scholarly journals Estudio Analítico: Prevalencia de Hipotermia y Factores Asociados en el Postoperatorio Inmediato en Cirugía del Hospital Vicente Corral Moscoso, Cuenca – Ecuador, 2016

2018 ◽  
Vol 10 (2) ◽  
pp. 105-109
Author(s):  
Elizabeth Yadira Vicuña Cuji ◽  
Patricia Lorena Pacheco Sanmartín ◽  
Adrián Marcelo Sacoto Molina
Keyword(s):  
General Anesthesia ◽  
Family Environment ◽  
Postoperative Period ◽  
Late Complications ◽  
Cross Sectional ◽  
A Value ◽  
Electronic Thermometer ◽  
Anesthetic Exposure ◽  
Anesthesia Time ◽  
Associated Variables

BACKGROUND: Perioperative hypothermia is the decrease in temperature, below 36 °C after surgery that is linked to immediate and late complications. The control of hypothermia reduces morbidity, mortality, and the time of integration of patients to their social and family environment. The objective of the present study is to determine the prevalence of inadvertent hypothermia and associated factors in the immediate postoperative period. METHODS: The present is a cross-sectional analytical study, working with male and female patients from 18 to 70 years old, undergoing elective surgeries at the Hospital Vicente Corral Moscoso, from May 16 to August 11, 2016. It was evaluated the temperature with an electronic thermometer and the associated variables through a form prepared by the researchers. The statistical programs PSPP 0.10.4 were used for the bivariate and multivariate analysis and EPI INFO 7. RESULTS: Of the 267 patients investigated, 68.5 % developed hypothermia in the immediate postoperative period. General anesthesia increases 1.8 times the risk of developing hypothermia with a statistically significant value, as well as an anesthesia time greater than 60 minutes but with a value of borderline significance. CONCLUSIONS: The factors associated with the development of hypothermia are: the use of general anesthesia and the anesthetic exposure time greater than 60 minutes. We recommend taking temperature in patients before, during and after the surgical procedure, to act in a timely manner before the onset of hypothermia.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PERILAKU MEROKOK PADA REMAJA PUTRA DI SMP NEGERI 40 PALEMBANG TAHUN 2016

2019 ◽  
Vol 6 (1) ◽  
Author(s):  
Sri Susanti Sri Susanti
Keyword(s):  
Peer Influence ◽  
Family Environment ◽  
Significant Relationship ◽  
Smoking Behavior ◽  
Survey Method ◽  
P Value ◽  
Male Adolescent ◽  
Chi Square ◽  
Cross Sectional ◽  
Knowledge Variable

ABSTRACT Male adolescent are vulnerable group in doing risky behavior, one of them is smoking behavior. Smoking behavior of male adolescent do are influenced by several factors. The dependent variable in this research is the behavior of smoking and the independent  variables are the knowledge, the influence of peers, and family environment. The sample in this research is total sampling as many as 112  respondents. The research used a analytic survey method with cross sectional approach. Data analysis is using chi square test with 95% confidence level ( α = 0.05 ) . The results if the research showed that 39.3 % of male adolescent smoke and 60.7 % of the male adolescent  do not smoke. The result of Chi-square statistical test showed no significant relationship between knowledge variable ( p value = 0.844 ) and smoking behavior of male adolescent, while peer influence variable ( p value = 0.000 ) and family environment ( 0.000 ) showed a significant relationship with smoking behavior in SMP Negeri 40 Palembang. This research suggests to the school to increase positive activities in groups that can divert adolescents from smoking behavior, for example by  extracurricular activities, sports and so forth, and entered into cooperation between programs with health institutions in giving information about adolescent development and adolescent health problems, especially the dangers of smoking behavior in adolescents.   ABSTRAK Remaja putra merupakan kelompok yang rentan dalam melakukan perilaku berisiko, salah satunya adalah perilaku merokok. Perilaku merokok yang dilakukan remaja putra dipengaruhi oleh beberapa faktor. Variabel dependen dalam penelitian ini adalah perilaku merokok dan variabel indevenden adalah pengetahuan, pengaruh teman sebaya, dan lingkungan keluarga. Sampel dalam penelitian ini adalah Total Sampling dengan jumlah responden 112 remaja putra. Jenis penelitian yang digunakan metode survey analitik dengan pendekatan cross sectional. Analisis data menggunakan uji chi square dengan tingkat kepercayaan 95% (α=0,05). Hasil penelitian menunjukkan bahwa 39,3% remaja putra yang merokok dan 60,7% dari remaja putra yang tidak merokok. Hasil uji statistik chi square menunjukkan tidak ada hubungan bermakna antara variabel pengetahuan (p value= 0,844) dengan perilaku merokok remaja putra, sedangkan variabel pengaruh teman sebaya (p value = 0,000) dan lingkungan keluarga (0,000) menunjukan adanya hubungan yang bermakna dengan perilaku merokok di SMP Negeri 40 Palembang. Penelitian ini menyarankan pada pihak sekolah untuk meningkatkan kegiatan positif yang bersifat kelompok yang dapat mengalihkan remaja dari perilaku merokok misalnya dengan mengadakan kegiatan ekstrakurikuler, olahraga dan lain sebagainya, dan mengadakan kerja sama lintas program dengan Instansi kesehatan dalam pemberian informasi tentang perkembangan remaja dan permasalahan kesehatan remaja, khususnya bahaya perilaku merokok pada remaja.    

