The Experts below are selected from a list of 25767 Experts worldwide ranked by ideXlab platform
James G Pfaus - One of the best experts on this subject based on the ideXlab platform.
-
a Standardized diagnostic interview for hypoactive sexual desire disorder in women Standard Operating Procedure sop part 2
The Journal of Sexual Medicine, 2013Co-Authors: Johannes Bitzer, Annamaria Giraldi, James G PfausAbstract:ABSTRACT Introduction Taking into account that Hypoactive Sexual Desire Disorder (HSDD) is a patient-reported symptom and that the disorder is in general the result of the interaction of biological and psychosocial factors (see part 1), it is necessary to provide healthcare professionals with an Operating Procedure that is patient centered and multidimensional. Aim Describing a patient-centered and multidimensional Standard Procedure to diagnose and manage HSDD on a primary care level. Methods Review of the literature. Semistructured interview and description of process. Result The interactive process with the patient follows several steps: initiation, narrative of the patient to understand the individual profile of the disorder, differentiating questions, descriptive diagnosis, exploration of conditioning biomedical, individual psychological, interpersonal, and sociocultural factors (including biomedical examinations), establishment of a biopsychosocial comprehensive explanatory diagnosis, which can be summarized in a nine-field matrix. This matrix will serve as orientation for therapeutic interventions adapted to the individual person. These interventions should always be based on basic counseling as a basis of treatment. Then adapted to the individual condition specific hormonal treatments (mainly estrogen and testosterone alone or combined) can be used after exclusion of contraindications. In patients with predominant psychosocial factors contributing to HSDD individual or couple psychotherapy is indicated. Psychopharmacological drugs are in development and partially investigated and will add to the therapeutic possibilities in the future. Conclusion. This model can serve as an ideal basis for the approach to the female patient with HSDD. It can be adapted to the individual clinical setting. Bitzer J, Giraldi A, and Pfaus J. A Standardized diagnostic interview for Hypoactive Sexual Desire Disorder in women: Standard Operating Procedure (SOP part 2). J Sex Med **;**:**–**.
-
sexual desire and hypoactive sexual desire disorder in women introduction and overview Standard Operating Procedure sop part 1
The Journal of Sexual Medicine, 2013Co-Authors: Johannes Bitzer, Annamaria Giraldi, James G PfausAbstract:ABSTRACT Introduction Hypoactive sexual desire disorder (HSDD) is defined in Diagnostic and Statistical Manual of Mental Disorders Fourth Edition as persistent or recurrent deficiency (or absence) of sexual fantasies/thoughts, and/or desire for or receptivity to sexual activity, which causes personal distress. As a largely subjective experience, sexual desire may or may not be accompanied by externally observable changes in sexual behavior. Aim Describe the models of understanding HSDD and the contributing factors to provide the basis for a diagnostic interview and guidance for care for healthcare professionals as a Standard Operating Procedure method. Review of the literature. Results There are several models which have been developed to describe sexual desire, although there is still no universally accepted definition or description of it. The models are generally divided into more general twofactor models (e.g., excitation–inhibition, appetitive–consummatory) or more specific multifactorial models (in which the differentcomponents of sexual activity and their interaction are delineated). The etiology of the disorder is generally considered as multifactorial. Biomedical factors like diseases, drugs, and hormones, and psychological factors like life events, sexual biography, affective state, etc., as well as interpersonal factors like partner satisfaction, communication, duration of the relationship, and sociocultural factors interact with each other and contribute to the individualexperience of desire or lack or absence of desire. In analogy to the multifactorial pathogenesis the therapeutic approach is usually multidimensional and includes basic counseling, individual and couple psychotherapy, hormonal and psychopharmacological treatment. Conclusion The Standard operation Procedure for HSDD in women must be based on a biopsychosocial, multidimensional, and integrative perspective. Bitzer J, Giraldi A, and Pfaus J. Sexual desire and hypoactive sexual desire disorder in women. Introduction and overview. Standard Operating Procedure (SOP part 1). J Sex Med **;**:**–**.
