Introduction: Hundreds of millions of patients worldwide are infected with Healthcare-Associated Infections (HAIs) each year causing deaths and significant financial losses to health systems. HAIs incidence in Indonesia (2021) reached 15.74%, far above in developed countries (4.8-15.5%). At Premier Bintaro Hospital (RSPB), the number of High Care Unit (HCU) patients at risk of HAIs reached 51% in the January - June 2023 period. The aim of this research is to reduce the risk of HAIs in HCU patients at RSPB. Methods: The HAIs risk identification was conducted on all HCU patients when first admitted using the SIRS (Systemic Inflammatory Response Syndrome) and REDS (Risk Emergency Department Scoring) criteria. Based on the screening results, interventions were applied through environmental modifications, implementation of HAIs care bundle, and nurse allocation based on colour codes: At risk of infection as RED, and no risk of infection as GREEN. The risk monitoring was conducted using HAIs scoring. Results: The research was conducted in the January - June 2023 period on 206 patients. It was found that 51% of the patients were at risk of HAIs. After interventions, the number reduced to 39%. In addition, there were zero incidents of HAIs during that period. Conclusions: To control the risk of HAIs in HCUs, the implementation of risk screening & scoring and interventions such as environmental modifications, nurse allocation, and HAIs care bundle, have shown to be effective strategies. This is evident from the decrease in the number of patients at risk of HAIs.

Recommendations for hospital is to continue implementing risk control of HAIs by regularly assessing the risk, applying interventions, and consistently monitoring the risk as efforts in continuously reducing the HAIs risks. For future research, it is recommended to expand the sample of patients and extend the period to implement risk control of HAIs even further.

Acknowledgements: We are very grateful to all members of CCU team at Premier Bintaro Hospital for their contribution in implementing the methods and strategies of HAIs risk control in this study.

In most item response theory applications, model parameters need to be first calibrated from sample data. Latent variable (LV) scores calculated using estimated parameters are thus subject to sampling error inherited from the calibration stage. In this article, we propose a resampling-based method, namely bootstrap calibration (BC), to reduce the impact of the carryover sampling error on the interval estimates of LV scores. BC modifies the quantile of the plug-in posterior, i.e., the posterior distribution of the LV evaluated at the estimated model parameters, to better match the corresponding quantile of the true posterior, i.e., the posterior distribution evaluated at the true model parameters, over repeated sampling of calibration data. Furthermore, to achieve better coverage of the fixed true LV score, we explore the use of BC in conjunction with Jeffreys’ prior. We investigate the finite-sample performance of BC via Monte Carlo simulations and apply it to two empirical data examples.

On distractor-identification tests students mark as many distractors as possible on each test item. A grading scale is developed for this type testing. The scale is optimal in that it is the unique scale giving an unbiased estimate of the student's “true score”, i.e., the score that would result if no guessing occurred. If the test is administered as a usual multiple choice test and graded using the usual correction for guessing scale, the expected item score is the same as for the distractor-identification testing using the optimal grading scale. However, the variance of the item score is shown to be less for distractor-identification testing than for usual multiple choice testing under certain conditions.

Peptides mediate up to 40% of protein interactions, their high specificity and ability to bind in places where small molecules cannot make them potential drug candidates. However, predicting peptide–protein complexes remains more challenging than protein–protein or protein–small molecule interactions, in part due to the high flexibility peptides have. In this review, we look at the advances in docking, molecular simulations and machine learning to tackle problems related to peptides such as predicting structures, binding affinities or even kinetics. We specifically focus on explaining the number of docking programmes and force fields used in molecular simulations, so a prospective user can have an educated guess as to why choose one modelling tool or another to address their scientific questions.

Introduction: Crowding is associated with poor patient outcomes in emergency departments (ED). Measures of crowding are often complex and resource-intensive to score and use in real-time. We evaluated single easily obtained variables to establish the presence of crowding compared to more complex crowding scores. Methods: Serial observations of patient flow were recorded in a tertiary Canadian ED. Single variables were evaluated including total number of patients in the ED (census), in beds, in the waiting room, in the treatment area waiting to be assessed, and total inpatient admissions. These were compared with Crowding scores (NEDOCS, EDWIN, ICMED, three regional hospital modifications of NEDOCS) as predictors of crowding. Predictive validity was compared to the reference standard of physician perception of crowding, using receiver operator curve analysis. Results: 144 of 169 potential events were recorded over 2 weeks. Crowding was present in 63.9% of the events. ED census (total number of patients in the ED) was strongly correlated with crowding (AUC = 0.82 with 95% CI = 0.76 - 0.89) and its performance was similar to that of NEDOCS (AUC = 0.80 with 95% CI = 0.76 - 0.90) and a more complex local modification of NEDOCS, the S-SAT (AUC = 0.83, 95% CI = 0.74 - 0.89). Conclusion: The single indicator, ED census was as predictive for the presence of crowding as more complex crowding scores. A two-stage approach to crowding intervention is proposed that first identifies crowding with a real-time ED census statistic followed by investigation of precipitating and modifiable factors. Real time signalling may permit more standardized and effective approaches to manage ED flow.

