scholarly journals Clinicomicrobiological study of the removed intrauterine device

2019 ◽  
Vol 8 (5) ◽  
pp. 2011
Author(s):  
Suresh S. Kanakannavar ◽  
Ashwini R. S.
Keyword(s):  
Bacterial Infections ◽  
Clinical Symptoms ◽  
Statistical Tests ◽  
Intrauterine Device ◽  
Descriptive Analysis ◽  
Cost Effective ◽  
P Value ◽  
Genital Tract Infection ◽  
Contraceptive Devices ◽  
First Choice

Background: Intrauterine contraceptive devices are one of the most efficient, cost effective long acting reversible contraceptives. But the worrying clinical symptoms, misconceptions and higher rates of genital tract infection have become a hurdle in its acceptance as the first choice of contraception. The objective of this study was to study the common reasons for removal of IUCD.Methods: An observational study was done involving 430 women who reported to the OBG Outpatient of the hospitals attached to Bangalore Medical College, over a period of 2 years, for IUCD removal. Socio-demographic details, clinical symptoms compelling IUCD removal were elicited. The removed IUCD was subjected to culture and sensitivity. Initial descriptive analysis was used and statistical tests of significance like chi-square were used to know the relation between genital infections and IUCD.  P value <0.05 was considered significant.Results: Of the 430 women, 46.9% were between 21-25 years of age, 49.3% were primipara, and 71% used IUCD for 1-3 years. Most common reason for removal in the first 2 years was heavy menstrual bleed followed by pain abdomen. 15.3% culture reports showed growth of bacteria, with maximum cultures positive in <5 years of usage, the association was statistically significant.Conclusions: Present study shows a lower risk of bacterial infections among IUCD users. Hence, effective counseling regarding the safety of IUCD over other spacing methods is essential to increase its acceptance.

scholarly journals A comparative study of low doses of intrathecal ketamine and midazolam with bupivacaine for postoperative analgesia in infraumbilical surgeries

2019 ◽  
Vol 6 (2) ◽  
pp. 197
Author(s):  
Rajabhushanam M. ◽  
Sunil Kumar K. ◽  
Syed Ali Aasim ◽  
Venkatesh S.
Keyword(s):  
Postoperative Analgesia ◽  
Cost Effective ◽  
Rapid Onset ◽  
Spinal Block ◽  
P Value ◽  
Sensory Level ◽  
Hyperbaric Bupivacaine ◽  
First Choice ◽  
Mean Time

Background: Infra-umbilical surgeries may be performed under local, regional (spinal or epidural) or general anaesthesia, spinal block is still a first choice, because of its rapid onset, high quality of blockade, lack of catheter related infection, less failure rate and also cost effective but the duration of block and postoperative analgesia is limited. The purpose of study was to compare the efficacy of adding ketamine to 0.5% hyperbaric bupivacaine with midazolam to 0.5% hyperbaric bupivacaine in elective infraumbilical procedures.Methods: A randomized, single blinded, clinical study. 60 subjects were enrolled from the patients presenting for elective infraumbilical surgeries after following the inclusion and exclusion criteria laid down for the study. Sixty ASA Grade I and II patients undergoing infra umbilical surgeries were randomly divided into one of the two equal groups (n=30).Results: Total 60 patients were included in this study. The mean time to achieve T10 sensory level and modified bromage scale III was prolonged in group M (4.33±1.09, 6.66±1.26 min) as compared to group K (3.3±0.7, 4.96±1.21 min) which was statistically significant (P value <0.05).Conclusions: The present study concludes that addition of intrathecal midazolam to hyperbaric bupivacaine provide very good and prolonged post-operative analgesia without significant intra-operative and post-operative side effects compared to intrathecal ketamine.

scholarly journals HUBUNGAN MAKANAN DAN MINUMAN YANG BERSIFAT IRITAN DENGAN KEJADIAN GASTRITIS DI DESA PENYESAWAN WILAYAH KERJA PUSKESMAS KAMPAR