Jeannie Shen - One of the best experts on this subject based on the ideXlab platform.
-
use of marginprobe as an adjunct to Standard Operating Procedure does not significantly reduce re excision rates in breast conserving surgery
Breast Cancer Research and Treatment, 2020Co-Authors: Elyse Leevan, Sadie Seto, Jeannie ShenAbstract:PURPOSE A positive margin after breast conserving surgery has consistently been shown to be a significant predictor for ipsilateral breast tumor recurrence. Currently, there is no Standard for intraoperative margin assessment during lumpectomy, and up to 20% of cases result in positive margins. MarginProbe is a device that provides real-time evaluation of lumpectomy margins during surgery. The aim of this study was to evaluate the impact of MarginProbe as an adjunct to Standard Operating Procedure (SOP). METHODS Patients diagnosed with breast cancer scheduled for breast conserving surgery were consented for intraoperative use of MarginProbe. Shaved margins were excised based on margin assessment using the surgeon's SOP which included specimen radiography and gross pathologic examination, and feedback from the device. The primary endpoint was re-excision rate. Secondary endpoints included sensitivity, specificity, false-positive and negative rates. RESULTS Of the 60 breast cancers, initial histologically close/positive margins were identified in 18 patients (30%). The re-excision rate in the overall cohort was 6.6%, compared to a historical re-excision rate of 8.6% (p < 0.01). Based on 360 measurement sites, MarginProbe demonstrated a sensitivity of 67% and specificity of 60%, with a positive predictive value of 16%, and of negative predictive value of 94%, which was similar to the accuracy of SOP. CONCLUSIONS MarginProbe performs equally as well as specimen radiography and gross pathologic examination. In this setting where the baseline re-excision rate was low, the use of MarginProbe as an adjunct to SOP resulted in a small 2% absolute reduction in re-excision rate.
-
use of marginprobe as an adjunct to Standard Operating Procedure does not significantly reduce re excision rates in breast conserving surgery
Breast Cancer Research and Treatment, 2020Co-Authors: Elyse Leevan, Sadie Seto, Jeannie ShenAbstract:A positive margin after breast conserving surgery has consistently been shown to be a significant predictor for ipsilateral breast tumor recurrence. Currently, there is no Standard for intraoperative margin assessment during lumpectomy, and up to 20% of cases result in positive margins. MarginProbe is a device that provides real-time evaluation of lumpectomy margins during surgery. The aim of this study was to evaluate the impact of MarginProbe as an adjunct to Standard Operating Procedure (SOP). Patients diagnosed with breast cancer scheduled for breast conserving surgery were consented for intraoperative use of MarginProbe. Shaved margins were excised based on margin assessment using the surgeon’s SOP which included specimen radiography and gross pathologic examination, and feedback from the device. The primary endpoint was re-excision rate. Secondary endpoints included sensitivity, specificity, false-positive and negative rates. Of the 60 breast cancers, initial histologically close/positive margins were identified in 18 patients (30%). The re-excision rate in the overall cohort was 6.6%, compared to a historical re-excision rate of 8.6% (p < 0.01). Based on 360 measurement sites, MarginProbe demonstrated a sensitivity of 67% and specificity of 60%, with a positive predictive value of 16%, and of negative predictive value of 94%, which was similar to the accuracy of SOP. MarginProbe performs equally as well as specimen radiography and gross pathologic examination. In this setting where the baseline re-excision rate was low, the use of MarginProbe as an adjunct to SOP resulted in a small 2% absolute reduction in re-excision rate.
Johannes Bitzer - One of the best experts on this subject based on the ideXlab platform.
