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.

Determination Of Factors Affecting Father-Baby Attachment

2021 ◽  
Vol 6 (14) ◽  
pp. 1-7
Author(s):  
Emine Serap ÇAĞAN ◽  
Birsen KARACA SAYDAM ◽  
Sinem GÜLÜMSER ATEŞ ◽  
Rabia EKTİ GENÇ ◽  
Esin ÇEBER TURFAN
Keyword(s):  
Cross Sectional Study ◽  
Study Data ◽  
Cross Sectional ◽  
Infant Attachment ◽  
Factors Affecting ◽  
Attachment Figure ◽  
Gynecology And Obstetrics ◽  
Significant Difference ◽  
Package Program ◽  
The Difference

Introduction: The primary attachment figure is mostly defined as the mother, and studies focus on the mother. However, in many babies, basic attachment is just as good with the father as with the mother. It is seen that there are very few studies in the literature investigating the correlations of father-infant attachment relationships.. The aim of this study is to determine the father-infant attachment status and to determine the factors affecting attachment. Method: The population of the cross-sectional study consisted of the spouses of all puerperant women hospitalized in the Gynecology and Obstetrics Clinic between September 1, 2018 and October 1, 2018. The sample size consisted of 156 fathers who agreed to participate in the study. Father identification form and father-infant attachment scale were used to collect the study data. The analysis of the data obtained from the research was carried out on the computer using the SPSS 16.0 package program. Results: 156 fathers participated in the study. The mean age of the fathers is 33.64±6.49, and 38.5% of them have a bachelor's degree. 91.0% of fathers stated that they felt ready for fatherhood. The fathers' Father-Infant Attachment Scale mean score was 82.60±7.72 In the analysis, the difference between the variables and the total score of the scale was found to be statistically insignificant (p>0.05). Discussion and Conclusion: At the end of the study, the bonding process of fathers participating in the study with their babies and the factors affecting this process were evaluated and it was seen that the father-infant attachment scale mean scores of the fathers participating in the study were high and were similar to other studies. In addition, when the basic factors affecting father-infant attachment were compared with the attachment scale mean score, it was found that there was no statistically significant difference.

scholarly journals Analgesic Effect of Apotel Versus Pethidine After Hemilaminectomy

2019 ◽  
Vol 5 (4) ◽  
pp. 185-189
Author(s):  
Mohammadreza Emamhadi ◽  
◽  
Hamid Behzadnia ◽  
Seifollah Jafari ◽  
Mohammadreza Zamanidoust ◽  
...  
Keyword(s):  
Recovery Process ◽  
Cross Sectional Study ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Vas Score ◽  
Relieve Pain ◽  
Present Cross Sectional Study ◽  
Significant Difference ◽  
Vas Scores ◽  
The Difference

Background: Postoperative pain is a common phenomenon, and its management affects considerably on the recovery process, and patients’ satisfaction. Apotel and pethidine are two conventional medicines used to relieve pain after operation. Objectives: The present study aimed to compare the effect of intravenous injection of Apotel and intramuscular injection of pethidine in relieving pain after hemilaminectomy. Materials & Methods: In the present cross-sectional study, 150 patients who underwent hemilaminectomy were recruited between May 2015 and November 2015. They were taking either Apotel (n=75) or pethidine (n=75) after the operation, which was done at Poursina Hospital affiliated to Guilan University of Medical Sciences, Rasht City, Iran. The patients’ pain levels were measured using visual analog scale (VAS), and the results were compared between the 2 groups. Results: There was no significant difference in the total VAS score between the Apotel and pethidine groups (P=0.189). However, there was a significant reduction in VAS score hours 2 (P=0.03) and 4 (P=0.004) hours after the injection of Apotel in this group, compared with those scores in the pethidine group. Also, VAS scores at other times (8, 12, 20, 28 hours after the injection) were lower than those in the pethidine group, but the difference was not significant. Conclusion: Apotel was better pain-killer in the early hours after the first injection compared to pethidine. But its effect was similar to pethidine at the late hours after the first injection. Therefore it seems that Apotel is better painkiller after laminectomy, especially in the early hours after the operation.

scholarly journals Arterial Stiffness in Lower Limb Amputees

2011 ◽  
Vol 5 ◽  
pp. CCRPM.S7757 ◽  
Author(s):  
Pedro Magalhães ◽  
Daniel P. Capingana ◽  
Amílcar B.T. Silva ◽  
Inês R. Capunge ◽  
Mauer A.A. Gonçalves
Keyword(s):  
Lower Limb ◽  
Pulse Wave ◽  
Cross Sectional Study ◽  
Study Data ◽  
Cross Sectional ◽  
Cardiovascular Morbidity And Mortality ◽  
Laboratory Investigations ◽  
The Difference ◽  
Routine Assessment ◽  
Lower Limb Amputees

