scholarly journals COVID19 EN POBLACIÓN RESIDENTE DE ZONAS GEOGRÁFICAS A ALTURAS SUPERIORES A 2500 m.s.n.m.

SITUA ◽  
2020 ◽  
Vol 23 (1) ◽  
pp. 16
Author(s):  
Anahi Cardona Rivero ◽  
Manuel Montoya
Keyword(s):  
Mortality Rate ◽  
Sea Level ◽  
Descriptive Study ◽  
Mortality Rates ◽  
Wilcoxon Test ◽  
Cross Sectional ◽  
A Value ◽  
Significant Difference ◽  
The Difference ◽  
Population Numbers

RESUMEN. -El objetivo del estudio fue evaluar las tasas de mortalidad por COVID19 en las regiones a alturas superiores de 2500 m.s.n.m. en comparación a las tasas de mortalidad por COVID19 de los países respectivos. Para lo cual se realizó un estudio de tipo descriptivo transversal comparativo, se revisaron 20 regiones de 7 países con ciudades de más de 100 000 habitantes que se encuentran por encima de 2500 m.s.n.m. Se registraron los casos de fallecidos por COVID19, cantidad de población y las tasas de mortalidad al 30 de abril del 2020. Los resultados de las tasas de mortalidad fueron evaluados con pruebas de normalidad Kolmogorov y Smirnov y Shapiro Wilk. Para evaluar la diferencia entre las medias de las tasas de mortalidad se utilizó la prueba de Wilcoxon con signos para muestras relacionadas se trabajó a un nivel de confianza del 95%, obteniendo un valor de p= 0,015 < 0,05; que demuestra la diferencia estadísticamente significativa. Se concluye que el COVID19 presenta menores tasas de mortalidad en zonas geográficas con alturas superiores a 2500 m.s.n.m.Palabras clave: altura, 2500 m.s.n.m., COVID19, tasa de mortalidad.ABSTRACTThe objective of the study was to evaluate the mortality rates by COVID19 in the regions at altitudes higher than 2500 m.s.n.m., compared to the mortality rates by COVID19 of the respective countries. For this purpose, a comparative cross-sectional descriptive study was carried out, reviewing 20 regions of 7 countries with cities of more than 100,000 inhabitants that are above 2500 meters above sea level. Cases of deaths due to COVID19, population numbers and mortality rates as of April 30, 2020 were recorded. The results of the mortality rates were evaluated with Kolmogorov and Smirnov and Shapiro Wilk normality tests. To evaluate the difference between the means of mortality rates, the Wilcoxon test with signs for related samples was used at a 95% confidence level, obtaining a value of p= 0.015 < 0.05; which demonstrates the statistically significant difference. It is concluded that the COVID19 presents lower mortality rates in geographical areas with altitudes higher than 2500 meters above sea levelKeywords: altitude, 2500 m.s.n.m., COVID19, mortality rate

scholarly journals Hubungan Pola Asuh Dengan Pertumbuhan Anak 6-24 Bulan (Studi Perbandingan Antara Suku Melayu Jambi Dan Suku Jawa Di Kabupaten Muaro Jambi Propinsi Jambi)

2019 ◽  
Vol 19 (1) ◽  
pp. 89
Author(s):  
Tuhu Perwitasari
Keyword(s):  
Health Care ◽  
Human Resources ◽  
Cross Sectional ◽  
Health Counseling ◽  
A Value ◽  
Psychosocial Stimulation ◽  
Significant Difference ◽  
Feeding Methods ◽  
The Difference

