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Analysis Of Determinants Related To Work Accidents In Nurses In Hospital Dr. Mm Dunda Limboto 医院护士工伤事故的决定因素分析 Mm Dunda Limboto 博士
Pub Date : 2024-06-14 DOI: 10.58806/ijhmr.2024.v3i06n08
Rosita Abdul, N. I. Ischak, Djuna Lamondo
Labor is a human resource which is a very important asset and is an inseparable element in the process of production service activities and other supporting elements (Mudjimu, 2019). Hospitals as a part of the health service system generally provide services to the community in the form of health services including medical services, medical support services, medical rehabilitation, and nursing services. This research aims to analyze the determinants of factors related to work accidents among nurses at RSUD. Dr. M.M Dunda Limboto . Analytical survey research method with a cross-sectional study design. The population is all RSUD ASN nurses. MMDunda Limboto has as many as 152 people. Sampling used Simple Random Sampling, the sample size was 110 people which was calculated using the Slovin formula. Analysis was carried out using the chi-square test and linear regression test. The results of the chi-square test research showed age (ρ value 0.000), obesity (ρ value 0.018), education (ρ value 0.000), years of service (ρ value 0.000), knowledge (ρ value 0.000), attitude ( ρ value 0.000). The linear regression test obtained the variable gender and length of service, F counts 13.972 and ρ value 0.000, R=0.455 and R Square =0.207. This research concludes that there is a relationship between age, obesity, education, length of service, knowledge, attitude, and work accidents among nurses at RSUD. Dr. M.M Dunda Limboto . Gender and length of service are the variables most related to work accidents among nurses at RSUD MM Dunda Limboto at 20.7%, a medium level of significance. Therefore, it is recommended that nurses use PPE such as gloves, masks, eye protection, and protective gowns when necessary and take part in regular safety training.
劳动力是一种人力资源,是一种非常重要的资产,是生产服务活动和其他辅助要素过程中不可分割的要素(Mudjimu,2019)。医院作为医疗服务体系的一部分,一般以医疗服务、医疗支持服务、医疗康复和护理服务等医疗服务形式向社会提供服务。本研究旨在分析 RSUD 护士工作事故相关因素的决定因素。M.M Dunda Limboto 博士.采用横断面研究设计的分析调查研究方法。研究对象是所有 RSUD ASN 护士。MMDunda Limboto 多达 152 人。抽样采用简单随机抽样法,样本量为 110 人,使用斯洛文公式计算得出。分析采用了卡方检验和线性回归检验。卡方检验研究结果显示年龄(ρ 值 0.000)、肥胖(ρ 值 0.018)、教育程度(ρ 值 0.000)、工龄(ρ 值 0.000)、知识(ρ 值 0.000)、态度(ρ 值 0.000)。线性回归检验得到了性别和服务年限变量,F 数为 13.972,ρ 值为 0.000,R=0.455,R 平方=0.207。本研究得出结论,RSUD 的护士在年龄、肥胖、教育程度、服务年限、知识、态度和工作事故之间存在关系。M.M Dunda Limboto 博士.性别和服务年限是与 RSUD MM Dunda Limboto 的护士工伤事故关系最大的变量,占 20.7%,具有中等显著性水平。因此,建议护士在必要时使用个人防护设备,如手套、口罩、护目镜和防护服,并定期参加安全培训。
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引用次数: 0
Pathogenic Species Of Staphylococcus: A Review Article 葡萄球菌的致病菌种:综述文章
Pub Date : 2024-06-14 DOI: 10.58806/ijhmr.2024.v3i06n09
Shahad Saad Mohammed, Safa Nihad Abed Shubar, Salena Abdul Abbas Naser, Ali Al-Fahham
The genus Staphylococcus includes a wide range of species that are well-known for their saprophytic habit making them very important in clinical practice. The most common species of Staphylococcus are : S. aureus and S. epidermidis, which are well studied for their large contribution in health-cate associated infections. Many staphylococcal species have been commonly identified for their pathogenic action. The high attention that has been paid on these pathogenic bacteria is because of the increasing number of clinical studies that focused on their roles in different types of series infections, which have progressively increased human and financial cost to countries and societies.
