scholarly journals 584 Increase in Cancellation Rates with Follow-Up Telemedicine Visits in a Burn Clinic Setting

2021 ◽  
Vol 42 (Supplement_1) ◽  
pp. S143-S144
Author(s):  
Nicholas A Wiley ◽  
Lori Chrisco ◽  
Booker King
Keyword(s):  
Retrospective Analysis ◽  
Health Care Systems ◽  
Statistical Significance ◽  
Chi Square ◽  
Outpatient Visits ◽  
Significant Difference ◽  
Cancellation Rate ◽  
Care Systems ◽  
Chi Square Test

Abstract Introduction Telemedicine is a resource to help limit in-person contacts, which has become increasingly utilized during the Coronavirus pandemic. In the last year, most health care systems have attempted to limit in-person visits in order to help decrease Coronavirus transmission. A retrospective analysis was conducted to determine if the use of telemedicine resulted in an increase in cancellation rates. The data on cancellation rates of a burn clinic using telemedicine was collected for a seven-month period in 2020. The increased rate of cancellations for telemedicine visits compared to in-person visits was found to be statistically significant. Methods A retrospective analysis of patient cancellation rates for 2,463 burn outpatient visits seen in a burn clinic associated with a large tertiary referral burn center was performed covering the time period between April 1st and August 30th of 2020. Cancellations of initial visits for new or recently discharged patients were not included as telemedicine visits were only offered for established burn outpatients. Rescheduling rates for both groups were calculated to assess a potential impact on cancellations. Telemedicine visits consisted of patient encounters conducted by phone or by live video chat. Statistical significance was determined using chi-square test with an accepted p < 0.05. Results The study included 2,463 scheduled outpatient visits comprising 511 telemedicine visits and 1,952 in-person visits. A cancellation rate of 47% occurred for telemedicine visits and a cancellation rate of 40% was observed with in-person visits. Patient visits conducted using telemedicine were associated with a higher cancellation rate (p=0.013). The reschedule rate for telemedicine visits was 22% while in-person visits had a rate of 25% showing no significant association (p = 0.45). Conclusions Telemedicine follow-up visits were found to have an increased rate of cancellations compared to in-person visits. Rates of rescheduling showed no significant difference between groups.

scholarly journals More focus on atypical glandular cells in cervical screening: Risk of significant abnormalities and low histological follow-up rate

CytoJournal ◽  
2020 ◽  
Vol 17 ◽  
pp. 22
Author(s):  
Pingping Zhong ◽  
Chenghong Yin ◽  
Yulan Jin ◽  
Tianbao Chen ◽  
Yang Zhan ◽  
...  
Keyword(s):  
Statistical Significance ◽  
Cervical Screening ◽  
Close Relation ◽  
Prior History ◽  
Pap Smears ◽  
Chi Square ◽  
Glandular Cells ◽  
Atypical Glandular Cells ◽  
Chi Square Test

Objectives: Atypical glandular cells (AGC) detected by Papanicolaou (Pap) smears are in close relation with adenocarcinoma and precursors detected by histopathology. Yet, sometimes the cytological diagnosis of AGC has been neglected. With increase of adenocarcinoma and precursors, we need more focus on glandular abnormalities. Material and Methods: Clinicopathological data of patients who had AGC on Pap smears between April 2015 and October 2018 and underwent histological follow-up were retrieved from the computerized database of Beijing Obstetrics and Gynecology Hospital, Capital Medical University. Patients with a prior history of cancer were excluded from the study. Statistical analyses were performed using Pearson’s Chi-square test in SPSS software version 23. P < 0.05 (two sided) was considered as statistical significance. Results: Liquid-based cytological examination of the uterine cervix was carried out in 164,080 women. Five hundred and twenty-five women were diagnosed with AGC, 314 with not otherwise specified (AGC-NOS), and 211 with favor neoplastic (AGC-FN). Only 310 cases had histological follow-up, 168 women (168/314, 53.5%) originally with AGC-NOS on Pap smears, and 142 (142/211, 67.3%) with AGC-FN. The median age of histological significant abnormalities was 46.7 years, and 126 women (126/162, 77.8%) were postmenopausal. Sixty-six cases (66/168, 39.3%) of AGC-NOS had significant abnormalities (96/142, 67.6%, AGC-FN). One hundred and sixty-two cases of significant abnormalities included 40 high-grade squamous abnormalities and 122 glandular abnormalities. AGC-FN was more likely to be associated with a clinically significant abnormalities (P < 0.001) compared to AGC-NOS. Conclusions: Patients with AGC on Pap smears are in close relation with significant abnormalities, especially with significant glandular abnormalities on histopathology slices. AGC should be evaluated vigilantly with histological workup, especially if patients are diagnosed with AGC-FN and are aged 41–60 years. We need more focus on AGC.

