https://j.ideasspread.org/index.php/mhs/issue/feed Modern Health Science 2020-02-28T15:34:44+08:00 Lacy Brown mhs@ideasspread.org Open Journal Systems <p>Modern Health Science (MHS) is an international, double-blind peer-reviewed, open-access journal, published by IDEAS SPREAD INC. It publishes original research, applied, and educational articles in all areas of health science. It provides an academic platform for professionals and researchers to contribute innovative work in the field.<br>Authors are encouraged to submit complete, unpublished, original works that are not under review in any other journals.<br>The journal is published in both print and online versions. The online version is free access and download.</p> https://j.ideasspread.org/index.php/mhs/article/view/331 Index of Independence 2020-02-28T15:34:44+08:00 Ilija Barukčić Barukcic@t-online.de <p class="text"><strong><span lang="EN-US">Objective.</span></strong><span lang="EN-US"> Under certain circumstances, the results of multiple investigations – particularly, rigorously-designed trials, can be summarized by systematic reviews and meta-analyses. However, the results of properly conducted meta-analyses can but need not be stronger than single investigations, if (publication) bias is not considered to a necessary extent.</span></p> <p class="text"><strong><span lang="EN-US">Methods.</span></strong><span lang="EN-US"> In assessing the significance of publication bias due to study design simple to handle statistical measures for quantifying publication bias are developed and discussed which can be used as a characteristic of a meta-analysis. In addition, these measures may permit comparisons of publication biases between different meta-analyses.</span></p> <p class="text"><strong><span lang="EN-US">Results.</span></strong><span lang="EN-US"> Various properties and the performance of the new measures of publication bias are studied and illustrated using simulations and clearly described thought experiments. As a result, individual studies can be reviewed with a higher degree of certainty.</span></p> <p class="text"><strong><span lang="EN-US">Conclusions.</span></strong><span lang="EN-US"> Publication bias due to study design is a serious problem in scientific research, which can affect the validity and generalization of conclusions. The index of unfairness and the index of independence are of use to quantify publication bias and to improve the quality of systematic reviews and meta-analyses.</span></p> 2019-10-07T00:00:00+08:00 ##submission.copyrightStatement## https://j.ideasspread.org/index.php/mhs/article/view/351 Relationship Between Specificity and Precision in Writing the Main Diagnosis and Accuracy of Main Diagnosis Codes with Financing Claims in Cases of DM in Dr Radjiman Wediodiningrat Hospital, Lawang 2020-02-28T15:34:43+08:00 Endang Sri Dewi Hastuti Suryandari wiwik.esd@gmail.com <p>Specificity and precision in writing the main diagnosis will give the accuracy of diagnosis code, and proper code will give an impact on the appropriate of the cost using INA-CBGs. Research objectives was to analyze the specificity and precision in writing the main diagnosis and the accuracy of main diagnosis code based on ICD-10, also the claims of financing in the case of Diabetes Mellitus (DM) in RSJ Dr. Radjiman Wediodiningrat Lawang, as well as analyzed their relationship. This type of research was a cross sectional correlasional. Independent variables were the specificity and precision in writing the main diagnosis and the accuracy of main diagnosis code, and the dependent variable was the claim of financing. The number of samples analyzed were 50 inpatient medical record document (MRD) of DM cases which hospitalization from January to September 2017, selected by simple random sampling. The results showed the unspecific and unprecise in writing the main diagnosis of DM disease had a risk 1.6 times greater impacting the inaccuracy the main diagnosis code of DM disease (95% CI: 1.05 - 2.30) and 1.8 times greater resulting in the claims for financing treatment not accordance (95% CI: 1.03 - 3.12). An internal verification team is needed for submission of financing claims, consisting of elements from the medical committee, medical recorders and other related elements, as well as conducting periodic monitoring and evaluation of how to write the main diagnoses and their coding.</p> 2019-10-09T00:00:00+08:00 ##submission.copyrightStatement## https://j.ideasspread.org/index.php/mhs/article/view/404 Mortality and Morbidity in Elective Patient of Coronary Artery Bypass Graph at National Cardiovascular Center, Harapan Kita Hospital, Indonesia 2020-02-28T15:34:41+08:00 Hartaty Sarma Sangkot hartatysarma@gmail.com Puguh Yudho Trisnanto hartatysarma@gmail.com <p>This study is aimed to find out mortality and morbidity in the elective patients while waiting and description of waiting time in elective patients at The Department of cardiovascular surgery, Harapan Kita Hospital. This study research was using quantitative and qualitative design study. The quantitative data collected prospectively within two months from August until September 2010. From 58 patients, one patient died while waiting and one patient falls into stroke. There’s no adequate system in scheduling patient, including put the patient into the list of que, decide the urgency and remove the patients from the list. It’s known that morbidity and mortality are not found as a significant event happened while waiting for CABG in this study. It’s difficult to ignore the two patients, especially after knowing there’s no adequate system to decide wait time and schedule at The Department of cardiovascular surgery, Harapan Kita Hospital, while resources are still quite enough (facility and human resources) to accommodate all the cases.</p> 2019-12-12T00:00:00+08:00 ##submission.copyrightStatement## https://j.ideasspread.org/index.php/mhs/article/view/401 Prevalence of Shielding in Diagnostic X-ray Centers in the Islamic Republic of Iran: A Systematic Review 2020-02-28T15:34:40+08:00 Mohammad Chavideh ali.arianezhad76@gmail.com Seyed Reza Khorshidi ali.arianezhad76@gmail.com Alireza Bagzahedi Baghmalek ali.arianezhad76@gmail.com Raheleh Hassanvand Amoozadeh ali.arianezhad76@gmail.com Razieh Naserifar ali.arianezhad76@gmail.com Araf Alekasir ali.arianezhad76@gmail.com Yousef Bolandnazar ali.arianezhad76@gmail.com Mohammad Najafi ali.arianezhad76@gmail.com Ali Arianezhad karami.ajums@yahoo.com <p>Shielding has been recommended as an effective tool against radiation exposure. Several studies have published on the availability and use of shielding tools in diagnostic X-ray centers across the country and contradictory results been reported. Therefore, the aim of this systematic review was to find out the status of radiation protection in term of availability and use of shielding tools in diagnostic X-ray centers in Iran. An extensive literature search was conducted in the PubMed/Medline, Embase, ISI, Cochrane Library, SID, Magiran, IranMedex, Irandoc and Google-Scholar search engine. We also manually searched the reference lists of the relevant studies. Two authors independently assessed the eligibility of all studies and extracted data. Thirty-seven studies published from 1998 to 2019 were included in this systematic review. In all, 1089 diagnostic X-ray centers, 4439 radiographs and performance of 1472 radiographers were covered in these studies. The availability of lead apron, gonad shield and thyroid collar were ranged from 7 to 95.5%, 26.6 to 94% and 7 to 94%, respectively. Moreover, their usage was ranged from 0 to 85.5%, 0 to 35% and 0 to 38.4%, respectively. In addition, lens shield was discussed in one study with availability of 0%. During 1998 to 2019, the status of shielding had not improved across the country. Therefore adherence to the safety guideline as far as possible is required to protection patients from undue exposure to radiation.</p> 2019-12-27T00:00:00+08:00 ##submission.copyrightStatement##