RESULTS: We found the test-retest agreement of NOMAS to be ‘fair’ to ‘almost perfect’ (Cohen’s kappa [kappa] between and ), whereas the inter-rater agreement with respect to the diagnosis was ‘moderate’ to ‘substantial’ (Cohen’s kappa, between and ). As a diagnostic tool, however, the current version of NOMAS cannot be used for both full-term and preterm infants. For a measuring instrument such as NOMAS, one should aim at reliability coefficients for inter-rater and test-retest agreement of at least . A Cohen’s kappa of or less we find unacceptable. Nonetheless, by observing sucking and swallowing according to a protocol much useful information can be gathered about the development of an infant’s sucking skills. For instance, whether the infant is able to co-ordinate sucking and swallowing, whether the infant can maintain sucking, swallowing and breathing during the continuous phase and whether the infant is able to suck rhythmically with equally long bursts. In addition, NOMAS offers useful aids for intervention.
Washington has an advanced relationship with Kuwait, the small Persian Gulf country out of which the . pushed invading Iraqi forces in the 1991 Gulf War. troops are stationed in Kuwait on a more or less permanent basis, Kuwait receives Ever heard of TED Talks - the ones where one inspiring person shares a big idea and it's shared on the internet for the whole world to see? The talks can be on any subject: the common theme is the passion the individual brings to their subject. RNW was Nigeria goalkeeper Vincent Enyeama warned his team they cannot afford to focus solely on Argentina star Lionel Messi on Wednesday. Messi has already produced two memorable moments at the FIFA World Cup, scoring a fine goal in his team's 2-1 win over Bosnia “He constructs a phony trade-off for children, the poor and the elderly.” It was an impassioned performance by a cynical politician who offers little but corporate tax incentives and continued austerity. Barack Obama peppered his State of the Union .
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