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February 13, 2021
 
 

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This is a combined ArchiMate 2 Part 1 and Part 2 examination for candidates who want to achieve Level 2 certification directly.
Exam Name: ArchiMate 2 Combined Part 1 and Part 2
Exam Number: OG0-023 (English), OG0-023-ESL (ESL)
Qualification upon passing: ArchiMate 2 Certified
Delivered at: Authorized Open Group Examination Provider Testing Centers and through some ArchiMate Accredited Training Course Providers
Prerequisites: None
Supervised: Yes
Open Book: Dependent on section. This examination comprises two separate sections. The ArchiMate 2 Part 1 section is CLOSED Book. The ArchiMate 2 Part 2 section is OPEN book. An electronic copy of the specification is built into the test and becomes available in Part 2 only (*).
Exam type: The test comprises two sections. Section 1: 40 Simple Multiple Choice questions + Section 2: 8 Scenario Based, Complex Multiple Choice
Number of questions: 48
Pass score: The pass mark for Part 1 is 60%, which means 24 or more points out of maximum of 40 points. For Part 2, the pass mark is 70%, which means 28 or more points out of a maximum of 40 points. Note that you must pass both parts of the test to achieve an overall pass result. If you fail either part you fail the examination, however you only need retake the examination(s) corresponding to the failed section(s).
Time limit: 150 Minutes total (**). Each section has a maximum time limit as follows: 60 Minutes on ArchiMate 2 Part 1. 90 Minutes on ArchiMate 2 Part 2. Once you complete the ArchiMate 2 Part 1 section you cannot return to it. There is no break between sections; Part 1 directly follows Part 2.
Retake policy: If you fail you must wait one month before another attempt on any ArchiMate 2 examination. This applies even if you only need to retake one of the two parts of the examination.
Examination Fee: See Fees
Recommended Study: A Study Guide is available. The Self-Study Pack includes the Study Guide bundled with the Pocket Guide and other materials.



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Robotic pancreaticoduodenectomy gives better histopathological outcomes as compared to its open counterpart: a meta-analysis | OG0-023 PDF get and Free test PDF

Literature search and examine selection

details of the hunt method and analyze choice are introduced in the PRISMA flowchart (Fig. 1). four databases had been searched and printed 237 information. additionally, two articles were found at clinicaltrials.gov and thru the references of eligible studies. Twenty-9 experiences (together with published abstracts of conference court cases) have been blanketed within the qualitative synthesis after apart from duplicates, non-significant articles, and articles no longer reporting the effect of activity.

nice assessment

The possibility of bias abstract and graph of the covered studies are presented in Fig. 2A,B. The chance of selection, performance and detection bias become high in all protected reviews given their observational nature. Attrition, reporting, and other bias dangers have been reasonable or low in blanketed reviews. The effects of great assessment using the ROBINS-I tool are offered in complement 2. basic risk of bias turned into assessed as critical in most reports.

figure 2

nice evaluation: (A) possibility of bias summary. (B) risk of bias graph.

Description of blanketed stories

figure three highlights the time span of covered stories posted from the same associations, which can also boost the possibility of replica records synthesis. because of an overlap of the stories via Napoli et al.27 and Boogi et al.28 from the institution of Pisa, only the examine by Boogi et al.28 changed into blanketed because it covers an extended time span. An summary posted by way of Walsh et al.29 from Cleveland hospital turned into excluded as there became an overlap with the examine by Chalikonda et al.30 there were five reports from the university of Pittsburgh that overlap to a certain extent. After aside from three (McMillan et al.31, Varley et al.32 and Wilson et al.33), stories by means of Boone et al.34 and Cai et al.35 with a maximal time span lined and minimal overlap had been covered.

determine three

Arrow plot of look at spans of protected experiences with the possibility of reproduction facts synthesis.

