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Its helper selection procedure includes a classification round, priority round, and contention round.
The classification round distinguishes the helpers with a packet to send and those without a packet to send.
In each classification round, three judges (Psycho-oncology experts) were asked to rate the causes attributed to cancer by women independently in order to verify the validity of each category.
The minimum R is subtracted from all the R values and then plotted vs the classification round (R-Rmin vs. round of classification).
In 36% of observations an observer changed Neer category between first and second classification round.
The analysts did not receive any feedback on their performance after the first classification round.
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In the classification rounds they lost to Sweden before beating Italy again to finish in seventh position.
The highest kappa values were found for inter-observer agreement on non-surgical treatment on both classification rounds, mean kappa 0.59 (95% CI 0.52-0.66) and 0.55 (95% CI 0.48-0.63).
At both classification rounds mean kappa-values for inter-observer agreement on treatment recommendations (0.48 and 0.52) were significantly higher than the agreement on Neer classification (0.33 and 0.36) (p < 0.001 at both rounds).
Special care should be taken in initial classification rounds to extract and include false negatives, as low sensitivity is highly detrimental to the quality and completeness of the update.
For both classification rounds mean kappa-values and ninety-five perconfidencedence intervals were calculated for inter-observer agreement on 1) adequacy of radiographs for classification and treatment purposes, 2) classification according to the 16-category Neer classification, and 3) treatment recommendations: non-operative, locking plate osteosynthesis, or hemiarthroplasty.
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CEO of Professional Science Editing for Scientists @ prosciediting.com