scholarly journals Evaluation of crestal bone resorption around cylindrical and conical implants following 6 months of loading: A randomized clinical trial

2017 ◽  
Vol 11 (03) ◽  
pp. 317-322 ◽  
Author(s):  
Naser Sargolzaie ◽  
Hamid Reza Arab ◽  
Marzieh Mohammadi Moghaddam
Keyword(s):  
Bone Loss ◽  
Chi Square ◽  
Pocket Depth ◽  
Significance Level ◽  
Crestal Bone Loss ◽  
Significant Difference ◽  
Chi Square Test ◽  
Male Patients ◽  
Maxilla And Mandible

ABSTRACT Objective: The purpose of this clinical study was to evaluate the effect of implant body form (cylindrical and conical implants) on crestal bone levels during 6 months' follow-up after loading. Materials and Methods: A total of 32 SPI implants (19 conical implants/13 cylindrical implants) were randomly placed in 12 male patients using a submerged approach. None of the patients had compromising medical conditions or parafunctional habits. Periapical radiographs using the parallel technique were taken after clinical loading and 6 months later. Clinical indices including pocket depth and bleeding on probing (BOP) were recorded on 6-month follow-up. Data were analyzed by independent samples t-test and Chi-square test with a significance level of 0.05. Results: Six months after loading, crestal bone loss was 0.84 (±0.29) mm around the cylindrical implants and 0.73 (±0.62) mm around the conical types, which was not significantly different (P = 0.54). Pocket depth around the cylindrical and conical implants was 2.61 (±0.45) mm and 2.36 (±0.44) mm, respectively (P = 0.13). BOP was observed among 53.8% and 47.4% of the cylindrical implants and conical (P = 0.13). Bone loss and pocket depth in the maxilla and mandible had no significant difference (P = 0.46 and P = 0.09, respectively). Conclusion: In this study, although bone loss and clinical parameters were slightly higher in the cylindrical implants, there was no significant difference between the conical- and cylindrical-shaped implants.

scholarly journals Agreement between Impression of Stroke in the Emergency Department and Diagnosis at the Neurology Department

2019 ◽  
Vol 7 (3) ◽  
pp. 7
Author(s):  
Samad Shams-Vahdati ◽  
Alireza Ala ◽  
Eliar Sadeghi-Hokmabad ◽  
Neda Parnianfard ◽  
Maedeh Gheybi ◽  
...  
Keyword(s):  
Emergency Department ◽  
Ischemic Stroke ◽  
Statistical Significance ◽  
Retrospective Chart Review ◽  
Chi Square ◽  
Prevention Therapy ◽  
Significant Difference ◽  
Chi Square Test ◽  
Academic Teaching Hospital ◽  
The Mean

Background: Missing to detect an ischemic stroke in the emergency department leads to miss acute interventions and treatment with secondary prevention therapy. Our study examined the diagnosis of stroke in the emergency department (ED) and neurology department of an academic teaching hospital. Methods and Materials: A retrospective chart review was performed from March 2017 to March 2018. ED medical document (chart) were reviewed by a stroke neurologist to collect the clinical diagnosis and characteristics of ischemic stroke patients. For determining the cases of misdiagnosed and over diagnosed data, the administrative data codes were compared with the chart adjudicated diagnosis. The adjusted estimate of effect was estimated through testing the significant variables in a multivariable model. The comparisons were done with chi square test. Statistical significance was considered at P < 0.05. Results: Of 861 patients of the study, 54% were males and 43% were females; and the mean age of them was 66.51 ± 15.70. We find no statically significant difference between patient’s Glasgow Coma Scale (GCS) in the emergency department (12.87±3.25) and patients GCS in the neurology department (11.77±5.15). There were 18 (2.2%) overdiagnosed of ischemic stroke, 8 (0.9%) misdiagnosed of ischemic stroke and 36 (4.1%) misdiagnosed of hemorrhagic strokes in the emergency department. Conclusion: There was no significant difference between impression of stroke in the emergency department and diagnosis at the neurology department.

