Comparison of QOPI measure conformance between oncology fellows and attending physicians.

2013 ◽  
Vol 31 (31_suppl) ◽  
pp. 162-162
Author(s):  
Tian Zhang ◽  
Arif Kamal ◽  
Michael J. Kelley
Keyword(s):  
Best Practice ◽  
Smoking Status ◽  
Medical Center ◽  
Management Plan ◽  
Oral Chemotherapy ◽  
Chart Audit ◽  
Chi Square ◽  
Chi Square Test ◽  
Using Data ◽  
Attending Physicians

162 Background: Quality improvement measures are uniformly applied to all oncology providers, regardless of their positions. Little is known about differences in conformance to these measures between oncology fellows and attending physicians. In order to tailor improvement interventions to these groups, we investigated conformance across QOPI measures for oncology fellows and attending physicians at the Durham VA Medical Center (DVAMC). Methods: Using data collected from the Spring 2013 QOPI cycle, we abstracted information from patients who had received care at the DVAMC between 2011 and 2013 and separated them based on their provider. To validate the data, we abstracted a subset of patient charts, limited to oral chemotherapy quality measures. Descriptive statistics and the Chi square test were calculated for each measure between the two groups. Results: A total of 97 patients were reviewed at DVAMC. Of these, 21 had a fellow and 47 had an attending as their main provider. Fellows and attendings performed similarly on 119 of 125 QOPI measures (core, end of life, symptom, colorectal, and NSCLC modules). Fellows were less likely to assess pain on the most recent visits when compared to attendings (52% vs. 77%, p=0.046) but more likely to document a management plan if the patient had moderate or severe pain (86% vs 75%, p=0.09). Attendings documented the plan for oral chemotherapy more often (93% vs. 60%, p=0.07). However, after the chart audit, we found that fellows actually documented the plan for oral chemotherapy 80% of the time (p=0.21). Fellows were more likely to document smoking status (95% vs. 64%, p=0.007) and to address smoking cessation (86% vs. 62%, p=0.048). Conclusions: Patient care practices tend to be similar between attendings and fellows overall; some of the significant differences may not remain significant after chart audit. Fellows generally mirror behaviors of attending physicians, and attendings have an important role in modeling best practice behaviors for fellows. Different quality measure standards may not be necessary between fellows and attendings.

scholarly journals Prevalence and predictors of obesity-related cancers among racial/ethnic groups with metabolic syndrome

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0249188
Author(s):  
Shanada Monestime ◽  
Bettina Beech ◽  
Dulcie Kermah ◽  
Keith Norris
Keyword(s):  
Metabolic Syndrome ◽  
Smoking Status ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Income Insurance ◽  
Unit Increase ◽  
Chi Square Test ◽  
Race Ethnicity ◽  
Using Data

Background Obesity-related cancer (ORC) is associated with higher amounts of body fat, which could increase the risk of developing cardiovascular disease (CVD). A significant factor associated with CVD is metabolic syndrome (MetS), and MetS prevalence differs by race/ethnicity. The purpose of this study was to compare the prevalence and predictors of ORCs by race/ethnicity among adults (>18) with MetS. Methods This was a retrospective, cross-sectional study using data from the 1999–2014 National Health and Nutrition Examination Survey (NHANES). A chi-square test was performed to determine differences in ORC prevalence between non-Hispanic White (NHW), non-Hispanic Black (NHB), and Hispanic participants with MetS. A multivariate logistic regression was used to evaluate predictors (race, sex, income, insurance, education, marital status, and smoking status) of ORC among adults with MetS. Results Of the 1,554 adults, the prevalence of ORC was 30.6% among NHWs, 51.3% in NHBs, and 54.1% in Hispanics (p = <0.001). Females were 6.27 times more likely to have an ORC compared to males (95% CI = 4.95–14.11). Compared to NHWs, NHBs were 2.1 times more likely to have an ORC (95% CI = 1.40–3.38); and Hispanics were 2.5 times more likely (95% CI = 1.39–4.77). For every 1-year unit increase in age, the odds of ORC increased by 3% (95% CI = 1.00–1.05). Conclusions Among NHANES participants with MetS, the prevalence of ORCs was significantly higher in NHBs and Hispanics, females, and older adults with MetS. Future studies, by race/ethnicity, are warranted on mortality risk of persons with MetS and ORC.

