Extreme Lateral Interbody Fusion for Thoracic and Thoracolumbar Disease: The Diaphragm Dilemma

Study Design: Retrospective cohort study. Objective: Complication profiles for lateral approaches to the spine are well established. However, the influence of level of surgery on complication rates and subtypes are less well established. To determine risk factors for complications as determined by level and surgery type in patients undergoing a lateral (retroperitoneal or retropleural approach) to the thoracolumbar spine. Methods: All adult patients undergoing a lateral thoracolumbar fusion with or without posterior instrumentation performed at a single institution were identified. Primary outcomes assessed were presence of complication, complication subtype, and need for reoperation. The primary independent variables were spinal level (thoracic, thoracolumbar, or lumbar) and type of surgery (discectomy or corpectomy). Categorical outcomes were compared using chi-square test. Unadjusted and adjusted odds ratios for corpectomy status were calculated to determine risk of complication by level. P < .05 was considered statistically significant. Results: A total of 165 patients aged 18 to 75 years were identified as having undergone a lateral fusion. Complication rates were 28.6%, 36.4%, and 11% for thoracic, thoracolumbar, and lumbar lateral approach fusions, respectively. Under univariate analysis, patients undergoing lateral approach in the thoracic spine group had significantly higher rates of postoperative complications than those in the lumbar group ( P = .005). After adjusting for corpectomy status, there was no difference in complication rates. Conclusions: Lateral (retroperitoneal or retropleural) approaches to the thoracic and thoracolumbar spine may be used with complication rates comparable to well-established lumbar approaches. Extent of surgery (corpectomy vs discectomy) rather than level of surgery may represent the primary driver of complications.

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PROGNOSTIC FACTORS OF RENAL TUMOR RECURRENCE AFTER RADICAL NEPHRECTOMY

British Journal of Surgery ◽

10.1093/bjs/znab160.044 ◽

2021 ◽

Vol 108 (Supplement_3) ◽

Author(s):

G Martínez Izquierdo ◽

A R Arnaiz Pérez ◽

E Escolano Fernández ◽

M Merayo Álvarez ◽

B Carrasco Aguilera ◽

...

Keyword(s):

Multivariate Analysis ◽

Prognostic Factors ◽

Radical Nephrectomy ◽

Univariate Analysis ◽

Malignant Neoplasms ◽

Histopathological Analysis ◽

Chi Square ◽

Renal Sinus ◽

Chi Square Test

Abstract INTRODUCTION Renal cell carcinoma (RCC) represents 3% of overall malignant neoplasms in adults. However, its aetiology has not been clearly established. Although surgery represents the cornerstone in treatment, recurrence postoperative rates are around 20-30%, what implies prognostic factors search must be mandatory in order to help to plan de follow-up and the different adjuvant therapy possibilities available in case they were necessary. MATERIAL AND METHODS A retrospective observational study was carried out in 110 patients who underwent radical nephrectomy between 2004 and 2018, with the aim of identifying possible prognostic factors of recurrence of RCC after these surgeries. Preoperative data (epidemiological, comorbidities and laboratory tests), surgical, pathological and variables related to follow-up were taken into account. A univariate and multivariate analysis were performed, using chi-square test and logistic regression, respectively. RESULTS The median follow-up time was 53.5 months (SD = 35.8), time in which 19 patients had a recurrence of RCC after radical nephrectomy (17.2%). Histopathological items such as the surgical piece size, the nodal and microvascular invasion, the renal sinus invasion and the presence of necrosis in the surgical piece were associated with RCC recurrence in the univariate analysis, while only the presence of necrosis in the surgical piece showed a significant result in the multivariate analysis (p = 0.004). CONCLUSIONS Histopathological analysis, highlighting the presence of necrosis in the histological sample, was proved to be the main risk factor of RCC recurrence.

