scholarly journals Yolk sac and its effects on fetal prognosis

Author(s):  
Sankar Kumar Das ◽  
Priyanka Roy

Background: The yolk sac is the first extra embryonic structure that becomes sonographically visible within the gestational sac. It provides nutritional, metabolic, endocrine, immunologic, and hematopoietic functions during organogenesis in embryonic life, before placental circulation is established. Spontaneous abortion rates are significantly elevated where the yolk sac volume falls outside the 5th to 95th percentile. Abnormal morphological appearance of the yolk sac is also suggestive of serious growth disorders of the fetus. The aim is to find out the predictive value of yolk sac on outcome of the pregnancy and any probable relationship of the yolk sac pattern with the gender of the fetus.Methods: The present study was carried out on fifty patients in their first trimester of pregnancy. Patients were divided into their respective gestational age groups and according to the morphology of the yolk sac. Data were compared using Chi square test. p value less than 0.5 was considered significant.Results: Out of the fifty patients, twenty-nine were having regular yolk sac, eleven were with irregular yolk sac and ten were with hyperechoic yolk sac. There was a significant number of fetal demise in the cases with hyperechoic and irregular yolk sac. Also, there were hardly any live births in the few cases in which the yolk sac was either too small or too big.Conclusions: The present study concludes that along with a yolk sac of a given normal range for its size, it should also be of normal morphology for better prognosis of the pregnancy. Also, the increase in the number of female live births needs further studies as to whether there is any abnormality in the Y chromosome causing morphologically abnormal yolk sac and subsequent fetal demise.

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.


2020 ◽  
Vol 11 (SPL3) ◽  
pp. 159-162
Author(s):  
Rithanya P ◽  
Archana Santhanam ◽  
Subhashree R

Angiomatous granuloma is a reactive tumour-like lesion commonly seen in the oral cavity. It generally occurs due to proliferation of capillary blood vessels. Whereas, inflammatory fibrous hyperplasia (IFH) refers to gingival enlargement, which is the current terminology for an increase in the size of the gingiva and is a common feature of gingival diseases. Therefore, the aim of the current study is to analyse the clinical spectrum of angiomatous granuloma/ IFH in a private dental hospital. This study was carried out in a hospital setting (single centred study). The data of the study subjects was collected after a complete analysis of data of 86000 patients between June 2019 and March 2020. The data of the patients, including age, gender clinical diagnosis and histopathological reports, were collected and analysed using the Chi-square test to find the association between the clinical and histopathological reports in the study. In the present study, angiomatous granuloma(55%) had a higher prevalence compared to IFH (40%) with higher gender predilection among the female population (61.5%) and generally in the age group ranging from 20 to 40 years. (57.5%) [p value= 0.329] statistically not significant. Similarly, IFH was also found to be higher in the female population of about (38.4%), in the age groups between 20 to 50 years (41.3%). The knowledge of various clinical presentations and histopathological characteristics the lesion is necessary for proper identification and treatment planning.


e-CliniC ◽  
2014 ◽  
Vol 2 (2) ◽  
Author(s):  
Pingkan Putri Maramis ◽  
Erling David Kaunang ◽  
Johnny Rompis