scholarly journals Voluntary counseling and testing (VCT) services and their contribution to access to HIV diagnosis in Brazil

2009 ◽  
Vol 25 (9) ◽  
pp. 2053-2063 ◽  
Author(s):  
Alexandre Grangeiro ◽  
Maria Mercedes Escuder ◽  
Maria Amélia Veras ◽  
Draurio Barreira ◽  
Dulce Ferraz ◽  
...  
Keyword(s):  
Social Indicators ◽  
National Health System ◽  
Hiv Diagnosis ◽  
Chi Square ◽  
Voluntary Counseling ◽  
Voluntary Counseling And Testing ◽  
Counseling And Testing ◽  
Chi Square Test ◽  
Limited Health ◽  
Using Data

The Voluntary Counseling and Testing (VCT) Network was implemented in Brazil in the 1980s to promote anonymous and confidential access to HIV diagnosis. As a function of the population and dimensions of the local epidemic, the study assessed the network's coverage, using data from a self-applied questionnaire and data from the Information Technology Department of the Unified National Health System (SUS), UNDP, and National STD/AIDS Program. The Student t test was used for comparison of means and the chi-square test for proportions. Brazil has 383 VCT centers, covering 48.9% of the population and 69.2% of the AIDS cases. The network has been implemented predominantly in regions where the epidemic shows a relevant presence, but 85.3% of the cities with high HIV incidence lack VCT centers; absence of VCT was associated with more limited health infrastructure and worse social indicators. A slowdown in expansion of the network was observed, with VCT Centers implemented on average 16 years after the first AIDS case in the given municipality. The number of HIV tests performed under the SUS is 2.3 times higher in cities with VCT centers. The network's scope is limited, thus minimizing the contribution by these services to the supply of HIV diagnosis in Brazil.

scholarly journals Methods and techniques of research motivation and satisfaction of employees

2021 ◽  
Vol 9 (2) ◽  
pp. 53-63
Author(s):  
Dragana Pešić-Jenačković
Keyword(s):  
Analysis Of Variance ◽  
Employee Motivation ◽  
Test Point ◽  
Coefficient Of Determination ◽  
Business Success ◽  
Chi Square ◽  
Methods And Techniques ◽  
Chi Square Test ◽  
Using Data ◽  
The Impact

Motivation and employee satisfaction are very important precondition for the effectiveness of work and the achievement of set goals for individuals and organizations. Consequently, continuous measurement of employee motivation and satisfaction is essential to improve company's efficiency and improve human resource use. The results of a well-planned, detailed and adequate methods and techniques of research on employee motivation and satisfaction can be applied to the design of various schemes in order to reduce absenteeism and employee turnover and overall business success. In this paper, the emphasis is on the methodology of researching employee motivation and satisfaction. In addition to the elaboration of questionnaires with scales for measuring the motivation and satisfaction of employees, it is explained in which situations, in which types of questions and answers, respectively, types of data, and how certain statistical techniques are applied, such as: T-test, One-factor analysis of variance (ANOVA), Chi-square test, Point-two-series correlations. Also, the importance of using the subsequent post hoc test (LSD comparison) in the analysis of variance, as well as the indicators of correlation, the strength of the impact, such as: phi correlation coefficient, Kramer's coefficient and contingency coefficient, is pointed out in the Chi-square test. In addition to the mentioned techniques and indicators from SPSS, the role of certain indicators (eta squared and coefficient of determination) is calculated, which are calculated using data from research results and with the help of certain formulas

Emergency Utilization and Trends in a Community Dental Clinic in Northern Manhattan: A Retrospective Study

2020 ◽  
Vol 44 (3) ◽  
pp. 135-141
Author(s):  
Evan Cyrkin ◽  
Aaron Myers ◽  
Jaffer Shariff ◽  
Richard Yoon
Keyword(s):  
New York ◽  
Medical Center ◽  
Columbia University ◽  
Dental Clinic ◽  
Chi Square ◽  
Design Data ◽  
Frequency Distributions ◽  
Chi Square Test ◽  
Dental Records ◽  
First Time

