Mortality among children under the age of one: analysis of cases after discharge from maternity *

Abstract OBJECTIVE To analyze infant death after discharge from maternity in the time period between 2000 and 2013. METHOD A cross-sectional retrospective quantitative study in a municipality northward in the state of Paraná. Data were analyzed using the SPSS®, and were subjected to Chi-square test, logistical regression, 95% confidence interval, and a significance level of p <0.05. RESULTS Two hundred forty-nine children were born, discharged from maternity and subsequently died; 10.1% in the neonatal period and 89.9% in the post-neonatal period. Pregnancy follow-up, birth, and child monitoring took place mainly in the public health system. There was a statistically significant association between the infant component and place of delivery (p =0.002; RR=1.143; IC95%=1.064-1.229), and a lower number of childcare medical visits (p =0.001; RR=1.294; IC95%=1.039-1.613). The causes of death in the neonatal period were perinatal conditions (40%); external causes (32%); and congenital malformations (20%). In the post-neonatal period, congenital malformations (29.9%), external causes (24.1%); and infectious-parasitic diseases (11.2%) were the causes of death. CONCLUSION Virtually all children were born in conditions of good vitality that were worsened due to potentially preventable diseases that led to death.

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HUBUNGAN ANTARA UMUR IBU DAN JARAK KEHAMILAN DENGAN KEJADIAN PERDARAHAN POSTPARTUM DI RUANG KEBIDANAN RSUD KOTA PRABUMULIH TAHUN 2016

Jurnal Kebidanan : Jurnal Medical Science Ilmu Kesehatan Akademi Kebidanan Budi Mulia Palembang ◽

10.35325/kebidanan.v7i2.115 ◽

2019 ◽

Vol 7 (2) ◽

Author(s):

Desti Widya Astuti Desti Widya Astuti

Keyword(s):

General Hospital ◽

Post Partum ◽

District General Hospital ◽

Study Data ◽

P Value ◽

Chi Square ◽

Cross Sectional ◽

Significance Level ◽

Chi Square Test ◽

Post Partum Bleeding

ABSTRAK Berdasarkan data di RSUD Kota Prabumulih bahwa terdapat peningkatan jumlah kejadian perdarahan post partum, tahun 2014 sebanyak 178 orang, tahun 2015 sebanyak 246 orang dan tahun 2016 sebanyak 151 orang. Penelitian ini bertujuan untuk mengetahui hubungan umur ibu dan jarak kehamilan terhadap kejadian perdarahan post partum di RSUD Kota Prabumulih Tahun 2016. Penelitian ini merupakan penelitian analitik dengan rancangan cross sectional. Populasi yang digunakan adalah semua ibu bersalin di RSUD Kota Prabumulih, sebanyak 1.296 ibu bersalin dan 306 sampel. Pengambilan sampel dengan mengunakan random sampling, analisa data menggunakan analisa univariat dan bivariat dengan menggunakan uji statistik chi-square dengan derajat kemaknaan 0,05. Hasil penelitian ini menunjukan bahwa dari 288 ibu bersalin terdapat 151 yang mengalami perdarahan post partum sebagian besar adalah ibu dengan umur resiko tinggi sebanyak 43 orang (40,9%) dan ibu dengan jarak kehamilan resiko tinggi sebanyak 21 orang (17,3%). Hasil uju chi-square umur didapatkan p.value 0,000 < α 0,05 dan uji chi-square untuk jarak kehamilan didapatkan p.value 0,000 < α 0,05. Maka ada hubungan umur ibu dan jarak kehamilan terhadap kejadian perdarahan post partum di RSUD Kota Prabumulih Tahun 2016. ABSTRACK Based on the data at District General Hospital (RSUD) Prabumulih, there was increasing of post-partum bleeding, in 2014, there were 178 people. In 2015, there were 246 people. And in 2016, there were 151 people. The purpose of the study was to know relationship between maternal mother and the distance and old post-partum bleedingat District General Hospital (RSUD) Prabumulih in 2013. The study was analytic researchwith cross sectional design. Population thas was used in the study was all maternal mother ar District General Hospital (RSUD) Prabumulih. It was about 1.296 maternal mother and from 306. Random sampilng was done in the study, data analyses used univariate and bivariate analyses by using chi-square statistic test with significance level 0,05. The study result showed that from 306 maternal mother, there were 151 mother who experienced old post-partum bleeding, the large of that was high maternal mother 43 people (40,9%) and mother age high distance 21 people (17,3%). The result of chi-square test was p value 0,000 < α 0,05 and chi-square test for age was p value 0,000 < α 0,05. It meant that there was relationship between maternal mother and the distance and of post-partum bleeding at District General Hospital (RSUD) Prabumulih in 2016.

