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Surgical perspectives in the management of atrial fibrillation

World Journal of Cardiology 2016年第1期8卷 41-56页

作者： Katerina Kyprianou Agamemnon Pericleous Antonio Stavrou inetzi a dimitrakaki Dimitrios Challoumas Georgios dimitrakakis Department of General Surgery North Bristol NHS trust Southmead Hospital School of Medicine Heath Park Campus Department of Cardiology Metropolitan Hospital of Athens Department of Respiratory Medicine Gloucestershire Royal Hospital Georgios dimitrakakis Department of Cardiothoracic Surgery University Hospital of Wales

Atrial fibrillation(AF) is the most common cardiac arrhythmia and a huge public health burden associated with significant morbidity and mortality. For decades an increasing number of patients have undergone surgical treatment of AF, mainly during concomitant cardiac surgery. This has sparked a drive for conducting further studies and researching this field. With the cornerstone Cox-Maze III "cut and sew" procedure being technically challenging, the focus in current literature has turned towards less invasive techniques. The introduction of ablative devices has revolutionised the surgical management of AF, moving away from the traditional surgical lesions. The hybrid procedure, a combination of catheter and surgical ablation is another promising new technique aiming to improve outcomes. Despite the increasing number of studies looking at various aspects of the surgical management of AF, the literature would benefit from more uniformly conducted randomised control trials.

关键词： Atrial fibrillation Cardiac surgery Surgical management Surgical ablation Minimally invasive

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Reliability and validity of the Strengths and Difficulties Questionnaire in Greek adolescents and their parents

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Health 2013年第11期5卷 1774-1783页

作者： George Giannakopoulos Christine dimitrakaki Kalliroi Papadopoulou Chara Tzavara Gerasimos Kolaitis Ulricke Ravens-Sieberer Yannis Tountas Centre for Health Services Research Department of Hygiene Epidemiology and Medical Statistics Athens University Medical School Athens Greece Centre for Health Services Research Department of Hygiene Epidemiology and Medical Statistics Athens University Medical School Athens Greece Department of Child Psychiatry Athens University Medical School Aghia Sophia Children’s Hospital Athens Greece Centre for Health Services Research Department of Hygiene Epidemiology and Medical Statistics Athens University Medical School Athens Greece Department of Child Psychiatry Athens University Medical School Aghia Sophia Children’s Hospital Athens Greece Faculty of Early Childhood Education Athens University School of Education Athens Greece Robert Koch Institute Child and Adolescent Health Berlin Germany

The Strengths and Difficulties Questionnaire (SDQ) is a brief screening measure of emotional and behavioural difficulties in children and adolescents. The aim of this study was to assess reliability and validity of the Greek version of the SDQ. A representative Greek sample of 1194 adolescents (aged 11 to 17 years) and their parents completed the SDQ along with other measures. Internal consistency reliability was determined by calculation of the Cronbach α coefficient. Varimax Orthogonal Transformation was conducted to test the factor structure of the questionnaire. Validity was further examined by investigating the correlation of the SDQ with the KIDSCREEN questionnaire and its association with demographic factors. The inter-rater agreement between parent and self-reports was analyzed with Pearson’s correlation coefficient. Intra-class correlation coefficients (ICCs) were computed to determine test-retest stability. For both parent and the self-report SDQ versions, most items loaded onto their predicted factors in consistency with the originally proposed five-factor structure. Internal consistency reliability was acceptable with a Cronbach α above 0.70 for all SDQ scales except for conduct and peer problems. Inter-rater correlations ranged from 0.33 to 0.45. Test-retest stability was good (ICCs > 0.60). Correlation coefficients between the SDQ and KIDSCREEN questionnaire were significant. Small effect sizes (d > 0.5) of the socioeconomic status were found for all of the SDQ scale mean scores. In conclusion, the SDQ was found to have satisfying psychometric properties and could be suitable for assessing emotional and behavioural problems in Greek adolescents.

关键词： Adolescents Emotional and Behavioural Problems Strengths and Difficulties Questionnaire Reliability Validity

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