scholarly journals Concordance of triage performed with emergency severity index in the emergency departments of Rasoul Akram and Haft Tir hospitals

2020 ◽  
Vol 5 (1) ◽  
pp. e11-e11
Author(s):  
Nader Tavakoli ◽  
Saeed Abbasi ◽  
Afrooz Tayebi
Keyword(s):  
Severity Index ◽  
Emergency Severity Index ◽  
Cross Sectional ◽  
Patient’S Satisfaction ◽  
Care Services ◽  
Significant Difference ◽  
Patient Waiting Time ◽  
Cross Sectional Design ◽  
Patient File ◽  
Triage Level

Introduction: Triage is prioritizing patients by disease severity in the shortest possible time. Proper triage increases the quality of patient care services, increases patient’s satisfaction, decreases patient waiting time, decreases mortality, and enhances emergency department efficiency. Objectives: The aim of this study was to evaluate the concordance of triage performed by nurses with ESI standard, at Rasoul Akram and Haft Tir hospitals, which are the most important educational centers of Iran University of Medical Sciences. Patients and Methods: This is a cross-sectional design study done in 2019. The study population is patients referred to Rasoul Akram and Haft Tir hospitals. A sample of 800 patients was selected. In this study, we determined how triage level were determined and compared with triaging by emergency medicine assistant. Data were analyzed by SPSS 23. Results: Out of 800 samples, the highest triage level was related to level three (79.1%) and levels two, four and one were in the next levels. 13.5% of the cases were not properly triaged according to the ESI standard and the adaptation coefficient (kappa) between the triage level specified in the patient file with the emergency severity index (ESI) triage level between physician and nurse was 58%, which was a significant difference (P<0.001). The relationship between correct triage leveling and patients’ complaints was significant (P<0.001). Conclusion: Nurses triage education about appropriate triage and ESI tool should be one of the most urgent topics and priorities of the studied hospitals. Over triage causes resources wasted and under triage may harm the patient’s health.

scholarly journals Perbedaan kadar hemoglobin pada remaja gizi baik yang tinggal di pegunungan dengan yang tinggal di tepi pantai

e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Marianne C. Jacobus ◽  
Max F.J Mantik ◽  
Adrian . Umboh
Keyword(s):  
Analytical Study ◽  
Nutrition Status ◽  
P Value ◽  
Cross Sectional ◽  
Significant Difference ◽  
Good Nutrition ◽  
The Difference ◽  
Cross Sectional Design ◽  
And Gender ◽  
Main Component

