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144 Chapter 6 SUPPLEMENTARY FILE 2. Modes for different BITSS photographs Country Photo 2 (BSFS 1) Photo 5 (BSFS 2) Photo 4 (BSFS 3) Photo 6 (BSFS 4) Photo 3 (BSFS 5) Photo 1 (BSFS 6) Photo 7 (BSFS 7) Overall 1 2 3 4 5 6 7 Belgium 1 2 3 4 5 6 7 Brazil 1 2 3 4 5 6 7 Canada 1 1 2 4 6 5 7 Colombia 1 2 3 4 5 6 7 Croatia 1 2 3 4 5 6 7 Ecuador 1 2 3 4 5 6 7 France 1 2 3 4 5 6 7 Italy 1 2 3 4 5 6 7 Mexico 2 1 3 4 5 6 7 The Netherlands 1 1 2 4 6 6 7 Nicaragua 1 2 3 4 5 6 7 Panama 1 2 3 4 5 6 7 Poland 1 2 3 4 5 6 7 Thailand 1 2 3 4 5 6 7 Spain 1 1 2 4 5 6 7 UAE 2 1 3 4 5 6 7 Uruguay 1 1 3 4 5 6 7 USA 2 1 3 4 5 6 7 BSFS, Bristol Stool Form Scale; UAE, United Arab Emirates Green cells: mode matches the reference stool type for corresponding photograph Red cells: mode deviates from the reference stool type for corresponding photograph Observers Photo 2 (BSFS 1) Photo 5 (BSFS 2) Photo 4 (BSFS 3) Photo 6 (BSFS 4) Photo 3 (BSFS 5) Photo 1 (BSFS 6) Photo 7 (BSFS 7) Overall 1 2 3 4 5 6 7 Parents 1 2 3 4 5 6 7 MDs 1 2 3 4 5 6 7 Nurses 1 2 3 4 5 6 7 BSFS: Bristol Stool Form Scale Green cells: mode matches the reference stool type for corresponding photograph Continent Photo 2 (BSFS 1) Photo 5 (BSFS 2) Photo 4 (BSFS 3) Photo 6 (BSFS 4) Photo 3 (BSFS 5) Photo 1 (BSFS 6) Photo 7 (BSFS 7) Overall 1 2 3 4 5 6 7 Asia 1 1 3 4 5 6 7 Europe 1 2 3 4 5 6 7 Americas 1 2 3 4 5 6 7 BSFS: Bristol Stool Form Scale Green cells: mode matches the reference stool type for corresponding photograph Red cells: mode deviates from the reference stool type for corresponding photograph