Background A high carotid-femoral pulse wave velocity (PWV) has been related to increased cardiovascular morbidity and mortality, but has not been previously evaluated in amputees. The aim of this study was to compare PWV between amputees and nonamputees. Methods In this cross-sectional study, data were collected from 60 male lower limb amputees and 86 male age-matched nonamputees. PWV was measured noninvasively using a Complior® device. All participants underwent laboratory investigations and anthropometry. The difference in PWV between amputee and nonamputees was estimated. Multivariate regression was used to adjust for differences between the groups as a result of potential confounders. Results PWV was higher in amputees than in nonamputees (10.8 ± 1.9 m/sec versus 9.9 ± 1.8 m/sec, P = 0.008, respectively). This difference remained even after adjusting for confounding factors. Conclusion A higher PWV was demonstrated in lower limb amputees. Routine assessment of PWV may contribute to cardiovascular risk stratification in amputees.

scholarly journals Clinical and paraclinical predictive factors for in-hospital mortality in adult patients with COVID-19

2021 ◽  
Author(s):  
Seyed Alireza Mousavi ◽  
Reyhaneh Sadat Mousavi-Roknabadi ◽  
Fateme Nemati ◽  
Somaye Pourteimoori ◽  
Arefeh Ghorbani ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Hospital Mortality ◽  
Ct Scan ◽  
Predictive Factors ◽  
Invasive Mechanical Ventilation ◽  
Cross Sectional Study ◽  
Study Data ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Non Invasive

Abstract Background Since December 2019, a type of coronavirus has emerged in Wuhan, China, which has become the focus of global attention due to an epidemic of pneumonia of unknown cause, called COVID-19. This study aimed to investigate the factors affecting in-hospital mortality of patients with COVID-19 hospitalized in one of the main hospital in central Iran. Methods This retrospective cross-sectional study (February 2019-May 2020) was conducted on patients with confirmed diagnosis COVID-19, who were admitted in Yazd Shahid Sadoughi Hospital, in middle of Iran. The patients with uncompleted or missed medical files were excluded from the study. Data were extracted from the patients' medical files and then analyzed. The patients were categorized as survivors and non-survivors groups, and they were compared. Results Totally, 573 patients were enrolled, that 356 (62.2%) were male. The mean ± SD of age was 56.29 ± 17.53 years, and 93 (16.23%) were died. All the complications were more in non-survivors. Intensive care unit (ICU) admission was in 20.5% of the patients which was more in non-survivors (P < 0.001). The results of multivariate logistic regression test showed that plural effusion in lung computed tomography (CT) scan (OR = 0.055, P = 0.009), white blood cell (WBC) (OR = 1.417, P = 0.022), serum albumin (OR = 0.009, P < 0.001), non-invasive mechanical ventilation (OR = 34.315, P < 0.001), and acute respiratory distress syndrome (ARDS) (OR = 66.039, P = 0.001) were achieved as the predictive factors for in-hospital mortality were the predictive factors for in-hospital mortality. Conclusion In-hospital mortality in patients with COVID-19 was about 16%. Plural effusion in lung CT scan, WBC, albumin, non-invasive mechanical ventilation, and ARDS were obtained as the predictive factors for in-hospital mortality.

scholarly journals The Frequency and Related Factors of Internet Addiction in Externship and Internship Students of Kerman University of Medical Sciences, 2018

2021 ◽  
Author(s):  
Mina Danaei ◽  
Ali Akbar Rohani ◽  
Ali Sajadi ◽  
Mohsen Momeni
Keyword(s):  
Medical Students ◽  
Internet Addiction ◽  
Cross Sectional Study ◽  
The Internet ◽  
Medical Sciences ◽  
Chi Square ◽  
Related Factors ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Chi Square Test

Introduction: Internet addiction is a global phenomenon with an increasing trend in university students. The aim of this study was to investigate the frequency and factors affecting internet addiction in externship and internship medical students of Kerman University of Medical Sciences in 2018. Methods: This cross-sectional study was carried out on externship and internship medical students of Kerman University of Medical Sciences in 2018 during a 6-month period using convenience sampling method. In this study, the valid and reliable self-administered questionnaire of “Kimberly-Young internet addiction questionnaire” was used to collect the research data. The attainable scores in this questionnaire range from 20 to 100, so that  higher scores show greater dependence on the Internet. Data were analyzed by SPSS version 20 using the Chi-square test. A significant level was set at lower than 0.05. Results: Among the participants, 46 participants (18.4%) were normal users, 127 (50.8%) were at risk, and 77 (30.8%) were addicted to the Internet. Among the demographic factors, a significant relationship was found between gender (p = 0.041) and educational level (p = 0.024) with Internet addiction. Conclusion: policymakers should pay particular attention to the issue of Internet addiction in medical students, since Internet addiction may cause these students to neglect their critical duties during externship and internship. In this regard, holding effective training courses can be helpful.