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Relationship between the Responsiveness of Service Providers with Patient Satisfaction at Three Conventional Radiography Services in Denpasar

Public Health and Preventive Medicine Archive ◽

10.24843/phpma.2016.v04.i01.p10 ◽

2016 ◽

pp. 75

Author(s):

Cokorda Istri Ariwidyastuti ◽

P.P. Januraga ◽

Dyah Pradnyaparamita Duarsa

Keyword(s):

Patient Satisfaction ◽

Service Providers ◽

Univariate Analysis ◽

Conventional Radiography ◽

Cross Sectional Survey ◽

Chi Square ◽

Cross Sectional ◽

Chi Square Test ◽

The Relationship

Background and purpose: Patient satisfaction, including on radiography services, is an important component of health care provision. Surveys on patient satisfaction have been carried out particularly in government hospitals, but a more detailed study to determine the relationship between patient satisfaction with the responsiveness of service providers has yet to be carried out. This study aims to determine the relationship between the six domains of responsiveness of service providers and outpatient satisfaction at three conventional radiography facilities in Denpasar.Methods: Study was conducted by cross-sectional survey of 158 respondents selected consecutively in three conventional radiography services, namely a government hospital, a private hospital and a private radiology clinic. Data were collected through interviews using modified questionnaires on responsiveness from WHO. Data were analyzed by univariate, bivariate (chi-square test) and multivariate logistic regression method.Results: Univariate analysis indicated that patient satisfaction was 69% but still below the minimum service standards (>80,0%). Multivariate analysis showed that factors associated with satisfaction were the domain of attention (AOR= 3.77; 95%CI: 1.62-8.76), the quality of infrastructure (AOR=4.57; 95%CI: 1.61-12.93) and communication (AOR=6.30; 95%CI: 1.75-22.64).Conclusion: Patient satisfaction was generally still below the standard. Domains of responsiveness associated with patient satisfaction were the quality of infrastructure, level of attention and communication skills of service providers.

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Frequency of dementia among elderly admitted to a Geriatrics Inpatients Sector of a Brazilian public hospital

Dementia & Neuropsychologia ◽

10.1590/1980-57642018dn12-010005 ◽

2018 ◽

Vol 12 (1) ◽

pp. 35-39 ◽

Cited By ~ 2

Author(s):

Rafael Thomazi ◽

Liciana Vaz de Arruda Silveira ◽

Paulo José Fortes Villas Boas ◽

Alessandro Ferrari Jacinto

Keyword(s):

Univariate Analysis ◽

The Elderly ◽

Sociodemographic Factors ◽

University Hospital ◽

Chi Square ◽

Diagnosis Of Dementia ◽

Elderly Inpatients ◽

Chi Square Test ◽

Student’S T ◽

Clinical Conditions

ABSTRACT Patients with dementia are commonly admitted to inpatient sectors. The aim of this study was to describe the frequency of dementia among elderly inpatients admitted to the Geriatrics Sector of a Brazilian Tertiary University Hospital, and to identify associations between dementia and clinical and sociodemographic factors. Methods: All patients admitted to the Geriatrics Sector of a public Brazilian university-hospital from March 1st 2014 to January 31st 2015 were assessed by geriatricians. The patients were divided into groups "with or without diagnosis of dementia". Univariate analysis was performed between these two groups using the Chi-Square Test, Student's t-test or the Mann-Whitney Test. Results: One hundred and three elderly inpatients, with a mean age of 82 (±7.9) years, were assessed. Overall, 74.7% had low educational level (<4 years), 66% used polypharmacy, 57.2% developed delirium during hospitalization and 59% were totally dependent for basic activities of daily living. The diagnosis of dementia was observed in 59 (57%) subjects. Conclusion: The frequency of dementia was high among the elderly inpatients evaluated. The association between dementia and certain clinical conditions, such as incontinence, delirium and use of psychoactive drugs, was in line with the medical literature.