-
a Standardized diagnostic interview for hypoactive sexual desire disorder in women Standard Operating Procedure sop part 2
The Journal of Sexual Medicine, 2013Co-Authors: Johannes Bitzer, Annamaria Giraldi, James G PfausAbstract:ABSTRACT Introduction Taking into account that Hypoactive Sexual Desire Disorder (HSDD) is a patient-reported symptom and that the disorder is in general the result of the interaction of biological and psychosocial factors (see part 1), it is necessary to provide healthcare professionals with an Operating Procedure that is patient centered and multidimensional. Aim Describing a patient-centered and multidimensional Standard Procedure to diagnose and manage HSDD on a primary care level. Methods Review of the literature. Semistructured interview and description of process. Result The interactive process with the patient follows several steps: initiation, narrative of the patient to understand the individual profile of the disorder, differentiating questions, descriptive diagnosis, exploration of conditioning biomedical, individual psychological, interpersonal, and sociocultural factors (including biomedical examinations), establishment of a biopsychosocial comprehensive explanatory diagnosis, which can be summarized in a nine-field matrix. This matrix will serve as orientation for therapeutic interventions adapted to the individual person. These interventions should always be based on basic counseling as a basis of treatment. Then adapted to the individual condition specific hormonal treatments (mainly estrogen and testosterone alone or combined) can be used after exclusion of contraindications. In patients with predominant psychosocial factors contributing to HSDD individual or couple psychotherapy is indicated. Psychopharmacological drugs are in development and partially investigated and will add to the therapeutic possibilities in the future. Conclusion. This model can serve as an ideal basis for the approach to the female patient with HSDD. It can be adapted to the individual clinical setting. Bitzer J, Giraldi A, and Pfaus J. A Standardized diagnostic interview for Hypoactive Sexual Desire Disorder in women: Standard Operating Procedure (SOP part 2). J Sex Med **;**:**–**.
-
sexual desire and hypoactive sexual desire disorder in women introduction and overview Standard Operating Procedure sop part 1
The Journal of Sexual Medicine, 2013Co-Authors: Johannes Bitzer, Annamaria Giraldi, James G PfausAbstract:ABSTRACT Introduction Hypoactive sexual desire disorder (HSDD) is defined in Diagnostic and Statistical Manual of Mental Disorders Fourth Edition as persistent or recurrent deficiency (or absence) of sexual fantasies/thoughts, and/or desire for or receptivity to sexual activity, which causes personal distress. As a largely subjective experience, sexual desire may or may not be accompanied by externally observable changes in sexual behavior. Aim Describe the models of understanding HSDD and the contributing factors to provide the basis for a diagnostic interview and guidance for care for healthcare professionals as a Standard Operating Procedure method. Review of the literature. Results There are several models which have been developed to describe sexual desire, although there is still no universally accepted definition or description of it. The models are generally divided into more general twofactor models (e.g., excitation–inhibition, appetitive–consummatory) or more specific multifactorial models (in which the differentcomponents of sexual activity and their interaction are delineated). The etiology of the disorder is generally considered as multifactorial. Biomedical factors like diseases, drugs, and hormones, and psychological factors like life events, sexual biography, affective state, etc., as well as interpersonal factors like partner satisfaction, communication, duration of the relationship, and sociocultural factors interact with each other and contribute to the individualexperience of desire or lack or absence of desire. In analogy to the multifactorial pathogenesis the therapeutic approach is usually multidimensional and includes basic counseling, individual and couple psychotherapy, hormonal and psychopharmacological treatment. Conclusion The Standard operation Procedure for HSDD in women must be based on a biopsychosocial, multidimensional, and integrative perspective. Bitzer J, Giraldi A, and Pfaus J. Sexual desire and hypoactive sexual desire disorder in women. Introduction and overview. Standard Operating Procedure (SOP part 1). J Sex Med **;**:**–**.
Annamaria Giraldi - One of the best experts on this subject based on the ideXlab platform.