scholarly journals Treatment outcome of the retreatment tuberculosis patients under RNTCP in eastern Uttar Pradesh

2017 ◽  
Vol 4 (8) ◽  
pp. 2701
Author(s):  
Praveen B. Gautam ◽  
Ashwini Kumar Mishra ◽  
Santosh Kumar
Keyword(s):  
Treatment Outcome ◽  
Statistical Significance ◽  
Uttar Pradesh ◽  
Cost Effective ◽  
Control Programme ◽  
Chi Square ◽  
Loss To Follow Up ◽  
Tuberculosis Patients ◽  
Chi Square Test

Background: India has the highest tuberculosis (TB) burden in the world. The directly observed treatment strategy is the most systemic and cost-effective approach to the disease. Furthermore, understanding the reasons for treatment outcome is important for the improvement of treatment systems. The objective was to study the treatment outcome of retreatment tuberculosis patients under RNTCP in eastern UP.Methods: A longitudinal cohort study was undertaken among total 205 patients registered in category II under DOTS from June 2015 to May 2016. These patients were followed up to November 2016 till the completion of treatment. At the end of study period, treatment outcomes were analysed. The chi-square test was used to assess the statistical significance of each ratio. P<0.05 was considered significant.Results: Out of 205 re-treatment patients, 174 (84.4%) had pulmonary tuberculosis while 31 (15.1%) had extra-pulmonary TB. In the cohort of category II patients 93 (45.3%) were relapse, 58 (28.2%) belonged to others category, 31 (15.1%) were treatment after loss to follow-up and 23 (11.2%) were on treatment after failure. Maximum patients were male 133 (64.8%) and most of the patients were belonged to the age group of 20-40 years. Among retreatment cases the cure rate for relapse, treatment after failure, treatment after loss to follow-up and others cases were 74.1%, 60.8%, 35.4% and 55.1% respectively.Conclusions: The relapse cases were the most commonly found in the re-treatment category however these patients were more likely to be cured with the category II regimen and treatment after loss to follow-up had high risk of retreatment failure. Continuous monitoring, adherence and treatment completion are essential for controlling the need of retreatment as well as improvement of tuberculosis control programme. 

scholarly journals Are swimming coaches ready to help injured young swimmers?

2022 ◽  
Vol 14 (1) ◽  
pp. 61-66
Author(s):  
Goran Dimitrić ◽  
Milorad Jakšić ◽  
Filip Sadri ◽  
Nataša Zenić
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Statistical Significance ◽  
First Aid ◽  
Chi Square ◽  
Knowledge And Skills ◽  
Significant Difference ◽  
Chi Square Test ◽  
Statistical Program ◽  
Cross Tabulation

Abstract Study aim: This study aimed to determine the knowledge and skills of swimming coaches in providing first aid and cardiopulmonary resuscitation (CPR). Material and methods: The sample consisted of 59 swimming coaches who responded to non-standardized questionnaire. The collected data were processed by the statistical program IBM SPSS (20.0), using the Chi-square test with cross-tabulation, with a level of statistical significance p ≤ 0.05. Results: Obtained data showed a statistically significant difference in the knowledge of swimming coaches about first aid and CPR in relation to coaching experience (p = 0.025); in the knowledge of providing first aid and CPR between coaches who have a certificate of first aid and CPR and those who do not (p = 0.006) and in first aid and CPR knowledge between coaches who have renewed their first aid and CPR knowledge and those who did not (p = 0.045). Conclusion: Based on the findings of the present study, swimming coaches included in this research did not have enough knowledge and skills in first aid and CPR, which makes swimming programs unsafe. By obliging swimming coaches to acquire and constantly improve their knowledge and skills in first aid and CPR, the environment for all swimming programs would become safer.