金黄色葡萄球菌属包括多种菌种,它们以具有溶菌习性而闻名,因此在临床实践中非常重要。最常见的葡萄球菌是金黄色葡萄球菌和表皮葡萄球菌:金黄色葡萄球菌和表皮葡萄球菌因其在与健康相关的感染中的巨大贡献而被广泛研究。许多葡萄球菌已被确认具有致病作用。这些致病菌之所以受到高度关注,是因为越来越多的临床研究关注它们在不同类型的系列感染中的作用,这些感染给国家和社会造成的人力和经济损失不断增加。
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引用次数: 0
A Rare Case Of Early Gastrointestinal Stromal Tumor In 34-Year-Old Woman: A Caution For Adnexal Tumor Mimicry 34 岁女性罕见的早期胃肠道间质瘤病例:附件肿瘤仿真的警示
Pub Date : 2024-06-14 DOI: 10.58806/ijhmr.2024.v3i06n07
Jesslyn Wijaya, Muhammad Nisril Syahputra
Introduction: Gastrointestinal Stromal Tumors (GISTs) are the leading type of mesenchymal tumor in the gastrointestinal (GI) tract, constituting 80% of these tumors and 0.1% to 3% of all gastrointestinal malignancies. They arise from spindle-shaped mesenchymal cells known as interstitial cells of Cajal. Its onset can be at any age, with the peak occurring in the sixth decade. Case Presentation: We report the case of a 34-year-old woman with a complaint about a lump in her lower abdomen that has been progressively enlarging over the past year without any significant symptoms following the lump. Findings in the ultrasound suggest an ovarian mass. Laparotomy was carried out, and while no ovarian mass was found, instead a mass was identified in the mesentery of the small bowel. As a result, a complete excision of the tumor was performed, with histopathologic and immunohistochemical results confirming a GIST diagnosis. Conclusion: Representing a tiny percentage of gastrointestinal tumors, GISTs are rare. GISTs may be asymptomatic or present without any typical symptoms. Sole reliance on clinical and radiological investigations can cause them to be easily overlooked. Awareness of GIST is critical and care must be taken in diagnosis since other tumor can mimic GISTs in endoscopic, imaging, and histological findings.
简介胃肠道间质瘤(GIST)是胃肠道间质瘤的主要类型,占此类肿瘤的 80%,占所有胃肠道恶性肿瘤的 0.1% 至 3%。它们产生于纺锤形间充质细胞,即卡贾尔间质细胞。它可以在任何年龄发病,高峰期出现在第六个十年。病例介绍:我们报告了一例 34 岁女性的病例,她主诉自己的下腹部有一个肿块,在过去的一年中肿块逐渐增大,但肿块之后没有出现任何明显症状。超声波检查结果显示为卵巢肿块。进行了腹腔镜手术,虽然没有发现卵巢肿块,但在小肠系膜上发现了一个肿块。结果,对肿瘤进行了完全切除,组织病理学和免疫组化结果证实了 GIST 诊断。结论GIST 在胃肠道肿瘤中所占比例极小,非常罕见。GIST 可能无症状或没有任何典型症状。仅仅依靠临床和放射学检查很容易被忽视。对 GIST 的认识至关重要,在诊断时必须小心谨慎,因为其他肿瘤可能在内窥镜、影像学和组织学检查结果上与 GIST 相似。
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引用次数: 0
Laboratory Tests For The Diagnosis Of Breast Cancer 诊断乳腺癌的实验室检验
Pub Date : 2024-06-14 DOI: 10.58806/ijhmr.2024.v3i06n06
Salena Abdul Abbas Naser, Mohammed Abdulrazzaq Assi, Shahad Saad Mohammed, Ali Al-Fahham
Breast cancer (BC) has posed a significant threat to the general health of women globally, with its incidence and mortality rates showing a noticeable increase in China over time. Research indicates that the survival rate for early-stage breast cancer patients is significantly higher compared to those diagnosed at middle or late stages. Therefore, it is crucial to focus on research for the rapid diagnosis of breast cancer. Numerous diagnostic methods have been developed to date, primarily utilizing imaging and molecular biotechnology. These methods have greatly contributed to the diagnosis and follow up of BC. In this review article, a brief explanation has been introduced about the main laboratory methods that are recently used in the diagnosis of BC. It has been concluded that many diagnostic methods have been developed to detect breast cancer at different stages of the tumor. Some of these tests have been used to determine the appropriate chemotherapy method (e.g. molecular tests for gene changes), other are more generic in the determination of many tumor (e.g. complete blood count), while salivary methods are still controversial in the diagnosis of BC.
