The document discusses US government pandemic influenza checklists created by the CDC. It provides an overview of the purpose and format of the checklists, which are intended to provide frameworks for action during an influenza pandemic by identifying key planning elements. It notes both strengths, such as involving target audiences in development, and weaknesses, such as not being linked to more detailed toolkits. The presentation emphasizes that pandemic influenza remains a severe public health threat and checklists are important for preparedness.
ACE: The First Experience with Process Reviewsbnolke
This document summarizes the results of the initial site visits and reviews conducted as part of the Accreditation for Cardiovascular Excellence (ACE) accreditation process for 10 facilities. It found significant variation between facilities in completeness of documentation for variables related to quality assurance, risk adjustment, and appropriate use determination. Improvement is needed to ensure complete and consistent documentation across facilities in order to adequately assess quality and validate data used for public reporting, risk adjustment, and audits.
The company reported excellent third quarter 2008 results, with 52% growth in net operating income and 45.7% growth in adjusted EBITDA. Same-store sales and rents grew double digits. The company signed 278 new leasing agreements totaling 34,000 square meters during the quarter. The company remains in a strong financial position with over R$757 million in cash and a long-term debt profile averaging over 14 years. The company acquired two new malls during the quarter and continues to work on development projects.
7 day services: applying the lessons to diagnostics -NHS Improvement
7 Day Services:
Applying the Lessons to Diagnostics
Erika Denton
National Clinical Director for Imaging - presentation from seven day services in diagnostics event held on 4 March 2013 #7dayDiagnostics
The document discusses a perioperative case study involving efforts to reduce costs for several supply categories through standardization initiatives. It describes objectives to lower prices for suture, endomechanicals, trocars, mesh and topical adhesives. A methodology is outlined involving identifying categories, reviewing data, obtaining approvals, issuing an RFP, and clinical validation. Implementation involved planning, member conversions, and physician interactions. Outcomes included commitments from 9 of 11 members to convert to the supplier. Lessons learned focused on validation, involvement, communication and addressing competitive tactics.
This document provides data on language abilities in the United States, including percentages of the population that speak English only, speak English very well, and other languages very well, for each state and several counties in Hawaii. It shows that over 80% of the US population speaks only English, with percentages varying from 44.7% to 97.7% across different states and Hawaiian counties. English proficiency is highest nationwide and in many states, while other languages like Spanish, Chinese, and Tagalog have higher percentages of fluent speakers in some states and regions compared to nationwide averages.
This document discusses the validity and reliability of analytical tests used for screening and diagnosis. It defines key terms like sensitivity, specificity, predictive value and discusses how changing cutoff levels can impact false positives and negatives. Screening tests are used to separate populations into those with and without a disease, while considering a test's accuracy. Continuous variable tests may require an artificial cutoff versus dichotomous screening tests. The document also examines how prevalence impacts predictive value and how using multiple screening tests can improve accuracy.
The document discusses US government pandemic influenza checklists created by the CDC. It provides an overview of the purpose and format of the checklists, which are intended to provide frameworks for action during an influenza pandemic by identifying key planning elements. It notes both strengths, such as involving target audiences in development, and weaknesses, such as not being linked to more detailed toolkits. The presentation emphasizes that pandemic influenza remains a severe public health threat and checklists are important for preparedness.
ACE: The First Experience with Process Reviewsbnolke
This document summarizes the results of the initial site visits and reviews conducted as part of the Accreditation for Cardiovascular Excellence (ACE) accreditation process for 10 facilities. It found significant variation between facilities in completeness of documentation for variables related to quality assurance, risk adjustment, and appropriate use determination. Improvement is needed to ensure complete and consistent documentation across facilities in order to adequately assess quality and validate data used for public reporting, risk adjustment, and audits.
The company reported excellent third quarter 2008 results, with 52% growth in net operating income and 45.7% growth in adjusted EBITDA. Same-store sales and rents grew double digits. The company signed 278 new leasing agreements totaling 34,000 square meters during the quarter. The company remains in a strong financial position with over R$757 million in cash and a long-term debt profile averaging over 14 years. The company acquired two new malls during the quarter and continues to work on development projects.
7 day services: applying the lessons to diagnostics -NHS Improvement
7 Day Services:
Applying the Lessons to Diagnostics
Erika Denton
National Clinical Director for Imaging - presentation from seven day services in diagnostics event held on 4 March 2013 #7dayDiagnostics
The document discusses a perioperative case study involving efforts to reduce costs for several supply categories through standardization initiatives. It describes objectives to lower prices for suture, endomechanicals, trocars, mesh and topical adhesives. A methodology is outlined involving identifying categories, reviewing data, obtaining approvals, issuing an RFP, and clinical validation. Implementation involved planning, member conversions, and physician interactions. Outcomes included commitments from 9 of 11 members to convert to the supplier. Lessons learned focused on validation, involvement, communication and addressing competitive tactics.
