scholarly journals The Calculation of the Costs of CT-scan Services at Shahid Rajaei Hospital in Qazvin, Iran Using the ABC Model and Comparison with the Tariff of the Iranian Ministry of Health

2020 ◽  
Vol 6 (2) ◽  
Author(s):  
Rohollah Kalhor ◽  
Saeed Norouzi ◽  
Mohammad Zakaria Kiaei ◽  
Majid Emami ◽  
Yazdan Maleki ◽  
...  
Keyword(s):  
Ct Scan ◽  
Control Measures ◽  
Wilcoxon Test ◽  
Abc Model ◽  
Test Results ◽  
Activity Based Costing ◽  
Microsoft Excel ◽  
Significant Difference ◽  
The Given ◽  
Real Costs

Background: Cost analysis is an effective approach for planners and health system managers to address the issues regarding the increased shortage of resources. Activity-based costing (ABC) is a new system with various applications in daily service activities, the use of which is expanding for the estimation of real costs. Objectives: The present study aimed to calculate the total costs of CT-scan services in Shahid Rajaei Hospital of Qazvin, Iran using the ABC model and compared the results with the tariffs approved in 2016. Methods: This descriptive, applied research was conducted retrospectively. The total costs of CT-scan services were calculated using the ABC model and compared with the tariffs approved in 2016. Data were collected using checklists based on the hospital information system, observations, and interviews. Data analysis was performed in SPSS version 23 and Microsoft Excel software using the non-parametric Wilcoxon test. Results: The total costs of the CT-scan unit in the given year (2016 - 2017) was estimated at 398,380.07 dollars, with the largest share of the total costs in the human resources (57.9%), consumed materials (23.4%), and overhead (18.7%), respectively. No significant difference was observed between the total costs based on the ABC system and tariffs of these services. Conclusions: According to the results, the lack of a difference between the total costs and government tariffs suggested that earnings should be higher than the costs of these services, and these units could become profitable through proper cost control measures.

scholarly journals Penguasaan Konsep Siswa Pada Materi Termodinamika Dalam Pembelajaran Argument Driven Inquiry for STEM Education

2020 ◽  
Vol 5 (8) ◽  
pp. 1121
Author(s):  
Dionisius Bukifan ◽  
Lia Yuliati ◽  
Supriyono Koes Handayanto
Keyword(s):  
High School ◽  
Experimental Design ◽  
Stem Education ◽  
Conceptual Understanding ◽  
Effect Size ◽  
Mixed Method ◽  
Wilcoxon Test ◽  
Test Results ◽  
Significant Difference ◽  
Before And After

<p><strong>Abstract:</strong> This study aims to explore students’ conceptual understanding of thermodynamic in ADI for STEM education. The study uses embedded experimental design methods. It involved 29 students of XI grade high school in Kupang. Instruments tes consisted of 13 reasoning multiple chooise questions. Wilcoxon test results is P=.000 with an average posttest higher than pretest shows that there is significant difference between students' conceptual understanding of before and after learning. The effect size value is 2,39. Students’ conceptual understanding of each indicator is also discussed.</p><strong>Abstrak:</strong><em> </em>Tujuan penelitian adalah mengetahui penguasaan konsep siswa pada materi termodinamika dalam pembelajaran <em>Argument Driven Inquiry (ADI) for STEM education</em>. Penelitian menggunakan <em>mixed method</em> desain <em>embedded experimental</em>. Penelitian melibatkan 29 siswa kelas XI SMA di Kupang. Instrumen tes berupa 13 soal penguasaan konsep pilihan ganda. Hasil uji Wilcoxon sebesar <em>p</em>=.000 menunjukkan bahwa terdapat perbedaan yang signifikan antara penguasaan konsep siswa sebelum dan sesudah pembelajaran. Nilai <em>effect size</em> sebesar 2,39 menunjukkan bahwa pembelajaran <em>ADI for STEM education</em> berpengaruh kuat terhadap penguasaan konsep.

scholarly journals Effects of Classroom Observation of Parents to the Performance of Pupils

2021 ◽  
Vol 2 (1) ◽  
pp. 24-29
Author(s):  
Emerson T. Ceria
Keyword(s):  
Classroom Observation ◽  
Validity And Reliability ◽  
Microsoft Excel ◽  
Descriptive Research ◽  
School Year ◽  
Significant Difference ◽  
Before And After ◽  
Post Test ◽  
Learning Competencies ◽  
The Given

