Valuing Reliability Indices of Composite Embedded Systems

Assessing Stressors Related to Migration in Patients With Psychiatric Disorders

European Journal of Psychological Assessment ◽

10.1027/1015-5759/a000106 ◽

2012 ◽

Vol 28 (4) ◽

pp. 262-269 ◽

Cited By ~ 5

Author(s):

Matthias Johannes Müller ◽

Suzan Kamcili-Kubach ◽

Songül Strassheim ◽

Eckhardt Koch

Keyword(s):

Interrater Reliability ◽

Item Analysis ◽

Global Assessment Of Functioning ◽

Family Conflicts ◽

Response Options ◽

Reliability Indices ◽

Dsm Iv ◽

Functional Relevance ◽

Sum Scores ◽

Gaf Scores

A 10-item instrument for the assessment of probable migration-related stressors was developed based on previous work (MIGSTR10) and interrater reliability was tested in a chart review study. The MIGSTR10 and nine nonspecific stressors of the DSM-IV Axis IV (DSMSTR9) were put into a questionnaire format with categorical and dimensional response options. Charts of 100 inpatients (50 Turkish migrants [MIG], 50 native German patients [CON]) with affective or anxiety disorder were reviewed by three independent raters and MIGSTR10, DSMSTR9, and Global Assessment of Functioning scale (GAF) scores were obtained. Interrater reliability indices (ICC) of items and sum scores were calculated. The prevalence of single migration-related stressors in MIG ranged from 15% to 100% (CON 0–92%). All items of the MIGSTR10 (ICC 0.58–0.92) and the DSMSTR9 (ICC 0.56–0.96) reached high to very high interrater agreement (p < .0005). The item analysis of the MIGSTR10 revealed sufficient internal consistency (Cronbach’s α = 0.68/0.69) and only one item (“family conflicts”) without substantial correlation with the remaining scale. Correlation analyses showed a significant overlap of dimensional MIGSTR10 scores (r² = 0.25; p < .01) and DSMSTR9 scores (r² = 9%; p < .05) with GAF scores in MIG indicating functional relevance. MIGSTR10 is considered a feasible, economic, and reliable instrument for the assessment of stressors potentially related to migration.

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ASSESSMENT OF ANATOMICAL & FUNCTIONAL SUCCESS IN EXTERNAL DACRYOCYSTORHINOSTOMY BY AIR BUBBLE TEST

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v3i9.535 ◽

2019 ◽

Vol 3 (9) ◽

Author(s):

Dr. Vikas Tantuway

Keyword(s):

Case Series ◽

Invasive Procedure ◽

Nasolacrimal Duct ◽

Good Tool ◽

Predictive Values ◽

Reliability Indices ◽

Air Bubble ◽

Bubble Test ◽

External Dacryocystorhinostomy ◽

Anatomical Success

Aim: To assess reliability indices of Air Bubble Test (ABT) for anatomical and functional success in external Dacryocystorhinostomy (DCR). Methods: Prospective case series of nasolacrimal duct obstruction underwent DCR. Functional success defined as Munk score 0 & 1 & anatomical success as free irrigation at followup.ABT performed by putting antibiotic drops into eye& asking patient to exhale while keeping nose & mouth closed. Formation of bubbles at punctum considered as positive test. Specificity, sensitivity, positive & negative predictive values calculated. Results: There were 103 DCR in 97 patients(23 male,74 female)with mean age 45.56 yr. Anatomical and functional success was 99.02% & 98.05%, respectively.ABT showed sensitivity 96.07%, specificity 100% for anatomical success after DCR. Sensitivity and specificity were 97.02% & 100% for functional success. Conclusion: As non-invasive procedure ABT is a good tool to assess success of DCR, though lacrimal syringing remains the gold standard. Keywords: Anatomical, Dacryocystorhinostomy & Air Bubble Test.

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