Impact of Weekend Presentation on Short-Term Outcomes and Choice of Clipping vs Coiling in Subarachnoid Hemorrhage

Neurosurgery ◽  
2017 ◽  
Vol 81 (1) ◽  
pp. 87-91 ◽  
Author(s):  
Aditya S. Pandey ◽  
D. Andrew Wilkinson ◽  
Joseph J. Gemmete ◽  
Neeraj Chaudhary ◽  
B. Gregory Thompson ◽  
...  
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Nationwide Inpatient Sample ◽  
Outcome Measure ◽  
Primary Diagnosis ◽  
Discharge Destination ◽  
Inpatient Mortality ◽  
Short Term ◽  
Chi Square ◽  
Cross Sectional

Abstract BACKGROUND: Presentation on a weekend is commonly associated with higher mortality and a decreased likelihood of receiving invasive procedures. OBJECTIVE: To determine whether weekend presentation influences mortality, discharge destination, or type of treatment received (clip vs coil) in subarachnoid hemorrhage (SAH). METHODS: We performed a serial cross-sectional retrospective study using the Nationwide Inpatient Sample. All adult discharges with a primary diagnosis of SAH (ICD-9-CM 435) from 2005 to 2010 were included, and records with trauma or arteriovenous malformation were excluded. Unadjusted and adjusted associations between weekend presentation and 3 outcomes (in-hospital mortality, discharge destination, and treatment with clip vs coil) were estimated using chi-square tests and multilevel logistic regression. RESULTS: A total of 46 093 admissions for nontraumatic SAH were included in the sample; 24.6% presented on a weekend, 68.9% on a weekday, and 6.5% had unknown day of presentation. Weekend admission was not a significant predictor of inpatient mortality (25.4% weekend vs 24.9% weekday; P = .44), or a combined poor outcome measure of mortality or discharge to long-term acute care or hospice (30.3% weekend vs 29.4% weekday; P = .23). Among those treated for aneurysm obliteration, the proportion of clipped vs coiled did not change with weekend vs weekday presentation (21.5% clipped with weekend presentation vs 21.6% weekday, P = .95; 21.5% coiled with weekend presentation vs 22.4% weekday, P = .19). CONCLUSION: Presentation with nontraumatic SAH on a weekend did not influence mortality, discharge destination, or type of treatment received (clip vs coil) compared with weekday presentation.

scholarly journals PERCEPTION AND INTENTION USING IMPLANT AS CONTRACEPTION IN DESA NGASEM KEDIRI

2020 ◽  
Vol 3 (1) ◽  
pp. 32-38
Author(s):  
Shinta Kristianti ◽  
Mika Mediawati ◽  
Dewi Rohmawati
Keyword(s):  
Family Planning Program ◽  
Research Result ◽  
Unmet Need ◽  
Bivariate Analysis ◽  
Positive Perception ◽  
Short Term ◽  
Chi Square ◽  
Cross Sectional ◽  
The Relationship

The most effective family planning program used for fertile age couple is long phase contraception. The use of long term contraception did not face the target, it is still dominate by short term contraception. The use of long term contraception such as Implant was not enthused in Ngasem Kediri. The aim of this research to know the relationship between mother’s perception with interest in using implant as contraception in Ngasem Kediri. It used a survey analytic research design with cross sectional approach. The population was women who used condom as contaception and the unmet need. It was taken 52 respondents. The data collecting used was questionnaire. The research result showed the respondents who had positive perception with low interest were 27 respondents (58,7%). Bivariate Analysis result by Chi Square showed ρvalue result was 0,000. So there was a relationship between mother’s perception with interest in using implant as concraception in Ngasem Kediri .

Determinants of Anthropometric Failure Among Tribal Children Younger than 5 Years of Age in Palghar, Maharashtra, India

2021 ◽  
Vol 42 (1) ◽  
pp. 55-64
Author(s):  
Angeline Jeyakumar ◽  
Swapnil Godbharle ◽  
Bibek Raj Giri
Keyword(s):  
Odds Ratio ◽  
Composite Index ◽  
Z Score ◽  
Short Term ◽  
Cross Sectional Survey ◽  
Crude Odds Ratio ◽  
Cross Sectional ◽  
Independent Variables ◽  
Child Undernutrition