This document provides data on language abilities in the United States, including percentages of the population that speak English only, speak English very well, and other languages very well, for each state and several counties in Hawaii. It shows that over 80% of the US population speaks only English, with percentages varying from 44.7% to 97.7% across different states and Hawaiian counties. English proficiency is highest nationwide and in many states, while other languages like Spanish, Chinese, and Tagalog have higher percentages of fluent speakers in some states and regions compared to nationwide averages.
This document discusses the validity and reliability of analytical tests used for screening and diagnosis. It defines key terms like sensitivity, specificity, predictive value and discusses how changing cutoff levels can impact false positives and negatives. Screening tests are used to separate populations into those with and without a disease, while considering a test's accuracy. Continuous variable tests may require an artificial cutoff versus dichotomous screening tests. The document also examines how prevalence impacts predictive value and how using multiple screening tests can improve accuracy.
1 Reliability and Validity in Physical Therapy Testsaebrahim123
This document discusses reliability and validity in physical therapy tests. It begins by defining levels of measurement, including nominal, ordinal, interval and ratio scales. It then defines reliability as the consistency of measurements and validity as measuring what is intended. The document discusses various types of reliability, including inter-rater, test-retest, parallel-forms and internal consistency. It also discusses different types of validity such as face, content, concurrent, predictive and construct validity.
This document discusses validity and reliability in research. It defines validity as the extent to which a test measures what it claims to measure. Reliability is defined as the extent to which a test shows consistent results on repeated trials. The document then discusses various types of validity including content, face, criterion-related, construct, and ecological validity. It also discusses types of reliability including equivalency, stability, internal consistency, inter-rater, and intra-rater reliability. Factors affecting validity and reliability are presented along with how validity and reliability are related concepts in research.
This document discusses the development of health measurement scales and the importance of reliability and validity in scale development. It notes that if you cannot quantify something you are describing, your knowledge of it is limited. It then discusses the relationship between reliability and validity, and explains that reliability places an upper limit on validity, so higher reliability allows for higher maximum validity. The document emphasizes that the quality and usefulness of any measurement depends on establishing its validity and reliability.
8. validity and reliability of research instrumentsRazif Shahril
This document discusses validity and reliability in research instruments. It begins by defining validity as measuring what the instrument is designed to measure, and reliability as consistency and stability of measurements. The document then describes different types of validity, including face validity, content validity, concurrent validity, predictive validity, and construct validity. It also discusses factors that can affect an instrument's reliability, such as question wording and environment. Finally, it outlines several methods for determining reliability, like test-retest, parallel forms, and split-half techniques. The document concludes by noting alternative criteria used to evaluate qualitative research validity and reliability.
This document discusses the importance of reliability and validity in testing. It defines reliability as consistency and discusses different types of reliability including test-retest, inter-rater, parallel-forms, and internal consistency reliability. Validity refers to a test measuring what it intends to measure. There are several types of validity discussed including content, construct, criterion-related (concurrent and predictive), face, convergent, treatment, and social validity. The standard error of measurement is also explained as estimating how repeated measures on the same person tend to be distributed around their true score.
This document discusses key concepts related to validity and reliability in measurement devices. It defines validity as measuring what the device is intended to measure, and reliability as consistency of measurement. The document outlines several types of validity including content, construct, criterion (concurrent and predictive), and face validity. It also discusses reliability in terms of equivalency, stability, internal consistency, and interrater reliability. Validity and reliability are closely related but a test can be reliable without being valid. The document also notes sources of error in measurements and the backwash effect of test design on teaching.
This document discusses the validity and reliability of questionnaires. It defines validity as the ability of a questionnaire to measure what it intends to measure. There are several types of validity discussed, including content validity, face validity, criterion validity (concurrent and predictive), and construct validity. Steps for validating a questionnaire include evaluating face validity and getting expert feedback to establish content validity. Reliability is the ability to get consistent results and is measured through test-retest reliability, internal consistency (split-half), and inter-rater reliability. Establishing both validity and reliability is important for developing a high-quality questionnaire.
The document discusses key qualities of measurement devices: validity, reliability, practicality, and backwash effect. It defines each quality and provides examples. Validity refers to what a test measures, and includes content, construct, criterion-related, concurrent, and predictive validity. Reliability is how consistent measurements are, including equivalency, stability, internal, and inter-rater reliability. Practicality means a test is easy to construct, administer, score and interpret. Backwash effect is a test's influence on teaching and learning.
Dr. Jason Ross - Strategies to Improve Swine ReproductionJohn Blue
Strategies to Improve Swine Reproduction - Dr. Jason Ross, Iowa State University, from the 2013 Iowa Pork Congress, January 23-24, Des Moines, IA, USA.
More presentations at http://www.swinecast.com/2013-iowa-pork-congress
Excel/VBA model for nurse scheduling in outpatient wardsParijat Sinha
A model is proposed and evaluated using an Excel/VBA simulation to schedule full time and part time nurses in outpatient wards in face of probabilistic patient arrivals.
This document discusses quality service issues in Menatel Delta's business unit and outlines steps taken to address them. It identifies that Delta was 1.43% below the target quality of service and analyzes causes as 50% people-related, 30% preventative maintenance, 20% PMS performance. An action plan was created involving training, maintenance scheduling, and PMS improvements. As a result, Delta's 2004 quality of service average improved to 99.2%, exceeding the target. Weekly reporting monitors continued quality service improvements.