2021 ◽  
Vol 5 (2) ◽  
pp. 1099-1202
Author(s):  
Ade Dita Puteri
Keyword(s):  
Gastric Mucosa ◽  
Health Center ◽  
Clinical Symptoms ◽  
Statistical Tests ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
P Value ◽  
Cross Sectional ◽  
Food And Drink ◽  
The Village

Food and drinks that are irritants are very influential on the incidence of gastritis. Gastritis is the most common disorder encountered in the clinic because it is diagnosed based solely on clinical symptoms. This situation can result from food and drink irritating the gastric mucosa, excessive gastric mucosa secretions by the stomach's own secretions and sometimes due to bacterial inflammation. The purpose of this study was to determine the relationship between food and drink irritants with the incidence of gastritis in the village of Penyesawan, the working area of the Kampar Health Center in 2021. The design of this study used an analytical research design with a cross-sectional design. The sample in this study were the families of 229 people in the village of Penyesawan in the working area of the Kampar Health Center. The sampling technique was simple random sampling. The research instrument used a questionnaire and data processing was carried out univariate and bivariate. Research results Based on statistical tests, it was found that X2 = 10.861 with P value = 0.002 (p

scholarly journals PENGARUH PENDIDIKAN KESEHATAN DAN KONSUMSI AIR REBUSAN DAUN SALAM TERHADAP PENGENDALIAN ASAM URAT

2021 ◽  
Vol 4 (2) ◽  
pp. 41-49
Author(s):  
Sri Wahyuni Adriani ◽  
Mardiana Firdausi ◽  
Devry Eka Wahyudi ◽  
Fitri Dwi Anggraeni ◽  
Gunawan Tri Sutrisno ◽  
...  
Keyword(s):  
Uric Acid ◽  
Health Education ◽  
Sampling Method ◽  
Healthy Lifestyle ◽  
Statistical Tests ◽  
Cost Effective ◽  
Wilcoxon Test ◽  
P Value ◽  
Nursing Interventions ◽  
Boiled Water

Healthy lifestyle is an indicator and influence on health problems. Self-management in dealing with this must be done productively. When uric acid is produced in excess and the processing of uric acid is decreased, uric acid levels in the blood are higher. To overcome this, non-pharmacological treatment can be done by consuming bay leaves boiled water. In addition, health education is also needed. Health education is one of the effective nursing interventions to increase awareness and knowledge. This study aims to determine the effectiveness of uric acid health education and drinking bay leaf boiled water to control gout. The research method used is pre-experimental design with pre-posttest design approach. The population was 60 respondents. The sampling method included home visits to gout sufferers. The sample was 22 respondents. Wilcoxon test was used for statistical tests. The results of the pre-posttest showed the P value was 0.001, which is less than 0.05. In other words, health education and consumption of bay leaf water effectively reduce uric acid levels. This research is recommended for the whole community because this intervention has minimal side effects, materials and tools are easy to obtain, and cost-effective so that it can be applied independently

scholarly journals Using Machine Learning to Predict Invasive Bacterial Infections in Young Febrile Infants Visiting the Emergency Department

2021 ◽  
Vol 10 (9) ◽  
pp. 1875
Author(s):  
I-Min Chiu ◽  
Chi-Yung Cheng ◽  
Wun-Huei Zeng ◽  
Ying-Hsien Huang ◽  
Chun-Hung Richard Lin
Keyword(s):  
Machine Learning ◽  
Emergency Department ◽  
Bacterial Infections ◽  
Clinical Symptoms ◽  
Learning Algorithm ◽  
Gradient Boosting ◽  
P Value ◽  
Young Infants ◽  
Extreme Gradient Boosting ◽  
Sensitivity Level

