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4 results on '"ICAST"'

2. Midterm outcomes of the Viabahn VBX balloon-expandable covered stent for fenestrations during complex endovascular aortic aneurysm repair.

Author

Pavarino, Felipe L., Figueroa, Andres V., Tanenbaum, Mira T., Pizano, Alejandro, Porras-Colon, Jesus, Baig, Mirza S., Kirkwood, Melissa, and Timaran, Carlos H.

Abstract

The optimal bridging stent for fenestrations during complex endovascular aortic aneurysm repair (EVAR) has not been defined. At our institution, the Viabahn VBX is frequently used given its availability and mechanical and heparin-bonding characteristics. This study aimed to assess the performance of the Viabahn VBX vs the iCast balloon-expandable covered stents as bridging stents for fenestrations during complex EVAR. A retrospective study of consecutive patients undergoing complex EVAR between 2015 and 2021 was performed. Celiac arteries (CAs), superior mesenteric arteries (SMAs), left renal arteries, and right renal arteries stented with fenestrations were grouped according to the type of bridging stent, VBX vs iCast. Target vessels (TV) stented with a branch or scallop were excluded. The primary end points included primary patency and freedom from TV instability. A total of 292 patients undergoing complex EVAR were treated using VBX or iCast with a mean follow-up of 190 days (interquartile range, 36-384 days) for the VBX cohort and 804 days (interquartile range, 384-1507 days) for the iCast cohort. A total of 677 TVs were stented, including 134 CAs (20%), 175 SMAs (26%), 182 left RAs (27%), 186 right RAs (27%), and 12 additional vessels (2%). Proximal reinforcement was more frequent with VBX than with iCast stent (23% vs 2.4%; P <.0001). There was no difference in primary patency rates at 2 years between VBX and iCast stent for CA (100% vs 96.4%; P =.32), SMA (97.8% vs 100%; P =.14), and the RAs (96.7% vs 99.4%; P =.11). There was no difference between VBX and iCast in the cumulative incidence of type Ic and type IIIc endoleaks (3.2% vs 5.6%; P =.69) or freedom from TV instability at 2 years. Viabahn VBX stents are a safe and effective option as bridging stents in fenestrations during complex EVAR with comparable midterm outcomes to iCast stents. However, proximal stent reinforcement may be required with VBX stent to ensure adequate sealing at the fenestrations. Longer follow-ups and larger series are required to assess long-term outcomes and durability. [ABSTRACT FROM AUTHOR]

Published
2025
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4. 'What does that mean?': The content validity of the ISPCAN Child Abuse Screening Tool - Child version (ICAST-C) in Romania, South Africa, and the Philippines

Author

Lakshmi Neelakantan, Deborah Fry, Lani Florian, Doriana Silion, Madalina Filip, Mildred Thabeng, Kathlyn Te, Jun Angelo Sunglao, Mengyao Lu, Catherine L. Ward, Adriana Baban, Rosanne M. Jocson, Liane Alampay, and Franziska Meinck

Subjects
psychometrics, Male, Adolescent, Psychometrics, child abuse, Romania, content validity, Philippines, cognitive interviews, ICAST, South Africa, Psychiatry and Mental health, Pediatrics, Perinatology and Child Health, Developmental and Educational Psychology, Humans, Female, measurement, Child Abuse, Child, child maltreatment
Abstract

BackgroundThe International Society for Prevention of Child Abuse and Neglect (ISPCAN) Child Abuse Screening Tool (Children's Version), known as the ICAST-C Version 3, is used widely to assess violence against children, but there is limited psychometric evidence, especially on content validity.ObjectiveThis study aimed to assess the content validity of the ICAST-C with adolescents in Romania, South Africa, and the Philippines.MethodsA purposive sample of adolescents (N = 53, 51 % female) were recruited from urban areas in Romania, the Eastern Cape Province of South Africa, and Metro Manila, Philippines. Semi-structured one-on-one in-depth cognitive interviews sought adolescent perspectives on the relevance, comprehensibility, and comprehensiveness of the ICAST-C. Data were analysed using template analysis.ResultsThe ICAST-C was broadly perceived to be relevant and comprehensive in measuring violence against children in all study locations. However, there were issues with the comprehensibility of the measure, described at three levels: interpreting items, undertaking coherent elaborations of relevant behaviors and places, and generating a coherent response to the questions.ConclusionsSuggestions to revise the ICAST-C include, among others, adding a practice or how-to section on answering the survey, clarifying the intent of questions, especially on neglect and sexual abuse, emphasizing that questions cover all locations, and asking more positive questions. Pilot studies testing the content validity and cultural appropriateness are needed as a matter of practice in large self-report surveys.

Published
2022
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