scholarly journals Riwayat paparan pestisida dan kekurangan asupan zat gizi sebagai faktor risiko kejadian anemia pada ibu hamil di daerah pertanian

2019 ◽  
Vol 7 (2) ◽  
pp. 69-75 ◽  
Author(s):  
Sulistyawati Sulistyawati ◽  
Ani Margawati ◽  
Ali Rosidi ◽  
Suhartono Suhartono
Keyword(s):  
Risk Factor ◽  
Vitamin C ◽  
Pregnant Women ◽  
Nutrient Intake ◽  
Pesticide Exposure ◽  
Agricultural Area ◽  
Chi Square ◽  
Nutrient Adequacy ◽  
History Of ◽  
Exposure History

Background: Anemia in pregnant women in Brebes Regency, Central Java in 2016 was still high at 60.7%. Brebes Regency is an area of onion farming with a high intensity of pesticide use. Objectives: This study aimed to prove the history of pesticide exposure and lack of nutrient intake (iron and vitamin C) was risk factor for the incidence of anemia in pregnant women in agricultural area. Methods: Case control study with 41 cases (anemia) and 41 controls (non-anemia) as study subjects. The subjects were selected using purposive sampling method. Pesticide exposure history included the involvement of pregnant women in agricultural activities, frequency of exposure and length of exposure was measured by interview using structured questionnaire. Anemia data were obtained by measuring hemoglobin levels. Other independent variables measured were nutritional intake (protein, iron, and vitamin C) using semi-quantitative food frequency questionnaire (SQ-FFQ) method to determine the level of nutrient adequacy in pregnant women. Data were analyzed using chi-square test and logistic regression.Result: Hemoglobin levels in the case ranged from 7.2 g/dl to 10.9 g/dl. The results of multivariate logistic regression showed that pesticide exposure history (OR= 4.9, 95% CI:1.75-13.67), level of iron adequacy (OR = 2.9, 95% CI:1.06– 8.29) and level of vitamin C adequacy (OR = 3.4, 95% CI:1.10– 10.28) as risk factors for the incidence of anemia in pregnant women in agricultural area.Conclusion: The history of pesticide exposure and lack of nutrient intake (iron and vitamin C) was risk factor for the incidence of anemia in pregnant women in agricultural area.

scholarly journals ANALISIS FAKTOR RESIKO PAPARAN PESTISIDA PADA KEHAMILAN DENGAN KEJADIAN BERAT BADAN LAHIR RENDAH (BBLR) DI KOTA PADANGSIDIMPUAN TAHUN 2019

2020 ◽  
Vol 3 (1) ◽  
pp. 39-47
Author(s):  
Fithri Handayani Lubis
Keyword(s):  
Risk Factors ◽  
Pregnant Women ◽  
Pesticide Exposure ◽  
Bivariate Analysis ◽  
Control Group ◽  
Case Group ◽  
Chi Square ◽  
History Of ◽  
Agricultural Areas ◽  
And Storage

Low birth weight (LBW) is one of the main causes of infant mortality. The problem that arises is whether there is a relationship between risk factors for pesticide exposure during pregnancy and the incidence of LBW in agricultural areas. The purpose of this study was to determine the risk factors for pesticide exposure associated with LBW incidence. This research is a case control study. Subjects were divided into two groups: a case group of 25 farmers with a history of giving birth to LBW and a control group who were neighbors of case subjects without a history of giving birth to LBW, a total of 25 farmers. This research data collection using interviews and observations. Data analysis used univariate and bivariate analysis (chi square and fisher as alternatives). Research results: risk factors for exposure to pesticides that have been shown to be associated with the incidence of LBW in Padangsidimpuan, include: occupation of pregnant women related to pesticides (OR = 6,769) completeness of personal protective equipment (PPE) while doing activities in the fields (OR = 18,857) and storage pesticides (OR = 12,667). The recommended advice is to avoid work that is directly related to pesticides during pregnancy, if you have to participate in agricultural activities, pregnant women should use complete PPE.

