USE OF MR CHOLANGIOGRAPHY IN LIVING-RELATED LIVER DONORS — COMPARISON WITH INTRAOPERATIVE CHOLANGIOGRAPHY

2010 ◽  
Vol 22 (02) ◽  
pp. 163-167
Author(s):  
Yuan Heng Mo ◽  
Yung Cheng Wang ◽  
Shinn Forng Peng ◽  
Fu Shan Jaw
Keyword(s):  
Bile Ducts ◽  
Anatomical Variation ◽  
Preoperative Evaluation ◽  
Intraoperative Cholangiography ◽  
Branching Pattern ◽  
Validity And Reliability ◽  
Mr Cholangiography ◽  
Significant Difference ◽  
Living Related ◽  
Liver Donors

Magnetic resonance (MR) imaging plays an important role in the preoperative evaluation of the living-related liver donors to reduce postoperative morbidity and complications. Though invasive, intraoperative cholangiography is still the golden standard in demonstrating anatomical variation of bile ducts. We design this study to compare the validity and reliability between these two imaging modalities and retrospectively searched the database of living-related liver transplantation (LRLT) center during the period from April 2005 to September 2008. The clinical information and images of total 58 donors (female : male = 35 : 23) were reviewed. Five types of branching patterns of the bile ducts were encountered. The rate of disagreement in the classification of branching pattern between MR and intraoperative cholangiography was 5% (3/58). Intraoperative cholangiography could detect significantly more division degree of right hepatic ducts (mean degree: 7) than MR cholangiography (mean degree: 4) (using paired t-test, p < 0.05). No significant difference existed in the detection of division degree of left hepatic ducts. However, MR cholangiography was significantly better than intraoperative cholangiography in demonstrating major branches of the left hepatic ducts including tributaries of segment 2 and 3 (58/58 versus 35/58) (using McNemar's chi-square test, p < 0.05). We conclude that MR cholangiography is nearly as good as intraoperative cholangiography in identifying the branching pattern of bile ducts, and demonstrates the major left hepatic ducts better.

scholarly journals Morphine three-dimensional T1 gadoxetate MR cholangiography of potential living related liver donors

2013 ◽  
Vol 39 (3) ◽  
pp. 584-589 ◽  
Author(s):  
Mukta D. Agrawal ◽  
Kevin W. Mennitt ◽  
Honglei Zhang ◽  
Benjamin Samstein ◽  
Tomoaki Kato ◽  
...  
Keyword(s):  
Three Dimensional ◽  
Mr Cholangiography ◽  
Living Related ◽  
Liver Donors

Postoperative monitoring of children with obstructive sleep apnea syndrome

2014 ◽  
Vol 155 (18) ◽  
pp. 703-707 ◽  
Author(s):  
Pálma Benedek ◽  
Gabriella Kiss ◽  
Eszter Csábi ◽  
Gábor Katona
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Obstructive Sleep Apnea Syndrome ◽  
Preoperative Evaluation ◽  
Sleep Apnea Syndrome ◽  
Study Patient ◽  
Severe Obstructive Sleep Apnea ◽  
Obstructive Sleep ◽  
Significant Difference ◽  
Apnea Syndrome

Introduction: Treatment of pediatric obstructive sleep apnea syndrome is surgical. The incidence of postoperative respiratory complications in this population is 5–25%. Aim: The aim of the authors was to present the preoperative evaluation and monitoring procedure elaborated in Heim Pál Children Hospital, Budapest. Method: 142 patients were involved in the study. Patient history was obtained and physical examination was performed in all cases. Thereafter, polysomnography was carried out, the severity of the obstructive sleep apnea syndrome was determined, and the patients underwent tonsilloadenotomy. Results: 45 patients with mild, 50 patients with moderate and 47 patients with severe obstructive sleep apnea syndrome were diagnosed. There was no complication in patients with mild disease, while complications were observed in 6 patients in the moderate group and 24 patients in the severe group (desaturation, apnea, stridor, stop breathing) (p<0.000). In patients with severe obstructive sleep apnea syndrome, no significant difference was noted in preoperative apnoea-hypapnea index (p = 0.23) and in nadir oxygen saturation values (p = 0.73) between patients with and without complication. Conclusions: Patients with severe obstructive sleep apnea syndrome should be treated in hospital where pediatric intensive care unit is available. Orv. Hetil., 2014, 155(18), 703–707.

