An evaluation of the current assessment methods used within a district general NHS trust spasticity service

Physiotherapy ◽  
2021 ◽  
Vol 113 ◽  
pp. e21-e22
Author(s):  
A. Fitzgerald ◽  
P.A. Pandyan
Author(s):  
Kevin Dean ◽  
Claudia Trillo

How far do current assessment methods allow the thorough evaluation of sustainable urban regeneration? Would it be useful, to approach the evaluation of the environmental and social impacts of housing regeneration schemes, by making both hidden pitfalls and potentials explicit, and budgeting costs and benefits in the stakeholders’ perspective? The paper aims at answering these questions, by focusing on a case study located in the Manchester area, the City West Housing Trust, a nonprofit housing association. Drawing from extensive fieldwork and including several interviews with key experts from this housing association, the paper first attempts to monetize the environmental and social value of two extant projects – a high-rise housing estate and an environmentally-led program. It then discusses whether and how a stakeholder-oriented approach would allow more engagement of both current and potential funders in the projects at hand. Findings from both the literature and the empirical data that was gathered show how in current housing regeneration processes, room for significant improvements in terms of assessment methods still exist. Findings additionally show that the environmental and social spillovers are largely disregarded because of a gap in the evaluation tools. This may also hinder the potential contributions of further funders in the achievements of higher impacts in terms of sustainability.


Author(s):  
Abatihun Alehegn Sewagegn ◽  
Boitumelo Molebogeng Diale

Authentic assessment plays a great role in enhancing students' learning and makes them competent in their study area. Studies indicate that assessment is authentic when the tasks have real-life value and students perform real-world tasks. Therefore, this chapter shows how lecturers practice authentic assessment to enhance students' learning in a higher education institution. To achieve this, the authors used a phenomenological qualitative research design. An interview was used to collect data. The result indicated that lecturers are highly dependent upon traditional assessment methods, which have no significant contribution to the competency of students. The practice of authentic assessment methods as a tool to enhance students' learning is limited. Therefore, the authors can conclude that enhancing students' learning using authentic assessment in their study areas is untenable if the lecturers continue to utilize their current assessment practices.


Author(s):  
Rhett Dotson ◽  
Ryan Sager ◽  
Fernando Curiel ◽  
Marcus Le Roy

Abstract Pipeline dents have historically been regulated and assessed using dent depth as the primary metric. Many of the earliest analytical models for dent remaining life are based upon depth. Current assessment guidelines from ASME and the Code of Federal Regulations utilize depth as a primary metric. Consequently, ILI geometry tool capabilities are stated in terms of dent depth. However, the best modern dent assessments, including both strain and fatigue assessments, are based on dent shape. At a minimum, these models require both axial and circumferential dent profiles, or the models may utilize the full three-dimensional shape of the dent. The utilization of advanced dent assessments is expected to grow in the future as the methods are incorporated into API Recommended Practices and US regulations. While operators may have confidence in the ability of an ILI tool to confidently capture the dent depth, the shape of a dent is a recent consideration that is not addressed by current tool specifications. Unlike depth alone, dent shape is often a function of sensor coverage, speed, and caliper technology. Unfortunately, there is virtually no information available on the reliability of these assessment methods when they are based on ILI data. To-date, there have been no published comparisons examining the variation in strain or fatigue life in identical dents between multiple inspections. The reliability of these dent assessment methods is critical when choosing safety factors or reinspection intervals. This study presents a first look at the repeatability of strain and remaining life assessments based on two separate geometry inspection using different technologies. The study examines dent strain according to ASME B31.8 and fatigue life calculated using shape factors and finite element methods for 257 dents. The paper examines the variation in each of the methods and provides guidance on how users should understand the results when they are based on a single geometry inspection.


2020 ◽  
Author(s):  
Ghayth AlMahadin ◽  
Ahmad Lotfi ◽  
Eva Zysk ◽  
Francesco Luke Siena ◽  
Marie Mc Carthy ◽  
...  

Abstract Background Parkinson's disease is the second most common long-term chronic, progressive, neurodegenerative disease, affecting more than 10 million people worldwide. There has been a rising interest in wearable devices for evaluation of movement disorder diseases such as Parkinson's disease due to the limitations in current clinic assessment methods such as Unified Parkinson's Disease Rating Scale. However, there are only a few commercial wearable devices available, which, in addition, have had very limited adoption and implementation. This inconsistency may be due to a lack of users’ perspectives in terms of device design and implementation. Objectives This study aims to identify the perspectives of healthcare professionals and patients linked to current assessment methods and to identify preferences, needs, and requirements of wearable devices. Methods This was a qualitative study using semi-structured interviews followed by focus groups. Transcripts from sessions were analysed using a thematic approach. Results It was noted that the well-known assessment and monitoring process such as Unified Parkinson's Disease Rating Scale was not used routinely in clinics since it is time consuming, subjective, inaccurate, infrequent and dependent on patients’ memories. Participants suggested that objective diagnosis and assessment methods are needed to increase the chance of effective treatment. The participants’ perspectives were positive toward using wearable devices, particularly if they were involved in early design stages. Patients emphasized that the devices should be comfortable, but they did not have any concerns regarding device visibility or data privacy transmitted over the internet when it comes to their health. In terms of wearing a monitor, the preferable part of the body for all participants was the wrist. Healthcare professionals stated a need for an economical solution that is easy to interpret. Some design aspects identified by patients included clasps, material choice, and form factor. Conclusion The study concluded that current diagnosis and assessment methods are limited. Patients’ and healthcare professionals’ involvement in wearable devices design process has a pivotal role in terms of ultimate user acceptance. This includes the provision of additional functions to the wearable device, such as fall detection and medication reminders, which could be attractive features for patients.


