This document discusses traumatic brain injury (TBI) outcomes and prognostic scoring models. It notes that severe TBI mortality is around 50% globally and 35-50% in Indonesia. The author's hospital sees over 2000 TBI cases per year, with 30% being severe. The document examines the Glasgow Coma Scale (GCS), Revised Trauma Score (RTS), and Marshall CT scan classification systems for predicting TBI outcomes. A study of 181 TBI patients found that combining the RTS and Marshall scores into a new modified score had higher sensitivity and accuracy than either system alone in predicting 6-month outcomes based on the Glasgow Outcome Scale. The modified score could be a useful early detection tool for unfavorable
Professor Saithna's presentation at ISKSAA 2018, Leeds, UK, focusing on current concepts in the surgical management of anterior cruciate ligament injuries in the elite athlete.
Tea is no longer the gold standard for major abdominal eras casesJeffGadsden
My "con" side of a debate at the Anesthesiology 2019 annual meeting in Orlando, FL against Dr. Ed Mariano (@EMARIANOMD). Some of this is tongue-in-cheek, but the bottom line is that some fascial plane blocks seem to provide equivalent analgesia to thoracic epidurals without the hassle and side-effects, especially hypotension.
Ponencia realizada por el Dr. Montalescot y presentada por el Dr. Manuel Sabaté en la Reunión EuroIMAT 2020, celebrada en Barcelona (20 y 21 de febrero de 2020).
Professor Saithna's presentation at ISKSAA 2018, Leeds, UK, focusing on current concepts in the surgical management of anterior cruciate ligament injuries in the elite athlete.
Tea is no longer the gold standard for major abdominal eras casesJeffGadsden
My "con" side of a debate at the Anesthesiology 2019 annual meeting in Orlando, FL against Dr. Ed Mariano (@EMARIANOMD). Some of this is tongue-in-cheek, but the bottom line is that some fascial plane blocks seem to provide equivalent analgesia to thoracic epidurals without the hassle and side-effects, especially hypotension.
Ponencia realizada por el Dr. Montalescot y presentada por el Dr. Manuel Sabaté en la Reunión EuroIMAT 2020, celebrada en Barcelona (20 y 21 de febrero de 2020).
COMPARES OPTIMAL MEDICAL THERAPY WITH INVASIVE THERAPY IN A PATIENT WITH STABLE ISCHEMIC HEART DISEASE WITH MODERATE TO SEVERE MYOCARDIAL ISCHEMIA ON NON INVASIVE STRESS TESTING
Ultrasound for Acute Pulmonary Embolus: Leanne HartnettSMACC Conference
Leanne Hartnett is a massive fan of bedside ultrasound. Here, she tells a story of using ultrasound for the diagnosis of acute pulmonary embolus and the decision-making process for management.
This is the story of a 65-year-old man who was brought into the Emergency Department with acute shortness of breath and chest tightness. This was on a background of motor neuron disease, due to which he was confined to a wheelchair.
Despite this he reported a good quality of life. He enjoyed getting out and about with his wife, spending time with his family and reading the newspaper. In saying this, he was aware of the seriousness of his disease, and did not want any invasive treatments or CPR.
The history and examination were unremarkable, although Leanne’s clinical suspicion of a pulmonary embolism was still high. She wanted to order a CT pulmonary angiogram. However her patient was sure he would not tolerate laying flat for that length of time.
So, Leanne wheeled over the ultrasound machine.
Despite the technical difficulties of the task, Leanne was able to obtain reasonable images of her patient’s cardiac structures and function.
A parasternal long axis view showed a right ventricle doing not too much. A parasternal short axis view demonstrated a big right ventricle and small left ventricle. It also demonstrated an intraventricular septum that was flattening in diastole. Finally, an apical four chamber view showed a big hyperdynamic right ventricle and something flicking about in the right atrium.
It was a cord like thrombus! Leanne was thrilled that she had been able to diagnose the patient using history, examination, and echocardiogram alone.
Next, Leanne sought a colleague to discuss the situation and to review the literature of the different treatment modalities for right heart thrombus in transit.
They determined that the literature suggested the best outcomes in terms of probability of survival was better with thrombolysis or embolectomy compared to anticoagulation. Armed with the correct diagnosis, and a evidence based treatment Leanne was able to successfully manage this patient.
Her message is that patients who present with pulmonary embolism and right heart strain are high risk. Thrombolysis and embolectomy are both effective strategies. Finally, basic echocardiogram skills can make a massive difference to your patients.