scholarly journals FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN PREEKLAMSIDI PUSKESMAS SUMBER KABUPATEN REMBANG

2018 ◽  
Vol 1 (2) ◽  
pp. 83 ◽  
Author(s):  
Priharyanti Wulandari
Keyword(s):  
At Risk ◽  
Risk Factor ◽  
Pregnant Women ◽  
Sampling Technique ◽  
Chi Square ◽  
Test Analysis ◽  
Risk Pregnancy ◽  
Chi Square Test ◽  
History Of ◽  
Quantitative Descriptive

ABSTRAK Preeklamsi adalah penyakit yang ditandai dengan hipertensi, proteinuria, dan oliguria. Preekalmsi disebabkan beberapa faktor seperti usia ibu, paritas, riwayat preeklamsi, dan jarak kehamilan. Setelah dilakukan wawancara di Puskesmas Sumber Kabupaten Rembang dengan 9 ibu hamil, 6 mengatakan memilliki  riwayat preeklamsi, hipertensi sebelumnya, dan 1 ibu hamil tidak memiliki faktor resiko preeklamsi.Desain penelitian ini Kuantitatif Deskriptif Korelasional. Desain penelitian menggunakan Crosectional. Populasi penelitian ini semua ibu hamil di Puskesmas Sumber Kabupaten Rembang dengan sampel sejumlah 31responden menggunakan teknik Accidental Sampling serta pengumpulan data menggunakan lembar kuesioner dan analisis uji bivariat menggunakan uji chi square.Hasil penelitian menunjukkan bahwa faktor usia dengan kejadian preeklamsi dengan jumlah reponden yang berisiko (<20&>35 tahun ) sebanyak 22 (71,0%) yang preeklamsi, umur berisiko sebanyak 3 (9,7%) yang tidak preeklamsi, dan umur yang tidak berisiko (20-35 tahun) sebanyak 3 (9,7%) yang preeklamsi, umur tidak berisiko sebanyak 3 (9,7%) yang tidak preeklamsi didapatkan nilai pvalue= 0,034 <0,05. Faktor paritas yang berisiko (≥3 kali) yang mengalami preeklamsi sebanyak 11 (35,3%) responden, faktor paritas berisiko (≥3 kali) yang tidak preeklamsi sebanyak 6 (19,45), dan paritas <3kali yang mengalami preeklamsi sebanyak 14 orang (45,1%) didapatkan nilai pvalue= 0,o13 <0,05. Faktor riwayat preeklamsi yang memiliki riwayat dengan jumlah 12 orang (38,7%) preeklamsi, dan ibu yang tidak memiliki riwayat namun mengalami preeklamsi sebanyak 13 (41,9% serta 6 orang (19,4%) tidak preeklamsi didapatkan nilai pvalue= 0,030 <0,05. Faktor jarak kehamilan yang berisiko (≤2 tahun ) yang mengalami preeklamsi sebanyak 17 (54,8%), jarak kehamilan berisiko (≤2 tahun tidak preeklamsi sebanyak 3 (9,75), jarak kehamilan tidak berisiko (>2 tahun) yang preeklamsi sebanyak 8 responden (25,8%), jarak kehamilan tidak berisiko yang tidak preeklamsi sebanyak 3 (9,75). Dari 4 faktor tersebut didapatkan faktor (usia, paritas, riwayat preeklamsi) ada hubungannya dengan kejadian preeklamsi di Puskesmas Sumber Kabbupaten Rembang. Dan faktor jarak kehamilan tidak berhubungan dengan kejadian preeklamsi karena nillai pvalue= >0,05.Kata Kunci    :    Faktor-faktor preeklamsi, dan kejadian preeklamsiABSTRACT                Preeclampsia is a disease characterized by hypertension, proteinuria, and oliguria. Preecalmtion is due to several factors such as maternal age, parity, preeclampsia history, and gestational distance. After interviewing at Puskesmas Sumber Kabupaten Rembang with 9 pregnant women, 6 said memilliki history preeklamsi, previous hypertension, and 1 pregnant women do not have risk factor of preeklamsi.               The design of this study is Quantitative Descriptive Correlational. Research design using Crosectional. The population of this study were all pregnant women in Puskesmas Sumber Kabupaten Rembang with sample of 31 responden using Accidental Sampling technique and data collection using questionnaire sheet and bivariate test analysis using chi square test.               The results showed that age factor with preeclampsia incidence with the number of respondents at risk (<20 &> 35 years) was 22 (71.0%) with preeclampsia, risky age of 3 (9.7%) not preeclampsed, and age not At risk (20-35 years) as many as 3 (9.7%) of preeclampsia, age not risk as much as 3 (9.7%) not preeklamsi obtained pvalue = 0,034 <0,05. Risk factor (≥3 times) with preeclampsia was 11 (35.3%), risk factor (≥3 times), preeclampsia was 6 (19,45), and parity <3 times with preeclampsia of 14 People (45,1%) got value pvalue = 0, o13 <0,05. The history factor of preeclampsia with history of 12 people (38,7%) preeclampsia, and mothers with no history but 13 preeclampsia (41,9% and 6 persons (19,4%) did not preeclampsed pvalue = 0,030 <0,05 Risk of gestational distance (≤2 years) with preeclampsion of 17 (54.8%), risky gestational distance (≤ 2 years not preeclamped as much as 3 (9.75), non-risk pregnancy distance (> 2 years) with preeclampsia as many as 8 respondents (25.8%), non-preeclamped pregnancy spacing of 3 (9.75) .The 4 factors (age, parity, history of preeclampsia) were related to preeclampsia occurrence in Puskesmas Sumber Kabbupaten Rembang And the distance factor of pregnancy is not related to preeclampsia occurrence because nillai pvalue => 0,05Keywords : Preecclampsia factors, and occurrence of preeclampsia

