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1

Laikhuram, Priya, Yanal Umar, Avantika Gupta, et al. "Patients’ Perception Toward Doctors’ Appearance and its Influence on Doctor–Patient Relationship: A Cross-Sectional Study." Medical Journal of Dr. D.Y. Patil Vidyapeeth 16, no. 2 (2023): 173–77. http://dx.doi.org/10.4103/mjdrdypu.mjdrdypu_940_22.

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ABSTRACT Background: Despite technological advances and changes that the medical fraternity has experienced in the last few decades, the physical appearance of physicians still influences the patients’ perception of doctors. The basis of medical practice depends on a robust doctor–patient relationship and efforts should be made to build rapport to foster a partnership to provide patient-centered care. Objective: The aim of this objection is to determine the patient’s perception of doctors’ appearance and its influence on the doctor–patient relationship. Materials and Methods: A cross-sectional study was conducted among patients attending OPD in health-care centers of Manipur from January 2022 to February 2022. Five hundred and forty-four patients were interviewed using a pretested structured questionnaire. A Chi-square test was performed to check for an association between independent and outcome variables (P < 0.05). Results: Mean age of the participants was 36.40 years (±12.55). A percentage of 60.80 were females and 64% of the participants were from the tertiary care center, Imphal West. A percentage of 60.5 preferred doctors’ attire to be formal with a white coat. A percentage of 52.9 of them perceived that doctors’ attire will make them seem more approachable. A percentage of 39.7 had preferences in doctors’ gender. Participants from urban health-care centers had significantly more preference for the doctors’ attire to be a formal dress with a white coat (P = 0.04). Age group, gender, type of setting, and education level were significantly associated with gender preference (P < 0.05). Conclusion: The majority of the participant had no preference over the doctor’s gender and preferred doctors’ attire to be formal with a white coat. The doctor’s hair dye, facial piercing, and tattoos didn’t bother a majority of the patients.
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DiNardo, Lauren A., Alyssa D. Reese, Maya Raghavan, Meagan Sullivan, and Michele M. Carr. "Gender distribution of Top Doctors in otolaryngology-head and neck surgery." PLOS ONE 19, no. 4 (2024): e0300659. http://dx.doi.org/10.1371/journal.pone.0300659.

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Introduction Our study seeks to understand the profiles of otolaryngologists selected by Castle Connolly’s Top Doctor list and how this compares to the entire field of otolaryngology. Methods Top Doctor lists published in Castle Connolly affiliated magazines were analyzed for Otolaryngology, Otolaryngology/Facial Plastic Surgery, or Pediatric Otolaryngology physicians. Only lists published in 2021 or representing the 2021 Top Doctor lists were analyzed. Of the total 39 partnered magazines, 27 met our criteria. Information on the physician was analyzed from the Castle Connolly website and included: gender, education, faculty position, years as a Top Doctor, and certifications of each physician. Results 879 doctors, 742 (84%) men and 137 women (16%), were included in our analysis. 509 physicians completed a fellowship, 85 (62%) women and 424 (57%) men. The fellowship type varied significantly between gender (p = .002). 122 (14%) Top Doctors completed facial and plastic reconstructive surgery and 111 (91%) were men. Of the women Top Doctors completing a fellowship, 29 (34%) completed a fellowship in pediatric otolaryngology. A logistic regression found that men have an increased odds of being on the Top Doctors list for more years than females (OR: 1.36, p < .001). Conclusion The percentage of women named as Top Doctors was less than the proportion of women in otolaryngology. This may be attributed to gender differences we found in fellowship type and certification. Further research into the role of otolaryngology subspecialties in selection of Top Doctors is needed to better understand gender differences.
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Pethybridge, Sarah J., and Scot C. Nelson. "Leaf Doctor: A New Portable Application for Quantifying Plant Disease Severity." Plant Disease 99, no. 10 (2015): 1310–16. http://dx.doi.org/10.1094/pdis-03-15-0319-re.

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An interactive, iterative smartphone application was used on color images to distinguish diseased from healthy plant tissues and calculate percentage of disease severity. The user touches the application’s display screen to select up to eight different colors that represent healthy tissues. The user then moves a threshold slider until only the symptomatic tissues have been transformed into a blue hue. The pixelated image is then analyzed to calculate the disease percentage. This study reports the accuracy, precision, and robustness of Leaf Doctor using six different diseases with typical lesions of varying severity. Estimates of disease severity from Leaf Doctor were highly accurate (R2 ≥ 0.79; Cb ≥ 0.959) compared with estimates obtained from the discipline-standard, Assess. Precision was operationally defined as the ability of a rater to use Leaf Doctor and repeatedly obtain similar percentages of disease severity for the same image. Coefficients of variation were low (0.51 to 14.1%) across all disease datasets but a significant negative relationship was found between the coefficient of variation of estimates and mean disease severity. Other advantages of Leaf Doctor included comparatively less time for image processing, low cost, ease of use, ability to send results by e-mail, and the ability to create realistic standard area diagrams. Leaf Doctor is compatible with iPhone, iPad, and iPod touch and is optimized for iPhone 5. It is available as a free download at the iTunes Store.
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Aulia, Kharina Rizki, Ermi Girsang, and Sri Wahyuni Nasution. "Analysis Of The Completeness Of Filling In Inpatient Medical Records In Putri Hijau Hospitals Medan." International Journal of Health and Pharmaceutical (IJHP) 2, no. 4 (2022): 660–68. http://dx.doi.org/10.51601/ijhp.v2i4.95.

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Basically the medical record is an important part of health care for patients in the hospital. Medical decisions taken by a doctor based on the diagnosis made will greatly affect the actions of patients in treatment. An accurate diagnosis is based on history, physical examination, supporting examination and written in the medical record file. The purpose of making a medical record to support the achievement of orderly administration in order to improve health services in the hospital. This study aims to analyze and determine the completeness of filling inpatient medical record files at the General Hospital Putri Hijau Medan . This type of research is descriptive with an approach Qualitative using the in-depth interview method from statements to six informants consisting of one pulmonary specialists, one nurse, three hospital management, chief medical records officer. The results of the study generally showed that from 40 medical record files by pulmonary specialists obtained the complete entry date (100%), the percentage of complete entry time (100%), the percentage of complete anamnese recording (80%) completed by the doctor, complete physical examination (55%), complete diagnosis as much as (95%), treatment and complete action as much as (100%), consent and complete action as much as (100%), clinical observations as complete as much as (67.5%), the return summary is completely filled (50%), and the doctor's name and signature are completely filled (90%). The incompleteness of filling medical records is due to doctors feeling the time is limited because of the large number of patients, lack of communication between doctors and nurses in completeness of completing record files, medical lack of monitoring conducted by the hospital. It is expected that doctors, nurses improve communication for the completeness of the medical record, the doctor as the person in charge of the medical record to be more concerned with completing the medical record. Hopefully the hospital management will be more assertive to provide sanctions to the doctor to be able to increase the completeness of the medical record and further enhance monitoring.
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Oostendorp, Linda JM, Petronella B. Ottevanger, Winette T. A. Van Der Graaf, and Peep FM Stalmeier. "Patient information desire in actual decision making for advanced cancer treatment: Do doctors know their patients?" Journal of Clinical Oncology 30, no. 15_suppl (2012): 9036. http://dx.doi.org/10.1200/jco.2012.30.15_suppl.9036.

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9036 Background: Providing information is an important element of cancer care. While several studies have investigated patients' information desire, to our knowledge, this study is the first to involve patients facing an actual decision. We examined the information desire of patients at the point of decision making, the ability of doctors to judge this desire, and the information provided by the doctor. Methods: This prospective multicenter study included patients with advanced colorectal or breast cancer faced with the decision whether or not to pursue second-line chemotherapy. Patients received the usual treatment-related information from the doctor plus a decision aid from a nurse. The aid contained information on adverse events, tumor response, and survival. For each item, the nurse asked the patient whether the information was desired and whether it had been disclosed by the doctor and the doctor made a substitute judgment of the patient’s information desire on the inclusion form. The match between patient’s desire and doctor’s judgment was expressed in percentage agreement and agreement corrected for chance (κ). Results: By 01/2012, 71 patients had received the decision aid. Median age was 62 years (range 39-80), 38% were male, and 28% had college education or higher. Information on adverse events, tumor response, and survival was desired by 94%, 90%, and 73% of patients. The doctors judged that information desire would be 100%, 97%, and 81%, respectively. There was a poor match between doctor’s judgment and actual information desire for adverse events (94%, κ not applicable), tumor response (87%, κ = -0.049), and survival (61%, κ = -0.104). When asked whether the information was previously disclosed by the doctor, 73%, 57%, and 30% of patients answered affirmatively. Conclusions: Patients expressed a high information desire, which was accurately judged by the doctors. However, doctors were unable to judge an individual patient’s information desire beyond chance. According to the patients, doctors did not disclose all desired information, especially on survival. Decision aids, similar to those used here, have been shown to help doctors provide safe, effective, and timely information to patients.
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Байриков, A. Bayrikov, Кондрашкин, et al. "Aspects of Modern Methods of Odontoceridae." Journal of New Medical Technologies 21, no. 3 (2014): 95–97. http://dx.doi.org/10.12737/5908.