乳腺癌(BC)已对全球妇女的总体健康构成重大威胁,其发病率和死亡率在中国随着时间的推移呈明显上升趋势。研究表明,早期乳腺癌患者的生存率明显高于中晚期患者。因此,重视乳腺癌快速诊断的研究至关重要。迄今为止,已经开发出许多诊断方法,主要是利用成像和分子生物技术。这些方法极大地促进了乳腺癌的诊断和随访。本综述文章简要介绍了最近用于诊断乳腺癌的主要实验室方法。文章总结说,目前已开发出许多诊断方法,用于在肿瘤的不同阶段检测乳腺癌。其中一些检测方法用于确定适当的化疗方法(如基因变化的分子检测),其他检测方法则更多地用于确定多种肿瘤(如全血细胞计数),而唾液检测方法在诊断乳腺癌方面仍存在争议。
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引用次数: 0
Pathogenic Bacteria Associated With Periodontitis 与牙周炎有关的致病细菌
Pub Date : 2024-06-14 DOI: 10.58806/ijhmr.2024.v3i06n05
Karar Abdulzahra Mahdi, Wasnaa M. Abdulridha, Ammar MOHI, Ali Al-Fahham
Oral pathogenic bacterial species have a direct impact the pathology of tooth decay and gum disease. Oral pathogenic bacteria engage in negative cooperation with the host by exchanging information, immunological responses, and metabolic status through bidirectional communication between the systemic organs and mouth cavity. The oral cavity serves as a crucial interface between the human body and the surrounding environment. The microbial compositions in different regions of the oral cavity vary due to the distinct microenvironments present. These microenvironments are influenced by a combination of intricate signals, hosts, and external ecological factors. This review highlights the causative bacterial agents that are responsible for adult periodontitis.
口腔致病细菌对蛀牙和牙龈疾病的病理有直接影响。口腔致病菌通过全身器官和口腔之间的双向交流交换信息、免疫反应和代谢状态,与宿主进行消极合作。口腔是人体与周围环境之间的重要界面。由于存在不同的微环境,口腔不同区域的微生物组成也各不相同。这些微环境受到复杂信号、宿主和外部生态因素的综合影响。本综述将重点介绍导致成人牙周炎的致病细菌。
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引用次数: 0
Analysis Of Risk Factors For The Incidence Of Sexually Transmitted Infections Of Gonorrhea In Male Patients At Hitam Putih Clinic In Gorontalo 戈伦塔洛省 Hitam Putih 诊所男性患者淋病性传播感染发病率的风险因素分析
Pub Date : 2024-06-07 DOI: 10.58806/ijhmr.2024.v3i06n03
Nurhaedah Azis, Sunarto Kadir, V. Kasim
Gonorrhea is a sexually transmitted infection (STI) that occurs most frequently throughout the world every year and is the second most common infection caused by bacteria. This study aimed to analyze the risk factors including education, employment, marital status, alcohol consumption status, sexual practices history, condom use behavior, and the most dominant risk factors for the incidence of sexually transmitted infections (STIs) of Gonorrhea in male patients at the Hitam Putih Clinic in Gorontalo. The research design employed was an analytical observational approach with a case-control design. The sample in this study comprised 33 male patients with gonorrhea and 66 male control patients with non-gonorrhea, matched based on patients’ age. Data were analyzed using Odds Ratio (OR) with a 95% Confidence Interval (CI) in the Mantel-Haenszel test. If the OR value was > 1 and the p-value was ≤ α (0.05), it meant that the factor increased the risk. Factors include educational background (OR=1.963; p=0.120), employment status (OR=3.077; p=0.01), marital status (OR=2.870; p=0.02), alcohol consumption status (OR=4.080; p =0.03), sexual practices history (OR=21.350; p=0.000), condom use behavior (OR=4.389; p=0.007) were risk factors for gonorrhea, where sexual practices history (OR=35.704; p=0.000) stood out as the most dominant risk factor. Therefore, those variables represented significant risk factors for the occurrence of Gonorrhea among male patients in the Hitam Putih Clinic in Gorontalo. Educational background, employment status, marital status, alcohol consumption status, sexual practices history, and condom use behavior are the risk factors of gonorrhea where the sexual practices history stands out as the most dominant risk factor.