scholarly journals The relationship between professional autonomy and moral distress in ICU nurses of Guilan University of Medical Sciences in 2017

2019 ◽  
Author(s):  
Mohammad Reza Yeganeh ◽  
Moluk Pouralizadeh ◽  
Atefeh Ghanbari
Keyword(s):  
Decision Making ◽  
Standard Deviation ◽  
Moral Distress ◽  
Cross Sectional Study ◽  
Professional Autonomy ◽  
Full Time ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Relationship Of ◽  
The Relationship

Background & Aim: Professional autonomy is a key component of decision-making and empowerment of the nurses. However, ICU nurses sometimes experience a degree of moral distress in their decision-making but the relationship of this distress with their autonomous performance in intensive care units is unclear. The aim of this study is determining the relationship between professional autonomy and moral distress of ICU nurses. Methods & Materials: In this correlational cross-sectional study, 180 ICU nurses were selected by census method from educational hospitals of Guilan University of Medical Sciences in 2017. Research tools were Varjuss professional autonomy and Corely et al. moral distress questionnaires. Data were analyzed using SPSS software version 16. Results: Most of the subjects were female (93.89%), full-time nurses (61.67%), with age mean and standard deviation of 35±5.97. Mean and standard deviation of professional autonomy and moral distress were 77.04±4 and 140.85±5.45, respectively. Moral distress of most nurses (55.6%) was moderate. There was a positive and significant correlation between professional autonomy and moral distress scores (p<0.001, r=0.33). Conclusion: This study showed that by increasing the professional autonomy, the moral distress of ICU nurses increases as well. These results, by informing nursing mangers, remind the necessity of using some approaches for reducing the moral distress of nurses along with improving their professional autonomy.

scholarly journals Factors Affecting the Central Corneal Thickness in Nepalese Population

1970 ◽  
Vol 1 (1) ◽  
pp. 7-10 ◽  
Author(s):  
ST Godar ◽  
KR Kaini ◽  
JB Khattri
Keyword(s):  
Central Corneal Thickness ◽  
Corneal Thickness ◽  
Cross Sectional Study ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Intra Ocular Pressure ◽  
Goldmann Tonometry ◽  
Applanation Tonometer ◽  
Ocular Pressure

Background: Intra Ocular Pressure (IOP) is an important parameter for the detection and monitoring of glaucoma. Central corneal thickness (CCT) can influence the IOP estimated with Goldmann tonometry. A thick cornea overestimates the IOP and thin underestimates it. So, decreased CCT may lead to underdiagnosis and undertreatment of glaucoma and increased CCT may lead to overdiagnosis and overtreatment of glaucoma. The aim of the study is to identify the factors affecting the CCT in Nepalese population. Methods: A hospital based cross-sectional study which enrolled 152 subjects from period of January 2009 to May 2010. All subjects underwent ophthalmological examinations. CCT was measured with ultrasonic pachymeter and intraocular pressure was measured with Goldmann applanation tonometer. Results: The mean±SD CCT of right and left eye was 538±32 and 540±30μm respectively. CCT decreased with increasing age. Age and intra ocular pressure was significantly correlated with CCT. There was no significant correlation of gender and ethnicity with CCT. Conclusion: CCT decreased with increasing age. CCT was significantly correlated with age and intra ocular pressure but not with gender and ethnicity. Keywords: Nepalese; central corneal thickness; ultrasound pachymeter DOI: http://dx.doi.org/10.3126/njms.v1i1.5788   Nepal Journal of Medical Sciences. 2012; 1(1): 7-10.

Job Strain and its Associated Factors among Lecturers in the School of Medical Sciences, Universiti Sains Malaysia and Faculty of Medicine, Universiti Kebangsaan Malaysia

2004 ◽  
Vol 16 (1) ◽  
pp. 32-40 ◽  
Author(s):  
B.Z. Huda ◽  
B.N. Rusli ◽  
L. Naing ◽  
T. Winn ◽  
M.A. Tengku ◽  
...  
Keyword(s):  
Associated Factors ◽  
Response Rate ◽  
Job Strain ◽  
Cross Sectional Study ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Psychological Stressors ◽  
Medical Faculties ◽  
The Difference ◽  
Job Content