One of factors that affect the growth of child is the nutritional status which determines the success in improving the quality of human resources. The health care and food in early life is crucial one to the growth and development of the child. This study aim to seek wheter the difference in child parenting between Jambi Malay and Javanese to the growth of children 6-24 months in Muaro Jambi District of Jambi Province is occured.The design of this study is observational analytic with cross sectional. The samples of the study were taken at two Working Areas of Health Care ; Muara Kumpeh for Jambi Malay and Markanding for Javanese Tribe. The population is children aged 6-24 months in both Working Areas of helath care and the number of samples taken in each area is 100 children. The data was collected through interviews and observations by researchers assisted by midwives in the helath care. Data processing was done using SPSS and data analysis using Mantel-Haenszel test.In this research, there is no disparity in parenting feeding methods (p = 0,227), while the analysis cannot be conducted on health parenting because there was a value of 0. Furthermore, there is no difference in parenting hygiene (p = 0.828), and there is a significant difference in parenting psychosocial stimulation (p = 0.000) in Jambi Malay and Javanese. In this study it can be concluded that there is a significant difference in the growth of the child 6-24 month at the Jambi Malay and Javanese. In addition, there is no difference in Jambi Malays and Javanese parenting to the grow of the child aged 6-24 month. So that,It is suggested to provide counseling and health  counseling to the mother and also involves other family members such as father.

scholarly journals Smoking behaviours and indoor air quality: a comparative analysis of smoking-permitted versus smoke-free homes in Dhaka, Bangladesh

2020 ◽  
pp. tobaccocontrol-2020-055969
Author(s):  
Tarana Ferdous ◽  
Kamran Siddiqi ◽  
Sean Semple ◽  
Caroline Fairhurst ◽  
Ruaraidh Dobson ◽  
...  
Keyword(s):  
Low Cost ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Middle Income ◽  
A Value ◽  
Significant Difference ◽  
Proxy Measure ◽  
Shs Exposure ◽  
The Difference ◽  
Indoor Particulate Matter

IntroductionExposure to secondhand smoke (SHS) is a health risk to non-smokers. Indoor particulate matter (PM2.5) is associated with SHS exposure and is used as a proxy measure. However, PM2.5 is non-specific and influenced by a number of environmental factors, which are subject to geographical variation. The nature of association between SHS exposure and indoor PM2.5—studied primarily in high-income countries (HICs) context—may not be globally applicable. We set out to explore this association in a low/middle-income country setting, Dhaka, Bangladesh.MethodsA cross-sectional study was conducted among households with at least one resident smoker. We inquired whether smoking was permitted inside the home (smoking-permitted homes, SPH) or not (smoke-free homes, SFH), and measured indoor PM2.5 concentrations using a low-cost instrument (Dylos DC1700) for at least 22 hours. We describe and compare SPH and SFH and use multiple linear regression to evaluate which variables are associated with PM2.5 level among all households.ResultsWe surveyed 1746 households between April and August 2018; 967 (55%) were SPH and 779 (45%) were SFH. The difference between PM2.5 values for SFH (median 27 µg/m3, IQR 25) and SPH (median 32 µg/m3, IQR 31) was 5 µg/m3 (p<0.001). Lead participant’s education level, being a non-smoker, having outdoor space and smoke-free rule at home and not using kerosene oil for cooking were significantly associated with lower PM2.5.ConclusionsWe found a small but significant difference between PM2.5 concentrations in SPH compared with SFH in Dhaka, Bangladesh—a value much lower than observed in HICs.

scholarly journals (P2-25) Evaluation of the Apache III Grading System in Predicting the Prognosis and Mortality of Patients Admitted to Emergency Room, in Need of Intensive Care Unit Admission

2011 ◽  
Vol 26 (S1) ◽  
pp. s143-s144
Author(s):  
H. Hatamabadi ◽  
P. Darbandsar ◽  
A. Abdalvand ◽  
H. Kariman ◽  
A. Arhamidolatabadi
Keyword(s):  
Mortality Rate ◽  
Scoring System ◽  
Mortality Rates ◽  
Cross Sectional ◽  
Lengths Of Stay ◽  
Apache Iii ◽  
Study Results ◽  
Significant Difference ◽  
Critical Patients ◽  
One Year