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This article describes the anatomical experiment to identify, what percentage of time the doctor pays attention particular segments of the teeth during the operation odontoceridae. In the experiment, the group of doctors conducted consistently operation odontoceridae 44 and 46 of the teeth, and by means of device for video recording was done shooting field operations. Moment of contact a dental tool to separate segments was fixed by recording device. The time of treatment sectors of dissecting tooth was estimated on the received video or sound track and the ratio of time processing sectors was found. This analysis of 44 and 46 teeth was made. As a result of the distributions were obtained, showing which parts of the lateral surface the doctor pays more attention during odontoceridae operation. The authors conclude that during odontoceridae operation the doctor pays more attention to the most accessible for the eyes sectors of the tooth, and less attention is hidden from the eyes of the inaccessible areas. The doctor treats the areas of the lateral surface of the tooth, which are visible and easily accessible. Hidden from the doctor´s eyes the side surfaces of the teeth remain without attention and incur less processing.
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Dewi, Findra Kartika Sari, Stephanie Pamela Adithama, and Albert Teonando Suhardi. "Pengujian Aplikasi Doctor to Doctor Menggunakan Metode Black Box Testing." KONSTELASI: Konvergensi Teknologi dan Sistem Informasi 3, no. 1 (2023): 61–72. http://dx.doi.org/10.24002/konstelasi.v3i1.7046.

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The existence of smartphones has an impact on mobile application development which aims to help humans in their daily activities. The Doctor to Doctor (D2D) application is an application that helps doctors get the latest information about health. To maintain the quality of the application so that it is comfortable to use by users, it is necessary to carry out tests with the aim of finding errors in the application. D2D application testing is done manually and automatically based on functional tests. This test uses an automated testing application, namely Katalon Studio. Tests were carried out on 16 of the 42 functions in the D2D application. In this study, we will compare the level of effectiveness of manual and automated testing as well as the advantages and disadvantages of manual and automated testing. Based on the results of the tests that have been carried out, the percentage of successful D2D application testing was 86.89% indicating that 7 of the 16 functions were still not running properly. From the results obtained in terms of time, automated testing using Katalon Studio is not effective enough compared to manual testing.
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Arvidsson, Rasmus, Ronny Gunnarsson, Artin Entezarjou, David Sundemo, and Carl Wikberg. "ChatGPT (GPT-4) versus doctors on complex cases of the Swedish family medicine specialist examination: an observational comparative study." BMJ Open 14, no. 12 (2024): e086148. https://doi.org/10.1136/bmjopen-2024-086148.

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BackgroundRecent breakthroughs in artificial intelligence research include the development of generative pretrained transformers (GPT). ChatGPT has been shown to perform well when answering several sets of medical multiple-choice questions. However, it has not been tested for writing free-text assessments of complex cases in primary care.ObjectivesTo compare the performance of ChatGPT, version GPT-4, with that of real doctors.Design and settingA blinded observational comparative study conducted in the Swedish primary care setting. Responses from GPT-4 and real doctors to cases from the Swedish family medicine specialist examination were scored by blinded reviewers, and the scores were compared.ParticipantsAnonymous responses from the Swedish family medicine specialist examination 2017–2022 were used.Outcome measuresPrimary: the mean difference in scores between GPT-4’s responses and randomly selected responses by human doctors, as well as between GPT-4’s responses and top-tier responses by human doctors. Secondary: the correlation between differences in response length and response score; the intraclass correlation coefficient between reviewers; and the percentage of maximum score achieved by each group in different subject categories.ResultsThe mean scores were 6.0, 7.2 and 4.5 for randomly selected doctor responses, top-tier doctor responses and GPT-4 responses, respectively, on a 10-point scale. The scores for the random doctor responses were, on average, 1.6 points higher than those of GPT-4 (p<0.001, 95% CI 0.9 to 2.2) and the top-tier doctor scores were, on average, 2.7 points higher than those of GPT-4 (p<0.001, 95 % CI 2.2 to 3.3). Following the release of GPT-4o, the experiment was repeated, although this time with only a single reviewer scoring the answers. In this follow-up, random doctor responses were scored 0.7 points higher than those of GPT-4o (p=0.044).ConclusionIn complex primary care cases, GPT-4 performs worse than human doctors taking the family medicine specialist examination. Future GPT-based chatbots may perform better, but comprehensive evaluations are needed before implementing chatbots for medical decision support in primary care.
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Flynn, Adam, Richard Morrison, Ryan O'Neill, and Jill Fulton. "Improvement of Junior Doctor Handover in Holywell Hospital, Northern Ireland." BJPsych Open 9, S1 (2023): S89—S90. http://dx.doi.org/10.1192/bjo.2023.275.

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AimsTo achieve 100% of digital handover records being completed by doctors at end of shifts in Holywell Hospital, Northern Ireland.MethodsTransition to completion of digital handover record began in 2019. This was initially audited during 2020-2021 with slowly worsening results. After this, audit data were no longer recorded.Since becoming trainee representative in February 2022, I investigated, along with my colleagues, reasons as to why this was not being completed nor being achieved. Reasons established included unaware of necessity, chronic culture of not being completed, a lack of access to shared drive and outside locums covering shifts as well as a higher percentage of doctors who were on shorter 4 month rotations. Literature review around junior doctor handovers in other sites was also completed and analysed.A Plan Do Study Act (PDSA) cycle was subsequently established taking these factors into account from August 2022 to January 2023 with a focus on information sharing, training at specific junior doctor changeover points, liaising with administration to ensure adequate access to handover and regular audit and feedback amongst junior doctors.ResultsFrom a new baseline of 5.36% of digital handovers being completed in February 2022 there has initially been a gradual increase noted at April 2022 to (35.00%) remaining relatively static into August 2022 (25.81%). Some of this related to doctors not having requisite access to shared folder.However, percentage completed increased substantially after August 2022 with better administrative support and from September 2022 (70.00%) to December 2022 (88.71%) and into January 2023 (91.94%) handovers were completed.ConclusionThrough a combination of better information sharing amongst junior doctors, signposting to digital handover, improvement of early access to requisite folder and specific teaching regarding handover at induction at all changeovers, stressing importance of completion from clinical governance perspective, there has been a genuine sea-change amongst junior medical staff that has included taking better ownership of the process and shared responsibility for it being completed.This record-keeping improvement has been stark and maintained for a prolonged period, particularly from September 2022 and is now averaging over 90% being completed. There remains some issues regarding access if shift being covered by an outside locum doctor and this would be next targeted area with the goal of achieving 100% record of digital handover occurring.
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Arif Ibnu Fadillah, Bangga Agung Satrya, Noor Yulia, and Muhammad Fuad Iqbal. "Analisis Kelengkapan Pengisian Catatan Perkembangan Pasien Terintegrasi Dokter Pada Rekam Medis Elektronik Assesmen IGD Di RSUD Tarakan Tahun 2024." Jurnal Medika Nusantara 3, no. 2 (2025): 10–18. https://doi.org/10.59680/medika.v3i2.1786.

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Integrated Patient Progress Notes (CPPT) are activities of health workers (doctors, nurses, pharmacists, nutritionists, and other officers) in recording the results of their activities, in one format together in the patient's medical record related to the patient's care process. This sheet contains the patient's identity, date of examination, examination time, notes from the treating doctor, notes from other clinical staff, and is verified with the initials and name of the officer who filled it in. All actions taken are recorded at the time, date and type of action given and must be signed by the examining doctor. This study aims to see the completeness of the doctor's integrated patient progress notes in the electronic medical record of the IGD assessment at Tarakan Hospital, Jakarta. This study uses a descriptive methodology with a quantitative approach. A sample of 77 electronic medical records of the IGD assessment used random sampling. Research results: from the analysis, the completeness was 90%, not reaching the minimum standard set by the Ministry of Health, which is 100%. Of the 4 components analyzed, the highest level of completeness is in the patient identification, authentication, good recording components of 100%, while the lowest percentage of completeness is in the important report content component of 93%. Several factors that cause poor doctor CPPT are when the doctor has filled in the Doctor CPPT but the system does not save it because an error occurs. It is recommended that the system be monitored consistently to prevent such errors during data entry, and that a special computer unit for doctors be created to minimize waiting time when interacting with other nursing staff.
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Laksono, Agung Dwi, Ilham Akhsanu Ridlo, and Ernawaty Ernawaty. "DISTRIBUTION ANALYSIS OF DOCTORS IN INDONESIA." Jurnal Administrasi Kesehatan Indonesia 8, no. 1 (2020): 29. http://dx.doi.org/10.20473/jaki.v8i1.2020.29-39.

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Introduction: The distribution of health workers in Indonesia raises an interesting discussion since Indonesia as an archipelagic country has a wide geography and challenges for fulfilling equitable health services.Aim: This study identified factors related to the distribution of doctors in provinces of Indonesia.Method: Advanced analysis of secondary data was done and obtained from the "Data and Information: Indonesian Health Profile in 2017". The units analyzed in this study were all 34 provinces in Indonesia. The variables analysed were the number of doctors, population, density, percentage of poor population, the number of hospitals, and the number of primary healthcare centers.Results: Variability in the number of doctors was very wide. The more the population is, the more attractive it is for doctors to conduct practices in the provinces. The denser the population is, the more doctors are interested to work in the provinces. It also figured out that doctors tend to opt to work in the provinces which have more hospitals and primary healthcare centers.Conclusions: Out of five independent variables studied, there were four variables related to the number of doctors distributed in the provinces. Population, density, the number of hospitals, and the number of primary healthcare centers were positively related to the number of doctors. The results of this study were important for doctor redistribution policy in Indonesia. Keywords: distribution analysis, doctor distribution, health resources management, health workers.
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Ikolo, Violet E. "Doctor's Awareness and Perception of Medical Library Resources and Services." International Journal of Library and Information Services 9, no. 2 (2020): 58–71. http://dx.doi.org/10.4018/ijlis.2020070104.

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The study is an investigation of doctor awareness and perception of the information resources and services in the Delta State University Teaching Hospital (DELSUTH), Oghara. The descriptive survey method has been employed for the study. Also, with the aid of a questionnaire, data has been collected from doctors (academic staff) at DELSUTH, and analysed using a simple percentage. Findings reveal that the doctors are mostly aware of the availability of textbooks and reprographic services in the Medical Library. However, there is a perception of inadequacy of the information resources and services. The study also observes that although the doctors perceive information to be of clinical value and provide new knowledge, the information is not always relevant, accurate and current.
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Jitendra, Sunte. "The Expected Health Laboratory System as Common General Cluster Group in Whole District Level." Journal of Applied Nursing Research and Education 1, no. 2 (2023): 23–26. https://doi.org/10.5281/zenodo.8314160.

