scholarly journals Pleural tuberculosis in the state of Roraima, Brazil, between 2005 and 2013: quality of diagnosis

2016 ◽  
Vol 42 (2) ◽  
pp. 106-113
Author(s):  
Tao Machado ◽  
Allex Jardim da Fonseca ◽  
Sandra Maria Franco Buenafuente

Objective: To evaluate the quality of diagnosis and the epidemiological profile of patients with pleural tuberculosis in the state of Roraima, Brazil, in order to provide technical support for the development and implementation of public policies to combat the disease. Methods: This was a cross-sectional study designed to determine the prevalence of pleural forms of tuberculosis in Roraima between 2005 and 2013 and to evaluate the diagnostic criteria used, as well as their determinants. This study was based on secondary data from the Brazilian Case Registry Database, including all reported cases of pleural tuberculosis in the state during the study period. Diagnoses based on bacteriological or histopathological confirmation were defined as high-quality diagnoses. Results: Among the 1,395 cases of tuberculosis reported during the study period, 116 (8.3%) were cases of pleural tuberculosis, accounting for 38.9% of all cases of extrapulmonary tuberculosis in the sample. The incidence rate of pleural tuberculosis did not follow the downward trend observed for the pulmonary form of the disease during the same period. The prevalence of cases with a high-quality diagnosis was 28.5% (95% CI: 20.4-37.6%). In a univariate analysis, none of the demographic or clinical characteristics collected from the database were found to have a significant impact on the outcome (as explanatory variables). Conclusions: The quality of the diagnoses in our study sample was considered unsatisfactory. Limited access to specific diagnostic methods might have contributed to these results.

Author(s):  
Phamela Ingrid de Jesus Ferreira ◽  
Bianca Maia de Lima ◽  
Izabel Silva Carvalho ◽  
Carla de Castro Sant' Anna ◽  
Marcella Kelly Costa de Almeida ◽  
...  

Newborns exposed to the virus need to have clinical follow-up from birth, maintaining control and permanent health care in specialized multiprofessional services that meet the specific demands of their serological condition. Thus, the aim of the study was to analyze the epidemiological profile of children with the Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome attended at a Reference Center in the city of Belém, Pará, Brazil. This was a descriptive, cross-sectional epidemiological study with qualitative and quantitative variables on the profile of infected children from secondary data, in the period from 2014 to 2019 in the State of Pará. 1,270 children exposed to the virus by vertical transmission, between 0 and 12 years of age, were identified, 06 (0.47%) of which tested positive for the Human Immunodeficiency Virus and 60 (4.72%) children who developed the Acquired Immunodeficiency Syndrome, with an average time of 3.5.7 years for disease progression and 8 years for death. In view of the results obtained, it is clear that there is a need to expand health programs in primary care, aiming at health promotion and prevention, as qualified care generates improvements in the quality of life of patients, since most of the transmission is vertical. Thus, it is necessary to carry out further studies in the area, aiming to improve the fight against the disease and reach in more detail the epidemiological profile of HIV/AIDS in children in the State of Pará.


2018 ◽  
Vol 8 (6) ◽  
pp. 76-81
Author(s):  
Chu Cao Minh ◽  
Thang Vo Van ◽  
Dat Nguyen Tan ◽  
Hung Vo Thanh

Background: The criteria set of assessing hospital quality in Vietnam in 2016 was revied from the criteria set in 2013 by the Ministry of Health in order to help hospitals to self-assess towards improvinge quality of hospitals in the international integration context. The study aimed to assess the quality of public hospitals in Can Tho City according to the revised criteria set of the Ministry of Health in 2016 and compare the quality among three hospital ranks (including grade I, grade II, and grade III) via to 5 groups of quality criteria. Methods: A cross-sectional study, using secondary data analysis was applied to assess the service quality of 7 general public hospitals in Can Tho City. Results: The average total score of 7 hospitals is 245 and the average for the criteria of 7 hospitals is 2.99, which is just satisfactory. In the criterion of quality, criterion D and E had the lowest scores compared to the other three groups. There was no statistically significant difference (p = 0.076) among the mean scores for the three hospital categories. Conclusion: The quality of public hospitals in Can Tho city in 2016 only reached moderately good level (2.99). Interventions should be developed to improve the quality of hospitals, with particular emphasis on improving the quality of criteria groups D and E. Key words: Quality, hospital, medicine, health, public, Can Tho


BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e041379
Author(s):  
Allard Willem de Smalen ◽  
Zhie X Chan ◽  
Claudia Abreu Lopes ◽  
Michaella Vanore ◽  
Tharani Loganathan ◽  
...  

BackgroundA large number of international migrants in Malaysia face challenges in obtaining good health, the extent of which is still relatively unknown. This study aims to map the existing academic literature on migrant health in Malaysia and to provide an overview of the topical coverage, quality and level of evidence of these scientific studies.MethodsA scoping review was conducted using six databases, including Econlit, Embase, Global Health, Medline, PsycINFO and Social Policy and Practice. Studies were eligible for inclusion if they were conducted in Malaysia, peer-reviewed, focused on a health dimension according to the Bay Area Regional Health Inequities Initiative (BARHII) framework, and targeted the vulnerable international migrant population. Data were extracted by using the BARHII framework and a newly developed decision tree to identify the type of study design and corresponding level of evidence. Modified Joanna Briggs Institute checklists were used to assess study quality, and a multiple-correspondence analysis (MCA) was conducted to identify associations between different variables.Results67 publications met the selection criteria and were included in the study. The majority (n=41) of studies included foreign workers. Over two-thirds (n=46) focused on disease and injury, and a similar number (n=46) had descriptive designs. The average quality of the papers was low, yet quality differed significantly among them. The MCA showed that high-quality studies were mostly qualitative designs that included refugees and focused on living conditions, while prevalence and analytical cross-sectional studies were mostly of low quality.ConclusionThis study provides an overview of the scientific literature on migrant health in Malaysia published between 1965 and 2019. In general, the quality of these studies is low, and various health dimensions have not been thoroughly researched. Therefore, researchers should address these issues to improve the evidence base to support policy-makers with high-quality evidence for decision-making.


2017 ◽  
Vol 15 ◽  
Author(s):  
Mariana Mohamed Osman ◽  
Noor Suzilawati Rabe ◽  
Muhammad Faris Abdullah ◽  
Nur Farhanah Rosli ◽  
Farah Eleena Zainudin

Housing is a basic need to man. It provides shelter and comfort from the elements and improve quality of life of the residents. Hence, housing should be affordable to all. This paper assesses the housing affordability for the districts in Melaka. This was achieved by calculating the median multiple of the price income ratio and comparing the score to the housing affordability index. Secondary data were obtained from reports published by the governmental agencies. The results show that housing is mostly moderately unaffordable in the districts of Melaka. Additionally, housing affordability has improved from 2012 to 2014 in majority of the districts.


Author(s):  
Cokorda Istri Ariwidyastuti ◽  
P.P. Januraga ◽  
Dyah Pradnyaparamita Duarsa

Background and purpose: Patient satisfaction, including on radiography services, is an important component of health care provision. Surveys on patient satisfaction have been carried out particularly in government hospitals, but a more detailed study to determine the relationship between patient satisfaction with the responsiveness of service providers has yet to be carried out. This study aims to determine the relationship between the six domains of responsiveness of service providers and outpatient satisfaction at three conventional radiography facilities in Denpasar.Methods: Study was conducted by cross-sectional survey of 158 respondents selected consecutively in three conventional radiography services, namely a government hospital, a private hospital and a private radiology clinic. Data were collected through interviews using modified questionnaires on responsiveness from WHO. Data were analyzed by univariate, bivariate (chi-square test) and multivariate logistic regression method.Results: Univariate analysis indicated that patient satisfaction was 69% but still below the minimum service standards (>80,0%). Multivariate analysis showed that factors associated with satisfaction were the domain of attention (AOR= 3.77; 95%CI: 1.62-8.76), the quality of infrastructure (AOR=4.57; 95%CI: 1.61-12.93) and communication (AOR=6.30; 95%CI: 1.75-22.64).Conclusion: Patient satisfaction was generally still below the standard. Domains of responsiveness associated with patient satisfaction were the quality of infrastructure, level of attention and communication skills of service providers.


