Lifetable of colposcopy with and without adjustment

Top PDF Lifetable of colposcopy with and without adjustment:

Comparison of Screening Colposcopy with Diagnostic Colposcopy

Comparison of Screening Colposcopy with Diagnostic Colposcopy

Post- hysterectomy, pregnant, diagnosed cervical neoplasia, disabling physical as mental disease impossible to cooperate excluded from the study. About 2235 cases underwent screening colposcopy after demographic data entry. All colposcopies were done by one expert gyneco- oncologist by D.F.vasconcellos machine made in Brazil. Colposcopy was performed via 10-40 magnification with both white and green filter with and without acetic acid (3%). Logul solution was not used in these patients. Colposcopic reports were recorded in a sheet including satisfactory/

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CAMPLET:Seasonal Adjustment Without Revisions

CAMPLET:Seasonal Adjustment Without Revisions

Automatic parameter adjustment for volatile series Volatile series contain frequent but unsystematic fluctuations, that are often much larger than seasonal fluctuations. Such series may occur, for example, in company interim results such as net profit and earnings per share. Strong and unsystematic fluctuations are recognized in CAMPLET as outliers whose impact on the seasonal pattern and on the gradient is reduced by increasing the adjustment length of the series. If outliers occur frequently, a simultaneous change in the seasonal pattern and/or the overall direction of the series’ development may not be picked up. This situation may arise even more often, because the gradient is extended from the seasonally adjusted level of the new observation including the outlier. This extra- polation will be way off if the next observation is in line with the original series’
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Assessing healthcare providers' performance with and without risk adjustment

Assessing healthcare providers' performance with and without risk adjustment

At a late stage in our research, we came across the Multipurpose Australian Comorbidity Scoring System (MACSS). The MACSS has been developed and adapted for adjustment of comorbidity risk. It MACSS uses 102 comorbid conditions. Furthermore, it was recently adapted for the ICD10-AM [62]. This clinical classification is not exhaustive. Given our Australian datasets, we wanted to compare its performance with the HHS-HCC. Nonetheless, our technological constraints were still an unavoidable hurdle. Even if the MACSS indeed performed better than the HHS-HCC, we would not have been able to use it due to the computational time needed.
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Marital Adjustment and Quality of Life in Couples with and without an Alcoholic Husband

Marital Adjustment and Quality of Life in Couples with and without an Alcoholic Husband

This study has revealed poor marital adjustment and quality of life in both partners of an alcohol-complicated relationship when compared to a matched reference group o[r]

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Progress in labour after colposcopy treatment

Progress in labour after colposcopy treatment

In a more holistic study by Vande-Vusse (1999a), mothers identify 13 Ps. They include the above three and nine others. Place of birth and Position choice of the mother, are two of these and are self-explanatory. Physiology, the other sensations felt as part of sympathetic nervous system responses to the intensity of labour e.g. vomiting and large muscle shaking, is another. Psychology of the mother is a powerful influence and is demonstrated when women decide to take control with their minds, or wills, and deliver their baby. People are also identified, other people present, friends, other labouring women etc as support for the woman. Women also identify the Politics of the social norms, as expressed in childbirth videos (no noise etc), and Pressure, denoted by feelings of not being involved in decision-making. Procedures performed by midwives are identified by women, as contributing to the control of women's labours. Also identified are Professional providers as agents of control and as essential factors affecting labour. Preparation by the mother is also identified, with women identifying themselves as active agents of control. Without knowledge of how LETZ affects labour, how is it possible for women to be properly prepared for labour?
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Colposcopy and Treatment of Cervical Intraepithelial Neoplasia:

Colposcopy and Treatment of Cervical Intraepithelial Neoplasia:

taking colposcopically directed biopsies from appropriate area(s) in the transformation zone by using sharp biopsy forceps without crushing specimens. If the squamocolumnar junction is hidden in the endocervical canal, it is necessary to perform endocervical curettage (ECC) or cone biopsy in order to investigate the canal properly. It is obligatory to wait for 60 seconds after a liberal application of acetic acid for it to take full effect. Specific mention should be made of the location of the squamocolumnar junction and the acetowhite areas in relation to the junction. Careful inspection of the vagina should also be made for any extension of cervical lesions. It is best to examine the vagina when the speculum is being withdrawn at the end of each examination. Findings must be clearly and legibly documented. Using an objective scoring system such as Reid’s score (Appendix 5) is particularly helpful for beginners to arrive at a colposcopic diagnosis and to select appropriate sites for directed biopsies. Continuing education is important to enable the colposcopist to keep up with developments. Avoidance of missing or undertreating an invasive cancer and ensuring the provision of adequate treatment is largely dependent on the skills of the colposcopist.
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comparison of social adjustment in mothers with and without of educable mentally retarded daughter

comparison of social adjustment in mothers with and without of educable mentally retarded daughter