-
a Standardized diagnostic interview for hypoactive sexual desire disorder in women Standard Operating Procedure sop part 2
The Journal of Sexual Medicine, 2013Co-Authors: Johannes Bitzer, Annamaria Giraldi, James G PfausAbstract:ABSTRACT Introduction Taking into account that Hypoactive Sexual Desire Disorder (HSDD) is a patient-reported symptom and that the disorder is in general the result of the interaction of biological and psychosocial factors (see part 1), it is necessary to provide healthcare professionals with an Operating Procedure that is patient centered and multidimensional. Aim Describing a patient-centered and multidimensional Standard Procedure to diagnose and manage HSDD on a primary care level. Methods Review of the literature. Semistructured interview and description of process. Result The interactive process with the patient follows several steps: initiation, narrative of the patient to understand the individual profile of the disorder, differentiating questions, descriptive diagnosis, exploration of conditioning biomedical, individual psychological, interpersonal, and sociocultural factors (including biomedical examinations), establishment of a biopsychosocial comprehensive explanatory diagnosis, which can be summarized in a nine-field matrix. This matrix will serve as orientation for therapeutic interventions adapted to the individual person. These interventions should always be based on basic counseling as a basis of treatment. Then adapted to the individual condition specific hormonal treatments (mainly estrogen and testosterone alone or combined) can be used after exclusion of contraindications. In patients with predominant psychosocial factors contributing to HSDD individual or couple psychotherapy is indicated. Psychopharmacological drugs are in development and partially investigated and will add to the therapeutic possibilities in the future. Conclusion. This model can serve as an ideal basis for the approach to the female patient with HSDD. It can be adapted to the individual clinical setting. Bitzer J, Giraldi A, and Pfaus J. A Standardized diagnostic interview for Hypoactive Sexual Desire Disorder in women: Standard Operating Procedure (SOP part 2). J Sex Med **;**:**–**.
-
sexual desire and hypoactive sexual desire disorder in women introduction and overview Standard Operating Procedure sop part 1
The Journal of Sexual Medicine, 2013Co-Authors: Johannes Bitzer, Annamaria Giraldi, James G PfausAbstract:ABSTRACT Introduction Hypoactive sexual desire disorder (HSDD) is defined in Diagnostic and Statistical Manual of Mental Disorders Fourth Edition as persistent or recurrent deficiency (or absence) of sexual fantasies/thoughts, and/or desire for or receptivity to sexual activity, which causes personal distress. As a largely subjective experience, sexual desire may or may not be accompanied by externally observable changes in sexual behavior. Aim Describe the models of understanding HSDD and the contributing factors to provide the basis for a diagnostic interview and guidance for care for healthcare professionals as a Standard Operating Procedure method. Review of the literature. Results There are several models which have been developed to describe sexual desire, although there is still no universally accepted definition or description of it. The models are generally divided into more general twofactor models (e.g., excitation–inhibition, appetitive–consummatory) or more specific multifactorial models (in which the differentcomponents of sexual activity and their interaction are delineated). The etiology of the disorder is generally considered as multifactorial. Biomedical factors like diseases, drugs, and hormones, and psychological factors like life events, sexual biography, affective state, etc., as well as interpersonal factors like partner satisfaction, communication, duration of the relationship, and sociocultural factors interact with each other and contribute to the individualexperience of desire or lack or absence of desire. In analogy to the multifactorial pathogenesis the therapeutic approach is usually multidimensional and includes basic counseling, individual and couple psychotherapy, hormonal and psychopharmacological treatment. Conclusion The Standard operation Procedure for HSDD in women must be based on a biopsychosocial, multidimensional, and integrative perspective. Bitzer J, Giraldi A, and Pfaus J. Sexual desire and hypoactive sexual desire disorder in women. Introduction and overview. Standard Operating Procedure (SOP part 1). J Sex Med **;**:**–**.
Ammyra Fatma Rizky - One of the best experts on this subject based on the ideXlab platform.