Nurse Maude provides community nursing services in Christchurch, New Zealand. They operate a specialist wound care service from two clinics. In 2009, they began using an electronic health record (EHR) system integrated with a wound measurement tool. An audit found that while the EHR captured data on 562 patients, some data was missing due to technical and organizational issues. Recommendations included improving training, equipment, and standardizing the data collected in the EHR.
The document contains two methods for repaying a loan. Method 1 repays the principal of $75 million in full in the 7th period, with interest-only payments for the first 6 periods at 11.5% annually. Method 2 repays $5 million per period plus interest at 13.5% annually over 7 periods, fully repaying the $100 million principal. The total repayment under Method 1 is $135.375 million and under Method 2 is $180.325 million.
This document discusses implementing continuous improvement systems and processes. It emphasizes monitoring and reviewing performance to provide opportunities for further improvement. Continuous improvement is seen as an ongoing process to enhance quality, flexibility, and reduce costs. It involves managing quality through planning, control, assurance and improvement. Employee engagement and empowerment are key to driving continuous improvement through trust and removing barriers. Performance must be well measured through various metrics and controls to identify opportunities for improvement and manage change.
Good News about Bad News – New Findings on Word of MouthBSI
This document presents findings from research on word-of-mouth communication (WOM). The research found that:
1) Positive WOM is about 3 times more common than negative WOM, with average penetrations of 46% and 17% respectively across 15 categories.
2) Those who engage in negative WOM are much more likely to also engage in positive WOM, with 75% of negative WOM communicators also sharing positive WOM.
3) The incidence of positive and negative WOM are positively correlated across categories, indicating common drivers of both types of WOM. However, a lack of knowledge of negative examples may restrict negative WOM more than positive WOM in some categories.
Collaboration Between Health Departments PresentationCDC NPIN
This document discusses the collaboration between the LA Gay & Lesbian Center (LAGLC) and the Los Angeles County Sexually Transmitted Disease Program (STDP) over 35 years. Their collaboration has led to integrated STD/HIV testing, data sharing, and several successful collaborative projects. These projects include pooled nucleic acid amplification testing for acute HIV, patient-collected rectal swabs for screening, and a community-embedded disease intervention specialist program for partner notification. The partnership has improved epidemiological monitoring, increased screening, and enhanced partner notification outcomes.
This document summarizes monthly interest rate data for individuals in Brazil from June 2011 to June 2012. It shows the basic interest rate (SELIC) and inflation rates alongside interest rates for credit cards, personal loans, overdrafts and more. On average, interest rates for credit cards were over 10% per month while personal loans from banks averaged 3.76% monthly. Overall, average interest rates were 6.28% per month, 112.54% annually, significantly higher than the basic SELIC rate of around 0.76% on average.
This document contains a table showing the monthly evolution of interest rates for individuals in Brazil from June 2011 to June 2012. It lists the basic interest rate (SELIC) set by the central bank and inflation rates alongside interest rates for commerce loans, credit cards, overdrafts, time deposits, personal loans from banks and financial institutions, and the overall average rate. A section at the bottom analyzes the average rates for the year compared to the SELIC rate.
IPOS10 - T178 Implementation of a Screening Programme for Cancer Related Dist...Alex J Mitchell
Implementation of a Screening Programme for Cancer Related Distress: Part II - Does Screening Aid Clinicians' Communication, Judgement or Accuracy of Anxiety and Depression
PHARMA Target Segmentation Grid (2 plus 2)Walid Saafan
This document presents the Target Segmentation Grid (TSG) system. The TSG aims to redefine physician targets based on their potential and adoption of products using a 9-box grid. It collects physician data including potentiality and adoption levels. Marketing strategies are then predefined for each physician type in the grid. The TSG delivers filtered grid results, physician counts and estimates workload. It also checks the TSG data against IMS sales data and defines marketing mix strategies for each grid segment.
1 Reliability and Validity in Physical Therapy Testsaebrahim123
This document discusses reliability and validity in physical therapy tests. It begins by defining levels of measurement, including nominal, ordinal, interval and ratio scales. It then defines reliability as the consistency of measurements and validity as measuring what is intended. The document discusses various types of reliability, including inter-rater, test-retest, parallel-forms and internal consistency. It also discusses different types of validity such as face, content, concurrent, predictive and construct validity.
This document discusses validity and reliability in research. It defines validity as the extent to which a test measures what it claims to measure. Reliability is defined as the extent to which a test shows consistent results on repeated trials. The document then discusses various types of validity including content, face, criterion-related, construct, and ecological validity. It also discusses types of reliability including equivalency, stability, internal consistency, inter-rater, and intra-rater reliability. Factors affecting validity and reliability are presented along with how validity and reliability are related concepts in research.