Introduction: In this research, comparison of social adjustment in mothers of educable mentally retarded daughter mothers of normal daughter has been investigated. The purpose of this study was whether or not having mentally retarded child has a negative effect on social adjustment of mothers.

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Robust selective stereo SLAM without loop closure and bundle adjustment

Robust selective stereo SLAM without loop closure and bundle adjustment

Keywords: SLAM, Structure from Motion, RANSAC, feature match- ing, frame selection. 1 Introduction The interest for visual Simultaneous Localization and Mapping (SLAM) has been increasingly growing in the computer vision community during the last few years. The main goal of SLAM is to simultaneously estimate both the camera positions and a geometrical 3D representation of the environment with real-time constraints [3]. Early SLAM implementations were based on probabilistic frame- works [4,16], and employed Bayesian filtering techniques, such as the Extendend Kalman Filter (EKF), to couple together in the same process the 6 DoF cam- era positions and all the 3D points, incrementally updated. Later, alternative SLAM implementations were proposed [17], influenced by the Structure from Motion (SfM) paradigm. These approaches exploit the epipolar geometry con- straints to first estimate the camera positions and the 3D map, in general by using the RANdom SAmple Consensus (RANSAC) paradigm [5, 8]. Successive refinement steps by iterative non-linear optimization techniques, such as bun- dle adjustment [21], over a selected sub-set of frames (keyframes) are used to minimize the global error. This allows separating pose estimation from 3D map computation, thus efficiently decoupling the process flows, as 3D structure needs not be optimized at each pose update but only when needed [11].
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A prospective randomized study on limits of colposcopy and histology: the skill of colposcopist and colposcopy-guided biopsy in diagnosis of cervical intraepithelial lesions

A prospective randomized study on limits of colposcopy and histology: the skill of colposcopist and colposcopy-guided biopsy in diagnosis of cervical intraepithelial lesions

The value of multiple or random cervical biopsies at the time of colposcopy for evaluation of an abnormal cy- tology has been discussed in the last decades. The num- ber of specimens seems to influence the sensitivity of the diagnosis on cervical biopsies. The proportion of women with CIN 2 or worse increased when multiple random cervical biopsies in quadrants without lesions were performed [27]. Zuchna C. et al. [29] showed that two biopsies achieved a highly significant improvement in agreement between punch biopsy and cone specimen in comparison to one biopsy. On the contrary, in our Table 2 Histological diagnosis of specimen A and B resulted from the routine analysis and from the revision analysis performed by an experienced gynecologic pathologist
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Detection of Cervical Infections in Colposcopy Clinic Patients

Detection of Cervical Infections in Colposcopy Clinic Patients

No reported studies of HHV-7 have looked at the correla- tion among HHV-7 infection, CIN grade, and HPV types. We found that samples containing a moderate-risk HPV type and HHV-7 were more likely to be CIN 3 than were samples without any herpesvirus infection. If HPV testing is to be introduced to aid cervical cancer screening, HHV-7 positivity, particularly if detected with a moderate-risk HPV type, may identify a group of patients at additional risk.