Abstract: Haemoglobin is the main component of red blood cells that serves as a transporter of oxygen and carbon dioxide in the blood. The normal range of haemoglobin values can be used to determine the degree of anemia according to age and gender. Geographical condition such as altitude influences the haemoglobin value. This study aimed to obtain the difference of haemoglobin levels between teenagers with good nutrition status who live at the highland and those at the seaside. This was an observational analytical study with a cross sectional design. Samples were students with good nutrition status of SMPN 3 Tomohon (living at the highland) and those of SMP Kristen Nazaret Tuminting (living at the seaside). There were 60 students who met the inclusion criteria as follows: adolescent, good nutrition status, healthy, aged 13-15 years, lived at the highland or at the seaside ≥ 6 month, and willing to be performed blood examinations, and had been approved by their parents. The Mann-Whitney test for the difference between haemoglobin levels of the two groups showed a p value < 0,001. Conclusion: There was a very significant difference between haemoglobin levels of good nutrition teenagers who lived at the highland and at the seaside. Keywords: haemoglobin levels, good nutrition, teenagers, highland, seaside  Abstrak: Hemoglobin merupakan komponen utama sel darah merah dan berfungsi sebagai transporter oksigen dan karbon dioksida dalam darah. Batas normal nilai hemoglobin dapat digunakan untuk menetapkan derajat anemia, dengan distribusi usia dan jenis kelamin spesifik didasarkan pada sampel referensi sehat. Kondisi geografis, seperti ketinggian tempat dari permukaan laut menjadi faktor pertimbangan dalam distribusi nilai normal hemoglobin. Penelitian ini bertujuan untuk mendapatkan perbedaan kadar hemoglobin antara remaja gizi baik yang tinggal di pegunungan dengan yang tinggal di tepi pantai. Jenis penelitian ini analitik-observasional dengan desain potong lintang. Sampel penelitian yaitu remaja gizi baik yang tinggal di pegunungan yaitu siswa SMPN 3 Tomohon dan yang di tepi pantai yaitu siswa SMP Kristen Nazaret Tuminting. Subjek penelitian berjumlah 60 remaja yang memenuhi kriteria inklusi yaitu gizi baik, sehat, berumur 13-15 tahun, berdomisili di pegunungan atau tepi pantai ≥6 bulan, bersedia dilakukan pemeriksaan darah, dan telah disetujui oleh orang tua. Data yang diperoleh dianalisis menggunakan uji Mann-Whitney dengan bantuan program SPSS. Hasil uji Mann-Whitney mengenai perbedaan kadar hemoglobin antara kedua kelompok menunjukkan nila p <0,001. Simpulan: Terdapat perbedaan yang sangat bermakna kadar hemoglobin remaja gizi baik yang tinggal di pegunungan dengan di tepi pantai.Kata kunci: kadar hemoglobin, remaja gizi baik, pegunungan, tepi pantai

scholarly journals High Sensitivity CReactive Protein (hsCRP) Level on Premature Rupture of Membrane (PROM) at Term Pregnancy

2017 ◽  
pp. 12-15
Author(s):  
Meily Manoppo ◽  
Hermie MM Tendean ◽  
Joice MM Sondakh
Keyword(s):  
High Sensitivity ◽  
C Reactive Protein ◽  
Term Pregnancy ◽  
Premature Rupture ◽  
Cross Sectional ◽  
Reactive Protein ◽  
Significant Difference ◽  
Hs Crp ◽  
Cross Sectional Design ◽  
Parametric Statistical Test

Objective: To compare the level of high sensitivity C-Reactive Protein (hs-CRP) on patients with premature rupture of membranes (PROM) at term pregnancy. Methods: The study was cross-sectional design. The data collection included age, parity, gestational age, birth weight, and APGAR score on 28 pregnant women at term pregnancy consisting of 14 subjects of Premature Rupture of Membrane (PROM) less than 12 hours and the remaining one was equal or more than 12 hours. We took blood samples from the subjects for the examination of hs-CRP level. Data were analyzed using non-parametric statistical test and processed using Statistical Package for Social Sciences (SPSS) version 20. Results: The mean hs-CRP level on PROM <12-hour and 12-hour group was 12.9 and 17.8 mg/l. There was not significant difference on hs-CRP level between both of group at term pregnancy (p=0.734). Conclusion: The level of hs-CRP does not have association with the incidence of PROM. [Indones J Obstet Gynecol 2017; 5-1: 12-15] Keywords: high sensitivity C-Reactive Protein, premature ruptures of membranes, term pregnancy

scholarly journals Emotional Intelligence and Self Esteem in Male and Female School Students

2017 ◽  
Vol 4 (2) ◽  
Author(s):  
Dr. Syeda Razia Bukhari ◽  
Syeda Ishrat Fatima ◽  
Amenah Rashid ◽  
Farhana Saba
Keyword(s):  
Emotional Intelligence ◽  
Economic Status ◽  
Sampling Technique ◽  
Self Esteem ◽  
School Students ◽  
Cross Sectional ◽  
Male And Female ◽  
Significant Difference ◽  
The Difference ◽  
Cross Sectional Design