Twenty-4 reports had been blanketed in the last quantitative records synthesis, totaling 12,579 patients (2,a hundred seventy five robotic PD and 10,404 open PD)8,28,30,34,35,36,37,38,39,40,41,forty two,43,forty four,45,46,47,48,forty nine,50,51,fifty two,fifty three,54. Seven studies30,34,36,38,forty one,50,fifty two have been prospective cohort reports and 17 retrospective cohort studies8,28,35,37,39,forty,42,43,44,forty five,46,47,48,49,51,53,fifty four. In 4 of these studies34,forty,43,50, statistics had been extracted from the abstracts of convention court cases posted in listed journals. five studies8,36,38,41,52 had the Oxford CEBM stage of proof of 2b and 19 studies-2c28,30,35,37,39,40,forty two,43,forty four,45,forty six,47,forty eight,forty nine,50,fifty one,fifty three,fifty four,fifty five. Three studies8,forty two,47 have been multicenter experiences with (5, eight and 14 included facilities), 20 studies28,30,35,36,37,38,39,40,41,forty three,forty four,45,forty six,48,forty nine,50,51,52,fifty three,fifty four were single middle stories and one study34 didn't provide this assistance. quite a lot of basic endpoints were stated in seven studies35,38,forty five,47,50,52,54 and are described in table 1, whereas 17 studies8,28,30,34,36,37,39,forty,41,forty two,43,44,forty six,forty eight,49,fifty one,53 did not report/specify this variable.

desk 1 qualities of blanketed reviews. Description of analyze populations and interventions

grownup patients from distinct countries (China, Korea, Italy, u . s . a ., Russia, Netherlands, Belgium, France, Turkey, Germany, UK and Spain) were involved in the 24 covered reviews. 17 studies8,28,30,35,36,37,38,39,41,43,44,forty six,47,forty eight,51,52,54 blanketed sufferers with benign and malignant ailments, 4 studies42,45,49,fifty three best malignant diseases and three studies34,forty,50 didn't describe the signals. The primarily panic organs were the pancreas, biliary tract and duodenum in sixteen studies8,28,36,37,38,39,41,forty two,forty six,47,forty eight,forty nine,fifty one,fifty two,fifty three,54; one study43 only concerned most effective pancreatic and biliary tract diseases and one study45 best pancreatic cancer. Six studies30,34,35,forty,forty four,50 did not provide this tips (desk 1).

patients’ baseline traits are summarized in desk 2. The definitions of the interventions are summarized in table 3. Robotic PD become a very robotic system in 17 studies8,28,34,35,36,38,39,41,forty two,44,forty five,47,forty nine,fifty one,fifty two,53,54. A hybrid technique turned into carried out in four studies30,37,46,forty eight and three studies40,43,50 did not specify the classification of the method. Six reviews mentioned DaVinci console classification (both Si/Xi in three studies38,forty four,52; Si49,50 in two and S in one41).

table 2 evaluation of patients’ baseline features in robotic vs. open pancreaticoduodenectomy. table three Definition of interventions in protected reports.

Intervention categories that have been described for both open and robotic surgical procedure blanketed category of method (Whipple manner, pylorus conserving PD, or multivisceral resection) and sort of anastomosis (pancreaticojejunostomy, pancreaticogastrostomy and/or duct-to-mucosa). Vein resection became suggested in 10 studies8,28,30,35,36,38,forty one,forty two,46,forty seven and changed into as much as 25% in the robotic and up to 38% within the open neighborhood. extra classes described in desk three have been pursuits or selective placement of pancreaticojejunal anastomotic stent, antecolic or retrocolic place of the jejunal loop, and routine or selective use of stomach drainage.

Meta-analysis

All 24 studies, regardless of the facts stage and possibility of bias, had been included during this meta-analysis. fundamental effects have been standard postoperative morbidity and margin involvement cost. Secondary scientific outcomes have been operating time, estimated blood loss, postoperative pancreatic fistula (POPF), delayed gastric emptying (DGE), surgical web site infection (SSI), reoperation rate, and length of hospital live. An additional secondary result became the variety of lymph nodes harvested.

basic endpoints general postoperative morbidity

normal postoperative morbidity as a clinical primary effect became said in 18 reports (1052 robotic PD vs. 8206 open PD). The statistical among-examine heterogeneity changed into low (I2 = 0%). The general postoperative morbidity rate changed into 42.6% (448/1,052) in robotic PD vs. fifty four.four% (4,464/eight,206) in open PD. This change was now not statistically big [OR (95%CI) = 0.86 (0.74, 1.01); p = 0.06] (Fig. 4A). The RRR became 22% and the NNT was 9 (7, 12) (desk four). 95% prediction interval changed into 0.72, 1.02 with reasonable GRADE walk in the park of proof (table four).

determine four

Meta-evaluation of simple endpoints: (A) average postoperative morbidity. (B) Resection margin involvement expense.

table four clinical relevance and sure bet of proof offered via statistical difference in scientific and pathologic endpoints (dichotomous and numeric) between robotic vs. open pancreaticoduodenectomy. Resection margin involvement rate

Resection margin involvement fee was suggested in 17 reviews (784 robotic PD vs. 1886 open PD). The statistical amongst-look at heterogeneity became moderate (I2 = fifty six%; Tau2 = 0.40). The margin involvement rate was 15.6% (122/784) in robotic PD vs. 19.9% (376/1886) in open PD. This difference turned into statistically and clinically colossal [OR (95%CI) = 0.64 (0.41, 1.00); p = 0.05; NNT = 23 (13, 79)] (Fig. 4B) (table 4). 95% prediction interval changed into 0.15, 2.sixty eight with moderate GRADE certainty of proof (table 4).

