The Contact Lens Impact on Quality of Life (CLIQ) questionnaire: development and validation

NoPURPOSE. To develop and validate a questionnaire for the measurement of the impact of contact lenses on quality of life (QoL): The Contact Lens Impact on Quality of Life (CLIQ) Questionnaire. METHODS. The questionnaire was developed and validated using conventional methods and Rasch analysis to assure content validity, repeatability, construct validity, and low respondent burden. Item identification and selection (647 items) were performed with an extensive literature review, professional advice, and lay focus groups. Item reduction used focus groups and data obtained from 161 subjects completing a 90-item pilot questionnaire. Validity and reliability, from data of 128 additional subjects, were assessed using Rasch analysis, intraclass correlation coefficient, and Bland-Altman limits of agreement. RESULTS. A 28-item CLIQ Questionnaire was developed and shown to have good validity and reliability by Rasch analysis statistics: real person separation, 2.02; model person separation, 2.17; reliability, 0.80; root mean square measurement error, 2.73; mean square ± SD infit, 1.01 ± 0.18; outfit, 1.01 ± 0.19. The items (mean score, 49.8 ± 4.9) were well targeted to the subjects (mean score, 51.2 ± 6.2) with a mean difference of 1.35 (scale range, 0-100) units. Test-retest intraclass correlation coefficient (0.86) and coefficient of repeatability (±8.00 units) demonstrated good repeatability. CONCLUSIONS. Rasch analysis and standard psychometric analyses demonstrated that the 28-item CLIQ Questionnaire is a valid and reliable measure of QoL in contact lens wearers. A scoring algorithm is provided for CLIQ Questionnaire users to convert raw scores into the Rasch analysis-derived linear person measures

Bearing detection in the presence of two sources of varying coherence using the complex cepstrum

The effect of the presence of two acoustic sources (one, the primary, whose location is to be detected) of varying coherence on a cepstral bearing finding procedure is experimentally studied. The coherence between the acoustic sources was altered by adding random noise of various SNR (signal-to-noise ratio) to the input signal of the primary source; the same base signal being fed to both sources. The results demonstrate that, when block liftering is used, the primary source bearing is reliably estimated for coherences as low as gamma sup 2 greater than or approx equal to 0.5. The results also imply that background noise (unreflected) of SNR greater than or approx equal to 10 dB will not markedly affect the accuracy of the bearing estimation algorithm

An evaluation of the Amblyopia and Strabismus Questionnaire using Rasch analysis

noPURPOSE. To evaluate whether the Amblyopia and Strabismus Questionnaire (A&SQ) is a suitable instrument for the assessment of vision-related quality-of life (VR-QoL) in individuals with strabismus and/or amblyopia. METHODS. The A&SQ was completed by 102 individuals, all of whom had amblyopia, strabismus, or both. Rasch analysis was used to evaluate the usefulness of individual questionnaire items (i.e., questions); the response-scale performance; how well the items targeted VR-QoL; whether individual items showed response bias, depending on factors such as whether strabismus was present; and dimensionality. RESULTS. Items relating to concerns about the appearance of the eyes were applicable only to those with strabismus, and many items showed large ceiling effects. The response scale showed disordered responses and underused response options, which improved after the number of response options was reduced from five to three. This change improved the discriminative ability of the questionnaire (person separation index increased from 1.98 to 2.11). Significant bias was found between strabismic and nonstrabismic respondents. Separate Rasch analyses conducted for subjects with and without strabismus indicated that all A&SQ items seemed appropriate for individuals with strabismus (Rasch infit values between 0.60 and 1.40), but several items fitted the model poorly in amblyopes without strabismus. The AS&Q was not found to be unidimensional. CONCLUSIONS. The findings highlight the limitations of the A&SQ instrument in the assessment of VR-QoL in subjects with strabismus and especially in those with amblyopia alone. The results suggest that separate instruments are needed to quantify VR-QoL in amblyopes with and without strabismus

Crystal structure of Schmallenberg orthobunyavirus nucleoprotein-RNA complex reveals a novel RNA sequestration mechanism

Schmallenberg virus (SBV) is a newly emerged orthobunyavirus (family Bunyaviridae) that has caused severe disease in the offspring of farm animals across Europe. Like all orthobunyaviruses, SBV contains a tripartite negative-sense RNA genome that is encapsidated by the viral nucleocapsid (N) protein in the form of a ribonucleoprotein complex (RNP). We recently reported the three-dimensional structure of SBV N that revealed a novel fold. Here we report the crystal structure of the SBV N protein in complex with a 42-nt-long RNA to 2.16 Å resolution. The complex comprises a tetramer of N that encapsidates the RNA as a cross-shape inside the protein ring structure, with each protomer bound to 11 ribonucleotides. Eight bases are bound in the positively charged cleft between the N- and C-terminal domains of N, and three bases are shielded by the extended N-terminal arm. SBV N appears to sequester RNA using a different mechanism compared with the nucleoproteins of other negative-sense RNA viruses. Furthermore, the structure suggests that RNA binding results in conformational changes of some residues in the RNA-binding cleft and the N- and C-terminal arms. Our results provide new insights into the novel mechanism of RNA encapsidation by orthobunyaviruses

Design and Construction of the 3.2 Mev High Voltage Column for Darht II

A 3.2 MeV injector has been designed and built for the Darht II Project at Los Alamos Lab. The installation of the complete injector system is nearing completion at this time. The requirements for the injector are to produce a 3.2 MeV, 2000 ampere electron pulse with a flattop width of at least 2-microseconds and emittance of less than 0.15 p cm-rad normalized. A large high voltage column has been built and installed. The column is vertically oriented, is 4.4 meters long, 1.2 meters in diameter, and weights 5700 kilograms. A novel method of construction has been employed which utilizes bonded mycalex insulating rings. This paper will describe the design, construction, and testing completed during construction. Mechanical aspects of the design will be emphasized.Comment: 3 pages, 4 figures, Linac 200

The resistible effects of Coulomb interaction on nucleus-vapor phase coexistence

We explore the effects of Coulomb interaction upon the nuclear liquid vapor phase transition. Because large nuclei (A>60) are metastable objects, phases, phase coexistence, and phase transitions cannot be defined with any generality and the analogy to liquid vapor is ill-posed for these heavy systems. However, it is possible to account for the Coulomb interaction in the decay rates and obtain the coexistence phase diagram for the corresponding uncharged system.Comment: 5 pages, 5 figure