The aim of the research is to investigate that emotional intelligence and self-esteem in male and female school students. The present research design is research cross sectional design.  Sample contained 200 students (100 =male, 100= female)   (mean age = 14.16, SD = 0.740) all belonging to the upper, middle and lower Scio economic status. Whole sample was collected from different schools of Karachi, Pakistan with the help of convenient sampling technique. First, the confidentiality about the participants demographic information was assured after that about the purpose and procedure of research explained to participants. The participants who given consent of participation in research, the demographic form, Urdu version of Rosenberg Self-Esteem Scale (Rosenberg, 1965), and Trait Emotional Intelligence Questionnaire (TEIQue) (K.V. Petrides) were administered on them. Statistical Analysis (t-Test for independent) applied to assess the difference of emotional intelligence and self esteem among male and female.The results reveals there is significant difference among emotional intelligence of male and female school students (t (198) = 6.597, P< .05) and there is also significant difference in self esteem of male and female school students (t (198) = 2.837, P< .05).

scholarly journals Pediatric triage variations among nurses, pediatric and emergency residents using the Canadian triage and acuity scale

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Saleh Alshaibi ◽  
Tala AlBassri ◽  
Suliman AlQeuflie ◽  
Winnie Philip ◽  
Nesrin Alharthy
Keyword(s):  
Clinical Signs ◽  
Sampling Technique ◽  
Weighted Kappa ◽  
P Value ◽  
Kappa Statistics ◽  
Cross Sectional ◽  
Pediatric Residents ◽  
Significant Difference ◽  
The Right ◽  
Triage Level

Abstract Background Emergency care continues to be a challenge, since patients’ arrival is unscheduled and could occur at the same time which may fill the Emergency Department with non-urgent patients. Triaging is an integral part of every busy ED. The Canadian Triage and Acuity Scale (CTAS) is considered an accurate tool to be used outside Canada. This study aims to identify the chosen triage level and compare the variation between registered nurses, pediatric and adult emergency residents by using CTAS cases. Method This study was conducted at King Abdulaziz Medical City,Saudi Arabia. A cross-sectional self-administered questionnaire was used, and which contains 15 case scenarios with different triage levels. All cases were adopted from a Canadian triage course after receiving permission. Each case provides the patient’s symptoms, clinical signs and mode of arrival to the ED. The participants were instructed to assign a triage level using the following scale. A non-random sampling technique was used for this study. The rates of agreement between residents were calculated using kappa statistics (weighted-kappa) (95%CI). Result A total of 151 participants completed the study questionnaire which include 15 case scenarios. 73 were nurses and 78 were residents. The results showed 51.3, 56.6, and 59.9% mis-triaged the cases among the nurses, emergency residents, and pediatric residents respectively. Triage scores were compared using the Kruskal Wallis test and were statistically significant with a p value of 0.006. The mean ranks for nurses, emergency residents and pediatric residents were 86.41, 73.6 and 59.96, respectively. The Kruskal Wallis Post-Hoc test was performed to see which groups were statistically significant, and it was found that there was a significant difference between nurses and pediatrics residents (P value = 0.005). Moreover, there were no significant differences found between nurses and ER residents (P value> 0.05). Conclusion The triaging system was found to be a very important tool to prioritize patients based on their complaints. The results showed that nurses had the greatest experience in implementing patients on the right triage level. On the other hand, ER and pediatric residents need to develop more knowledge about CTAS and become exposed more to the triaging system during their training.

scholarly journals Women’s Decision-Making Autonomy and ICT Utilization on Access to Antenatal Care Services: Survey Results From Jinja and Kampala Cities, Uganda

2019 ◽  
Author(s):  
Hasifah K. Namatovu ◽  
Tonny J. Oyana ◽  
Jude T. Lubega
Keyword(s):  
Decision Making ◽  
Antenatal Care ◽  
Strong Association ◽  
Control Measures ◽  
Chi Square ◽  
Cross Sectional ◽  
Care Services ◽  
Ict Adoption ◽  
Expectant Mothers ◽  
Cross Sectional Design