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<em>Now day&rsquo;s patient side family peoples are suffering lot of problems while in taking treatment at private hospitals. As many more incidents all are seeing while in laboratory checkup tests like blood tests, urine test, ct scan, MRI scan, x- ray, ultrasound etc. A single patient willing to travel many hospitals for treatment taking for single disease, in everywhere hospital employee forces to check up again and again, as they don&rsquo;t believe earlier checkup results.&nbsp; So normally a patient tolerate maximum x-ray photographs 2-3 per year but these hospitals forces patient to capture to take x-rays again and again. This is the main drawbacks of health system while patient side family peoples suffering. This is one side on the other way of drawback is that the doctors took percentage base from his under medical stores, lab tester, etc. Whatever the doctor wrote tablets those much only kept medical store keeper. From these attitudes business strategies there will be no quality getting results from lab checking. This paper written ideas expected to interfere government to give permission for cluster base system one district one lab system to resolve the above mentioned problems as patients&nbsp; are suffering lot of problems. </em>
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Cahyana, Amelia. "Sistem Cerdas Pemantau Kesehatan Pasien Lanjut Usia Berbasis IoT (Hardware)." Jurnal Elektro dan Mesin Terapan (ELEMENTER), Vol. 9 No. 1 (2023) (May 31, 2023): 160–69. http://dx.doi.org/10.35143/elementer.v9i1.5998.

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The Internet of Things (IoT) is a technological innovation that is widely used in science, including the field of health sciences. An intelligent health monitoring system for elderly patients is only one of the IoT applications that might be developed in the field of health sciences. This system must be implemented so that doctors can ascertain the patient's status and that patients can be monitored from home rather than having to visit the hospital for checkups. Therefore, a device is required to make it simpler for patients and medical professionals to check the three vital signs—heart rate, oxygen saturation, and body temperature. Vital signs are a variety of physiological statistical measurements that are used to assess a patient's health state, particularly in elderly people (elderly) who are ill or at risk. With the use of this instrument, the patient can provide the doctor with information on his vital signs, making it simpler for the doctor to identify the patient's condition and treat the patient. This tool's design makes use of the MAX30100 sensor, which measures oxygen saturation and heart rate. Then comes the MLX90614 sensor, which measures body temperature. The microcontroller (ESP32) processes the sensor before sending the data to the MySQL database. The percentage accuracy rate for testing the heart rate is 96.15%, the percentage accuracy level for testing the oxygen level is 97.4%, and the percentage accuracy level for testing the body temperature is 98.3%.
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Callister, Paul, Juthika Badkar, and Robert Didham. "Doctors and romance: Not only of interest ot Mills and Boon readers." Journal of Primary Health Care 1, no. 2 (2009): 101. http://dx.doi.org/10.1071/hc09101.

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INTRODUCTION: Internationally there is a growing demand for health services. Skilled health workers, including doctors, have a high degree of international mobility and New Zealand (NZ) stands out internationally in terms of the significant flows of doctors in and out of the country. Through changes in training of doctors in NZ and migration flows, there have been major shifts in the composition of the medical workforce in NZ since the mid-1980s. AIM: Studies of the changing nature of the medical workforce often focus on gender and migration separately as well as only considering doctors as individuals. The aim of this exploratory study is to examine the living arrangements of doctors, the composition of migrant doctors who are coming to NZ, and to understand the educational and employment status of the partners of doctors. METHODS: This study is a descriptive analysis primarily using census data from 1986 through to 2006 and immigration data collected by the Department of Labour. RESULTS: Half of the female medical doctors approved for residence through the Skilled/Business stream migrated independently, while for male doctors less than a third came to NZ independently. Male migrant doctors were more likely to be partnered. Census data showed that people with medical backgrounds tend to partner with each other. However, these relationships are changing, as more women become doctors. In 1986 about 14% of male doctors had a nurse or midwife as a partner and nearly 9% had a doctor partner. By 2006 the proportion of partners of male doctors who were also doctors had risen to 16%, higher than the 9% who were nurses. For female doctors the changes are more dramatic. In 1986, 42% of female doctors in relationships had a doctor as a partner. By 2006, female doctors had increased substantially, but the percentage with a doctor partner had dropped to under a third. Well-qualified couples where one or both are doctors, have a greater propensity to live in main urban areas. DISCUSSION: Through official reports and extensive media coverage, the NZ public is well aware of local and national doctor shortages. There is also awareness, often through personal visits to a GP or hospital, of the significant rise in number of female and of foreign-born doctors. The choices doctors are making in living arrangements need to be taken into account when considering both national and international recruitment of medical staff. Researchers and policy makers may need to consider family migration issues more than they have in the past for doctors as well as for other migrant groups. KEYWORDS: Family practice; partners; emigration and immigration, female; manpower
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Windari, Adhani, and Anton Kristijono. "ANALISIS KETEPATAN KODING YANG DIHASILKAN KODER DI RSUD UNGARAN." Jurnal Riset Kesehatan 5, no. 1 (2016): 35–39. http://dx.doi.org/10.31983/jrk.v5i1.717.

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The results showed still found not exactly result of coding diagnoses and medical procedures resulting coder hospitalization. Coding accuracy percentage is only 74.67%, while inaccuracies coding reached 25.33%. Still found incompleteness of medical record documents, and in the way of documentation found there is no document name of the doctor, they discovered the graffiti and tippex. Posts diagnosis and medical procedures doctors are not entirely legible.Coder need training on a regular basis, both internal hospital or national scale and the need for more intensive socialization to medical personnel regarding the completeness and procedures for documenting medical records document.
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Simeone, Ronald. "Doctor Shopping Behavior and the Diversion of Prescription Opioids." Substance Abuse: Research and Treatment 11 (January 1, 2017): 117822181769607. http://dx.doi.org/10.1177/1178221817696077.

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Objectives: “Doctor shopping” as a means of prescription opioid diversion is examined. The number and percentage of prescriptions and morphine-equivalent milligrams diverted in this manner are estimated by state and molecule for the period 2008-2012. Methods: Eleven billion prescriptions with unique patient, doctor, and pharmacy identifiers were used to construct diversion “events” that involved between 1 and 6 unique doctors and between 1 and 6 unique pharmacies. Diversion thresholds were established based on the probability of each contingency. Results: A geographically widespread decline occurred between 2008 and 2012. The number of prescriptions diverted fell from approximately 4.30 million (1.75% of all prescriptions) in 2008 to approximately 3.37 million (1.27% of all prescriptions) in 2012, and the number of morphine-equivalent milligrams fell from approximately 6.55 metric tons (2.95% of total metric tons) in 2008 to approximately 4.87 metric tons (2.19% of total metric tons) in 2012. Conclusions: Diversion control efforts have likely been effective. But given increases in opioid-related deaths, opioid-related drug treatment admissions, and the more specific resurgence of heroin-related events, it is clear that additional public health measures are required.
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Isalgué Marcillí, Moraima, Alfredo Pardo Fernández, Yolaida Isalgué Marsillí, Daniel Isalgué Drullet, and Virgen Mercedes Ferrales Isalgué. "Professional performance of the family doctor in the prevention of violence in older adults." Seminars in Medical Writing and Education 3 (December 30, 2024): 547. https://doi.org/10.56294/mw2024547.

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Introduction: the prevention of violence in older adults demands a high level of professional performance from the family doctor. Objective: to evaluate the level of professional performance of the family doctor in the prevention of violence in older adults. Method: a descriptive study was carried out at the Asdrúbal López Vázquez Polyclinic from March 2023 to March 2024. The population consisted of all the doctors who participated in the course on violence in older adults (45), and simple random sampling allowed 30 of them to be selected. The primary data was obtained from the questionnaire and included percentage analysis for the variables occupational category, function performed, teaching, care, research, management and ontological-attitudinal dimensions, summarized in five indicators each and their evaluation. Ethical principles for research were taken into account. Results: specialists predominated at 63.3%, 76.5% were doctors in clinics. The indicators of the dimensions were evaluated as inadequate. 50% refer to the use of the clinical-epidemiological method for the solution of social and health problems in older adults at risk of and victims of violence. They were represented in tables. Conclusions: the level of professional performance of the Comprehensive General Practitioner in the prevention of violence in older adults is evaluated as inadequate.
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Dhapkas, Mayur P., Khushi S. Chaudhari, Amit Kumar, and Rahul G. Ingle. "Drug Diversion: Could be a Serious Concern in Global Healthcare System." INTERNATIONAL JOURNAL OF PHARMACEUTICAL QUALITY ASSURANCE 15, no. 02 (2024): 986–89. http://dx.doi.org/10.25258/ijpqa.15.2.68.

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Prescription drug diversion is a significant $25 billion-a-year problem in the US. Diversion can occur at any stage of the medicine delivery process, from manufacturing to the patient. Common diversion methods include illegal selling by doctors/pharmacists, “doctor shopping,” theft/forgery of prescriptions, and burglaries/thefts. Emerging diversion methods include theft by healthcare workers, fraud involving insurance, and theft from medicine cabinets. The main sources of diverted medications are at the practitioner-patient level, such as through “doctor shopping” and friends/family sharing prescriptions. Diversion from healthcare settings like hospitals accounts for a smaller proportion, though the exact extent is difficult to quantify. Some diversion occurs through theft from pharmacies, manufacturers, and supply chain points, but this makes up a relatively small percentage. Healthcare providers who engage in drug diversion have been linked to infectious disease outbreaks in hospitals, exposing patients to pathogens like hepatitis C. Intelligent systems and machine learning can help rapidly detect diversion anomalies. Comprehensive solutions are needed, including policy reforms, communication strategies, and a public health approach.
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Beheza, L. E. "Theoretical-conceptual and empirical study professional self-assessment of the doctor." Fundamental and applied researches in practice of leading scientific schools 38, no. 2 (2021): 176–80. http://dx.doi.org/10.33531/farplss.2020.2.32.