Background: The aim of this study was to develop and evaluate a machine learning (ML) model to predict invasive bacterial infections (IBIs) in young febrile infants visiting the emergency department (ED). Methods: This retrospective study was conducted in the EDs of three medical centers across Taiwan from 2011 to 2018. We included patients age in 0–60 days who were visiting the ED with clinical symptoms of fever. We developed three different ML algorithms, including logistic regression (LR), supportive vector machine (SVM), and extreme gradient boosting (XGboost), comparing their performance at predicting IBIs to a previous validated score system (IBI score). Results: During the study period, 4211 patients were included, where 126 (3.1%) had IBI. A total of eight, five, and seven features were used in the LR, SVM, and XGboost through the feature selection process, respectively. The ML models can achieve a better AUROC value when predicting IBIs in young infants compared with the IBI score (LR: 0.85 vs. SVM: 0.84 vs. XGBoost: 0.85 vs. IBI score: 0.70, p-value < 0.001). Using a cost sensitive learning algorithm, all ML models showed better specificity in predicting IBIs at a 90% sensitivity level compared to an IBI score > 2 (LR: 0.59 vs. SVM: 0.60 vs. XGBoost: 0.57 vs. IBI score >2: 0.43, p-value < 0.001). Conclusions: All ML models developed in this study outperformed the traditional scoring system in stratifying low-risk febrile infants after the standardized sensitivity level.

scholarly journals Factors Relating to the Interest of Use MKJP (IUD and Implant) in the Village of Perigi Mekar, Ciseeng, Bogor

2020 ◽  
Vol 2 (1) ◽  
pp. 27-32
Author(s):  
Marlynda Happy Nurmalita Sari ◽  
Aprida Sopiani ◽  
Ade Irawati
Keyword(s):  
Health Workers ◽  
Intrauterine Device ◽  
Community Leaders ◽  
P Value ◽  
Local Health ◽  
Contraceptive Methods ◽  
Contraceptive Devices ◽  
Planning Agency ◽  
The Village

The use of MKJP in Indonesia has decreased every year from 13.7% in 1991 to 10.6% in 2012 (Ministry of Health, 2013). In 2013, based on a mini survey of the Population and Family Planning Agency (BKKBN), the coverage of MKJP in Indonesia was only 12.4% with a percentage based on the type of method, namely KB implants (5.2%), IUD (Contraceptive Devices in the Womb) / Intrauterine Device (IUD) (4.7%), and Women's Operations Method (MOW) (2.2%), whereas the expected MKJP target is 26.7%. This research is descriptive analytic, conducted to determine factors related to the interest in using MKJP (IUD Implants) in Perigi Mekar Village in 2016. The number of samples in this study were 104 people. Data were collected using a questionnaire. Of the 9 variables studied, 2 variables showed a significant relationship with the interest in using the MKJP is income with a p value of 0.018, and discussions with a partner with a p value of 0.024. From the above statement it can be concluded that the amount of income and the frequency of discussions with partners influences the interest in using the MKJP. It is expected that community leaders can work together with local health workers so that they can provide counseling to the community regarding long-term contraceptive methods. Keyword : Contraception, MKJP, IUD, Implant

scholarly journals ANALISA FAKTOR-FAKTOR YANG MEMPENGARUHI STRES DAN MOTIVASI BELAJAR MAHASISWA

2019 ◽  
Vol 7 (1) ◽  
pp. 95
Author(s):  
Fajar Rinawati ◽  
Sucipto Sucipto
Keyword(s):  
Student Learning ◽  
Quantitative Research ◽  
Statistical Tests ◽  
Descriptive Analysis ◽  
Learning Motivation ◽  
Student Experiences ◽  
P Value ◽  
Place Of Residence ◽  
Factors Affecting ◽  
Student Stress

