scholarly journals Umbilical Coiling Index as a Marker of Perinatal Outcome: An Analytical Study

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
T. Chitra ◽  
Y. S. Sushanth ◽  
S. Raghavan
Keyword(s):  
Perinatal Outcome ◽  
Analytical Study ◽  
Fetal Heart ◽  
Statistical Tests ◽  
Chi Square ◽  
Abruptio Placentae ◽  
Umbilical Coiling Index ◽  
Chi Square Test ◽  
The Mean ◽  
Cord Length

Objectives. To measure umbilical coiling index (UCI) postnatally and to study the association of normocoiling, hypocoiling and hypercoiling to maternal and perinatal outcome.Method(s). One thousand antenatal women who went into labour were studied and umbilical coiling index calculated at the time of delivery. UCI was determined by dividing the total number of coils by the total umbilical cord length in centimeters. Its association with various maternal and perinatal risk factors were noted. The statistical tests were the Chi-square test and assessed with SPSS version 13.0 software and statistically analyzed.Pvalue of less than 0.05 was regarded as statistically significant.Results. The mean umbilical coiling index was found to be 0.24±0.09. Hypocoiling (<0.12) was found to be significantly associated with hypertensive disorders, abruptio placentae, preterm labour, oligohydramnios, and fetal heart rate abnormalities. Hypercoiling (>0.36) was found to be associated with diabetes mellitus, polyhydramnios, cesarean delivery, congenital anomalies, and respiratory distress of the newborn.Conclusion. Abnormal umbilical coiling index is associated with several antenatal and perinatal adverse features.

scholarly journals Prevalence and awareness of osteopenia in perimenopausal women in Navi Mumbai, Maharashtra, India

2019 ◽  
Vol 8 (2) ◽  
pp. 519
Author(s):  
Ajay Dodeja ◽  
Anushka Makhija ◽  
Ashita Rane ◽  
Meeta Dodeja
Keyword(s):  
Statistical Tests ◽  
Public Health Problem ◽  
World Health ◽  
Major Public Health Problem ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
The Mean ◽  
Level Of Significance ◽  
Health Organization

Background: Osteopenia is considered as precursor of osteoporosis. Osteoporosis is a major public health problem associated with substantial morbidity and socio-economic burden worldwide. Osteopenia occurs more frequently in most menopausal women. Early detection of the same can be beneficial to control prevalence of osteoporosis and also to reduce the fracture rates.Methods: A cross-sectional quantitative study using DEXA (Dual Energy X-ray Absorptiometry) was conducted on 80 women. A self-structured questionnaire was used to evaluate the level of awareness among the study subjects. The data was analyzed using statistical tests such as Chi-Square test for association. The level of significance was set at 5%.Results: The prevalence of osteopenia in the studied population was 63.75%. The mean age was recorded to be 40.35 years. The mean age of women with menopause in this study is 50.62 years. Out of the 51(63.75%) women diagnosed with osteopenia, 5.9% were underweight, 33.3% were normal and 49% were obese. Of the diseased, 37.3% experienced adequate amount sunlight exposure required while 62.7% did not. Out of the 80 women interviewed 43.75% were aware about osteopenia, its causes and complications; which 56.25% were unaware about the same.Conclusions: Women were screened for osteopenia with the help of DEXA scan according to the (World Health Organization) WHO, T-Score criteria-which may go undiagnosed otherwise and may experience the risk and complications of osteoporosis.

Study of Length of Umbilical Cord at Term and Its Correlation with Fetal Outcome: A Study of 500 Deliveries

2016 ◽  
Vol 8 (3) ◽  
pp. 207-211
Author(s):  
Seema Sharma ◽  
Vijaya Soliriya
Keyword(s):  
Umbilical Cord ◽  
Birth Asphyxia ◽  
Fetal Outcome ◽  
Chi Square ◽  
Lower Segment Cesarean Section ◽  
Significant Difference ◽  
Chi Square Test ◽  
The Mean ◽  
A Prospective Study ◽  
Cord Length

