Check Sheet Research Articles

Journal of General and Family Medicine Check Sheet

Journal of General and Family Medicine Check Sheet

Advance modern medicine with clinical case reports.

Randomized clinical trial (RCT) can fail to demonstrate the richness of individual patient characteristics. Given the unpredictable nature of medicine, a patient may present in an unusual way, have a strange new pathology, or react to a medical intervention in a manner not seen before. The publication of these novelties as case reports is a fundamental way of conveying medical knowledge. Throughout history there have been famous case studies that shaped the way we view health and disease. Case reports can have the following functions: (I) descriptions of new diseases; (II) study of mechanisms; (III) discovery new therapies; (IV) recognition of side effects; and (V) education. Before submitting a case report, it is worthwhile to refer to the Case Report Check Sheet described by Green and Johnson [2006].

A Report of Tagging to Illness Narratives(Tobyo-ki) by Using the Original Check Sheet, with the Help of Student Assistants(<Special Feature 2>The 45th Meeting of the Japan Nursing Library Association)

A Report of Tagging to Illness Narratives(Tobyo-ki) by Using the Original Check Sheet, with the Help of Student Assistants(<Special Feature 2>The 45th Meeting of the Japan Nursing Library Association)

Rejection Analysis of Aluminium Frames Using SQC Tools

Rejection is one of the serious problem which leads to gradual loss in economy of industry. This project deals with rejection analysis of Aluminium frame which is used in suitcase. The Aluminium frame is bended in frame bending department of VIP industries. After process study, we got main problem for rejection. Machine damage, side piercing, front piercing were the major reasons of rejection. Aim of the project is to reduce the rejection rate below or upto 2% which was above 4%. Photo sensors and stoppers are provided in order to reduce the rejection. Methodology used for this project is PDCA cycle, which is Plan Do Check Act. It is also called as Deming Cycle. The PDCA Cycle is a checklist of the four stages which we must go through to get fromproblem-faced' toproblem solved'. The four stages are Plan-Do-Check-Act. Also we have used Quality tools for the analysis. This particular project uses tools like Check sheet, Fishbone diagram, Control chart, Pareto chart etc.

Tradução e adaptação transcultural do Northwestern Dysphagia Patient Check Sheet para o português brasileiro

To present the translation and cross-cultural adaptation of the Brazilian version of the Northwestern Dysphagia Patient Check Sheet (NDPCS). The translation to Portuguese was performed by two Brazilian bilingual speech language pathologists, followed by a back translation conducted by a bilingual native speaker of the original language. Afterwards, the three versions were compared by a committee of three speech language pathologists. Initially, the final translated version of the NDPCS was applied with 35 volunteers aged between 62 and 92 years old (74.77±7.08), who had no dementia or complaints of swallowing disorder. After some adjustments, the instrument was applied with other 27 volunteers aged between 60 and 87 years old (76.56±7.07) with the same profile. There was divergence in semantic equivalence in relation to one item, which was modified in the translated version. The tasks requested for observation during deglutition were adapted in relation to the solid food and the volumes used in pudding and liquid consistencies. The instrument maintained the same structure as the original version, with five categories and into 28 items, three brief variables, and four closures. The equivalence between the original and the translated version of the NDPCS was preserved after its translation and adaptation to Brazilian Portuguese. The validation process of the psychometric properties of the instrument is in progress.

Goldmann視野計テクニカルチェックシートを用いた動的視野検査の技術指導法

【目的】Goldmann視野検査の実技指導用にGPテクニカルチェックシート（以下シートとする）を作成した。問題解決型学習（以下学習とする）前後に施行した視野検査をシートで評価する実技教育指導法を検討した。【対象と方法】学生視能訓練士（以下学生とする）10名、臨床経験3年の視能訓練士3名を対象とした。指導者は3名であった。対象者間で視野測定し、到達度を指導者がシートに評価した。未到達の項目については問題の想起と解決をグループ討議で行い、視野を再測定後再度シートで到達度を確認した。シートでの到達度の変化から指導法を検討した。【結果】38項目の内、学生の到達可能な項目数は学習前が平均19.9±標準偏差3.5（平均52％）、後が22.6±4.0（59％）、視能訓練士は前が36.3±1.2（96％）、後が38（100％）であった。到達度の向上が10%以上向上は3/10名、10%未満は5/10名、低下は2/10名であった。「鼻側は正常範囲の外側から動かす」は学生10名全員が到達できていたが、「下方は最大稼働域から動かす」は7/10名、「視標速度を一定にする」は6/10名が学習前後とも到達できなかった。【結論】GP実習指導に不可欠な項目を列挙したシートを使用することで、指導者は指導内容が網羅できた。学習により検査手技の確認はできたが実測で技術がすべて身についていたとはいえず、指導を繰り返しての検討が必要と思われた。