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Skull and Face Injuries and Associated Factors in Pedestrian Victims of Traffic Accidents: A Single Trauma Center Analysis

Current Dentistry ◽

10.2174/2542579x02999200608131337 ◽

2020 ◽

Vol 2 (1) ◽

pp. 53-59

Author(s):

Josimara A. de Araújo Varela ◽

Tatiana F.T. Palitot ◽

Smyrna L.X. de Souza ◽

Alidianne F.C. Cavalcanti ◽

Alessandro L. Cavalcanti

Keyword(s):

Medical Records ◽

Associated Factors ◽

Traffic Accidents ◽

Age Group ◽

Chi Square ◽

Cross Sectional ◽

Significance Level ◽

The Face ◽

Chi Square Test ◽

The City

Objective: This study aimed to analyze the presence of lesions in the skull and face and the associated factors in pedestrian victims of traffic accidents. Methods: A cross-sectional, descriptive-analytical study carried out through the analysis of medical records of pedestrian victims of traffic accidents in an emergency service in the city of Campina Grande, Brazil, during the year of 2016. Information was collected regarding gender, age group, day of the week, time of the accident, type of vehicle involved, presence of trauma to the skull and face, and outcomes. The Chi-square and Fisher's Exact tests were used, with a significance level of 5%. Results: A total of 1,884 medical records were evaluated, out of which 7.1% (n = 133) involved pedestrians. Men were the most frequent victims (68.4%), and victims of age 60 years old or over (30.5%) predominated. Almost one-third of the cases were recorded during the weekends (30.5%), and the most prevalent time was at night (52.7%). Regarding the type of vehicle involved, motorcycles predominated (47.4%). Head trauma was present in 37.6% of victims, while facial injuries corresponded to 8.2%. In 12% of cases, the victims died. The variables of gender, age group, occurrence on weekends, and trauma to the face showed a statistically significant association with the occurrence of traffic accidents (Chi-square test; p<0.05). Conclusion: Among pedestrian victims of traffic accidents, there is a predominance of men aged 65 years or over. Accidents are frequent at night, and motorcycles are the main vehicles involved. The presence of trauma to the skull and face regions is high.

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HUBUNGAN PENGETAHUAN SIKAP DENGAN INISIASI MENYUSU DINI PADA IBU POST PARTUM DI RUANG VK IRINA D BLU RSUP PROF R.D. KANDOUMANADO

e-NERS ◽

10.35790/ens.v1i1.1795 ◽

2013 ◽

Vol 1 (1) ◽

Author(s):

Fransisca M.A. Wowiling ◽

Benny Wantouw ◽

Julia Rottie

Keyword(s):