ABSTRACT Introduction Umbilical cord plays an important role in the life of the fetus. Though variations in shape and other features of umbilical cord are common, some variations can adversely affect the pregnancy outcomes. Aims and objectives The aim of our study was to study the correlation between the length of the umbilical cord in term gestation evaluated after birth and fetal outcome. Materials and methods This study was carried out on 500 patients admitted in our hospital. It was a prospective study. In this study, the length of umbilical cord was measured after delivery in subjects who fulfilled the inclusion criteria. Examination of umbilical cord was done regarding the presence of any loop around neck, trunk, number of loops of cord and positions, presence of true or false knots of cord, or any other cord abnormalities, such as cord varix and cord hematoma. Fetal parameters regarding sex, weight, and length of the newborn and Appearance, Pulse, Grimace, Activity, and Respiration (Apgar) score at 1 and 5 minutes were measured and its correlation with umbilical cord parameters was studied. Results In our study, the cord length varied from 16 to 144 cm. The mean cord length was 64.2 cm (±17.26 cm) and mean cord thickness was 1.21 cm (±0.39 cm). Maximum cases seen were in the group of cord length between 50 and 59 cm (27.8%). Lower sixth percentile was considered as short cord and upper sixth percentile was considered as long cord. A positive correlation existed between the cord length and birth weight and placental weight and body length of the newborn. There was no significant difference between sex of the fetuses and the cord length. Abnormal cord length cases (long and short group) have higher incidences of cord complications, and hence there was increased incidence of operative interference in such cases. The cases of long cord group had maximum number of lower segment cesarean section (46.43%). The significance was tested by using a chi-square test, and it was found to be statistically significant (p < 0.05). The incidence of birth asphyxia (21%) was significantly more in long and short cords as compared with normal length cords (p < 0.01). How to cite this article Sharma S, Soliriya V. Study of Length of Umbilical Cord at Term and Its Correlation with Fetal Outcome: A Study of 500 Deliveries. J South Asian Feder Obst Gynae 2016;8(3):207-211.

HUBUNGAN JENIS KELAMIN DAN UANG SAKU DENGAN TINGKAT DEPRESI PADA MAHASISWA BARUPERGURUAN TINGGI NEGERI DI BANYUWANGI

2021 ◽  
Vol 3 (1) ◽  
pp. 11-18
Author(s):  
Bagas Aidi
Keyword(s):  
Significant Relationship ◽  
Analytical Study ◽  
Statistical Tests ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Pocket Money ◽  
Chi Square Test ◽  
New Students

ABSTRACTDepression is a disease characterized by prolonged sadness and loss of interest in activities that we normally do happily. A freshman is someone who is moving towards personal maturity and is still in transition, freshmen are very susceptible to increased depression. The purpose of this study was to analyze the relation between gender and pocket money with depression levels. This research was an analytical study used a cross sectional study. The data was collected online by distributing the questionnaire link to 110 students. The results of this study was indicate that the largest number of students were women, the maximum amount of pocket money among students was Rp. 500,000 - Rp. 1,000,000. minimum> Rp. 1,000,000.00. Based on the results of statistical tests used the Chi-square test data obtained ρ = 0.068. The value of ρ obtained was more than 0.05, meaning that there was no relationship between pocket money and the level of depression. Between sex and the level of depression, the data obtained ρ = 0.091, the value of ρ obtained was greater than 0.05, meaning that there was no significant relationship between gender and depression levels in new students. The conclusion ofthis study is that there was no significant relationship between gender and the level of depression in freshmen. There was no significant relationship between the allowance factor and the level of depression in new students.Keywords: New Students, Depression, Gender, Allowance. ABSTRAKDepresi adalah penyakit yang ditandai dengan kesedihan yang berkepanjangan dan hilangnya minat pada aktivitas yang biasanya kita lakukan dengan bahagia. Mahasiswa baru adalah seseorang yang bergerak menuju kedewasaan pribadi dan masih dalam masa transisi, mahasiswa baru sangat rentan terhadap peningkatan depresi. Tujuan penelitian ini adalah untuk menganalisis hubungan antara jenis kelamin dan uang saku dengan tingkat depresi. Penelitian ini merupakan penelitian analitik dengan menggunakan studi cross sectional. Pengumpulan data dilakukan secara online dengan menyebarkan link kuisioner kepada 110 mahasiswa. Hasil penelitian ini menunjukkan bahwa jumlah mahasiswa terbanyak adalah perempuan, jumlah uang saku maksimum diantara mahasiswa adalah Rp. 500.000 - Rp. 1.000.000. minimal> Rp. 1.000.000,00. Berdasarkan hasil uji statistik menggunakan uji Chi-square diperoleh data ρ = 0,068. Nilai ρ yang diperoleh lebih dari 0,05 artinya tidak ada hubungan antara uang saku dengan tingkat depresi. Antara jenis kelamin dengan tingkat depresi diperoleh data ρ =0,091, nilai ρ yang diperoleh lebih besar dari 0,05 artinya tidak ada hubungan yang signifikan antara jenis kelamin dengan tingkat depresi pada mahasiswa baru. Kesimpulan dari penelitian ini adalah tidak ada hubungan yang signifikan antara jenis kelamin dengan tingkat depresi pada mahasiswa baru. Tidak ada hubungan yang signifikan antara faktor uang saku dengan tingkat depresi pada mahasiswa baru.Kata Kunci: Mahasiswa Baru, Depresi, Jenis kelamin, Uang Saku.