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In the structure of self-consciousness of the individual a significant place is occupied by self-esteem. Domestic psychologists consider the concept of «self-esteem» in the context of personal self-awareness. Self-esteem is a dynamic formation that regulates personal and professional development.&#x0D; According to the developed theoretical model of the professional I-concept of the doctor, the professional self-assessment of the doctor is provided as a modality of cognitive, emotional-value, professional and social components. The subjective picture of a doctor's professional self-esteem consists of three groups of ideas / values / beliefs / attitudes: 1) cognitive-professional components; 2) professional reflexive and evaluative indicators; 3) socio-communicative indicators.&#x0D; The psychological mechanism of formation and development of professional self-esteem of a doctor is: professional genesis, professional I-concept, integration of personal and professionally important qualities of a doctor. Professional self-esteem is influenced by the content of professional activity (patients' desire to follow the doctor's recommendations, lack of medical and psychological compliance, medical and technical equipment, conditions, and remuneration, etc.).&#x0D; The interrelation and dependence of the level of self-esteem on the length of professional activity of the respondents is determined. Respondents have a high level of self-esteem, starting with 10-15 years of work experience, who, thanks to their professional experience, quickly evaluate the results of their activities based on professional competencies and other factors. As the length of service of a doctor increases, the percentage of a high level of self-esteem of a doctor increases. High self-esteem allows you to focus on the process of solving a medical problem, low - on the analysis of possible options for solving the problem.&#x0D; As a result of the analysis of diagnosing professional self-assessment of doctors, its functions are determined: prognostic (which consists in planning the sequence of medical actions from its initial to final stages); concentrating (aimed at monitoring the implementation of professional medical actions); reflexive (analysis of the results of the applied professional medical actions and monitoring of the patient's recovery).
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Brindha Devi, V., Lokeswari U, Saraswathi B, and Vindhya T. "An effective cloud based personal emergency response system by providing privacy protection for the medical data." International Journal of Engineering & Technology 7, no. 3.3 (2018): 261. http://dx.doi.org/10.14419/ijet.v7i2.33.14165.

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Timely access to the emergency medical services is challenging tasks due to the increasing percentage of population. Especially prehospital emergency situations are neglected for quite a long time. The agglomeration of medical gadgets and other system applications that bridges the gap to healthcare IT systems through Internet or computer networks is placed under the domain (IoMT) Internet Of Medical Things . In this project an efficient medical data monitoring and an emergency response system has been developed. IoT in healthcare is made to bridge the gap by providing the connectivity through internet making sure that the information is secured and available on the timely access. The wireless monitoring device collects data from various sensors, which is shared into the database using ZigBee cc2530 Transmitter Receiver through UART communication. The wireless device is embedded with sensors like Pulse oximeter (senses the heart beat rate and blood oxygen concentration)and temperature sensor. This data is monitored regularly and if there is any abnormality in the values then an alert is sent to the doctor to intimate the condition of the patient. This paper provides an interaction of the patient with the doctors. The interaction is enabled using public and private chat application where any number of patients can interact with a doctor. It is challenging task to personalize specific healthcare data i.e. medical records for various application users in an appropriate and secured fashion. Thus, the patient’s health records i.e. prescription, scan reports, etc. are uploaded by the patient which can be viewed by the doctor. These files are encrypted using an encryption algorithm before uploading it into the cloud. Similarly it is decrypted while downloaded by the doctor for reference. The data collected is used for the prediction of diseases like heart attack and the report is sent to the doctor. Hence the project’s aim is, when the recorded value exceeds the threshold range, an automatic intimation with the patient’s collected data is sent to the concerned doctor.
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Shanley, Ivan, and Jessica Thomas. "Audit of methods used to contact the duty doctor - Abraham Cowley Unit." BJPsych Open 7, S1 (2021): S349—S350. http://dx.doi.org/10.1192/bjo.2021.916.

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AimsThe aim of this audit was to determine whether the duty doctor of a 4 ward inpatient psychiatric unit is contacted safely, effectively and in a manner that can be monitored. This is in line with trust protocol and the method stated is via switchboard. Should a deficit be found it was the aim to make an appropriate intervention.BackgroundIn the Abraham Cowley Unit, there is a Senior House Officer ‘on-call’ duty doctor 24/7. The shifts are 2 x 12.5 hours daily and at all times the duty doctor should be contacted via switchboard. Contacting via switchboard is important to ensure there is an audit trail of calls made. Issues that arise from using other methods of contact, e.g. calling direct extensions, include miscommunication and the doctor not being reached in a timely manner. This had been identified as an issue anecdotally by junior doctors on call and also highlighted following an untoward incident.MethodThe method by which the on call doctor was contacted was recorded in Excel for 5 consecutive 12.5 hour shifts in October 2019. The standard set for calls via switchboard was 80%. Following the initial results and the subsequent intervention, a repeat audit was performed using the same method.ResultInitial OutcomeInitially it was found that only 25% of calls received where through the appropriate channel (5 out of 20 calls). This fell far below the 80% standard and an intervention was therefore devised.InterventionIn order to ensure that all ward staff were aware of the trust policy posters were created and placed above all ward telephones and the telephone in the assessment suite office. This information was also handed over to the nurses in charge directly in order for it to be filtered through to other staff during handover.Post Intervention OutcomeFollowing the intervention 88% of calls received where through the appropriate channels (7 out of 8 calls) and the 80% standard was achieved.ConclusionThere has been a demonstrable improvement in the adherence to trust policy when contacting the duty doctor, with the percentage of calls made through the appropriate channel rising from 25% to 88%. This has now met the agreed standard of 80% and will improve the trust's ability to monitor contact of the duty doctor effectively.
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Xu, Zhi Zhen, Patricia Neo, Tan Ying Peh, Alethea Yee, Xia Zhu, and Grace Meijuan Yang. "Effect of palliative doctor in medical oncology team on patient outcomes." Journal of Clinical Oncology 33, no. 29_suppl (2015): 122. http://dx.doi.org/10.1200/jco.2015.33.29_suppl.122.

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122 Background: Advanced cancer patients have a high symptom burden and not infrequently have unplanned hospital admissions. In our institution, PM services are provided via a separate consult team rather than an integrated palliative oncology team. Sometimes, PM doctors join the oncology team as integrated members for a few months each as part of their PM fellowship training program. This study aims to explore the effect of this PM doctor. Methods: Patients admitted under the lung and gastrointestinal (GI) oncology teams from June 2013 to June 2014 were studied as this cohort of patients had a higher symptom burden and were more likely to benefit from PM input. The following information for each month was obtained from the computer system: hospital length of stay, formal referrals for a PM consult, 30-day, 60-day and 90-day mortality, and place of death. 2-sample T test was used to compare outcomes when there was a PM doctor in the oncology team for at least half of the month versus when there was not. Results: See table below. The presence of a PM doctor reduced the monthly percentage of formal referrals for PM consults but did not have clinically significant effects on other outcomes. Conclusions: PM doctors were there to learn oncology rather than provide a PM service. However, a reduction of PM referrals suggests that they were still able to meet some of the PM needs of the patients admitted. A new model of PM service provision whereby a PM healthcare professional is integrated within the oncology team warrants further study. [Table: see text]
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Zare-Farashbandi, Firoozeh, Anasik Lalazaryan, and Alireza Rahimi. "200: THE EFFECT OF PATIENT- PHYSICIAN RELATIONSHIP ON HEALTH INFORMATION SEEKING BEHAVIOR OF DIABETIC PATIENTS." BMJ Open 7, Suppl 1 (2017): bmjopen—2016–015415.200. http://dx.doi.org/10.1136/bmjopen-2016-015415.200.

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Background and aims:The base of any relation between patients and physician is patients' needs for medical services. By providing the most needed medical services, the control of patients' diseases could be improved. The goal of the current study is to investigate the effect of patient-doctor relation on the health information seeking behavior of the patients.Methods:This is an applied cross sectional study. 362 diabetic patients were selected using non-percentage stratified random sampling for this study. The data gathering tool was the Lango questionnaire. The gathered data were analyzed using descriptive (frequency distribution, average, standard deviation) and analytical (Person correlation, one way ANOVA, independent t-test) statistics with the help of SPSS 20 software.Results:According to the patients, having health related information increases their self-management and their satisfaction regarding treatment process. Independent t-test showed that there is a significant difference between the health information seeking behavior of patients that rely on their doctor and patients that don't rely on their doctor in the dimension of receiving information (P=0.003). Also there is a statistically significant relation between consulting the doctor and three of the four dimensions of health information seeking behavior and between satisfaction regarding the transfer of medical information with the dimension of information sources of health information seeking behavior of diabetic patients (P&lt;0.05).Conclusion:The patients and physicians relations effect on patients' health information seeking behavior. Identifying the patients' needs through investigating their health information seeking behavior and presenting the results to frontline medical practitioners can improve the satisfaction of the services provided and can improve the relation between patients and doctors.
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Sardar, Tahir, Iqbal Ahmad Khan, and Muhammed Alamgir Khan. "PATIENTS SATISFACTION ABOUT HEALTH CARE DELIVERY IN OUT-PATIENTS DEPARTMENT OF COMBINED MILITARY HOSPITAL RAWALPINDI." Pakistan Armed Forces Medical Journal 70, no. 6 (2020): 1929–34. http://dx.doi.org/10.51253/pafmj.v70i6.5850.