Secondary endpoints operating time

Operation time was mentioned in 23 reports (2,086 robotic PD vs. 10,131 open PD) and turned into tremendously longer in robotic PD [MD (95%CI) = 75.17 (48.05, 102.28); p < 0.00001] with high amongst-analyze statistical heterogeneity (I2 = ninety nine%; Tau2 = 3956.sixty seven) (Fig. 5A). although the scientific value of the MD changed into assessed to be moderate, 95% prediction interval became − 58.seventy seven, 209.11 and GRADE sure bet of proof become low (desk four).

determine 5

Meta-evaluation of secondary endpoints: (A) operating time. (B) Estimated blood loss. (C) Postoperative pancreatic fistula cost. (D) Delayed gastric emptying rate. (E) Incisional SSI cost. (F) Reoperation cost. (G) length of medical institution live. (H) number of lymph nodes harvested.

Estimated blood loss

Estimated blood loss turned into stated in 18 reviews (1,549 robotic PD vs. 2,935 open PD) and changed into significantly decrease in robotic PD [MD (95%CI) = − 191.35 (− 238.12, − 144.59); p < 0.00001] with excessive among-study statistical heterogeneity (I2 = ninety six%; Tau2 = 7,522.30) (Fig. 5B). clinical magnitude of the MD changed into assessed to be low and ninety five% prediction interval became − 382.04, − 0.sixty six with moderate GRADE simple task of proof (desk four).

Postoperative pancreatic fistula price

POPF cost become stated in 20 reviews and didn't differ vastly between the two methods (18.9% (265/1,909) in robotic PD vs. 16.0% (1,589/9,921) in open PD) [OR (95%CI) = 0.89 (0.65, 1.22); p = 0.48; NNT = 47 (26, 267)] with excessive among-examine heterogeneity (I2 = 64%; Tau2 = 0.26) (Fig. 5C) (desk 4). ninety five% prediction interval became 0.29, 2.seventy four with low GRADE simple task of proof (table 4).

Delayed gastric emptying fee

Sixteen reviews stated the rate of delayed gastric emptying, which did not differ greatly between both processes (14.7% (177/1,202) in robotic PD vs. 15.2% (1,317/eight,663) in open PD) [OR (95%CI) = 0.98 (0.74, 1.30); p = 0.87], with low among-study heterogeneity (I2 = 24%; Tau2 = 0.07) (Fig. 5D). RRR turned into three%, NNT changed into 210, ninety five% prediction interval became 0.51, 1.87 with very low GRADE simple task of proof (table four).

Incisional surgical website infection rate

Incisional SSI expense turned into suggested in 13 studies and liked robotic PD (7.9% (80/1,010) in robotic PD vs. 10.1% (820/eight,a hundred) in open PD) [OR (95%CI) = 0.45 (0.27, 74); p = 0.002; NNT = 46 (25, 243)] with reasonable amongst-look at heterogeneity (I2 = 52%; Tau2 = 0.30) (Fig. 5E) (table four). 95% prediction interval become 0.12, 1.70 with low GRADE certainty of facts (table 4).

Reoperation fee

Sixteen reports mentioned the fee of reoperations (1,521 robotic PD vs. eight,732 open PD), which didn't differ enormously between the two methods (6.6% (100/1,521) in robotic PD vs. 6.6% (577/eight,732) in open PD) [OR (95%CI) = 0.80 (0.62, 102); p = 0.72], with low amongst-analyze heterogeneity (I2 = 0%; Tau2 = 0.00) (Fig. 5F). RRR changed into 1%, NNT become 3,007, 95% prediction interval became 0.61, 1.04 with very low GRADE certainty of facts (desk 4).