The study aimed to determine the effects of classroom observation of parents to the performance of pupils in Pandayan Elementary School for the school year 2019-2020. A descriptive research method was utilized in this study. A research – made instrument for pre-test and post-test aligned with the given learning competencies in the K to 12 Curriculum Guide in Grades 4-6 was designed and undergone validity and reliability examination by peer-experts. After the validation from other Principals, the Division Research Chairperson has approved the instrument. The researcher also carried out a dry run before the actual pre-test and post-test assessment to the respondents. The gathered data from the tests were recorded and analyzed using Microsoft Excel and SPSS. The findings showed that the post-test scores have increased after the classroom observation of parents. In conclusion, there was a significant difference on the academic performance of pupils in Mathematics before and after classroom observation of parents.

scholarly journals Upaya Meningkatkan Asertivitas Melalui Layanan Bimbingan Kelompok pada Siswa Asuh Kelas IX SMP Negeri 1 Sakra Barat

FONDATIA ◽  
2019 ◽  
Vol 3 (1) ◽  
pp. 55-72
Author(s):  
Dahman Dahman
Keyword(s):  
Wilcoxon Test ◽  
Control Group ◽  
Test Results ◽  
Quadratic Formula ◽  
Guidance Services ◽  
Average Student ◽  
Significant Difference ◽  
Post Test ◽  
Experimental Group ◽  
Group Guidance

This study aims to determine whether group guidance services can improve the assertiveness of class IX students of SMPN 1 Sakra. The sampling technique used in this study was random sampling, by randomly taking 20 students. Methods of collecting data using a psychological scale. Validity test: Product Moment correlation formula and reliability: Alpha formula. Sample homogeneity: Chi quadratic formula. Data analysis: Wilcoxon test. Based on the results of the pre test average student assertiveness in the experimental group 57% (low) and the control group 61% (moderate). Whereas in the post test results in the experimental group after being given group guidance services, the average student assertiveness became 75% (high) and the post test results of the average assertiveness of the control group students who were not given group guidance services became 62% (moderate). Wilcoxon test results obtained Thitung = 6 and Ttabel = 8. If Thitung <Ttabel then Ho is rejected and Ha is accepted. Because Thitung <Ttabel then there is a significant difference between the value of the post test of the two sample groups, it means that group guidance services can improve student assertiveness.

scholarly journals The Effect Of Hynotherapy Technique On The Characteristics Nuasea Of Patients That Achieve Chemotherapy In The Mitra Plumbon Hospital Cirebon

2018 ◽  
Vol 5 (2) ◽  
pp. 14-20
Author(s):  
Ahmad Syaripudin
Keyword(s):  
Experimental Methods ◽  
Wilcoxon Test ◽  
Test Design ◽  
Test Results ◽  
Significant Difference ◽  
Before And After ◽  
Post Test ◽  
Physical Disorders ◽  
Chemotherapy Patients ◽  
The Brain

Background. Hypnotherapy is a hypnotic application in curing psychological disorders and relieving physical disorders. The mechanism of action of hypnosis is based on the subconscious. Some scientists speculate that hypnosis stimulates the brain to release neurotransmitters (chemicals in the brain), encephalin, and endorphins and suppress the hypothalamus, which functions to improve mood so that it can change the individual's acceptance of nausea.   Purpose. This research aims to determine the effect of hypnotherapy techniques on the characteristics of nausea in patients who underwent chemotherapy in hospitals Mitra Plumbon Cirebon.   Method. This study used pre experimental methods with non-randomized one group pre test and post test design performed on patients chemotherapy who experienced nausea. The sample in this study is the entire population of patients who have undergone chemotherapy and experienced nausea in the hospital Mitra Plumbon the total samples are 54 respondent data  analysis used Wilcoxon Test.   Result. The result of the research on 54 subjects in hypnotherapy showed the nausea characteristics of chemotherapy patients before and after hypnotherapy was 51 people with decreased nausea, 3 people with the result remained nauseous and nobody experienced increased nausea. Wilxocon Signed Ranks Test Test results obtained significancy value 0.000 (p, 0.05), thus there is a significant difference of nausea characteristics before after hypnotherapy. Conclusions. This suggests that hypnotherapy is effective and effective against the reduction of nausea characteristics in chemotherapy patients. It is hoped that the action of hypnotherapy can be made as an intervention in dealing with nausea.