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Objective: To determine patient’s level of satisfaction and factors leading to dissatisfaction in selected patientsgroup with health care delivery in outpatients department of CMH Rawalpindi.&#x0D; Study Design: Cross sectional study.&#x0D; Place and Duration of Study: Out Patients Department of Combined Military Hospital Rawalpindi, from Sep2013 to Aug 2015.&#x0D; Methodology: Before data collection, written informed consent was taken from all the participants. The studypopulation comprised of armed forces personnel and their families. Patients, including both, males and females, coming to the outpatient department of Combined Military Hospital Rawalpindi were included in the study through consecutive sampling.&#x0D; Results: Results revealed that only 30% were satisfied. 67% patients were satisfied with the facilities in reception and 70% were satisfied with cleanliness in waiting area. A relatively low level of satisfaction with dealing of nursing assistant was recorded while very high percentage of satisfaction with performance of doctor i.e. 91%, examination done by doctor 91% and information provided by doctor 93% was recorded.90% patients reported high level of satisfaction with medicines provided.95.33% patients were satisfied with lab tests being done in hospital.&#x0D; Conclusion: Assessing satisfaction of patients is a simple and cost effective way for assessment of hospitalservices. Most of the patients were contented with services delivered in OPD and showed their trust in doctors,medicines provided and lab facilities offered. Majority were willing to revisit the hospital if required.
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Ain, S.T., M.Si., Dr Khusnul, Iis Purwanti, and Bambang Haris. "Image Contrast Enhancement in CT SCAN for Determining Cervical Cancer Area." Indonesian Applied Physics Letters 3, no. 2 (2022): 35–42. http://dx.doi.org/10.20473/iapl.v3i2.40952.

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The quality of the contrast enhancement, which is deemed to be vague in contrast between one region and another, is a problem that many doctors face once identifying their patients with CT scan images. Image correction was used in this study to help doctors gain good CT scan images. In addition to reducing errors in the administering of radiation doses during treatment, accurate images are used to locate and assess the extent of cancer in patients. In this study, a computer application program to improve image contrast was created using the linear regression equation method. In this investigation, the cancer area is still being manually marked by doctors. Additionally, the proportion of the cancer area in the image that the doctor marked from the corrected image is calculated by comparing the ratio of cancer pixels to body pixels. The severity of the cancer is estimated using the proportion of the affected area. The error percentage for the average improvement in application performance is 0.15689%.
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Trinh, Van Vinh, and Thi Trang Nhung Nguyen. "Situation of communication and behavior between doctors and nurses at Hoan My Dalat hospital in 2019 and some influencing factors." Journal of Health and Development Studies 04, no. 03 (2020): 107–15. http://dx.doi.org/10.38148/jhds.0403skpt20-008.

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This study examines the status of communication and behavior between doctors and nurses in Hoan My Da Lat General Hospital. The study used the method of interviewing 35 doctors and 84 nurses through 2019 questionnaire. The results showed that the proportion of doctors who responded to nurses about the patient's condition was 85.7%, about facilities account for 22.9% and treatment regimen 83% and patient care plan 86%; Face to face contact is the method most doctors and nurses choose, 82.9% of doctors and 90.5% of nurses. The percentage of doctors who find it difficult to talk openly with nursing is 5.9% and 3.4% of nurses also find it difficult to talk openly with the doctor. The study also pointed out that some factors related to communication between doctors and nurses are professional, gender, age and qualifications. Thereby, it can be seen that doctors have less communication difficulties than nurses, men have higher average information sharing points than women, and the older they have, the less difficulty in communication and the higher degrees. the less difficult it becomes. Keywords: Communication, behavior, doctors, nurses, Hoan My hospital
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28

Dabhade, Sanjay A., Bhalchandra T. Rane, Sangeeta S. Dabhade, and Abhijeet V. Tilak. "Evaluation of the Effect of Drug Promotional Literature on Prescribing Pattern using WHO Prescribing Indicators and Other Relevant Parameters." Medical Journal of Dr. D.Y. Patil Vidyapeeth 17, no. 5 (2024): 964–69. http://dx.doi.org/10.4103/mjdrdypu.mjdrdypu_390_23.

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ABSTRACT Background: Medicines are an integral part of health. It becomes essential to promote rational drug use. The relationship between doctors and the pharmaceutical industry has gained increasing attention recently. So there are chances that detailing activities by pharmaceutical representatives may lead to an undesirable effect on the prescribing pattern of doctors, like polypharmacy and use of fixed drug combinations; hence this study was planned to evaluate the effect of evaluation of the effect of drug promotional literature on prescribing using WHO prescribing indicators (DPL) on the prescribing pattern of doctors. Setting and Design: This prospective observational cross-sectional study was performed in a medical college and tertiary care center in Maharashtra. Materials and Methods: 30 DPL and 10 prescriptions from each doctor were collected. Such total of 3000 DPL and 1000 prescriptions were collected from 100 doctors. Statistical Analysis: The prescriptions and DPL were analyzed together, and information was entered in Microsoft Excel; the parameters were calculated in percentage. Results: This study highlighted that drugs prescribed by generic name were 3.36%, the percentage of antibiotics prescribed was 27.37%, and the percentage of prescriptions containing medicines from the essential medicine list (EML) or formulary was 44.07%. In this study, 27.9% of drugs in the prescriptions were those drugs that are advertised in the DPL. Conclusion: Polypharmacy, prescribing drugs by brand names, drugs out of national list of essential medicine, use of more fixed drug combinations (FDC), antibiotics, and nutritional supplements could be attributed to the effect of DPL on the prescribing pattern. Hence it could be said that there is an association between a greater reliance on the promotion of medicines by the pharmaceutical companies and inappropriate prescribing patterns.
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29

Habsawati, Nur Laily Himami. "Praktik Kerja Dokter Laki-laki dalam Menangani Pasien Perempuan Perspektif Maqashid Syariah." rechtenstudent 1, no. 1 (2020): 64–70. http://dx.doi.org/10.35719/rch.v1i1.14.

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In the medical world, interactions between doctors and patients are certain to happen. To examine a patient, sometimes a doctor has to touch the patient's body, perform an injection or injection, to a cesarean section, which is certainly the most sensitive part of the body. And it is not uncommon for medical workers of the opposite sex who perform these actions. Meanwhile in Indonesia currently the percentage of male and female doctors is not balanced, where male doctors are more dominant than female doctors, even for certain specialties, such as obstetricians, now there are many male doctors, even more dominant than doctors. girls. The fact that patients who want to seek treatment and use health services are mostly male doctors. So that in this study will discuss how the handling of male doctors in treating female patients based on the perspective of Maqashid Syariah. Nurturing the soul is one of the basic sub-materials of Maqashid Sharia, this point is of concern in the discussion of this research. The Maqashid Sharia itself includes five basic aspects, namely the maintenance of religion, soul, mind, descent and property. And this research uses qualitative research to produce descriptive data.
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30

Rehman, Shamsa Abdul, Kanwal Lalwani, and Rabbiah Mughal. "Osteoporosis Knowledge, Attitude and Practice among Doctor Of Physical Therapy Students." National Journal of Health Sciences 7, no. 4 (2022): 151–55. http://dx.doi.org/10.21089/njhs.74.0151.

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Abstract: Background: Osteoporosis is a metabolic disease which is common globally. It is defined as decrease in bone mass and bone tissue destruction that causes decrease in bone strength and increase the chances of fractures. Over 200 million people are suffering from osteoporosis worldly and the number of individuals will increase greatly in coming decades due to aging and sedentary lifestyle. Knowledge combined with strategic planning related to preventive measures decrease its occurrence. Objective: The objective of this study was to evaluate the knowledge, attitude and practice of osteoporosis in students of physical therapy. Materials and Methods: A Questionnaire-Based survey was conducted at Department of Physiotherapy, Isra University Hyderabad in April 2021 to December. 2021. The study approval was given by Ethical Committee of Isra Institute of Rehabilitation Sciences, Isra University Hyderabad. 200 students from 3rd to final year were asked to complete the questionnaire. The knowledge, attitude and practice (KAP) of osteoporosis questionnaire consisted of 20 close ended questions. Results: A total of 200 were selected out of which 182 participants completely filled and returned the questionnaire. The mean age of participants was 22.31±1.86 years. Male participants were 34 (18.7%) and female participants were 148 (81.35%) in this study. High knowledge regarding osteoporosis was found among students with percentage of 99.45%. The participants showed positive attitude related to osteoporosis with percentage of 60.9%. These students also had positive impression towards management practices for osteoporosis with the percentage of 70.33%. Conclusion: This study concluded that the participants have better knowledge regarding osteoporosis. Further proper health education programs must be held in university to encourage them to adopt healthy practices about osteoporosis in daily life.
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31

Boeva, E. A., D. O. Starostin, M. A. Milovanova, V. V. Antonova, D. Ch Kargin, and S. N. Abdusalamov. "Assessment of the Quality of Chest Compressions Performed by Health-Care Workers Under Simulated Conditions." General Reanimatology 17, no. 4 (2021): 37–47. http://dx.doi.org/10.15360/1813-9779-2021-4-37-47.