This document discusses the development of health measurement scales and the importance of reliability and validity in scale development. It notes that if you cannot quantify something you are describing, your knowledge of it is limited. It then discusses the relationship between reliability and validity, and explains that reliability places an upper limit on validity, so higher reliability allows for higher maximum validity. The document emphasizes that the quality and usefulness of any measurement depends on establishing its validity and reliability.
8. validity and reliability of research instrumentsRazif Shahril
This document discusses validity and reliability in research instruments. It begins by defining validity as measuring what the instrument is designed to measure, and reliability as consistency and stability of measurements. The document then describes different types of validity, including face validity, content validity, concurrent validity, predictive validity, and construct validity. It also discusses factors that can affect an instrument's reliability, such as question wording and environment. Finally, it outlines several methods for determining reliability, like test-retest, parallel forms, and split-half techniques. The document concludes by noting alternative criteria used to evaluate qualitative research validity and reliability.
This document discusses the importance of reliability and validity in testing. It defines reliability as consistency and discusses different types of reliability including test-retest, inter-rater, parallel-forms, and internal consistency reliability. Validity refers to a test measuring what it intends to measure. There are several types of validity discussed including content, construct, criterion-related (concurrent and predictive), face, convergent, treatment, and social validity. The standard error of measurement is also explained as estimating how repeated measures on the same person tend to be distributed around their true score.
This document discusses key concepts related to validity and reliability in measurement devices. It defines validity as measuring what the device is intended to measure, and reliability as consistency of measurement. The document outlines several types of validity including content, construct, criterion (concurrent and predictive), and face validity. It also discusses reliability in terms of equivalency, stability, internal consistency, and interrater reliability. Validity and reliability are closely related but a test can be reliable without being valid. The document also notes sources of error in measurements and the backwash effect of test design on teaching.
This document discusses the validity and reliability of questionnaires. It defines validity as the ability of a questionnaire to measure what it intends to measure. There are several types of validity discussed, including content validity, face validity, criterion validity (concurrent and predictive), and construct validity. Steps for validating a questionnaire include evaluating face validity and getting expert feedback to establish content validity. Reliability is the ability to get consistent results and is measured through test-retest reliability, internal consistency (split-half), and inter-rater reliability. Establishing both validity and reliability is important for developing a high-quality questionnaire.
The document discusses key qualities of measurement devices: validity, reliability, practicality, and backwash effect. It defines each quality and provides examples. Validity refers to what a test measures, and includes content, construct, criterion-related, concurrent, and predictive validity. Reliability is how consistent measurements are, including equivalency, stability, internal, and inter-rater reliability. Practicality means a test is easy to construct, administer, score and interpret. Backwash effect is a test's influence on teaching and learning.
Dr. Jason Ross - Strategies to Improve Swine ReproductionJohn Blue
Strategies to Improve Swine Reproduction - Dr. Jason Ross, Iowa State University, from the 2013 Iowa Pork Congress, January 23-24, Des Moines, IA, USA.
More presentations at http://www.swinecast.com/2013-iowa-pork-congress
Excel/VBA model for nurse scheduling in outpatient wardsParijat Sinha
A model is proposed and evaluated using an Excel/VBA simulation to schedule full time and part time nurses in outpatient wards in face of probabilistic patient arrivals.
This document discusses quality service issues in Menatel Delta's business unit and outlines steps taken to address them. It identifies that Delta was 1.43% below the target quality of service and analyzes causes as 50% people-related, 30% preventative maintenance, 20% PMS performance. An action plan was created involving training, maintenance scheduling, and PMS improvements. As a result, Delta's 2004 quality of service average improved to 99.2%, exceeding the target. Weekly reporting monitors continued quality service improvements.
Nurse Maude provides community nursing services in Christchurch, New Zealand. They operate a specialist wound care service from two clinics. In 2009, they began using an electronic health record (EHR) system integrated with a wound measurement tool. An audit found that while the EHR captured data on 562 patients, some data was missing due to technical and organizational issues. Recommendations included improving training, equipment, and standardizing the data collected in the EHR.
The document contains two methods for repaying a loan. Method 1 repays the principal of $75 million in full in the 7th period, with interest-only payments for the first 6 periods at 11.5% annually. Method 2 repays $5 million per period plus interest at 13.5% annually over 7 periods, fully repaying the $100 million principal. The total repayment under Method 1 is $135.375 million and under Method 2 is $180.325 million.
This document discusses implementing continuous improvement systems and processes. It emphasizes monitoring and reviewing performance to provide opportunities for further improvement. Continuous improvement is seen as an ongoing process to enhance quality, flexibility, and reduce costs. It involves managing quality through planning, control, assurance and improvement. Employee engagement and empowerment are key to driving continuous improvement through trust and removing barriers. Performance must be well measured through various metrics and controls to identify opportunities for improvement and manage change.
Good News about Bad News – New Findings on Word of MouthBSI
This document presents findings from research on word-of-mouth communication (WOM). The research found that:
1) Positive WOM is about 3 times more common than negative WOM, with average penetrations of 46% and 17% respectively across 15 categories.
2) Those who engage in negative WOM are much more likely to also engage in positive WOM, with 75% of negative WOM communicators also sharing positive WOM.
