scholarly journals Diagnostic, therapeutic and prognostic aspects of uterine synechiae managed by hysteroscopy in the gyanecological endoscopic surgery and human reproductive teaching hospital

Author(s):  
Etienne Belinga ◽  
Isidore Tompeen ◽  
Claude Cyrille Noa Ndoua ◽  
Junie Metogo Ntsama ◽  
Sandrine Mendibi ◽  
...  

Background: Uterine synechiae refers to a total or partial union of the inner walls of the uterus resulting from endometrial trauma. It is a cause of reproductive failure. Until now, synechia was not optimally treated and has remained understudied in Cameroon. Objective of present study was to Evaluate the diagnostic, therapeutic and prognostic aspects of uterine synechiae treated by hysteroscopy.Methods: We conducted a descriptive cross-sectional study with an analytical component from January 1st 2015 to July 31st 2017 at Yaounde. All patients diagnosed with uterine synechiae and treated with hysteroscopy were our sample. Sampling was consecutive. The chi-square test was used for the comparison of qualitative variables and Fisher's test for ANOVA variance analysis. The comparison of the averages was made by the Student's test. P-value less than 0.05 was considered as statistically significant.Results: Hysteroscopies were indicated for uterine synechiae in 14.50%. Nulliparous were 56.67%. A history of curettage/aspiration was present in 66.66%. All of the patients had a form of infertility and 83.33% had menstrual disorders. Hysterosalpingography showed a better sensitivity (88%). After hysteroscopic treatment, 63.30% had a complete anatomical restitution. There is a significant correlation between the stage of severity of synechia and anatomical restitution (p=0.008; Spearman correlation coefficient=-0.477).Conclusions: Uterine synechiae represent one-sixth of all indications for hysteroscopy and present clinically as menstrual disorder associated with infertility. A past history of uterine curettage is common. Hysterosalpingography has a better preoperative diagnostic sensitivity. Hysteroscopy allows optimal treatment.

Author(s):  
Fitri Handayani ◽  
Fatimah Fatimah ◽  
Yulinda Kurniasari ◽  
Lia Dian Ayuningrum

<p><strong>ABSTRACT</strong><strong></strong></p><p><strong><em>Background:</em></strong> In the world maternal mortality as many as 830 women died due to complications in childbirth. In 2015, 303.000 women died during pregnancy and after pregnancy. Target Sustainable Development Goals (SDGs) year 2030 lowers MATERNAL MORTALITY RATE under 70 per 100.000 live births. Pregnancy complications can cause bleeding before or after childbirth, preeclampsia, eclampsia, infections, and others. Maternal death case in Kab. Bantul in 2015 is 9 cases. Research Data in the Panembahan Senopati Hospital in the year 2017 the incidence of childbirth with complications of 1068 people. The prevalence of preeclampsia in expectant mothers is 176 people by 16.47%.</p><p><strong>Objectives: </strong>This research aims to know the relationship of sodium and calcium consumption in the mother of Nifas with preeclampsia during pregnancy in the Panembahan Senopati Hospital. Number of Samples were 54 postpartum women in Panembahan Senopati Bantul. Processing and analysis of data using the Chi-square test.</p><p><strong>Method<em>s: </em></strong>This type of research is an analytical observational, with a research design using a cross-sectional.</p><p><strong><em>Results:</em></strong> Characteristics of most respondents in the age category of 20-35 years as many as 38 people (70.4%), education graduated of senior high school 28 people (51.9%), history of not hypertension as many as 51 people (94.4%) and has no preeclampsia history as much as 50 people (92.6%). Statistical test results of Chi-square and p-value sodium was 0.564 (&gt; 0.05) and P-value calcium was 1.000 (&gt; 0.05).</p><p><strong><em>Conclusion</em></strong>: There is no relationship between sodium and calcium consumption of postpartum women with preeclampsia problem during pregnancy at Panembahan Senopati Hospital.</p><p><strong>KEYWORDS:</strong> <em>calcium, <em>preeclampsia, </em></em>s<em>odium</em></p>


2020 ◽  
Vol 5 (2) ◽  
pp. 160-168
Author(s):  
Nurhalina Nurhalina ◽  
Dwi Purbayanti ◽  
Rinny Ardina ◽  
Muhammad Fitriyanto

The results of the 2017 IDHS show that the level of child morbidity in Indonesia is still quite high with the main symptoms found are ARI, diarrhea, and fever. Meanwhile, 43% of infants do not get breast milk, 48% do not get exclusive breastfeeding and 60% of children receive food not in accordance with WHO recommendations. The purpose of this study was to determine the effect of feeding patterns on the level of child morbidity in Indonesia by analyzing the IDHS data in 2017. The method was a cross-sectional study. The population was women of childbearing age realized in the 2017 IDHS and sample who had children aged = 2 years and having sick during the survey period. The sample was excluded if the children had died or lived with other people and had a history of birth weight <2500 gram. Data analysis using chi-square test and multivariate analysis with logistic regression. The results showed that the pattern of giving complimentary food (p-value = 0.033 and OR=1.214) influenced the level of child morbidity in Indonesia.