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Analisis Hubungan Riwayat Keluarga dan Aktivitas Fisik dengan Kejadian Hipertensi di Kelurahan Indrasari Kabupaten Banjar

Jurnal Ilmiah Universitas Batanghari Jambi ◽

10.33087/jiubj.v20i3.1094 ◽

2020 ◽

Vol 20 (3) ◽

pp. 1043

Author(s):

Elsi Setiandari L.O ◽

Ari Widyarni ◽

Aulia Azizah

Keyword(s):

Physical Activity ◽

Blood Pressure ◽

Family History ◽

Univariate Analysis ◽

Observational Research ◽

Bivariate Analysis ◽

Chi Square ◽

Cross Sectional ◽

Measuring Device ◽

Chi Square Test

Hypertension is a condition in which a person has an increase in blood pressure above normal as indicated by the systolic and diastolic numbers on blood pressure checks using a blood pressure measuring device. The incidence of hypertension in Southeast Asia is 24.7% and 23.3% of Indonesia's population. The results of the initial survey of blood pressure measurements and interviews obtained the results of blood pressure checks from 30 community members with the criteria not suffering from hypertension as many as 3 people and those suffering from pre-hypertension were 9 people and those suffering from hypertension were 18 people. The purpose of this study was to determine the analysis of the relationship between family history and physical activity with the incidence of hypertension in Indrasari Village, Banjar Regency. This research was conducted with an analytic observational research design and method cross sectional. The population in this study were all hypertension sufferers in Indrasari who met the criteria as many as 87 people. Data analysis used univariate analysis using frequency distribution and bivariate analysis using chi-square test. The results showed that from the results of the chi square test, there was correlation between family history, physical activity and the incidence of hypertension , the value was obtained p = 0.001 <α 0.005 and the value obtained p = 0.001 <α 0.005 was. Based on the results of the research analysis, it can be concluded that there is a relationship between family history and physical activity with the incidence of hypertension in Indrasari Village, Banjar Regency.

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Non-Prescription Antibiotic Use For People Aged 15 Years Or Older For Cough In China: A Community-Based Survey

10.21203/rs.3.rs-539716/v1 ◽

2021 ◽

Author(s):

Yan Luo ◽

Xuewen Tang ◽

Lingling Ding ◽

Zhujun Shao ◽

Jianxing Yu ◽

...

Keyword(s):

Antimicrobial Resistance ◽

Univariate Analysis ◽

Antibiotic Use ◽

Categorical Variables ◽

Continuous Variables ◽

Chi Square ◽

Main Driver ◽

Antibiotics Use ◽

Chi Square Test ◽

Use Behavior

Abstract Background Non-prescription antibiotic use at community is a main driver of antimicrobial resistance. Cough is a common condition and prevalent in all communities, including China. This study aims to investigate the non-prescription antibiotic use for cough in China and explore to which extent antibiotic use knowledge was correctly instructed in communities.Methods A probability-proportionate-to-size (PPS) sampling method was adopted to survey from all 14 communities in Yiwu city, China. All participants were investigated by face-to-face interview on Portable Android Devices (PADs). The continuous variables were presented by mean and standard deviation (SD) or medium and inter-quartile range (IQR). The categorical variables were presented using percentage or constituent ratio. Chi-square test for univariate analysis and logistic regression for multivariate analysis were conducted to assess the odds ratios (ORs) and 95% confidence intervals (CIs), respectively.Results A total of 3034 respondents across the 14 communities and the 50 natural villages/streets completed all key items of the questionnaire. Of 2400 (79.10%) respondents stated that they experienced cough in the past 12 months with the medium age of 36.5 (IQR: 26-49) and 12.21% (293/2400) respondents had the non-prescription antibiotic use behavior. Among those 293 respondents, the proportion of non-prescription antibiotic use for cough peaked at around 16% among people aged 30-39 years old. The major sources of antibiotics were pharmacy (77.70%) and/or family storage (43.92%). As for antibiotic knowledge in 3034 participants, 61.8% participants had minimal knowledge on broad-spectrum antibiotic and 53.76% were not familiar about the effects of joint use.Conclusions Non-prescription antibiotics use for cough is prevalent in the community, especially among people in their thirties. Strengthened drug purchase regulation and well-trained professional pharmacists would be promising alternatives to ameliorate AMR. Moreover, penetrating antibiotics knowledge to common citizens and is an urgent task to alleviate antimicrobial resistance. Therefore, proactive policies and regulations should be made to improve current situations.