Mahasiswa keperawatan adalah calon perawat yang harus memiliki kemampuan, baik pengetahuan, sikap dan keterampilan yang baik. Kemampuan mahasiswa ini dapat dipengaruhi oleh stres dan motivasi dalam proses pembelajaran. Berdasarkan hal tersebut, peneliti ingin melihat faktor apa saja yang berpengaruh terhadap stres dan motivasi belajar mahasiswa. Penelitian ini merupakan penelitian kuantitatif dengan desain penelitian deskriptif analisis yang menganalisa faktor-faktor yang mempengaruhi stres dan motivasi belajar  mahasiswa. Analisa data menggunakan uji statistik dengan regresi linier. Hasil penelitian menunjukkan beberapa hal, yaitu (1) jenis kelamin, tempat tinggal, penghasilan orang tua, pekerjaan orang tua dan urutan anak, semuanya tidak berpengaruh secara signifikan terhadap stres, (2) jenis kelamin, tempat tinggal, penghasilan orang tua, pekerjaan orang tua dan urutan anak tidak berpengaruh secara signifikan terhadap motivasi belajar mahasiswa, dan hanya penghasilan orang tua yang berpengaruh secara signifikan terhadap motivasi belajar mahasiswa dengan nilai p-value 0.048 (p-value < 0.05). Orang tua merupakan orang yang bertanggung jawab dalam biaya pendidikan anaknya, namun secara tidak langsung, jika mahasiswa tersebut mengalami tunggakan biaya pendidikan, hal ini akan mempengaruhi psikologis anak untuk belajar. Kata kunci: faktor, stres, motivasi, dan mahasiswa ANALYSIS OF FACTORS AFFECTING STRESS AND STUDENT LEARNING MOTIVATION ABSTRACTNursing students are prospective nurses who must have the ability, including good knowledge, attitude and good skills. This student ability can be influenced by stress and motivation in the learning process. Based on this, the researcher wants to see what factors influence student stress and learning motivation. This research is a quantitative research with descriptive analysis research design that analyzes the factors that influence stress and student learning motivation. Data analysis using statistical tests with linear regression. The results showed several things, the first gender, place of residence, parents 'income, parent's work and the order of children, all of which did not significantly influence stress, the second gender, place of residence, parents' income, parent's work and the order of children does not significantly influence student learning motivation, and only parents 'income significantly influences students' learning motivation with a p-value: 0.048 (p-value <0.05). Parents are responsible for their children's education costs, but indirectly, if the student experiences delinquent tuition fees, this will affect the child's psychological learning. Keywords: factors, stress, motivation, and students

scholarly journals Different patterns of cutaneous manifestation of diabetes mellitus type-2 observed in tertiary care centre of South West Rajasthan

2021 ◽  
Vol 7 (4) ◽  
pp. 341-346
Author(s):  
Kalpana Gupta ◽  
Anurag Bareth ◽  
Charul Agrawal
Keyword(s):  
Diabetes Mellitus ◽  
Diabetes Mellitus Type 2 ◽  
Bacterial Infections ◽  
Acanthosis Nigricans ◽  
Statistical Tests ◽  
Tertiary Care ◽  
Diabetes Mellitus Type ◽  
P Value ◽  
Cutaneous Manifestations

Diabetes mellitus (DM) is a common endocrinal disorder caused by complex interaction of genetics and environmental factors. Various dermatological features are known to be cutaneous markers of diabetes mellitus like diabetic dermatopathy, acrochordons, acanthosis nigricans and bullous diabeticorum, etc. An observational cross-sectional study on a total of 400 patients of Diabetes Mellitus Type-2. A complete cutaneous examination was done in all cases to observe for the presence of any specific or nonspecific dermatosis. All the statistical tests were two sided and P-value &#60;0.05 was considered as significant level. This study showed that in specific cutaneous disorders, Acrochordon 138(34.5%) was the most common manifestation which was followed by, Bacterial Infections 93(23.5%), Dermatophytosis 77(19.2%), Candidiasis 76(19%), Acanthosis nigricans 50(12.5%) and Onychomycosis 33(8.25%) in decreasing order. Xerosis 259(64.7%) was the commonest manifestation in non-specific cutaneous disorders followed by, Generalized pruritus 200(50%), Seborrheic keratosis 35(8.75%) in decreasing order. Cutaneous manifestations are quite common in uncontrolled (HbA1c&#62;7gm) type 2 diabetes mellitus as compare to controlled group. Uncontrolled group is more prone to develop diabetic complication like hypertension, diabetic retinopathy and peripheral neuropathy etc. It is concluded that, Diabetes mellitus Type-2 involves the skin quite often and whenever patients present with multiple skin manifestation and then diabetic statusshould be checked and controlled.

