scholarly journals Guidelines for the conservative treatment of spinal deformities – Questionnaire for a Delphi consensus

2021 ◽  
Vol 77 (2) ◽  
Author(s):  
Elif E. Dereli ◽  
Shaopeng Gong ◽  
Tuğba Kuru Çolak ◽  
Deborah Turnbull
Keyword(s):  
Conservative Treatment ◽  
Spinal Deformity ◽  
Treatment Guideline ◽  
Delphi Consensus ◽  
Modified Delphi ◽  
Modified Delphi Technique ◽  
The Right ◽  
Almost All ◽  
The Cost ◽  
Level Of Agreement

Background: Spinal deformity is the oldest disease known to humankind. Many types of treatment methods, including both conservative and surgical, are in use.Objective: We aimed to validate a published guideline protocol based on the conservative treatment of spinal deformities.Method: A modified Delphi technique was used with a questionnaire sent out to professionals worldwide regarding the conservative treatment of spinal deformities.Results: Our study was completed after two rounds. A strong level of agreement of 80% and more (consensus cut-off point) was achieved in most questions in the first round. Some statements were below this margin, and they were sent to the participants via email in the second round for re-evaluation. Consensus was achieved in almost all of the statements in the second round. Only two items did not reach the cut-off point but were close to this value.Conclusion: This proposed Guideline Protocol was approved by the participants using the Delphi method and can be used as a valid tool for the conservative treatment of spinal deformities.Clinical implications: A conservative treatment guideline in spinal deformity management, will provide consistency in treatment and will facilitate comparability with surgery. It will be useful in determining the cost-effectiveness of treatment and in choosing the right patient for the right method of treatment. This guideline might help in this context, and may also create a systematic method for clinicians to use as a reference in both research and clinical practice.

scholarly journals Palliative care competencies for geriatricians across Europe: a Delphi consensus study

2021 ◽  
Author(s):  
Sophie Pautex ◽  
◽  
Regina Roller-Wirnsberger ◽  
Katrin Singler ◽  
Nele Van den Noortgate
Keyword(s):  
Palliative Care ◽  
Older People ◽  
Rating Scale ◽  
Geriatric Medicine ◽  
Delphi Consensus ◽  
Modified Delphi ◽  
Postgraduate Level ◽  
Modified Delphi Technique ◽  
Care For Older People

Abstract Purpose Integration of palliative care competencies with geriatric medicine is important for quality of care for older people, especially in the last years of their life. Therefore, knowledge and skills about palliative care for older people should be mandatory for geriatricians. The European Geriatric Medicine Society (EuGMS) has launched a postgraduate curriculum for geriatric medicine recently. Aim Based on this work, the Special Interest Group (SIG) on Palliative care in collaboration with the SIG in Education and Training aimed to develop a set of specific palliative care competencies to be recommended for training at a postgraduate level. Methods Competencies were defined using a modified Delphi technique based upon a Likert like rating scale. A template to kick off the first round and including 46 items was developed based on pre-existing competencies developed in Switzerland and Belgium. Results Three Delphi rounds were necessary to achieve full consensus. Experts came from 12 EU countries. In the first round, the wording of 13 competencies and the content of 10 competencies were modified. We deleted or merged ten competencies, mainly because they were not specific enough. At the end of the 2nd round, one competence was deleted and for three questions the wordings were modified. These modifications had the agreement of the participants during the last round. Conclusion A list of 35 palliative care competencies for geriatricians is now available for implementation in European countries.

scholarly journals Economic Impact of Neem Coated Urea on Indian Agriculture: Evidence from a Benchmark Study

2021 ◽  
Author(s):  
Ramappa Kumsher Basavarajappa ◽  
Vilas Jadhav ◽  
A.V Manjunatha
Keyword(s):  
Positive Impact ◽  
Net Returns ◽  
Indian Agriculture ◽  
Farming Community ◽  
Production And Distribution ◽  
Coated Urea ◽  
Development Goals ◽  
The Right ◽  
Almost All ◽  
The Cost

Abstract The policy of mandatory production and distribution of Neem Coated Urea (NCU) from May 2015, with a focussed attention on improving the soil quality through a judicious use of fertilizers seems to be in the right direction, considering the benefits realized so far by the Indian farming community. In this article, authors have made an attempt to explore the benefits recognized by the producers of six major crops such as paddy, maize, sugarcane, tur, jute and soybean across the six major states viz., Karnataka, Maharashtra, Madhya Pradesh, Bihar, Punjab and Assam with 2200 sample households. The reference period of the study was the immediate season (Kharif 2015) post the NCU production. The results reveal that NCU use has contributed positively in terms of increasing the yield levels of both main product and by-products with regard to almost all the reference crops under study. However, the extent varies from crop to crop, highest being in the case of soybean, followed by tur, maize, sugarcane, paddy and jute. While the net returns are highest in respect of tur, followed by paddy. As regards B:C ratio, tur tops the list subsequent to sugarcane, paddy, soybean, maize and jute. Moreover, NCU has helped reduce the cost of production by minimizing the cost of urea as well as of other fertilizers and pesticides usage. Interestingly, the diversion of urea has stopped completely, post the production and distribution of NCU. Hence, it is concluded that the application of NCU has a positive impact on Indian agriculture, by way of increasing yield levels & returns for the farming community. These results are in line with the PM's vision of doubling farmers’ income by 2022 and Sustainable Development Goals of the Country.