Abstract: Congenital heart disease (CHD) is a congenital disorder that is common, with the incidence of 30% of all congenital abnormalities. The incidence of congenital heart disease in developed countries and developing countries ranges from 6-10 cases per 1000 live births, with an average of 8 per 1,000 live births. Nutritional status of a person is basically the person's state of health as a reflection of food consumption and use by the body. Many factors influence the nutritional status of infants and children with congenital heart disease. Nutritional status of patients with CHD is influenced nutrient inputs, energy requirements, dietary components. Objective: Knowing the relationship between congenital heart disease with nutritional status in children.  Methods:  This study is a retrospective analytic approach. The subjects were all children with congenital heart disease who are hospitalized in the Section of Child Health, Prof. Dr.  R. D. Kandou Manado in 2009-2013. The data taken in the form of data gender of the child, the child's age, weight and height as well as nutritional status. Data analysis was performed by Chi-Square test. Result: The number of respondents were 53 children, 34 boys and 19 girls. Types of congenital heart disease is the most common type of Atrial Septal Defect. Most people with experience malnutrition (54.7%), followed by poor nutrition (37.8%) and good nutrition (7.5%). With Chi-Square test of the hypothesis, obtained p-value = 0.045 which suggests a link between congenital heart disease with nutritional status in children. Conclusion: Based on the results of congenital heart disease associated with poor nutritional status in children or less. Keyword: congenital heart disease, nutritional status.   Abstrak: Penyakit jantung bawaan (PJB) merupakan kelainan bawaan yang sering dijumpai, dengan angka kejadian 30% dari seluruh kelainan bawaan.1 Insiden PJB dinegara maju maupun negara berkembang berkisar 6 – 10 kasus per 1000 kelahiran hidup, dengan rata-rata 8 per 1000 kelahiran hidup. Status gizi seseorang pada dasarnya merupakan keadaan kesehatan orang tersebut sebagai refleksi dari konsumsi pangan serta penggunaannya oleh tubuh.1 Banyak faktor ikut mempengaruhi status gizi pada bayi dan anak dengan PJB.2 Status gizi penderita PJB dipengaruhi masukan nutrien, kebutuhan energi, komponen diet.1 Tujuan: Mengetahui adanya hubungan antara penyakit jantung bawaan dengan status gizi pada anak. Metode: Penelitian ini bersifat analitik dengan pendekatan retrospektif. Subjek penelitian adalah semua anak dengan penyakit jantung bawaan yang dirawat inap di Bagian Ilmu Kesehatan Anak RSUP Prof. Dr. R. D. Kandou Manado tahun 2009-2013. Data yang diambil berupa data jenis kelamin anak, umur anak, berat badan dan tinggi badan anak serta status gizi. Analisis data dilakukan dengan uji Chi-Square. Hasil: Jumlah responden sebanyak 53 anak, 34 anak laki-laki dan 19 anak perempuan. Jenis PJB yang paling banyak diderita adalah jenis Atrial Septal Defect. Kebanyakan penderita mengalami gizi kurang (54.7%), diikuti dengan gizi buruk (37.8%) dan gizi baik (7.5%). Dengan uji hipotesis Chi-Square, didapatkan p-value = 0.045 yang menunjukkan adanya hubungan antara penyakit jantung bawaan dengan status gizi pada anak. Simpulan: Berdasarkan hasil penelitian didapatkan penyakit jantung bawaan berhubungan dengan status gizi buruk atau kurang pada anak. Kata Kunci: penyakit jantung bawaan, status gizi.


Author(s):  
Aravind Sunderavel Kumaravel Kanagavelu ◽  
Arun Chandran ◽  
Jaya Brinda

Background: Oral health is an important and proven determinant of overall health and quality of life. It is well established that oral health and non-communicable diseases share common risk factors. Our study was designed to assess the practice and knowledge of oral health among 10-13 years old because at this age, lifelong beliefs and essential skills are developed.Methods: A cross-sectional study was done by randomly selecting students from V to VIII standards in a private school. Data was collected using a pre-designed questionnaire. The results were analysed using ‘Jamovi’ software with 'Pearson Chi-square test’ and a p-value of less than 0.05 was considered statistically significant.Results: Out of the 210 students, only around 1/3rd of the students used both brush with toothpaste, and dental floss to clean their teeth. 123 (58.6%) students brushed twice a day. The association between the frequency of brushing and the age groups was statistically significant. Gender played a role in the duration of brushing.Conclusions: It can be noted from our study that the oral practices and knowledge was better in 10-11 years olds than the 12-13-year olds and better in girls than in boys. Thus, oral education must be tailor made based on the calibre of a particular group instead of ‘one for all’ method.