scholarly journals Assessment of Saudi Parents’ Beliefs and Behaviors towards Management of Child Fever in Saudi Arabia—A Cross-Sectional Study

2021 ◽  
Vol 18 (10) ◽  
pp. 5217
Author(s):  
Mohamed N. Al Arifi ◽  
Abdulrahman Alwhaibi
Keyword(s):  
Saudi Arabia ◽  
Side Effects ◽  
Febrile Seizures ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Inclusion Criteria ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Electronic Thermometer ◽  
And Behavior

Objective: Fever alone can lead to rare serious complications in children, such as febrile seizures. The aim of this study is to assess the knowledge, beliefs, and behavior of parents toward fever and its management. Methods: A cross-sectional study using an online questionnaire was applied over a period of 3 months, from January to March 2018, to parents who were living in Saudi Arabia. The inclusion criteria were a parent who is a resident of Saudi Arabia, with at least one child aged 6 years or less, while incomplete questionnaires, having a child aged more than 6 years, or parents who were not living in Saudi Arabia were excluded. Results: A total of 656 parents completed the questionnaire. More than two-thirds of the subjects were female, the majority of whom were aged between 25–33 years old. The best-reported place to measure the temperature of children was the armpit (46%), followed by the ear (28%) and the mouth (10.7%). More than half of the parents considered their children feverish at a temperature of 38 °C. The majority of parents (79.7%) reported that the most serious side effects of fever were seizure, brain damage (39.3%), coma (29.9%), dehydration (29.7%), and death (25%). The most common method used to measure a child’s temperature was an electronic thermometer (62.3%). The most common antipyretic was paracetamol (84.5%). Conclusions: Our study demonstrates the good knowledge of parents in identifying a feverish temperature using the recommended route and tools for measuring body temperature.

scholarly journals Obstetric anesthesia services in Israel snapshot (OASIS) study: a 72 hour cross-sectional observational study of workforce supply and demand

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Gal Schtrechman-Levi ◽  
Alexander Ioscovich ◽  
Jacob Hart ◽  
Jacob Bar ◽  
Ronit Calderon-Margalit ◽  
...  
Keyword(s):  
Observational Study ◽  
General Anesthesia ◽  
Activity Index ◽  
Supply And Demand ◽  
Waiting Times ◽  
Obstetric Anesthesia ◽  
Quality And Safety ◽  
Cross Sectional ◽  
Vaginal Deliveries ◽  
Safety Outcomes

Abstract Background We planned an observational study to assess obstetric anesthesia services nationwide. We aimed to assess the effect of the anesthesia workload/workforce ratio on quality and safety outcomes of obstetric anesthesia care. Methods Observers prospectively collected data from labor units over 72 h (Wednesday, Thursday and Friday). Independent variables were workload (WL) and workforce (WF). WL was assessed by the Obstetric Anesthesia Activity Index (OAAI), which is the estimated time in a 24-h period spent on epidurals and all cesarean deliveries. Workforce (WF) was assessed by the number of anesthesiologists dedicated to the labor ward per week. Dependent variables were the time until anesthesiologist arrival for epidural (quality measure) and the occurrence of general anesthesia for urgent Cesarean section, CS, (safety measure). This census included vaginal deliveries and unscheduled (but not elective) CS. Results Data on 575 deliveries are from 12 maternity units only, primarily because a major hospital chain chose not to participate; eight other hospitals lacked institutional review board approval. The epidural response rate was 94.4%; 321 of 340 parturients who requested epidural analgesia (EA) received it. Of the 19 women who requested EA but gave birth without it, 14 (77%) were due to late arrival of the anesthesiologist. Median waiting times for anesthesiologist arrival ranged from 5 to 28 min. The OAAI varied from 4.6 to 25.1 and WF ranged from 0 to 2 per shift. Request rates for EA in hospitals serving predominantly orthodox Jewish communities and in peripheral hospitals were similar to those of the entire sample. More than a fifth (13/62; 21%) of the unscheduled CS received general anesthesia, and of these almost a quarter (3/13; 23%) were attributed to delayed anesthesiologist arrival. Conclusions Inadequate WF allocations may impair quality and safety outcomes in obstetric anesthesia services. OAAI is a better predictor of WL than delivery numbers alone, especially concerning WF shortage. To assess the quality and safety of anesthetic services to labor units nationally, observational data on workforce, workload, and clinical outcomes should be collected prospectively in all labor units in Israel.