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Beban Keluarga Berhubungan dengan Kemampuan Keluarga dalam Merawat Pasien Halusinasi

Jurnal Keperawatan Jiwa ◽

10.26714/jkj.8.1.2020.97-102 ◽

2020 ◽

Vol 8 (1) ◽

pp. 97

Author(s):

Cucu Rokayah ◽

Fahmi Dwi Novian ◽

Supriyadi Supriyadi

Keyword(s):

Univariate Analysis ◽

Psychiatric Hospitals ◽

Sampling Technique ◽

P Value ◽

West Java ◽

Chi Square ◽

Hospital Outpatient ◽

The Family ◽

Chi Square Test ◽

Heavy Burden

Skizofrenia merupakan suatu gangguan mental yang menyebabkan timbulnya pikiran, persepsi, emosi, gerakan, perilaku yang aneh dan terganggu.Penderita skizofrenia 70% diantaranya mengalami halusinasi.Dampak terberat yang dirasakan oleh keluarga dalam merawat pasien dengan halusinasi adalah dampak pada psikologis, terutama stress atau beban yang dirasakan oleh keluarga. Tujuan penelitian ini adalah untuk mengetahui Hubungan Beban Keluarga dengan Kemampuan Keluarga Dalam Merawat Pasien Halusinasi di InstalasI Rawat Jalan Rumah Sakit Jiwa Provinsi Jawa Barat. Metode penelitian ini menggunakan deskriptif korelasional dengan tehnik purposive samplingterhadap 69 responden dari populasi 996 responden di Instalasi Rawat Jalan Rumah Sakit Jiwa Provinsi Jawa Barat. instrumen yang digunakan dalam penelitian ini adalah kuesioner beban keluarga dan kemampuan keluarga yang terdiri dari kognitif dan psikomotor. Analisa univariat dalam penelitian ini menggunakan distribusi frekuensi dan analisa bivariat pada penelitian ini menggunakan uji chi square hasil penelitian menunjukan beban berat yaitu 35 responden (50,7 %), sedangkan untuk kemampuan keluarga baik 46 responden (42 %). kesimpulannya bahwa ada hubungan antara beban keluarga dengan kemampuan keluarga dalam merawat pasien halusinasi di Instalasi Rawat Jalan Rumah Sakit Jiwa Provinsi Jawa Barat dengan nilai p value (0,001) < (0,005). Kata kunci: halusinasi, beban keluarga, kemampuan keluarga FAMILY BURDEN CONNECTED WITH FAMILY ABILITY TO TREAT HALLUCINATORY PATIENTS ABSTRACTSchizophrenia is a mental disorder that causes the onset of thought, perception, emotion, movement, strange and disturbing behavior. Schizophrenia 70% of them have hallucinations.The toughest impact the family feels in treating patients with hallucinations is its impact on the psychological, especially the stress or burden felt by the family.The purpose of this research is to know the family's burden relationship with the ability of the family to treat hallucinative patients in the installation of hospital outpatient in West Java province.This method of study uses descriptive correlation with purposive sampling technique against 69 respondents from the population of 996 respondents in an outpatient installation of psychiatric hospitals in West Java province. The instruments used in this reseacrh used family load questionnaires and family skills questionnaires comprising cognitive and psychomotor. Univariate analysis in this research using frequency distribution and bivariat analysis of this study using chi square test. the results showed a heavy burden of 35 respondents (50.7%), while for family ability of either 46 respondents (42%).in conclusion that there is a connection between the burden of the family with the ability of families to treat hallucinatory patients in the hospital outpatient installation in the psychiatric province of West Java with a value of P (0.001) < (0.005). Keywords: hallucinations, family load, abillity family