Post Partum ◽

Early Initiation ◽

Breastfeeding Initiation ◽

Chi Square ◽

Cross Sectional ◽

Significance Level ◽

Early Initiation Of Breastfeeding ◽

Chi Square Test ◽

Knowledge And Attitude ◽

Initiation Of Breastfeeding

Abstract: Early Initiation of Breastfeeding is the baby starts to suckle his own soon after birth, as long as the skin is left in contact with his mother, at least 1 hour after birth. How to initiate early breastfeeding baby was named after the breast crawl or crawl seek his own breast. This study aims to gain an overview of the relationship between knowledge and attitude of mothers VK (maternity) Prof Dr Irina D BLU. R.D. Kandou Manado. Design of this study used cross sectional method where the entire population is a normal post partum mothers in space VK (Maternity) Prof Dr Irina D BLU. R.D. Kandou Manado with a sample size of 30 responden. Data responde collected using questionnaires and observation sheets then the data presented preformance cross tabulation tables and chi square test with a significance level of 0.05. Based on the results of the study showed that of the chi square test results obtained ρ value > 0.05. It states that there is no correlation between knowledge and attitude with the implementation of early breastfeeding initiation (IMD) in mothers post partum in space VK (maternity) Prof. Dr Irina D BLU R.D. Kandou Manado. Keywords: Knowledge and Attitude Post Partum Mom, Implementation of Early Initiation of Breastfeeding (IMD). Abstrak: Inisiasi Menyusu Dini adalah bayi mulai menyusu sendiri segera setelah lahir, asalkan dibiarkan kontak dengan kulit ibunya, setidaknya 1 jam setelah lahir. Cara bayi melakukan inisiasi menyusu dini ini dinamakan the breast crawl atau merangkak mencari payudara sendiri. Penelitian ini bertujuan memperoleh gambaran mengenai hubungan pengetahuan dan sikap ibu post partum dengan pelaksanaan inisiasi menyusu dini (IMD) di Ruang VK (bersalin) Irina D BLU RSUP Prof. R.D. Kandou Manado. Desain penelitian ini menggunakan metode cross sectional dimana populasinya adalah keseluruhan ibu post partum secara normal di Ruang VK (Bersalin) Irina D BLU RSUP Prof. R.D. Kandou Manado dengan besar sampel 30 responden.Data dikumpulkan dari responde dengan menggunakan lembar kuisioner dan observasi kemudian data disajikan dalm tabel tabulasi silang dan uji chi square dengan derajat kemaknaan 0,05. Berdasarkan hasil penelitian menunjukkan bahwa dari hasil uji chi square didapatkan nilai ρ > 0,05. Ini menyatakan bahwa tidak ada hubungan pengetahuan dan sikap dengan pelaksanaan inisiasi menyusu dini (IMD) pada ibu post partum di Ruang VK (bersalin) Irina D BLU RSUP Prof.Dr. R.D. Kandou Manado. Kata kunci: PengetahuandanSikapIbuPost Partum, Pelaksanaan Inisiasi Menyusu Dini (IMD).

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KEJADIAN DEPRESI PADA REMAJA MENURUT DUKUNGAN SOSIAL DI KABUPATEN JEMBER

Journal of Community Mental Health and Public Policy ◽

10.51602/cmhp.v3i2.55 ◽

2021 ◽

Vol 3 (2) ◽

pp. 92-101

Author(s):

Adi Zayd Bintang ◽

Ayik Mirayanti Mandagi

Keyword(s):

Social Support ◽

Random Sampling ◽

Quantitative Research ◽

Chi Square ◽

Cross Sectional ◽

Significance Level ◽

Prevalence Of Depression ◽

Chi Square Test ◽

Effective Role ◽

The Relationship

ABSTRACTDepression is a mental health problem that mostly occurs during adolescence. Physical, cognitive and emotional changes experienced during adolescence can cause stress. The prevalence of depression in adolescence has a very high increase compared to the age of children and adults. The main factor in being able to cure depression in adolescents is social support (Depkes, 2007). This study aims to identify depressive symptoms in adolescents and to find out the relationship between social support factors and depression incidence. This research is a quantitative research, with the type of observational analytic research with a cross sectional approach involving students at SMA XY in Jember Regency in May 2020. The analytical method uses the Chi Square test to see the relationship between independent and dependent variables with a significance level of α ≤ 0, 05. Data collection tool using google form. Determination of respondents by random sampling with a total of 158 respondents. The results of this study indicate that the distribution of women is 76.58% more than that of men. Based on the distribution of social support, 56.96% received good social support, while based on the incidence of depression, 54.43% did not experience depression. From the statistical test, the significance value of <0.05 indicates that there is a relationship between social support factors and the incidence of depression. Social support plays an effective role in overcoming depression experienced by adolescents.Keywords: Depression, Teens, social support. ABSTRAKDepresi merupakan salah satu masalah kesehatan mental yang sebagian besar terjadi pada masa remaja. Perubahan fisik, kognitif dan emosional yang dialami pada masa remaja dapat menimbulkan stress. Prevalensi depresi pada usia remaja memiliki peningkatan yang sangat tinggi dibandingkan dengan usia anak-anak dan usia dewasa. Faktor utama untuk dapat menyembuhkan depresi pada remaja yaitu dukungan sosial (Depkes, 2007). Penelitian bertujuan untuk mengidentifikasi gejala depresi pada remaja dan mengetahui mengenai Hubungan Faktor Dukungan Sosial dengan Kejadian Depresi. Penelitian ini adalah penelitian kuantitatif, dengan jenis penelitian analitik observasional dengan pendekatan cross sectional yang melibatkan siswa di SMA XY di Kabupaten Jember pada Bulan Mei tahun 2020. Metode analisis menggunakan uji Chi Square untuk melihat hubungan variabel independen dan dependen dengan tingkat kemaknaan α ≤ 0,05. Alat pengumpulan data menggunakan google form. Penentuan responden secara random sampling dengan jumlah 158 reponden. Hasil penelitian ini menunjukan distribusi perempuan 76,58% lebih banyak daripada laki-laki, berdasarkan distribusi dukungan sosial sebesar 56,96% mendapatkan dukungan sosial yang baik, sedangkan berdasarkan kejadian depresi sebesar 54,43% tidak mengalami depresi. Dari uji statistik nilai signifikansi sebesar < 0,05 menunjukkan bahwa ada hubungan antara faktor dukungan sosial dengan kejadian depresi. Dukungan sosial berperan efektif dalam mengatasi depresi yang dialami remaja.Kata Kunci: Depresi, Remaja, Dukungan Sosial.

