APPLYING PSYCHOMETRIC CRITERIA TO FUNCTIONAL ASSESSMENT IN MEDICAL REHABILITATION .3. CONSTRUCT-VALIDITY AND PREDICTING LEVEL OF CARE
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
Authors: HARVEY, RF; SILVERSTEIN, B; VENZON, MA; KILGORE, KM; FISHER, WP; STEINER, M; HARLEY, JP
Abstract
A discriminant analysis was performed using Rasch ability estimates derived from four Patient Evaluation and Conference System (PECS) subscales, to distinguish among the functional independence and impairment profiles exhibited by patients admitted into any of three levels of medical rehabilitation delineated by the National Association of Rehabilitation Facilities (NARF): (1) inpatient hospital, (2) atypical nursing home (intermediate), or (3) day program. Two discriminant functions accounted for 91% and 9% of the between-group variance, respectively. Cross-validated classification of patients into one of the three levels of care, based on discriminant function scores, produced 75% correct classification; a 66% improvement over the percentage of correct classification likely by chance alone. Results support the construct validity of the PECS subscales and indicate they may be useful in validating clinically-based admission decisions among three of the levels of care promulgated by NARF.
Kinetics and mechanism of reaction between N-polyfluorophenylcarbonimidoyl dichlorides and tertiary amines in acetonitrile
RUSSIAN JOURNAL OF ORGANIC CHEMISTRY
Authors: Mikhailov, VA; Savelova, VA; Popov, AA; Petrova, TD; Platonov, VE
Abstract
The reaction of N-polyfluorophenylcarbonimidoyl dichlorides with tertiary amines in acetonitrile afforded chloroamidines (RNC)-N-2(Cl)=NArF and alkyl chloride. The precursor of the products is the corresponding quaternary ammonium salt [(RN)-N-3+C(Cl)=NArF]-Cl-. The rate of the salt formation is described by a second order equation; however with some amines a saturation effect was observed for the reaction rate with the growing amine concentration. This fact and also the influence of the amine and the substrate structure on the reaction rate suggests that reaction proceeds by addition-elimination mechanism with formation of a tetrahedral intermediate. The latter in the rate-limiting stage undergoes a stereomutation into an intermediate of a configuration favorable for conversion into a quaternary salt.