scholarly journals Development and validation of the cancer symptoms discrimination scale: a cross-sectional survey of students in Yunnan, China

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Lin-sen Feng ◽  
Zheng-jiao Dong ◽  
Ruo-yu Yan ◽  
Chang-ling Tu ◽  
Lan-yu Zhang ◽  
...  

Abstract Background This study aimed to devise a Cancer symptoms Discrimination Scale (CSDS) suitable for China based on a cross-sectional survey. Methods The CSDS was developed using the classical measurement theory. A total of 3610 students from Yunnan province, China, participated in the cross-sectional survey. The test version of the scale was modified by the item analysis method, and after the official version of CSDS was developed, its reliability and validity were verified. A univariate analysis of variance and a multiple linear regression model were used to analyze the influencing factors of cancer symptoms discrimination among the university/college students. Results There were 21 items in total for the CSDS, including 3 subscales --- common clinical manifestations (11 items), physical appearance defects (6 items), and drainage tube(s) wearing (4 items). This CSDS had good validity (GFI = 0.930, AGFI = 0.905, RMR = 0.013, I-CVIs> 0.80, and the Pearson correlation coefficient was satisfactory.) and reliability (Cronbach’s alpha = 0.862, spearman-brown coefficient = 0.875). The multiple linear regression showed that certain factors may affect the students’ discrimination level against cancer symptoms (P < 0.05), including gender, major, current education degree, guardian’s highest record of formal schooling, self-rated health status, history of care for cancer patients, family relationship, ways of cancer knowledge acquisition, good/poor understanding of cancer-related information, degree of cancer fear, and their perception of cancer infectiousness. Conclusion This CSDS, with good reliability and validity, can be used for the evaluation of the discrimination risk and levels against cancer symptoms among healthy students.

2019 ◽  
Vol 13 (1) ◽  
pp. 41
Author(s):  
Susanti Tria Jaya ◽  
Johanes C Mose ◽  
Farid Husin ◽  
Jusuf S Effendi ◽  
Deny K Sunjaya

Rujukan pelayanan kesehatan merupakan salah satu upaya untuk penanganan kasus emergensi yang mengatur pelimpahan tugas dan tanggung jawab pelayanan kesehatan secara timbal balik, baik vertikal maupun horizontal. Memperkuat sistem rujukan merupakan salah satu cara dalam mempercepat penurunan angka kematian ibu. Upaya tersebut tidak terlepas dari penanganan kasus emergensi di fasilitas pelayanan kesehatan melalui peningkatan PONED di puskesmas dan PONEK di rumah sakit. Untuk mendukung pelayanan PONED dan PONEK dibutuhkan pembentukan sistem rujukan yang sesuai standar. Pelaksanaan Rujukan yang terorganisir harus dilakukan dengan syarat dan persiapan yang tepat untuk merujuk kasus kegawatdaruratan ibu dan bayi secara tepat dan cepat.  Tujuan penelitian ini adalah menganalisis hubungan sumberdaya manusia, sarana prasarana, komunikasi PONED – PONEK, dan standar operasional prosedur dengan syarat dan persiapan rujukan puskesmas PONED.Desain penelitian observasional analitik kuantitatif dengan metode survei, pendekatan waktu cross sectional. Pengukuran data menggunakan pemodelan Rasch dengan mengubah data ordinal menjadi data interval dalam bentuk logit. Populasi dalam penelitian ini adalah Tim inti PONEDdari 18 Puskesmas PONED di  Wilayah Bagian Utara Provinsi Aceh. Sampel berjumlah 72 orang diambil secara total sampling. Variabel diukur menggunakan kuesioner. Analisis bivariabel menggunakan Pearson Correlation Test sedangkan untuk multivariabel menggunakan Multiple Linear Regression.Hasil penelitian menunjukkan bahwa syarat dan persiapan rujukan belum sesuai standar, umpan balik dari RS PONEK ke Puskesmas PONED sangat susah dilaksanakan, sumberdaya manusia tidak memenuhi kualifikasi standar minimal Puskesmas PONED dan belum terlatih, sarana prasarana rujukan yang tersedia untuk di ambulan belum cukup, komunikasi PONED–PONEK masih satu arah dan standar operasional prosedur belum lengkap, dan tidak diletakkan di tempat yang mudah dilihat petugas. Hasil analisis Multiple Linear Regression menunjukkan bahwa variabel yang paling dominan berhubungan dengan syarat dan persiapan rujukan adalah standar operasional prosedur (p<0,001). Simpulan dalam penelitian ini adalah pelaksanaan rujukan puskesmas PONED yang sesuai standar masih belum tercapai, belum semua sumberdaya manusia yang tersedia memenuhi kualifikasi Puskesmas PONED. Diharapkan dukungan dinas kesehatan akan berpengaruh pada kesiapan rujukan Puskesmas PONED yang berkualitas.


