Even while it is clearly stated what criteria were used to choose participants and how a statistical analysis procedure was utilized to compute the samples taken, how accurate the selection is when compared with a larger population isn’t established or explained in detail. Based on the study, the number required is deemed less than half the sample size in establishing validity (N=743 vs. n=227) considering the analysis done (Mariam et al., 2019). The individuals’ data, however, seems homogenous after close inspection. However, considering the subject breakdown, there were inequalities in how the samples were distributed in terms of gender males took the more significant sample proportion compared to the lesser number of females.
Additionally, northwest Ethiopia holds based of study conduction area limiting the applicability of the utilization of findings in broader perspective now considering intestinal obstruction is a common condition in the globe. Therefore, if the study’s sample had been narrower in scope, more detailed findings may have been obtained. Later, the study was limited to those patients who had complete or missing data for the primary factors. The ones who receive home-based management were not considered based on the inclusion criteria once they come in counter with such data.
Instruments
Several instruments are applied in the study assessing the surgical management outcome post-operation. Secondary to collecting all essential information from the patient’s medical files concerning its independent and dependent possibilities investigation, based on prior work, a structured English language instrument was created. Additionally, analysis was done in SPSS version 21 after the data was input exported from Epi Info version 7. The research variables were analyzed using frequency, percentages, means, standard deviations (SD), and medians and ranges, where applicable. However, a binary logistic regression model was implemented when selecting the independent variables that were connected, considering the surgical outcome of IO as the binary dependent variable. A P value of less than 0.05 for each component in the multivariate binary logistic regression analysis and a P value of less than 0.02 in the bivariate binary logistic regression analysis was used to assess statistical significance. Conversely, there stood only three characteristics found to be statistically significant in a multivariable analysis that was connected using the surgical treatment result (Mariam et al., 2019). Other factors were considered insignificant on using the binary logistic regression on analysis.
Design
In the research study, the University of Gondar Comprehensive Specialized Hospital’s past three years’ worth of secondary data on patient medical records were examined as part of a cross-sectional study. The data were obtained, which remained within the programmed period for its conduction (Mariam et al., 2019). However, two days are not enough time to form a habit or achieve long-term consequences. Focusing on participants, the whole number finished the research, which satisfies earlier studies on increasing adherence by making it more convenient and rewarding.
Data Analysis
These tests and results are given in a way that aids in the reader’s understanding of how to link one hypothesis to the data that supports it. A vital aspect of this research, which looked at surgical management in intestinal obstruction outcomes, was made possible by presenting data in a tabular style that shows the results across time and critical classifications. Statistically speaking, there was a link between the surgical outcome of IO and the binary logistic regression with bivariate variables of parameters such as severity, presurgical prognostics, duration of ailment, kind of surgery, and duration of stay in the hospital (Mariam et al., 2019). Having all the findings integrated and presented, if the data were examined in further detail, it would show that the researchers were interested in understanding and validating the data rather than just supporting their hypothesis.
Discussion
In the study, discussion of the study’s methodological issues is omitted from the discussion section with no limitations section following the discussion section, as there is no restriction mentioned. Therefore, the study focused on getting the findings and not narrowing it down to the aspects concerning the limitation that could affect the survey during its conduction. Patients’ resistance to visiting a hospital could be caused by a range of reasons, including a lack of information about the symptoms of IO, inadequate infrastructures, poor transportation options, patients’ inaccessibility to more advanced medical facilities, and a flawed system of inter-level referrals of healthcare amenities, for individuals who reside in rural regions in particular.
Findings were, however, generalizing a broader population than the one involved during the study and conclusions. Therefore, despite its conduction in northwest Ethiopia, the results were not comprehensive to have the comparison with a global finding despite its comparison with southwestern Ethiopia together with Rwanda (Mariam et al., 2019). It could be more meaningful for researchers to offer a more detailed explanation based on their findings. Some comparisons, for example, highlighted diabetes and other coexisting diseases could reduce the IO’s postoperative consequences. For example, location infections are more likely to occur and slow the healing process of the wound. A factor not considered in the inclusion criteria and its samples collected and findings revealed to arise to the conclusion.
Form and Style
The tables and graphs the author used to convey the facts and procedures were excellent. They make it possible for the reader to analyze the study’s design and data on their own this way. There aren’t many spelling or punctuation mistakes, and the report is written clearly. Aside from these two advantages, the article’s shape and style may use some work. As a starting point, the article’s introduction is disjointed and difficult to follow. Somewhat being segregated into clearly defined subsections, the issue statement and literature review are interwoven throughout the first part.
The record has an ‘Introduction’ label to guide the reader through the report’s first section. However, unclear sectioning of the literature review makes all of these combines to make for an unorganized opening to the information. Despite the tiny discrepancy, the researchers set out to support their ideas. Thus, they did not present any opposing data or comments based on the previously conducted studies. They seem to have a specific goal, which diminishes the report’s trustworthiness. However, according to the survey, a plan considering these elements should be devised. IO patients who are admitted to the hospital might benefit from additional surgical treatment options. Not clearly defined strategies could set an established baseline for any responsible entity trying to utilize the study findings.
Furthermore, the report’s voice does not convey an air of objectivity. Instead, the researchers’ tone suggests that they are more interested in validating their hypotheses than testing them. The researchers confirmed their hypothesis, which may seem slightly different, so they do not present any opposing results or viewpoints. They provide the impression that they are working toward a certain goal, which diminishes the report’s trustworthiness.
Reference
Mariam, T. G., Abate, A. T., & Getnet, M. A. (2019). Surgical management outcome of intestinal obstruction and its associated factors at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia, 2018. Surgery Research and Practice, 2019, 1-8.