Reliable, clinically useful, and globally applicable diagnostic classification of mental disorders is an essential foundation for global mental health. The World Health Organization (WHO) is nearing completion of the 11th revision of the International Classification of Diseases and Related Health Problems (ICD-11). The present study assessed inter-diagnostician reliability of mental disorders accounting for the greatest proportion of global disease burden and the highest levels of service utilization - schizophrenia and other primary psychotic disorders, mood disorders, anxiety and fear-related disorders, and disorders specifically associated with stress - among adult patients presenting for treatment at 28 participating centers in 13 countries. A concurrent joint-rater design was used, focusing specifically on whether two clinicians, relying on the same clinical information, agreed on the diagnosis when separately applying the ICD-11 diagnostic guidelines. A total of 1,806 patients were assessed by 339 clinicians in the local language. Intraclass kappa coefficients for diagnoses weighted by site and study prevalence ranged from 0.45 (dysthymic disorder) to 0.88 (social anxiety disorder) and would be considered moderate to almost perfect for all diagnoses. Overall, the reliability of the ICD-11 diagnostic guidelines was superior to that previously reported for equivalent ICD-10 guidelines. These data provide support for the suitability of the ICD-11 diagnostic guidelines for implementation at a global level. The findings will inform further revision of the ICD-11 diagnostic guidelines prior to their publication and the development of programs to support professional training and implementation of the ICD-11 by WHO member states.

Information systems security issues have usually been considered only after the system has been developed completely, and rarely during its design, coding, testing or deployment. However, the advisability of considering security from the very beginning of the system development has recently begun to be appreciated, and in particular in the system requirements specification phase. We present a practical method to elicit and specify the system and software requirements, including a repository containing reusable requirements, a spiral process model, and a set of requirements documents templates. In this paper, this method is focused on the security of information systems and, thus, the reusable requirements repository contains all the requirements taken from MAGERIT, the Spanish public administration risk analysis and management method, which conforms to ISO 15408, Common Criteria Framework. Any information system including these security requirements must therefore pass a risk analysis and management study performed with MAGERIT. The requirements specification templates are hierarchically structured and are based on IEEE standards. Finally, we show a case study in a system of our regional administration aimed at managing state subsidies.

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