2021 ◽  
Vol 16 (2) ◽  
Author(s):  
Rico Januar Sitorus ◽  
Imelda Gernauli Purba ◽  
Merry Natalia ◽  
Kraichat Tantrakarnapa

Smoking leads to disease and disability as well as harm nearly every organ of the body. Furthermore, smoking of tobacco is known to cause pulmonary dysfunction and lead to complications, pain, or even death. This study aims to measure the risk factors for the respiration of carbon monoxide among smokers. A cross-sectional design was implemented by involving 156 smokers in Karyajaya Subdistrict, Palembang City. The dependent variable was carbon monoxide levels (ppm), while the independent variables were smoking frequency, duration, and the last period of smoking. The carbon monoxide levels (ppm) measured with a PiCO + Smokerlyzer® device from Bedfont Scientific Limited were the research tool and the independent variables of the questionnaire. The pearson Correlation and multiple linear regression were used for the analysis. The results of the multiple linear regression analysis revealed that smoking duration assessment is related to carbon monoxide respiration after controlling smoking frequency, the last period of smoking, and the distance of residence to sources of exposure. The smoker's respiration of carbon monoxide level was 72.5% influenced by the duration, frequency, last period of smoking, and distance of residence to sources of exposure. Reducing the frequency of smoking and stopping may prevent and control carbon monoxide respiration.


2020 ◽  
Author(s):  
RYAN WAI KHEONG LEE ◽  
LOY SEE LING ◽  
YANG LIYING ◽  
JERRY CHAN KOK YEN ◽  
TAN LAY KOK

Abstract BackgroundCOVID-19 may predispose pregnant women to higher risks of severe disease and poorer neonatal outcome. Psychological sequalae of this pandemic may pose a greater conundrum than its clinical aspects. It is currently unknown that how pregnant women cope with this global pandemic and its ramifications. The aims of the study are to understand the attitudes and precaution practices of non-infected pregnant women towards the COVID-19 outbreak in Singapore.Methods An online cross-sectional survey of COVID-19 awareness among pregnant women attending antenatal clinics in Singapore was conducted. An internet link was provided to complete an online electronic survey on Google platform using a quick response (QR) code on mobile devices. The online survey consists of 34 questions that were categorized into 4 main sections, namely 1) social demographics 2) attitude on safe distancing measures 3) precaution practices and 4) perceptions of COVID-19. Multiple linear regression analysis was performed to examine women’s precaution practices among six independent socio-demographic variables, including age, ethnicity , education , front-line jobs, history of miscarriage and type of antenatal clinic (general , high risk).ResultsA total of 167 survey responses were obtained over eight weeks from April to June 2020. The majority of women were aged ≤35 years (76%, n=127), were of Chinese ethnicity (55%, n=91), attained tertiary education (62%, n=104) and were not working as frontline staff (70%). Using multiple linear regression models, Malay ethnicity (vs. Chinese, β 0.24; 95% CI 0.04, 0.44) was associated with higher frequency of practicing social distancing. Malay women (β 0.48; 95% CI 0.16, 0.80) and those who worked as frontline staff (β 0.28; 95% CI 0.01, 0.56) sanitized their hands at higher frequencies. Age of ≥36 years (vs. ≤30 years, β 0.24; 95% CI 0.01, 0.46), Malay (vs. Chinese, β 0.27; 95% CI 0.06, 0.48) and Indian ethnicity (vs. Chinese, β 0.41; 95% CI 0.02, 0.80), and attendance at high-risk clinic (vs. general clinic, β 0.20; 95% CI 0.01, 0.39) were associated with higher frequency of staying-at-home.ConclusionSocial demographical factors including age > 36 years old, Malay ethnicity, employment in front line jobs and attendance at high-risk clinics are likely to influence the attitudes and precaution practices among pregnant women towards COVID-19 in Singapore. Knowledge gained from our cross-sectional online survey can better guide clinicians to communicate better with pregnant women. Hence, it is important for clinicians to render appropriate counselling and focused clarification on the effect of COVID-19 among pregnant women for psychological support and mental wellbeing.


