scholarly journals Assessment of the Relationship between Hospital’s Capabilities and Medical Tourism Development in Yazd City in 2018

Author(s):  
Fatemeh Mokhtari Ardakan ◽  
Abbas Yazdanpanah ◽  
Abbas Ghavam

Introduction: Medical tourism, as a growing industry, has provided opportunities for gaining competitive advantages for health care organizations in Yazd province. The purpose of this study was to assess the relationship between hospital capabilities and medical tourism development in Yazd city in 2018. Methods: This descriptive cross-sectional study was conducted on 150 nurses and doctors in Yazd hospitals in 2018. The data collection tool was a valid and reliable 25-item questionnaire consisting of the demographic and hospital capabilities questionnaires. Data analysis was performed using SPSS by running Pearson correlation test, linear regression, independent t-test, and ANOVA. : The results showed that the highest and lowest mean and standard deviations were related to the cost of services (3.88 ± 0.98) and equipment (3.50±0.63), respectively. Moreover, according to the multiple linear regression, equipment had the highest positive and significant impact on the development of medical tourism (β = 0.498). Conclusion: Yazd province is considered as a medical tourist attraction pole in south of Iran; therefore, special conditions should be provided for the development of medical tourism in this province. As a result, it is necessary to improve the quality of medical services at the provincial hospitals by taking measures such as providing welfare facilities for patients and their entourage, training the hospitals' personnel, establishing a brand for the province in the field of treatment.

2021 ◽  
Vol 9 (2) ◽  
pp. 73-84
Author(s):  
Budi Kristanto

Latar belakang : saat ini prevalensi hipertensi secara global sebesar 22% dari total penduduk dunia. Dari sejumlah penderita tersebut, hanya kurang dari seperlima yang melakukan upaya pengendalian terhadap tekanan darah yang dimiliki. Adapun faktor yang terkait dengan tekanan darah sangat kompleks, baik yang dapat dikontrol maupun tidak dapat dikontrol. Salah satu kebiasaan yang diduga terkait dengan hipertensi adalah kebiasaan konsumsi kopi. Tujuan : mengetahui hubungan antara kebiasaan konsumsi kopi dengan kejadian hipertensi. Subjek dan Metode : responden penelitian ini adalah  warga Desa Ngringo RW 22 dan 29 Kecamatan Jaten Karanganyar sejumlah 45 responden. Jenis penelitian adalah analitik observasional, desain korelasi dengan pendekatan cross sectional untuk mengetahui hubungan antara kebiasaan konsumsi kopi dengan kejadian hipertensi. Teknik sampling menggunakan total sampling, Data dianalisis menggunakan uji Pearson Corelation. Hasil : mayoritas responden memiliki kebiasaan konsumsi kopi dalam kategori ringan (1-3 cangkir perhari) sebesar 97,8%, sedangkan yang kategori sedang (4-6 cangkir perhari) sebesar  2,2%. Mayoritas responden dengan tekanan darah yang normal yaitu 82,2%, dan hipertensi 17,8%. Kesimpulan : tidak ada hubungan antara kebiasaan konsumsi kopi dengan kejadian hipertensi (p : 0,058).   Kata kunci : konsumsi kopi, hipertensi   THE RELATIONSHIP OF COFFEE CONSUMING HABITS WITH HYPERTENSION   Budi Kristanto, Diyono   Astract   Background : currently the global prevalence of hypertension is 22% of the total world population. Of the number of sufferers, only less than a fifth who make efforts to control their blood pressure. The factors associated with blood pressure are very complex, both controllable and uncontrollable. One of the habits thought to be associated with hypertension is the habit of consuming coffee. The aims of the study: knowing the relationship between coffee consumption habits and the incidence of hypertension. Subject and Methods : the respondents of this research were 45 respondents in Ngringo Village RW 22 and 29, Jaten, Karanganyar District. This research used observational analytic method, correlation design with cross sectional approach to determine the relationship between coffee consumption habits and the incidence of hypertension. The sampling technique used total sampling. Data were analyzed using the Pearson Correlation test. Result : the majority of respondents have a habit of consuming coffee in the light category (1-3 cups per day) of 97.8%, while the moderate category (4-6 cups per day) is 2.2%. The majority of respondents with normal blood pressure were 82.2%, and hypertension 17.8%. Conclusion : There is no relationship between coffee consumption habits and the incidence of hypertension (p: 0.058).   Keywords: coffee consumption, hypertension  