scholarly journals Risk factor of severe preeclampsia in Dr. Soetomo Hospital Surabaya in 2015

2018 ◽  
Vol 25 (1) ◽  
pp. 6 ◽  
Author(s):  
Amelia Rahmah Kartika ◽  
Muhammad Ilham Aldika Akbar ◽  
Pirlina Umiastuti
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Pregnant Women ◽  
Medical Records ◽  
Maternal Obesity ◽  
Significant Risk ◽  
Severe Preeclampsia ◽  
History Of

Objectives: to determine which of the risk factors above associated with the occurrence of severe preeclampsia at dr. Soetomo Hospital, Surabaya during 2015.Materials and Methods: The type and design of the study were analytic and retrospective. This study was held in the dr. Soetomo Hospital from April until November 2016. The instrument of the study was the medical records then being coded and analysed. The samples were 134 pregnant women, consisting of 67 pregnant women with severe preeclampsia as cases and 67 pregnant women as controls.Results: Maternal obesity (OR= 5,786; 95% CI: 2,300–14,555), history of hypertension (OR= 6,693; 95% CI: 1,848–24,237) and secondary elderly primi (OR= 6,384; 95% CI: 1,357–30,031) are associated with the development of severe preeclampsia.Conclusion: In conclusion, the significant risk factors of severe preeclampsia in dr. Soetomo Hospital Surabaya during 2015 are obesity, history of hypertension and secondary elderly primi variables.

scholarly journals Relationship Of Nutritional Components In Toddlers Aged 25-59 Months To Stunting And Short Stature Incidents In Pragaan District, Sumenep Regency

2021 ◽  
Vol 17 (1) ◽  
pp. 27-40
Author(s):  
Pertiwi Febriana Chandrawati ◽  
Conita Walida Sabrina
Keyword(s):  
Logistic Regression ◽  
Short Stature ◽  
Nutrient Intake ◽  
Iodized Salt ◽  
Chi Square ◽  
Control Approach ◽  
Nutritional Components ◽  
Chi Square Test ◽  
History Of ◽  
Relationship Of

