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ObjectiveTo evaluate the interobserver variability in the assignment of the American Society of Anesthesiologists Physical Status Classification (ASA-PSC) to compromised small animal patients amongst a group of veterinary anaesthetists.Study designAnonymous internet survey.AnimalsHypothetical case presentations.MethodsSixteen hypothetical small animal cases with differing degrees of physiological or patho-physiological compromise were presented as part of an internet survey. Respondents were asked to assign a single ASA-PSC to each case and also to answer a number of demographic questions. ASA-PSC scores were considered separately and then grouped as scores of I–II and III–V. Agreement was analysed using the modified kappa statistic for multiple observers. Data were then sorted into various demographic groups for further analysis.ResultsThere were 144 respondents of which 60 (~42%) were anaesthesia diplomates, 24 (~17%) were post-residency (nondiploma holders), 24 (~17%) were current anaesthesia residents, 21 (~15%) were general practitioners, 12 (~8%) were veterinary nurses or technicians, and 3 (~2%) were interns. Although there was a majority agreement (>50% in a single category) in 15 of the 16 cases, ASA-PSC were spread over at least three ASA-PS classifications for every case. Overall agreement was considered only fair (κ = 0.24, mean ± SD agreement 46 ± 7%). When comparing grouped data (ASA-PSC I–II versus III-V) overall agreement remained fair (κ = 0.36, mean ± SD agreement 69 ± 19%). There was no difference in ASA-PSC assignment between any of the demographic groups investigated.Conclusions and clinical relevanceThis study suggests major discrepancies can occur between observers given identical information when using the ASA-PSC to categorise health status in compromised small animal patients. The significant potential for interobserver variability in classification allocation should be borne in mind when the ASA-PSC is used for clinical, scientific and statistical purposes. 相似文献
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介绍了农民工教育培训的重要性,分析了农民工教育培训中存在的问题,提出了农民工教育培训的对策研究。 相似文献
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刘丽 《湖南农业大学学报(自然科学版)》2011,(1):118-122
目前中国“二元”社会结构下的城乡差距或区域财富分布严重失衡,是由于我国长期实行的“城乡分治”和“城市偏向”的二元社会制度使然,深层原因即财政取向和使用的不平衡。为了缩小“城乡差距”, 理应着重用税权的规范和控制,并采取如下措施,调整预算编制对农村支出的比重,加大中央对农村转移支付力度,实现纵向和横向转移支付并重。 相似文献
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城市广场作为一种重要的空间形式,在城市建设中扮演着十分重要的角色。本文通过对城市广场发展的历史沿革和城市广场的空间特性的研究与解读,从空间与社会关系的角度对广场这一概念进行了深入的理解与剖析。通过分析我国城市广场建设现存问题,强调批判后的反思与探索,并指出具有特色的城市广场才是好的景观,广场的精神内涵和内在价值更能体现广场的特色。 相似文献
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