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Characterization of the institutionalization of pharmaceutical services in Brazilian primary health care

Revista de Saúde Pública ◽

10.11606/s1518-8787.2017051007135 ◽

2017 ◽

Vol 51 (suppl.2) ◽

Cited By ~ 1

Author(s):

Gisélia Santana Souza ◽

Ediná Alves Costa ◽

Rafael Damasceno de Barros ◽

Marcelo Tavares Pereira ◽

Joslene Lacerda Barreto ◽

...

Keyword(s):

Pharmaceutical Services ◽

Chi Square ◽

Cross Sectional ◽

Significance Level ◽

Five Dimensions ◽

Heterogeneous Process ◽

Chi Square Test ◽

Computerized System ◽

Municipal Health

OBJECTIVE: To characterize the current stage of the institutionalization of pharmaceutical services in Brazilian cities. METHODS: This study is part of the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines), a cross-sectional, exploratory, and evaluative study composed by an information survey in a representative sample of cities, stratified by Brazilian regions. We interviewed municipal secretaries of health, responsible for pharmaceutical services, and pharmacists responsible for the dispensing of medicines. The variables selected from the interviews were grouped into five dimensions that defined three stages of pharmaceutical services institutionalization: incipient (0%-34.0%), partial (35.0%-69.0%), and advanced (70.0%-100%), estimated based on the interviewees’ answers. Frequencies were estimated with 95% confidence intervals. For the statistical association analysis, the Chi-square test was applied, with significance level of p<0.05. RESULTS: Our results show a partial and heterogeneous process of institutionalization of pharmaceutical services in Brazil, and an advanced stage in formal structures, such as the municipal health plans and the existence of a standardized list of medicines. The analysed variables in the “organization, structure, and financing” dimension configured stages that range from partial to advanced. The management presented partial institutionalization, positively showing the existence of computerized system, but also disparate results regarding the autonomy in the management of financial resources. Indispensable items related to the structure expressed disparities between the regions, with statistically significant differences. CONCLUSION: The study showed a partial and heterogeneous process of institutionalization of pharmaceutical services in Brazilian cities, showing regional disparities. Variables related to the normative aspects of institutionalization were positively highlighted in all dimensions; however, it is necessary to conduct new studies to evaluate the institutionalization of pharmaceutical services’ finalistic activities

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HUBUNGAN ANTARA ISAPAN BAYI DENGAN PRODUKSI ASI PADA IBU MENYUSUI DI RUMAH SAKIT ISLAM JEMURSARI SURABAYA

Journal of Health Sciences ◽

10.33086/jhs.v8i1.213 ◽

2018 ◽

Vol 8 (1) ◽

Author(s):

Tri Aprillia Tauriska ◽

Farida Umamah

Keyword(s):