scholarly journals Current research priorities for UK occupational physicians and occupational health researchers: a modified Delphi study

2018 ◽  
Vol 75 (11) ◽  
pp. 830-836 ◽  
Author(s):  
Drushca Lalloo ◽  
Evangelia Demou ◽  
Julia Smedley ◽  
Ira Madan ◽  
Kaveh Asanati ◽  
...  
Keyword(s):  
Occupational Health ◽  
Delphi Study ◽  
Research Priorities ◽  
Research Strategy ◽  
Occupational Physicians ◽  
Modified Delphi ◽  
Modified Delphi Technique ◽  
The Uk ◽  
Almost All ◽  
Effectiveness Studies

ObjectivesStudies identifying national occupational health (OH) research priorities have been conducted in several countries to establish where OH research should be focused and where funding should be targeted. However, the UK findings are now over 20 years old, and OH practice is continuously evolving. The aim of this study was to identify current research priorities for UK occupational physicians (OPs) and occupational health researchers (OHRs).MethodsCurrent research priorities in OH were identified using a modified Delphi technique. This was conducted in two rounds to achieve consensus. Research priorities were rated, and then ranked using questionnaires developed from expert panel discussions, key research topics identified from the medical literature and participant feedback. Overall and intergroup comparisons were completed for the ranking scores.ResultsConsensus among OPs and OHRs was high with almost all (9/10) primary domains rated as ‘very important’ or ‘absolutely necessary’ by more than 54% of respondents. The research priority areas ranked highest were jointly economic evaluation/cost effectiveness studies and disability management followed by occupational disease/injury/illness. Occupational health policy was ranked lowest after sickness absence management and health promotion. The secondary domain analysis identified priority emphasis on mental health and psychosocial hazards within the workplace and the need to further develop evidence-based guidance for clinical OH practice.ConclusionsWe identified the current research priorities for UK OPs and OHRs. The findings will inform future national OH research strategy and support research that addresses important knowledge gaps within OH and other interdisciplinary specialties.

scholarly journals Cross-cultural adaptation and content validation of START

2016 ◽  
Vol 134 (1) ◽  
pp. 20-27 ◽  
Author(s):  
Aline Cristina Luz ◽  
Márcio Galvão Oliveira ◽  
Lúcia Noblat
Keyword(s):  
Cultural Adaptation ◽  
Likert Scale ◽  
Brazilian Portuguese ◽  
Delphi Consensus ◽  
Validation Process ◽  
Original Language ◽  
Modified Delphi ◽  
Start Criteria ◽  
Back Translation ◽  
The Right

CONTEXT AND OBJECTIVE: Non-treatment of diseases or clinical conditions has been considered to constitute omission of care in several countries. The aim of the present study was to develop a transcultural adaptation of the Screening Tool to Alert Doctors to the Right Treatment (START) to Brazilian Portuguese and to validate the tool's content. DESIGN AND SETTING: Cultural adaptation and validation of the START criteria using the Delphi consensus technique. METHOD: START was translated from its original language into Brazilian Portuguese, followed by back-translation and validation by means of the modified Delphi technique. For this, an electronic form was developed and sent to 20 experts, who were asked to use a Likert scale to assess the statements included in START, in relation to their pertinence to Brazilian realities. All of the statements that exhibited mean scores greater than 4.0 were considered to have attained consensus. The experts' identities were kept confidential throughout the validation process. RESULTS: In the first phase of the validation process, 63.6% (14/22) of the statements in START attained consensus. The remaining statements were returned to the experts so that they could have the opportunity to review their comments and statements and to assess them again, based on the Likert scale used earlier. In this phase, 100% of the START instrument attained consensus. CONCLUSION: The content of START was entirely validated for Brazil, with all of the original criteria maintained.

scholarly journals The Application Of Autoregressive Integrated Moving Average Generalized Autoregressive Conditional Heteroscedastic (Arima - Garch)

