A discordance, predominantly towards overtreatment, exists between patients’ expressed preferences for life-sustaining interventions and those documented at hospital admission. This quality improvement study sought to assess this discordance our institution. Secondary objectives were explore if internal medicine (IM) teams could identify patients who might benefit from further conversations the...

BACKGROUND In many countries in Asia, the HIV epidemic is in a concentrated phase, with high prevalence in certain risk groups, such as men who inject drugs. There is also a rapid increase of HIV among women. The latter might be due to high levels of sero-discordant couples and increasing transmission from male to female partners over time. METHODS All adult married patients initiating antire...

Evaluation of Receptor Conversion and HER2 Discordance between Primary Metastatic Breast Cancer Predictive factors

Objective: We aimed to evaluate the discordance of 5 mCi (185 MBq) I-131 whole body scan (WBS) and thyroglobulin (Tg) values at the ablation outcome control in differentiated thyroid cancer (DTC) patients who had thyroidectomy and then received radioiodine (RAI) ablation. Materials and Methods: We retrospectively evaluated 36 DTC patients who had RAI treatment in our department between 1992-200...

Bone mineral density (BMD) using dual energy radiography absorptiometry are commonly used for the diagnosis of osteoporosis. It is usually measured at the spine and also at one hip joint. Controversy still exists regarding the use of bilateral hip scanning. We analyzed the difference of BMD at bilateral hips in 384 postmenopausal women, retrospectively. The concordance and discordance rates of ...

Main decision-making problems can be described into choice, ranking or sorting of a set of alternatives or solutions. The principle of Electre TRI (ET) method is to sort alternatives ai according to criteria g j into categories Ch whose lower and upper limits are respectively bh and bh+1. The sorting procedure is based on the evaluations of outranking relations based firstly on calculation of p...

The origin of monozygotic (MZ) twins is attributed to two or more daughter cells of a single zygote undergoing independent mitotic divisions, leading to independent development and births. It provides the foundation for the assumption that the resulting twins will be genetically identical. This assumption has been used to evaluate the relative role of genes and environment for a variety of mult...