2002 ◽  
Vol 5 (4) ◽  
pp. 553-560 ◽  
Author(s):  
Davide Arcella ◽  
Livia Ottolenghi ◽  
Antonella Polimeni ◽  
Catherine Leclercq

AbstractObjective:To propose an approach for investigation of the relationship between the frequency of carbohydrates intake and dental caries in real-life conditions.Design:The frequency of separate eating events (with the exclusion of lunch and dinner) and their sugars and starch content were assessed on the basis of diaries collected for seven consecutive days. The total number of decayed, missing and filled teeth (DMFT) was assessed through clinical examination. The interrelation between DMFT and frequency of eating events was analysed through Pearson correlation coefficient and stepwise forward linear regression analysis.Setting:Italy.Subjects:One hundred and ninety-three students (males and females, mean age 16 years) of a secondary school.Results:Individual DMFT varied between 0 (24% of subjects) and 12, with a mean of 3. Once lunch and dinner were excluded, the mean number of separate eating events was 2.9. A statistically significant relationship was found between DMFT and eating frequency thus defined. Correlations were calculated considering only eating events containing a proportion of sugars or starch higher than different cut-off levels. In a stepwise multiple regression model for DMFT, the frequency of ‘high sugars and high starch events’ accounted for 8% of the DMFT variance. Overall frequency of separate eating events defined according to their content of both sugars and starch accounted for 18% of the DMFT variance. A stronger correlation was found among males only.Conclusions:The precise characterisation of eating events in terms of their sugars and starch content allows us to explain a consistent percentage of the variability in DMFT.


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.


2020 ◽  
Vol 9 (1) ◽  
pp. 140-146
Author(s):  
Zakaria Sendy Wardana ◽  
Gadis Meinar Sari ◽  
Damayanti Tinduh

This study used a cross sectional study method using 39 obese women aged 19-22 years old, Body Mass Index (BMI) 25-35 kg / m2 and Percentage Body Fat (PBF) above 30%, normal blood pressure, heart rate normal rest and normal Hemoglobin (Hb). IGF-1 levels were measured using the Enzym Link Immunosorbent Assay (ELISA) method, while the FBG measurements used ACCU-CHEK® Performance. Data analysis techniques used the Pearson Correlation test with the Statistical Package for Social Science (SPSS). The results obtained an average level of IGF-1 (11,530 ± 4,397) ng / mL and an average FBG (90,153 ± 6,659) mg / dL       (r = 0.379) and (p = 0.017). Based on the results of the study, it’s concluded that there is a positive correlation of IGF-1 levels with FBG in obese women. Further research is needed to explain the physiological mechanism of the relation between IGF-1 and FBG in more detail


2019 ◽  
Vol 35 (2) ◽  
Author(s):  
Behire Sancar ◽  
Demet Aktas

Background & Objective: Effective communication in the nursing profession is not just a personal skill but is accepted as a learned and gained technique in the instructional process. It is possible for nurses to professionally provide effective and quality service with the establishment, development, and transfer to emotion of effective communication with people. The purpose of this study was to investigate the relationship between levels of alexithymia and communication skills of nursing students. Methods: This cross-sectional study was conducted among students attending the School of Nursing in a university in Turkey in the 2017-2018 Spring semester. A total of 634 nursing students participated in the study. The data in the study were collected with the “Student Introduction Form”, the “Toronto Alexithymia Scale (TAS)” and the “Communication Skills Scale (CSS)”. Means, standard deviations, t-test, ANOVA and Pearson correlation analysis were used for the analysis. Results: The mean TAS scores of the nursing students were found to be 56.31±8.82, and the students had “moderate alexithymia” based on the average scores of the scale. The mean CSS scores of the nursing students in the study was found to be 91.16±12.99, and the students had “Good level of communication” based on the average scores of the scale. In our study, a negative and moderate correlation between the levels of alexithymia of nursing students and their communication skills was detected (p: 0.001). Conclusion: It was found that as the levels of alexithymia of nursing student increased, their communication skills decreased. How to cite this:Sancar B, Aktas D. The relationship between levels of Alexithymia and communication skills of nursing students. Pak J Med Sci. 2019;35(2):---------. doi: https://doi.org/10.12669/pjms.35.2.604 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Lucky A. Tulung ◽  
A. Lucia Panda ◽  
Starry H. Rampengan