ObjectivesMany of critically ill patients are being cared for prolonged periods in ED just because of limited number of ICU beds and utilize of ED as the entry point to the health care system. The aim of this study is evaluation efficiency of APACHE III scoring system in predicting mortality rate of the mentioned patients.Materials and MethodsThis cross-sectional, observational, analytic study was performed in one year period. A hundred patients remaining in ED and necessitating ICU hospitalizing were enrolled by the convenience type of non-probability sampling. Then, the APACHE III scores, predicted and observed mortality rates were calculated using of information obtained from patients' files, interview with the patients' family and performing required physical exams and lab tests.ResultsIn the assessment of 100 patients, men group were 56% (56) and women group 44% (44). The age of patients and the ED lengths of stay were 66.07 ± 19.92 years and 5.11 ± 3.79 days respectively. The average (± SD) of APACHE III score of the enrolled patients was 58.89 ± 18.24 and the predicted mortality rate calculated 32.73%; while, the total of observed mortality rate was 55%. The average (± SD) of APACHE III score of survivors and non-survivors were 48.63 ± 16.35 and 67.63 ± 14.84 respectively. So, there was a significant deference (p < 0.001). Also, there was a significant deference in the ED lengths of stay between survivors and non-survivors (3.20 ± 1.34 and 6.57 ± 4.40 respectively, p < 0.001).ConclusionIn our study, APACHE III score and ED lengths of stay were higher versus other studies in Iran and other countries; which show more critical patients presenting to our hospital and limited ICU beds versus patients. This study results nevertheless there was significant difference between predicted and observed mortality rates, the APACHE III scoring system is applicable to evaluating care, treatment and prognosis of ED patients, as is used in ICU.

scholarly journals Analysis of Differences in Hospital Rates and Rates Ina-CBGS Poly Urology Outpatient Services at Mitra Medika Tanjung Mulia Hospital

2021 ◽  
Vol 2 (2) ◽  
pp. 94-98
Author(s):  
Muhammad Iqbal ◽  
Dede Ruslan ◽  
Deli Theo
Keyword(s):  
Outpatient Service ◽  
Total Sample ◽  
Hospital Staff ◽  
Wilcoxon Test ◽  
Outpatient Services ◽  
Cross Sectional ◽  
Service Unit ◽  
Significant Difference ◽  
The Difference ◽  
The Government

In the implementation of the National Health Insurance there are still many problems that arise, one of which is of concern is the tariff for Indonesian Case Based Groups (INA-CBGs). The government is very likely to realize that there is a mismatch between INA-CBGs rates and hospital real costs. The purpose of this study was to determine the difference in hospital rates and INA-CBGs rates for outpatient services at the Urology Poly at Mitra Medika Tanjung Mulia Hospital in January 2019.This type of research is cross sectional with a quantitative approach. The population in this study were all medical record files of outpatient poly urology who underwent treatment at the Mitra Medika Tanjung Mulia Hospital in January 2019. The total sample technique was 310 people.The Wilcoxon test results obtained that the A-Symp Sig (2-tailed) value was 0,000, which means that there is a significant difference between the hospital rate and the INA-CBG outpatient service Urology Poly at Mitra Medika Tanjung Mulia Hospital in January 2019. The conclusion in this study is the difference between the hospital rates and the INA-CBG package rates on the payment of outpatient JKN participant claims at Mitra Medika Hospital lies in the standard rates applied. It is expected that the hospital staff can evaluate the calculation of unit costs for each service unit service. Outpatient care, especially in the poly urology service division, which experienced a negative rate difference so that the hospital suffered a loss.

scholarly journals Using Ultraviolet C (UVC) in Operating Rooms: A Hygiene Improvement

2021 ◽  
Vol 1 (S1) ◽  
pp. s63-s63
Author(s):  
Roberta Bosco ◽  
Gabriele Messina ◽  
Davide Amodeo ◽  
Gabriele Cevenini ◽  
Simona Gambelli
Keyword(s):  
Repeated Measures ◽  
Operating Rooms ◽  
Cross Sectional Study ◽  
Wilcoxon Test ◽  
Cross Sectional ◽  
Colony Forming Units ◽  
Significant Difference ◽  
Ultraviolet C ◽  
Cleaning Procedures ◽  
The Difference