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The Relationship of Waste Management With The Incidence Of Diarrhea In Argasunya Village Cirebon City

Jurnal Kesehatan Mahardika ◽

10.54867/jkm.v5i1.26 ◽

2018 ◽

Vol 5 (1) ◽

pp. 16-22

Author(s):

Jaenudin ◽

Sandi Aprianto ◽

Citra Setyo Dwi Andini

Keyword(s):

Waste Management ◽

Univariate Analysis ◽

P Value ◽

Chi Square ◽

The Status ◽

Diarrhea Incidence ◽

Chi Square Test ◽

Relationship Of ◽

The Impact ◽

The Relationship

Background: Garbage is something material or solid objects that is no used by humans. The impact or risk of improper handling of garbage can cause to environmental damages that can cause health problems and disesase, one of them is diarrhea disease. According to the health profile of West Java Province (2012) showed that the 1.906.886 diarrhea incidence. Cirebon City is ranked ninth with 88,702 diarrhea incidence. Purpose: The purpose of this research is to know the relationship of waste management with the incidence of diarrhea In Argasunya Village Cirebon City. Method: This research used descriptive correlation with kohort retrospekif approach. The population in this study that is all the people who suffer from diarrhea in the Argasunya Village with 72 respondents. The sample in this study using total sampling with 72 respondents who suffer from diarrhea. The research instrument used the observation sheet of waste management and the result of the status of the patient according the medical record data in Sitopeng Public Health Center. The analysis used univariate and bivariate used Chi Square test. Result: The result of univariate analysis showed that most of the waste management did not fulfill the requirement of 59 respondents (81,9%) and most of the acute diarrhea was 62 respondents (86,1%). There was no significant relationship of waste management with the incidence of diarrhea In Argasunya Village Cirebon City, p-value = 0,677.

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Correlation Of Knowledge About Prevention Of Kusta Disease and Kusta Transmission Risk In Primary Health Care Losari , Kedaton And Babakan,Cirebon District

Jurnal Kesehatan Mahardika ◽

10.54867/jkm.v5i2.53 ◽

2018 ◽

Vol 5 (2) ◽

pp. 27-31

Author(s):

Maryam Ulfah ◽

Yani Kamasturyani ◽

Putri Mutiara Ramandani

Keyword(s):

Health Center ◽

Univariate Analysis ◽

Data Retrieval ◽

Transmission Risk ◽

P Value ◽

Primary Health Center ◽

District Health ◽

Chi Square ◽

Primary Health ◽

Chi Square Test

Background:Knowledge of leprosy prevention is the knowledge of a person doing a first line prevention or pervention action before a disease occurs. Based on data from Cirebon district Health OfficeThe incident of leprosy are 232 patients.According to the data primary health center Losari, Kedaton and Babakan There are 37 leprosy patients. Purpose: This research aimed to know an overview of knowledge about the prevention of leprosy, know an overview risk of cutaneous transmission, and knowlegde connection of prevention with leprosy transmission of primary health center Lossari, Kedaton and Babakan Cirebon District. Method:This is quantitative with Cross Sectional Study design. The population in this research is family members of leprosy primary health center Losari, Kedaton dan Babakan Cirebon district. The samples were choosen by Propotional Random Sampling which amounted to 114 respondents. The data retrieval research was conducted on 15 July – 15 September 2018. The research instrument was a questionnaire. Data analysis using Chi Square test. Result:The result of univariate analysis shows that connection of prevention leprosy was motsly good, that is mostly less 14 respondent (46,7%) and leprosy transmission mostly not risk 21 respondent (70,0%),. The result of chi square test was obtained p value = 0,011. Conclusion:Its indicatedthat there is a relationship betweenIndicating that H0 is rejected an Ha accepted means the a knowlegde connection of prevention with leprosy transmission of primary health center Lossari, Kedaton and Babakan Cirebon District