食生活に関するチェックシートを用いた食習慣の特性についての意識と自己評価に関する検証

研究者が作成した食生活チェックシートを用いて自己の食生活を見直す方法の有用性を検討することを目的に, 看護大学生42名の食事記録から, 食生活の特徴を捉え, 学生の認識について自己評価の適切性及び食生活改善に向けた意識変化の観点から分析した. その結果 (1) 全体的に第1群と第3群と第4群がやや不足し, 第2群が過剰となる傾向があり, 11の群別バランスパターンがみられた. (2) 学生はチェックシートの活用で『食生活への関心』が高まり, 群バランスの乱れなど『食生活の特徴の評価』を行い, 具体的な生活状況を見直して『食生活の乱れに関する分析』を行い, 乱れの原因を探っていた. また, 今回の取り組みが【食生活改善の動機づけ】となり【改善の具体策】を導き出していた. (3) 食生活の特徴を捉えてほぼ適切に自己評価できていた学生及びシートの使いやすさの記述がある者は約8割であった. 生活調整する能力を育むための動機づけとなったといえる.

SU‐E‐T‐254: Comprehensive Quality Assurance Program for Accelerated Partial Breast Irradiation Using the SAVI HDR Applicator

Purpose: To present a comprehensive prescriptive quality assurance (QA) program for Accelerated Partial Breast Irradiation (APBI) using the Cianna Medical SAVI (Strut Adjusted Volume Implant) multi‐catheter applicator. Methods: We established a robust QA program for the SAVI technique based on our previous experience with various HDR procedures and documentation provided by the manufacturer. During the simulation, the location of the SAVI in relation to the patientˈs anatomy is recorded by measuring the distance from the patientˈs skin to the SAVIˈs hub, by marking the skin and denoting which catheter aligned with the mark, and by taking AP and lateral scout views. A “SAVI Simulation Worksheet” was developed to denote the key measurements during the simulation QA. Our QA process continues with treatment planning. After the plan is reviewed by the physician, the physicist checks the delineation of each catheter and the dose distributions using a developed “Pre‐Plan Check Sheet” as a guide. The third set of the major checks is performed prior to each delivery. The SAVI location is verified via repeating the measurements taken during the simulation including the daily images. A therapist and physician sign‐off are required. “HDR Treatment Check” is the last key component of the QA flow, which required 3 independent checks of the catheter connections, dwell positions and time, and post‐treatment checks. Results: 10 SAVI patients have been treated using the QA protocol. There was 1 catheter each for 2 patients that were misconnected. This error was detected by the third independent checker. Conclusions: We established a robust QA program for the SAVI technique and successfully implemented it for 10 SAVI patients, 100 treatments. We are initiating Failure Modes and Effects Analysis (FMEA) for the SAVI process to better distribute the limited resources and enhance the efficiency and safety of our SAVI program.

An Application of Fuzzy Data Envelopment Analytical Hierarchy Process for Reducing Defects in the Production of Liquid Medicine

This article demonstrated the application of the Fuzzy Data Envelopment Analytical Hierarchy Process (FDEAHP) to evaluate the root causes of critical defect problems occurring in the production of liquid medicine. The methodology of the research began by collecting the defect data by using Check Sheets, and ranking the significant problems by using a Pareto Diagram. Two types of major problems were found to occur, including glass fragments in the medicine and damaged lid threads. The causes of each problem were then analyzed by using Cause and Effect Diagrams. The significant causes were ranked by FDEAHP under three criteria, Severity (S), Occurrence (O) and Detection (D), followed by the framework of the FMEA Technique. Two causes with the highest Final Weight (FW) of each problem were selected to be improved, such as installing auxiliary equipment, using the Poka-Yoke system, setting the scale of the shaft and lathing the bushes of each bottle size. The results demonstrated a reduction in defects from 3.209% to 1.669% and showed that improving a few significant root causes, identified by an experienced decision maker, was sufficient to reduce the defect rate.