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Aim of the study: to investigate chest compression parameters by city hospital staff under simulated conditions with and without the use of a sensor device for quality control of chest compressions.Materials and Methods. The study was conducted in Moscow's multidisciplinary hospitals. The study included 359 medical staff members. The participants were divided into 4 groups: physicians (n=97) and nurses (n=82) from intensive care units (ICU) and physicians (n=92) and nurses (n=88) from specialized departments. Participants performed 2 minutes of chest compressions without a chest compressions quality control (CCQC) sensor, followed by 2 minutes of chest compressions using a defibrillator sensor with audiovisual prompts from the device turned on. The percentage of target compressions, rate and depth of compressions were analyzed.Results. Compression parameters in the group of ICU doctors were outside the reference range (% target compression — 0.5 (0.0; 14.5)%, rate 124.1±17.8 per minute, depth 5.6±1.1 cm), in the group of ICU nurses, the percentage of target compressions was 0.0 (0.0; 3.5)%, rate — 123.6±23.7 per minute, depth — 5.3±1.2 cm, in the group of specialist doctors the percentage of target compressions was 0.0 (0.0; 1.2) %, rate — 123.8±23.2 per minute, depth — 5.8±1.2 cm, in specialized nurses group the percentage of target compressions was 0.0 (0.0; 6.1)%, rate — 119.7±29.5 per minute, depth — 5.6±1.2 cm. There was a significant improvement in compression performance in all groups when the sensor device was used: in ICU physicians the percentage of target compressions was 81.6 (64.80; 87.90)%, rate — 124.1±17.8 per minute, depth — 5.5±0.2 cm; in ICU nurses the percentage of target compressions was 69.1 (47.4; 80.6), rate — 123.6±23.7 per minute, depth — 5.3±0.3 cm, in specialist doctors the percentage of target compressions was 69.30 (50.50; 78.70), rate — 123.8±23.2 per minute, depth — 5.4±0.3 cm, in specialized nurses the percentage of target compressions reached 63.70 (42.90; 75.80), rate — 119.7±29.5 per minute, depth — 5.4±0.3 cm. There were no differences in analysed compression parameters between staff in different departments or positions.Conclusion. Compression parameters (percentage of target compressions, rate, depth) were not influenced by the department where the staff member worked and the position held (doctor or nurse). The use of a compression quality sensor device has improved compression parameters by reducing rate and normalizing depth. The use of the sensor does not increase the percentage of target compressions to the maximum values, indicating the need for training by an instructor.
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32

Gataullin, A. B. "Experience in the complex therapy of chronic leg ulcers." Kazan medical journal 43, no. 3 (2021): 28–30. http://dx.doi.org/10.17816/kazmj83659.

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With patients suffering from chronic ulcers of the legs, it is necessary to meet a practical doctor relatively often both in a hospital setting and in a clinic. At the same time, despite the variety of methods of their treatment, the percentage of failures is still significant.
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33

Filetus, Abiel, Ricky Raymond, Prittania Friska Octavia, and Halim Agung. "Application of Recommendations for Diagnosis of Diseases in the Field of Hematology and Oncology With Forward Chaining Algorithm." CCIT Journal 14, no. 1 (2021): 92–99. http://dx.doi.org/10.33050/ccit.v14i1.1231.

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The COVID-19 pandemic has made many changes in everything, both from the industrial world and human habits. Illness is one of the things that cannot be postponed in its completion, so that people can consult a doctor to be able to recognize the disease suffered by the community In the past, consultations had to come to the hospital, nowadays there are innovations in the field of Information Technology that make it easier for people to consult. The expert system is one of the fastest growing innovations. The expert system is one of the fastest growing innovations. Forward chaining is one of the algorithms of an expert system to get a conclusion through existing facts / data based on predetermined rules. Forward chaining can provide good disease conclusions with a 100% percentage of 30 diseases and 15 test cases. However, a diagnosis based on symptoms according to doctors only has a confidence level of 50-60%. So other assessment factors are needed to increase the percentage of these beliefs such as gender, age, medical history, supporting examinations, and others.
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34

Megawati, Megawati, and Geby Delin Priska. "Description of Drug Information Services for Hypertension Patients at Drugstore of Abifayrus Clinic FDC (Family Doctor Clinic) Makassar." Jurnal Farmasi Sandi Karsa 7, no. 1 (2021): 1–7. http://dx.doi.org/10.36060/jfs.v7i1.76.

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The research has been done about the description of drug information cervices in hypertensive patients at pharmacies of Abifayruz klinik fdc (family doctor clinic) Makassar.The aim of this research is to know the description of drug information services in hypertensive patients at pharmacies of Abifayruz klinik fdc (family doctor clinic) Makassar. The method of this research is descriptive namely the data obtained by collecting the answers from questionnaires then make tabulation and scoring, and then it will be presented by making a list. Based on the research it can be inferred that hypertensive patient who accepts drug information cervices at pharmacies of Abifayruz klinik fdc, got satisfaction with percentage 74,62%.
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35

Pestana Santos, A., V. Santos, and I. Carvalho. "Patients with schizophrenia assessing psychiatrists’ communication skills." European Psychiatry 41, S1 (2017): s827—s828. http://dx.doi.org/10.1016/j.eurpsy.2017.01.1620.

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The doctor-patient relationship constitutes the matrix of the entire medical practice. One way in which doctors develop a positive rapport with their patients is through appropriate communication. Evidence suggests that doctors do not communicate with their patients as they should. Important gaps are observed in doctors’ communication with patients with schizophrenia.AimExamine psychiatrists’ communication skills as assessed by their patients with schizophrenia and through external observation, considering patients’ socio-demographic and clinical variables and analyse the importance that aspects of communication have for patients.MethodologyThis cross-sectional study involved a sample of 30 patients and 11 doctors. An adapted and culturally validated version of the Communication Assessment Tool was used for data collection. Data were analysed in IBM SPSS Statistics®, version 24.ResultsMale patients constituted 86.7% of the sample and mean age was 46.7 ± 13.3. The overall mean percentage of items rated as excellent by patients was 57.4%. On the other hand, external observer percentage of excellent scores was much lower when compared with patients’ scores. Single, divorced or widower/widow patients, patients with higher educational level and patients with shorter number of years in medical treatment gave significantly higher scores to psychiatrists’ communication. Patients’ sex, age, occupation residence and family type did not yield statistically significant effects on patients’ ratings.ConclusionsCommunication is at the heart of psychiatrists’ daily practice. Many communication styles might be needed, depending on the nature of clinical encounters and patient expectations. Specific training is required to optimise psychiatrists’ communication skills on everyday practice.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Samata, Padaki, Dambal Amrut, Badami Sukanya, Prabin S, Patil Sumangala, and Herur Anita. "Perception of Communication Competence in First MBBS Students: The Crucial Role of AETCOM Training." International Journal of Pharmaceutical and Clinical Research 16, no. 11 (2024): 1726–29. https://doi.org/10.5281/zenodo.14515876.

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Basic Science forms the keystone in the building block of the Medical Profession. Students understand the context of basic science when taught in relevance to the clinical aspects. Competency-Based Medical Education (CBME) has introduced Attitude, Ethics and Communication in the MBBS curriculum to change the professional conduct of Medical students. This study aimed to evaluate the perception of communication skills among first MBBS students after effective AETCOM learning sessions. The &ldquo;Communication Skills Attitude Scale&rdquo; (CSAS) assessed a cross-sectional study involving undergraduate medical students&rsquo; attitudes toward learning communication skills. The CSAS questionnaire was added to a Google form, and the link was sent to the students. The response was analyzed by using a percentage scale. The perception of 66 students was presented in terms of percentage on a five-point Likert Scale. Students perceived communication skills as important for gaining knowledge and essential in doctor-patient interaction. Communication skill training forms a basis for the Doctor-Patient interaction and can be learned at the undergraduate level. &nbsp; &nbsp;
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Subashini, A., G. James, WK Wong, and V. Malah. "Haematinic Pill Chart Partner – An Innovative Production for the Management of Anaemia in Pregnancy in Perak, Malaysia." International Journal of Clinical Science and Medical Research 04, no. 05 (2024): 149–55. https://doi.org/10.5281/zenodo.11108545.

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Abstract Anaemia is one of the most prevalent health problems in the world, affecting almost half a billion women of reproductive age.<sup>1</sup> Major recognised contributing factor of anaemia in pregnancy is iron and folate deficiency. Many antenatal patients are not adherent to the iron supplementations prescribed. The objectives of this innovation, Haematinic Pill Chart Partner (HPCP), was to improve compliance of iron supplementation by antenatal anaemic patients, to achieve Hb &lt; 11 gm% at 36 weeks of pregnancy, to provide comprehensive and effective health education to all antenatal patients, to reduce time of consultation as well as to produce a pill chart in a cost effective manner. Time taken for initial doctor&rsquo;s consultation pre and post HPCP was analysed from the clinic&rsquo;s antenatal record book. 10 patients in January 2018 (pre-intervention) and 12 patients in January 2019 (post-intervention) were compared. Mean time taken and cost for production of one pill chart were calculated. There was marked reduction in the percentage of antenatal patients with Hb &lt; 11gm% at 36 weeks of pregnancy by 6.9%; from 8.3% in 2018 to only 1.4%. HPCP proved to be comprehensive and effective. 20 patients (100%) were satisfied (Patient&rsquo;s Satisfaction Survey) and 5 doctors (100%) were satisfied (Doctor&rsquo;s Satisfaction Survey) using HPCP. There was marked reduction in time taken (26 minutes) for doctor&rsquo;s consultation. Cost of production of one HPCP was only RM 8.00. HPCP was found to be a very useful, user-friendly, and effective in the management of anaemia in pregnancy in Buntong Health Clinic.
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Zulkarnain, M. Reza, and Baksono Winardi. "Analysis of maternity patients’ satisfactory to maternity room installment in Dr. Soetomo Hospital Surabaya." Majalah Obstetri & Ginekologi 28, no. 1 (2020): 3. http://dx.doi.org/10.20473/mog.v28i12020.3-15.