Purpose: To evaluate utilization and trends associated with patients who presented with emergencies at a community dental clinic at Columbia University Medical Center, New York, NY. Study design: Data from deidentified dental records of patients aged 0–12 years old who presented as emergencies for oral and dental reasons for 2012, 2013, and 2014 were collected. Variables analyzed included demographic information, oral diagnosis, and current health status. Frequency distributions analysis, chi-square test and analysis of variance (ANOVA) test were performed using Stata 13.0. Results: There were 4,328 dental and oral-related emergencies with a mean age of 6-years-old. Approximately 50% were females, 71% were Hispanic, and 90% had Medicaid managed care. Most emergencies (49%) were caries-related, 41% were considered atraumatic in nature, and approximately 10% were traumatic. About 10% of patients presented with comorbidities and 37% were either first-time patients or patients that presented exclusively for emergencies. Acute tooth pain (45%) caused by dental caries was the most common chief complaint. The trends for emergency presentations showed a significant decrease (p&lt;.001) between years 2012–2014 for caries-related visits and a significant increase (p&lt;.001) between 2012–2013 and 2012–2014 for atraumatic visits. Conclusions: Caries-related dental diagnoses were more common than trauma-related diagnoses. The most common caries-related diagnosis was pulp necrosis for both primary and permanent dentitions while the most common traumarelated diagnosis was subluxation for the primary dentition and enamel-dentin fracture for the permanent dentition.

scholarly journals Is Amoxicillin The Drug Of Choice In Dentoalveolar Abscess - A Hospital based study

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 1239-1244
Author(s):  
Shreya Svitlana Anand ◽  
Hemavathy Muralidoss ◽  
Jaiganesh Ramamurthy
Keyword(s):  
Private Hospital ◽  
Adult Population ◽  
Age Group ◽  
Chi Square ◽  
Drug Of Choice ◽  
Dental Hospital ◽  
Chi Square Test ◽  
Young Adult Population ◽  
Study Population ◽  
Using Data

The aim of the study was to identify if amoxicillin is the drug of choice for dentoalveolar abscess. The retrospective evaluation was conducted using data provided by a private hospital. 86000 patients had reported to the outpatient department, a private hospital between June 2019 and March 2020, and the data was collected and analyzed. Patients diagnosed with dentoalveolar abscess were selected for the study. The antibiotic prescribed for treatment was recorded. A retrospective analysis was done based on the collected data. The data was entered in a methodical manner [serial number, name, age, gender, tooth number. Statistical analysis was performed in the statistical software SPSS and data were analyzed by descriptive statistics and Chi-square test. The retrospective study consisted of 27 subjects infected with Dentoalveolar Abscess. In this study we observed that 100% of the patients affected with dentoalveolar abscess were prescribed Amoxicillin and the most affected individuals among the study population belonged to the young adult population (age group 18-35 years) [51.85%], followed by patients aged 36-55 years [33.33%] and least affected belonging to age group 56-75 years [14.81%]. Around 74.07% of the population were prescribed Amoxicillin alone, 18.51% have prescribed a combination of Amoxicillin and Metronidazole, followed by 7.4% of the study population were prescribed the combination of Amoxicillin and Clavulanic acid. Within the limits of this study, we find that the drug prescribed for Dentoalveolar abscess in a private dental hospital is predominantly Amoxicillin. Hence, we conclude that amoxicillin is the drug of choice for dentoalveolar abscesses.

scholarly journals Outpatient Care Utilization among Elderly in South Sumatra Based on National Social-Economic Survey Data

2020 ◽  
Vol 16 (4) ◽  
pp. 509-518
Author(s):  
Misnaniarti Misnaniarti ◽  
Fenny Etrawati
Keyword(s):  
Health Insurance ◽  
Outpatient Care ◽  
Private Health Insurance ◽  
Care Utilization ◽  
Chi Square ◽  
Work Activity ◽  
Chi Square Test ◽  
Economic Survey ◽  
Using Data ◽  
Outpatient Utilization