2015 ◽  
Vol 4 (4) ◽  
pp. 31-53
Author(s):  
Yidnekachew Mare ◽  
Emmanuel Gebreyohannes ◽  
Yohannes Yebabe Tesfay

The purpose of this study was to identify and analyze the factors affecting the perception of Hawassa community towards the tourism industry using Factor Analysis, Multiple linear regression and Multivariate Analysis of Variance (MANOVA). Cross-sectional survey was conducted on a sample of 591 from a target population of 24021 of Hawassa City. The Factor analysis estimation result identified five potential factors that affect the community's perception towards the tourism industry. These potential factors are economic, socio-cultural, environmental, community service and community attitude factors, which explained 77.5 percent of the total variation of the community's perception towards the tourism industry. Multiple linear regression analysis indicated that length of residency, number of tourist contacts, number of recreational activities, job creation and tourism policy participation are found significant in explaining the variation in the underlined perceptions of the community towards tourism. Among the demographic characteristics, sub city, sex, educational level, working profession and monthly income of the respondents are found were statistically significant different for the mean scores of the perceptions towards tourism.


2016 ◽  
Vol 4 (1) ◽  
pp. 58-64
Author(s):  
Rismayanti Rismayanti ◽  
Martha Irene Kartasurya ◽  
Nico L. Kana

Internal marketing and service quality BPJS are things that influence the level of satisfaction of doctors that becomes the deciding factor of doctor performance. The aim of this study is to find the influence of internal marketing and service quality performance of BPJS Kesehatan with doctor performance through doctor satisfaction at RSUD Ulin Banjarmasin. This type of research is analytic with cross sectional design. The research method was developed using a questionnaire based on the literature. The number of respondents who came from the science of internal medicine, pediatric, obstetrical and gynaecology, and surgery and met the inclusion criteria as many as 52 people were surveyed. Data was analyzed using Pearson correlation and multiple linear regression. The results showed correlation between internal marketing to the satisfaction of doctors (r = 0.584, p = 0.000), between service quality BPJS and satisfaction of doctors (r = 0.499, p = 0.001), between the satisfaction of doctors and the performance of doctors (r = 0.583, p = 0.0001). Results of research by multiple linear regression analysis showed that the internal marketing and service quality BPJS have contributed influence on physician satisfaction of 44.6% while 55.4% described other factors. Physician satisfaction have contributed influence on physician performance by 32.7% while 67.3% described other variables outside the model. It was concluded that internal marketing and service quality effect on doctors satisfaction which in turn affect the performance of doctors. Suggested to BPJS Health to improve the financing system INA-CBG’s and disseminate laws and regulations better.