Stunting and short stature are height per-age <-2SD for specific age and gender. The process of stunting and short stature starts from the womb until the beginning of life. The direct cause of stunting is the lack of nutritional intake in the first 1000 days of life, which can inhibit height growth. Study aimed to investigate the association between the relationship of nutritional components in toddlers to stunting and short stature incidents in Pragaan District, Sumenep Regency. Observational analytic with a case-control approach, using the Purposive-Sampling method. The research sample consisted of 76 toddlers aged 25-59 months. The statistical analysis used was the chi-square test and logistic regression test. The result of chi-square test and logistic regression for stunting on nutrient intake variable ( p = 0.000, OR = 26,3, CI 95% (4,630-153,573), history of breastfeeding (p=0,000, OR=72,6,CI95% (7,63-690,78), iodized salt (p=0,000, OR=8,5,CI 95% (1,833-39,421), FE tablet (p=0,000,OR=37,00, CI 95%(3,762-363,91). The result of chi-square test and logistic regression for short stature on nutrient intake variable (p=0.001, OR=7,2,CI 95% (2,260-23,400), history of breast feeding (p=0,007, OR=4,500,CI 95% (1,210-16,742), iodized salt (p=0,007, OR=19,125, CI 95% (5,062-72,259), FE tablet (p=0,149). There is a relationship between nutritional components intakes such as breastfeeding history and iodine salt consumption with stunting and short stature in Pragaan District, Sumenep Regency.

scholarly journals Hubungan Kecemasan dan Kejadian Pre Eklamsia di RSUD dr. R. Goeteng Tarunadibrata Purbalingga

2020 ◽  
Vol 7 (1) ◽  
pp. 32-38
Author(s):  
Alfi Noviyana ◽  
Purwati Purwati
Keyword(s):  
Pregnant Women ◽  
Previous History ◽  
Sampling Technique ◽  
Chi Square ◽  
Predisposing Factor ◽  
Quantitative Studies ◽  
A Value ◽  
History Of ◽  
Relationship Of ◽  
The Relationship

The conditions of pregnancy can increase anxiety in women, therefore it can cause a negativeimpact on pregnant women themselves and on their fetuses. Anxiety is one of the risk factors ofthe incidence of pre-eclampsia in pregnant women. Pre-eclampsia is still the top three causes ofmaternal death in the field of obstetrics in Indonesia. The purpose of this study is to know andanalyze the relationship of anxiety with the incidence of pre-eclampsia in RSUD Dr. R. GoetengTarunadibrata Purbalingga. This research is a quantitative study, with case control design,sampling technique with an accidental sampling approach. Data collection using a standardquestionnaire from Hamilton. Analysis in quantitative studies using the X2 test (chi square) Theresults of this study that there is no statistical relationship between anxiety and the incidence ofpre-eclampsia with a value of ρ = 0.732 but clinically found that mothers with anxiety have a riskof 1, 26 times higher experience pre-eclampsia ( value of OR = 1.26). As for some externalvariables in this study that theoretically become a predisposing factor for pre-eclampsia includingage, previous history of pre-eclampsia or hypertension, hereditary history, history of hormonalfamily planning acceptors related to pre-eclampsia.

scholarly journals KORELASI ASUPAN ZAT BESI, PROTEIN, VITAMIN C DAN MUAL MUNTAH TERHADAP KEJADIAN ANEMIA PADA IBU HAMIL TRIMESTER I (PERTAMA)

2019 ◽  
Vol 9 (4) ◽  
pp. 301
Author(s):  
Karwati Karwati ◽  
Damay Yanti
Keyword(s):  
Vitamin C ◽  
Pregnant Women ◽  
First Trimester ◽  
Nausea And Vomiting ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Iron Protein ◽  
Food Records ◽  
The Relationship