3) The incidence of positive and negative WOM are positively correlated across categories, indicating common drivers of both types of WOM. However, a lack of knowledge of negative examples may restrict negative WOM more than positive WOM in some categories.
Collaboration Between Health Departments PresentationCDC NPIN
This document discusses the collaboration between the LA Gay & Lesbian Center (LAGLC) and the Los Angeles County Sexually Transmitted Disease Program (STDP) over 35 years. Their collaboration has led to integrated STD/HIV testing, data sharing, and several successful collaborative projects. These projects include pooled nucleic acid amplification testing for acute HIV, patient-collected rectal swabs for screening, and a community-embedded disease intervention specialist program for partner notification. The partnership has improved epidemiological monitoring, increased screening, and enhanced partner notification outcomes.
This document summarizes monthly interest rate data for individuals in Brazil from June 2011 to June 2012. It shows the basic interest rate (SELIC) and inflation rates alongside interest rates for credit cards, personal loans, overdrafts and more. On average, interest rates for credit cards were over 10% per month while personal loans from banks averaged 3.76% monthly. Overall, average interest rates were 6.28% per month, 112.54% annually, significantly higher than the basic SELIC rate of around 0.76% on average.
This document contains a table showing the monthly evolution of interest rates for individuals in Brazil from June 2011 to June 2012. It lists the basic interest rate (SELIC) set by the central bank and inflation rates alongside interest rates for commerce loans, credit cards, overdrafts, time deposits, personal loans from banks and financial institutions, and the overall average rate. A section at the bottom analyzes the average rates for the year compared to the SELIC rate.
IPOS10 - T178 Implementation of a Screening Programme for Cancer Related Dist...Alex J Mitchell
Implementation of a Screening Programme for Cancer Related Distress: Part II - Does Screening Aid Clinicians' Communication, Judgement or Accuracy of Anxiety and Depression
PHARMA Target Segmentation Grid (2 plus 2)Walid Saafan
This document presents the Target Segmentation Grid (TSG) system. The TSG aims to redefine physician targets based on their potential and adoption of products using a 9-box grid. It collects physician data including potentiality and adoption levels. Marketing strategies are then predefined for each physician type in the grid. The TSG delivers filtered grid results, physician counts and estimates workload. It also checks the TSG data against IMS sales data and defines marketing mix strategies for each grid segment.
The document summarizes substance use reported by students in Kent County, Maryland and compares it to statewide averages. It shows that in many cases, a higher percentage of Kent County students reported using substances like cigarettes, alcohol, and illicit drugs in the past 30 days compared to the state average, with some differences being quite large. Trend data for 6th graders shows that reported use of cigarettes, marijuana, alcohol and binge drinking has generally decreased in both Kent County and statewide over time.
The data presented in this study come from the information held in DUNTRADE® PROGRAM and
are elaborated by CRIBIS D&B.
In particular, payment assessment is based on the analysis of those companies for which a D&B
Paydex value is available, where D&B Paydex is a statistical indicator that assesses the historical
performance of payments to suppliers, and provides a reliable profile of a company in terms of
whether or not it is a good payer.
The document discusses HIMSS Analytics and its Electronic Medical Record Adoption Model (EMRAM). The EMRAM is used to assess the stage of electronic medical record adoption for healthcare providers on a scale of 0-7. It provides a framework for benchmarking and strategic planning. The document then analyzes EMR adoption scores for several New Zealand hospitals and other countries, finding room for improved adoption in New Zealand. It concludes with a sample gap assessment to identify next steps for a hospital to advance to Stage 6 on the EMRAM.
Banco Sabadell reported results for fiscal year 2010. Net interest income declined 8.8% due to a higher cost of funding, though capital ratios improved. Commercial activity generated an important GAP and liquidity remained comfortable without reliance on ECB funding. Loan growth continued alongside sustained increases in customers and deposits. Cost management was good and Banco Guipuzcoano was efficiently integrated.
IPOS10 T276 - Large Scale Validation of the Emotion Thermometers as a Screen...Alex J Mitchell
1. The study validated the Emotion Thermometers as a screening tool for mood disorders and distress in a diverse cancer population.
2. Results showed the Depression Thermometer had the best validity for detecting depression overall, while the Distress Thermometer was also good.
3. For detecting depression in ethnically diverse patients, the Distress Thermometer may have the best validity, achieving a sensitivity of 100%.
The document summarizes Arteris' financial results for the fourth quarter and full year of 2012. It provides information on tolled traffic, toll tariffs, gross revenue composition, costs and expenses, and operational performance including adjusted EBITDA. Key highlights include a 3.9% increase in tolled traffic for 4Q12 compared to 4Q11 and a 6.7% increase in average toll tariff. Adjusted EBITDA was R$1,195 million for 2012 with a margin of 65.7%.
Similar to Copy (2) of validity and reliability of mini – arabic in (20)
Ketamine assisted psychotherapy (KAP) involves using subanesthetic doses of ketamine along with psychotherapy to help patients gain insight and work through mental blocks. Key concepts of KAP include using ketamine to induce a dissociated state that facilitates psychotherapy and leads to transformation. KAP protocols generally involve screening, preparation, ketamine administration during therapy sessions, and integration work. Studies have shown KAP can produce lasting reductions in depression, anxiety, and PTSD when used as an adjunct to psychotherapy.