AbstractThere is growing evidence in Uganda that the non-attendance of antenatal care is largely influenced by the lack of decision-making autonomy, inadequate information and poor services offered in health facilities. Although previous studies have examined barriers and facilitators of antenatal care, a few of them have investigated the extent of decision making autonomy and ICT adoption among expectant mothers. A cross sectional design through focus group discussions and survey questionnaires was used to collect data. Three hundred and twenty households were randomly sampled in Kampala and Jinja districts. The Chi-square tests (χ2) for independence to analyze group differences among women’s socio-demographic characteristics and decision-making autonomy was used. Inclusion criteria included respondents aged 18 and 50 years, completion of primary school education, expectant mothers and mothers who gave birth two years prior to the study. A hundred and sixty-four respondents participated in this survey. About 59.5% of women lacked decision making autonomy. Midwives (37.6%) and village health teams (35%) were a major source of antenatal care information, and 49.5% of expectant mothers lacked ANC information. Ninety percent (90%) of mothers did not use any form of ICT’s to enhance their decisions yet 79% possessed mobile phones. We observed a strong association between antenatal care decision-making autonomy and women with higher education (χ2 = 8.63, ρ = 0.035), married (χ2 = 4.1, ρ = 0.043) and mature (36–50) (χ2 = 8.81, ρ = 0.032). The main findings in this study suggest that ICT adoption and decision making autonomy among expectant mothers is still low and less appreciated. Control measures and interventions should be geared towards empowering women to influence their decisions.

scholarly journals Pengaruh Trait Kepribadian terhadap Aktivitas Fisik

2020 ◽  
Vol 2 (1) ◽  
Author(s):  
Welan Mauli Angguna
Keyword(s):  
Physical Activity ◽  
Young Adults ◽  
Personality Traits ◽  
Analytical Study ◽  
Degenerative Disease ◽  
Cross Sectional ◽  
Significant Difference ◽  
Exercise Routine ◽  
Cross Sectional Design

ABSTRACT: THE EFFECTS OF PERSONALITY TRAITS ON PHYSICAL ACTIVITY Indonesia was considered as a country who has low physical activity. Hence, it was necessary to promote physical activity in order preventing degenerative disease and death in young adults. Personality traits were good predictors of physical activity. The purpose of this study was to examine the effects of personality traits on physical activity. This is a survey analytical study cross-sectional design on 33 samples aged 18-26 years old. The study found that personalities traits influenced physical activity with contribution 32% (p≤0,05), especially of extraversion, agreeableness, and openness. There was significant difference of physical activity based on gender and exercise routine, this should be a consideration for further research.  Keywords: Personality Traits, Physical Activity, Gender.  Indonesia dianggap sebagai negara dengan aktivitas fisik yang cukup rendah, sehingga diperlukan promosi aktivitas fisik untuk pencegahan terhadap penyakit degeneratif dan kematian di usia muda. Trait kepribadian dianggap sebagai faktor psikologis kuat dalam identifikasi aktivitas fisik. Penelitian ini adalah survei analitik dengan rancangan cross-sectional pada 33 sampel usia 18-26 tahun yang rutin dan tidak rutin berolahraga. Hasil penelitian menunjukkan bahwa trait kepribadian berkontribusi sebesar 32% (p≤0,05) terhadap aktivitas fisik, khususnya trait ekstraversi, agreeableness, dan openness. Adanya perbedaan signifikan aktivitas fisik dan trait kepribadian antar gender dan rutinitas berolahraga, hal ini disarankan menjadi pertimbangan untuk penelitian lanjutan. Kata Kunci: Trait Kepribadian, Aktivitas Fisik, Gender.

scholarly journals Assessment of Attitudes and Practices Related to Social Media Usage among Dental Practitioners in their Dental Practice in Sangli-Miraj-Kupwad City: A Cross-sectional Survey

