Material and Method. In the Regional Institute of Oncology, Iasi, the multidisciplinary team meetings are held weekly with the participation of medical oncologists, pathologists, sur- geons, radiotherapists and radiologists. The result of the discussions is recorded by the secretary of the commission and signed by all members. It should also be noted that there is a custom that the discussions go on until everybody agrees and a unanimous decision is reached. When the members disagree on a topic, the case is discussed again after more patient data is available. We performed a retrospective study of all cases presented in the MDT that were not eligible for local curative therapies (such as surgery or radiotherapy) and were referred by their oncologist for systemic therapy. To investigate the efficacy of these committee meetings and the agreement rate, we have considered data like diagnosis, cancer stage, committee decision and type of treatment. Consecutive patients who were presented to the committee between January 2017 and December 2018 that respected the selection criteria were included. Data were analyzed using SPSS software (IBM SPSS Statistics for Windows, Version 21.0. Ar- monk, NY: IBM Corp.).
Material and Method. 100 adolescents who applied to the child and adolescent psychiatry outpatient clinic and were diagnosed with anxiety disorder according to the DSM-5 diagnostic criteria were included in the study. In the study, the sociodemographic form and the Revised Child Anxiety and Depression Scale (RCADS) adolescent and parent form were used for data collection. Results: When the parent and adolescent forms of RCADS were compared, the adolescent scores were significantly higher than the parents in all subscales and scale total scores, except for the separation anxiety subscale. The ICC (95% CI) value between the parent and adolescent forms of RCADS ranged from 0.06 to 0.74. Conclusion: In our study, it was found that adolescents scored their symptoms higher than their parents, and the correlation between parent-child reporting was low-moderate. Age, gender, comorbidity, and parental psychopathology were among the factors affecting adolescent-parent agreement. Keywords: Anxiety, adolescent, parent, awareness Öz Amaç: Çocuk ve ergenin tedaviye erişiminde ebeveynin rolü göz önünde bulundurulduğunda, semptomların ebeveyn tarafından yeterince fark edilmesi önem taşımaktadır. Bu çalışmada, anksiyete bozukluğu xxxx ergenlerin semptomları açısından ergen-ebeveyn uyumunun incelenmesi amaçlanmıştır. Gereç ve Yöntem: Çocuk ve ergen psikiyatri polikliniğine başvuran ve DSM-5 tanı kriterlerine xxxx anksiyete bozukluğu tanısı xxxx 100 ergen çalışmaya dahil edildi. Çalışmada veri toplama amacı ile sosyodemografik form ve Çocuklar için Anksiyete ve Depresyon Ölçeği (ÇADÖ) ergen ve ebeveyn formu kullanıldı. Bulgular: ÇADÖ ebeveyn ve ergen formları karşılaştırıldığında, ayrılık anksiyetesi alt ölçeği dışında diğer tüm alt ölçek ve ölçek toplam puanında çocuk puanları ebeveyne xxxx anlamlı olarak daha yüksekti. ÇADÖ ebeveyn ve ergen formları arasındaki ICC (%95 CI) değeri 0,06 xxx 0,74 aralığındaydı. Sonuç: Çalışmamızda ergenlerin belirtilerini ebeveynlerinden daha yüksek puanladıkları, ebeveyn-ergen bildirimi arasındaki korelasyonun düşük-xxxx düzeyde olduğu saptanmıştır. Yaş, cinsiyet, komorbidite ve ebeveyn psikopatolojisi ergen- ebeveyn uyumunu etkileyen faktörlerdendi. Xxxxxxx Xxxxxxxxx: Anksiyete, ergen, ebeveyn, farkındalık
Material and Method. A total of 279 inpatient records were reviewed by 23 clinical auditors. Each record was examined independently by 3 auditors using a standardised review form. Agreements on the occurrence of AEs among auditors were assessed using Kappa statistic (k).