Abstract: Acute Coronary Syndrome (ACS) is a set of manifestations or symptoms of coronary artery disease and thrombosis which can threaten the patien’s life due to interfering the blood supply of heart muscle. The infarct size is determined by assessing the coronary arteries lesion, stenosis. This study was aimed to determine the relationship between levels of leukocytes and the severity of coronary arteries lesions in patients with ACS. This was a descriptive analytical study with a cross-sectional retrospective design. The modified Gensini score was used to assess the severity of coronary artery lesion. The first leukocyte count examined when the patients was admitted to the hospital was obtained from the medical records period July to September 2015. Data were analyzed by using SPSS 20.0. The Pearson correlation test showed no significant relationship between the levels of leukocytes and the severity of coronary arteries lesions in patients with ACS (p >0.05). Conclusion: There was no significant correlation between the levels of leukocytes and the severity of coronary arteries lesions in patients with ACS.Keywords: leukocyte, severity of lesion, acute coronary syndrome, modified Gensini score Abstrak: Sindrom koroner akut (SKA) merupakan sekumpulan manifestasi atau gejala akibat penyakit arteri koroner dan trombosis yang dapat mengancam kehidupan pasien karena mengganggu pasokan darah ke otot jantung. Penilaian luas infark dilakukan dengan menilai lesi pembuluh darah koroner yang mengalami stenosis. Penelitian ini bertujuan untuk mengetahui hubungan antara kadar leukosit dengan severitas lesi pembuluh darah koroner pada pasien SKA. Jenis penelitian ialah deskriptif analitik retrospektif dengan desain potong lintang. Penilaian severitas pembuluh darah yang mengalami lesi menggunakan skor modifikasi Gensini. Hitung leukosit yang digunakan ialah saat pasien pertama kali masuk Rumah Sakit yang diperoleh dari rekam medis periode Juli-September 2015. Data dianalisis menggunakan SPSS 20.0. Hasil uji korelasi Pearson memperlihatkan tidak terdapat hubungan bermakna antara kadar leukosit dan severitas lesi pembuluh darah koroner pada pasien SKA (p >0,05). Simpulan: Tidak terdapat hubungan bermakna antara kadar leukosit dan severitas lesi pembuluh darah koroner pada pasien Sindrom Koroner Akut. Kata kunci: leukosit, severitas lesi, sindrom koroner akut, skor modifikasi Gensini


2020 ◽  
Vol 7 (1) ◽  
pp. 27
Author(s):  
Anggun P Yuniaswan ◽  
Santoso Basuki ◽  
Delya Widasmara

Macrophage and Schwann cells are target cell on leprosy disease, where apoptotic is assumed as one of elimination mechanism of macrophage previously infected by M.leprae. Several study showed various result in apoptotic on leprosy disease. Apoptotic level can be evaluated by observing caspase-3 activity, an executioner caspase on cell death. This study is aimed to observe the relationship of caspase-3 expression with paucibacillary and multibacillary types of leprosy. We used observational analytic and cross sectional study with consecutive sampling method. The subject was leprosy patient which had been diagnosed on dermatovenereology division outpatient clinic Saiful Anwar Hospital, and fullfilled the inclusion-exclusion criteria. Total subject was 19 persons (11 multibacillary and 8 paucibacillary). Sampling was taken with punch biopsy on skin lession, followed by immunohistochemical staining with caspase-3 antibody, and caspase-3 expression was measured by ImmunoRatio method. Comparation test revealed significant difference (p<0.05%) between caspase-3 expression mean on paucibacillary patient (84.46%) compared to multibacillary patient (65.39%). Pearson correlation test revealed caspase-3 expression tend to be higher in paucibacillary patient than multibacillary (coefficient correlation -0.759). In conclusion, there is a significance relationship between caspase-3 expression with leprosy type.