scholarly journals Palatal Rugoscopy among Puducherry Population

2012 ◽  
Vol 13 (3) ◽  
pp. 401-404 ◽  
Author(s):  
Sathish Kumar ◽  
N Balaji ◽  
V Shanthi ◽  
MK Sumathi ◽  
Priya Vendhan
Keyword(s):  
Statistical Significance ◽  
Human Identification ◽  
Female Group ◽  
Chi Square ◽  
Male And Female ◽  
Female Patients ◽  
Circular Pattern ◽  
Palatal Rugae ◽  
Significant Difference ◽  
Chi Square Test

ABSTRACT Background Human identification is one of the most challenging subjects that man has been confronted with. The fingerprints and DNA comparison are the most commonly used techniques in human identification. Palatoscopy is one of the recently developing methods to identify a victim-based on the palatal rugae pattern. Aims and objectives The aim of the study was to analyze the different rugae pattern in Puducherry population and to find whether palatoscopy is a useful tool in human identification and sex determination. Materials and methods The studies consist of 100 male and female patients between the age group of 20 to 35 years. The rugae pattern was divided assessed based on Kotze classification. Chi-square test and one-way analysis was used to study the statistical significance. Results Wavy pattern appeared to be the most predominant pattern followed by curved, straight, branched and circular pattern in both male and female patients. The shape and number of rugae pattern is similar in male and females. Conclusion The present study concludes that wavy pattern appear to be most common rugae pattern among Puducherry population. No significant difference in rugae pattern was noted among the male and female group. Rugae pattern is unique to each individual and can be an effective tool in human identification. How to cite this article Kumar S, Vezhavendhan N, Shanthi V, Balaji N, Sumathi MK, Vendhan P. Palatal Rugoscopy among Puducherry Population. J Contemp Dent Pract 2012;13(3): 401-404.

scholarly journals Trainees’ perception of education in communication and professionalism across two programs in two countries

2017 ◽  
Vol 27 (1) ◽  
pp. 6-11
Author(s):  
Jan Hau Lee ◽  
Bin Huey Quek ◽  
Christoph P Hornik ◽  
Raveen Shahdadpuri ◽  
David A Turner
Keyword(s):  
Health Care Systems ◽  
The United States ◽  
Role Modeling ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Pediatric Residents ◽  
High Workload ◽  
Care Systems ◽  
Chi Square Test

Background: Different health care systems impact on medical education. Objective: We aim to describe the differences and similarities in the perceptions of pediatric residents on education in professionalism and communication skills across two countries. Methods: We conducted a cross-sectional survey of pediatric residents in the United States and Singapore. A 108-item written questionnaire on perceptions regarding education in communication/professionalism was administered. A five-point Likert scale was used for each attribute in the survey. Quantitative analysis was performed using chi-square test. Results: Response rate was 65.9% (89/135). In the domain of professionalism, residents from both countries ranked shared decision making as the most important attribute (Singapore vs. USA: 26/50 (52.0%) vs. 19/39 (48.7%), p = 0.76). In contrast, there was a difference in ranking of the most important attribute in communication between the two countries, with dealing with difficult family and patient being most important for Singapore trainees (30/50(60.0%) vs. 8/39 (20.5%), p < 0.001). Direct observation and feedback and role modeling by seniors were the most common teaching methods in both centers. Main barriers in learning were high workload (55/89 (61.8%)) and time constraints (53/89 (59.6%)) in both countries. Promoters of teaching these competencies were similar, with role modeling by senior staff rated as most important. Conclusions: This investigation demonstrates more differences in the perception of how communication is taught compared to professionalism across two countries. Barriers and promoters to teaching were similar across these two countries, with role modeling being an important approach to teaching communication and professionalism across both countries.

scholarly journals Determinants of product innovation in food and agribusiness small and medium enterprises: evidence from enterprise survey data of India

2021 ◽  
pp. 1-20
Author(s):  
Jabir Ali ◽  
Michael R. Reed ◽  
Sayed H. Saghaian
Keyword(s):  
Product Innovation ◽  
Small And Medium Enterprises ◽  
Chi Square ◽  
Product Innovations ◽  
Significant Difference ◽  
Chi Square Test ◽  
Indian Food ◽  
Medium Enterprises ◽  
Enterprise Survey