2021 ◽  
Vol 10 (02) ◽  
pp. 129-132
Author(s):  
Naimatullah Khan ◽  
Javed Iqbal Khan ◽  
Tariq Mehmood ◽  
Aqeel Peter

Objective: To assess the dyslipidemia in newly diagnosed diabetic patients and compare it with or without micro albuminuria. Study Design and Setting: Cross-sectional study at Department of Medicine, Military Hospital Rawalpindi from 01 March 2015 to 31 August 2015. Methodology: A total of 150 patients who fulfilled the inclusion criteria were included after taking informed consent and approval from hospital ethical committee. Blood sample was obtained from each patient and samples were sent to hospital laboratory and reports were assessed by pathologist. Presence or absence of microalbuminuria, trigiyceridemia (200-499 mg/dl), raised LDL-C (>160 mg/dl) and decreased HDL-C (<40 mg/dl) were noted by researcher himself on a pre-designed performa. The collected data was analyzed statistically by using SPSS version 12.Quantitative variables like age, TG, LDL HDL levels were presented in form of mean ± S.D. Qualitative variables like gender, diabetes mellitus, micro albuminuria and dyslipidemia were presented as frequencies and percentages. Chi-square test was applied to find association between dyslipidemia and micro albuminuria. P value = 0.05 was considered as statistically significant. Results: Mean ± SD of age was 47.97±7.08 years. Out of 150 patients 60% were male and 40% were female. Dyslipidemia was found in 42% patients. Highly significant association was found between dyslipidemia and micro albuminuria, i.e. (P=0.0001). Conclusion: The frequency of dyslipidemia among newly diagnosed diabetic patients with micro albuminuria was significantly higher than in subjects without micro albuminuria


Author(s):  
Brain Guntoro ◽  
Kasih Purwati

Hypertension is one of the number one causes of death and disability in the world. Hypertension contributes nearly 9.4 million deaths from cardiovascular disease each year. Hypertension can cause undesirable effects, it needs good handling, one of them is by doing a hypertension diet. To carry out a hypertension diet requires knowledge, lack of knowledge can increase risk factors for hypertension. This study aims to determine the relationship of the level of knowledge about hypertension diet to the incidence of hypertension in the elderly at the Baloi Permai Public Health Center Batam City. This research method is an analytic observational with a cross-sectional approach conducted at the Baloi Permai Public Health Center Batam City 2018. Sampling technique is a total sampling with a sample of 64 people in 2018 determined by inclusion and exclusion criteria. The results of the study were analyzed with frequency distribution and then tested with the Chi-square test. Based on the results of this study indicate that of the 64 respondents found elderly who have a good level of knowledge are 41 people (64.1%), 48 people (75.0%) have an age range between 60-70 years. 27 people (42.2%) elderly have the last high school education and 40 people (62.5%) have jobs as entrepreneurs. Elderly people who have normal blood pressure are 40 people (62.5%), and those affected by hypertension are 24 people (37.5%). The elderly who have a family history of hypertension is 21 people (32.8%) and those who do not have a history of hypertension are 43 people (67.2%). Chi-Square Test analysis results show the significance value p = 0.009. This number is significant because the p-value is smaller than the significance level (α) ≤ 5% (0.05), so H0 is rejected and Ha is accepted. Therefore it can be concluded that there is a significant relationship about the level of knowledge about the hypertension diet to the incidence of hypertension in the elderly. From the results of this study it was concluded that there was a relationship between the level of knowledge about the hypertension diet and the incidence of hypertension in the elderly at the Baloi Permai Public Health Center Batam City in 2016.