2021 ◽  
pp. 264-269
Author(s):  
Tanushri Dalvi ◽  
Shrivardhan Kalghatgi ◽  
Samruddhi Metha ◽  
Amol Karagir ◽  
Madhuri Sale ◽  
...  
Keyword(s):  
Social Media ◽  
Health Care Services ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Media Usage ◽  
Attitudes And Practices ◽  
Care Services ◽  
Dental Practitioners ◽  
Significant Difference ◽  
Information And Communication

Background: In the last few decades, information and communication technology in social media has brought tremendous changes in the whole business, educational and political system; Dentistry is not an exception. The rise of social media has transformed how health professionals interact with their patients and deliver different types of health care services. Aim: To assess the attitudes and practices related to social media usage among dental practitioners in Sangli-Miraj-Kupwad city. Methods: A self-designed questionnaire survey was conducted among all dental practitioners in Sangli-Miraj-Kupwad city, Maharashtra, India. The questionnaire consisted of first part with socio-demographic variables like age, gender, years of experience and area of expertise and second part to assess attitudes and practices towards social media usage. Results: Among total of 138 dental practitioners, majority (68.1%) were belonging to age of 36-44 years followed by those above 45 years of age (17.4%). Around 49.3% dental practitioners were practicing dentistry since less than 5 years. Gender wise comparison showed no significant difference between attitudes and practices for social media usage. Although significant difference was found for question 3, 6 and 11 for P < 0.05. Conclusion: There has been wide adoption of social media among dental practitioners and shows no significant difference with different genders for both attitudes and practices.

scholarly journals Perbedaan Penyembuhan Luka Pasca Ekstraksi Gigi Antara Pasien Perokok Dengan Bukan Perokok Di RSGM Unsrat

e-GIGI ◽  
2019 ◽  
Vol 7 (2) ◽  
Author(s):  
Lidia A. Kewo ◽  
Damajanty H.C. Pangemanan ◽  
Aurelia Supit
Keyword(s):  
Wound Healing ◽  
Tooth Extraction ◽  
Soft Tissues ◽  
P Value ◽  
Eligibility Criteria ◽  
Cross Sectional ◽  
Inflammatory Phase ◽  
Significant Difference ◽  
The Difference ◽  
Cross Sectional Design

Abstract: To date, there are lots of documentations about the adverse effects of smoking on the oral cavity. Albeit, smoking is still considered as a casual thing in our community. Chemicals contained in the cigarette smoke can irritate the gums and soft tissues of the mouth, thus inhibiting wound healing after tooth extraction. This study was aimed to determine the difference in post-extraction dental wound healing between smokers and non-smokers. This was a comparative analytical study with a cross sectional design. Samples were obtained by using total sampling method. Subjects consisted of 16 smokers and 16 non-smokers that fulfilled the study eligibility criteria. Their oral cavities were examined to check the signs of inflammation (calor, dolor, rubor, tumor, and functio laesa). The results showed that there was a difference in post-extraction wound healing in inflammatory phase between smokers and non-smokers. As many as 9.4% of smoker patients and 34.4% of non-smoker patients recovered at 7 days post extraction. The Mann Whitney U test showed a p-value of 0.005. In conclusion, there was a significant difference in post-extraction wound healing between smokers and non-smokers.Keywords: smokers, non-smokers tooth extraction, wound healing Abstrak: Kebiasaan merokok bukan merupakan hal asing di masyarakat walaupun banyak dokumentasi mengenai akibat buruk dari merokok terhadap rongga mulut. Bahan kimia yang terdapat dalam asap rokok dapat mengiritasi gusi dan jaringan lunak mulut sehingga menghambat penyembuhan luka pasca ekstraksi gigi. Penelitian ini bertujuan untuk mengetahui perbedaan penyembuhan luka pasca ekstraksi gigi antara pasien perokok dengan bukan perokok. Jenis penelitian ialah analitik komparatif dengan desain potong lintang. Pengambilan sampel menggunakan total sampling yang memenuhi kriteria penelitian. Terdapat sebanyak 16 orang perokok dan 16 orang bukan perokok sebagai subyek penelitian. Pemeriksaan rongga mulut dilakukan untuk melihat tanda-tanda inflamasi (kalor, dolor, rubor, tumor, dan fungsio laesa). Hasil penelitian menunjukkan terdapat perbedaan penyembuhan luka 7 hari pasca ekstraksi gigi pada fase inflamasi antara pasien perokok dengan yang bukan perokok; sebanyak 9,4% pasien perokok dan 34,4% pasien bukan perokok yang sudah sembuh. Hasil uji Mann Whitney U mendapatkan nilai p=0,005. Simpulan penelitian ini ialah terdapat perbedaan bermakna dalam penyembuhan luka pasca ekstraksi gigi antara pasien perokok dengan yang bukan perokokKata kunci: perokok, bukan perokok, ekstraksi gigi, penyembuhan luka