淋病是全世界每年发生率最高的性传播感染(STI),也是由细菌引起的第二大常见感染。本研究旨在分析戈伦塔洛市 Hitam Putih 诊所男性患者淋病性传播感染(STI)发病率的风险因素,包括教育、就业、婚姻状况、饮酒状况、性行为史、安全套使用行为以及最主要的风险因素。研究设计采用的是病例对照分析观察法。研究样本包括 33 名男性淋病患者和 66 名男性非淋病对照患者,根据患者的年龄进行配对。数据分析采用曼特尔-汉斯泽尔(Mantel-Haenszel)检验法中的比值比(OR)和 95% 置信区间(CI)。如果 OR 值大于 1 且 P 值≤ α (0.05),则表示该因素会增加风险。这些因素包括教育背景(OR=1.963;P=0.120)、就业状况(OR=3.077;P=0.01)、婚姻状况(OR=2.870;P=0.02)、饮酒状况(OR=4.080;P=0.03)、性行为史(OR=21.350;p=0.000)、安全套使用行为(OR=4.389;p=0.007)是淋病的风险因素,其中性行为史(OR=35.704;p=0.000)是最主要的风险因素。因此,这些变量是戈伦塔洛市 Hitam Putih 诊所男性患者发生淋病的重要风险因素。教育背景、就业状况、婚姻状况、饮酒状况、性行为史和安全套使用行为是淋病的风险因素,其中性行为史是最主要的风险因素。
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引用次数: 0
Hormonal Changes During Acute Stress Response 急性应激反应期间的荷尔蒙变化
Pub Date : 2024-06-07 DOI: 10.58806/ijhmr.2024.v3i06n02
Zainab Tawfeeq Al-Joubour,, Iqbal A. AlRufaei, Irfan Abdulzahra Al- Khazaali, Mohammed Abdulrazzaq Assi, Ali Al-Fahham
In today’s environment, people constantly find themselves confronted with a wide range of upsetting situations. It is possible for stress to cause changes in the levels of a wide variety of hormones that are found in the serum, including glucocorticoids, catecholamines, growth hormone, and thyroid hormones. The “fight or flight” response requires certain adjustments to be made in order to ensure the individual’s safety. There is a possibility that certain stress-related responses can lead to endocrine illnesses such as Graves’ disease, gonadal dysfunction, psychosexual dwarfism, and obesity. Furthermore, stress has the potential to alter the clinical status of a wide variety of preexisting endocrine illnesses, such as contributing to the onset of adrenal crisis and thyroid storm. Significant consequences of stress include changes in behavior and systemic alterations, as well as changes in cellular mechanisms, hormonal , and brain stimulation. These changes can be observed at all levels, including cellular mechanisms, hormonal changes, and brain stimulation. An entirely new field of research has lately revealed the impacts of stress on human behavior, social cognition, and health. This is in spite of the fact that the influence of stress on health has been the subject of substantial research for a considerable amount of time
在当今的环境中,人们不断发现自己面临着各种令人不安的情况。压力有可能导致血清中多种激素水平发生变化,包括糖皮质激素、儿茶酚胺、生长激素和甲状腺激素。为了确保个人安全,"战斗或逃跑 "反应需要做出某些调整。某些与压力有关的反应有可能导致内分泌疾病,如巴塞杜氏病、性腺功能障碍、心理性侏儒症和肥胖症。此外,压力还有可能改变各种原有内分泌疾病的临床状态,如导致肾上腺危象和甲状腺风暴的发生。压力的重要后果包括行为改变和系统性改变,以及细胞机制、荷尔蒙和大脑刺激的改变。这些变化可以在细胞机制、荷尔蒙变化和大脑刺激等各个层面观察到。最近,一个全新的研究领域揭示了压力对人类行为、社会认知和健康的影响。尽管压力对健康的影响在相当长的时间内一直是大量研究的主题
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引用次数: 0
Spontaneous Ruptured Brain Arteriovenous Malformation In Adolescent Patient: Case Report 青少年患者自发性脑动静脉畸形破裂:病例报告
Pub Date : 2024-06-07 DOI: 10.58806/ijhmr.2024.v3i06n04
Arrizki Azka Pratama, Meyvita Silviana