Ponencia realizada por el Dr. Montalescot y presentada por el Dr. José Antonio Gómez Hospital en la Reunión EuroIMAT 2020, celebrada en Barcelona (20 y 21 de febrero de 2020).
Paper Presented On EECP Treatment Efficacy In Heart Failure In The American C...Heal Your Heart
The American College of Cardiology, due to the circumstance and gravity of the COVID-19 situation and its many impacts on the entire health care community, has canceled the Annual cardiology conference 2020 in Chicago. The ACC.20/WCC has made the conference Virtual from 28th to 30th March 2020. As such, all live sessions are made available along with access to new videos, abstracts, and slides.
Dr.S.Ramasamy, a research fellow of Chettinad Hospital & Research Institute and director of heal your heart, presented the virtual poster presentation 0n 29th March.
https://www.healurheart.com/eecp-press-release/paper-presented-on-enhanced-external-counter-pulsation-eecp-treatment/363
Un nuevo horizonte en el tratamiento de las dislipemias
14/09/15 18:00h-19:30h Casa del Corazón (Madrid)
http://objetivoLDL.secardiologia.es
#objetivoLDL
Abordaje terapéutico de la dislipemia en el paciente con enfermedad renal crónica
Dr. Jesús Egido de los Ríos, Jefe Servicio Nefrología e Hipertensión Fundación Jiménez Díaz (Madrid)
XXVII Reunión anual de la sección de Hemodinámica y Cardiología Intervencionista
16 y 17 de junio de 2016 León
http://secardiologia.es/xxvii-reunion-anual-de-la-seccion-de-hemodinamica-y-cardiologia-intervencionista
Novedades en farmacología en intervencionismo
Antonio Fernández Ortiz (Hosp. Clínico San Carlos. Madrid)
Preliminary Evaluation of Clinical and Angiographic
Outcomes with Biodegradable Polymer Coated
Sirolimus-Eluting Stent in De Novo Coronary Artery Disease: Results of the MANIPAL-FLEX Study
COMPARES OPTIMAL MEDICAL THERAPY WITH INVASIVE THERAPY IN A PATIENT WITH STABLE ISCHEMIC HEART DISEASE WITH MODERATE TO SEVERE MYOCARDIAL ISCHEMIA ON NON INVASIVE STRESS TESTING
Ultrasound for Acute Pulmonary Embolus: Leanne HartnettSMACC Conference
Leanne Hartnett is a massive fan of bedside ultrasound. Here, she tells a story of using ultrasound for the diagnosis of acute pulmonary embolus and the decision-making process for management.
This is the story of a 65-year-old man who was brought into the Emergency Department with acute shortness of breath and chest tightness. This was on a background of motor neuron disease, due to which he was confined to a wheelchair.
Despite this he reported a good quality of life. He enjoyed getting out and about with his wife, spending time with his family and reading the newspaper. In saying this, he was aware of the seriousness of his disease, and did not want any invasive treatments or CPR.
The history and examination were unremarkable, although Leanne’s clinical suspicion of a pulmonary embolism was still high. She wanted to order a CT pulmonary angiogram. However her patient was sure he would not tolerate laying flat for that length of time.
So, Leanne wheeled over the ultrasound machine.
Despite the technical difficulties of the task, Leanne was able to obtain reasonable images of her patient’s cardiac structures and function.
A parasternal long axis view showed a right ventricle doing not too much. A parasternal short axis view demonstrated a big right ventricle and small left ventricle. It also demonstrated an intraventricular septum that was flattening in diastole. Finally, an apical four chamber view showed a big hyperdynamic right ventricle and something flicking about in the right atrium.
It was a cord like thrombus! Leanne was thrilled that she had been able to diagnose the patient using history, examination, and echocardiogram alone.
Next, Leanne sought a colleague to discuss the situation and to review the literature of the different treatment modalities for right heart thrombus in transit.
They determined that the literature suggested the best outcomes in terms of probability of survival was better with thrombolysis or embolectomy compared to anticoagulation. Armed with the correct diagnosis, and a evidence based treatment Leanne was able to successfully manage this patient.
Her message is that patients who present with pulmonary embolism and right heart strain are high risk. Thrombolysis and embolectomy are both effective strategies. Finally, basic echocardiogram skills can make a massive difference to your patients.
Ponencia realizada por el Dr. Montalescot y presentada por el Dr. José Antonio Gómez Hospital en la Reunión EuroIMAT 2020, celebrada en Barcelona (20 y 21 de febrero de 2020).