scholarly journals Umbilical Coiling Index and Perinatal Outcome

2016 ◽  
Vol 3 (2) ◽  
pp. 118 ◽  
Author(s):  
Priyanka Gaikwad ◽  
Kiran Patole
Keyword(s):  
Birth Weight ◽  
Perinatal Outcome ◽  
Ponderal Index ◽  
Chi Square ◽  
Exact Test ◽  
Umbilical Coiling Index ◽  
Chi Square Test ◽  
Nicu Admission ◽  
Umbilical Cords ◽  
Meconium Stained Amniotic Fluid

<strong>Objective(s):</strong> To study the association of umbilical coiling index and perinatal outcome. <strong>Method(s):</strong> One hundred and eighty five umbilical cords were examined. A coil is defined as a complete 360 degree spiral course of umbilical vessels around the Wharton's jelly. UCI was calculated by dividing the total number of coils by the umbilical cord length in centimeters. The outcomes measured were in terms of IUGR, fetal heart rate abnormalities during labor, meconium stained amniotic fluid, number of assisted deliveries was required, NICU admission, FSB, birth weight, ponderal index, various maternal medical illnesses. Hypocoiling was considered with UCI less than the 10th percentile and hypercoiling was considered UCI greater than the 90th percentile. Statistical analysis was done by Chi-square test, Fischer's exact test and the t-test where ever applicable. <strong>Results:</strong> The mean UCI in our study was found to be 0.19 + 0.08. 82.7% of the cords were normocoiled whereas 8.6% cords were hypocoiled as well as hypercoiled each. UCI below 0.09 was hypocoiling and above 0.26 was hypercoiling. In this study we found that PIH, IUGR, intrapartum FHR abnormalities, MSAF, increased instrumental deliveries, low APGAR scores, NICU admission, low birth weight and ponderal index were significantly associated with hypocoiling (P&lt;0.05). IUGR and NICU admission were significantly associated with hypercoiling too (P&lt;0.05). <strong>Conclusion:</strong> Our study thus shows that abnormal umbilical coiling index is associated with adverse perinatal outcome.

Analisis Faktor Determinan Pelaksanaan Inisiasi Menyusu Dini Oleh Bidan Di Rumah Sakit Umum Anutapura Palu

2018 ◽  
Vol 1 (1) ◽  
pp. 34
Author(s):  
Ni Nyoman Novita ◽  
Gusman Arsyad
Keyword(s):  
Emergency Room ◽  
Peer Support ◽  
Statistical Tests ◽  
Bivariate Analysis ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Implementation Processes ◽  
Chi Square Test ◽  
The Government

Implementation of IMD in hospitals has decreased from the previous year and has not reached the target set by the government. Some IMD implementation processes have not been carried out according to applicable standards. So that babies do not get an IMD in accordance with existing SOPs. The purpose of this study was to determine the determinant factors associated with the implementation of the IMD by midwives in the Midwifery and Maternity Room Emergency Room (IGD) at the Anutapura General Hospital in Palu. This research method is analytical with cross sectional approach. The population of this study was that all midwives in the obstetrics emergency room and maternity room at Anutapura Palu Hospital were 37 respondents. The sample in this study is total sampling. The analysis used was univariate, and bivariate analysis using the chi square test with a confidence level of 95% (α = 0.05). The results of statistical tests on variable knowledge of midwives with the implementation of IMD p value: 0.018 (p value <0.05). APN training with the implementation of IMD p value: 0.697 (p value> 0.05). length of work with the implementation of IMD p value: 0.029 (p value <0.05). and peer support with the implementation of IMD p value: 0.007 (p value <0.05). Conclusions there is a relationship between knowledge, length of work, peer support with the implementation of the IMD, and training factors that have nothing to do with IMD implementation. The strongest factor in the relationship is peer support. It is recommended that the Anutarapura Palu Hospital be able to motivate midwives so that they can further enhance their role in the implementation and provide support to their colleagues so that the implementation of the IMD can be carried out in accordance with applicable standards.Keywords: Knowledge, APN Training, Duration of work, Implementation of IMD

scholarly journals Ex vivo accuracy of three electronic apex locators using different apical file sizes