Introduction: Brain arteriovenous malformations (bAVMs) are one of the most common causes of intracranial hemorrhage in the adolescent. AVMs are relatively rare as congenital intracranial abnormalities but these lesions are becoming frequently reported. AVMs generally has no any symptoms and only recognized after intracranial or subarachnoid hemorrhage occurs. This disease usually gives symptoms of headaches and seizures without cause. However, along with the development of medical technology, arteriovenous malformation lesions are common. Case report: This 24 year old woman in unconscious with right hemiparesis and atypical chronic progressive headache with vas 8-9, without aura. Previously the patient had a seizure with a duration of 5 minutes, rigid all over body. The patient had no prior history of trauma, infection, hypertension, diabetes or stroke. GCS E2M5Vaphasia with motoric aphasia, motoric and sensory deficits in the form of right hemiparesis, paresis of N. VII, increased physiological reflexes, and positive Babinsky reflex. CT-Scan Angiography imaging of the head showed intraparenchymal bleeding in the left temporoparietal lobe with perifocal edema, AVM in the left temporalis region with a nidus with a feeding artery from the left MCA and a draining vein from the left transverse sinus. The patient was referred for further vascular intervention. Discuss: AVMs was previously considered a congenital malformation with risk of bleeding in anomalous tissue or nidus occurring within the brain parenchyma. Rupture of the artery and discharge into the subarachnoid space causes a sudden increase in ICP, cerebral vascular vasospasm resulting in global and focal brain dysfunction. In addition, with the increasing use of non-invasive intracranial imaging, AVMs can be detected directly.
简介脑动静脉畸形(bAVMs)是导致青少年颅内出血的最常见原因之一。动静脉畸形作为先天性颅内畸形相对罕见,但这类病变的报道越来越多。动静脉畸形一般没有任何症状,只有在发生颅内或蛛网膜下腔出血后才会被发现。这种疾病通常会无缘无故地出现头痛和癫痫发作的症状。然而,随着医疗技术的发展,动静脉畸形病变也很常见。病例报告:这名 24 岁的女性昏迷不醒,伴有右侧偏瘫和非典型慢性进行性头痛,伴有血管 8-9,无先兆。患者之前曾发作过一次,持续时间为 5 分钟,全身僵硬。患者既往无外伤、感染、高血压、糖尿病或中风病史。GCS E2M5Vaphasia伴运动性失语,运动和感觉障碍表现为右侧偏瘫,N.VII瘫痪,生理反射增强,巴宾斯基反射阳性。头部 CT 扫描血管造影显示,左侧颞顶叶实质内出血并伴有灶周水肿,左侧颞区有一个动静脉瘤,瘤巢的供血动脉来自左侧 MCA,引流静脉来自左侧横窦。患者被转诊接受进一步的血管介入治疗。讨论动静脉畸形以前被认为是一种先天性畸形,在脑实质内的异常组织或巢穴有出血的风险。动脉破裂并排入蛛网膜下腔会导致 ICP 突然升高、脑血管痉挛,从而造成整体和局灶性脑功能障碍。此外,随着无创颅内成像技术的日益普及,可以直接检测出 AVM。
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引用次数: 0
Rise Of Guillain Barre Cases Associated With Campylobacter Jejuni Infection In Mexico 2024 2024 年墨西哥与耶氏弯曲杆菌感染相关的格林巴利病例增加
Pub Date : 2024-06-07 DOI: 10.58806/ijhmr.2024.v3i06n01
Hector Gabriel Zamora Valenzuela, Alexis López Alonso
Guillain-Barré syndrome is an autoimmune neurological disease that is currently the leading cause of acute flaccid paralysis in first and second level hospitals in Mexico, usually with a history of precursor infection by Campylobacter Jejuni described as gram- negative, aerobic and motile bacilli bacteria. In Mexico, an epidemiological alert was launched on March 5, 2024, which refers to an increase in cases of Guillain-Barré with a high suspicion of a previous infection by Campylobacter Jejuni, this in the state of Tlaxcala, Mexico. As of March 29, 2024, 81 cases of acute flaccid paralysis have been reported, of these, 42 cases have been positive for Campylobacter Jejuni bacteria and 34 have been classified as Guillain-Barré syndrome, and four deaths associated with this condition have been reported.