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Objectives: To analyze the maternity patient satisfaction for services provided in the maternity room of Dr Soetomo General Hospital Surabaya.Materials and Methods: Cross-sectional observational studies. In this study only made observation without intervention. The data used in this study was obtained using form of questionnaires, using Likert Scale. The data is processed by using program SPSS v20 and Microsoft Excell 2007 programResults: During October - December 2017, based on importance performance analysis patient satisfaction divided into 4 quadrant (quadran A,B,C and D), quadrant A is a top priority for service quality improvement. Percentage of performance level nurse or doctor willing to help patient is 52,4%. Percentage of performance level nurse or doctor to inform when the service will be given is 59,9%. Percentage of performance level to keep patient as top priority is 70,3%. Percentage of performance level to look carefully to asptient is 87%. Percentage of performance level to respond patient requet immediately is 90. Based on custumer satisfaction index (CSI) the index score of patient satisfaction is 74,3%, which is that value dexcribes the overall patient in the maternity installation is satisfied with the health service provided.Conclusion: Patient of maternity room at Dr. Soetomo General Hospital is generally satisfied with the current quality of service performace. The value of patient satisfaction showed a value of 74,53% which means almost 75% of patient expectations is fulfilled and the remaining about 25% still need improvement. The particular concern in improvement of service is desire to always help patient, provide information about the treatment, patient always to be top priority, and raising individual attention to the patient.
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García-Estañ, Joaquín, Jose María Cabrera-Maqueda, Eduardo González-Lozano, Jacinto Fernández-Pardo, and Noemí M. Atucha. "Perception of Medical Professionalism among Medical Residents in Spain." Healthcare 9, no. 11 (2021): 1580. http://dx.doi.org/10.3390/healthcare9111580.

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Background: Medical professionalism, defined as commitment to the primacy of patient welfare, is the basis for doctor–patient–society relationships, but previous research with medical students has shown that professionalism and social commitment to medicine may be waning. To determine if this trend also appears in recently qualified practicing doctors, we surveyed 90 newly graduated doctors currently working as medical residents in two university hospitals in Murcia, Spain. A previously validated questionnaire that studies the perception of six categories (responsibility, altruism, service, excellence, honesty and integrity, and respect) defining medical professionalism was used. Results: A good perception of professionalism was found among medical residents, with more than 70% positive responses in all these six categories. There is an increasing trend in the number of negative responses as the residency goes on. Altruism was the category with the greatest percentage of negative answers (22.3%) and Respect was the category with the lowest percentage (12.9%). Conclusions: The results show a good professionalism perception in medical residents, but also a slight decline in positive answers that began during medical school. A significant trend was found when including both students and residents. Although there were some differences between students and residents, these were not statistically significant. Educational interventions are needed both at the level of medical school and postgraduate medical residency.
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Okoloagu, Nkiruka N., Edmund O. Ndibuagu, and Ezekiel N. Ekweremadu. "Patients’ Satisfaction with Attitude of Health Workers in a State Teaching Hospital Eye Clinic, Enugu, Nigeria." Journal of Advances in Medicine and Medical Research 35, no. 17 (2023): 44–52. http://dx.doi.org/10.9734/jammr/2023/v35i175102.

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Aims: To assess patients’ satisfaction with attitude of health workers, in a state teaching hospital Eye clinic in Enugu, Nigeria.&#x0D; Study Design: Observational, descriptive, cross-sectional study design was used.&#x0D; Place and Duration of Study: The study was conducted in Eye clinic of a teaching hospital in Enugu state, Nigeria; and lasted for eight weeks in October and November, 2022.&#x0D; Methodology: Interviewer-administered questionnaire was used to collect information from 348 respondents on their perception of attitude of key health workers, rating of time spent with the doctor, satisfaction with doctor’s explanation, and perception of privacy provided during consultation.&#x0D; Results: More females (63.5%) than males (36.5%), participated in the study; with 50.0% of all respondents being 50 years and above, while 50.0% were below 50 years of age. Highest percentage of respondents (87.1%) perceived the attitude of the doctor as being “friendly/very friendly”, followed by nurses (83.6), and finally records staff (78.5%). Many respondents (84.8%) rated time they spent with the doctor as “adequate/very adequate”, while 85.3% were “satisfied/very satisfied” with the doctor’s explanation of their eye condition, and 60.1% felt that there was “reasonable privacy/complete privacy” when they were consulting the doctor.&#x0D; Conclusion: Overall perception of attitude of health workers in the study eye clinic was very good. Over 80.0% of patients also gave very good perception for time spent with the doctor, and satisfied with explanation of their health conditions given by the doctor. However, perception of the privacy provided in the clinic was just 60.1%.
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41

Andronic, Luminita, and Anca Duta. "Titanium Dioxide Thin Film for Photodegradation of Methyl Orange." Advanced Materials Research 23 (October 2007): 325–28. http://dx.doi.org/10.4028/www.scientific.net/amr.23.325.

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The photocatalytic activity of the titanium dioxide thin film has been investigated towards the degradation of methyl orange in aqueous solutions. Porous TiO2 thin films were deposited on glass substrate by doctor blade technique. The thickness of the film prepared by doctor blade was also evaluated from de UV spectrum and the average value corresponds to 5 μm. The photocatalytic efficiency was evaluated as the percentage of pollutant bleaching, after 6h of UV illumination. The influence of the operational parameters (dye concentration, pH) on the degradation rate of the dye on TiO2 was examined. The catalytic activity of the films towards photodegradation of methyl orange pollutant was examined and their photocatalytic efficiency was calculated.
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42

Kubanov, A. A., and F. I. Petrovsky. "Evaluation of the efficacy of introduction of a new medical technology fortreatment of chronic dermatoses based on the application of activated zincpyrithione." Vestnik dermatologii i venerologii 86, no. 5 (2010): 141–47. http://dx.doi.org/10.25208/vdv996.

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The article presents the results of evaluating the efficacy of introduction of a medical technology known as application of Skin-Cap (activated zinc pyrithione) in the therapy of chronic dermatoses in the course of a questionnaire survey of 303 dermatovenerologists from 14 Russian cities. The authors revealed that the doctors awareness of this medical technology resulted in a considerable growth of the percentage of patients who receive activated zinc pyrithione. The respondents mentioned the efficacy, safety and simple use of the drug and algorithms of its administration disclosed in the medical technology. It was revealed that compliance with the medical technology results in the lower frequency of visits to a doctor for evaluating the efficacy of treatment and lower need in its correction. The respondents also noted an improvement in the patients attitude to their treatment.
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43

Pribadi, Iman Kukuh, and Oriza Zativalen. "Pelatihan Dokter Kecil Dan Pemilihan Kader Dokter Kecil Untuk Optimalisasi Fungsi UKS di SDN 02 Codo Kecamatan Wajak Kabupaten Malang." Jurnal Interaktif: Warta Pengabdian Pendidikan 2, no. 2 (2022): 33–37. http://dx.doi.org/10.29303/interaktif.v2i2.80.

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UKS (School Health Enterprises) is an integrated cross-program and cross-sectoral effort in order to improve the health status and shape the healthy life behavior of school-age children who are in religious schools and colleges. Based on initial observations, the health facilities, in this case the UKS in Codo Village, especially at SDN Codo 02, felt that they were not as optimal as they should be. The most striking thing is the inappropriateness of the UKS (School Health Business) room which should be an important point in all schools as a health facility for school residents. The main objective of this activity is to create a comfortable UKS room for school members and students who are proficient in simple health care and to maintain the existence of the UKS with the awareness of school members. The results of the implementation of the Little Doctor Training and Selection activity program at SDN Codo 02, Wajak District, Malang Regency were very satisfying because they had achieved a percentage of up to 100% of the expected results. With the Little Doctor Cadre Training and Selection program implemented by KKN students and supported by the school and Codo 02 Elementary School students who are enthusiastic about the activities being carried out, the school has 20 Little Doctors ready to be placed at UKS.
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Imamović Kuluglić, Merisa, and Fatima Jusupović. "Smoking and BMI as a risk factor of cardiovascular disease at a doctors in Tuzla canton." Journal of Health Sciences 2, no. 2 (2012): 132–37. http://dx.doi.org/10.17532/jhsci.2012.51.

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Introduction: Cardiovascular diseases are becoming the leading social and medical problem of civilization, given the trend indicates an increase of morbidity, disability and mortality from this diseases. The aim ofour study was to determine the frequency of smoking and increased BMI, as a risk factor for cardiovascular disease in doctors in the Tuzla Canton and correlate values of BMI by the doctor smokers and nonsmokers.Methods: The study was conducted in 13 medical centers in the area of Tuzla canton in the second quarter of 2009. Two groups were formed by randomization of 150 doctors non-smokers and 150 doctors smokersfrom a total of 366 doctors of both sexes, age over 25 years. The study involved doctors who smoke tobacco 5 or more years. The methods of anthropometric measurements and questionnaires were used in study.Results: The results showed that the total number of doctors surveyed, 44.81% were smokers, with more women smokers (28.7%) than men (21.3%) smokers (p=0.011). We found that there is a signifi cant statistical difference between subjects with BMI higher than 25 and subjects with normal weight, in the group of smokers (p = 0.0001).Conclusion: It can be concluded that the frequency of smoking in the total number of surveyed doctors, is signifi cant. The increased value of BMI (over 25) is present in large number of subjects (with the larger percentage subjects of smokers).
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45

Davis, Christopher R., Edward C. Toll, Paul M. Bevis, and Helena P. Burden. "Improving patient safety through education: how visual recognition skills may reduce medication errors on surgical wards." Nursing Reports 2, no. 1 (2011): 1. http://dx.doi.org/10.4081/nursrep.2012.e1.