Implementation of National Health Insurance is thought to be the cause ofincreasing number of visits to health facilities, especially in elderly peoplewho tend to be in sick. This study aims to analyze the outpatient utilizationby elderly in South Sumatera region. Study design was cross-sectional.Samples was elderly in South Sumatra (n = 2,833 people). Study done on2016, using data from Survei Sosial Ekonomi Nasional (Susenas) at 2015. Dataanalysis used chi-square test and multiple logistic regression. Based on thestudy known that outpatient utilization of elderly in all health facilitiesduring the past month amounted to 29.2%. Providers selected when elderlyneeded of outpatient treatment, most often visited to the doctor&#39;spractice/midwife&#39;s practice (46.2%), and puskesmas (24.2%). Elderly whohas private health insurance have a tendency was 1.9 times greater (OR=1.9)to utilize outpatient compared to elderly who do not have insurance. Itsconcluded that variables associated with outpatient care utilization are:health insurance membership (OR=1.9) and work activity (OR=1.5). It isrecommended for elderly to remain active in their activities so that they canrealize the healthy and active aging and reduce the sick visits to healthfacilities.

scholarly journals The prevalence of olfactory dysfunction and its associated factors in patients with COVID-19 infection

2021 ◽  
Author(s):  
Md Mehedi Hasan ◽  
Naima Ahmed Tamanna ◽  
Mohammad Nasimul Jamal ◽  
Md Jamal Uddin
Keyword(s):  
Associated Factors ◽  
Smoking Status ◽  
Age Groups ◽  
Olfactory Dysfunction ◽  
Test Results ◽  
Chi Square ◽  
Younger Patients ◽  
Regular Screening ◽  
Chi Square Test ◽  
Observational Cohort

AbstractObjectiveTo determine the prevalence of olfactory dysfunctions, mainly, anosmia and to identify its associated factors in patients with COVID-19 infection.Study designA hospital-based prospective observational cohort studySettingA COVID dedicated hospital, Square Hospitals Ltd., Dhaka, Bangladesh.MethodsWe collected patients’ information including laboratory-confirmed COVID-19 test results. We used Pearson Chi-square test and logistic regression model to assess the associations between demographic and clinical characteristics and olfactory outcomes.ResultsOut of 600 COVID-19 positive patients, 38.7% were diagnosed with olfactory dysfunction. Our analyses showed that patients’ age, smoking status, cough, dyspnea, sore throat, asthenia, and nausea or vomiting were significantly associated with the anosmia. We observed the risk of developing anosmia was greater in younger patients than in older patients, and this risk decreased as age increased [odds ratio (OR) range for different age groups: 1.26 to 1.08]. Smoking patients were 1.73 times more likely to experience anosmia than non-smoking patients [OR=1.73, 95% confidence interval (CI) = 1.01-2.98]. In addition, patients complained asthenia had a significantly double risk of developing the anosmia [OR = 1.96, CI = 1.23-3.06].ConclusionsOur study shows that about 39% of patients diagnosed with olfactory dysfunction. Patients’ age, smoking status, and asthenia are significantly positively associated with the anosmia. Since anosmia can be a significant marker for the diagnosis of COVID-19, we suggest regular screening of olfactory dysfunction in patients with early symptoms of COVID-19, particularly younger patients, smoker, and complained asthenia.

PERCEPTIONS OF CHINA AND OTHER GREAT POWERS AMONG KAZAKHSTAN AND KYRGYZSTAN YOUTH

2021 ◽  
Vol 22 (4) ◽  
pp. 71-83
Author(s):  
Nurettin CAN ◽  
Ibrahim KONCAK ◽  
Sanar MUHYADDIN ◽  
Ibrahim KELEŞ
Keyword(s):  
Online Survey ◽  
Political Influence ◽  
Great Powers ◽  
The Other ◽  
Chi Square ◽  
Central Asian ◽  
Chi Square Test ◽  
Central Asian Countries ◽  
Using Data

This article studies the perception of great powers in the eyes of students in Kyrgyzstan and Kazakhstan using data collected through an online survey. The research has compared the perceptions of China’s and other Great Powers’ economic, political, and military authority among the youth of Central Asian countries during the COVID-19 pandemic. To analyze these perceptions, young people from Kazakhstan and Kyrgyzstan (N = 262) took part in a survey in the spring of 2021. Responses were analyzed to reveal the differences in perception by applying descriptive and inferential statistical methods, i.e., one-sample t-test. An association of geodemographic factors with the perception towards global powers was discovered by applying the chi-square test statistical method. The early research revealed that the role of the other Great Powers was seen mainly in political terms, while China’s role was mostly economic, however, recent studies made it clear that China’s political influence is increasing in the region. Another finding from this research is that China’s position on human rights and environmental issues is more negatively perceived than that of the other Great powers.