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Role of Colposcopy after Treatment for Cervical Intraepithelial Neoplasia

Role of Colposcopy after Treatment for Cervical Intraepithelial Neoplasia

Finland has a very good track record in preventing cervical cancer, with an efficient nationwide organized screening program since the 1963. This program includes colposcopy in a major role in diagnosis, treatment, and follow-up of cervical dysplasia. Thus, the Finnish Guidelines have been very cautious to make any major changes in the practices without good evidence. The results are based on a prospective cohort setting and recruitment from everyday clinical practice from a single referral center, thus making our results generalizable. Colposcopies were performed by certified colposcopists and all of the samples were analyzed in a single referral laboratory.
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An audit of Colposcopy referrals from a GU/STD clinic

An audit of Colposcopy referrals from a GU/STD clinic

Cytological analysis of cervical smears satisfies most of the Wilson and Junger principles for a screening programme as cervical cancer is prevalent in the community; its natu- ral history is reasonably well understood, with a believed long latency period from HPV infection to invasive dis- ease. Treatment at an early stage is advantageous for the patient and the community, and adequate facilities are available for the diagnosis and treatment of abnormalities identified. However, the Pap cervical smear is not without its problems with sensitivity of ~55% but regular screen- ing may account for the success of the programmes. Prob- lems with this programme have been noted; high risk women have not attended, false negative results (18.5–48%) have been noted. A high grade abnormality does not automatically mean a high grade lesion or visa versa.
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Women's colposcopy experience and preferences: a mixed methods study

Women's colposcopy experience and preferences: a mixed methods study

have their most favourable or least favourable option present. This extreme is undesirable in the questionnaire because it causes the non-completion rate of the question- naire to increase; this happens because where all options are optimised or minimised people find it difficult to choose the worst of all good choices or the best of all bad choices. Only fully completed questionnaires will be ana- lysed so this difficulty associated with completion would impact upon analysis. Therefore, to overcome the non- completion issue the matrix can be transformed using modulo arithmetic to a form without extreme scenarios.
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One year costs of medical admissions with and without a 30 day readmission and enhanced risk adjustment

One year costs of medical admissions with and without a 30 day readmission and enhanced risk adjustment

The value of 30-day readmissions as a performance measure depends upon the extent to which risk adjust- ment is able to “make comparable” at the time of the index hospital admission those that are readmitted within 30 days and those that are not. For, only if the two groups are comparable at the time of admission is it reasonable to penalize the hospital for the readmission. To evaluate the adequacy of risk adjustment when analyzing 30-day re- admission rates, in this paper we take a novel approach that as far as we know has not been used before: specific- ally, we examine the longer term costs (one-year costs) of those readmitted within 30 days and those not after ex- cluding the costs of the readmission. If risk adjusted longer-term costs are same in the readmitted and not re- admitted groups, it suggests the groups are comparable with the exception of the readmission. This finding would provide strong support for the validity of 30-day readmis- sions as a performance measure. If longer-term costs differ between the two groups, there are two possible ex- planations: 1) a hospital error or deficiency in practice (e.g., inadequate discharge planning) has long-term cost implications; or, 2) there are still important unmeasured risk factors (e.g., unmeasured patient severity). To the ex- tent costs associated with the first explanation tend to be of a short-term nature, longer-term differences in costs
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A Population-Based Study of the Behavioral and Emotional Adjustment of Older Siblings of Children with and without Intellectual Disability

A Population-Based Study of the Behavioral and Emotional Adjustment of Older Siblings of Children with and without Intellectual Disability

The Goudie et al. (2013), Emerson and Giallo (2014) and Neely-Barnes and Graff (2011) studies explored disabilities defined broadly and did not focus specifically on ID. The latter two studies do indicate the importance of exploring al- ternative factors that may affect sibling outcomes either direct- ly or that may be associated with having a disabled brother or sister. In particular, socio-economic deprivation and economic factors affecting families are key variables. Emerson and Giallo (2014) also included maternal mental health in the var- iables they examined (as would likely be important from a family systems perspective), but the other population-based studies did not. Thus, there is still no population-based analy- sis of siblings of children with ID from a dataset that also allows the exploration of the impact of a number of correlates of sibling outcomes and examined for their independent ef- fects. Furthermore, the three existing population based studies differ in their findings. Therefore, further work is needed not only with an ID focus, but to understand more about correlates of sibling behavioral and emotional adjustment.
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A population based study of the behavioral and emotional adjustment of older siblings of children with and without intellectual disability

A population based study of the behavioral and emotional adjustment of older siblings of children with and without intellectual disability