scholarly journals Penguasaan Konsep Siswa pada Materi Fluida Statis Dalam Pembelajaran STEM Disertai E-Formative Assessment

2020 ◽  
Vol 5 (6) ◽  
pp. 822
Author(s):  
Zahrotul Ula Irma ◽  
Sentot Kusairi ◽  
Lia Yuliati
Keyword(s):  
High School ◽  
Formative Assessment ◽  
Conceptual Understanding ◽  
Effect Size ◽  
Mixed Method ◽  
Wilcoxon Test ◽  
Test Results ◽  
Significant Difference ◽  
Before And After ◽  
Static Fluid

<p><strong>Abstract:</strong> This study aims to explore students’ conceptual understanding of static fluid in STEM with e-formative assessment learning. The study uses embedded experimental design methods. It involved 30 students of XI grade high school in Sidoarjo. The pretest and posttest instruments consisted of 10 reasoning multiple chooise questions with reliability is 0.629. Wilcoxon test results is p = .000 with an average posttest higher than pretest shows that there is significant difference between students' conceptual understanding of before and after learning. The effect size value is 0.88. Students’ conceptual understanding of each indicator is also discussed.</p><strong>Abstrak:</strong><em> </em>Tujuan penelitian ini adalah mengetahui penguasaan konsep siswa pada materi fluida statis dalam pembelajaran STEM disertai <em>e-formative assessment</em>. Penelitian menggunakan <em>mixed method</em> desain <em>embedded experimental</em>. Penelitian melibatkan 30 siswa kelas XI SMA di Sidoarjo. Instrumen <em>pretest</em> dan <em>posttest</em> berupa 10 soal penguasaan konsep pilihan ganda disertai alasan dengan reliabilitas 0,629. Hasil uji Wilcoxon sebesar <em>p</em>=.000 dengan rata-rata <em>posttest</em> lebih tinggi daripada <em>pretest</em> menunjukkan bahwa terdapat perbedaan yang signifikan antara penguasaan konsep siswa sebelum dan sesudah pembelajaran. Nilai <em>effect size</em> sebesar 0,88 menunjukkan bahwa pembelajaran STEM disertai <em>e-formative assessment</em> berpengaruh sedang terhadap penguasaan konsep. Penguasaan konsep siswa setiap indikator juga akan dibahas.

scholarly journals PENGARUH PENAMBAHAN MOBILISASI SARAF MEDIANUS SETELAH DIBERIKAN ULTRASOUND THERAPY PADA PENURUNAN NILAI NYERI CARPAL TUNNEL SYNDROME

2019 ◽  
Vol 1 (2) ◽  
pp. 7-12
Author(s):  
Ruhana F Mujahad
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Wilcoxon Test ◽  
Ultrasound Therapy ◽  
Test Results ◽  
Significant Difference ◽  
Post Test ◽  
Tunnel Syndrome ◽  
Test Result

              Carpal tunnel syndrome can result fromexcessive movement in the joints can lead tocarpal synovial joints increases and tapping themedian nerve in the carpal tunnel so that itappears one of the various complaints of pain. Toreduce the pain of carpal tunnel syndrome can begiven additional mobilization of the median nerveafter ultrasound therapy which have beencommonly used in physiotherapy services in manyhospitals. To determine the effect of the mediannerve mobilization after ultrasound therapy todecrease the value of the pain of carpal tunnelsyndrome. This research uses quasi experimentalapproach, research design pre and post test twogroups design. The first group of elderly givenultrasound therapy and the second group wasgiven the mobilization of the median nerve. Thenumber of samples in this study of 12 samples,sample taker technique by purposive samplingtechnique that uses existing population criteria ofinclusion and exclusion. In the study the effect oftest used Wilcoxon test and Mann Whitney testdifferent influences. Wilcoxon test results on themedian nerve mobilization group after the additionof ultrasound therapy asymp values obtained. Sig(2-tailed) = 0.026 indicates the value of p <0.05there is the influence of pain using the VAS valuereduction in carpal tunnel syndrome. From theresults of Mann Whitney test result Sig (2-tailed) =0.183 (Asymp. Sig (2-tailed)> 0.05), which meansthere is no significant difference in both groups, inthe sense that both have effects in lowering painCarpal Tunnel Syndrome. No effect of the mediannerve mobilization after ultrasound therapy todecrease the value of the pain of carpal tunnelsyndrome.  