Determination of Spreading Motive Levels of Elite Hearing-impaired Sportsmen

2019 ◽  
pp. 39-55
Author(s):  
Osman Kusan ◽  
Hasan Erdem Mumcu ◽  
Abdulkerim Çeviker ◽  
Ömer Zambak ◽  
Onur Öztürk
Keyword(s):  
Educational Status ◽  
Hearing Impaired ◽  
Validity And Reliability ◽  
Male Athletes ◽  
Internal Motivation ◽  
National Team ◽  
Older Athletes ◽  
Significant Difference ◽  
Level Of Significance ◽  
Age Range

This study was conducted to investigate the sub-scales of sports instructions of elite athletes with hearing impairment or hearing loss due to different reasons. A total of 173 hearing-impaired athletes constituted of 54 female and 119 male athletes who are active national team athletes in the age range of 15-25 years. The study was conducted based on Self Determination Theory of Deci and Ryan [9] and on the developed Sports Motivation Scale, Pelletier et al. [24] Kazak [18] applied the validity and reliability of the scale for Turkish athletes. Accordingly, since the p_values calculated for the inner motivation sub-scale and its sub-scales are less than the value of α = .05 which is taken as the level of significance, there is a statistically significant difference in the average scores of the hearing-impaired athletes in their internal motivations and sub-scales. According to gender and educational status, there was no difference in the motivation of the hearing-impaired athletes. According to the age variable, it was seen that older athletes had more external connections. Considering the general motivation scores, the athletes in tennis and swimming were less motivated than others. Elite hearing-impaired athletes are affected by both internal and external impulses. However, internal motivation scores are higher than the external. Internal motivation scores are seen as the lowest in the branch swimming area.

Validity and reliability of the Turkish version of the Patient Dignity Inventory

2021 ◽  
pp. 1-8
Author(s):  
Yasemin Eskigülek ◽  
Sultan Kav
Keyword(s):  
Palliative Care ◽  
Factor Analysis ◽  
Intraclass Correlation ◽  
Validity And Reliability ◽  
Turkish Version ◽  
Retest Reliability ◽  
Significant Difference ◽  
Test Retest Reliability ◽  
Fit Index ◽  
Turkish Society

Abstract Objective The aim of this study was to investigate the validity and reliability of the Patient Dignity Inventory (PDI) in the Turkish society, which was developed to evaluate dignity-related distress in palliative care patients. Methods One hundred and twenty-seven adults with advanced cancer hospitalized in several clinics of two university hospitals were included in the study. The patients whose Palliative Performance Scale score was at least 40% were recruited to study. The data were collected with a patient demographic form, the Turkish version of Hospital Anxiety and Depression Scale (HADS-TR), and the Turkish version of the PDI (PDI-TR). The PDI-TR was finalized and back-translated after translating into Turkish and obtaining 10 expert opinions. Exploratory and confirmatory factor analysis, internal consistency, concurrent validity, and test–retest reliability analysis were performed. Results The Cronbach's α coefficient of PDI-TR was 0.94. Factor analysis resulted in a five-factor solution, and all items were loaded on factors. Factors were labeled as symptom distress, existential distress, self-confidence, dependency, and supportive care needs and accounted for 68.70% of the overall variance. The model's normed fit index, comparative fit index, and X2/SD were found between acceptable range (0.90, 0.93, and 2.64, respectively). A positive and strong correlation was found between subdimension scores of HADS-TR and the total score of PDI-TR (r = 0.70 for anxiety subdimension; r = 0.73 for depression subdimension). The test–retest reliability was conducted with 32 patients within the sample two weeks after the first application, and no significant difference was found between the two application scores as the result of paired-sample t-test (p > 0.05). An intraclass correlation coefficient of test–retest reliability was r = 0.855. Significance of results PDI-TR was found to be a valid and reliable tool in palliative care patients in Turkish society.

scholarly journals The effect of a strategy based on the communicative approach in reading comprehension for tenth grade students in Jordan: أثر استراتيجية تستند للمنحى التواصلي في الاستيعاب القرائي لدى طالبات الصف العاشر الأساسي في الأردن

2020 ◽  
Vol 4 (18) ◽  
Author(s):  
Maryam Hammad Abdallah Al-mousah
Keyword(s):  
Reading Comprehension ◽  
Arabic Language ◽  
Control Group ◽  
Validity And Reliability ◽  
Continuous Approach ◽  
Significant Difference ◽  
Before And After ◽  
Tenth Grade ◽  
Communicative Approach ◽  
Experimental Group