scholarly journals Factors associated with delay in seeking care by tuberculosis patients

2018 ◽  
Vol 71 (suppl 1) ◽  
pp. 646-651 ◽  
Author(s):  
Dândara Nayara Azevêdo Dantas ◽  
Bertha Cruz Enders ◽  
Déborah Raquel Carvalho de Oliveira ◽  
Caroline Evelin Nascimento Kluczynic Vieira ◽  
Ana Angélica Rêgo de Queiroz ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Search Time ◽  
Self Medication ◽  
Chi Square ◽  
Cross Sectional ◽  
Tuberculosis Patients ◽  
A Value ◽  
Primary Health ◽  
Behavioral Variables

ABSTRACT Objective: To identify social, clinical and behavioral factors of tuberculosis patients that are associated with delay in the search for primary health care. Method: This is a cross-sectional, quantitative study conducted with 56 people on treatment for pulmonary tuberculosis in the city of Natal, in the state of Rio Grande do Norte, Brazil. The data were collected through a structured instrument. The Chi-square and Fisher tests were applied to test the association between independent and dependent variables (search time). A value of p <0.05 was set as statistically significant. Results: No social or clinical variables were statistically associated with patient delays in the search for primary health care. Among the behavioral variables, self-medication and the first health service sought had a statistically significant association with the time for seeking care (p = 0.020, and p = 0.033, respectively). Conclusion: Self-medication contributes to the delay in the search for primary health care by tuberculosis patients.

Determination of the Problems Experienced by Patients Post-Thyroidectomy

2017 ◽  
Vol 28 (5) ◽  
pp. 615-635
Author(s):  
Semra Atasayar ◽  
Sevil Guler Demir
Keyword(s):  
Postoperative Period ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Telephone Interviews ◽  
Two Stages ◽  
First Time ◽  
Benign Thyroid

This descriptive, cross-sectional study investigated problems experienced by patients after undergoing a thyroidectomy. The study included 60 first-time, post-thyroidectomy patients diagnosed with benign thyroid disease from a university hospital’s general surgery clinic in Ankara, Turkey. The data were collected in two stages: interviews with patients on the first day following surgery and postoperative follow-up telephone interviews in each of the first 4 weeks following surgery. The follow-ups revealed that patients principally experienced varying degrees of pain and difficulties in connection with work and recreation, communication, body image, and movement, for up to 4 weeks after surgery. These results showed that patients were particularly prone to problems on the first day and during the first week of the postoperative period; therefore, patients should be provided with follow-up telephone interviews to facilitate easier recovery and to help them overcome any problems experienced during the postoperative period.

scholarly journals Caudoventral hip luxation in a miniature pig

2017 ◽  
Vol 47 (7) ◽  
Author(s):  
Carolina Silveira Braga ◽  
Brunna de Souza Barni ◽  
Marcele de Souza Muccillo ◽  
Emerson Antonio Contesini ◽  
Marcelo Meller Alievi
Keyword(s):  
General Anesthesia ◽  
Treatment Option ◽  
Postoperative Period ◽  
Degenerative Joint Disease ◽  
Joint Disease ◽  
Miniature Pig ◽  
Pelvic Limb ◽  
Hip Luxation ◽  
Viable Treatment