2021 ◽  
Author(s):  
Zahoor Ahmad Paray ◽  
Sumit Kumar ◽  
Adarsh Kalia

Study type: Quantitative<div>Data: Primary data </div><div>Sample size: 398 </div><div>Design: Cross sectional survey</div><div>Respondents: University students </div><div>Degree level: Undergraduate and Post-graduate</div><div>Techniques: Multiple linear regression</div><div>Scale type: 5 point Likert scale</div><div>Software: SPSS</div><div><br></div>


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ryan Wai Kheong Lee ◽  
See Ling Loy ◽  
Liying Yang ◽  
Jerry Kok Yen Chan ◽  
Lay Kok Tan

Abstract Background COVID-19 may predispose pregnant women to higher risks of severe disease and poorer neonatal outcome. Psychological sequalae of this pandemic may pose a greater conundrum than its clinical aspects. It is currently unknown that how pregnant women cope with this global pandemic and its ramifications. The aims of the study are to understand the attitudes and precaution practices of non-infected pregnant women towards the COVID-19 outbreak in Singapore. Methods An online cross-sectional survey of COVID-19 awareness among pregnant women attending antenatal clinics in Singapore was conducted. An internet link was provided to complete an online electronic survey on Google platform using a quick response (QR) code on mobile devices. The online survey consists of 34 questions that were categorized into 4 main sections, namely 1) social demographics 2) attitude on safe distancing measures 3) precaution practices and 4) perceptions of COVID-19. Multiple linear regression analysis was performed to examine women’s precaution practices among six independent socio-demographic variables, including age, ethnicity, education, front-line jobs, history of miscarriage and type of antenatal clinic (general, high risk). Results A total of 167 survey responses were obtained over 8 weeks from April to June 2020. The majority of women were aged ≤35 years (76%, n = 127), were of Chinese ethnicity (55%, n = 91), attained tertiary education (62%, n = 104) and were not working as frontline staff (70%). Using multiple linear regression models, Malay ethnicity (vs. Chinese, β 0.24; 95% CI 0.04, 0.44) was associated with higher frequency of practicing social distancing. Malay women (β 0.48; 95% CI 0.16, 0.80) and those who worked as frontline staff (β 0.28; 95% CI 0.01, 0.56) sanitized their hands at higher frequencies. Age of ≥36 years (vs. ≤30 years, β 0.24; 95% CI 0.01, 0.46), Malay (vs. Chinese, β 0.27; 95% CI 0.06, 0.48) and Indian ethnicity (vs. Chinese, β 0.41; 95% CI 0.02, 0.80), and attendance at high-risk clinic (vs. general clinic, β 0.20; 95% CI 0.01, 0.39) were associated with higher frequency of staying-at-home. Conclusion Social demographical factors including age > 36 years old, Malay ethnicity, employment in front line jobs and attendance at high-risk clinics are likely to influence the attitudes and precaution practices among pregnant women towards COVID-19 in Singapore. Knowledge gained from our cross-sectional online survey can better guide clinicians to communicate better with pregnant women. Hence, it is important for clinicians to render appropriate counselling and focused clarification on the effect of COVID-19 among pregnant women for psychological support and mental well being.


2019 ◽  
pp. 089719001988287
Author(s):  
Mona Nili ◽  
Nazneen Fatima Shaikh ◽  
Nilanjana Dwibedi ◽  
S. Suresh Madhavan

Background: With the emerging opportunities for pharmacists to gain provider status, the need for understanding interest to become a pharmacist provider has never been greater. Objective: To determine which entrepreneurial traits (locus of control, innovativeness, autonomy, risk-taking propensity, proactiveness, achievement motivation, people liking, problem-solving, and leadership) are associated with interest in becoming a pharmacist provider. Methods: A cross-sectional survey was conducted among second- and third-year student pharmacists. Exploratory factor analysis (principal components with varimax rotation) was used to determine any underlying dimensions. Significant differences in interest in becoming a pharmacist provider by demographic and other characteristics were determined using t tests and analysis of variance (ANOVA; P ≤ .05). Multiple linear regression was used to determine the factors associated with interest in becoming a pharmacist provider. Results: A total of 137 completed questionnaires were received. Gender ( P = .003) and preference of workplace ( P < .001) were significantly associated with interest in becoming a pharmacist provider. All factor loadings were more than 0.50 and Cronbach alpha values were more than .68. In the multiple linear regression analysis model, proactiveness ( P = .036) and achievement motivation ( P = .018) were positive predictors of interest in becoming a pharmacist provider. Females ( P = .006) and individuals who preferred to work in a hospital ( P < .001) or in specialty care ( P = .007) had a significantly greater interest in becoming a pharmacist provider. Conclusions: Proactiveness and achievement motivation can be predictors of interest in becoming a pharmacist provider.