Table of Contents

AbstractTreasury, IRS Issue 2009–2010 Priority Guidance PlanHouse Passes Tax Extenders BillSenate Passes Health Care System Reform LegislationIRS Governance Project Check Sheet IssuedIRS Analyzes Code's Publication RequirementsCentral Organization Cannot Reinstate Subordinate's Revoked ExemptionDeductions Denied Apostolic Entity Because Member Not an EmployeeVEBA DevelopmentsHouse Passes Estate Tax LegislationSmithsonian and Governance—an UpdateOther Developments

Development of a tunnel management system for existing railroad tunnel

The studies of Asset Management System have indicated a significant increase recently and are becoming popular every year. Although the study of a bridge and pavement management system has been progressing, the study of a tunnel management system has been progressing infrequently due to the difficulty of determining and diagnosing the process of deterioration. We have envisioned a challenge for the development of a management system for tunnels. Railway network have been spreading rapidly because of social requirements after the industrial revolution. In recent years, many railway structures were found to be in its rehabilitation stage. The Tunnel Management System (TMS) has been developed in accordance with the fundamental principle of Life Cycle Cost (LCC) for the purpose of managing maintenance work effectively and economically. In this study, algorithms of two sub-systems for TMS have been developed. One of the sub-systems is the and Evaluation system for lining condition. If this and Evaluation system is used, anyone can evaluate without the services of a specialist engineer. This system provides a simple inspection rule and the Inspection Check Sheet. All items which should be inspected are covered by this sheet. It is possible to evaluate only by checking the appropriate box (item) and adding their weight point. The weighted point average will be calculated by means of the AHP (Analytic Hierarchy Process) and the LCC Calculation system. The LCC Calculation system predicts deterioration of lining, and can calculate maintenance and rehabilitation cost annually for a period of 30 years. This TMS has made it possible to calculate the LCC of each tunnel and to support decision-making of tunnel management. (A) This paper was presented at Safety in the underground space - Proceedings of the ITA-AITES 2006 World Tunnel Congress and the 32nd ITA General Assembly, Seoul, Korea, 22-27 April 2006. For the covering abstract see ITRD E129148. Reprinted with permission from Elsevier.

Teaching and evaluating instructor effectiveness using the instructor effectiveness questionnaire and the instructor effectiveness check sheet combination

This article describes the use of two linked instruments, the Instructor Effectiveness Check Sheet (IEC) and Instructor Effectiveness Questionnaire (IEQ). The use of an evaluation instrument during a course can enable improvements to be made — even with experienced instructors. Detail can be taken from the IEC and IEQ to find obvious and not so obvious needed changes and attention to individuals in the group. The article gives an example where the instruments were used to teach instructors about different pedagogical constructs, describes further research using the instruments at the Nantahala Outdoor Center, USA, and describes a case study on a wilderness education group that illustrated improvement in effective teaching.

薬・薬連携の向上を目指した研修教材の試作とその評価 （第１報） チャート方式で表現した症例の理解と有用性について

In Japan, there are no suitable training materials for community and hospital pharmacists to increase a common understanding for pharmaceutical care on several diseases. We therefore developed to following training materials consisting of 8 components, 1. Charts of case studies, 2. Items of pharmaceutical managements, 3. Items of pharmaceutical services, 4. Sheets for recording of medical history, 5. Sheets for drug information of patients, 6. Sheets for contents of pharmaceutical services, 7. Confirmation sheets for essential drugs and 8. Check sheets for essential drugs on 6 diseases, such as deep-vein thrombosis, myocardial infarction, hypertension, non-insulin-dependent diabetes, bronchial asthma and gastric ulcer. In the present study, to evaluate the usefulness of this system, a questionnaire regarding the benefit of “1. Charts of case studies” on community and hospital pharmacists selected randomly was conducted and analyzed. Community pharmacists recognized the style of these charts to be highly advantageous, while hospital pharmacists were interested in explanations for medical treatments. Furthermore, almost all pharmacists answered the usefulness of case studies for understanding pharmacotherapy. These findings showed the usefulness of using the “1. Charts of case studies” for the initial training of clinical works as a pharmacist.