Background: Measuring undernutrition using composite index of anthropometric failure (CIAF) and identifying its determinants in tribal regions is essential to recognize the true burden of undernutrition in these settings. Objective: To determine anthropometric failure and its determinants among tribal children younger than 5 years in Palghar, Maharashtra, India. Methods: A cross-sectional survey employing CIAF was performed in children <5 years to estimate undernutrition in the tribal district of Palghar in Maharashtra, India. Anthropometric measurements, maternal and child characteristics were recorded from 577 mother–child pairs in 9 villages. Results: As per Z score, prevalence of stunting, wasting, and underweight were 48%, 13%, and 43%, respectively. According to CIAF, 66% of children had at least one manifestation of undernutrition and 40% had more than one manifestation of undernutrition. Odds of anthropometric failure were 1.5 times higher among children of mothers who were illiterate (adjusted odds ratio [AOR] =1.57, 95% CI: 1.0-2.3), children who had birth weight >2.5 kg had lesser odds (AOR: 0.63, 95% CI: 0.4-0.9) of anthropometric failure, and children who had initiated early breastfeeding had 1.5 times higher odds of anthropometric failure (crude odds ratio: 1.5, 95% CI: 1.0-2.1). However, when adjusted for other independent variables, the results were not significant. Conclusion: The alarming proportion of anthropometric failure among tribal children calls for urgent short-term interventions to correct undernutrition and long-term interventions to improve maternal literacy and awareness to prevent and manage child undernutrition.

MO388DEVELOPMENT OF ACUTE KIDNEY INJURY DURING A RHABDOMYOLYSIS EPISODE: DIFFERENCES IN LONG-TERM KIDNEY FUNCTION

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Sara Núñez Delgado ◽  
Miren Iriarte-Abril ◽  
Júlia Farrera-Núñez ◽  
Sergi Pascual-Sánchez ◽  
Laia Sans-Atxer ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Chronic Kidney Disease ◽  
Acute Kidney Injury ◽  
Renal Function ◽  
Kidney Function ◽  
Kidney Injury ◽  
Inpatient Mortality ◽  
Short Term ◽  
Worse Prognosis

Abstract Background and Aims Acute renal failure (AKI) associated to rhabdomyolysis conditions a worse prognosis in short-term, its implication in the long-term renal function has been less evaluated. Method Retrospective analysis of patients diagnosed with rhabdomyolysis defined by creatinine kinase &gt; 5000 IU/L between 2015-2019. Basal and 12-month renal function was evaluated. AKI was classified as either non-severe (AKI-KDIGO 1/2) or severe (AKI-KDIGO 3). Results Eighty-seven patients were included, 25 (28.74%) had some degree of chronic kidney disease (CKD) on admission. 56 (64.37%) had AKI on admission, 17 of which were severe (6 required hemodialysis). The patients with AKI had more cardiovascular disease (CVD) and worse analytical parameters on admission (table). Patients with severe AKI showed no difference in CVD from those with non-severe AKI but were younger and had more hyperkalemia. There were no significant differences between patients with severe AKI who required hemodialysis and those who did not. Inpatient mortality was 8%, higher in patients with AKI but without differences according to severity. In 45 patients kidney function was available 12 months after the episode, loss of eGF was -4.90 ± 14.35 ml/min-1.73m2 (p=0.007). There was no difference between patients who developed AKI and those who did not (-4.10 ± 14.4 vs. -5.39 ± 14.57 ml/min-1.73m2; p=0.67), nor between non-severe and severe AKI (-5.50 ± 14.76 vs. -5.12 ± 15.08ml/min-1.73m2; p=0.98). Of the 33 patients without previous CKD, 5 developed CKD, with greater decrease in eGF than those who did not (-22.69 ± 6.04 vs. -2.63 ± 13.92 ml/min-1.73m2; p=0.003). Female sex (60% vs. 12%; p=0.031) and previous basal eGF (72.22 ± 4.37 vs. 95.6±19.97 ml/min-1.72m2; p=0.016) were related to this deterioration. Conclusion After an episode of rhabdomyolysis, the loss of eGF is similar in patients who develop AKI compared to those who do not.

scholarly journals Association Between Past Oral Contraceptive Use and the Prevalence of Hypertension in Postmenopausal Women: The Fifth (2010–2012) Korea National Health and Nutrition Examination Survey (KNHANES V)

2021 ◽  
Author(s):  
JungJu Lee ◽  
Hyunsuk Jeong ◽  
Joo Hee Yoon ◽  
Hyeon Woo Yim
Keyword(s):  
Postmenopausal Women ◽  
National Health ◽  
Contraceptive Use ◽  
Confounding Factors ◽  
Nutrition Examination Survey ◽  
Short Term ◽  
Multivariable Logistic Regression Model ◽  
Cross Sectional ◽  
Health And Nutrition