Symptom Responses to a Continuum of Sexual Trauma

2013 ◽  
Vol 28 (2) ◽  
pp. 248-258 ◽  
Author(s):  
Carrie M. Carretta ◽  
Ann W. Burgess
Keyword(s):  
Sexual Trauma ◽  
The United States ◽  
Symptom Presentation ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Web Based ◽  
Significant Difference ◽  
Different Types ◽  
Cross Sectional Design ◽  
Post Hoc

This study reports the findings of an anonymous web-based survey to test differences in symptom presentation (depression, anxiety, posttraumatic stress disorder [PTSD]) among women who experienced different types of sexual trauma (forcible, pressured, sex stress). The study used a descriptive cross-sectional design with an online convenience sample of 243 adult females living primarily in the United States. The findings revealed that there was a statistically significant difference among type of sexual trauma groups for depression (p = .013) and PTSD (p = .044) but not for anxiety (p = .183). Post hoc analysis of the overall difference in depression revealed that the multiple rape type group (p = .010) and the forcible sex group (p = .016) had higher levels of depression.

scholarly journals Emergency severity index version 4 during the first year of implementation at an academic institution

2015 ◽  
Vol 5 (2) ◽  
pp. 35
Author(s):  
Preeti Dalawari ◽  
Jacob Sanning ◽  
Dana Pan ◽  
Jennifer Storm
Keyword(s):  
Vital Signs ◽  
Severity Index ◽  
Misclassification Rate ◽  
First Year ◽  
Emergency Severity Index ◽  
Quality Improvement Process ◽  
One Year ◽  
Post Hoc ◽  
Accuracy Rates ◽  
Triage Level

Background: The Emergency Severity Index (ESI) version 4 (v4) is a triage system based on vital signs, potential limb or organthreat, as well as expected resources needed in the emergency department (ED).Objective: The purpose of this study was to examine accuracy and misclassification rate of ESI triage over one year following implementation.Methods: This was a retrospective analysis of ED encounters from January 2011 to 2012. Charts were selected in one-week intervals every 12 weeks for one year (months 1, 3, 6, 9, and 12). Each encounter was reviewed to determine post hoc ESI level based on care in the ED. Descriptive statistics was used to compare the agreement between initial triage and post hoc ESI levels. Sensitivity and specificity for each level was determined. Kruskal Wallis test (KW) and Mann Whitney U (MWU) was used toassess differences in initial versus post hoc ESI levels by month to explore change in accuracy over time.Results: Five hundred and sixty separate ED encounters were included. Agreement was observed in 301 triage encounters (53.8%). Overestimation of the triage level occurred in 131 (23.4%) encounters, while the triage level was underestimated in 128 (22.9%) encounters. There was a significant decline in accuracy during the year (KW = 10.2; p = .037); with the greatest dropbetween month 1 and 9 months (MWU 4,859; p = .035). Sensitivity ranged from 24% to 76% and specificity ranged from 61% to 99%, based on ESI level.Conclusions: Enhanced education and quality improvement process is necessary to improve overall accuracy rates at this site.

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