重症心身障害児施設における利用者と介助者のコミュニケーション : セルフモニタリングチェック紙の効果

重症心身障害児施設における利用者と介助者のコミュニケーション : セルフモニタリングチェック紙の効果

病院図書館のための国内雑誌評価の試み

Medical journals are the most important resources in hospital libraries. Journal collection is a significant problem for hospital librarians. In the case of foreign medical journals, there are the celebrated Brandon/Hill List for small medical libraries and citation analysis researches by using the Science Citation Index, Journal Citation Reports or Impact Factor. But there are no reference journal lists or criteria in Japan. Therefore, the author attempts to evaluate Japanese medical journals for hospital libraries. Eight hundred eighty two Japanese medical journals from among “Igaku Chuo Zasshi” or “Igaku Chuo Zasshi CD-ROM”, which include 2, 452 journals were selected in 1999. A “Medical Journal Check Sheet” was prepared for the evaluation of each journal. Respiratory tract and orthopedics journals were examined using the “Check Sheet”. Although the elements for journal evaluation are mostly concerned with journal formalities, there are some very important factors in regard to academic journals. On the other hand, “A List of 132 Japanese Journals for Hospital Libraries” was drawn by researching the holdings of Japanese hospital libraries. Journals on respiratory tract and orthopedics among the 132 journals received the highest score in evaluation by the “Check Sheet”.

電磁シールド工事監理システム

This paper reports our system of Construction Administration of Electromagnetic shielding works. This system consists of following 3 items. 1st : Specifications of Electromagnetic shielding works. This specifications describes about Electromagnetic shielding works, site manager for shielding works, inspection of shielding performance. 2nd : The organization of site management of Electromagnetic shielding works. 3rd : Check sheets of inspection. These sheets are written by the words used in ordinary building construction works, because of many people are not familiar with Electromagnetic shielding works. We have succeeded in two projects using this system.

On the design of check-sheets

Check sheets are now widely used for recording the behavior of primates. This paper is concerned with their design. The need for selecting the material to be recorded with regard to specified goals is emphasized. Various aspects of design, including the nature of the units chosen, the number, scope and mutual exclusiveness of categories, and their physical arrangement on the sheet, are discussed. Recording in time blocks or at predetermined intervals each has its own advantages and difficulties. Check sheets for recording sequences of behavior are considered briefly. The conclusions to be drawn from check sheet data depend on the design of the sheet.

REVIEWS

Book reviewed in this article: A Course in Biology. By J. J. Baker and G. E. Allen. Papers on Plant Systematics. By R. Ornduff. Die Entstehung der Arten und hoheren Kategorien. By H. Lamprecht. Flora of Iraq, Vol. 9. Gramineae. By N. L. Bor. (Ed. by C. C. Townsend and Evan Guest, with the collaboration of Ali Al‐Rawi). Wild Elowers of North Carolina. By William S. Justice and C. Ritchie Bell. The Lichen Genera Cetrelia and Platismatia (Parmeliaceae). By W. L. Culberson and C. F. Culberson. Essays on Form in Plants. By C. W. Wardlaw. Crop Responses to Water at Different Stages of Growth. By P. J. Salter and J. E. Goode. Protons, Electrons, Phosphorylation and Active Transport. By R. N. Robertson. Encyclopedia of Plant Physiology, XVIII, Sexuality: Reproduction; Alternation of Generations. General editor, W. Ruhland; sub‐editor for this volume, H. F. Linskens. Annual Review of Plant Physiology, Vol. 19. 1968. By L. Machlis (Ed.). Biophysical Technique as Applied to Cell Biology. By J. Chayen and E. E. Denby. The Measurement of Environmental Factors in Terrestrial Ecology. British Ecological Society Symposium No. 8. Ed. by R. M. Wadsworthet al. Guide to the Check Sheet for IBP Areas. IBP Handbook No. 4. By G. E. Peterken.

Dietary Check Sheet to Aid Administrators

Dietary Check Sheet to Aid Administrators

Check Sheet for Analyzing a Student Teacher's Work

Check Sheet for Analyzing a Student Teacher's Work