Abstract Background: There is little evidence as to whether the use of oral contraceptives(OC) during the fertile years affects the development of postmenopausal hypertension. This study aimed to evaluate the effects of past use of OC on the development of hypertension in postmenopausal women. Methods: This was a cross-sectional study conducted using data from the Fifth Korea National Health and Nutrition Examination Survey of postmenopausal women. Subjects were classified into three groups based on past OC use duration: nonusers, short-term users(0–30months), and long-term users(≥30 months). We evaluated the development of hypertension in women after menopause. A multivariable logistic regression model was used to identify the association between the use of OC during the fertile years and the prevalence of hypertension after menopause following adjustment for potential confounding factors. Results: Of the 3,386 postmenopausal women, 2,713 were nonusers of OC, 489 were short-term users, and 184 were long-term users. Women who had used OC for 30 months or more had a significantly greater prevalence of hypertension after menopause than those who had never taken OC. The association between taking OC for 30 months or more during the fertile years and the prevalence of hypertension after menopause was significant following adjustment for potential confounding factors (aOR:1.92; 95%CI:1.22–3.00). Conclusion: This study identified an association between past OC use and an increased prevalence of hypertension in postmenopausal women. Our results suggest that long-term use of OC during the fertile years can be an important risk factor for subsequent hypertension after menopause.

scholarly journals HUBUNGAN PENGGUNAAN DIAPERS DENGAN KEMAMPUAN TOILETING PADA ANAK

2018 ◽  
Vol 2 (1) ◽  
pp. 117
Author(s):  
Rendika Baharudin Abror ◽  
Cholik Harun Rosjidi ◽  
Rika Maya Sari
Keyword(s):  
Data Collection ◽  
Toilet Training ◽  
P Value ◽  
Developmental Tasks ◽  
Chi Square ◽  
Cross Sectional ◽  
Large Sample ◽  
Relationship Of ◽  
The Relationship

AbstractEach child has a task that must be passed well, especially at the age of the child (12-36 months). One of the developmental tasks in toddlers is toilet training. Long-term use of diapers can cause toilet effects. This study aims to determine the relationship between diapers with the ability of toileting in children.The design of this research is Correlation with cross sectional approach. Large sample of 70 respondents. Sampling of the study using total sampling, data collection using questionnaires and calculations using Chi-square Correlation test using SPSS 16.0 error α 0.05.The results of the research variables The use of diapers in children interpreted most of the 47 children of respondents (67.1%) Did not use and almost half of the 23 respondents (32.9%) use. The ability of toileting in children is interpreted by most of the 42 respondents (60.0%) fulfilled, and almost half of 28 respondents (40.0%) are not met.Based on the calculation of Chi-square SPSS statistic shows that p value 0,000 <0,05) means that there is relationship of diaper usage with the ability of toileting in children with the closeness of cc relationship of 0.479 enough category.The results of this study concluded that almost half of them use diapers, and almost half of them do not meet the ability of toileting, the researcher suggests in the research place to put a picture or leaflet about the effect of Diaper Usage on Toileting Ability so that the wise mother in using Diapers.Keywords: diapers, toileting, children AbstrakSetiap anak mempunyai tugas perkembangan yang harus dilewati dengan baik, terlebih pada usia toddler (12-36 bulan). Salah satu tugas perkembangan pada anak usia toddler adalah toilet training. Pemakaian diapers dalam jangka panjang dapat menimbulkan efek yang berbahaya serta bisa menghambat kemampuan toilet training anak. Penelitian ini bertujuan untuk mengetahui Hubungan Penggunaan diapers dengan kemampuan toileting pada anakDesain penelitian ini adalah Korelasi dengan pendekatan cross sectional. Besar sampel 70 responden. Sampling penelitian menggunakan Total sampling, pengumpulan data menggunakan kuesioner dan perhitungan menggunakan uji Korelasi Chi-square dengan menggunakan SPSS 16.0 kesalahan α 0,05.Hasil penelitian variabel Penggunaan diapers pada anak diinterpretasikan sebagian besar 47 anak responden (67,1%) Tidak menggunakan dan hampir setengahnya 23 responden (32,9%) menggunakan. Pada kemampuan toileting pada anak diinterpretasikan sebagian besar 42 responden (60,0%) tercapai, dan hampir setengahnya 28 responden (40,0%) belum tercapai.Berdasarkan perhitungan uji statistik Chi-square SPSS menunjukkan p value 0,000< 0,05) artinya ada hubungan penggunaan diapers dengan kemampuan toileting pada anak dengan keeratan hubungan cc sebesar 0,479 kategori cukupHasil penelitian disimpulkan hampir setengahnya menggunakan diapers, dan hampir setengahnya belum tercapai kemampuan toileting maka peneliti menyarankan pada tempat penelitian untuk memasang gambar atau leaflet tentang dampak Penggunaan Diapers Terhadap Kemampuan Toileting, sehingga ibu bijak dalam menggunakan Diapers.Kata kunci: Diapers, Toileting, Anak.