The Goudie et al. (2013), Emerson and Giallo (2014) and Neely-Barnes and Graff (2011) studies explored disabilities defined broadly and did not focus specifically on ID. The latter two studies do indicate the importance of exploring al- ternative factors that may affect sibling outcomes either direct- ly or that may be associated with having a disabled brother or sister. In particular, socio-economic deprivation and economic factors affecting families are key variables. Emerson and Giallo (2014) also included maternal mental health in the var- iables they examined (as would likely be important from a family systems perspective), but the other population-based studies did not. Thus, there is still no population-based analy- sis of siblings of children with ID from a dataset that also allows the exploration of the impact of a number of correlates of sibling outcomes and examined for their independent ef- fects. Furthermore, the three existing population based studies differ in their findings. Therefore, further work is needed not only with an ID focus, but to understand more about correlates of sibling behavioral and emotional adjustment.
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Stepwise confidence intervals without multiplicity adjustment for dose response, multiple endpoints, and toxicity studies

Stepwise confidence intervals without multiplicity adjustment for dose response, multiple endpoints, and toxicity studies

1 Stepwise Condence Sets without Multiplicity Adjustment Suppose data Y has a distribution determined by the parameter 2 ; the parameter space, and 2 ci ; i = 1 ;:::;m; are multiple comparison inferences of interest. For example, suppose = ( 1 ;:::; k ) ; a vector of mean eects of k treatments, where 1 is the mean of the control. Then in one-sided comparisons with the control where signicant dierence inference is of interest (as in dose response studies, for example), the desired inferences are i > 1 + where denes practical signicant dierence, so ci = f i ? 1 > g , i = 2 ;:::;k: In multiple comparisons with the control where practical equivalence inference is of interest (as in toxicity studies, for example), if i and 1 can be considered practically equivalent when 1 < i ? 1 < 2 ; then ci = f 1 < i ? 1 < 2 g , i = 2 ;:::;k: Such multiple comparisons do not need multiplicity adjustment in some situations. One such situation occurs when it is desirable to give the inferences in a specied order, and failure to achieve the desired inference at any step renders subsequent comparisons unnecessary.
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An efficient method to generate a perturbed parameter ensemble of a fully coupled AOGCM without flux-adjustment

An efficient method to generate a perturbed parameter ensemble of a fully coupled AOGCM without flux-adjustment

This study presents the methodology and some initial results from a perturbed parameter ensemble (PPE) of a non-flux adjusted, fully-coupled CMIP3-era GCM. The purpose has been to create a modestly-sized PPE to explore the effects of parametric uncertainty on climate and paleo-climate exper- iments. 200 different versions of the HadCM3 model were generated with 8 continuous parameters varied. 21 ensemble members of the HadCM3 model (Gordon et al., 2000), in- cluding the standard configuration, were selected from these 200 using an estimation of the equilibrium pre-industrial temperature to constrain the ensemble, i.e. models with pro- jected temperatures within 13.6 ± 2 ◦ C were kept (Brohan et al., 2006; Jones et al., 1999). However, an additional 6 members which were projected to be within the target tem- perature range were either warmer or colder after the 800 yr control than the target temperature range and thus were ex- cluded from the ensemble. Despite the ocean not reaching equilibrium after 800 yr the pre-industrial control surface cli- matology of the ensemble compares well on the whole to the ERA-40 dataset and the CMIP3 ensemble, except in the Tropics for some members (Meehl et al., 2007b). We find that not using flux-adjustment and instead constraining our en- semble on the pre-industrial equilibrium temperature has not led to a serious curtailment of parameter space as has been suggested previously (Collins et al., 2006). Applying the en- semble to a quadrupled CO 2 experiment reinforced earlier
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Comparing the effect of referral intervals on the severity of dysplasia at the colposcopy clinic

Comparing the effect of referral intervals on the severity of dysplasia at the colposcopy clinic

count was lower in women with dysplasia compared to those without (142 vs. 170 cells/mm 3 ; P=0.04) (39). In this study we were not able to control for ART use, duration of ART use and CD4 count. Of the HIV positive women, 41.81% were already on ART’s. This is a high proportion, considering that national ART ‘roll-out’

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HPV testing in the follow-up of women post colposcopy treatment

HPV testing in the follow-up of women post colposcopy treatment

In most cases, HPV is passed on by direct skin to skin contact during vaginal, anal, or oral sex with someone who has been infected with HPV. Most women who are sexually active will have HPV at some time. In most cases, the virus does not cause any problems and disappears naturally over time. The virus has no symptoms so women can have it for many years without knowing about it.

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