Background: Disinfection procedures are an essential aspect of preventing cross contamination, especially in situations where the risk of infection is higher, such as in operating rooms (ORs). Disinfection procedures in ORs at the end of each surgery session are not the same as final cleaning procedures. We assessed the difference in microbial contamination between different levels of disinfection, before T(0) and after T(1) the use of an ultraviolet C device (UVC-D). Methods: A cross-sectional study was conducted between December 2019 and August 2020 in a private clinic. Three sanitation levels (SL1–SL3) were compared for the reduction in colony-forming units (CFU) between T(0) and T(1): (1) no disinfection after surgery (SL1);, (2) after in-between cleaning (SL2), and (3) after terminal cleaning (SL3). UVC-D was used for 6 minutes, 3 minutes per bed side. Overall, 260 Petri dishes were used in 3 ORs, incubated at 36°C, and CFU were counted after 48 hours. Descriptive statistics, Wilcoxon test, and MANOVA for repeated measures were performed to verify the 95% statistical difference between T(0) and T(1), both on the whole sample and combined with the different SLs. Results: The unstratified analysis showed statistically significant differences (Wilcoxon test, p < 0.05) between T(0) and T(1), with means and standard deviations of 11.42 ± SD 41.19 CFU/PD and 5.91 ± SD 30.89, respectively. The Manova test for repeated measures, applied to 54 pairs of measurements, showed no significant difference between SLs in T(0)-T(1) CFU reduction. Overall, the mean percent reduction in CFU was 93.48% (CI95% = 86.97-99.99%). Conclusions: The results showed significant improvements in disinfection under any condition tested with UVC-D. Using the device immediately after surgery (SL1), before standard cleaning procedures, reduced CFUs by 97.3%. In some situations, UVC light was sufficient to reduce CFU to zero, even without chemical and mechanical cleaning. However, we do not recommend this approach; UVC light disinfection should be applied only after sanitization procedures because it does not remove dirt.Funding: UltraViolet Device, IncDisclosures: None

scholarly journals An Analysis of the Trend of Fetal Mortality Rates among Working and Jobless Households in Japan, 1995–2019

2021 ◽  
Vol 18 (9) ◽  
pp. 4810
Author(s):  
Tasuku Okui
Keyword(s):  
Mortality Rate ◽  
Maternal Age ◽  
Cohort Analysis ◽  
Age Groups ◽  
Mortality Rates ◽  
Vital Statistics ◽  
Fetal Mortality ◽  
Birth Cohorts ◽  
Significant Difference ◽  
The Difference

This study aimed to identify differences in the trends of artificial and spontaneous fetal mortality rates between working and jobless households depending on ages, periods, and birth cohorts in Japan. Vital Statistics data from 1995 to 2019 and age groups in 5–year increments from 15 to 19 years through 45 to 49 years were used. Bayesian age–period–cohort analysis was used to evaluate changes in each of the outcomes. As a result, the difference in maternal age–standardized rate of both the artificial and spontaneous fetal mortality rates between the two types of households decreased in the periods analyzed. However, there was a statistically significant difference in the mortality rate between jobless and working households, regardless of maternal ages, periods, and cohorts for the artificial fetal mortality rate. A statistically significant difference was also observed for the spontaneous fetal mortality rates in some maternal ages, periods, and cohorts. In addition, the trend of birth cohort effects was particularly different between the two types of households for both the artificial and spontaneous fetal mortality rates.

scholarly journals “Is There a “Best” Method for Standard Setting in OSCE Exams? Comparison between Four Methods (A Cross-Sectional Descriptive Study)

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Doaa Kamal ◽  
Moataz Sallam ◽  
Enas Gouda ◽  
Sally Fouad
Keyword(s):  
Undergraduate Students ◽  
Standard Setting ◽  
Descriptive Study ◽  
Cross Sectional ◽  
Pass Mark ◽  
Significant Difference ◽  
The Difference ◽  
The University ◽  
Passing Score ◽  
Selection Of

