scholarly journals Side Effects and Determinant of the Use of 3-Month Contraceptive Injection

2018 ◽  
Vol 14 (1) ◽  
pp. 20-27
Author(s):  
Sari Priyanti ◽  
Agustin Dwi Syalfina
Keyword(s):  
Health Care ◽  
Logistic Regression ◽  
Multivariate Analysis ◽  
Side Effects ◽  
The Body ◽  
Menstrual Disorders ◽  
Cross Sectional ◽  
Primary Health ◽  
Estrogen Effect

Acceptor of contraceptive injection increased from 11.7% to 27.8% since 2010-2013. Contraceptive injection of Depo Medroxy Progesterone Acetate (DMPA) is given every 3 months by intramuscular. The long-term use of 3-month contraceptive injetion for more than two years can cause side effects such as menstrual disorders and decreased libido due to accumulation of progesterone hormone in the body that suppressed estrogen effect. This study aimed to analyze the association in long-term use of 3-month contraceptive injetion with menstrual disorders and decreased libido in Puskesmas (Primary health care) Puri, Mojokerto Regency in 2016. The study was observational analytics with cross sectional approach with sample 73 contraceptive acceptors. The data were analyzed by using univariate, bivariate and multivariate analysis with logistic regression and multivariate general model. The results showed that the duration of use of 3-month contraceptive injetion was significant with side effect of menstrual disorders (PR=0.142; 95%CI: 0.040-0.502) and decreased libido (PR=0.275; 95%CI: 0.100-0.756). Conclusion: menstrual disorders and decreased libido associated with the duration of use of 3-month contraceptive injetion.

scholarly journals Factors Related to Incidence of Pneumonia among Toddlers

2016 ◽  
Vol 11 (2) ◽  
Author(s):  
Rapitos Sidiq ◽  
Ritawati Ritawati ◽  
Roma Sitio ◽  
Siti Hajar
Keyword(s):  
Health Care ◽  
Logistic Regression ◽  
Multivariate Analysis ◽  
Physical Condition ◽  
P Value ◽  
Newborn Period ◽  
Cross Sectional ◽  
Primary Health ◽  
Aceh Province ◽  
Cross Sectional Design

Pneumonia is one of very important global health problems among toddlers, especially in developing countries. Nowadays, pneumonia is one of largest causes of child mortality, especially in newborn period. In Aceh Province, pneumonia disease is the eighth of 25 biggest diseases found at primary health care with 112 cases, while pneumonia among outpatient sufferers in Aceh reached 434 cases (29.03%).This study aimed to determine factors related to incidence of pneumonia toddlers in Lambatee Village, Darul Kamal Subdistrict, Aceh Besar District. This study was analytical descriptive using cross-sectional design. Samples of study were mothers and toddlers amounted to 48 people. Data were collected on August 3rd – 14th, 2015 by interview, observation. Multivariate analysis used logistic regression. Results of study showed that the factor physical condition of house sanitation influenced to trend among toddlers suffering from pneumonia with p value 0.01< 0.05, the highest OR score 6.431 and 95% CI = 1.559 - 26.532. In conclusion, physical condition of house sanitation had six times risk of causing trend of pneumonia incidence among toddlers in Lambatee Village, Darul Kamal Subdistrict, Aceh Besar District.AbstrakPneumonia merupakan salah satu masalah kesehatan global yang sangat penting pada anak bawah lima tahun (balita), khususnya pada negara-negara berkembang. Saat ini, pneumonia merupakan salah satu kasus penyebab kematian pada anak terbesar, terutama pada periode baru lahir. Di Provinsi Aceh, penyakit pneumonia merupakan penyakit urutan ke-8 dari 25 penyakit terbesar yang ditemukan di puskesmas dengan jumlah 1.112 kasus. Sedangkan besarnya kasus pneumonia pada penderita rawat jalan di Aceh mencapai 434 kasus (29,03%). Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kejadian pneumonia pada balita. Penelitian bersifat analitik dengan desain potong lintang. Sampel penelitian adalah ibu dan balita yang berjumlah 48 orang. Pengumpulan data dilaksanakan tanggal 3 – 14 Agustus 2015 dengan wawancara dan observasi. Analisis multivariat menggunakan regresi logistik. Hasil penelitian menunjukkan bahwa faktor kondisi sanitasi rumah secara fisik berpengaruh terhadap kecendrungan balita menderita penyakit pneumonia dengan nilai p 0,01 < 0,05, dengan nilai OR tertinggi 6,431 dan CI 95% = 1.559 - 26.532. Disimpulkan bahwa kondisi sanitasi rumah secara fisik memiliki peluang enam kali menyebabkan terjadinya pneumonia pada balita di Desa Lambatee, Kecamatan Darul Kamal, Kabupaten Aceh Besar.