Author(s):  
Ellen L. Flournoy ◽  
Lauren C. Bauman

As program-level assessment increasingly becomes an integral part of the higher-education landscape, so does the debate regarding the efficacy of current assessment methods. Traditionally, students do not participate in assessment—neither of their own learning nor of institutional or program efficacy. Our assessment process presents an alternative to traditional program-level assessment and is meant to improve student learning in two ways: (1) by asking students to reflect on their achievement of learning outcomes using evidence-based methods; (2) by providing assessment practitioners with authentic, contextualized data on which to make claims about curricula. This collaborative assessment process was designed to address the complex needs of a cross-curricular rhetoric program but responds to many general concerns about traditional assessment methods.


Author(s):  
Ali Hosseini ◽  
Duane Cronin ◽  
Alan Plumtree ◽  
Richard Kania

Pipelines are in wide use throughout the world, and aging pipelines may experience defects such as environmental or stress-induced cracking. The evaluation of crack defects is important for continued safe operation of pipelines. At present, there are several assessment methods for crack-like defects in pipelines including API579, BS 7910, NG18, software applications, as well as numerical modeling approaches. All have been used successfully to evaluate crack defects, but the degree of conservatism and sensitivity to the various input parameters is not known. To address this need, a series of full-scale burst tests was undertaken on end-capped, seam-welded pipe specimens. The tests were carried out on 508 mm (20 inch) diameter Grade API 5L X60 line pipe with a 5.7 mm wall thickness. Elliptical cracks were created by first cutting a longitudinally oriented narrow slit in each pipe and then pre-fatiguing the pipes to create sharp cracks of different depths. Rupture tests were conducted by pressurizing the pipes to failure and the failure pressure was evaluated using current assessment methods. Examination of the fracture surface showed that the pipe sections failed by ductile tearing, as expected for the material and crack sizes. It was found that the Level 3 FAD for API 579 (J approach, using the cylinder equations) and CorLAS provided the most accurate prediction in comparison with the other methods i.e. BS7910 and NG-18.


2020 ◽  
Author(s):  
Ghayth AlMahadin ◽  
Ahmad Lotfi ◽  
Eva Zysk ◽  
Francesco Luke Siena ◽  
Marie Mc Carthy ◽  
...  

Abstract Background Parkinson's disease is the second most common long-term chronic, progressive, neurodegenerative disease, affecting more than 10 million people worldwide. There has been a rising interest in wearable devices for evaluation of movement disorder diseases such as Parkinson's disease due to the limitations in current clinic assessment methods such as Unified Parkinson's Disease Rating Scale. However, there are only a few commercial wearable devices available, which, in addition, have had very limited adoption and implementation. This inconsistency may be due to a lack of users’ perspectives in terms of device design and implementation.Objectives This study aims to identify the perspectives of healthcare professionals and patients linked to current assessment methods and to identify preferences, needs, and requirements of wearable devices. Methods This was a qualitative study using semi-structured interviews followed by focus groups. Transcripts from sessions were analysed using a thematic approach. Results It was noted that the well-known assessment and monitoring process such as Unified Parkinson's Disease Rating Scale was not used routinely in clinics since it is time consuming, subjective, inaccurate, infrequent and dependent on patients’ memories. Participants suggested that objective diagnosis and assessment methods are needed to increase the chance of effective treatment. The participants’ perspectives were positive toward using wearable devices, particularly if they were involved in early design stages. Patients emphasized that the devices should be comfortable, but they did not have any concerns regarding device visibility or data privacy transmitted over the internet when it comes to their health. In terms of wearing a monitor, the preferable part of the body for all participants was the wrist. Healthcare professionals stated a need for an economical solution that is easy to interpret. Some design aspects identified by patients included clasps, material choice, and form factor. Conclusion The study concluded that current diagnosis and assessment methods are limited. Patients’ and healthcare professionals’ involvement in wearable devices design process has a pivotal role in terms of ultimate user acceptance. This includes the provision of additional functions to the wearable device, such as fall detection and medication reminders, which could be attractive features for patients.


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