OBJECTIVE EVALUATION OF THE QUALITY OF PALLIATION IN PATIENTS WITH OESOPHAGEAL CANCER COMPARING SURGERY, RADIOTHERAPY AND INTUBATION

Abstract Background Studies in patient literature particularly regarding online video literature in all fields are few. Scoring systems for video materials such as the validated PEMAT(Patient Education Material Assessment Tool) have been used before to look at video patient literature. The aim of this study is to use the PEMAT tool to evaluate the quality of Youtube patient literature on oesophageal cancer and look at the inter rater reliability between lay and medical scorers. Methods A Youtube search was performed in April 2021 using the search terms “oesophageal cancer”, “esophageal cancer” “gullet cancer”. Characteristic data collected included language, ratings (thumbs up), type of video, country of origin and presence of advertising as well as intended audience. A PEMAT tool which is validated instrument to rate patient video material was used. A score of 70% is acceptable in the actionability and understandability domains. Cohen’s kappa coefficient was used to test inter-rater reliability between two lay person raters; and two medical raters. Results Seven sites were rated as understandable by the medical raters average and 13 were rated understandable by the lay raters average. Only two videos achieved best case scenario where both medical raters rated as understandable, rather than the average of both. Twelve videos were rated by both lay raters as understandable. Actionability rated poorer with only two videos rated as actionable on average by the medical raters and seven rated actionable by the lay raters on average. Conclusions Youtube videos on Oesophageal cancer score poorly in terms of actionability and understandability.

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METHODOLOGY OF OBJECTIVE EVALUATION OF THE QUALITY BEARINGS BY VIBRO-ACOUSTICS AND ITS COMPARISON WITH A SUBJECTIVE METHOD

Akustika ◽

10.36336/akustika20203758 ◽

2020 ◽

pp. 58-66

Author(s):

Stanislav Žiaran ◽

Ondrej Chlebo ◽

Ĺubomír Šooš

Keyword(s):

Dynamic Load ◽

Subjective Evaluation ◽

Objective Evaluation ◽

Living Environment ◽

Working Environment ◽

Subjective Method ◽

Auditory Organ ◽

Objective Methodology ◽

Fft Analysis

The quality of bearing production has an impact not only on their reliability and lifetime, but also on the dynamic load of the working and living environment by excessive vibration and thus also noise. The intensity of the noise emitted by a bearing which is perceived by man characterizes the quality of its production. Reducing the dynamic load of mechanical systems and their components is reflected in the working environment by reducing noise emissions and immissions. The article proposes an objective method of bearing quality assessment based on measuring vibro-acoustic parameters of dynamic load of a new bearing using FFT analysis and the magnitude of the amplitude of bearing vibration acceleration and compares it with a subjective method that also uses the human auditory organ to assess bearing quality. The results of vibro-acoustic measurements were analysed in terms of vibration intensity and the noise of the produced bearings. The proposed objective methodology was compared with the subjective evaluation of the quality of bearings and the results of this methodology matched. The proposed methodology is applicable to all types of bearings, and it is possible to automate this methodology in the production process.

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Reflections on FDA and WHO recommendations concerning clinical trials

Psychiatry and Psychobiology ◽

10.1017/s0767399x00002960 ◽

1989 ◽

Vol 4 (2) ◽

pp. 117-122 ◽

Cited By ~ 2

Author(s):

J.-F. Dreyfus ◽

D. Cremniter ◽

J.D. Guelfi

Keyword(s):

Clinical Trials ◽

Drug Users ◽

Objective Evaluation ◽

World Health ◽

Measuring Instruments ◽

New Techniques ◽

The Usa ◽

The One ◽

Health Organization

SummaryWe are still confronted by numerous different nosographic models and problems concerning the objective evaluation of patients progress during treatment. It is interesting to consider the consequences of this situation in psychiatry which still involves a relative diversity of practical methods used in clinical trials. The recommendations of the USA Food and Drug Administration, on the one hand, constitute a highly structured and precise reference. The World Health Organization, on the other hand, promulgates general recommendations resulting from a compromise designed to satisfy the greatest number of clinicians.Despite the apparently diverse principles and the different practical methods they propose, both those sets of recommendations have been useful in inspiring clinicians to reflect upon these different methodological approaches. The qualities of the inclusion criteria used in the study of patients and the sensitivity of the different measuring instruments have allowed psychotropic drug users as well as producers to recognize the need for a certain rigour in clinical trials.The FDA and WHO guidelines have certainly improved the quality of clinical trials in psychopharmacology. However, they also represent a source of resistance to innovation.A series of consensus meetings to first reconcile US and European points of view and later to include new techniques in the recognized sets of methods would therefore be helpful.