Material and Method. According to the State Statistics Service of Ukraine and the Main Department of Statistics in the Dnipropetrovsk region, the number of tourists served by tour operators and travel agents increased 3.1 times in 2000-2019, and their share did not change and amounted to 2.5% of the total number of tourists. However, the region has a negative trend of a sharp decrease in the number of incoming tourists since 2010. The number of domestic tourists decreased 2.3 times, and their share in 2019 was 3.5% of the total number of these tourists in Ukraine (in 2000 – 3.1%). During this period, the share of domestic tourists decreased by 71.3 percentage points, or from 83 to 11.7% of the total number of tourists served in the Dnipropetrovsk region (Table 1). Number of tourists served by tour operators and travel agents, by types of tourism in the Dnepropetrovsk region Years Total number, persons Including 2000 49869 1588 41372 2005 103320 17189 64799 2007 168431 15676 71635 2010 105413 1122 55503 2011 64470 16 18515 2012 68303 105 15215 2013 81249 28 12717 2014 56803 – 7263 2015 46121 – 7195 2016 57770 – 7776 2017 75526 1 7482 2018 116981 – 9229 2019 154215 2 17998 The analysis of statistical and information materials showed that data on the development of tourism and ecotourism in the regions of Ukraine are given for the period 2011-2017. In this regard, using the autoregression method, forecasts for 2021-2022 were developed. This method of forecasting has some advantages, such as the validity and efficiency of calculations, less error of the obtained results, lack of subjective factor inherent to the method of expert assessments, etc. Thus, this method is effective for forecasting the performance of entities in the field of ecotourism, as there is higher reliability of the forecast values. The method of autoregression is the construction of an autoregressive model,
Material and Method. Medical record review by medical auditors, using guided implicit judgement form, was the main mode of data collection. 400 medical records were selected from a pool of medical records collected by the Centre for Healthcare Information.The authors pur- posively selected medical records of patients with high possibility of AE occurrence to focus the evaluation to the variability of reviewers’ judgement and the process of detecting AEs. Inclusion criteria were medical records of patients who died during hospital stay, or having the relative weight by Diagnosis Related Group (DRG) of 3 or higher, or having hospital charge of 50,000 Baht (US$ 1,250) or more. Exclusion criteria were medical records that contained incomplete documents or low readability due to poor quality photocopying. Twenty-three medical doctors were recruited for the reviews. All reviewers were regular auditors of the CHI. All have more than 10 years experience of medical practice at major regional hospitals in Thailand. Their specialty training backgrounds ranged from internal medicine, to general surgery, orthopaedics, paediatrics, obstetrics and gynaecology, neurosurgery and anaesthesiology. A one-day training session was held for these reviewers. After having presented the objectives and detailed study procedures, case exercises were used for practicing of AE determination. The case exercise consisted of a case summary and a real medical record. Discussions among the reviewers led to suggestions for some adjustments of the guided review form, add- ing more examples of clinical conditions included into the list. The final version was a 2-page standardised review form containing 13 clinical conditions poten- tially related to AEs (Table 2).
Material and Method. Patient selection Technical parameters of the mpMRIs Radiological evaluation
Material and Method. Patients were randomized into two groups to receive IOP measurements using Tono-Pen® XL with two different types of tip covers. In Group 1, the IOP of the right eyes were first measured using Ocufilm® as the tip cover, followed by using the fingertip of a surgical glove. As for the left eyes, the tip of the surgical glove was used first, followed by use of Ocufilm®. In Group 2, the IOP of the right eyes was first measured using the tip of the surgical glove, followed by use of Ocufilm®, while for the left eye the latter was used first, followed by the tip of the surgical glove. A single operator measured the IOP in each eye twice using each type of tip cover. Agreement between the Tono-Pen® XL measurements using the two different tip covers was analyzed using the Xxxxx-Xxxxxx analysis. The difference between the repeated measures was assessed for reproducibility of the Tono-Pen® XL measurements with regard to each type of tip covers. Results: 100 patients (200 eyes) were recruited into the present study. The mean difference of IOP taken by the Tono-Pen® XL covered with Ocufilm® and the fingertip of a surgical glove was -0.21 mmHg (95%CI: -0.36 to -0.05). The limits of agreement (confidence interval 95%) as calculated by the Xxxxx-Xxxxxx plots for Ocufilm-Fingertip of a surgical glove was -2.43 to
Material and Method. The medical records of the patients diagnosed with endometrial cancer who had surgical staging between January 1, 2006 and December 31, 2012 at Songklanagarind Hospital were retrospectively reviewed. The agreement of clinical parameters identified through preoperative investigations and intraoperative evaluations with the final histology findings were calculated using kappa statistics. The diagnostic performance of preoperative investigations, intraoperative evaluations, and final histological results to predict lymph node involvement were calculated in terms of sensitivity, specificity, positive predictive value, and negative predictive value. Results: Preoperative investigations showed a slight to fair agreement whereas intraoperative evaluations had a fair to moderate agreement in detecting clinical parameters compared with the final histological results. Endocervical curettage and endometrial biopsy exhibited the highest sensitivity, pelvic ultrasonography the highest specificity, and intraoperative evaluations had a high-level sensitivity and specificity.
Material and Method. The observers reviewed all the slides of the malignant pleural mesotheliomas diagnosed during the period ranging from 2004 to 2017. The Xxxxx Kappa was performed in order to evaluate the agreement between both observers into classifying mesotheliomas, subtyping and grading epithelioid mesotheliomas. Two rounds of examination were planned with a delay period of one month. After the first round, the reviewers discussed the different difficulties and challenges they faced. All the statistic tests were performed using the SPSS software version 12.0.
Material and Method. The present study is a pilot study which comprised a group of patients with complete cleft lip and cleft palate who had received alveolar bone grafting follow-up at the Faculty of Dentistry, Khon Kaen University between February 2012 and June 2012. The inclusion criteria for the present study were alveolar bone grafting 3-6 months previously. Patients who had systemic disease which interfere with bone formation were excluded from the study. The research was reviewed and approved by Ethics Committee of Khon Kaen University (HE551063). Cone beam computed tomography was performed using the WhiteFox Cone beam 3D system (WhiteFox, WhiteFox Imaging, Italy). The technical parameters for image acquisition were 105 kv, 9 mA, field of view (FOV) in 60 mm x 60 mm (half arch) and voxel size of 0.2 mm3. During the CBCT imaging, patients were stood so that Frankfort plane was parallel to the floor with sagittal plane perpendicular. Measurements of the CBCT images were performed digitally using the WhiteFox imaging software version