PENGARUH KEBERADAAN PANGKALAN PENDARATAN IKAN (PPI) SAIJAAN KOTABARU TERHADAP PENDAPATAN PENGUSAHA PERIKANAN DI KECAMATAN PULAU LAUT UTARA KABUPATEN KOTABARU PROVINSI KALIMANTAN SELATAN

2016 ◽  
Vol 4 (7) ◽  
pp. 59
Author(s):  
Syahruddin Syahruddin ◽  
Idiannor Mahyudin ◽  
Emmy Sri Mahreda
Keyword(s):  
Wilcoxon Test ◽  
P Value ◽  
Test Results ◽  
Internal Factors ◽  
Fishing Vessels ◽  
Significant Difference ◽  
Before And After ◽  
Descriptive Approach ◽  
And Function ◽  
Relationship Of

Fish landing base (PPI) is a container that can support development and the development of a better fishery.Accordence with the increasing number of fishing vessels that enter the  territory  Kotabaru, either the ships  from itself or the ships that come from the outside area.  Making  the  existence  of  the PPI  Saijaan Kotabaru  a  medium  which  accommodates  fishery  activities  to  make  a   direct   relevance  relationship  of  upriver  and  downstream activities. This research was conducted: identifying facilities, conditions  and function of the PPI Saijaan Kotabaru; Analyzing changes in the income of entrepreneur fishery before and after the PPI Saijaan Kotabaru in District Stagen Kotabaru; Formulating a strategy of economic development of the PPI  Saijaan  Kotabaru as an area of fisheries.Analysis  Technique of  the  research  uses  qualitative  and  quantitative  method  with descriptive approach. The results obtained that the basic, functional and additional facilities of  the PPI Saijaan Kotabaru have been fulfilled by 90 % and have not been  fulfilled  by 10 % thatneed to be developed. Condition and function facilities of  the PPI Saijaan Kotabaru, is only 90 % facilities are function optimally and 10 % is  not function optimally.Wilcoxon  test results  in Statistics  Test, shows that value of Wilcoxon test p-value is  0.003 (< 0.05),then Ho is rejected and H1 is accepted, meaning that there is a very significant difference from the increased income of entrepreneur fishery after the construction of  the PPI Saijaan  Kotabaru as well. The results of the value to external factors (EFAS) is = 2.85, while  for  internal factors (IFAS) is = 2.55. So the value of EFAS >IFAS value, then a qualitative activity and capacity of existing facilities of the PPI Saijaan Kotabaru still very likely to be developed. 

THE EFFECT OF CUPPING THERAPY ON THE SCALE OF PAIN IN ADVANCED AGE WHO EXPERIENCED JOINT PAIN IN JEMBER

2020 ◽  
Vol 1 (1) ◽  
pp. 21-29
Author(s):  
Istiadhatul Magfiroh ◽  
Wahyudi Widada ◽  
Sofia Rhosma Dewi
Keyword(s):  
Pain Intensity ◽  
Joint Pain ◽  
Cupping Therapy ◽  
The Body ◽  
Wilcoxon Test ◽  
Control Group ◽  
P Value ◽  
Test Results ◽  
Significant Difference ◽  
Before And After

ABSTRACT   Joint inflammation characterized by swelling of the joints, redness, heat, pain and movement disorders. Arthralgia causes the elderly to have difficulty in carrying out activities that are burdening the joints of the body. Wet cupping therapy is a complementary therapy that has a working principle of vacuum, injury and blood-sucking in certain areas so it can cure the disease. This study was to identify the effect of cupping therapy on pain intensity in elderly patients with arthralgia in Bangsalsari Jember. It was a quasy experiment research with pretest-posttest with control group approach. The sample in this study was 30 elderly then divided into two groups, i.e. 15 elderly in the wet cupping therapy group and 15 elderly in the warm compress group. It used purposive sampling. The average pain intensity before moist cupping therapy was 7.47, and after wet cupping therapy 5.53. While the moderate pain intensity before warm compress was 7.00 and after warm compress 5.73. Wilcoxon test results moist cupping therapy obtained P-value 0.001 means there are significant differences before and after the wet cupping therapy. While Wilcoxon test results, warm compress got P-value 0.001 means there are substantial differences before and after the warm compress. Mann Whitney test result obtained P-value 0.383 means there is no significant difference of effect between the treatment group and the control group. There is an effect of cupping therapy and warm compress on pain intensity. Elderly can use wet cupping therapy as an alternative treatment to decrease joint pain intensity arthralgia.