ABSTRACT: A miniature pig was examined because of left pelvic limb lameness after falling from a short height. Clinical examination and radiographs of the pelvic region revealed a left caudoventral hip luxation. Surgical reduction of luxation was performed on the patient under general anesthesia using a transarticular pinning technique. Postoperative radiographs confirmed that the luxation was reduced, the joint was aligned, and the transarticular pinning was correct. The transarticular pin was removed 21 days after it was surgically inserted. The limb was fully functional in the immediate postoperative period. Nine months after the surgery, the patient could use the limb properly, but mild degenerative joint disease was observed via radiographic follow-up. This technique may be a viable treatment option for the repair of caudoventral hip luxation in miniature pigs.

scholarly journals Correlation Between Age, Work Period, Knowledge, and Attitude’s Workers With Behavior on The Use of PPE

2021 ◽  
Vol 7 (2) ◽  
pp. 134
Author(s):  
Cynthia Widyawati ◽  
Indriati Paskarini
Keyword(s):  
Protective Equipment ◽  
White Crystal ◽  
Cross Sectional ◽  
Work Period ◽  
East Indies ◽  
Worker Attitudes ◽  
A Value ◽  
Work Area ◽  
Work Accidents ◽  
The Relationship

PG. Poerwodadie is one of the white crystal sugar factories left by the Dutch East Indies. In the production process with a fairly high risk of work accidents, the company provides Personal Protective Equipment (PPE). However, most workers have not complied with the use of PPE in the work area. Therefore, it is necessary to research factors related to non-compliance with the use of PPE. The purpose of the study was to determine the relationship between age, years of service, education, and attitudes with workers who were not obedient in using PPE. This research uses quantitative with the cross-sectional approach. The population in this study were all workers at the PG. Poerwodadie manufacturing station totals 80 people. The study concludes that there was a relationship between the age of workers and non-compliance with the use of PPE with the value of Phi and Cramer's V = 0.337. There was a relationship between the working period and non-compliance with the use of PPE with a value of 0.329. There was a relationship between worker knowledge and non-compliance with the use of PPE with the value = 0.279. There was no relationship between worker attitudes and non-compliance with the use of PPE

scholarly journals Exclusive Breastfeeding Related to Diarrhea Occurrence in Babies Aged 0-6 Months Old at Sudiang Community Health Center, Makassar

2022 ◽  
Vol 3 (1) ◽  
pp. 202-208
Author(s):  
Balqis Dwiyanti Haedar ◽  
Rauly Ramadhani ◽  
Andi Sitti Rahma
Keyword(s):  
Breast Milk ◽  
Community Health ◽  
Health Center ◽  
Exclusive Breastfeeding ◽  
High School Graduates ◽  
Community Health Center ◽  
Cross Sectional ◽  
A Value ◽  
Cross Sectional Design ◽  
The Relationship

Exclusive breastfeeding is a condition in which infants are only given breast milk without the addition of other fluids and foods. until the baby reaches 6 months old. Breast milk strengthen the immune system in infants so they can avoid various diseases including diarrhea. This study aims to determine the relationship between exclusive breastfeeding and the incidence of diarrhea in infants aged 0-6 months in the Sudiang Community Health Center. This research is an analytical survey research with a cross-sectional design. This research was conducted at the Sudiang Health Center, Makassar City in the period November 1st to December 31st, 2019. The total respondents were 89 mothers with babies aged 0-6 months. The results showed that most of the respondents were mothers with male babies (61%), most of the mothers' education was high school graduates (46%), housewives (75%) with low economic background (56%). Exclusive breastfeeding related to the incidence of diarrhea in children aged 0-6 months in the Sudiang Community Health Center with a value of p <0.05 (p = 0.001). In addition, no significant relationship on maternal nipple hygiene to diarrhea in children aged 0-6 months p <0.05 (p = 0.075). In conclusion, this study showed there is a relationship between exclusive breastfeeding and the incidence of diarrhea in children aged 0-6 months in Sudiang Health Center. There is a relationship between hand hygiene and the incidence of diarrhea in children aged 0-6 months in Sudiang Health Center, Makassar.

scholarly journals Hubungan Kualitas Pelayanan Dimensi Servqual dengan Loyalitas Pasien di Poliklinik RSUD Arosuka Tahun 2018

2019 ◽  
Vol 19 (3) ◽  
pp. 694
Author(s):  
Titen Yasril ◽  
Dachriyanus Dachriyanus ◽  
Harmawati Harmawati
Keyword(s):  
Sampling Technique ◽  
Dominant Factor ◽  
Chi Square ◽  
Waiting Room ◽  
Cross Sectional ◽  
Old Patients ◽  
A Value ◽  
Patient Loyalty ◽  
Chi Square Test ◽  
The Cost