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Functional outcome and complications following surgery for Dupuytren’s disease: a multi-centre cross-sectional study

Journal of Hand Surgery (European Volume) ◽

10.1177/1753193416660045 ◽

2016 ◽

Vol 42 (1) ◽

pp. 7-17 ◽

Cited By ~ 9

Author(s):

J. N. Rodrigues ◽

W. Zhang ◽

B. E. Scammell ◽

I. Chakrabarti ◽

P. G. Russell ◽

...

Keyword(s):

Monte Carlo Simulation ◽

Monte Carlo ◽

Functional Outcome ◽

Dupuytren’S Disease ◽

Complication Rates ◽

Loss Of Function ◽

Chi Square ◽

Level Of Evidence ◽

Dupuytren's Disease ◽

Chi Square Test

Variables associated with recurrent Dupuytren’s disease, or a ‘diathesis’, have been investigated, but those associated with functional outcome and complications are less well studied. Outcomes 1 or 5 years after an aponeurotomy, fasciectomy or dermofasciectomy were assessed by patient interview and examination at five UK centres. A total of 432 procedures were studied. The reoperation rate did not differ at 1 year ( p = 0.396, Chi-square test with Monte Carlo simulation), but was higher after aponeurotomy in the 5-year group (30%, versus 6% after fasciectomy and 0% after dermofasciectomy, p = 0.003, Chi square test with Monte Carlo simulation). Loss of function (DASH>15) did not differ between procedures at 5 years, even when reoperation and other variables were controlled. Diabetes, female gender and previous ipsilateral surgery were associated with poorer function in logistic regression analysis. The variables associated with poor function after treatments differ from diathesis variables. Aponeurotomy had lower complication rates than fasciectomy and dermofasciectomy. This may counterbalance the former’s higher recurrence rate and explain why aponeurotomy demonstrated similar long-term functional outcome compared with excisional surgery in this study. Level of evidence: III

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Dental prosthetic status and treatment needs of adult population in Jizan, Saudi Arabia: A survey report

European Journal of Dentistry ◽

10.4103/1305-7456.195173 ◽

2016 ◽

Vol 10 (04) ◽

pp. 459-463 ◽

Cited By ~ 4

Author(s):

Syed Ali Peeran ◽

Fuad Al Sanabani ◽

Bandar M. A. AL-Makramani ◽

Elfatih Ibrahim Elamin

Keyword(s):

Saudi Arabia ◽

Adult Population ◽

Univariate Analysis ◽

Treatment Needs ◽

Chi Square ◽

Treatment Need ◽

Survey Report ◽

Chi Square Test ◽

Prosthetic Status ◽

Level Of Significance

ABSTRACT Objectives: The study aimed to evaluate and compare the dental prosthetic status and treatment needs of adult population in Jizan, Saudi Arabia, in relation to the age. Materials and Methods: A total of 1779 people aged 35–74 years from 4 survey areas (Hay al matar, Mahata khams, Dara ut tawhid, and Suq ad dakhili) selected through convenient sampling, around Jizan University, were surveyed, using the WHO survey criteria, 1997. Statistical Analysis: Number and percentages were calculated, and univariate analysis was performed using Chi-square test at 5% level of significance. Results: Different forms of prosthesis were present among patients in the upper (19.9%) and lower (19%) arches, respectively. Prosthetic treatment need was recognized in subjects, 56.4% for the upper and 57.2% for the lower arches, respectively. The prosthetic status and treatment needs differed statistically with respect to age. Conclusion: More than half of the surveyed adult populations were in need of some or the other forms of prosthesis. This study provides data for an oral health-care provider program for Jizan.

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