Paper Presented On EECP Treatment Efficacy In Heart Failure In The American C...Heal Your Heart
The American College of Cardiology, due to the circumstance and gravity of the COVID-19 situation and its many impacts on the entire health care community, has canceled the Annual cardiology conference 2020 in Chicago. The ACC.20/WCC has made the conference Virtual from 28th to 30th March 2020. As such, all live sessions are made available along with access to new videos, abstracts, and slides.
Dr.S.Ramasamy, a research fellow of Chettinad Hospital & Research Institute and director of heal your heart, presented the virtual poster presentation 0n 29th March.
https://www.healurheart.com/eecp-press-release/paper-presented-on-enhanced-external-counter-pulsation-eecp-treatment/363
Un nuevo horizonte en el tratamiento de las dislipemias
14/09/15 18:00h-19:30h Casa del Corazón (Madrid)
http://objetivoLDL.secardiologia.es
#objetivoLDL
Abordaje terapéutico de la dislipemia en el paciente con enfermedad renal crónica
Dr. Jesús Egido de los Ríos, Jefe Servicio Nefrología e Hipertensión Fundación Jiménez Díaz (Madrid)
XXVII Reunión anual de la sección de Hemodinámica y Cardiología Intervencionista
16 y 17 de junio de 2016 León
http://secardiologia.es/xxvii-reunion-anual-de-la-seccion-de-hemodinamica-y-cardiologia-intervencionista
Novedades en farmacología en intervencionismo
Antonio Fernández Ortiz (Hosp. Clínico San Carlos. Madrid)
Preliminary Evaluation of Clinical and Angiographic
Outcomes with Biodegradable Polymer Coated
Sirolimus-Eluting Stent in De Novo Coronary Artery Disease: Results of the MANIPAL-FLEX Study
Impact of access site on bleeding and ischemic events in patients with non-ST-segment elevation myocardial infarction treated with prasugrel at the time of percutaneous coronary intervention or as pretreatment at the time of diagnosis: the ACCOAST access substudy
Novedades en Cardiopatía Isquémica en los principales congresos del año
24/11/15 18:00h - 20:00h Casa del Corazón, Madrid
Intervencionismo en Cardiopatía Isquémica
Dr. Iván Núñez Gil, Hospital Universitario Clínico San Carlos (Madrid)
SOLACI Chile Congress 2011. Dr.Ajay Kirtane. Drug-Eluting Stents for Multivessel PCI: Indications and Outcomes. Find more presentations on the web site: www.solaci.org/
Excelencia en el Manejo del Síndrome Coronario Agudo.
Cambiando el paradigma de tratamiento de los pacientes con Cardiopatía Isquémica.
15/04/2015 18:00h - 20:00h Casa del corazón. Sociedad Española de Cardiología
http://cvvt.secardiologia.es
Antiagregación en los pacientes con Cardiopatía Isquémica
Dr. Héctor Bueno Zamora. Hospital General Universitario Gregorio Marañón (Madrid)
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
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These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
1. Anne Saputra
Mahadewa TG, Golden N
Department of Surgery, Faculty of Medicine Udayana University
Sanglah General Hospital, Bali
2. Traumatic Brain
Injury (TBI)
Severe TBI mortality 50%
(Bullock 2011)
Indonesia: (RSCM, PERDOSSI
2009)
Severe 35-50%
Moderate 5-10%
RSUP Sanglah, Bali:
• > 2000 cases a year
• 30% severe TBI
DECISION OF SURGERY ?
• Do I need to operate?
• When should to operate?
Prognostic score model
ANATOMICAL &
PHYSIOLOGICAL
5. Statistic
RTSc = 0.9368 GCSc + 0.7326 SBPc + 0.2908 RRc
Chawda, M.N. 2004. Predicting Outcome After Multiple Trauma: Which Scoring System? The International Journal of The Care of The
Injured; 35: 347-358.
6. Statistic
Winn, R. 2017. Youmans & Winn Neurological Surgery (7th ed) in Clinical pathophysiology of traumatic brain injury
8. Prognosis TBI
PHYSIOLOGY:
• GCS
• Hypotension
• Hypoxia
ANATOMY:
Imaging Brain CT scan
RTS Marshall
Both have correlation with outcome
1. COMBINATION???
2. Improved Outcome???
9. Prospective observational approved by Committee
of ethical study on 181 patients at ER dept in
2017
• Eligible patients of Moderate/Severe TBI
• Both Marshall & RTS were recorded in the first
60 min
• Exclude: Respiratory, cardiogenic, neoplasma
and multiple trauma
• Outcome: GOS 6 months
Analyzed using SPSS 16.0, p<0.05
18. END POINT:
1. Combination results in higher sensitivity
and proved to increase validity in predicting
outcomes
2. Combination has a correlation
NEW modified score prognostic
19. Used for early detection of
unfavourable outcomes
RTS 10 dan CT Scan Marshall 2
An easy-to-use modified trauma score
on triage setting (accurate, simple,
applicable and reliable)
TBI is major global public health problem, with high mortality and morbidity incidence a year.