length of health center reside

length of hospital stay became pronounced in 20 studies (1,893 robotic PD vs. 9,903 open PD) and did not fluctuate tremendously between the two strategies [MD (95%CI) = − 1.00 (− 1.88, − 0.12); (p = 0.06)] with high among-look at heterogeneity (I2 = 97%; Tau2 = 2.29) (Fig. 5G). youngsters the scientific significance of the MD changed into assessed to be moderate, ninety five% prediction interval turned into − 4.32, 2.32 and GRADE certainty of evidence changed into very low (desk four).

variety of lymph nodes harvested

number of lymph nodes harvested became said in 15 reports (908 robotic PD vs. 1,953 open PD). Statistical among-study heterogeneity was excessive (I2 = 83%; Tau2 = 9.24). The difference become statistically gigantic [MD (95%CI) = 2.88 (1.12, 4.65); p = 0.001] (Fig. 5H). youngsters the medical significance of the MD turned into be reasonable, ninety five% prediction interval was − three.97, 9.73 and GRADE walk in the park of facts became low (desk four).

Meta-regression analysis

advert-hoc meta-regression analysis become performed to investigate the have an effect on of talents covariates on the statistical findings. Covariates utilized for meta-regression evaluation blanketed the crucial tendency values for age and BMI, share of males, proportion patients with ASA > 2, and analyze design. A statistically enormous correlation became discovered between universal postoperative mortality and average age in robotic PD (Omnibus p = 0.040) (Fig. 6A). youngsters, handiest a statistical fashion in correlation changed into found between universal postoperative mortality and open PD (Omnibus p = 0.075) (Fig. 6B). No statistically giant affect of the above-mentioned covariates on margin involvement price and secondary endpoints become found.

determine 6

advert-hoc meta-regression evaluation: (A) Regression plot of standard postoperative morbidity and commonplace age in robotic PD (Omnibus p = 0.040). (B) Regression plot of typical postoperative morbidity and general age in open PD (Omnibus p = 0.075).

ebook bias and sensitivity evaluation

booklet bias changed into evaluated by using visible assessment of symmetry on the funnel plot (Fig. 7) and the use of Egger’s examine (standard postoperative morbidity: t = 0.534, p = 0.522; Margin involvement rate: t = 0.478, p = 0.641). No large chance of booklet bias became found. A sensitivity evaluation of the covered observational stories was carried out the usage of go away-one-out woodland plots. Consecutive exclusion of experiences didn't greatly have an effect on the findings (Fig. 8). The outcomes of the assessment of the sure bet of facts are summarized in desk 4.

figure 7

Funnel plot of reporting bias: (A) typical postoperative morbidity. (B) Resection margin involvement price.

determine eight

Sensitivity analysis: (A) depart-one-out meta-analysis of typical postoperative morbidity. (B) depart-one-out meta-analysis of margin involvement price.


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HIGHLIGHTS
   
  MASWALI, MAONI NA MAJIBU WAKATI WA MIKUTANO KATI YA BODI YA TAIFA YA URATIBU WA NGOs NA WADAU WA SEK-
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Mwongozo wa Uratibu wa Mashirika Yasiyo ya Kiserikali Tanzania Bara
Orodha ya Mashirika yasiyo ya Kiserikali ambayo hayakuwasilisha Taarifa ya Mwaka
Kuanza Kutumika kwa Mfumo wa Usajili wa Mashirika Yasiyo ya Kiserikali (NGOs)
Taarifa kwa Wasajili Wasaidizi wa Mashirika Yasiyo ya Kiserikali (NGOs)
Taarifa kwa Mashirika yasiyo ya Kiserikali (NGOs), Kuwasilisha Taarifa za mwaka
NGO Regulation GN No 685
NGO Regulation GN No 686
NGO Regulation GN No 687
Draft for Constitutions Registered Under the NGO Act No. 24/2002 :
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Orodha ya Mashirika yanayoondolewa kwenye daftari la Msajili wa NGOs  
Tangazo kwa UMMA  
The Written Laws Miscelleneous No.3 Act of 2019  
NGOs Form New  
Taarifa kwa Mashirika Yasiyo ya Kiserikali (NGOs) Kuhusu Mfumo mpya wa Malipo kwa njia ya Mtandao  
NGOs Contribution Book Final  
Taarifa kwa Umma, Kuwasilisha Taarifa za Mwaka za Mashirika Yasiyo ya Kiserikali  
Taarifa kwa UMMA, Msajili Aongeza Muda wa Uhakiki NGOs  
Taarifa kwa UMMA, Uhakiki wa Mashirika Yasiyo ya Kiserikali
Fomu za Uhakiki wa NGOs
Taarifa Kwa Mashirika Yasiyo ya Kiserikali
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