scholarly journals Factors affecting pain during outpatient clinic based surgical procedures in gynecologic oncology

Medicine ◽  
2018 ◽  
Vol 97 (31) ◽  
pp. e11721 ◽  
Author(s):  
Kidong Kim ◽  
Banghyun Lee ◽  
Youngmi Park ◽  
Dong H. Suh ◽  
Jae H. No ◽  
...  
Keyword(s):  
Surgical Procedures ◽  
Outpatient Clinic ◽  
Gynecologic Oncology ◽  
Factors Affecting

scholarly journals Interest In and Practices Related to Gynecologic Oncology among Members of the Brazilian Federation of Associations of Gynecology and Obstetrics

2019 ◽  
Vol 41 (06) ◽  
pp. 394-399
Author(s):  
Arilto Eleutério da Silva Júnior ◽  
Jesus Paula Carvalho ◽  
Sophie Françoise Mauricette Derchain ◽  
Angélica Nogueira Rodrigues ◽  
Renato Moretti ◽  
...  
Keyword(s):  
Surgical Procedures ◽  
Cancer Care ◽  
Precancerous Lesions ◽  
Gynecologic Oncology ◽  
Daily Practice ◽  
Low Complexity ◽  
Area Of Interest ◽  
Gynecology And Obstetrics ◽  
Screening And Prevention

Objective The present study aims to obtain basic demographic information, the level of interest and of training in gynecology oncology among Brazilian obstetricians and gynecologists (OB-GYNs) to create a professional profile. Methods An online questionnaire was sent to 16,008 gynecologists affiliated to the Brazilian Federation of Associations of Gynecology and Obstetrics (FEBRASGO, in the Portuguese acronym). We considered gynecologists dedicated to gynecologic oncology (OB-GYNs ONCO) those who self-reported that > 50% of their daily practice consists in working with women's cancer care. Results A total of 1,608 (10%) of 16,008 FEBRASGO members responded. The OB-GYNs are concentrated in the southern and southeastern states of Brazil. Gynecologic oncology was considered the 8th greatest area of interest in gynecology among the OB-GYNs. A total of 95 (5.9%) of the OB-GYNs were considered OB-GYNs ONCO. Obstetricians and gynecologists are actively engaged in cancer care: > 60% of them dedicate up to 25% of their daily practice to oncology. The role of the physicians in screening and prevention, diagnosis, in the treatment of precancerous lesions, and in low complexity surgical procedures is notably high. Gynecologists dedicated to gynecologic oncology in Brazil have a heterogeneous, nonstandardized and short training period in gynecologic oncology. These professionals had a more significantly role in performing medium- and high-complexity operations compared with OB-GYNs (65.2% versus 34%, and 47.3% versus 8.4%, respectively). Conclusion The role of OB-GYNs and of OB-GYNs ONCO appears to be complementary. Obstetricians and gynecologists act more often in screening and prevention and in low-complexity surgical procedures, whereas OB-GYNs ONCO are more involved in highly complex cases. Strategies to raise standards in cancer training and to encourage the recognition of gynecologic oncology as a subspecialty should be adopted in Brazil.

Factors Affecting Fellowship Satisfaction among Gynecologic Oncology Fellows

2001 ◽  
Vol 80 (1) ◽  
pp. 74-78 ◽  
Author(s):  
Dennis R. Scribner ◽  
Jonathan Baldwin ◽  
Michael A. Gold
Keyword(s):  
Gynecologic Oncology ◽  
Factors Affecting

Factors Affecting Initial Strength Performance of a Hydroxylapatite-Calcium Sulfate Hemihydrate Composite

1987 ◽  
Vol 110 ◽  
Author(s):  
Timothy R. Devine ◽  
Keith A. Johnson
Keyword(s):  
Surgical Procedures ◽  
Calcium Sulfate ◽  
The Body ◽  
Particle Migration ◽  
Strength Performance ◽  
Factors Affecting ◽  
Initial Strength ◽  
Implant Material ◽  
Calcium Sulfate Hemihydrate

Hydroxylapatite (HA) has been shown to be an efficacious bio-implant material in a number of surgical procedures[l]. A problem in the use of this material is that of particle migration away from the implant site. One method to resolve this problem is to mix the HA with calcium sulfate hemihydrate, CaSO4·0.5H2O, and allow the material to set to a gypsum/HA composite monolith[2]. The gypsum is resorbed by the body over a period of weeks, leaving the hydroxylapatite surrounded by newly generated tissue.

scholarly journals Factors affecting the profitability of surgical procedures under ‘Payment by Results’

Anaesthesia ◽  
2011 ◽  
Vol 66 (4) ◽  
pp. 283-292 ◽  
Author(s):  
T. Abbott ◽  
S. M. White ◽  
J. J. Pandit
Keyword(s):  
Surgical Procedures ◽  
Factors Affecting

scholarly journals Health literacy levels and related factors of patients admitted to an outpatient clinic in Malatya

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E Pehlivan ◽  
K Ozdemir
Keyword(s):  
Health Literacy ◽  
Outpatient Clinic ◽  
Educational Background ◽  
Cross Sectional Study ◽  
Related Factor ◽  
Related Factors ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Average Value ◽  
Health Literacy Level

