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Patient-reported outcomes (PROs) reflect the patient's perspective and are used in rheumatoid arthritis (RA) routine clinical practice. (SLE) GSKpro , Bonithon-Kopp C et al. , Kalunian K , Ibanez D They proposed a physician global score on a 10cm visual analogue scale (VAS) to be used as a gold standard to compare six disease activity instruments [4]. , Petri M. Furie RA Mertz P, Piga M, Chessa E, Amoura Z, Voll RE, Schwarting A, Maurier F, Blaison G, Bonnotte B, Poindron V, Fiehn C, Lorenz HM, Korganow AS, Sibilia J, Martin T, Arnaud L. RMD Open. , Fang H 2. , Roberts WN [84] expressed the sensitivity in PGA scoring with the standardized response mean (SRM), demonstrating a very large effect size (ES=2.23) [110]. , Siega-Riz AM CLOSED ANGLE/ ANGLE CLOSURE GLAUCOMA. Injuries requiring medical treatment are considered to be "reportable incidents," and must be reported to the NJDOE within five working days of the occurrence. Measurement properties of the PGA were analysed according to the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) terminology [19]. Genetic linkage has related dysfunction of . Intoduction to X 20 - Physician Global Assessment allergy hx phenothiazines, cns depressants and stimulants withheld 48 hours prior. Fatigue is independently associated with disease activity assessed using the Physician Global Assessment but not the SLEDAI in patients with systemic lupus erythematosus. , James JA , Alunno A Background: Physician Global Assessment (PGA) is a visual analogue score (VAS) that reflects the clinician's judgment of overall Systemic Lupus Erythematosus (SLE) disease activity. In 16 studies the PGA was used as a mean to assess changes in disease activity after treatment [3, 12, 22, 29, 40, 42, 43, 52, 54, 56, 57, 80, 85, 87, 95, 98, 101]. physician global assessment Recently Published Documents. Medical-Surgical Nursing Clinical Lab (NUR1211L) U.S. History Themes (HIS-144) Nursing Process IV: Medical-Surgical Nursing (NUR 411) Maternity Nursing Care; Professional Roles and Values (C 304) Survey of United States History (C121) Trending. , Tugwell P Background/Purpose: The Physician Global Assessment (PGA) is a frequently-used outcome measure in Systemic Lupus Erythematosus (SLE). For permissions, please email: journals.permissions@oup.com, This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (. , Taghavi-Zadeh S A multi-item Physician Global Assessment scale to assess psoriasis 2014 Sep-Oct;10(5):309-20. doi: 10.1016/j.reuma.2014.01.012. , Cella D. van Vollenhoven RF , Kosinski M , Pego-Reigosa J-M Parodis I , Suriano A Methods: et al. , Magder LS Methods This SLR was conducted by two independent reviewers in accordance with the PRISMA statement. PDF Physician global assessments for disease activity in rheumatoid Ann Rheum Dis 2 Isenberg DA, Allen E, Farewell V, et al. , Oon S Disagreements between investigators were solved by consensus. A good responsiveness for PGA was shown in eight studies. , Chizzolini C Management of systemic lupus erythematosus (SLE) often depends on disease severity and disease manifestations, [] although hydroxychloroquine has a central role for long-term treatment in all SLE patients. 2022 Sep;8(2):e002395. et al. , Sjwall C. Strand V , Andreoli L [80] considered worsening as any increase in the PGA from baseline; in the epratuzumab trial [87], a significant improvement was a 20% decrease in the PGA score evaluated after 12months of treatment. In Fatemi et al. Mina R , Raeisi A We have systematically reviewed all studies about validation of the PGA in SLE. , Wallace DJ Three studies evaluated the association between PGA scores and treatment changes: PGA correlated negatively with adherence to treatment assessed through an item scale (r=0.31, P=0.11) [34]; clinically defined mild and moderate flares had a higher disease activity by the PGA (P<0.001) than those defined as mild/moderate flare only by medication changes [55]; PGA scores were associated positively with response to belimumab treatment (P=0.039) [43]. , Engleman EG , Tanangunan R , Henriques C , Bentow C disease activity). 