-
pembuatan standar operasional prosedur sop manajemen insiden pada government resource management systems grms berdasarkan kerangka kerja itil v3 studi kasus pemerintah kota surabaya bagian bina program developing incident management government resour
2016Co-Authors: Ammyra Fatma RizkyAbstract:Saat ini Pemerintah Kota Surabaya sudah mulai menerapkan E-Government di dalam proses bisnis pemerintahannya. Salah satu bagian dari Pemerintah Kota Surabaya yaitu bagian Bina Program telah menggunakan sistem yang mereka namakan Government Resource Management Systems (GRMS) yang dilakukan untuk perencanaan keuangan daerah Kota Surabaya. Selama berjalannya sistem GRMS tidak lepas dari sebuah insiden layanan TI. Insiden yang terjadi pada Government Resource Management Systems (GRMS) ditangani oleh admin sebagai orang pertama yang berhubungan dengan pengguna. Apabila admin tidak dapat menyelesaikannya sendiri maka admin akan meminta bantuan developer maupun Kepala Sub Bagian bagian Bina Program. Sayangnya, insiden yang masuk tidak tercatat secara teratur dan tidak terkategorisasi dengan baik sehingga admin maupun developer masih salah dalam menangani insiden dan menyebabkan insiden kembali terulang. Selain itu insiden yang dikerjakan tidak diberikan prioritas karena mereka mengakui tidak ada standar prioritas yang diberikan sehingga membuat insiden yang terlaporkan terkadang tidak terselesaikan secara maksimal Oleh sebab itu dari beberapa insiden tersebut, diperlukan SOP pada manajemen insiden GRMS. Pembuatan SOP manajemen insiden GRMS didasarkan pada analisis kondisi kekinian dan kondisi ideal berdasarkan kerangka kerja ITIL V3 serta metode analisis kesenjangan. Adapun tujuan dari tugas akhir ini adalah menghasilkan sebuah produk berupa dokumen Standard Operating Procedure (SOP) manajemen insiden berdasarkan ITIL V3 pada level service operation sesuai dengan hasil analisis kesenjangan yang diperoleh. Dengan adanya pembuatan SOP dapat menjelaskan rincian aktivitas dari proses yang dijalankan. Dengan demikian standarisasi aktivitas dapat membantu dalam pengambilan keputusan. Selain itu adanya SOP dapat meningkatkan layanan yang diberikan dan bermanfaat bagi Bina Program serta SOP yang nantinya akan dibuat akan dapat membantu organisasi dalam melakukan pengawasan secara terstruktur terhadap aktivitas dari proses yang dilakukan dan adanya standarisasi aktivitas. ============================================================ Nowadays, Surabaya Municipality has already started appliying E-Government in its administration process. One of its departments is Bagian Bina Program which has applied the system reffered to as the Government Resource Management Systems (GRMS) used for Surabaya Municipality finance planning. In the course of running the system, Government Resource Management Systems (GRMS) is always confronted with the IT service incident. The incident happening at Government Resource Management Systems (GRMS) is handled by administration staff as the first person who has a single point of contact with the user. If the administration staff as the person in charge of can’t handle it, he will ask for a help either from the developer or the sub section chief of Bagian Bina Program. Unfortunately, any incident occuring isn’t both recorded regularly and uncategorized well so that both the administration staff and the developer still miss understand in solving the incidents and it causes to reoccure. Next to that, the incidents occuring aren’t given the priority because they often admit that there’s no priority Standard given so that it makes the incidents reported as sometimes not solved optimally. That is why from the above mentioned problems, Bagian Bina Program needs the develop Standard Operating Procedure (SOP) for the Government Resource Management Systems (GRMS) incident management. The Government Resource Management Systems (GRMS) incident management Standard Operating Procedure creation is based on the recent technical condition and the ideal technical condition based on ITIL V3 framework as well as the gap analysis method. The objective of the final project to create a product in the form of the docment of the incident management Standard Operating Procedure (SOP) based on ITIL V3 framework on the level service operation in accordance with the gap analysis obtained. The existance of the Standard Operating Procedure (SOP) will be able to explain the details of the activities from the process run. Thus activity Standardization can help the staff in making the decision. Next to that, it can alse increase the service given and it will be useful for Bagian Bina Program and the Standard Operating Procedure (SOP) worked out later will be able to help the organization in conducting the supervision structrually againt any activity process conducted.