TBI associated with long-term physical, cognitive, and psychological disturbances as quality of life.
Trauma is a time-sensitive condition
Easy-to-use trauma scoring systems inform physicians of the severity of the trauma in patients and help them to decide
There is prognostic analysis, the modifiedable factors to prevent secondary brain injury.
Those are: Physiological factors (SBP, Hipoxia and Hipotermia).
Anatomical
Revised Trauma Score (RTS). It uses three specific physiologic parameters: Glasgow Coma Scale (GCS), blood pressure, and respiration rate.
RTS telah banyak digunakan pada trauma center, dan diyakini mampu meramalkan probability of survival pada kasus trauma.
Dengan semakin tinggi nilai RTS, makan semakin besar probability of survival
Neuroimaging is essential in defining the anatomical extent and structural damage of intracranial injury and managing patients with acute brain injury.
Marshall used as International guidelines on prognosis include this classification as a major predictor of outcome
A single predictor has been widely used in trauma and provides an overview of the patient’s prognosis.
There is no single score is perfect, each has its own limitation.
Combination is expected to minimize it.
Based on this ROC (Receiver Operating Characteristic) analysis to assess the ability of the prediction of RTS in predicting outcomes, assessed based on the Area Under the Curve (AUC).
a curve is formed below the diagonal line, which means that the lower the value of the parameter then the chances of getting a higher unfavourable outcomes Interpretation of the ROC curve,
Formed diagonal line on these curves in the get AUC amounting to 02542, This means that a low RTS has a good ability to predict unfavourable outcomes.
The best cut point is determined based on the coordinates of the line furthest from the diagonal and in the get RTS <=10, Marshall <=2
Hasil Penggabungan:
Kemampuan menunjukan secara akurat dicerminkan dengan sensitive-spesif
Skrining ideal memiliki sensi – spesi tinggi: VALIDITAS tinggi
SENsitifitas: Kemampuan menunjukkan, berapakah yang benar memiliki unfavorable outcome dari seluruh populasi yang unfavourable outcome
Spesif : Kemampuan menunjukan FAV pada populasi FAVourable
NPP : kemampuan meramalkan , benar2 unfavorable
NPN: kemampuan meramalkan, benar2 FAV
Suatu skoring memiliki kelebihan dan kekurangan masing-masing
Penggabungan akan lebih meningkatkan kemampuan dan memperkecil kekurangan dari sebuah skoring
Terbukti pada penelitian ini!
Pearson’s correlation formula proved that RTS has a positive correlation to Marshall.
logistic regression model of RTS and MCTC, a formula can be generated by combining both scores
kemampuan prediksi penggabungan memberikan hasil prediksi yang telah terbukti baik,
dilanjutkan dengan mencari korelasi atau kekuatan hubungan
Arah korelasi dikatakan searah apabila nilai r positif.
Korelasi dikatakan bermakna antara kedua variabel yang diuji apabila nilai p<0,05
Koefisien beta menunjukkan seberapa besar outcome bila MODIF meningkat
koefisien determinasi menunjukkan seberapa UNFAV dapat diprediksi oleh MODIF
y = a + (b1.x1) + (b2.x2)
Berdasar kedua hasil Analisa tersebut di dapatkan nilai koefisien determinasi (R2) 0.3345
dirumuskan PROGNOSTIK SKORING BARU
modified RTS-Marshall skor sebagai berikut.
Skrining awal/deteksi dini -> dapat memprediksi hasil akhir, sebelum muncul tanda dan gejala komplikasi.
Treatment lebih awal
outcome lebih baik.
Salah satu syarat tes skrining : Akurat dan Reabilitas
Akurat -> menunjukkan sejauh mana hasil skrining sesuai dengan kenyataan
Reabilitas -> standarisasi pengujian, jika pengukuran dilakukan berulang kali hasil yang diperoleh tidak jauh berbeda : Sensitif-Spesifi-NPP-NPN
Syarat skrining baik: akurat, Simple, applicable, reliable