model for 1 primary general factor of impact and 2 secondary factors (Insight and Change) fit the data well. Specific weaknesses of the scale are discussed, and possible improvements are suggested. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychometric evaluation of the Geriatric Depression Scale and the Zung Self-Rating Depression Scale using an elderly community sample.

In this study the psychometric properties of the Geriatric Depression Scale (GDS) and the Zung Self-Rating Depression Scale (SDS) were evaluated and compared, using a relatively large elderly community sample. The GDS generally performed well, replicating earlier findings from a different population. Also, as hypothesized, the SDS, which has a multiple-choice format, had a higher noncompletion rate than the GDS, which has a true–false format. Finally, no significant differences between the responses of young–old and old–old subjects were observed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Quality and Change Management Model for Large Scale Concurrent Design and Construction Projects

Concurrent design and construction has been lauded for streamlining projects in terms of time. However, such an approach may actually make projects more uncertain and complex than the traditional sequential design and construction process. The main sources of risk that have been identified with concurrent design and construction are iterative cycles that result from unanticipated errors and changes and their subsequent impacts on project performance. As an effort to address these detrimental impacts, a framework for quality and change management that identifies those negative iterative cycles is proposed. The proposed framework is incorporated into the system dynamics model of dynamic planning and control methodology (DPM), which has been developed to evaluate negative impacts of errors and changes on construction performance. Relevant to practitioners and researchers, the potential of DPM as a robust design and construction planning methodology that could effectively deal with errors and changes inherent in the design and construction process is demonstrated through a case study involving the Treble Cove road bridge in Massachusetts.     

改善道路质量以提高电动轮轮胎的使用寿命

通过对影响露天矿山电动轮轮胎使用寿命的因素分析,发现了改善道路质量,同时加强对电动轮轮胎运行、装配和检查等现场管理,是提高电动轮轮胎使用寿命,降低电动轮轮胎消耗,从而降低矿山采矿成本的有效途径之一。     

Assessment of Swallowing Ability Scale for oral and oropharyngeal cancer patients

The Swallowing Ability Scale (SAS) has been recently reported by us. This scale is a new method to assess dysphagia after therapy for oral and oropharyngeal cancer. The preliminary results on 23 patients showed that the scale was reliable and sensitive to functional differences across a broad spectrum of oropharyngeal dysphagia after therapy. This paper confirmed the above facts in 73 oral and oropharyngeal cancer patients who were treated in two hospitals between 1995 and 1996. As stated in the previous paper, SAS consists of a 2-step questionnaire: the MTF score and the Dysphagia score. The MTF score is a simple and practical assessment tool consisting of three subscales: 1) Method of intake, 2) Time of intake, and 3) Food. The Dysphagia score is a relevant assessment tool for defining patients' anatomic or physiologic swallowing disorders. In 40 patients with wide resection of the tongue, the Dysphagia score (p < 0.05) and the MTF score (p < 0.01) were significantly decreased. And we found a correlation between the MTF score and the Dysphagia score (r = 0.78, p < 0.001) in 73 patients. The usefulness of the SAS will be further studied for the assessment of rehabilitation to improve postoperative dysphagia.     

美日企业质量管理特色分析

通过对美国和日本企业质量管理发展过程的分析和比较,论述了企业质量管理的思路和质量管理对企业产品提高的重要性。     

Psychometric evaluation of the Multidimensional Assessment of Fatigue Scale for use with pregnant and postpartum women.

Although fatigue is a common experience for pregnant women and new mothers, few measures of fatigue have been validated for use with this population. To address this gap, the authors assessed psychometric properties of the Multidimensional Assessment of Fatigue (MAF) scale, which was used in 2 independent samples of pregnant women. Results indicated that the psychometric properties of the scale were very similar across samples and time points. The scale possesses a high level of internal consistency, has good convergent validity with measures of sleep quality and depression, and discriminates well from a measure of social support. Contrary to previous evaluations of the MAF, data strongly suggest that the scale represents a unidimensional construct best represented by a single factor. Results indicate that the MAF is a useful measure of fatigue among pregnant and postpartum women. (PsycINFO Database Record (c) 2010 APA, all rights reserved)