Author(s):  
Dyah Widiastuti ◽  
Dwi Priyanto

Leptospirosis is associated with occupations which exposed workers to contaminated environments. The risk of leptospirosis exposure in the market as a gathering place for many people needs to be assessed, to obtain the basis for decision making to anticipate leptospirosis transmission. This study aimed to determine the relationship between market environmental conditions including market sanitation conditions, the level of rat density and the presence of leptospira-positive rats  toward the history of leptospirosis exposure among market workers (traders and janitors). A cross sectional study conducted in 35 markets in Banjarnegara and 175 market workers randomly selected. Blood samples analysed using ELISA against 40 Kda pathogenic Leptospira protein. Rat trapping  conducted in each market for two days with 100 traps. The caught mice examined with Polymerase Chain Reaction (PCR) to detect the presence of Leptospira bacteria in their kidneys. Leptospirosis exposure was spread in 17 markets in Banjarnegara. The PCR examination showed that the pathogenic Leptospira infected rats were spread in four markets in Banjarnegara. Chi square test showed that the hygene condition in market area was significantly associated with the leptospirosis exposure. Markets workers (traders and janitors) were at risk for leptospirosis proved by high seroprevalence of leptospirosis in this study.


2020 ◽  
Vol 4 (3) ◽  
pp. 100-111
Author(s):  
Vita Camelia ◽  

Stunting is a children growth problem that occurs a result of chronic malnutrition in the first 1000 days of life. The indicator of stunting is using the height measurement according to age HFA (Height for Age) under -2 SD based on the WHO growth standard curve according to sex. The impacts of stunting are the occurrence of growth disorders, barriers to development and the risk of metabolic disorders in adulthood. One of the risk factors for stunting is history of quality and quantity Antenatal Care (ANC). This study aimed to determine the relationship between quality and quantity history of ANC visits and stunting in toddlers aged 24-59 years in Pujon District Malang Regency. The method used in this research was observational analytic by using cross-sectional design. The population of this study was all mothers who have children aged 24-59 months that were conducted in January 2020. Ninety eight respondents taken by purposive sampling as the sample of the research. The data was obtained by filling out questionnaires and KIA books, then analyzed with chi-square test (α = 0.05). The results showed that there was a significant relationship in quality (p-value = 0.004) and quantity (p-value = 0.003) toward stunting.


Objective: This study was carried out to determine the prevalence of microdontia among patients undergoing orthodontic treatment. Materials and Methods: This was a cross-sectional study conducted at Sindh Institute of Oral Health Sciences, (JSMU) from January-2020 to May-2020. Pre-treatment casts were taken of 140 subjects. The mesiodistal dimension of each tooth was recorded through the vernier caliper. Frequency and percentage were calculated for the presence of microdontia. The test applied was Pearson’s Chi-square test to assess the relationship between microdontia and variables like age and gender. P-value <0.05 was taken as statistically significant. Data analysis was performed on SPSS version 22. Results: A total of 140 subjects were selected i.e. 105 (75%) females and 35 (25%) males aged range 13 -30 years with mean age 18.29 ± 3.88. Out of 42, single tooth microdontia was found in 3 (7.1%), more than one tooth microdontia, and generalized microdontia was present in 36 (85.7%) and 3 (7.1%) respectively. Microdontia was found to be more common in the maxilla (n=42, 100%) than the mandible (n=14, 33.3%). It was found more common in females (n=37, 35.2%) as compared to males (n=5, 14.3%). Statistically significant relationship was found among gender and prevalence of microdontia (p=0.019) with a statistically insignificant relationship between age and presence of microdontia (p=0.228). Conclusions: Microdontia was found to be a frequent dental anomaly, was more common in maxilla and females with a significant association with gender.


2020 ◽  
Vol 4 (2) ◽  
pp. 66
Author(s):  
Yusmawarnita Zai ◽  
Kandrinus Bu’ulolo ◽  
Novy Fajariani ◽  
Yasozatulo Hulu ◽  
Ruslan Efendi Gulo ◽  
...  

Stroke is a condition where a part of the brain is suddenly disturbed which is caused by a lack of blood supply, which causes an inhibition of metabolic processes. As a result of a stroke affects the psychological function of the patient, so the patient feels his level of self-esteem decreases or is low. The role and support of families play an important role in the rehabilitation process to provide health services for stroke patients. The aim is to find out the relationship of family support with the level of self esteem (self-esteem) in stroke patients at the Royal Prima Medan Hospital in 2019. The design used a "cross sectional study" approach with a population of 2,690 people. Samples were stroke patients at RSU Royal Prima medan, as many as 25 respondents using accidental sampling techniques and questionnaires as research instruments. The test used is the chi-square test. The results of the study Based on the chi-square test found p value (<0.05) statistically shows that there is a relationship between family support and the level of self esteem (self-esteem) in stroke patients specifically there is a relationship between informational support (p-value = 0.009), assessment support (p-value = 0.003), Instrumental support is obtained (p-value = 0.009), Emotional support (p-value = 0.004) with the level of self esteem (self-esteem) in stroke patients. This research shows that good family support will positively impact the level of self esteem (self-esteem) in stroke patients.