scholarly journals Profile of patients with lung cancer assisted at the National Cancer Institute, according to their smoking status, from 2000 to 2007

2014 ◽  
Vol 17 (1) ◽  
pp. 175-188 ◽  
Author(s):  
Mirian Carvalho de Souza ◽  
Ana Glória Godoi Vasconcelos ◽  
Marise Souto Rebelo ◽  
Paulo Antonio de Paiva Rebelo ◽  
Oswaldo Gonçalves Cruz
Keyword(s):  
Lung Cancer ◽  
National Cancer Institute ◽  
Multiple Correspondence Analysis ◽  
Smoking Status ◽  
Lung Cancer Mortality ◽  
Two Dimensions ◽  
Chi Square ◽  
Data Variability ◽  
Chi Square Test

INTRODUCTION: Tobacco use is directly related to the future incidence of lung cancer. In Brazil, a growing tendency in age-adjusted lung cancer mortality rates was observed in recent years. OBJECTIVE: To describe the profile of patients with lung cancer diagnosed and treated at the National Cancer Institute (INCA) in Rio de Janeiro, Brazil, between 2000 and 2007 according to their smoking status. METHODS: An observational study was conducted using INCA's database of cancer cases. To assess whether the observed differences among the categories of sociodemographic variables, characterization of the tumor, and assistance - pertaining to smokers and non-smokers - were statistically significant, a chi-square test was applied. A multiple correspondence analysis was carried out to identify the main characteristics of smokers and non-smokers. RESULTS: There was a prevalence of smokers (90.5% of 1131 patients included in the study). The first two dimensions of the multivariate analysis explained 72.8% of data variability. Four groups of patients were identified, namely smokers, non-smokers, small-cell tumors, and tumors in early stages. CONCLUSION: Smoking cessation must be stimulated in a disseminated manner in the population in order to avoid new cases of lung cancer. The Tumors in Initial Stages Group stood out with greater chances of cure.

Prevalence of cerebral aneurysms in patients with fibromuscular dysplasia: a reassessment

1998 ◽  
Vol 88 (3) ◽  
pp. 436-440 ◽  
Author(s):  
Harry J. Cloft ◽  
David F. Kallmes ◽  
Michelle H. Kallmes ◽  
Jonas H. Goldstein ◽  
Mary E. Jensen ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Fibromuscular Dysplasia ◽  
Internal Carotid ◽  
Cerebral Aneurysms ◽  
Chi Square ◽  
Content Type ◽  
Significant Difference ◽  
Chi Square Test ◽  
Using Data ◽  
Fine Print

Object. The aim of this study was to determine the prevalence of cerebral saccular aneurysms in patients with carotid artery and/or vertebral artery (VA) fibromuscular dysplasia (FMD). Methods. A metaanalysis was performed using data from 17 previously reported series of patients with internal carotid artery (ICA) and/or VA FMD that included information on the prevalence of cerebral aneurysms. In addition, the authors retrospectively evaluated their own series of 117 patients with ICA and/or VA FMD to determine the prevalence of cerebral aneurysms. The metaanalysis of the 17 earlier series, which included 498 patients, showed a 7.6 ± 2.5% prevalence of incidental, asymptomatic aneurysms in patients with ICA and/or VA FMD. In the authors' series of patients with FMD, 6.3 ± 4.9% of patients harbored an incidental, asymptomatic aneurysm. When the authors' series was combined with those included in the metaanalysis, the prevalence was found to be 7.3 ± 2.2%. The prevalence of aneurysms in the general population would have to be greater than 5.6% for there to be no statistically significant difference (chi-square test, p < 0.05) when compared with this 7.3% prevalence in patients with FMD. Conclusions. The prevalence of intracranial aneurysms in patients with cervical ICA and/or VA FMD is approximately 7%, which is not nearly as high as the 21 to 51% prevalence that has been previously reported.

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