Anemia is one of the many problems that occur in pregnant women in developing countries. First trimester pregnant women often experience nausea and vomiting that can affect the pattern of eating that is received. The purpose of this study was to determine whether nutritional intake and nausea and vomiting disorders in first trimester pregnant women were associated with anemia. The sample of this study was all first trimester pregnant women, selected by quota sampling technique. The research design used in this study was cross sectional, which aims to examine the correlation between nutrient intake (iron, protein, and vitamin C) and nausea and vomiting disorders with anemia. The instrument used to determine the intake of iron, protein, vitamin C was food records that were filled by respondents for 3 days. To test the hypothesis of the relationship used the chi square test and Fisher's exact test. From the results of the analysis of the relationship between iron intake, Vitamin C and nausea and vomiting with anemia, p-value = 0.003, p-value = 0.001 and p-value 0.001, it can be concluded that there is a relationship between iron intake, vitamin C and vomiting nausea with the incidence of anemia in first trimester pregnant women (first). While the results of the analysis of the relationship of protein intake with anemia obtained p-value = 0.806, it can be concluded that there is no relationship between protein intake and the incidence of anemia in first trimester pregnant women (first). The mean intake of iron, protein, and vitamin C in first trimester pregnant women both in the anemic and non-anemic groups had a daily intake that was still far from the nutritional adequacy standard set by the government that the RDA of iron was 26 g / dL / day Protein was 76 mg / day and Vit C is 70-85 mg / day. Keywords: food intake; nausea and vomiting; anemia ABSTRAK Anemia merupakan salah satu masalah yang banyak terjadi pada ibu hamil di negara berkembang. Ibu hamil trimester I sering mengalami gangguan mual muntah yang dapat berpengaruh pada pola ragam makan yang diterima. Tujuan dari penelitian ini adalah mengetahui apakah asupan nutrisi dan gangguan mual muntah pada ibu hamil trimester I berhubungan dengan kejadian anemia. Sampel penelitian ini adalah seluruh ibu hamil trimester I diambil dengan teknik Non Probability sampling yaitu Sampling Kuota. Desain penelitian yang digunakan dalam penelitian ini adalah epidemiologi analitik observasional dengan desain cross sectional, yang bertujuan menguji hipotesi dalam mencari korelasi asupan nutrisi (zat besi, protein, dan vitamin C) dan gangguan mual muntah dengan kejadian anemia. Instrumen yang digunakan untuk mengetahui kecukupan asupan zat besi, protein,vitamin C adalah food records yang di isi oleh responden selama 3 hari. Untuk melihat hubungan karakteristik dengan variabel dependen digunakan uji chi square dengan alternative uji exact fisher. Dari hasil analisis hubungan antara asupan zat besi, Vitamin C dan mual muntah dengan anemia didapatkan nilai p-value= 0,003, p-value = 0,001 dan p-value 0,001 maka dapat disimpulkan bahwa ada hubungan antara asupan Zat Besi, Vitamin C dan Mual Muntah dengan kejadian Anemia pada ibu hamil trimester 1 (pertama). Sedangkan hasil analisis hubungan asupan protein dengan anemia didaparkan p-value= 0,806 maka dapat disimpulkan bahwa tidak ada hubungan antara asupan protein dengan kejadian anemia pada ibu hamil trimester 1 (pertama). Rerata asupan zat besi, protein, dan vitamin C pada ibu hamil trimester I baik pada kelompok anemia maupun tidak anemia memiliki jumlah asupan harian yang masih jauh dari standar kecukupan gizi yang ditetapkan oleh pemerintah bahwa AKG zat besi adalah 26 g/dL/hari Protein adalah 76 mg/hari dan Vit C adalah 70-85 mg/hari. Kata kunci: asupan makanan; mual dan muntah; anemia

scholarly journals Prevalence of Gestational Diabetes Mellitus and Maternal and Fetal Outcomes at the Rivers State University Teaching Hospital (RSUTH), Port Harcourt, Nigeria

2020 ◽  
pp. 1-16
Author(s):  
D. H. John ◽  
P. A. Awoyesuku ◽  
D. A. MacPepple ◽  
N. J. Kwosah
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factor ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Pregnant Women ◽  
Exposed Group ◽  
Fetal Outcomes ◽  
Previous Pregnancy ◽  
Increased Risk ◽  
History Of