2020 ◽  
Vol 14 (3) ◽  
pp. 445-451
Author(s):  
Asnuddin Asnuddin ◽  
Asrini Mattrah

Social media use: The role of parents' perceptions about social media impact in early marriageBackground: Early marriage is a marriage that is conducted at adolescence, the factors causing early marriage are socio-cultural factors, economic pressure, level of education, difficulty in getting a job, social media, religion and views and beliefsPurpose: To find out the influence of social media and the role of parents on the incidence of early marriageMethod: A quantitative research using descriptive analytical research method with cross sectional study design with variable use of social media with the criteria for the results "active and inactive". For the variable of the role of parents with 2 outcome criteria, namely "influential and not influential". And for the variable incidence of early marriage, there are 2 criteria, namely age 14-16 years and age 17-19 years, the questionnaire used has been through the validity of previous researchers. Then the results of the data obtained were analyzed in the SPSS program using the Chi Square testResults: From the Chi Square test results for social media variables obtained p value = 0.001, then the value of p = 0.001 <0.05 (α) while the role of parents variable Chi Square test results obtained p value = 0.022, therefore the value of p = 0.022 <0.05 (α).Conclusion: Based on the results of the study it can be concluded that, there is a significant influence between the use of social media and the role of parents in the event of early marriage Keywords: Social media; Parents, Early marriagePendahuluan: Pernikahan usia dini adalah perkawinan yang dilakukan pada usia remaja, faktor penyebab pernikahan usia dini adalah faktor sosial budaya, desakan ekonomi, tingkat pendidikan, sulit mendapat pekerjaan, media sosial, agama serta pandangan dan kepercayaan.Tujuan: Untuk mengetahui pengaruh media sosial dan peran orang tua terhadap kejadian pernikahan dini di Kecamatan Marioriawa Kabupaten Soppeng Metode: Penelitian kuantitatif dengan menggunakan metode penelitian deskriptif analitik dengan rancangan cross sectional study dengan variabel penggunaan media sosial dengan kriteria hasil “aktif dan tidak aktif”. Untuk variabel peran orang tua dengan 2 kriteria hasil yaitu “berpengaruh dan tidak berpengaruh”. Dan untuk variabel kejadian pernikahan dini ada 2 kriteria  yaitu umur 14-16 tahun dan umur 17-19 tahun,  kuesioner yang di gunakan sudah melalui uji validitas peneliti sebelumnya. Kemudian hasil data yang di dapatkan dianalisis di program SPSS dengan menggunakan uji Chi SquareHasil: Dari hasil uji Chi Square untuk variabel media sosial didapatkan nilai p=0,001, maka nilai p=0.001<0.05 (α) sedangkan variabel peran orang tua hasil uji Chi Square didapatkan nilai p=0,022, oleh karena itu nilai p=0.022<0.05 (α).Simpulan: Berdasarkan hasil penelitian dapat di simpulkan bahwa, Ada pengaruh yang signifikan antara penggunaan media sosial dan peran orang tua terhadap kejadian pernikahan dini


2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Ahmed Kh. Mohammed Almaawi

Objective: To assess CKD prevalence and risk factors including socio-demography among diabetics by estimating GFR rather than serum creatinine (sCr). Methods: A cross-sectional study was conducted in Dec. 15 2019 through Aug. 15 2020, among 800 diabetics attending tertiary diabetes centers, Baghdad. Data was collected by self-administered questionnaire. SPSS was used for data analysis by (mean, standard deviation and T-test) for quantitative variables and (frequency, percentage, Chi-square test and Kappa index) for qualitative variables. P-Value less than 0.05 was considered significant.  Results: 800 diabetics for last 5-40 years, 95.6% with type2. Aged 52.1±13.2 years, with male: female ratio 1.03:1, 63.6% were with no income, sCr level was 0.86±0.3 mg/dl, and eGFR by Cockcroft Gault (CG) and CKD-EPI equations was 100.4±36.5 & 92.2±25.5 ml/min/1.73m2 respectively. CKD prevalence based on sCr, and eGFR assessed by above equations was 13.3%, 20% and 15.9% respectively (p<0.001). Those with CKD were hypertensive, females, and living in peripheries. Conclusions: Diabetic patients, mainly those with risk factors are more likely to develop CKD. It is better to detect CKD intially by estimating the GFR, rather than serum creatinine level alone. Furthermore, using CKD-EPI equation might be better than the CG formula to estimate the GFR.


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