This paper analyzes the nature and determinants of product innovation for food and agribusiness firms in India. The study is based on the World Bank’s Enterprise Survey and the India Innovation Follow-up Survey from 2014. These surveys included 294 Indian food and agribusiness firms operating in different regions of the country. Simple statistical tools, such as chi-square test and logistic regression, are used for analyzing the raw data. It is evident from the analysis that there is a significant difference in the adoption of product innovations across enterprise sizes. Product innovation is more prominent in large enterprises than small and medium scale enterprises (SMEs). Results of regression analysis indicate that product innovation in SMEs is more likely to be influenced by a variety of internal, collaborative, and external factors. The findings of the study suggest that SMEs should diversify their product innovations to include new inputs, improved product features, and enhanced technologies to strengthen their place in the market. This research is valuable because there is limited evidence on the nature and determinants of product innovation in food and agribusiness SMEs of emerging economies like India.

scholarly journals Ruxolitinib-treated polycythemia vera patients and their risk of secondary malignancies

2021 ◽  
Author(s):  
Rohit Sekhri ◽  
Parvis Sadjadian ◽  
Tatjana Becker ◽  
Vera Kolatzki ◽  
Karlo Huenerbein ◽  
...  
Keyword(s):  
Polycythemia Vera ◽  
Rank Test ◽  
Secondary Malignancies ◽  
Chi Square ◽  
Increased Risk ◽  
Single Center Study ◽  
Significant Difference ◽  
Chi Squared ◽  
Chi Square Test

AbstractRecently, there has been increased concern about a risk of secondary malignancies (SM) occurring in myelofibrosis (MF) patients receiving ruxolitinib (RUX). In polycythemia vera (PV), on the other hand, only limited data on the risk of SM under RUX treatment are available. To investigate the association between RUX therapy in PV and SM, we conducted a retrospective, single-center study that included 289 PV patients. RUX was administered to 32.9% (95/289) of patients for a median treatment duration of 48.0 months (range 1.0–101.6). Within a median follow-up of 97 months (1.0–395.0) after PV diagnosis, 24 SM occurred. Comparing the number of PV patients with RUX-associated SM (n = 10, 41.7%) with the 14 (58.3%) patients who developed SM without RUX, no significant difference (p = 0.34, chi square test) was found. No increased incidences of melanoma, lymphoma, or solid “non-skin” malignancies were observed with RUX (p = 0.31, p = 0.60, and p = 0.63, respectively, chi square test). However, significantly more NMSC occurred in association with RUX treatment (p = 0.03, chi-squared test). The “SM-free survival” was not significantly different by log rank test for all 289 patients (p = 0.65), for the patients (n = 208; 72%) receiving cytoreductive therapy (p = 0.48) or for different therapy sequences (p = 0.074). In multivariate analysis, advanced age at PV diagnosis (HR 1.062 [95% CI 1.028, 1.098]) but not administration of RUX (HR 1.068 [95% CI 0.468, 2.463]) was associated with an increased risk for SM (p = 0.005). According to this retrospective analysis, no increased risk of SM due to RUX treatment could be substantiated for PV.

scholarly journals Role of Dermaroller and Prp In Post-Traumatic Facial Scar Treatments

2020 ◽  
Vol 11 (3) ◽  
pp. 4061-4067
Author(s):  
Alpesh ◽  
Jumale V P
Keyword(s):  
Statistical Significance ◽  
T Test ◽  
P Value ◽  
Chi Square ◽  
Chi Square Test ◽  
Group A ◽  
Post Traumatic ◽  
Group B

In the present study follow up kept on immediate post-operative day and at one week to evaluate pain, bleeding and inflammation. Final follow up at two months for assessment of aesthetic score by three independent personnel. Pain and inflammation were more associated with Group B compared to Group A, but there are no statistical significance differences among this groups (P value- 0.074 and 0.136 for pain and inflammation respectively on immediate post-operative day. Chi-square test). Final follow up assessment of aesthetic scores at two months calculated by Chi- square test and comparisons of two groups for aesthetic scores done by Independent t-Test. All three personnel gave higher aesthetic score to Group B but statistically this was not significant (P-value 0.287, 0.129 and 0.400 by Observer 1, 2 and patients respectively. Chi-square test). The mean aesthetic score given by Observer 1, 2 and patient was higher associated to Group B but statistically this was not significant (P=0.526, 0.055 and 0.232 independent t-Test).

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