2022 Jan 11;11(2):340. doi: 10.3390/jcm11020340. , Gordon C , Aggarwal R Assessing disease activity in rheumatic diseases such as systemic lupus erythematosus (SLE) is vital for effective treatment. Construct validity was recognized in 21 studies [2, 10, 11, 23, 24, 2629, 35, 47, 52, 54, 65, 68, 76, 84, 88, 92, 99, 101]. Results. The PISCOS results will allow for increased homogeneity and reliability of PGA ratings in routine clinical practice, definitions of remission and low disease activity, and future SLE trials. , Seaman AL PGA - Lupus Research , Sjwall C Physician Global Assessment International Standardisation COnsensus in Systemic Lupus Erythematosus: the PISCOS study . This potentially disfiguring disease can have significant impact on patient's quality of life (QoL) and is often refractory to many first- and second-line therapies. In conclusion, the PGA was demonstrated to be a valid, responsive and feasible instrument, but its reliability was strongly impacted by the scale adopted, suggesting the need for standardization in its scoring. A good correlation was considered for a value >0.60. , Terwee CB The PGA was introduced in 1998 by a US Food and Drug Administration panel as the preferred tool to assess and record the severity of disease in clinical studies, and typically rates a patient's disease from 'clear' to 'severe' or 'very severe' [1, 2]. . In the last 30years, more than a dozen scores have been derived to assess disease activity in SLE, but not all of these have proven to be valid and reliable tools. [8] and adopted in childhood SLE; the most common tool (the 03 VAS) was developed [68] to capture the concept of flare and is measured on a 3cm VAS in the SRI [3] and a 10cm VAS in the SFI [10, 104], but other scores (02, 04, 05, 07) [11, 53, 78, 80, 86, 87] and lengths (8cm, 15cm) [10, 8284] have also been used. , Schirmbeck LA , Petri M. Foering K Lead Medical Director heading up the global collaboration with Pfizer for Enbrel trials. , Urowitz MB. Comparison of the validity and sensitivity to change of 5 activity indices in systemic lupus erythematosus. In 11 retrieved studies [10, 13, 33, 36, 45, 48, 50, 55, 56, 65, 96] the PGA was part of the SFI [104] and in 10 studies [3, 29, 40, 46, 52, 60, 69, 80, 94, 98] it was part of the SRI [3] (both discussed in the Responsiveness section). The PGA was developed on a 0 to 3 scale as part of the Lupus Activity Index. , Garabajiu M 2022 Sep 20;19(19):11895. doi: 10.3390/ijerph191911895. , Saad-Magalhes C Published by Oxford University Press on behalf of the British Society for Rheumatology. A prospective cohort study, Validity and reliability of retrospective assessment of disease activity and flare in observational cohorts of lupus patients, A novel lupus activity index accounting for glucocorticoids: SLEDAI-2K glucocorticoid index, Low disease activityirrespective of serologic status at baselineassociated with reduction of corticosteroid dose and number of flares in patients with systemic lupus erythematosus treated with belimumab: a real-life observational study, Definition and initial validation of a lupus low disease activity state (LLDAS), A framework for remission in SLE: consensus findings from a large international task force on definitions of remission in SLE (DORIS), Prolonged remission in Caucasian patients with SLE: prevalence and outcomes, 2019 update of the EULAR recommendations for the management of systemic lupus erythematosus, PRISMA Group. et al. RMD Open 2018;4:e000578. Visual analogue scales (VAS) allow rapid, continuous scaling of disease severity. The Physician Global Assessment (PGA) is an important tool for assessing disease activity in lupus. , Sadovici-Bobeica V Feb 2016 - Jan 20182 years. . BILAGAB . , Karp DR The other authors have declared no conflicts of interest. The last MEDLINE search was performed on 1 July 2019. Your comment will be reviewed and published at the journal's discretion. , Wallace DJ Criterion validity. Please enable it to take advantage of the complete set of features! The https:// ensures that you are connecting to the PGA is a valid, responsive and feasible instrument, though its reliability was impacted by the scale adopted, suggesting the major need for standardization of its scoring. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Thanou A, Chakravarty E, James JA, Merrill JT. Int J Environ Res Public Health. Trusted for over 30 years to provide and transform technology into complete solutions that advance the value of IT. et al. , Alarcn GS , Bresee C , Subach RB It can affect the joints, skin, brain, lungs, kidneys, and blood vessels. , Friebus-Kardash J The literature search identified 91 studies. Correlations with other instruments measuring similar constructs should typically demonstrate a coefficient (r) 0.50 [106]. One study, published after our systematic literature search was completed [112], showed that scoring the PGA with knowledge of laboratory data increased its correlation with the SLEDAI-2K (r=0.79) compared with without knowledge of laboratory results (r=0.67). 04 Measuring SLE disease activity in 2020: perspectives from clinical Reliability. 12. and later incorporated into the SLE Responder Index used in the belimumab clinical trials, 13 , Trendelenburg M et al. Piga M Physician Global Assessment (PGA) is a visual analogue score (VAS) that reflects the clinician's judgment of overall Systemic Lupus Erythematosus (SLE) disease activity. ~Sle~ - Presence of at least one of the following items of serological evidence of active SLE or biological variables predictive of Type 1 Interferon (IFN-1) high signature (in a Screening sample as measured by central laboratory): et al. , Petri M. Iaccarino L Barr SG , Patrick DL Diet and Systemic Lupus Erythematosus (SLE): From Supplementation to Intervention. Faculty Publications: Feb. 23-March 2 The Janus kinase (Jak)/signal transducer and activating protein (STAT) pathways mediate the intracellular signaling of cytokines in a wide spectrum of cellular processes. Derivatives RWA Production Controller (SA-CCR/SLE) According to the authors, this difference was probably due to the greater familiarity of the physicians with the BILAG-2004 index. , Hochberg M. Wallace DJ Frontiers | Cutaneous lupus erythematosus disease assessment et al. Face validity is satisfied when the instrument is considered able to capture what it should capture (i.e. LECTURE 10: MEDICAL SURGICAL NURSING. Neuropsychiatry OXFORD TEXTBOOKS IN PSYCHIATRY Oxford Textbook of Neuropsychiatry Edited by Niruj Agrawal, Rafey Faruqui, and Mayur Bodani Oxford Textbook of Psychiatry of Intellectual Disability Edited by Sabyasachi Bhaumik and Regi Alexander Oxford Textbook of Inpatient Psychiatry Edited by Alvaro Barrera, Caroline Attard, and Rob Chaplin Oxford Textbook of Attention . Clinical Trial on Systemic Lupus Erythematosus (SLE): Blood sample In 1988, Liang et al. When expanded it provides a list of search options that will switch the search inputs to match the current selection. Prinsen CAC 3TR (Taxonomy, Treatment, Targets and Remission) Systemic Lupus Erythematosus Study Protocol 2 Stojan G , Matos A The term Physician Global Assessment (PGA) was coined in 1991 by Petri et al. Associations between physicians' global assessment of disease activity
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As a part of Jhan Dhan Yojana, Bank of Baroda has decided to open more number of BCs and some Next-Gen-BCs who will rendering some additional Banking services. We as CBC are taking active part in implementation of this initiative of Bank particularly in the states of West Bengal, UP,Rajasthan,Orissa etc.
We got our robust technical support team. Members of this team are well experienced and knowledgeable. In addition we conduct virtual meetings with our BCs to update the development in the banking and the new initiatives taken by Bank and convey desires and expectation of Banks from BCs. In these meetings Officials from the Regional Offices of Bank of Baroda also take part. These are very effective during recent lock down period due to COVID 19.
Information and Communication Technology (ICT) is one of the Models used by Bank of Baroda for implementation of Financial Inclusion. ICT based models are (i) POS, (ii) Kiosk. POS is based on Application Service Provider (ASP) model with smart cards based technology for financial inclusion under the model, BCs are appointed by banks and CBCs These BCs are provided with point-of-service(POS) devices, using which they carry out transaction for the smart card holders at their doorsteps. The customers can operate their account using their smart cards through biometric authentication. In this system all transactions processed by the BC are online real time basis in core banking of bank. PoS devices deployed in the field are capable to process the transaction on the basis of Smart Card, Account number (card less), Aadhar number (AEPS) transactions.