GANGGUAN MENSTRUASI PADA AKSEPTOR DMPA TIDAK TERKAIT IMT

2021 ◽  
Vol 3 (3) ◽  
pp. 196
Author(s):  
Cicilia Valentine Simamora ◽  
Sri Ratna Dwiningsih ◽  
Ninik Darsini
Keyword(s):  
Side Effects ◽  
Fat Mass ◽  
Total Sample ◽  
The Body ◽  
Drop Out ◽  
Menstrual Disorders ◽  
Cross Sectional ◽  
Significance Level ◽  
Relationship Of ◽  
The Relationship

Abstrak Latar Belakang: Kejadian akseptor drop out tertinggi karena efek samping yaitu pada metode suntikan. KB injeksi DMPA memiliki efek samping gangguan menstruasi. Untuk menjamin lancarnya menstruasi, wanita harus mempunyai kadar lemak sebanyak 22% dari berat badannya. Kadar lemak dapat ditentukan dengan menilai berat badan seseorang melalui pengukuran Indeks Massa Tubuh (IMT). Penelitian ini bertujuan untuk mempelajari hubungan IMT dengan gangguan menstruasi pada akseptor KB injeksi DMPA di Puskesmas Jagir. Metode: Penelitian ini merupakan penelitian analitik observasional dengan pendekatan cross sectional. Jumlah sampel sebanyak 67 orang meliputi akseptor KB injeksi DMPA di Puskesmas Jagir sesuai dengan kriteria inklusi. Sampling dilakukan dengan total sampling. Variabel bebas dalam penelitian ini adalah IMT pada akseptor KB injeksi DMPA, sedangkan variabel tergantung adalah gangguan menstruasi pada akseptor KB injeksi DMPA. Untuk mengetahui tingkat signifikan, data yang terkumpul akan diuji dengan uji statistik Pearson pada tingkat kemaknaan α=0,05. Hasil: Hasil penelitian didapatkan bahwa sebagian besar responden memiliki IMT normal (55,2%), IMT kurus (3,0%) dan IMT overweight (41,8%). Hampir seluruhnya mengalami gangguan menstruasi (88,1%) dan yang tidak mengalami gangguan menstruasi (11,4%). Setelah uji Pearson diperoleh nilai p=0,140 (p>0,05) yang berarti bahwa tidak ada hubungan antara IMT dengan gangguan menstruasi pada akseptor KB injeksi DMPA. Kesimpulan: Tidak ada hubungan antara IMT dengan gangguan menstruasi pada akseptor KB injeksi DMPA di Puskesmas Jagir. Abstract Background: The incidence of drop out acceptors mostly due to side effects, is found on the injection method. DMPA injection has side effects of menstrual disorders. To ensure a fluent menstruation, women should have fat mass at least 22% of their body weight. Fat mass can be determined by measuring the Body Mass Index (BMI). This research aims to study the relationship of BMI with menstrual disorders in DMPA injection receiver at Puskesmas Jagir. Methods: This research is an observational analytic research with a cross sectional approach. A total sample of 67 people included DMPA injection receiver at Puskesmas Jagir corresponding for inclusion criteria. Sampling is done by total sampling. The independent variable in this study was BMI in DMPA injection receiver, while the dependent variable was menstrual disorders in DMPA injection receiver. To determine a significant level, the collected data will be tested by Pearson at the significance level of α = 0.05. Results: The results of the study showed that most of respondents had normal BMI (55.2%), thin BMI (3,0%) and overweight BMI (44.8%). Most of them experienced menstrual disorders (88.1%) and others did not experience menstrual disorders (11.4%). After the Pearson test, the value of p = 0.140 (p > 0.05) which means that there is no relationship between BMI and menstrual disorders in DMPA injection receiver. Conclusion: There is no relationship of BMI with menstrual disorders in DMPA injection receiver at Puskesmas Jagir.