A cross-sectional study to assess job strain and its associated factors among lecturers of the School of Medical Sciences, Universiti Sains Malaysia (USM) and Faculty of Medicine, Universiti Kebangsaan Malaysia (UKM) was undertaken between August 2001 and May 2002. The original English version of the Job Content Questionnaire (JCQ) version 1.7 (revised 1997) by Robert Karasek based on the Job Strain Model was self-administered to 73 (response rate 58.4%) and 80 (response rate 41.7%) lecturers in the medical faculties of USM and UKM respectively. The prevalence of job strain (defined by low decision latitude and high psychological demand) in USM and UKM was 23.3% and 17.5%, respectively; the difference was not significant ( p ≥ 0.05). Analysis showed that the associated factors of job strain in USM lecturers were psychological stressors (adjusted OR 1.2, 95% CI: 1.0, 1.4), created skill (adjusted OR 0.4, 95% CI: 0.2, 0.8), working in clinical-based departments (adjusted OR 18.9, 95% CI:1.6, 22.7). The risk factors of job strain in UKM lecturers were created skill (adjusted OR 0.3, 95% CI: 0.1, 0.9), psychological stressors (adjusted OR 1.2, 95% CI: 1.0,1.5) and co-worker support (adjusted OR 0.3, 95% CI: 0.1, 0.9). We conclude psychological stressors and created skill were non-protective and protective, respectively, against job strain in both USM and UKM lecturers. Asia Pac JPublic Health 2004; 16(1): 32- 40.

Sedentary behavior and related factors among full-time, university faculty

2015 ◽  
Vol 8 (3) ◽  
pp. 206-213 ◽  
Author(s):  
Mary Keenan ◽  
Anna Elizabeth Greer
Keyword(s):  
Physical Activity ◽  
Sedentary Behavior ◽  
Cross Sectional Study ◽  
Study Data ◽  
Faculty Members ◽  
University Faculty ◽  
Full Time ◽  
Related Factors ◽  
Cross Sectional ◽  
Content Type

Purpose – Sedentary behavior, independent of physical activity, is a risk factor for both morbidity and mortality. Little is known about factors related to sedentary behavior. The purpose of this paper is to examine the relationship between sedentary behavior and the demographic characteristics, perceived physical activity (PA) environment, and PA behaviors of 72 full-time, university faculty members. Design/methodology/approach – For this cross-sectional study, data were collected online using Survey Monkey®. Findings – Participants spent an average of 473 and 328 minutes/weekend day in sedentary activity. There was a positive correlation between minutes spent in vigorous PA and minutes spent sedentary while watching TV (p=0.047). There was a negative correlation between minutes spent in moderate PA per week and minutes spent sedentary while playing video games (p=0.034). Participants’ perceived PA environment scores were inversely related to their minutes spent in sedentary behavior during a typical weekday (p=0.027) and positively related to their minutes spent sedentary while on their computers (p=0.022). Originality/value – The study is the first to highlight the large proportion of time university faculty members spend in sedentary activities and factors that could be addressed to reduce this time.

scholarly journals Critical thinking dispositions of baccalaureate nursing students and their educators: A cross-sectional analytical study

2021 ◽  
Vol 4 (1) ◽  
pp. 9-15
Author(s):  
Nuzhat Sultana ◽  
Raisa Begum Gul
Keyword(s):  
Critical Thinking ◽  
Nursing Education ◽  
Nursing Students ◽  
Baccalaureate Nursing ◽  
Study Data ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Thinking Dispositions ◽  
Critical Thinking Dispositions ◽  
The Difference

Background: Critical thinking is an imperative outcome of nursing education. However, several factors contribute to the development of critical being including critical thinking dispositions (CTDs). Objective: This study aimed to assess the critical thinking dispositions and factors affecting critical thinking dispositions of BScN students and their educators in twin city Rawalpindi and Islamabad, Pakistan. Methodology: A cross- sectional analytical design was used in this study. A consecutive sample of 215 BScN students and 63 educators participated in the study. Data were collected via Pakistan-Critical Thinking Dispositions Scale (P-CTDS) comprising 54 items under the seven constructs; responses were measured on 5-points Likert scale. Data were analyzed with SPSS version 22. Results: The findings showed that 52% of the educators were at the developed level of CTDs and nearly 48% at the developing level; whereas 76% students were inclined towards CTD and only 23% were found at the developed level of CTDs. Although with considerable difference in the scores of the 7 constructs, both, students and educators obtained highest scores on inquisitiveness and contextual perspective. Similarly, students and educators obtained low score on open-mindedness. The difference between students and their teachers was statistically significant for the total scores of CTDs as well as for the scores of six of seven constructs. Conclusion: Although educators exhibited stronger CTDs than their students, both have room for improvement, specifically their open mindedness. If educators are willing to challenge their personal assumptions, students will also emulate them.

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