Abstract Background This study was conducted to determine the health literacy levels and related factors of the patients who applied to a health unit. Methods The population of this cross-sectional study was the patients who applied to a district outpatient clinic in the center of Malatya. Power 80% and in the 95% confidence interval based on the mean of health literacy scale of Turkey (29.5 ± 5.7) the sample size was determined as 317. In the first three months of 2019 outpatients and 384 randomized patients who agreed to participate in the study, developed by the Ministry of Health Literacy Turkey Health Questionnaire-32 (THLQ) was applied. The score obtained from the scale is considered to be insufficient of 25 and below, limited to > 25-33 points and a score of < 33 and above is sufficient. In the analysis of the data, Kolmogorov Smirnov, Mann Whitney U, Kruskal Wallis and Chi-Kare tests were used and p < 0.05 was chosen as the level of error. Results 49.9% of the participants were male and 50.1% were female. The average age is 35.94 ± 13.8. While 24% of the participants have secondary or lower education, 40.6% are graduates of higher education. In this study,the health literacy scale mean score of the participants is 15.85 ± 11.07. According to the results of THLQ-32, 78.1% of the participants were in the “insufficient” health literacy category, 14.0% in the “limited” category, only 7.9% in the “sufficient” category. Gender, age, educational background, frequency of applying to the health institution were determined as factors affecting the level of health literacy (p < 0.05). However, the presence of a disease causing regular drug use was not identified as a related factor (p > 0.05). Conclusions In this study, although of have a high education level of the participants were found to be inadequate of health literacy levels according to Turkey average value reflects the general. Key messages According to these results, it may be difficult for the groups that are insufficient in terms of health literacy to benefit from health services. Raising the health literacy level of the society can be an important component of health promotion.

scholarly journals Surgical treatment of relapsed megaesophagus

2020 ◽  
Vol 47 ◽  
Author(s):  
LUIGI CARLO DA SILVA COSTA ◽  
JOÃO GABRIEL ROMERO BRAGA ◽  
VALDIR TERCIOTI JUNIOR ◽  
JOÃO DE SOUZA COELHO NETO ◽  
JOSÉ ANTÔNIO POSSATTO FERRER ◽  
...  
Keyword(s):  
Weight Loss ◽  
Retrospective Study ◽  
Surgical Treatment ◽  
Postoperative Complications ◽  
Chagas Disease ◽  
Surgical Procedures ◽  
Postoperative Period ◽  
Outpatient Clinic ◽  
Surgical Result ◽  
Stage 1

ABSTRACT Objective: to analyze the surgical treatment of patients with recurrent megaesophagus followed at the esophageal-stomach-duodenal outpatient clinic of the Hospital de Clínicas - UNICAMP. Methods: a retrospective study, from 2011 to 2017, with 26 patients with Chagas or idiopathic megaesophagus, surgically treated, and who recurred with dysphagia. Clinical, endoscopic and radiographic aspects were assessed and correlated with the performed surgical procedures. Results: 50% had dysphagia for liquids, 69% regurgitation, 65.3% heartburn, 69.2% weight loss and 69.2% had Chagas disease. In addition, 38.4% had megaesophagus stage 1 and 2 and 61.5% stage 3 and 4. Regarding the reoperations, 53% of them underwent Heller-Pinotti surgery by laparoscopy, Serra-Dória in 30.7% and esophageal mucosectomy in 7.9%. In 72% of the reoperations there were no postoperative complications, and 80% of the patients had a good outcome, with reduction or elimination of dysphagia. Among the reoperated patients undergoing the laparoscopic Heller-Pinotti technique, three reported little improvement of dysphagia in the postoperative period and among those who underwent Serra-Dória surgery, 100% had no dysphagia. It was observed that, when the time between the first procedure and the reoperation was longer, the better the surgical result was, with statistical significant decreased dysphagia (p=0.0013, p<0.05). Conclusions: there was a preference to perform laparoscopic re-miotomy and, as a second option, Serra-Dória surgery, for patients with recurrent megaesophagus. Esophagectomy or esophageal mucosectomy were reserved for more severe patients.

scholarly journals Does the approved tariff cover the actual cost of global surgical procedures?

2020 ◽  
Author(s):  
Ehsan Zarei ◽  
Maedehalsadadt Hashemi ◽  
Abbas Daneshkohan ◽  
Edris Kakemam
Keyword(s):  
Surgical Procedures ◽  
Cross Sectional Study ◽  
Study Data ◽  
Full Time ◽  
Actual Cost ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Supreme Council ◽  
The Difference

Abstract Background: Following the implementation of the health transformation plan in Iran and the significant increase in medical tariffs, it seems there is still a considerable gap between the actual cost of the Global Surgical procedures (GSPs) and the approved tariffs. The aim of this study was to compare the actual costs of GSPs with approved tariffs in hospitals affiliated to Qazvin University of Medical Sciences in 2016. Methods: In this cross-sectional study, data of 6,126 GSPs performed in three hospitals were extracted from Hospital Information System and approved tariffs were also obtained from the Supreme Council of Health Insurance. The difference between the average actual costs of a GSP and its tariff was considered as the tariff-actual cost gap. Regression test was used to determine the factors affecting the tariff-actual cost gap using SPSS.21. Results: The average actual cost of GPSs was 503 USD while the average tariff was 361 USD, indicating a significant negative gap between the approved tariffs and the actual cost of GPSs. In fact, for each procedure, the hospital suffered an average of 142 USD losses. In 54 of 63 GSPs, the average actual cost was 0.3% to 307.4% higher than the tariff. The highest negative gap was related to the “femoral fracture fixation" with -307.4%. The gap was higher in older patients, females, and patients with a longer stay, orthopedic specialty, and full-time surgeons (p<0.05). Conclusions: The findings of this study showed that tariffs covered only 71.8% of actual costs. It is suggested that in the tariff setting of GSPs, factors such as inflation rate, patient's age, comorbidity, disease severity, and hospital function (teaching or referral center) be considered. In addition, hospital management can also reduce the gap by modifying processes and managing resource consumption, especially medicines and consumables items.

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