2012 ◽  
Vol 23 (3) ◽  
pp. 199-204 ◽  
Author(s):  
Bruno Carvalho de Vasconcelos ◽  
Leonardo de Alencar Matos ◽  
Elilton Cavalcante Pinheiro-Júnior ◽  
Antônio Sérgio Teixeira de Menezes ◽  
Nilton Vivacqua-Gomes
Keyword(s):  
Root Canal ◽  
Ex Vivo ◽  
Chi Square ◽  
Apical Constriction ◽  
Visual Measurement ◽  
Chi Square Test ◽  
The Mean

This study evaluated the accuracy of three electronic apex locators (Root ZX, Novapex, and Justy II) in root canal length determinations using different apical file sizes, considering the apical constriction (AC) and the major foramen (MF) as anatomic references. The diameter of the apical foramina of 40 single-rooted teeth was determined by direct visual measurement and the master apical file was established. Electronic measurements were then performed using 3 instruments: the selected master apical file (adjusted file), one size smaller (intermediate file), and two sizes smaller (misfit file). The distances from the tip of files fixed in the canals to the MF and to the AC were measured digitally. Precision at AC and at MF for the misfit, intermediate and adjusted apical files was as follows: 80%/88%/83% and 78%/83%/95% (Root ZX); 80%/85%/80% and 68%/73%/73% (Novapex); and 78%/80%/78% and 65%/78%/70% (Justy II). Considering the mean discrepancies, statistically significant differences were found only for the adjusted file at MF, with Root ZX presenting the best results at MF. The chi-square test showed significant differences between the acceptable measurements at AC and at MF for the Justy II and Novapex (± 0.5 mm) regardless of file adjustment. Under the conditions of the present study, all devices provided acceptable electronic measurements regardless of file adjustment, except for Root ZX which had its performance improved significantly when the precisely fit apical file was used. Justy II and Novapex provided electronic measurements nearest to the AC.

scholarly journals Facial Profile Shape, Malocclusion and Palatal Morphology in Malay Obstructive Sleep Apnea Patients

2010 ◽  
Vol 80 (1) ◽  
pp. 37-42 ◽  
Author(s):  
S. M. Banabilh ◽  
A. R. Samsudin ◽  
A. H. Suzina ◽  
Sidek Dinsuhaimi
Keyword(s):  
Obstructive Sleep Apnea ◽  
Null Hypothesis ◽  
Control Group ◽  
Class Ii Malocclusion ◽  
Chi Square ◽  
Facial Profile ◽  
Obstructive Sleep ◽  
Significant Difference ◽  
Chi Square Test ◽  
The Mean

Abstract Objective: To test the null hypothesis that there is no difference in facial profile shape, malocclusion class, or palatal morphology in Malay adults with and without obstructive sleep apnea (OSA). Materials and Methods: Subjects were 120 adult Malays aged 18 to 65 years (mean ± standard deviation [SD], 33.2 ± 13.31) divided into two groups of 60. Both groups underwent clinical examination and limited channel polysomnography (PSG). The mean OSA and control values were subjected to t-test and the chi square test. Results: Physical examination showed that 61.7% of the OSA patients were obese, and 41.7% of those obese patients had severe OSA. The mean body mass index (BMI) was significantly greater for the OSA group (33.2 kg/m2 ± 6.5) than for the control group (22.7 kg/m2 ± 3.5; P &lt; .001). The mean neck size and systolic blood pressure were greater for the OSA group (43.6 cm ± 6.02; 129.1 mm Hg ± 17.55) than for the control group (35.6 cm ± 3.52; 114.1 mm Hg ± 13.67; P &lt; .001). Clinical examination showed that the most frequent findings among OSA groups when compared with the control group were convex profiles (71.7%), Class II malocclusion (51.7%), and V palatal shape (53.3%), respectively; the chi square test revealed a significant difference in terms of facial profile and malocclusion class (P &lt; .05), but no significant difference in palatal shape was found. Conclusion: The null hypothesis is rejected. A convex facial profile and Class II malocclusion were significantly more common in the OSA group. The V palatal shape was a frequent finding in the OSA group.