Author(s):  
Ramesh Chand Chauhan ◽  
Amit Kumar Mishra ◽  
Mani Kandan ◽  
Zile Singh

<p class="abstract"><strong><span lang="EN-US">Background: </span></strong>Hearing impairment is the most frequent sensory deficit in human population and irrespective of the age of development, has devastating consequences. This study was done to assess the burden of hearing impairment among the rural adult population of a coastal area in Tamil Nadu.  </p><p class="abstract"><strong><span lang="EN-US">Methods: </span></strong>This community-based descriptive study was conducted in a rural area of Tamil Nadu state in India. The study protocol was approved by the institute ethics committee of PIMS. Eligible participants from all the household in the study area were selected. A semi-structured questionnaire was used to collect the information and hearing impairment was assessed by self-reporting by the participants. Proportions for categorical variables were calculated and Chi-square test was applied to find the associations.</p><p class="abstract"><strong><span lang="EN-US">Results: </span></strong>Among a total of 5621 participants interviewed and examined, 232 (4.1%) participants reported to have hearing impairment. Among them, majority reported that they have hearing impairment due to advanced age or non-specific causes resulted in hard to hearing (77.6%) and 12.5% reported to have deafness. Ear discharge (4.3%), wax (3.0%) were other commonly reported cause of hearing impairment. The hearing impairment increased with age and was common among elderly. The reported hearing impairment ranges from 1.5% to 11.3% in different age groups. Age, sex, education and occupation were significantly associated with hearing impairment (p value &lt;0.05).</p><p class="abstract"><strong><span lang="EN-US">Conclusions: </span></strong>A large number of people in rural communities were having hearing impairment. Improving access to health education and raising awareness about prevention and the needs of people with hearing loss in community is required.</p>


e-CliniC ◽  
2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Jonathan V. D. Kalalo ◽  
Herry E. J. Pandeleke ◽  
Shienty Gaspersz

Abstract: Seborrheic dermatitis is a type of papulosquamous dermatitis with predilection in areas with many sebaceous glands, scalp, face, and body. This disease is associated with immunological disorders, but ieven more with Malassezia. Seborrheic dermatitis can occur in all age groups, but is usually separated into two age groups: infants and adults. Seborrheic dermatitis has many precipitating factors, especially high oil levels and humidity. One of the trigger factors is the use of hair styling which triggers the oil production on the surface of scalp as well as hair. The occurence of excessive oil on the scalp and hair long time can cause dandruff and irritation. This study was aimed to determine the relationship between hair styling and the incidence of seborrheic dermatitis in male students at Sam Ratulangi University in Manado. This was an analytical study with a cross sectional design. Data were obtained by using questionnaires and anamnesis. The results showed that of the 25 respondents, 9 students had dandruff and 16 students did not. The chi-square test analyzing the relationship between hair styling and the incidence of seborrhoic dermatitis obtained a P value of 0.332. Conclusion: There is no significant relationship between hair styling use and the incidence of seborrheic dermatitisKeywords: hair styling, seborrheic dermatitis, male college students Abstrak: Dermatitis seboroik adalah salah satu jenis dermatitis papuloskuamosa dengan predileksi di daerah yang banyak kelenjar sebasea, skalp, wajah dan badan. Penyakit ini sering dihubungkan dengan kelainan imunologi, namun lebih sering dihubungkan dengan jamur Malassezia. Dermatitis seboroik dapat terjadi pada semua kelompok usia, namun biasanya terpisah menjadi dua golongan usia yaitu bayi dan dewasa. Dermatitis seboroik memiliki banyak faktor pencetus, terutama kadar minyak yang tinggi dan kelembaban. Salah satu faktor pencetusnya ialah penggunaan hair styling berlebih yang memicu timbulnya minyak pada rambut. Munculnya minyak pada rambut yang terlampau lama dapat menimbulkan ketombe dan juga iritasi. Penelitian ini bertujuan untuk mengetahui hubungan pemakaian hair styling dengan kejadian dermatitis seboroik pada mahasiswa laki-laki Fakultas Kedokteran Universitas Sam Ratulangi Manado. Jenis penelitian ialah analitik dengan desain potong lintang. Data diperoleh berdasarkan kuesioner yang dibagikan dan anamnesis. Hasil penelitian mendapatkan total 25 responden terdiri dari 9 orang berketombe dan 16 orang tidak berketombe. Hasil uji korelasi chi-square terhadap hubungan antara penggunaan hair styling dengan kejadian dermatitis seboroik menunjukkan nilai P=0,332. Simpulan: Tidak terdapat hubungan bermakna antara penggunaan hair styling dengan kejadian dermatitis seboroikKata kunci: hair styling, dermatitis seboroik, mahasiswa laki-laki