- Ketamine therapy shows promise for treatment-resistant depression (TRD). A single intravenous dose of ketamine can rapidly improve depressive symptoms within 2 hours for 3-4 days.
- Ketamine's mechanisms of action involve modulating the glutamatergic system and increasing neuroplasticity and neurogenesis. It may normalize brain connectivity and disrupt ruminative thinking.
- Intranasal esketamine received FDA approval for TRD and results in a 54.1% response rate and 36% remission rate with twice weekly dosing over 4 weeks. Ketamine infusion therapy also shows effectiveness for TRD.
- Common side effects include dizziness, dissociation, nausea, and increased blood
Consultation and liaison psychiatry meاحمد البحيري
Consultation-liaison psychiatry involves psychiatrists consulting on patients in medical settings to address intersections between physical and mental health. Issues include capacity to consent, conflicts with medical teams, and patients reporting physical symptoms due to underlying mental disorders. The consultant evaluates patients for suspected psychiatric disorders, agitation, suicidal/homicidal thoughts, and high psychiatric risk factors. Common reasons for consultations include psychiatric symptoms, lack of organic cause for symptoms, and non-compliance.
Proposal for Halfway House Facility: in Addiction Rehabilitationاحمد البحيري
The document proposes establishing a halfway house facility for addiction rehabilitation. It defines halfway houses as institutions that help people with disabilities or criminal backgrounds reintegrate into society by teaching independent living skills. The proposed halfway house would provide social, medical, psychiatric and educational services to support substance-dependent residents during their transition from treatment back into the community. The document outlines theoretical models for halfway houses, expected services, initial policies and procedures, staffing requirements, resident assessments, health provisions and more to guide the proposed facility's operations.
Recovery- Oriented System of Care ,Motivational Approach , in Substance Use D...احمد البحيري
This document discusses recovery-oriented treatment for substance use disorders. It defines treatment as direct medical interventions, while recovery is a sustained process of change addressing biological, psychological, social, and spiritual disturbances from addiction. Recovery aims to improve quality of life through pursuing abstinence and dealing with cravings. The document outlines motivational interviewing techniques including engaging patients, eliciting change talk, and negotiating plans for change. It emphasizes that recovery requires ongoing care beyond initial medical detoxification.
This document discusses somatic symptoms in depression. It notes that major depressive disorder has a lifetime prevalence of 5-25% while recurrent major depressive disorder has a prevalence of 3% and dysthymia has a prevalence of 6%. Somatic symptoms are common in depression and include fatigue, headaches, sleep disturbances, pain, and gastrointestinal issues. Only 60% of depressed patients are accurately diagnosed, as depression often presents primarily with physical complaints. Recognition and treatment of depression is important as it can increase medical morbidity and mortality when left unrecognized in medically ill patients. The pathogenesis of somatic symptoms in depression involves disruptions to the hypothalamic-pituitary-adrenal axis, serotonin and other neurotransmitter systems, and reduced neuroplastic
This document provides an overview of schizophrenia, including its definition, diagnosis, types, differential diagnosis, initial management, and counseling/psychoeducation approaches. It discusses the essential diagnostic criteria and features of schizophrenia based on various criteria, including positive and negative symptoms. The types of schizophrenia are outlined as paranoid, hebephrenic, catatonic, undifferentiated, simple, and residual. Differential diagnoses, initial management steps, and criteria for referral to a psychiatrist are also summarized. Lastly, topics covered in counseling and psychoeducation for families are listed.
This document discusses schizophrenia, including its symptoms, diagnosis, subtypes, course, and etiology. Some key points:
- Schizophrenia is characterized by distortions in thinking/perception and inappropriate/blunted affects. It occurs in 1% of the population and typically begins between ages 16-25.
- Diagnosis requires symptoms for at least 6 months and deterioration in relationships/functioning. Subtypes include paranoid, hebephrenic, catatonic, and undifferentiated.
- Etiology is multifactorial involving genetic, biological, environmental factors. The dopamine hypothesis proposes psychotic symptoms relate to dopaminergic hyperactivity in the brain.
- Glutamate-based theories of schizophrenia focus on dysfunction of brain glutamate systems, particularly NMDA receptors. These theories originated over 20 years ago and have led to new conceptualizations of schizophrenia and potential assessment and treatment approaches.
- Dopamine dysfunction in schizophrenia may be caused by genetically determined abnormalities or by NMDA receptor dysfunction impairing dopamine system regulation. Disturbances in both glutamate and dopamine systems likely contribute to positive symptoms.
- Glutamate and NMDA receptors are widely distributed in the brain, suggesting schizophrenia involves dysfunction beyond prefrontal and limbic regions, including sensory cortices. Deficits in auditory and visual processing correlate with impaired functioning.
- While past drug trials targeting glut
Copy (2) of validity and reliability of mini – arabic in
1. Validity and Reliability of
MINI – Arabic
in Addiction Disorders .