scholarly journals Predictors of Prediabetic Insidencee among Elderly in Keritang District Indragiri Hilir Riau

2018 ◽  
Vol 13 (3) ◽  
pp. 138
Author(s):  
Sumandar Sumandar
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Logistic Regression ◽  
Marital Status ◽  
Cluster Sampling ◽  
Cross Sectional ◽  
Primary Health ◽  
Intervention Community ◽  
Regression Test ◽  
Logistic Regression Test

<p><strong>ABSTRACT</strong><br />Prediabetic is a state when glucose level is higher than normal, but does not meet the criteria for diabetes. Elderly people with prediabetic have a higher risk of type 2 diabetes. This observational analytical research was conducted to assess the correlation between sociodemographic and health care behavior of elderly toward incident of prediabetic. The participants were selected according to the inclusion criteria, and 76 participants were selected using cluster sampling and cross sectional approach was used. Multivariate logistic regression was used to estimate the correlation between gender, marital status, education, knowledge, attitude, and practice toward incidence of prediabetic. Data were analyzed using logistic regression test. The results showed that there were no significant differences of gender (p=1.000), marital status (p=1.80), education (p=1.000), and knowledge (p=1.000). Meanwhile, there were significant differences of attitude (p=0.003), practice (p=0.029), and behavior (p=0.012). The Logistic Regression test showed that attitude (OR=5.562) was the predictor of prediabetis incidence among Elderly. The effort to improve and to maintain health status of elderly is by changing the behavior. This can be achieved through an intense cooperation with health promotion team in Primary Health Care, especially nursing community, in a form of education and health promotion with various methods, such as direct intervention, community and elderly empowerment, and sector cross parthership. It is also recommended for Primary Health community to build health centers for elderly to give them access for health service especially for non communicable diseases prevention.</p><p><strong><em>ABSTRAK</em></strong><br /><em>Pradiabetes merupakan kondisi kadar glukosa darah di atas normal, tapi belum memenuhi standar diagnosis diabetes. Lanjut usia dengan pradiabetes memiliki peningkatan terhadap Diabetes mellitus tipe 2. Penelitian ini merupakan analitik observasional yang dilakukan untuk mengetahui hubungan antara sosiodemografi dan perilaku perawatan kesehatan lanjut usia terhadap kejadian pradiabetes. Responden yang digunakan telah memenuhi kriteria inklusi dan sampel sebanyak 76 responden yang dipilih secara cluster sampling serta menggunakan metode cross sectional. Data diuji menggunakan regresi logistik. Hasil penelitian ini menunjukkan bahwa tidak ada hubungan antara jenis kelamin (p=1,000), status perkawinan (p=0,80), pendidikan (p=1,00), dan pengetahuan (p=1,000). Sementara itu, terdapat hubungan antara sikap (p=0,003), praktik (p=0,029), dan perilaku (p= 0,012). Hasil uji Regresi Logistik menunjukkan bahwa sikap (OR=5.562) adalah variabel yang paling dominan mempengaruhi insiden pradiabetes. Usaha untuk meningkatkan dan memelihara status kesehatan pada lanjut usia adalah dengan perubahan perilaku. Usaha tersebut melalui kerjasama yang baik dengan tim promosi kesehatan yang ada di Puskesmas, khususnya keperawatan komunitas seperti penggunaan variasi metode pendidikan dan promosi kesehatan, intervensi langsung, pemberdayaan pada masyarakat dan lanjut usia, kerja sama lintas sektor, serta merekomendasikan Puskesmas membangun posyandu lansia agar paralansia bisa memperoleh pelayanan kesehatan terutama pada penyakit tidak menular</em></p>