2020 ◽  
Vol 11 (SPL3) ◽  
pp. 342-346
Author(s):  
Preetha Parthasarathy ◽  
Leelavathi L ◽  
Sreedevi Dharman

Dental plaque is a soft deposit that forms the biofilm adhering to the tooth surface or other hard surface in the oral cavity including removable and fixed restoration. It can either be a supragingival or subgingival plaque. The standard plaque index followed is Silness and Loe’s index (1964). The study is done in order to find a correlation between age and dental plaque score. To evaluate the association between age and dental plaque score. The study was conducted in a university set up in a Private Dental College, Chennai. The standard index used in the study is Silness and Loe’s plaque index. The data was collected from the hospital digital database by reviewing and analysing the case sheets of patients who visited the hospital between June 2019 to March 2020. The sample size was 1235. Tabulation and results were generated using SPSS version 19, chi-square test was performed. The age group 18 to 35 years had 52.3% of good plaque score, 42.6% of fair and 5% of poor plaque score. The age group 36 to 50 years had 40% of good plaque score, 49.9% of fair and 10.1% of poor plaque score. The age group 51 to 70 years had 32.2% of good 50% of fair and 17.8% of poor plaque score. P value was found to be significant <0.05. Within the limits of the study, it was observed that the age group 51 to 70 years had notably higher prevalence of fair and poor plaque scores when compared to other two age groups. This study can be used as a reference for understanding the pattern of age wise distribution of dental plaque.


2020 ◽  
Vol 1 (3) ◽  
pp. 6
Author(s):  
Muhammad Tahir ◽  
Aamer Ali Khattak ◽  
Erum Monis ◽  
Sana Gul

Objective: To perform genotyping for MTR A2756G polymorphism and identification of risk factors associated with head and neck squamous cell carcinoma (HNSCC). Study Design: Cross section, comparative study. Place and Duration of Study: The study was carried out at the Department of Biochemistry of Quaid-i- Azam University, Islamabad from October 2014 to August 2015. Materials and Methods: In this study, 292 diagnosed patients HNSCC and 324 normal individuals without any history of cancer were enrolled. Blood samples of patients and controls were collected in ethylenediamine tetra acetic acid (EDTA) and DNA was extracted using conventional method. All samples were genotyped for the MTR A2756G polymorphism using PCR-RFLP. Frequency of polymorphism was compared between HNSCC patients andcontrols. MultipleLogisticRegression(MLR)andchi-squaretestwasperformedtoexaminetheassociation of MTR A2756G polymorphism with risk factor. Results: Chi-square test of independence showed statistically significant difference among the variables of age, smoking and MTR A2756G genotype (p-value<0.05). Multivariate analysis showed that smoking (adjusted OR, 3.7; 95% CI, 2.3 – 6.0), age groups 41 – 50 years (adjusted OR, 3.6; 95% CI, .9 – 6.7) and > 60 years (adjusted OR, 3.5; 95% CI, 1.7 – 7.3), MTR 2756 AG genotype (adjusted OR, 2.1; 95% CI, 1.3 – 3.5) is associated with increased risk of HNSCC. Conclusion: The results suggest that the genetic polymorphism MTR A2756G is associated with the occurrence of HNSCC in the Pakistani population while the individuals between 40 to 50 years of age and those who are smokers are at a greater risk of developing HNSCC.


2021 ◽  
Vol 1 (2) ◽  
pp. 111-120
Author(s):  
Theresia Heni Lestari ◽  
Theresia Endah Marianingsih ◽  
Yuliasti Eka Purnamaningrum

Background: The cause of AKI in DIY 2018, 11% of post-partum hemorrhage, with a gap in MMR target and achievement <102 / 100,000 live births, MMR in 2018: 111.5 / 100,000 live births, indicating an increase in MMR. In the same year at Panti Rapih Hospital, there was an increase in the incidence of post-partum hemorrhage by 6%, with 62.8% of parity at risk, 53.5% of age at risk. Objective: of the study was to determine the relationship between parity and maternal age with the incidence of primary post-partum hemorrhage at Panti Rapih Hospital in 2017-2018. Methods: observational, cross sectional design, sample 43 people. Chi Square Test data analysis. Results: There was a significant relationship between parity and the incidence of primary post partum hemorrhage (p-value = 0.011). There was a significant relationship between age and the incidence of primary post-partum hemorrhage at Panti Rapih Hospital (p-value = 0.014). Conclusion: There is a significant relationship between parity, maternal age <20 years or> 35 years with the incidence of primary post partum hemorrhage at Panti Rapih Hospital in 2017-2018.