2019 ◽  
Vol 11 (02) ◽  
pp. 64-76
Author(s):  
ADIRATNA SEKAR SIWI

Patient’s parent is an essential part of holistically care treatment, especially when the patients are still too young to responsible for their own. Nurse have to understand regarding parents need to deliver high quality care for patients and their family. Parents’ needs during accompanying their children could be very specific and unique. The knowledge regarding this issue is crucial to increase the quality of care and prevent parents’ psychological problem. This is a descriptive study with cross sectional approach. Total sample in this study are respondent who are chosen by using consecutive sampling. The NICU Family Needs Inventory (NFNI) was used in this study. This study shows that the parents’ needs during accompanying their children in critical care setting are need for closeness with their children, Certainty regarding patient condition, comfort, information, and the needs of support.


2021 ◽  
Vol 22 (2) ◽  
pp. 168-190
Author(s):  
Zuhri Fahruddin

Abstract: The learning carried out by the teacher in the classroom must develop the quality of learning, one of which is learning motivation, students who are not passionate about learning are not optimal and of high quality, from this goal the reality is still far from expectations, many students are not aware of the importance of studying seriously, there is no passion study, there is no fun in the study room. The sampling technique used is Census Sample (Sample Saturated), while criterion-based selection is used when conducting qualitative research, 30 students as primary data sources, two teachers as secondary data sources. Data collection techniques using in-depth interviews, observation, documentation and questionnaires, while data analysis by reducing data, presenting data, drawing conclusions and verification by means of research stages I and II students and teachers with a Da'wah educational background, stage III and IV student informants and teachers with PAI educational background.


2019 ◽  
Vol 6 (1) ◽  
pp. 69
Author(s):  
Made Riastuti Sumandari ◽  
Rina Listyowati

ABSTRAK Rumah Sakit Umum Daerah Kabupaten Klungkung sebagai rumah sakit yang sudah menerapkan Pengelolaan Keuangan Badan Layanan Umum terus meningkatkan dan mengembangkan mutu pelayanan, terutama mutu pelayanan kegawatdaruratan. Tujuan penelitian ini untuk mengetahui gambaran tingkat pengetahuan petugas di Instalasi Gawat Darurat dan Penunjang Pelayanan Kegawatdaruratan Rumah Sakit Umum Daerah Kabupaten Klungkung tentang Standar Pelayanan Minimal. Penelitian ini merupakan penelitian deskriptif kuantitatif, dengan rancangan cross-sectional. Populasi dalam penelitian ini adalah seluruh petugas yang bekerja di Instalasi Gawat Darurat dan penunjang pelayanan kegawatdaruratan. Jumlah sampel pada penelitian ini 94 petugas dengan teknik pengumpulan sampel yaitu total sampling. Teknik pengumpulan data pada penelitian ini yaitu dengan menyebarkan kuesioner dan analisis data yang digunakan yaitu analisis univariat.  Hasil penelitian ini adalah mayoritas petugas memiliki pengetahuan baik mengenai SPM yaitu sebesar 86,17% sedangkan 13,83% memiliki pengetahuan kurang baik. Dilihat dari tingkat pengetahuan berdasarkan karakteristik, pengetahuan baik sebagian besar pada umur umur ?30 (88,14%), jenis kelamin perempuan (96,23%), pendidikan DIII (87,93%) dan masa kerja >10 tahun (88,46%). Saran yang bisa diberikan kepada Rumah Sakit Umum Daerah Kabupaten Klungkung, sebaiknya rumah sakit memberikan sosialisasi kepada seluruh petugas mengenai SPM dengan rutin dan terjadwal sehingga petugas mendapatkan informasi mengenai SPM merata. Kata Kunci: Tingkat Pengetahuan, Standar Pelayanan Minimal ABSTRACT Klungkung Regency Regional General Hospital as a hospital that has implemented Financial Management Public Service Agency continues to improve and develop the quality of services, especially the quality of emergency services. The purpose of this study was to determine the level of knowledge of officers in the Emergency Installation and Supporting Emergency Services of the Klungkung Regency General Hospital on Minimum Service Standards. This research is a quantitative descriptive study, with a cross-sectional design. The population in this study were all officers who worked in the Emergency Installation and supporting emergency services. The number of samples in this study were 94 officers with total sample collection techniques. Data collection techniques in this study are by distributing questionnaires and data analysis used is univariate analysis. The results of this study were that the majority of officers had good knowledge of MSS, amounting to 86.17% while 13.83% had poor knowledge. Judging from the level of knowledge based on characteristics, good knowledge is mostly at the age of ?30 (88.14%), female gender (96.23%), DIII education (87.93%) and years of service> 10 years (88, 46%). Suggestions that can be given to the Klungkung Regency Regional General Hospital, the hospital should provide information to all officers on MSS routinely and on a regular basis so that officials get information about SPM evenly. Keywords: Knowledge Level, Minimum Service Standards.