Spinal Surgery During COVID-19 Pandemic in Saudi Arabia

2021 ◽  
pp. 12
Author(s):  
Faisal Konbaz ◽  
Taif Alqahtani ◽  
Nada Alharthi ◽  
Mohammad Baraja ◽  
Nazish Masud ◽  
...  
Keyword(s):  
Hospital Admission ◽  
Tertiary Care ◽  
Case Series ◽  
Medical Intervention ◽  
Care Hospital ◽  
Hospital Data ◽  
Chi Square ◽  
Chi Square Test ◽  
The Mean ◽  
American Society

Introduction: The COVID-19 pandemic has challenged the healthcare system’s capacities around the world. Due to the alarming situation, medical activities have been restricted to allocate resources to treat COVID-19-infected patients. However, medical emergencies still need urgent medical intervention. Considering the lack of reliable data regarding spinal surgeries during the COVID-19 pandemic, the present study sought to analyze the pattern of spinal surgeries in KSA. Methodology: A case series of patients who had urgent spine surgeries during COVID-19 pandemic was conducted in a tertiary care hospital. Data on patients’ demographics, COVID-19 test result, American Society of Anesthesia Score, SSS grade, diagnosis, and data related to surgery and postoperative findings were collected. All collected data were then processed and analyzed. Surgical outcomes based on source of admission were compared using Chi-square test. Result: A total of 63 patients who underwent spine surgery during the COVID-19 pandemic were included. The mean age of the patients was 53 ± 18 years and males were predominant (59%). The positive COVID-19 patients were 3%. Almost half of the patients were classified into ASA II. The majority were categorized into grade B (65%) according to SSS. The frequently diagnosed condition was fracture (33%), followed by spinal stenosis (18%) and metastatic (10%), while the most mentioned location was lumbar (61%). Postoperative complications were found in 11% of the patients. The readmission rate within 30 days, unplanned return to OR and ICU admission were 19%, 13%, and 11%, respectively. While the mean duration between admission and surgery was 8 ± 20 days, the mean duration of length of stay was 20 ± 29 days. Further, a significant association was seen between the admission source and the surgical procedure performed and surgical indication. Conclusion: It has been demonstrated that the surgical intervention was only provided to patients requiring immediate or urgent spinal management. However, the length of hospitalization and duration between hospital admission and surgery was substantially prolonged. Further studies are warranted to determine the factors leading to prolonged hospitalization and time between hospital admission and surgery.

scholarly journals Confronting Theories of Firm Growth in Light of Degrees-of-Freedom Analysis

2015 ◽  
Vol 22 (74) ◽  
pp. 385-404
Author(s):  
Sérgio Fernando Loureiro Rezende ◽  
Ricardo Salera ◽  
José Márcio de Castro
Keyword(s):  
Degrees Of Freedom ◽  
Firm Growth ◽  
Dynamic Capabilities ◽  
Statistical Tests ◽  
Explanatory Power ◽  
Stage Theory ◽  
Chi Square ◽  
Growth Optimum ◽  
Chi Square Test ◽  
Do So

This article aims to confront four theories of firm growth – Optimum Firm Size, Stage Theory of Growth, The Theory of the Growth of the Firm and Dynamic Capabilities – with empirical data derived from a backward-looking longitudinal qualitative case of the growth trajectory of a Brazilian capital goods firm. To do so, we employed Degree of Freedom-Analysis for data analysis. This technique aims to test the empirical strengths of competing theories using statistical tests, in particular Chi-square test. Our results suggest that none of the four theories fully explained the growth of the firm we chose as empirical case. Nevertheless, Dynamic Capabilities was regarded as providing a more satisfactory explanatory power.

scholarly journals Self-Esteem in People with Physical Disabilities: Differences between Active and Inactive Individuals

2017 ◽  
Vol 57 (1) ◽  
pp. 34-47 ◽  
Author(s):  
Dagmar Nemček
Keyword(s):  
Physical Disabilities ◽  
Self Esteem ◽  
Chi Square ◽  
The Status ◽  
Self Worth ◽  
Chi Square Test ◽  
The Mean ◽  
Sedentary Life Style ◽  
Negative Feelings ◽  
People With Physical Disabilities

SummaryThe aim of the study was to determine the status of SE in people with physical disabilities (PwPD) and compare SE scores between active and inactive individuals. The sample of PwPD (n = 186) was divided into two groups of those who are regularly participating in sport (active; n = 88) and those who are not participating in any sport in their leisure (inactive; n = 98). The Rosenberg Self-Esteem Scale (RSES) was used as a primary research method. 10-item scale measures global self-worth by measuring positive and negative feelings about the self. Higher scores (from 10 to 40 points) indicate higher SE. The Pearson chi-square test was used to determine the differences of 10 RSES items and total scores between active and inactive PwPD. We found that the mean score of RSES in PwPD was 28.83 points; active PwPD observed total score of RSES 30.01 points and group of inactive PwPD showed the lowest SE by achieving 27.76 points. Mean scores comparison of each RSES item between active and inactive PwPD revealed higher SE in the group of active PwPD. Significantly higher SE was presented by 4 from 10 RSES items and by total score in the group of active PwPD. The results of our study confirmed that actively living PwPD have significantly higher SE comparing those PwPD who are living sedentary life style.

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