Breast Milk ◽

Milk Production ◽

Exclusive Breastfeeding ◽

Sampling Technique ◽

Chi Square ◽

Cross Sectional ◽

Probability Sampling ◽

Significance Level ◽

Breast Milk Production ◽

Chi Square Test

The correlation between baby’s suck and breast milk production in breastfeeding mothers in RSI Jemursari Surabaya. The mothers feel reluctant to breastfeed their babies even though the exclusive breastfeeding has become a government’s propaganda. The pre-data taken from 15 breastfeeding mothers inform that 60% had a low breast milk production. Purpose of this study was to find out the correlation between baby’s suck and breast milk production in breastfeeding mothers in RSI Jemursari Surabaya.The design of study was analytic-observational done by applying cross sectional approach. The population involved all breastfeeding mothers as imumnunization visiting the hospital with their babies, totally 18 people, in which 17 respondents were taken by using probability sampling technique. The instrument used for collecting the data was a checklist. The variables used in this study were baby’s suck and breast milk production. The data were analyzed by using Chi-Square test with the significance level α = 0.05.The result of study showed that nearly all of the babies (94.1%) sucked correctly, whereas nearly all of the mothers (88.2%) had sufficient breast milk production. Moreover, the result of statistic test showed that p = 0.018 with the significance level α = 0.05 so that p < α. It also meant that H0 was rejected. The conclusion of study often the babies suck correctly, breast milk is produced. Hence, the breastfeeding mothers to still maintaining for breastfeed their baby with train them how to breastfeed correctly to increase breast milk production.

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Position of lips and tongue in rest in newborns with and without ankyloglossia

CoDAS ◽

10.1590/2317-1782/20202020069 ◽

2021 ◽

Vol 33 (6) ◽

Author(s):

Silvia Márcia Andrade Campanha ◽

Roberta Lopes de Castro Martinelli ◽

Durval Batista Palhares

Keyword(s):

Visual Inspection ◽

Cross Sectional Study ◽

University Hospital ◽

Sectional Study ◽

Hospital Data ◽

Chi Square ◽

Cross Sectional ◽

Significance Level ◽

Significant Difference ◽

Chi Square Test

ABSTRACT Purpose Verify the position of lips and tongue at rest in newborns with and without ankyloglossia. Methods Cross-sectional study, carried out with 130 newborns in University Hospital. Data collection was performed by the researcher and speech-language pathologists from the Hospital. Information on gestational age, sex, weight, height and days of life was collected. The position of the lips and tongue at rest was evaluated through visual inspection with the newborns asleep. After the newborns were awakened, Neonatal Screening of the validated Protocol for the evaluation of the lingual frenulum for infants was performed to detect the alteration of the lingual frenulum. The data obtained were described and submitted to statistical analysis using the Chi-Square test to verify the association between the position of the lips with the tongue and to compare the position of the lips and tongue with and without ankyloglossia. The Mann-Whitney test was used to verify the behavior of the variables the differed between newborns with and without ankyloglossia. The significance level of 5% was adopted. Results When comparing the data, a significant difference was found between: weight and height with and without ankyloglossia; position of lips and tongue. An association between the position of the tongue and lips with and without ankyloglossia was also found. Conclusion Newborns without alteration of the lingual frenulum have a tendency to remain with their lips closed and their tongue elevated during rest and newborns with ankyloglossia have a tendency to keep their lips parted and their tongue low during rest.

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Association between speech and dental occlusion changes in children with cleft lip and palate and time of primary plastic surgeries

Revista CEFAC ◽

10.1590/1982-0216/202123412420 ◽

2021 ◽

Vol 23 (4) ◽

Author(s):

Gabriela Ribeiro Schilling ◽

Maria Cristina de Almeida Freitas Cardoso ◽

Paulo Sérgio Gonçalves da Silva ◽

Marcia Angélica Peter Maahs

Keyword(s):