Background: One of the essential considerations while designing an OSCE exam is “standard-setting”, which refers to the score with which a student could be considered to pass or fail an exam. The selection of proper standard-setting method is based on different criteria, including the applicability of the method, the university bylaws, and the purpose of the test. Objectives: To examine the difference between four different standard-setting methods: the modified Cohen’s, borderline regression, Hofstee methods, and the fixed 60% arbitrary method in determining the passing score in ophthalmology OSCE exam. Methods: Two periodic ophthalmology OSCE were selected to examine the differences in failure rates and pass scores. The four standard setting methods were applied with a sample size that included 38 (year 5 undergraduate) students at the Faculty of Medicine, Suez Canal University. Results: Modified Cohen’s method resulted in the lowest passing score (54% and 58%), while the Hofstee method led to the highest passing score (69.2% and 75%). Comparing the percentage of students who are supposed to pass the exam, we can observe that there is no statistically significant difference among these standard-setting methods were used except for the Hofstee method. Conclusions: There is no single best method for setting the passing mark of an exam. We could obtain more practical outcomes if we considered more than one method and the average pass mark.

scholarly journals Impact of Outsourcing Medical Equipment Department on Costs and Profits: A Case Study of a University Hospital in Tehran, Iran

2021 ◽  
Author(s):  
Jamalodin Tabibi ◽  
Alireza Kiani
Keyword(s):  
Human Resources ◽  
Medical Equipment ◽  
Cross Sectional Study ◽  
Wilcoxon Test ◽  
University Hospital ◽  
Average Score ◽  
Cross Sectional ◽  
Significant Difference ◽  
The Difference ◽  
The Impact

Background: Medical equipment plays a key role in diagnosis, treatment, and medical education. Outsourcing is delegating a part or all activities of an organization to a party (e.g., individuals or organizations) outside the organization, which has an important role in the organization’s productivity. Objectives: The current study aimed to investigate the effect of outsourcing the department of medical equipment of a university hospital in Tehran, Iran, by emphasizing costs, profits, and performance. Methods: This was a descriptive-analytical and cross-sectional study. This study investigated the documents and financial records of the Financial Office to calculate costs and revenues. Additionally, a researcher-developed questionnaire was used to evaluate the effect of outsourcing on employees’ performance and financial performance. A total of 36 subjects were randomly selected, following the sampling formula (the response rate: 72%). The Kolmogorov-Smirnov test was applied to test for a normal distribution. As the data were not normally distributed, the Wilcoxon test was used. Furthermore, the t-test and analysis of variance were used to study the difference in the effect of outsourcing and age, gender, and educational level. The data were analyzed using SPSS software (version 19). Results: According to the findings, there was a significant difference before and after outsourcing in the costs and revenues of the Medical Equipment Department. Concerning the effect of outsourcing on the performance, the “human resources” factor obtained the highest mean (3.37), which indicated the poor perspective of the staff in this aspect. Moreover, the lowest score was related to the “cost-effectiveness” (2.96), which was an average score. There were weak scores concerning the dimensions of management (3.28) and quality of services (3.36). Conclusions: Considering the importance of staff in the hospital, it is necessary to pay serious attention to the impact of different types of reforms intended to increase the revenues and reduce the costs of hospitals on the staff of the organization by emphasizing managerial and human resources dimensions, which not only will increase the efficiency of the organization and satisfaction of the staff but also translated into better quality.

scholarly journals Perbedaan tinggi badan sebelum tidur dan setelah bangun pagi pada masyarakat subetnis Minahasa di Desa Senduk

2017 ◽  
Vol 5 (1) ◽  
Author(s):  
Magdalena I. Simanullang ◽  
George N. Tanudjaja ◽  
Djon Wongkar ◽  
Taufiq F. Pasiak
Keyword(s):  
Human Body ◽  
Analytical Study ◽  
Sampling Method ◽  
Wilcoxon Test ◽  
Cross Sectional ◽  
Purposive Sampling ◽  
Significant Difference ◽  
The Difference ◽  
Cross Sectional Design ◽  
Waking Up