THE RELATIONS BETWEEN WORKING POSITION WITH NON-SPECIFIC NECK PAIN ON LAUNDRY WORKERS IN DENPASAR CITY

2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Ni Made Wahyuni Dewi ◽  
Nila Wahyuni ◽  
Luh Putu Ratna Sundari
Keyword(s):  
Neck Pain ◽  
Hypothesis Test ◽  
Neck Disability Index ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Long Time ◽  
Chi Square Test ◽  
Neck Disability

Non-specific neck pain is a neck pain caused by bad posture in the long term. Laundry workers who everyday often perform activities ironing for a long time at risk of non-specific neck pain due to working position that are not ergonomic. The purpose of this research is to determine the relation between working position with non-specific neck pain on laundry worker in Denpasar City. This research is cross sectional analytic research with purposive sampling. The number of sample is 60 workers with the range of age 20-40 years. Independent variable measured is working position with RULA method, while the dependent variable measured is non-specific neck pain with Neck Disability Index Questionnaire. Hypothesis test used is Chi-Square Test. The resulted of Chi-Square Test on working position with non-specific neck pain variable shown the result of p value is 0,00 or p < 0,05. Based on the results of this study it can be concluded that found a significant relationship between working position against non-specific neck pain on laundry worker in Denpasar City. Keywords: Working Position, Non-Specific Neck Pain, Laundry Worker.

scholarly journals Short Term Versus Long Term Catheterization after Urogenital Prolapse Surgery

2012 ◽  
Vol 3 (2) ◽  
pp. 41-43
Author(s):  
Farzana Rabee Choudhury ◽  
Maliha Rashid ◽  
Ratu Rumana ◽  
ABM Zakir Uddin ◽  
Nilufar Nasrin Ava
Keyword(s):  
Genital Prolapse ◽  
Cross Sectional Study ◽  
Prolapse Surgery ◽  
Case Group ◽  
Short Term ◽  
Cross Sectional ◽  
Medical College ◽  
Better Than

Background: Genital prolapse is a common gynaecological problem in developing country like Bangladesh.Objectives: The aim of this study was to evaluate the advantages of short term catheterization in comparison to long term catheterization after genital prolapse surgery. Methodology: This was a prospective analytical cross sectional study being carried out from 1st July 2005 to 30th July 2006 in the Department of Gynaecology & Obstetrics of Sir Salimullah Medical College & Mitford Hospital. A total of 200 patients undergoing genital prolapse surgery were selected for this study. Patients were divided into two groups. In short term catheterization group the urinary catheter was withdrawal within one day after surgery and in the short term catheterization group the catheter was remained in situ for 5 days after surgery. Result: Positive urine culture was found in 16% in long term catheterization group compared with 6% in short term group (P=0.02). Mean duration of hospital stay was 6.98 days in long term catheterization group and 4.68 days in short term catheterization group (P<0.01). Residual volume was more than 200 ml and need for re-catheterization occurred in 3% in group whereas it was 10% in case group (P=0.04). Conclusion: This study permits to conclude that short term catheterization is better than long term catheterization. J Shaheed Suhrawardy Med Coll, 2011;3 (2): 41-43 DOI: http://dx.doi.org/10.3329/jssmc.v3i2.12077

scholarly journals HUBUNGAN ANEMIA DENGAN STATUS GIZI PADA REMAJA PUTRI

2019 ◽  
Vol 3 (2) ◽  
pp. 27-32
Author(s):  
Roos Arum Parasdia ◽  
Puspa Sari Sari ◽  
Ari Indra Susanti ◽  
Merry Widjayanti
Keyword(s):  
Nutritional Status ◽  
Adolescent Girls ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Nutrition Status ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Prevalence Of Anemia

Anemia can cause a risk to adolescent girls both long term and in the short term. One of the factors influence anemia in adolescents is nutrition status. This study aims to determine of anemia in adolescent with nutritional status in adolescent girls The Design of this study is cross sectional. The sample of this study is 84 adolesent girls, people was selected by simple random sampling technique from all student at class x ech high school on 2-3 August 2016. hemoglobin levels was checked by a digital, nutritional status examination of weight and height. Data were analyzed with univariate and bivariate chi square. The results of the study shows that the prevalence of anemia in adolescent is 45.2%, nutritional status underwieght is 14,3%. There is no relationship between anemia with nutrisional status (p-value=0,649). The conclusion of this research is the prevalence of anemia is still high,and there was no significant association between anemia and nutritisional status. 

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