Albehairy A. MD, Sadek A MD, Ghanem M. MD, Asaad T. MD,
Sheehan D.MD, Sheehan K PhD
by
Dr. Ahmed Albehairy, M.D
Psychiatry Consultant
Ministry of Health, Egypt
4. Aim of The Work
Primary:
1- to examine the concordance
between the MINI-Arabic and the
CIDI –Arabic, and between the
Substance use modules in both
MINI PLUS-Arabic & CIDI –Arabic .
5. Aim of The Work ( cont.)
Secondary :
2- To compare the administration times of
equivalent sections of the MINI-Arabic,
MINI PLUS-Arabic, and CIDI- Arabic .
3- To assess the concordance of
MINI- Arabic and CIDI- Arabic comorbid
diagnoses in patients with substance use
disorders.
6. Aim of The Work ( cont.)
Secondary ( cont.) :
4- To assess the inter-rater and retest
reliability of the MINI-Arabic.
5- To assess the predictive value of screen
items from the long form of the patient –
rated MINI-SCREEN in establishing rated
MINI diagnoses.
10. Procedures of the Work
TRANSLATION
TRAINING
PILOT STUDY
CLINICAL HISTORY
CLINICAL DIAGNOSIS
INFORMED CONSENT
DEMOGRAPHIC INFORMATION
MINI-SCREEN RATED BY PATIENT
MINI ADMINISTERED MINI ADMINISTERED
& TIMED BY 2ND RATER ON 20 PTS
MINI PLUS MODULE ADMINISTERED & TIMED
CIDI ADMINISTRERED & TIMED
MINI READMINISTERED IN 1-2 DAYS TO 20 PATIENTS FOR RETEST
DATA ENTRY
DATA CHECKING/EDITING
DATA ANALYSIS
STATISTICAL REPORT
FINAL THESIS WRITE UP
11. Tools Applied in This Work
1- Mini International Neuropsychiatric
Interview (MINI) 5.0, The MINI SCREEN
( long form ) and MINI-PLUS 5.0.
( sheehan etal., 1997)
2- Composite International Diagnostic
Interview (CIDI), Authorized core version
1.0. ( WHO 1990 & Karam etal.,1993).
12. Statistical Analysis
- Non parametric approach.
- Validity and reliability of MINI & MINI
PLUS modules ( by Kappa, PPV,
NPV, Specificity, Sensitivity, &
Efficiency ) .
- Hot items analysis of MINI SCREEN
( by Kappa, PPV, NPV, & Efficiency ) .
14. Demographic Data
Variable PATIENTS DEPENDENCE AND ABUSE Control X2 Chi- Sig (P)
square
FREQ. % FREQ. %
Age 4.8 >0.05
14-20 years 25 21.2% 13 21.7%
21-40 years 84 71.2% 36 60%
41-65 years 9 7.6% 11 18.3%
Sex 2.27 >0.05
Male 113 95.8% 54 90%
Female 5 4.2% 6 10%
Religion 0.399 >0.05
Moslem 106 89.8% 52 86.7%
C. Orthodox 12 10.2% 8 13.3%
Marital Status 12.62 <0.05*
<0.05*
Never married 78 66.1% 35 58.3%
Engaged 4 3.4% 1 1.7%
Married 22 18.6% 23 38.3%
Separated 3 2.5% 1 1.7%
Divorced 10 8.5% 0 0
Widow 1 0.8% 0 0
Occupation 4 8.196 >0.05
Professional Managerial 3 2.5% 19 6.7%
Clerical 28 23.7% 1 31.7%
Skilled 5 4.2% 17 1.7%
Student 40 33.9% 7 28.3%
Unemployed 25 21.2% 11 11.7%
Retrieved 17 14.4% 1 18.3%
0 0 1.7%
Education 7 4.53 >0.05
Illiterate 6 5.1% 4 1.7%
1ry school 8 6.8% 8 6.7%
Preparatory 14 11.9% 4 13.3%
2ry 15 12.7% 14 6.7%
15. Validity of MINI
CONCORDANC - + Kappa Sensitivity specificity NPV ppv Efficiency
E RATINGS TN FN
FP TP
CURRENT 155 3 0.83 0.83 O.97 O.97 0.83 O.96
ALC.DEP. IN 3 17
MINI & CIDI
DSM-III
N= 178
CURRENT 153 3 0.73 0.82 O.97 O.98 O.75 O.94
ALC.DEP. IN
MINI & CIDI
ICD-10 5 17
LIFE TIME ALC. 93 8 O.55 O.86 O.73 O.93 O.57 O.77
DEP. IN MINI &
CIDI DSM-III 30 47
LIFE TIME ALC. 89 8 O.5 O.87 O.71 O.92 O.57 O.76
DEP. IN MINI &
CIDI-ICD10 34 47
CURRENT 71 3 O.73 O.96 O.83 O.95 O.86 O.73
DRUG DEP. IN
MINI & CIDI 14 90
DSM-III
16. Validity of MINI
( CONT.)