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Medication errors compromise patient safety and cost &amp;pound;500m per annum in the UK. Patients who forget the name of their medication may describe the appearance to the doctor. Nurses use recognition skills to assist in safe administration of medications. This study quantifies healthcare professionals&amp;rsquo; accuracy in visually identifying medications. Members of the multidisciplinary team were asked to identify five commonly prescribed medications. Mean recognition rate (MRR) was defined as the percentage of correct responses. Dunn&amp;rsquo;s multiple comparison tests quantified inter-professional variation. Fifty-six participants completed the study (93% response rate). MRRs were: pharmacists 61%; nurses 35%; doctors 19%; physiotherapists 11%. Pharmacists&amp;rsquo; MRR were significantly higher than both doctors and physiotherapists (P&amp;lt;0.001). Nurses&amp;rsquo; MRR was statistically comparable to pharmacists (P&amp;gt;0.05). The majority of healthcare professionals cannot accurately identify commonly prescribed medications on direct visualization. By increasing access to medication identification resources and improving undergraduate education and postgraduate training for all healthcare professionals, errors may be reduced and patient safety improved.
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Rogowska, Marianna, Adam Montgomery, and Luiz Dratcu. "Counting ECGs in acute psychiatry – The patients' price for junior doctors' rotations." BJPsych Open 7, S1 (2021): S100—S101. http://dx.doi.org/10.1192/bjo.2021.301.

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AimsOn 05/08/20, when a new cohort of doctors rotated onto an acute ward, (John Dickson Ward, Maudsley Hospital, London) a new handover tool on MS Teams was introduced, which replaced previously used MS Word document. The new handover tool can be accessed and edited by any of the users in the team. We hypothesised that the introduction of an interactive, live-updated tool would help improve physical health monitoring for patients, especially compliance with ECG taking. The aim of this project was to test this hypothesis.MethodAuthors have reviewed electronic documentation of patients admitted to and discharged from John Dickson Ward between 01/04/2020 and 24/12/2020. Evidence of whether an ECG was performed, was offered but declined by the patient, or was not offered were noted in the final audit. Patients were divided into 3 groups: (1) Patients admitted and discharged from 01/04/20 – 05/08/2020; (2) Patients admitted and discharged from 05/08/2020 – 24/12/20, and (3) Patients admitted before the intervention date, but discharged after the date (i.e., the period when new junior doctors had rotated onto the ward). Fifty patient records were identified in Group 1, fifty in Group 2, and 18 in Group 3.ResultSurprisingly, the percentage of patients who had a documented ECG did not improve after the intervention, with 37/50 (74%) of patients having an ECG in Group 1, and 37/50 (74%) of patients having an ECG in Group 2. However, an incidental finding was made that significantly fewer patients received ECGs during the changeover period (Group 3), with only 6/18 (33%) of patients receiving ECGs. The percentage of patients who were not offered ECGs also increased during the changeover period, with 2/50 (4%) in Group 1, and 3/18 (17%) in Group 3 not being offered.ConclusionThis incidental finding highlights the challenges associated with the junior doctor changeover period. Much time is needed for doctors to adjust to their new surroundings and methods of working, and this may result in basic elements of patient care being overlooked. We surmise that other elements, such as ensuring all patients having regular blood tests and physical examinations, may also be of a lower standard during this period. There is scope for future audits to address this, and for future quality improvement projects to implement changes ensuring medical care remains at a high standard during junior doctor changeover periods.
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Oprea, Carmen, P. Armean, Nicoleta Calota, Elena Roxana Almasan, Elena Valentina Ionescu, and Madalina Gabriela Iliescu. "Considerations Regarding The Quality Of Rehabilitation And Physical Medicine Services From Patients Perspective." ARS Medica Tomitana 23, no. 1 (2017): 5–12. http://dx.doi.org/10.1515/arsm-2017-0002.

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Abstract The research study aims to assess the quality of physical medicine and rehabilitation (MFR) services offered to the population by specialized sanatoriums and hospitals in Dobrogea, in order to identify some appropriate measures to improve the quality of such services. The target group (593 respondents) consisted of 6 independent batches, different in number, selected from 6 medical units. The patients responded to a specific questionnaire regarding the quality of MFR services and the collected data were analyzed statistically. According to the patients′ answers, the medical staff meets their expectations in terms of the information provided at the time of admission, promptitude, kindness, availability, which reflects just one segment of the quality of medical rehabilitation services. As regards the entity recommending the medical rehabilitation physician, of the total answers, the lowest ratio in the study is held by the answer “family doctor / another doctor”. It thus highlights the poor knowledge of family doctors or other doctors on the therapy benefits specific to medical rehabilitation and therefore the access to such services is not facilitated, a disservice to the patients′ life quality. There is a dependence relation between the level of education and the reason of admission. We see that is not prevention taking the first position, but the pain, which reflects a deficient education for health in all social levels. Assessing the patient’s satisfaction regarding the mobility facilities in the sanatorium / hospital a percentage of 6.6% patient responded that they are not satisfied. It results that all the 6 partner institutions in the study must evolve to provide decent conditions ensuring the mobility independence to the patients.
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48

Barghash, Mahmoud, and Hanan Saleet. "Enhancing outpatient appointment scheduling system performance when patient no-show percent and lateness rates are high." International Journal of Health Care Quality Assurance 31, no. 4 (2018): 309–26. http://dx.doi.org/10.1108/ijhcqa-06-2015-0072.

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Purpose High lateness and no-show percentages pose great challenges on the patient scheduling process. Usually this is addressed by optimizing the time between patients in the scheduling process and the percent of extra patients scheduled to account for absent patients. However, since the patient no-show and lateness is highly stochastic we might end up with many patients showing up on time which leads to crowded clinics and high waiting times. The clinic might end up as well with low utilization of the doctor time. The purpose of this paper is to study the effect of scheduled overload percentages and the patient interval on the waiting time, overtime, and the utilization. Design/methodology/approach Actual data collection and statistical modeling are used to model the distribution for common dentist procedures. Simulation and validation are used to model the treatment process. Then algorithm development is used to model and generate the patient arrival process. The simulation is run for various values of basic interval scheduled time between arrivals for the patients. Further, 3D graphical illustration for the objectives is prepared for the analysis. Findings This work initially reports on the statistical distribution for the common procedures in dentist clinics. This can be used for developing a scheduling system and for validating the scheduling algorithms developed. This work also suggest a model for generating patient arrivals in simulation. It was found that the overtime increases excessively when coupling both high basic interval and high overloading percentage. It was also found that: to obtain low overtime we must reduce the basic interval. Waiting time increases when reducing the basic scheduled appointment interval and increase the scheduled overload percentage. Also doctors’ utilization is increased when the basic interval is reduced. Research limitations/implications This work was done at a local clinic and this might limit the value of the modeled procedure times. Practical implications This work presents a statistical model for the various procedures and a detailed technique to model the operations of the clinics and the patient arrival time which might assist researches and developers in developing their own model. This work presents a procedure for troubleshooting scheduling problems in outpatient clinics. For example, a clinic suffering from high patient waiting time is directly instructed to slightly increase their basic scheduled interval between patients or slightly reduce the overloading percentage. Social implications This work is targeting an extremely important constituent of the health-care system which is the outpatient clinics. It is also targeting multiple objectives namely waiting times, utilization overtime, which in turn is related to the economics and doctor utilization. Originality/value This work presents a detailed modeling procedure for the outpatient clinics under high lateness and no-show and addresses the modeling procedure for the patient arrivals. This 3D graphical charting for the objectives includes a study of the multiple objectives that are of high concern to outpatient clinic scheduling interested parties in one paper.
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Chen, Clara Xiaoling. "Who Really Matters? Revenue Implications of Stakeholder Satisfaction in a Health Insurance Company." Accounting Review 84, no. 6 (2009): 1781–804. http://dx.doi.org/10.2308/accr.2009.84.6.1781.

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ABSTRACT: This study examines the revenue implications of satisfaction measures in a setting with multiple stakeholders. I obtain a proprietary database from a leading health insurance company that measures satisfaction levels of multiple stakeholders, including: (1) clients that purchase insurance plans for their employees, (2) patients who use the insurance plans, and (3) doctors who provide medical services. Using multi-stakeholder satisfaction data over a 20-quarter period, I find that satisfaction measures are multi-dimensional, and that future revenues are positively associated with certain, but not all, dimensions of client, patient, and doctor satisfaction. Drawing on stakeholder theory, I predict that the revenue implications of stakeholder satisfaction vary with the power of different stakeholder groups. Specifically, I examine the moderating effects of the percentage of voluntary patients, business unit age, and market penetration on the relation between stakeholder satisfaction and future revenues, finding evidence consistent with my prediction.
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50

Abu Shehab, A. H. I., C. Cruceanu, A. B. Ciubara, A. V. Gurita, L. Luca, and A. Ciubara. "Vaccine hesitancy among hospital workers." European Psychiatry 65, S1 (2022): S536. http://dx.doi.org/10.1192/j.eurpsy.2022.1370.

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Introduction Vaccine hesitancy is a serious issue and it affects the scientific achievements of health. This phenomenon has begun to be studied more often in health care workers, to find its determining factors. Objectives The aim was to determine the percentage of hospital workers who got vaccinated against the infection with SARS-CoV-2. Methods Beginning with October 2021, we conducted an online questionnaire in which 57 hospital workers participated. Preliminary results allowed us to assess the rate of vaccine hesitancy among this group. Results Out of the 57 hospital workers, the majority were vaccinated (n=45, 78.94%) in comparison to less than a quarter (n=12, 21.05%) that refused vaccination. The group of hospital workers included mostly nurses ( n=21, 36.84%). Also, 12 psychologists (21.05%), 11 doctors (19.29%), and 10 students (17.54%) were included. Among the cases that did not accept getting vaccinated against COVID-19, the highest percentage was occupied by nurses (n=9, 15.78%). Moreover, there were only one doctor and one psychologist who did not get vaccinated. Conclusions In the current pandemic times, the hesitancy and refusal of vaccination prove to be very challenging. It is important to explore their reasons and to promote health education programs. Disclosure No significant relationships.
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