Background: Gestational diabetes mellitus (GDM) is a common cause of hyperglycaemia in pregnancy accounting for about 90% of all diabetic pregnancies. Women with GDM are at increased risk of maternal and fetal morbidity and mortality which are preventable through early diagnosis and treatment. Objective: The aim was to determine the prevalence of GDM, compare the maternal and neonatal complications among GDM and non-GDM pregnant women, and the risk factors associated with GDM. Methodology: A prospective cohort study was carried out among 105 pregnant women attending the antenatal clinic of RSUTH between February and August 2017. They were interviewed using a pre-structured questionnaire that covered variables related to socio-demographic factors and family, medical, and social history. Fasting blood sugar (FBS) was done after an overnight fast. Women who had FBS less than 7 mmol/L had 75 g Oral Glucose Tolerant Test (OGTT) done. Those diagnosed with gestational diabetes mellitus were the exposed group while those negative for GDM were the non-exposed group. Both groups were followed up to delivery, and maternal and fetal outcomes were noted. Statistical analysis was carried out using SPSS version 20 and significance set at p < 0.05. Results: The prevalence of GDM was 10.5%. Positive history of GDM in previous pregnancy was the only independent risk factor (p=0.04, Adj OR: 26.89, 95% CI 2.86 to 252.61). GDM mothers had a significantly higher risk of developing pre-eclampsia (RR=7.48; 95% CI =3.36 to 16.63). Neonates of GDM mothers were at increased risk of fetal macrosomia (RR =9.00; 95% CI=1.36 to 59.4) and neonatal admissions (RR=8.00; C.I =1.19 to 53.67). Conclusion: The study revealed that the prevalence of GDM was high and that those with GDM were at increased risk of developing fetal and maternal complications. A history of GDM in previous pregnancy was an essential risk factor for subsequent GDM.

scholarly journals Hubungan Riwayat Hipertensi, Kadar Haemoglobin dan Obesitas Dengan Kejadian Preeklampsia pada Ibu Hamil di RSUD Sungai Lilin Kab. Musi Banyuasin Tahun 2019

2021 ◽  
Vol 21 (1) ◽  
pp. 413
Author(s):  
Purwanti Purwanti ◽  
Siti Aisyah ◽  
Sri Handayani
Keyword(s):  
Pregnant Women ◽  
Significant Relationship ◽  
Random Sampling ◽  
Sampling Method ◽  
Statistical Test ◽  
P Value ◽  
Chi Square ◽  
Significance Level ◽  
Random Samples ◽  
History Of

Preeclampsia is a disease with hypertensive signs of edema and proteinuria arising from pregnancy. The aim of this study was to determine the correlation between history of hypertension, haemoglobin levels and obesity in RSUD Sungai Lilin, Musi Banyuasin District. This study used systematic random samples by dividing the desired sample size using “Random Sampling” method taken from 60 respondents in which 30% of the respondents experienced preeclampsia and 70% of the respondents did not experience preeclampsia. Respondents suffering from hypertension were 21.7% and respondents not suffering from hypertension were 78.3%. Respondents suffering from anaemia were 25%, and respondents who did not suffer from anaemia were 75%. Meanwhile, respondents who were obese were as much as 8.3% and respondents who were not obese were 91.7%. From the results of the Chi-Square statistical test with α significance level of 0.05,  there was a significant correlation between history of hypertension and the incidence of preeclampsia in pregnant women (p value = 0.000); there was a significant relationship correlation between haemoglobin levels and the incidence of preeclampsia in pregnant women (p value = 0.025); and there was a significant correlation between obesity and the incidence of preeclampsia in pregnant women (p value = 0.025)  at RSUD Sungai Lilin, Musi Banyuasin District in 2019. It is recommended that RSUD Sungai Lilin should be more active in providing training for midwives related to the incidence of preeclampsia in pregnant women.

scholarly journals Pesticide Exposure and Stunting among Children in Agricultural Areas