CONCORDANC - + Kappa Sensitivity specificity NPV ppv Efficiency
E RATINGS TN FN
FP TP
LIFE TIME 55 11 0.71 0.9 0.79 0.83 0.83 0.86
DRUG
DEPENDENCE 15 97
IN MINI & CIDI
ICD-10
CURRENT 167 0 0.9 1 0.98 0.94 0.83 0.99
DRUG ABUSE
IN MINI & CIDI 2 9
DSMIII
CURRENT 164 0 0.62 1 0.97 1 0.63 0.95
DRUG ABUSE
IN MINI AND 5 9
CIDI ICD-10
LIFE TIME 163 0 0.86 1 0.98 1 0.75 0.98
DRUG ABUSE
IN MINI & CIDI 4 11
DSMII
LIFE TIME 159 0 0.76 1 0.96 1 0.64 0.96
DRUG ABUSE
IN MINI AND 8 11
CIDI ICD-10
17. Validity of MINI
( CONT.)
CONCORDANC - + Kappa Sensitivity specificity NPV ppv Efficiency
E RATINGS TN FN
FP TP
COMORBID 99 1 0.84 0.97 O.88 O.98 0.84 O.92
DIAG IN MINI &
CIDI DSMIII 12 65
COMORBID 101 1 0.82 0.97 O.88 O.98 O.81 O.91
DIAG IN MINI &
CIDI ICD 10 14 62
ALC & DRUG 56 5 O.87 O.95 O.91 O.91 O.95 O.94
USE IN MINI &
CLINICAL 5 112
IMPRESSION
COMORBID 99 4 O.77 O.94 O.9 O.97 O.79 O.89
DIAG IN MINI &
CLINICAL 16 59
IMPRESSION
18. RELIABILTY OF MINI
Diagnoses ( n=118) Inter- rater Retest
(Kappa) (Kappa)
MINI 0.89 0.93
MINI PLUS ( ALCOHOL & 0.91 0.98
DRUG CURRENT)
MINI PLUS ( ALCOHOL & 0.94 0.89
DRUG LIFE TIME )
MINI PLUS ( COMORBID 0.85 0.84
PSYCHIATRIC
DISORDERS)
19. Time duration of diagnostic interviews
In Minutes Mean S.D Median Min Max
(in Min.)
MINI 14.65 ±2.19 14 11 22
MINI Plus 18.94 ±3.73 18 14 32
CIDI 45.08 ±6.09 42 24 65
MINI Plus Alcohol & Drug Module 12.29 ±2.2 12 9 24
CIDI Alcohol & Drug Module 23.75 ±4.11 23.5 18 56
MINI Control 7 ±0.49 7 5 9
MINI Plus Control 12.00 ±1.67 12 10 15
CIDI Control 24.6 ±3.16 24 21 29
MINI Retest 14.6 ±2.57 13 11 25
MINI Plus Retest 18.46 ±3.62 18 15 29
20. Over all means of concordance of MINI
SCREEN To MINI Diagnoses
Questions of MINI SCREEN Kappa NPV PPV Efficienc
Versus MINI diagnoses y
All disorder’s questions 0.55 0.54 0.96 0.86
Drug dependence qs 0.78 0.89 0.93 0.94
Suicidal qs 0.68 0.71 0.95 0.88
Major depression qs 0.7 0.73 0.9 0.86
Antisocial personality qs 0.67 0.7 0.96 0.87
Anxiety disorders qs 0.49 0.41 0.99 0.89
Somatization dis qs 0.83 0.8 0.88 0.93
21. Hot items in MINI SCREEN of
alcohol & drug use disorders
DIAGNOSES Ranked hot items related
symptoms
1- Alcohol use disorders 1- drink & drive .
2- black out .
3- have memory loss while drinking.
4-become abusive when drinking .
5- drink to intoxication ,feel guilty
about drinking.
2- Drug use disorders 1-try to cut down ,try to control drug
use.
2- have a problem because of your
drug.
Need more of drug to get high and are
any one object to your drug use.
22. Hot items in MINI SCREEN of
Comorbid Psychiatric disorders in
alcohol & drug use disorders
DIAGNOSES Ranked hot items related
symptoms
1- Major depression 1- depression
2- Anxiety disorders 1- unexpected anxiety.
2- faintness.
3- sweaty palm.
4- unsteadiness.
5- diarrhea.
6- trembling.
3-Antisocial personality 1- intimidate others.
2- threaten other.
3- bully with other
23.
24. DISCUSSION & CONCLUSION
1- MINI & precision of diagnosis in
psychiatry.
2- Sample study.
3- MINI, MINI PLUS: ( length of interview,
validity, and reliability).
4- MINI SCREEN .
5- Conclusion.
25. IMPLICATIONS
1- It is very beneficial to use MINI as a diagnostic
screening tool for psychiatric hospital
admission and out patient clinic evaluation.
2- MINI can be used as a first step in outcome
symptoms and disorders tracking, preparing for
establishing data base in substance use
disorders and management care service in
Arab world.
3. MINI Screen can be used in primary care
service.