Author(s):  
Y Widyastuti Wahyuningsih Y Widyastuti Wahyuningsih

ABSTRACT Abortion is the termination of a pregnancy (by certain consequences) on or before the age of 22 weeks of pregnancy or pregnancy fruit has not been able to live outside the womb. Maternal deaths caused by bleeding, infection, poisoning pregnancy and abortion. According to the health agency the World Health Organization (WHO) in poor countries and developing countries, maternal mortality ranges between 750-1000 per 100,000 live births. Indonesia itself is still a country with a maternal mortality rate was 307 per 100,000 live births. Some reasons and conditions that enable women to individualist abortion. Some common characteristics can be classified ie economic status, marital status, residence, age, parity, education and employment. The purpose of this study is to determine the relationship between age, parity, and maternal employment with the incidence of abortion at General Hospital Center Dr. Mohammad Hoesin Palembang in 2011. This research is an analytical survey with cross sectional approach. The population was all pregnant women who are hospitalized in the obstetrics space of General Hospital Center Dr. Mohammad Hoesin Palembang in 2011. which amounted to 147 persons and 107 person sample obtained by sampling simple random sampling. Each variable that was observed in tests using Chi-Square test with a (0.05). The results of this study showed that 67.3% of mothers had abortions, 45.8% of mothers with high risk age, 51.4% of  mothers of high parity, and 43.0% of mothers who work. Chi-Square test showed no significant relationship between age (p value = 0.007), parity (p value = 0.007) and occupation (p value = 0.000) with the incidence of abortion. Expected to provide input to the Hospitals to be more pro-active in providing further education about the risk factors of abortion in pregnant women   ABSTRAK     1   Abortus adalah berakhirnya suatu kehamilan (oleh akibat-akibat tertentu) pada atau sebelum kehamilan tersebut berusia 22 minggu atau buah kehamilan belum mampu untuk hidup di luar kandungan. Kematian maternal disebabkan oleh perdarahan, infeksi, keracunan kehamilan dan abortus. Menurut badan kesehatan World Health Organization (WHO) di negara-negara miskin dan sedang berkembang, kematian maternal berkisar antara 750 - 1.000 per 100.000 kelahiran hidup. Indonesia sendiri masih menjadi negara dengan angka kematian ibu sebesar 307 per 100.000 kelahiran hidup. Beberapa alasan dan kondisi individualis yang memungkinkan wanita melakukan abortus. Beberapa karakteristik umum dapat diklasifikasikan yaitu status ekonomi, status perkawinan, tempat tinggal, umur, paritas, pendidikan dan pekerjaan. Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara paritas dan pekerjaan ibu dengan kejadian abortus di Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang Tahun 2011. Penelitian ini merupakan penelitian survei analitik dengan pendekatan Cross Sectional. Populasi adalah semua ibu hamil dengan usia kehamilan < 20 minggu yang dirawat di Ruang Kebidanan Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang Tahun 2011 yang berjumlah 147 orang dan sampel yang didapatkan 107 orang dengan pengambilan sampel secara simple random sampling. Masing-masing variabel yang diteliti di uji dengan menggunakan uji Chi-Square dengan a (0,05). Hasil penelitian ini menunjukkan bahwa 67,3% ibu mengalami abortus, 45,8%, ibu paritas tinggi, dan 43,0% ibu yang bekerja. Uji Chi-Square menunjukkan ada hubungan yang bermakna antara paritas (p value = 0,007), dan pekerjaan (p value = 0,000) dengan kejadian abortus. Diharapkan dapat menjadi masukan bagi pihak Rumah Sakit agar lebih pro aktif  dalam pemberian penyuluhan lebih lanjut tentang faktor-faktor resiko abortus pada ibu hamil


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