Cleft Lip ◽

Cleft Lip And Palate ◽

Cross Sectional Study ◽

Dental Occlusion ◽

Chi Square ◽

Cross Sectional ◽

Significance Level ◽

Exact Test ◽

Chi Square Test ◽

Incisive Foramen

ABSTRACT Purpose: to describe the changes in speech and dental occlusion in children with cleft lip and palate and verify their association with each other and with the time of primary plastic surgeries. Methods: a cross-sectional study with collected data on the subjects’ identification, age at the time of primary surgeries, and clinical assessment of speech and dental occlusion. The chi-square test, Fisher's exact test, and t-test were used to verify the associations between the variables at the 5% significance level (p < 0.05). Results: the sample comprised 11 children aged 6 to 10 years, most of whom were males, self-reported white, with trans-incisive foramen cleft, predominantly on the left side. The mean age at lip repair surgery was 6 months, and 13 months at palatoplasty. Among the main dental occlusion changes, posterior and anterior crossbite stood out. All the subjects presented changed speech, with a prevalence of cases with dentoalveolar and palatine deformities, followed by passive and active changes. Subjects with anterior crossbite tended to have undergone primary lip repair surgery at a mean of four months earlier than the subjects without anterior crossbite. Conclusions: the associations between speech and dental occlusion changes, and between these and the time of primary plastic surgeries were not statistically significant. Even though it is known that early lip repair surgery is ideal to favor oral functions and aesthetics, the results revealed a tendency towards anterior crossbite, in these subjects.

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Gender and norms related to an intention for participating in counseling sessions by peer educator

Masyarakat Kebudayaan dan Politik ◽

10.20473/mkp.v32i12019.105-113 ◽

2019 ◽

Vol 32 (1) ◽

pp. 105

Author(s):

Ira Nurmala ◽

Muthmainnah Muthmainnah ◽

Riris Diana R ◽

Elisa Dwi P

Keyword(s):

High School Students ◽

Research Finding ◽

P Value ◽

School Students ◽

Chi Square ◽

Cross Sectional ◽

Significance Level ◽

Peer Educator ◽

Intention To Participate ◽

Chi Square Test

Nowadays, drugs (narcotics, psychotropic, and addictive substances) abuse gradually increases in the adolescent group, especially High School students. Environmental impact, especially social interaction, gives a high effect on building the character in adolescents. The existence of peer-education activity is one of the promotive and preventive strategies in mitigating drug abuse. This research was done in 10 high schools in Surabaya spread over five regions (Central, North, South, West, and East). This research was quantitative with the cross-sectional design while the data analysis used was a Chi-Square test with a p-value of <0.05 that was based on the significance level. The research finding showed that the intention of student participation was quite high, i.e. 83.1%; from the statistical test, it had been taught that gender had a significant relationship with intention by a p-value of 0.00. Additionally, it had also a relationship with subjective norm by a p-value of 0.00. Conclusion: the student’s norm has supported their intention to participate in the program. Meanwhile, the research finding that is based on the gender in this research showed that females had a higher intention to participate in the activity than the males had. Therefore, a conducive environment should be maintained continuously so that the positive norm can motivate the students to participate in the activity held by the peer-educator.

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Knowledge and ability to manage medical emergencies among dental students

Journal of Oral Medicine Oral Surgery Oral Pathology and Oral Radiology ◽

10.18231/j.ijooo.2021.050 ◽

2021 ◽

Vol 7 (3) ◽

pp. 161-166

Author(s):

Chitturi Prashanthi ◽

Prashant B Patil ◽

Vajendra Joshi ◽

Kiran Kumar K R ◽

Shilpa R T

Keyword(s):

Life Support ◽

Dental Students ◽

Medical Emergency ◽

Cross Sectional Survey ◽

Chi Square ◽

Cross Sectional ◽

Significance Level ◽

Chi Square Test ◽

Medical Emergencies ◽

The Difference

: An emergency can be encountered anytime and anywhere. Minimal knowledge about medical emergency and their etiology, primary protocol for management must be known to avoid potential consequences. Hence, the present study was undertaken to compare the knowledge, and ability to handle the medical emergencies among the dental students. A cross-sectional survey was conducted among 100 randomly selected dental students (post-graduate students and interns) comprising of two groups of students those who had underwent training and those who did not. The data obtained was analyzed using the SPSS for windows version 22.0 released 2013. Independent chi square test was used for comparison of responses and independent student t-test was used for the comparison of mean scores. The significance level was set at p<0.001. : The average mean knowledge and ability score was 68% & 61.4% respectively among the participants. On further comparison of mean knowledge & ability scores between the participants with & without basic life support training, participants with BLS training showed better knowledge than those without training and the difference was statistically significant between the two groups (p<0.001%). The study found deficiencies in the knowledge and ability of untrained graduates to deal with medical emergencies as compared to trained.

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