The lack of repeated visits of old patients will increase the cost of promotion to get new patients, one way to maintain old patients is to grow patient loyalty. Some patients in Arosuka General Hospital are still not loyal because they come to the hospital only for the first examination, then the patient goes to another hospital, some patients have not recommended the hospital to others, one of the factors that influence patient loyalty is the quality of service. This study aims to determine the relationship between service quality servqual dimensions and patient loyalty in Arosuka Hospital. The type of this study is cross sectional. The population in this study were all patients who came to the Arosuka Hospital polyclinic in 2018, a sample of 203 people with a proportional random sampling sampling technique conducted in April 2018 with the analysis used was the chi square test. The statistical test results obtained 60.1% of respondents not loyal, 61.6% of respondents stated that tangible was not good, 37.9% of respondents stated that reliability was not good, 51.2% of respondents stated that they were less responsive, 43.3% of respondents said assurace was not good, and 48.8% of respondents said empaty not good. There is a significant relationship between tangible, reliability, responsive, assurance, empathy and patient loyalty in Arosuka Hospital with a value of p <0.05 (p = 0.001, p = 0.015, p = 0.010, p = 0.002, p = 0.022). Tangible is the most dominant factor associated with patient loyalty. It is expected that the director will make a policy on service hours, sanctions for those who do not obey the service hours, coordinate with the local government in procuring transportation for patients, the head of the ward designing a comfortable waiting room, and providing suggestion boxes for patients.

scholarly journals HUBUNGAN ACCESS BLOCK DENGAN PERBURUKAN KONDISI PASIEN DI INSTALASI GAWAT DARURAT RSUD ULIN BANJARMASIN

2020 ◽  
Vol 11 (1) ◽  
pp. 110-119
Author(s):  
Julianto Julianto ◽  
Izma Daud ◽  
Sari Milyati
Keyword(s):  
Research Method ◽  
Sampling Technique ◽  
P Value ◽  
Test Results ◽  
Hospital Emergency ◽  
Cross Sectional ◽  
Analytical Design ◽  
A Value ◽  
Relationship Of ◽  
The Relationship

Abstrak  Latar Belakang :Access block adalah situasi dimana pasien yang mengalami lama rawat di IGD 6 karena kurangnya akses ke ruang rawat inap dan kepadatan jumlah pasien yang tidak terkendali, dampaknya ditemukan bahwa semakin lama access block  semakin tinggi pula perburukan pasien dalam 24 jam.Tujuan : ini bertujuan untuk mengetahui hubungan access block dengan perburukan kondisi pasien di Instalasi Gawat Darurat RSUD Ulin Banjarmasin.Metode :Penelitian menggunakan desain analitik dengan pendekatan cross sectional. Jumlah sampel yang diambil berjumlah 40 orang dengan teknik pengambilan accidental sampling. Analisis data melalui uji spearman rank.Hasil : Hasil uji dipapatkan nilai p hitung 0,000 (0,05) ada hubungan antara access block dengan perburukan kondisi pasien di instalasi gawat darurat RSUD Ulin Banjarmasi.Simpulan: Berdasarka hasil penelitian Ada hubungan antara access block dengan perburukan kondisi pasien di Instalasi Gawat Darurat RSUD Ulin Banjarmasin dengan nilai P= 0,000 nilai α = 0,05 dengan nilai koefisien korelasi 0,588 Kata kunci: Access Block, Perburukan Pasien. Abstract Background :Access block is a situation where patients who experience length of stay in the ED 6 due to lack of access to the inpatient room and uncontrolled density of patients, it is found that the longer the access block the higher the deterioration of patients in 24 hours.Purpose: This study aims to determine the relationship of access block with deteriorating condition of patients in Emergency Installation Ulin Hospital Banjarmasin.Method : The research method uses an analytical design with a cross sectional approach. The number of samples taken is 40 people using the accidental sampling technique. Data analysis through spearman rank test.Result: The test results obtained p value calculated 0,000 (0.05) there is a relationship between the access block and deterioration of the patient's condition at the Ulin Banjarmasin Hospital emergency department.Conclusion: Based on the results of the study, there is a relationship between the access block and the worsening of the patient's condition at the Emergency Department of RSUD Ulin Banjarmasin with a value of P = 0.000 value α = 0.05 with a correlation coefficient value of 0.588. Keywords: Access Block, Patient worsening 

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