scholarly journals Patient satisfaction with pharmaceutical services in Brazilian primary health care

2017 ◽  
Vol 51 ◽  
pp. 21s ◽  
Author(s):  
Orlando Mario Soeiro ◽  
Noêmia Urruth Leão Tavares ◽  
José Miguel do Nascimento Júnior ◽  
Augusto Afonso Guerra Junior ◽  
Ediná Alves Costa ◽  
...  
Keyword(s):  
Health Care ◽  
Logistic Regression ◽  
Patient Satisfaction ◽  
Primary Health Care ◽  
Pharmaceutical Services ◽  
Chi Square ◽  
Cross Sectional ◽  
Patient’S Satisfaction ◽  
Primary Health ◽  
Chi Square Test

OBJECTIVE: To evaluate patient satisfaction with pharmaceutical services in Brazilian primary health care. METHODS: This is a cross-sectional, exploratory, and evaluative study on a representative sample from the five Brazilian geopolitical regions resulting from the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos – Serviços, 2015 (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines – Services, 2015). The outcome was the patient’s satisfaction, obtained using the item response theory. Associations were tested using Pearson’s Chi-square test with sociodemographic and health variables, and multiple logistic regression analyses were carried out. The Hosmer-Lemeshow test was used to verify the adequacy of the final model. Logistic regression results were presented as odds ratio. RESULTS: The overall percentage of patients satisfied with these services was 58.4% (95%CI 54.4-62.3). The “opportunity/convenience” aspect had the lowest satisfaction percentage (49.5%; 95%CI 46.4-52.6) and “interpersonal aspects,” the highest percentage (90.5%; 95%CI 88.9-91.8), significantly higher than other aspects. Sex, age group, limitations due to disease, and self-perception of health remained associated in the final multiple logistic model regarding general satisfaction. CONCLUSIONS: Most of the interviewed users were satisfied with pharmaceutical services in Brazilian cities, and the satisfaction with the customer’s service was determinant in the patient’s overall satisfaction

scholarly journals Awareness about Nanotechnology among Upcoming Clinicians in Vidarbha, Maharashtra

2021 ◽  
pp. 126-131
Author(s):  
Swati Maldhure ◽  
Vaibhav Sonwani ◽  
Ranjeet Ambad ◽  
Dhruba Hari Chandi
Keyword(s):  
Health Care ◽  
Side Effects ◽  
Human Race ◽  
Cross Sectional ◽  
Medical College ◽  
Adequate Knowledge ◽  
Scientists And Engineers ◽  
Clinical Departments ◽  
Maximum Utilization

The making of new things at an incredibly small “nano” scale (100,000 times smaller than the human hair) is called nanotechnology and it is one of the most exciting and fast-moving technology in today’s world. Scientists and engineers have been working hard to make the maximum utilization of this knowledge towards applications like cure for certain diseases, to create certain renewable sources of energy and to bring human race safety into next millennium, thus nanomedicine being one of the most important evolution of nanotechnology. In this research, we have done a cross sectional observation, knowledge, perception and attitude study among 56 residents of various clinical departments of Datta Meghe Medical College. According to our survey, it was evident that only 48.21% of the residents were aware of the science of nanotechnology. Television was the source for most of them to know about it. Approximately 35.71% knew the size of nanoparticles which is really low. Of all the residence who knew about nanotechnology, most of the (42.86%) them knew about its application in healthcare whereas comparatively less (28.57%) were aware of its applications in areas besides healthcare. As expected very few (14.29%) had practically used this advanced science in health care. And hardly any knew about limitations or long-term side effects of nanotechnology in health care but most of them supported it. With our limited analysis and discussion, we could conclude that awareness and knowledge about nanotechnology among residents who are our upcoming clinicians, was deficient in more than half of them and inadequate among those who had. Universities need to add this subject in their curriculums and have an interdisplinary approach towards this recent advance so that all the medical students and upcoming clinicians have awareness and adequate knowledge regarding nanotechnology & nanomedicine which is going to be the future of medicine having significant impact on our health, comfort and lifestyle.