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RELATIONSHIP BETWEEN SURGEON'S PHYSIOLOGICAL AND KINEMATIC PARAMETERS AND THE QUALITY OF SURGICAL PERFORMANCE AND WORKLOAD IN LAPAROSCOPIC TRAINING

British Journal of Surgery ◽

10.1093/bjs/znab160.042 ◽

2021 ◽

Vol 108 (Supplement_3) ◽

Author(s):

J A Sánchez-Margallo ◽

J Castillo Rabazo ◽

D Durán Rey ◽

I López-Agudelo ◽

M R González-Portillo ◽

...

Keyword(s):

Heart Rate ◽

Objective Evaluation ◽

Laparoscopic Training ◽

Evaluation Tool ◽

Surgical Performance ◽

Hand Motion ◽

Task Load ◽

Tissue Manipulation ◽

Level Of Experience

Abstract INTRODUCTION This study presents the first steps and results towards the development of a system for predicting the quality of surgical performance and workload in laparoscopic training. MATERIAL AND METHODS Surgeons wore a smartwatch which recorded their heart rate and hand motion during each laparoscopic procedure. Data was then correlated with both the Surgery Task Load Index (SURG-TLX) subjective questionnaire and the Global Operational Assessment of Laparoscopic Skills (GOALS) objective evaluation tool. Statistical analysis was conducted in order to study the relationship between parameters and to compare the results according to the surgeons’ level of experience. RESULTS Nine laparoscopic surgeons participated in this study, five gynecologists and four digestive surgeons. Gynecological surgeons showed a positive correlation between their level of experience, heart rate, hand motion, and GOALS score, except for bimanual dexterity. The reduction in the variability of hand accelerations led to improved tissue handling. Digestive surgeons showed a negative correlation between their level of experience and the reported temporal demand and complexity of the procedure. Novice digestive surgeons reported increased workload during surgery, mainly in mental, physical, and temporal workload. In both surgical specialties, it was observed that reduction in surgical workload was associated with improved GOALS score. CONCLUSIONS Preliminary results showed that bimanual dexterity is independent of the experience of gynecological surgeons. During laparoscopic surgical procedures, reduced variability in hand accelerations leads to better tissue manipulation. In addition, in gynecological and upper gastrointestinal procedures, reduced surgical workload is associated with improved surgical performance.

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Objective evaluation of the perceptual quality of 3D watermarking

IEEE International Conference on Image Processing 2005 ◽

10.1109/icip.2005.1529732 ◽

2005 ◽

Cited By ~ 24

Author(s):

E.D. Gelasca ◽

T. Ebrahimi ◽

M. Corsini ◽

M. Barni

Keyword(s):

Objective Evaluation ◽

Perceptual Quality ◽

3D Watermarking

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Central perforated VRAM flap and neurostimulated levator augmentation for functional and aesthetical reconstruction after abdominoperineal excision in cancer

Technology and Health Care ◽

10.3233/thc-213021 ◽

2021 ◽

pp. 1-11

Author(s):

Silvia Bernuth ◽

Michael Jakubietz ◽

Christoph Isbert ◽

Joachim Reibetanz ◽

Rainer Meffert ◽

...

Keyword(s):

Quality Of Life ◽

Soft Tissue ◽

Interdisciplinary Collaboration ◽

Life Quality ◽

Objective Evaluation ◽

Abdominoperineal Excision ◽

Soft Tissue Coverage ◽

Soft Tissue Reconstruction ◽

Sphincter Function

BACKGROUND: Preservation of quality of life regarding fecal continence after abdominoperineal excision (APE) in cancer is challenging. Simultaneous soft tissue coverage and restoration of continence mechanism can be provided through an interdisciplinary collaboration of colorectal and plastic reconstructive surgery. OBJECTIVE: Evaluation of surgical procedure and outcome combining soft tissue reconstruction using a central perforated vertical rectus abdominis myocutaneous flap (VRAM), implementing a perineostoma and restoring anorectal angle augmenting the levator ani by neurostimulated graciloplasty. METHODS: 14 Patients underwent APE due to cancer. In all patients coverage was achieved by pedicled VRAM and simultaneous pull-through descendostomy (perineostoma). 10 of those patients received a levator augmentation additionally. Postoperative complications, functional measures of continence as well as quality of life were obtained. RESULTS: Perineal minor complication rate was 43% without need of surgical intervention. All but one VRAM survived. Continence measures and disease specific life quality showed a good preservation of continence in most patients. CONCLUSION: The results present a complex therapy option accomplished by a collaboration of two highly specialized partners (visceral and plastic surgery) after total loss of the sphincter function and consecutive fecal insufficiency after APE.

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