吉兰-巴雷综合征是一种自身免疫性神经系统疾病,目前是墨西哥一级和二级医院中急性弛缓性麻痹的主要病因,通常有被称为革兰氏阴性、需氧和运动杆菌的耶氏弯曲杆菌的前驱感染史。墨西哥于 2024 年 3 月 5 日发布了流行病学警报,指出墨西哥特拉斯卡拉州的吉兰-巴雷病例增加,且高度怀疑曾感染过贾伊氏弯曲杆菌。截至 2024 年 3 月 29 日,共报告了 81 例急性弛缓性麻痹病例,其中 42 例对耶氏弯曲杆菌呈阳性反应,34 例被归类为吉兰-巴雷综合征,并报告了 4 例与此病症相关的死亡病例。
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引用次数: 0
Analysis Of Direct Medical Cost Of Insulin Treatment In Outpatient With Type 2 Diabetes Mellitus On Payer Perspective 从支付方角度分析 2 型糖尿病门诊患者胰岛素治疗的直接医疗成本
Pub Date : 2024-05-20 DOI: 10.58806/ijhmr.2024.v3i05n05
Wahyudi Wahyudi, Ade Risma, Feby Ayu Putri, Munanda Andin, Juhri Panjaitan, Sultan Faqih
Type 2 diabetes mellitus (T2DM) is a global health issue that affect around 643 million people in 2030. Estimated prevalence of T2DM in adults aged 20–79 years has more than tripled, from an estimated 151 million (4.6% of the global population at the time) to 537 million (10.5%) today. This study analyze direct medical costs of insulin treatment with in T2DM outpatients. This retrospective descriptive economic evaluation was conducted in April 2023 on the basis of payer (called as Badan Penyelenggara Jaminan Sosial abbreviated as BPJS) perspective, then only direct costs were included in this study. Component of direct medical cost of this research include drug acquisition costs, physician service, laboratory examination, medical execution and administration. 58 T2DM outpatients met inclusion criteria in Universitas Sumatera Utara was recruited by simple random sampling. Result of this study show that most of respondent were aged 56-65 years (58.89%). Cost/year/patient of drug acquisition costs was Rp.4,7228,970.14; physician service was Rp.1,865,172.41; laboratory examination was Rp.443,379.31; and medical execution was Rp.31,030.48 and administration was Rp.300,000.00, respectively. Drug acquisition costs was the largest cost in treating T2DM patients with insulin treatment.
2 型糖尿病(T2DM)是一个全球性健康问题,到 2030 年将影响约 6.43 亿人。据估计,20-79 岁成人中的 T2DM 患病率增加了两倍多,从当时估计的 1.51 亿人(占全球人口的 4.6%)增加到现在的 5.37 亿人(占全球人口的 10.5%)。本研究分析了 T2DM 门诊病人使用胰岛素治疗的直接医疗成本。这项回顾性描述性经济评估于 2023 年 4 月进行,基于支付方(称为 "Badan Penyelenggara Jaminan Sosial",缩写为 BPJS)的观点,因此本研究只包括直接成本。本研究中直接医疗成本的组成部分包括药物采购成本、医生服务、实验室检查、医疗执行和管理。研究人员通过简单随机抽样的方式,在苏门答腊岛大学(Universitas Sumatera Utara)招募了 58 名符合纳入标准的 T2DM 门诊患者。研究结果显示,大多数受访者年龄在 56-65 岁之间(58.89%)。每名患者每年的药物采购成本为 4,7228,970.14 印尼盾;医生服务成本为 1,865,172.41 印尼盾;实验室检查成本为 443,379.31 印尼盾;医疗执行成本为 31,030.48 印尼盾,行政管理成本为 300,000.00 印尼盾。药物采购成本是 T2DM 患者使用胰岛素治疗的最大成本。
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引用次数: 0
期刊
International Journal Of Health & Medical Research
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