Historical and medical aspects of the organization of medical and social services for the elderly and senile people in Russia in the late XX — early XXI centuries

2020 ◽  
pp. 49-57
Author(s):  
Lyudmila Kaspruk
Keyword(s):  
Health Care ◽  
Social Services ◽  
Social Protection ◽  
The Elderly ◽  
Primary Role ◽  
Primary Health ◽  
Geriatric Service ◽  
Delivery Of Medical Care ◽  
Older Citizens

When analyzing the historical and medical aspects of the organization of medical and social services for the elderly and senile people in Russia in the late XX — early XXI centuries not only obvious achievements in this sphere, but also a number of problems requiring solution were identified. The primary role in the delivery of medical care to geriatric patients is assigned to the primary health care sector. However the work of the geriatric service in the format of a single system for the provision of long-term medical and social care based on the continuity of patient management between differ- ent levels of the health care system and between the health and social protection services is not well organized. There is no clear coordination and interaction between health care and social protection institutions, functions of which include providing care to older citizens, and it significantly reduces the effectiveness of the provision of both medical and social services.

scholarly journals Fatigue among Long-Term Breast Cancer Survivors: A Controlled Cross-Sectional Study

Cancers ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 1301
Author(s):  
Saskia W. M. C. Maass ◽  
Daan Brandenbarg ◽  
Liselotte M. Boerman ◽  
Peter F. M. Verhaak ◽  
Geertruida H. de Bock ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Logistic Regression ◽  
General Practitioner ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Breast Cancer Diagnosis ◽  
Reference Population ◽  
Cross Sectional ◽  
Symptoms Of Depression

Background: Fatigue is the most common and persistent symptom among women in the first five years after a breast cancer diagnosis. However, long-term prevalence of fatigue, among breast cancer survivors, needs further investigation. Aim: To compare fatigue experienced by long-term breast cancer survivors with that in a reference population and to evaluate the determinants of that fatigue. Design and Setting: A cross-sectional cohort study of 350 breast cancer survivors ≥5 years after diagnosis and a reference population of 350 women matched by age and general practitioner. Method: Fatigue was measured using the Multidimensional Fatigue Inventory (MFI-20), and a sum score of >60 (multidimensional fatigue) was the primary outcome. Logistic regression was applied to compare the prevalence of multidimensional fatigue between the survivor and reference populations, adjusted for body mass index (BMI) and for cardiovascular and psychological variables. Odds ratios (ORs) and 95% confidence intervals (95%CIs) were estimated. Logistic regression was applied to evaluate the determinants of multidimensional fatigue among the survivors. Results: Breast cancer survivors (median 10 years after diagnosis), more often experienced multidimensional fatigue than the reference population (26.6% versus 15.4%; OR, 2.0 [95%CI, 1.4–2.9]), even after adjusting for confounders. The odds of multidimensional fatigue were also higher among survivors with symptoms of depression (32.2% versus 2.7%; OR, 17.0 [95%CI, 7.1–40.5]) or anxiety (41.9% versus 10.1%; OR, 6.4 [95%CI, 3.6–11.4]). Conclusion: One in four breast cancer survivors experience multidimensional fatigue and fatigue occurs more frequently than in women of the same age and general practitioner. This fatigue appears to be associated with symptoms of depression and anxiety.

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