scholarly journals Analysis of the nature of spiritual pain in terminal patients and the resignification process through the relaxation, mental images and spirituality (RIME) intervention

2008 ◽  
Vol 16 (6) ◽  
pp. 959-965 ◽  
Author(s):  
Ana Catarina Araújo Elias ◽  
Joel Sales Giglio ◽  
Cibele Andrucioli de Mattos Pimenta
Keyword(s):  
Clinical Condition ◽  
Terminally Ill ◽  
Qualitative Approach ◽  
Public Hospitals ◽  
Wilcoxon Test ◽  
Test Results ◽  
Significant Difference ◽  
The Face ◽  
Descriptive Method

OBJECTIVE: To understand Spiritual Pain and the new meaning it takes on using the RIME intervention. Subjects and methods: Eleven terminally ill patients (n=11), treated at public hospitals, received care from six professionals trained for RIME application. The methods used were both qualitative, through phenomenology, and quantitative, based on the descriptive method, using the Wilcoxon Test. RESULTS: In the qualitative approach, six categories and eleven subcategories were found. The prevailing categories were: fear of dying by denying the severity of the clinical condition (n=5); fear of dying by realizing the severity of the clinical condition (n=5); fear of postmortem due to disintegration or feeling of non-existence, of being affectively forgotten (n=5). In the quantitative analysis, a statistically significant difference (p<0.0001) was noted. CONCLUSION: The results suggested that RIME promoted quality of life in the dying process, as well as more serenity and dignity in the face of death.

scholarly journals Difference of Schirmer Test Results Before and After Using Smartphones with Various Screen Brightness Levels

2021 ◽  
Vol 2 (2) ◽  
pp. 1-5
Author(s):  
Dodik Dumadi ◽  
Maharani Maharani ◽  
Tanti Ajoe Kesoema ◽  
Riski Prihatningtias
Keyword(s):  
Tear Film ◽  
Wilcoxon Test ◽  
Test Results ◽  
Research Subjects ◽  
Schirmer Test ◽  
High Brightness ◽  
Significant Difference ◽  
Before And After ◽  
Post Test ◽  
Test Result

Background : The use of smartphones and other digital devices such as laptops and tablets is familiar in Indonesian society. Excessive uses of the devices are associated with dry eye syndrome and tear film dysfunction. The intensity of blue light when penetrating the eye is believed to affect tear film stability. Thus it will encourage tear evaporation which proved by Schirmer test.Objective : To find out the difference of Schirmer test results before and after using a smartphone with  various screen brightness levels.Methods : This study used pretest-posttest quasi-experimental study. The research subjects were students of the Faculty of Medicine, Diponegoro University (n = 30) who were selected by purposive sampling. In this study, the research subjects used smartphones for an hour with a predetermined screen brightness level, with the same room lighting. Before and after treatment the subject was measured the quantity of tears using the Schirmer test. Data were analyzed using the Wilcoxon test, Mann Whitney U test, and Kruskal Wallis test.Results : The average pretest result on low brightness was 25,60 ± 9,44 and the post-test result was 17,60 ± 8,45. The pre-test result on medium brightness was 27,90 ± 9,46 and the post-test result was 24,80 ± 10,46. The pre-test result on high brightness was 23,60 ± 6,80 and the post-test result was 19,10 ± 7,95. The Schirmer test results before and after using smartphones with low brightness showed a significant different (P<0.05) and there was no significant difference for the pre-post test using smartphones with medium and high brightness. Comparison of Schirmer test results on low, medium and high screen brightness did not show a significant difference.Conclusion : There is no significant difference between the Schirmer test results among low, medium and high screen brightness after one hour of smartphone usage.

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