2018 ◽  
Vol 3 (1) ◽  
pp. 1 ◽  
Author(s):  
Siti Afina ◽  
Retnaningsih Retnaningsih

<p class="Default"><em>This research was to analyze the influence of students’ knowledge and attitude toward functional foods consumption behavior. This research used cross sectional study design and was conducted at Institut Pertanian Bogor, Dramaga. Samples in this research were 204 students of Institut Pertanian Bogor chosen using simple random sampling method. Data were collected by self-administered technique using questionnaires. The results showed that the average of functional foods consumption frequency was 47 times a month and the number of types consumed was seven. The results of Pearson correlation test showed that students’ allowance, attitudes, and frequency of functional foods consumption was significantly positively correlated. Factors that have significant positive effect toward consumption frequency are allowance and students’ attitude. The number of functional foods types consumed was influenced by students’ attitude. </em></p><p class="Default"><strong> </strong></p>


2013 ◽  
Vol 2013 ◽  
pp. 1-8
Author(s):  
Xi-Yu Wu ◽  
Yi-Qun Peng ◽  
Hong Zhang ◽  
Hui Xie ◽  
Zhi-Feng Sheng ◽  
...  

The objective of this study was to investigate the relationship between serum levels of OPG, TGF-β1, and TGF-β2 and BMD decrease rate (BDR) in native Chinese women. This cross-sectional study was performed on 465 healthy native Chinese women aged 35–80 years. Serum levels of OPG, TGF-β1, and TGF-β2 were determined. BDR was measured by DXA at the posteroanterior spine, hip, and distal forearm. At all skeletal sites tested, there was a negative correlation between BDR and serum levels of both OPG (r=−0.122to –0.230, allP= 0.007–0.000) and TGF-β2 (r=−0.100to –0.173, allP= 0.029–0.000) and a positive correlation between BDR and serum TGF-β1 (r=0.245−0.365, allP=0.000). After adjustment for age and BMI, there were no statistically significant correlations between serum levels of OPG or TGF-β2 and BDR. However, statistically significant correlations between serum TGF-β1 and BDR at the lumbar spine and ultradistal forearm remained. Multiple linear regression stepwise analysis showed that serum OPG could explain 1.4–3.7% of BDR variation. Serum TGF-β1 was a positive determinant of BDR and could explain 5.3–13.3% of BDR variation.


2020 ◽  
Vol 1 (2) ◽  
pp. 77-82
Author(s):  
Rifaqul Azizi ◽  
Titik Kusumawinakhyu ◽  
Irma Finurina

Fardhu prayer is a compulsory activity that can create peace of mind for those who run it. For medical students in semester 8 of FK UMP who are experiencing many exams and personal problems, prayer can help calm and relieve stress. This study aims to determine the relationship between the regularity of fardhu prayer and stress levels in 8th-semester students of the Faculty of Medicine, Muhammadiyah University of Purwokerto. Methods use a correlational analysis research design with a cross-sectional approach. The study was conducted on an entire population of 48 students of the Faculty of Medicine, Muhammadiyah University of Purwokerto. Stress level data were obtained using the DASS test questionnaire, and prayer regularity data were obtained from the fardhu prayer regularity questionnaire. Data analysis with Pearson parametric correlation test. Results show the highest level of stress in students who experienced mild stress, and the results of the regularity of student prayers were found that many students regularly prayed. Based on the Pearson correlation test results, the value of p = 0.0 10 was obtained. There is a significant relationship between the regularity of fardhu prayer and the stress of the 8th-semester students of the Faculty of Medicine, Muhammadiyah University of Purwokerto, class of 2013.    


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