2019 ◽  
Vol 4 (1) ◽  
pp. 26-40
Author(s):  
Fannisa Septariana ◽  
Dwi Hastuti

Proper parenting reflected on the goodness of parental spirituality and attachment in which affected adolescents' character development. The research was aim to examine the influence of paternal spirituality and attachment towards adolescents' character. This study used a cross-sectional study design which involved 84 respondents from one of the public high school in Bogor City and consisted of 37 boys and 47 girls, samples were chosen by cluster random sampling technique. Data were analyzed descriptively, independent t-test, Pearson correlation, and multiple linear regression. Data was gathered by self-report questionnaires. The research found that paternal spirituality and attachment had a better score than the boys. Also, politeness and perseverance characters of girls better than the boys. Moreover, the better paternal spirituality and attachment the better character of adolescents. The result of the multiple linear regression test shows that paternal spirituality and attachment became the main factors in affecting adolescents' character in junior high school.


2020 ◽  
Author(s):  
RYAN WAI KHEONG LEE ◽  
LOY SEE LING ◽  
YANG LIYING ◽  
JERRY CHAN KOK YEN ◽  
TAN LAY KOK

Abstract BackgroundCOVID-19 may predispose pregnant women to higher risks of severe disease and poorer neonatal outcome. Psychological sequalae of this pandemic may pose a greater conundrum than its clinical aspects. It is currently unknown that how pregnant women cope with this global pandemic and its ramifications. The aims of the study are to understand the attitudes and precaution practices of non-infected pregnant women towards the COVID-19 outbreak in Singapore.Methods An online cross-sectional survey of COVID-19 awareness among pregnant women attending antenatal clinics in Singapore was conducted. An internet link was provided to complete an online electronic survey on Google platform using a quick response (QR) code on mobile devices. The online survey consists of 34 questions that were categorized into 4 main sections, namely 1) social demographics 2) attitude on safe distancing measures 3) precaution practices and 4) perceptions of COVID-19. Multiple linear regression analysis was performed to examine women’s precaution practices among six independent socio-demographic variables, including age, ethnicity , education , front-line jobs, history of miscarriage and type of antenatal clinic (general , high risk).ResultsA total of 167 survey responses were obtained over eight weeks from April to June 2020. The majority of women were aged ≤35 years (76%, n=127), were of Chinese ethnicity (55%, n=91), attained tertiary education (62%, n=104) and were not working as frontline staff (70%). Using multiple linear regression models, Malay ethnicity (vs. Chinese, β 0.24; 95% CI 0.04, 0.44) was associated with higher frequency of practicing social distancing. Malay women (β 0.48; 95% CI 0.16, 0.80) and those who worked as frontline staff (β 0.28; 95% CI 0.01, 0.56) sanitized their hands at higher frequencies. Age of ≥36 years (vs. ≤30 years, β 0.24; 95% CI 0.01, 0.46), Malay (vs. Chinese, β 0.27; 95% CI 0.06, 0.48) and Indian ethnicity (vs. Chinese, β 0.41; 95% CI 0.02, 0.80), and attendance at high-risk clinic (vs. general clinic, β 0.20; 95% CI 0.01, 0.39) were associated with higher frequency of staying-at-home.ConclusionSocial demographical factors including age > 36 years old, Malay ethnicity, employment in front line jobs and attendance at high-risk clinics are likely to influence the attitudes and precaution practices among pregnant women towards COVID-19 in Singapore. Knowledge gained from our cross-sectional online survey can better guide clinicians to communicate better with pregnant women. Hence, it is important for clinicians to render appropriate counselling and focused clarification on the effect of COVID-19 among pregnant women for psychological support and mental wellbeing.


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