The study aimed to reveal the effect of a strategy based on the communicative approach in reading comprehension for tenth grade students in Jordan. To achieve the aims of the study, a test was designed to measure reading comprehension skills, and its validity and reliability were confirmed, The semi-experimental design was adopted, as the experimental group consisting of (25) students was studied according to the strategy based on the communicative approach, and the control group consisting of (25) students was studied in the usual way, The test was applied to the two groups before and after the experiment, The results of the ANCOVA analysis showed that there was a statistically significant difference at (α≤05,0) between the two groups due to the strategy based on the continuous approach in improving reading comprehension, and for the benefit of the experimental group. The study recommended employing a communicative approach in teaching the Arabic language topic, and conducting other similar studies in different educational stages and with new changes.

scholarly journals Standarisasi Observer OSCE dengan Rubrik dan Multivideo

2012 ◽  
Vol 1 (3) ◽  
pp. 183
Author(s):  
Ide Pustaka Setiawan ◽  
Noviarina Kurniawati ◽  
Rr. Siti Rokhmah Projosasmito
Keyword(s):  
Treatment Group ◽  
Data Collection ◽  
General Practitioners ◽  
Video Recording ◽  
Control Group ◽  
Training Methods ◽  
Validity And Reliability ◽  
Factors Influencing ◽  
Significant Difference ◽  
Data Collection Session

Background: One of the factors influencing the validity and reliability of the assessment is the standardization of the observers in assessing students’ performance. A recent study by Setiawan (2011) found that there is differences in the standard of assessment used by general practitioners and specialized doctors in assessing students in OSCE.7 These differences are considered to be harmful for the students, therefore needs to be improved. Several training methods are developed to overcome the problem. This study aims to assess whether rubric and multi video can be used as a means of standardization of OSCE observers.Method: This was an experimental action research. The instruments used in this study were checklist, rubric, and video recording of students doing OSCE (n=5), which further be called multi-video. The subjects of the study were the OSCE observers in station Integrated Patient Management (IPM) who were divided into control and treatment group. The subjects assessed students’ performance from the multi-video in two data collection sessions. In the first session, both control and treatment group used checklist for assessing the multi-video. Furthermore in the second session, the control group did as the first data collection session, while the treatment group used checklist and rubric for assessing the multivideo. The result of which compared and tested using independent sample t-test.Results: As many as 33 observers, which consists of 23 general practitioners (GP) and 10 specialized doctors (SP), participated in the first data collection session. In the second data collection session, 28 observers consist of 20 GPs and 8 SPs participated. The result of the first data collection session, which used only checklist as an instrument, showed a significant difference in the standard of assessment used by the GPS and SPs (p<0.05), whereas the second data collection session, which used rubric as an additional instrument for the treatment group, showed no significant difference between GPs and SPs in the standard of assessment (p>0.05).Conclusion: Rubrics and multi video can be used as a means of standardization of OSCE observer in assessing students’ performance. 

scholarly journals The effect of using blended learning strategy on science achievement among fourth grade students in Tafila Governorate Basira Education Directorate: أثر استخدام استراتيجية التعلم المتمازج في تحصيل العلوم لدى طلبة الصف الرابع الأساسي في محافظة الطفيلة مديرية تعليم بصيرا

2021 ◽  
Vol 5 (30) ◽  
pp. 104-118
Author(s):  
Huda Abdalsalam Alzidaneen Huda Abdalsalam Alzidaneen
Keyword(s):  
Blended Learning ◽  
Science Achievement ◽  
Learning Strategy ◽  
Fourth Grade ◽  
Study Groups ◽  
Control Group ◽  
Validity And Reliability ◽  
Significant Difference ◽  
Fourth Grade Students ◽  
Level Of Significance

This study aimed to find out the effect of the blended learning strategy on the achievement of the fourth-grade students in the basic science subject in the Basira Basira Directorate of Education in Tafila Governorate. The study members were selected by intentional method, and they numbered (52) students from fourth grade students in Al-Harith Basic School for Boys, and the two divisions were randomly assigned and distributed into two divisions. One of them is a control group, which was (27) students who were taught the traditional strategy, and the other is (25) students as an experimental one who learned the blended learning strategy. Its validity and reliability were verified and then applied to the study sample. The results of the study showed a statistically significant difference in the achievement of the study sample at the level of significance )α≤0.05) between the averages of the scores of the two study groups in favor of the experimental group that learned with the blended learning strategy. Achieving science among fourth-grade students in Tafila Governorate by securing the necessary infrastructure to facilitate the application of blended learning by equipping laboratories and ensuring the validity of the Internet.

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