The conduct of high-quality nutrition research requires the selection of appropriate markers as outcomes, for example as indicators of food or nutrient intake, nutritional status, health status or disease risk. Such selection requires detailed knowledge of the markers, and consideration of the factors that may influence their measurement, other than the effects of nutritional change. A framework to guide selection of markers within nutrition research studies would be a valuable tool for researchers. A multidisciplinary Expert Group set out to test criteria designed to aid the evaluation of candidate markers for their usefulness in nutrition research and subsequently to develop a scoring system for markers. The proposed criteria were tested using thirteen markers selected from a broad range of nutrition research fields. The result of this testing was a modified list of criteria and a template for evaluating a potential marker against the criteria. Subsequently, a semi-quantitative system for scoring a marker and an associated template were developed. This system will enable the evaluation and comparison of different candidate markers within the same field of nutrition research in order to identify their relative usefulness. The ranking criteria of proven, strong, medium or low are likely to vary according to research setting, research field and the type of tool used to assess the marker and therefore the considerations for scoring need to be determined in a setting-, field- and tool-specific manner. A database of such markers, their interpretation and range of possible values would be valuable to nutrition researchers.

Objectives: We examined performance on the Boston Naming Test (BNT) in older and younger adults who were monolingual English or French speakers, or bilingual speakers of English and French (n=215). Methods: Monolingual participants completed the task in their native language, and bilingual participants completed the task in English, French, and bilingual (either-language) administrations. Results: Overall, younger and older monolingual French speakers performed worse than other groups; bilingual participants performed worst in the French administration and approximately two-thirds of bilingual participants performed better when responses were accepted in either language. Surprisingly, however, a subset of bilinguals performed worse when responses were accepted in either language as compared to their maximum score achieved in either English or French. This either-language disadvantage does not appear to be associated with the degree of balanced bilingualism, but instead appears to be related to overall naming abilities. Differential item analysis comparing language groups and the different administrations identified several items that displayed uniform and/or non-uniform differential item functioning (DIF). Conclusions: The BNT does not elicit equivalent performance in English and French, even when assessing naming performance in monolingual French speakers using the French version of the test. Scores were lower in French overall, and several items exhibited DIF. We recommend caution in interpreting performance on these items in bilingual speakers. Finally, not all bilinguals benefit from an either-language administration of the BNT. (JINS, 2015, 21, 350–363)

Based on a Conversation Analysis (CA) of a corpus of Oral Proficiency Interviews (OPI), the study asks what kind of interaction receives high and low ratings in OPIs. The discussion focuses on issues of interactional organisation, considering turn-taking, sequence, repair and topic development in relation to candidate scores. The study presents findings of two funded studies of the International English Language Testing System (IELTS) Speaking Test (IST), which is one part of IELTS, a major international English proficiency test.

The article explains how interaction in the IST is organised in interactional terms and how this organisation generates opportunities to differentiate high- and low-scoring interaction. The study then lists the interactional characteristics of high-scoring and low-scoring tests, based on an inductive search through the database and analysis of the micro-interaction. Extracts are presented to support characterisations. Differences in score correlate to the following interactional differences in Parts 1 and 3 of the IST: ability to answer the question, engage with and develop a topic coherently, amount of trouble and repair, lexical choice, and identity construction. In Part 2 of the IST, length of turn may also be related to score.

A standard scoring system for turkeys at slaughter that consists of 5 categories based on the size of the lesion was adopted as the recommended classification scheme for FPD in slaughter plants at a meeting of the WPSA European Poultry Federation Working Party Number 10: Turkeys. Each score of the classification scheme is defined and photographs of a minimal lesion in each category are presented. The numbers of turkeys required for scoring to determine the prevalence of FPD, if the target or expected frequency is 10, 20 or 40% respectively are 150, 250 and 400 birds. Assessment of the consecutive right foot for the required number of birds from the middle load of a specific flock with a minimum of 3 flocks from a given site is recommended. The classification scheme will facilitate comparisons across countries and systems of production and allow rational decisions to be made regarding management changes to decrease the prevalence of FPD in Europe.

The present study aimed to determine how older bilingual subjects' naming performance is affected by their knowledge of two languages. Twenty-nine aging (mean age = 74.0; SD = 7.1) Spanish–English bilinguals were asked to name all pictures in the Boston Naming Test (BNT) first in their dominant language and then in their less-dominant language. Bilinguals with similar naming scores in each language, or relatively balanced bilinguals, named more pictures correctly when credited for producing a correct name in either language. Balanced bilinguals also named fewer pictures in their dominant language than unbalanced bilinguals, and named more pictures correctly in both languages if the pictures had cognate names (e.g., dart is dardo in Spanish). Unbalanced bilinguals did not benefit from the alternative (either-language) scoring procedure and showed cognate effects only in their nondominant language. These findings may help to guide the interpretation of neuropsychological data for the purpose of determining cognitive status in older bilinguals and can be used to develop models of bilingual language processing. Bilinguals' ability to name pictures reflects their experience with word forms in both languages. (JINS, 2007, 13, 197–208.)

The repeatability of the D-15 color-vision test is considered to be excellent. However, this conclusion is based on a subject pool which contained a large percentage of color-normals. This type of sampling could bias the repeatability results because color-normals rarely fail the test. Furthermore, color-normals usually do not perform the D-15 in the clinical setting. To establish the repeatability of the D-15 for a relevant clinical population, we examined the D-15 results from two different sessions for 116 subjects who had a congenital red–green color-vision defect. The kappa coefficient for intersession agreement indicated that approximately 84% of the subjects obtained the same pass/fail results at both sessions. The type of defect was repeatable on approximately 80% of the subjects. Although the repeatability of the D-15 for color-defective subjects was good, it was lower than the near-perfect agreement reported previously. The coefficients of repeatability for the crossings show that if a person makes less than five crossings then the test should be administered again in order to ensure that the test result is repeatable.