2020 ◽  
Vol 4 (2) ◽  
pp. 63
Author(s):  
Pardomuan Robinson Sihombing ◽  
Oki Prasetia Hendarsin ◽  
Sarah Sholikhatun Risma ◽  
Bekti Endar Susilowati
Keyword(s):  
Moving Average ◽  
Garch Model ◽  
Rice Farming ◽  
Autoregressive Integrated Moving Average ◽  
Public Consumption ◽  
Rice Price ◽  
Moving Average Model ◽  
The Right ◽  
Almost All ◽  
The Cost

Rice farming for Indonesia is vital. Rice farming is inseparable from the fact that rice farming is the livelihood of most of the population, while rice is the staple food of almost all Indonesians. The nature of rice that is easy to process and, following the public consumption culture, causes a very high dependence on rice. On the other hand, the price of rice is quite volatile. If the price of rice is soaring high, it can cause changes in the pattern of rice consumption. Some people want a stable supply and rice price, available at all times and evenly distributed and at affordable prices. Because the cost of rice is quite fluctuating, it is necessary to have a model that can be used to predict future rice prices so that the right policies can be implemented. Autoregressive Integrated Moving Average Model Generalized Autoregressive Conditional Heteroscedastic (ARIMA-GARCH) is a useful model for evaluating and predicting price fluctuations. This model's application is implemented in the national average retail rice price data between January 2007 and December 2017. In this study, rice data in the study period was not stationary at the level so that differentiating was carried out in the data. The best model is ARIMA (1,1,2) and Garch model (2,0). In this model, the data has complied with the white noise assumption, and the resulting GARCH model is free from the heteroscedasticity assumption.

Competency standards for newly graduated prosthetist/orthotists in Sweden

2018 ◽  
Vol 42 (4) ◽  
pp. 387-393 ◽  
Author(s):  
Nerrolyn Ramstrand ◽  
Simon Ramstrand
Keyword(s):  
Focus Groups ◽  
Workforce Development ◽  
Core Competencies ◽  
National Level ◽  
Core Competency ◽  
Professional Organizations ◽  
Modified Delphi ◽  
Modified Delphi Technique ◽  
Competency Domains ◽  
Level Of Agreement

Background: There are currently no national competency standards upon which to develop educational objectives for prosthetist/orthotists in Sweden. While standards have been developed in other countries, they cannot be applied without confirming their relevance in a Swedish context. Objectives: To describe and obtain consensus on core competencies required for newly graduated prosthetist/orthotists in Sweden. Study design: Modified Delphi process. Methods: A modified Delphi technique was carried out. Focus groups were initially used to identify core competency domains. Two consecutive questionnaires, containing a list of potential competency items, were sent to a group of stakeholders with ties to the prosthetic and orthotic profession. Stakeholders were requested to rate their level of agreement with each competency item and provide written comments. Finally, two focus groups were conducted to obtain feedback on the draft competency standards. Results: Forty-four competency items, listed under five key domains of practice, were identified as essential for newly graduated prosthetist/orthotists in Sweden. Conclusions: Many similarities exist in core competency descriptions for prosthetist/orthotists in Sweden when compared to other countries. Regional differences do however exist, and it is important to confirm the relevance of core competency items at a national level before they are applied. Clinical relevance Competency standards developed in this study can be used to guide development of learning objectives within an undergraduate prosthetic and orthotic program, provide a framework for workforce development, assist professional organizations in understanding the needs of their members, and prepare for international accreditation.

IMPLEMENTASI JOB ORDER COSTING METHOD DALAM PERHITUNGAN HARGA POKOK PRODUKSI MAP

2018 ◽  
Vol 4 (2) ◽  
pp. 43-55
Author(s):  
Ika Yulianti ◽  
Endah Masrunik ◽  
Anam Miftakhul Huda ◽  
Diana Elvianita
Keyword(s):  
Production Process ◽  
Quantitative Data ◽  
Production Cost ◽  
Qualitative Data ◽  
Cost Data ◽  
Method Calculation ◽  
Cost Of Production ◽  
The Right ◽  
The Cost

This study aims to find a comparison of the calculation of the cost of goods manufactured in the CV. Mitra Setia Blitar uses the company's method and uses the Job Order Costing (JOC) method. The method used in this study is quantitative. The types of data used are quantitative and qualitative. Quantitative data is in the form of map production cost data while qualitative data is in the form of information about map production process. The result of calculating the cost of production of the map between the two methods results in a difference of Rp. 306. Calculation using the company method is more expensive than using the Job Order Costing method. Calculation of cost of goods manufactured using the company method is Rp. 2,205,000, - or Rp. 2,205, - each unit. While using the Job Order Costing (JOC) method is Rp. 1,899,000, - or Rp 1,899, - each unit. So that the right method used in calculating the cost of production is the Job Order Costing (JOC) method

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