2019 ◽  
Vol 10 (1) ◽  
pp. 17-29 ◽  
Author(s):  
Apoina Kartin ◽  
Hertanto W Subagio ◽  
Suharyo Hadisaputro ◽  
Martha I Kartasurya ◽  
Suhartono Suhartono ◽  
...  
Keyword(s):  
Pesticide Exposure ◽  
Perinatal Period ◽  
Thyroid Stimulating Hormone ◽  
Growth Disorders ◽  
Level Energy ◽  
Nutrient Adequacy ◽  
Significant Difference ◽  
History Of ◽  
High Level ◽  
Agricultural Areas

Background: The prevalence of growth disorders among school-aged children in Indonesia is high (30.7%). Pesticides have been massively used in Indonesian agricultural areas. Objective: To determine if exposure to pesticides is associated with stunting among children in agricultural areas. Methods: This case-control study included 160 children (48 cases and 112 controls) aged 8–12 years. Exposure to pesticides was measured based on the history of the exposure since perinatal period, infancy, and childhood of the participants. Stunting was determined as a height for age z-score (HAZ) < -2 SD. Other variables measured were levels of thyroid stimulating hormone (TSH), insulin-like growth factor-1 (IGF-1), hemoglobin, zinc, albumin, nutrient adequacy level (energy and protein), and history of infection, low-birth weight (LBW), and mother's height. Results: There were no significant difference between the cases and controls in terms of in the baseline characteristics, except for the median IGF-1 level; it was significantly (p<0.001) lower in the cases (66.73 ng/mL) than the controls (112.57 ng/mL). High level of pesticide exposure (p=0.029) and low IGF-1 levels (p<0.001) were significantly associated with stunting. After adjusting for confounding variables, these variables were found to be independent risk factors for stunting in children (aOR 3.90, 95% CI 1.15 to 13.26; and aOR 8.35, 95% CI 3.65 to 19.14, respectively). Conclusion: Pesticide exposure could be a risk factor for the occurrence of growth disorders in children living in agricultural areas. Necessary actions should be taken to protect children living in agricultural areas from exposure to pesticides.

scholarly journals Risk Factor Related to Mortality of Diabetic Ketoacidosis Patients in Dr. Soetomo General Hospital Surabaya

2020 ◽  
Vol 11 (1) ◽  
pp. 36
Author(s):  
Alviano Satria Wibawa ◽  
Hermina Novida ◽  
Muhammad Faizi ◽  
Deasy Ardiany
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Diabetic Ketoacidosis ◽  
General Hospital ◽  
Developed Countries ◽  
Chi Square ◽  
High Blood Glucose ◽  
Electrolyte Disturbances ◽  
Chi Square Test ◽  
History Of

Introduction: Diabetic ketoacidosis (DKA) is a complication of diabetes mellitus which has a high risk of mortality. Mortality in DKA patients in developed countries is less than 5%, some other sources mention 5-10%, 2-10%, or 9-10%. Mortality events at clinics with simple facilities and elderly patients can reach 25-50%. The mortality rate of DKA patients is generally higher in infection conditions, especially in developing countries and in septic patients. Several factors such as age, sex, and high blood glucose can increase mortality risk of DKA patients. Other risk factors such as history of discontinued insulin therapy, impaired bicarbonate levels, pH, and increased leukocytes of DKA patients due to infection, abnormal albumin levels, electrolyte disturbances, and Serum Creatinine (SK) were thought to affect mortality of DKA patients. The purpose of this study was to determine the risk factors associated with mortality of DKA patients in Dr. Soetomo General Hospital Surabaya. Methods: The method used in this study was observational analytic involving 63 adult patients diagnosed with DKA with analysis using Chi-Square test. Results: From 63 patients included in this study, 37 patients diagnosed with DKA died and 26 patients lived. In a multivariate analysis, DKA severity with p = 0.001 (p < 0.005) was identified as having a relationship with mortality of DKA patients Dr. Soetomo General Hospital Surabaya. Conclusion: Severity is the only risk factor associated with mortality of DKA patients in Dr. Soetomo General Hospital Surabaya.

Sign in / Sign up

Export Citation Format

Share Document