Abstract: Anthropometry is a measurement of certain parts of human body including height. This study was aimed to obtain the difference in height between after waking up in the morning and before going to bed at night among Minahasan sub-ethnic people at Senduk village. This was an analytical study with a cross-sectional design. Sampels were obtained by using purposive sampling method. There were 65 people as subjects. The results showed that the heights after waking up in the morning were longer than the heights before going to bed at night with an average of 1-2 cm for both sexes. The Wilcoxon test showed a significant difference between the heights after waking up in the morning and the heights before going to bed at night (p=0.002 for males and p=0.000 for females). Conclusion: There was a significant difference between the heights after waking up in the morning and the heights before going to bed at night. The heights after waking up in the morning were longer than the heights before going to bed at night.Keywords: height, after waking up in the morning, before going to bed at night Abstrak: Antropometri merupakan sebuah alat ukur yang digunakan untuk mengukur bagian-bagian tubuh manusia termasuk tinggi badan. Penelitian ini bertujuan untuk mendapatkan perbedaan tinggi badan sebelum tidur dan setelah bangun pagi pada sub-etnis Minahasa di Desa Senduk. Jenis penelitian ialah analitik dengan desain potong lintang. Sampel diambil secara purposive sampling sebanyak 65 orang. Hasil penelitian mendapatkan bahwa tinggi badan setelah bangun pagi lebih panjang dibandingkan sebelum tidur malam hari dengan rerata perbedaan 1-2 cm untuk kedua jenis kelamin. Hasil uji Wilcoxon mendapatkan perbedaan bermakna antara tinggi badan setelah bangun pagi dan sebelum tidur (p=0,002 untuk laki-laki dan p=0,000 untuk perempuan). Simpulan: Terdapat perbedaan bermakna antara tinggi badan setelah bangun pagi dan sebelum tidur malam hari. Tinggi badan setelah bangun pagi lebih pendek dibandingkan sebelum tidur malam hari. Kata kunci: tinggi badan, sebelum tidur malam hari, setelah bangun pagi

scholarly journals Curve decline of COVID-19: An analysis of first wave of disease in Pakistan– A cross-sectional study.

2021 ◽  
Vol 28 (06) ◽  
pp. 762-771
Author(s):  
Asma Naseer Cheema ◽  
Aneeqa Naz ◽  
Muhammad Younas ◽  
Azra Azra ◽  
Yasmeen Batool ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Old Age ◽  
Cross Sectional Study ◽  
Disease Spread ◽  
Age Group ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Significant Difference ◽  
The Difference

Objective: The objective was to observe the COVID-19 rise and fall, disease pattern, clinical presentation, effective treatment and outcome in native population. Study Design: Cross Sectional study. Setting: Children’s Hospital Multan, Nishtar Hospital Multan, CMH Multan and Teaching Hospital of Kohat. Period: March 2020 to August 2020. Material & Methods: A total of 2,186 subjects with the suspicion of COVID-19 were enrolled in this study. Chi-square test was used to see the difference in disease distribution. Results: Of total, 779 patients were found positive for COVID-19, 47.11% were symptomatic. Of all positive subjects, no significant difference of disease spread was observed in young (<40 years) versus old age (>40 years) [X2 = 3.14; P=0.076). There were more asymptomatic female carriers than male (X2 = 11.68; P=0.001). The rise in cases was observed in May-June after maximum exposure on Eid festival then decline in July. Overall mortality rate was 3.98%. Conclusions: The mortality rate was higher in the start, then gradually declined (9.57-0) %. The disease prevalence was higher in male, and in the age group of 21-50 years. The mortality rate was higher in old age group (>40 years). Paracetamol and azithromycin proved to be effective in mild to moderate symptomatic patients.

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