2017 ◽  
Vol 4 (2) ◽  
pp. 200
Author(s):  
Anikha Widya Bestari

Handling CKD (Chronic Kidney Disease) final stage is mostly done in Indonesia is hemodialysis. Hemodialysis can prevent death, but not fully restore the quality of life of patients as before. Psychosocial problems such as lack of family support sometimes be a severe problem that must be faced by the patient. While diabetes mellitus which is etiology of PGK can increase the risk of morbidity and mortality for patients. This study aimed to analyze influence of family support and DM status with hemodialysis patient’s quality of life. This study is an observational analytic study with cross sectional design. Samples of this study are 72 patients on hemodialysis Installation RSU Haji Surabaya, which is calculated using a simple random sampling from hemodialysis schedule. Data is collected using interviews and secondary data on the patient diagnosis document. The questionnaire is WHOQOL-BREF which assess quality of life and family support questionnaire in accordance with the theory of family support from House. The results showed that there is a influence between family support (p = 0.005) and diabetes status (p = 0.003) on the status of the patient's quality of life. From these two variables  known that DM status is strongest variable that influence quality of life. Therefore, interventions focused on controlling patients with DM and supportive therapy in the family. Keywords : Hemodialysis, Quality of Life, Family Support, Diabetes Mellitus (DM)


2020 ◽  
Vol 3 (1) ◽  
pp. 20-28
Author(s):  
Yushera Atika Sari ◽  
Wisda Widiastuti ◽  
Betty Fitriyasti

Introduction: CAD occurs indirectly, usually a person will experience a process of narrowing of the coronary arteries in quite a long period of time. Primary survey results that researchers have done at Siti Rahmah Padang Hospital, recorded from 2017-2018 the number of CAD events as many as 115 cases. Aims : To obtain information about an overview of risk factors for the occurrence of coronary artery disease in the heart policlinic of Siti Rahmah Hospital Padang in 2017-2018. Method: This research covers the field of internal medicine and cardiology, this study was conducted at the Islamic hospital Siti Rahmah Padang in May to November 2019. This research used a descriptive method with a cross sectional approach using secondary data from medical records. The affordable population of this study is CAD patients who seek treatment at Siti Rahmah Hospital in Padang in 2017-2018 with 51 samples using Total Sampling technique. Univariate analysis is presented in the form of a frequency distribution table. Results: Based on the results of the study the most age was at the age of 50-59 years, 21 people (41.2%), the most sex was female, 26 people (51%), hypertension, 27 people (52,9%), experienced DM 26 people (51%) were obese, 16 people (31,4%) and hyperlipidemia, 13 people (25,5%). Conclusion : Most age 50-59 years, most sexes of women, most have hypertension, less than half are obese, most have DM and less than half have hyperlipidemia. 


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