HUBUNGAN DUKUNGAN KELUARGA TERHADAP TINGKAT KEMANDIRIAN ANAK RETARDASI MENTAL

2019 ◽  
Vol 11 (2) ◽  
pp. 87-92
Author(s):  
Dwi Indah Iswanti ◽  
Fery Agusman Motuho Mendrofa ◽  
Diyanto Diyanto
Keyword(s):  
Family Support ◽  
Quantitative Method ◽  
Statistical Tests ◽  
Sampling Technique ◽  
Mentally Retarded ◽  
P Value ◽  
Cross Sectional ◽  
Need Support ◽  
The Family ◽  
Mentally Retarded Children

Kemandirian bukanlah keterampilan yang muncul secara tiba-tiba tetapi perlu diajarkan dan dilatih pada anak agar tidak menghambat tugas- tugas perkembangan anak selanjutnya. Terutama pada anak yang mengalami retardasi mental akan sangat membutuhkan dukungan dari keluarga. Tujuan penelitian untuk mengetahui hubungan  dukungan keluarga dengan tingkat kemandirian anak retardasi mental di SLB Negeri Semarang. Penelitian ini menggunakan metode kuantitatif dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh orang tua siswa kelas IV-VI di SLB Negeri Semarang yang berjumlah 64 siswa. Teknik sampling yang digunakan adalah total sampling. Dukungan keluarga pada anak retardasi mental sebagian besar adalah mendukung yaitu sebanyak 53,1%, kemandirian anak retardasi mental sebagian besar adalah kurang mandiri yaitu sebanyak 53,1%. Hasil uji statistik menemukan ada hubungan antara dukungan keluarga dengan kemandirian anak retardasi mental di SLB Negeri Semarang, dengan p value sebesar 0,000.   Kata kunci : dukungan keluarga, kemandirian anak retardasi mental THE CORRELATION BETWEEN FAMILY SUPPORT AND THE LEVEL OF INDEPENDENCE OF MENTALLY RETARDED CHILDREN   ABSTRACT Independence is not a skill that emerges suddenly but needs to be taught and trained in children so as not to inhibit the tasks of further child development. Especially for children who are mentally retarded, they will need support from the family. Research objectives to find out the correlation between family support and the level of independence of mentally retarded children in extraordinary school State of Semarang. This study uses a quantitative method with a cross sectional approach. The population in this study were all parents of students in class IV-VI in Semarang State SLB, amounting to 64 students. The sampling technique used is total sampling. Family support for mentally retarded children was mostly supportive, as much as 53.1%, the independence of most mentally retarded children was less independent, which was as much as 53.1%. The results of statistical tests found that there was a correlation between family support and the independence of mentally retarded children in Semarang State SLB, with a p value of 0,000.   Keywords: family support, independence of mentally retarded children

Analisis Faktor Determinan Pelaksanaan Inisiasi Menyusu Dini Oleh Bidan Di Rumah Sakit Umum Anutapura Palu

2018 ◽  
Vol 1 (1) ◽  
pp. 34
Author(s):  
Ni Nyoman Novita ◽  
Gusman Arsyad
Keyword(s):  
Emergency Room ◽  
Peer Support ◽  
Statistical Tests ◽  
Bivariate Analysis ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Implementation Processes ◽  
Chi Square Test ◽  
The Government

Implementation of IMD in hospitals has decreased from the previous year and has not reached the target set by the government. Some IMD implementation processes have not been carried out according to applicable standards. So that babies do not get an IMD in accordance with existing SOPs. The purpose of this study was to determine the determinant factors associated with the implementation of the IMD by midwives in the Midwifery and Maternity Room Emergency Room (IGD) at the Anutapura General Hospital in Palu. This research method is analytical with cross sectional approach. The population of this study was that all midwives in the obstetrics emergency room and maternity room at Anutapura Palu Hospital were 37 respondents. The sample in this study is total sampling. The analysis used was univariate, and bivariate analysis using the chi square test with a confidence level of 95% (α = 0.05). The results of statistical tests on variable knowledge of midwives with the implementation of IMD p value: 0.018 (p value <0.05). APN training with the implementation of IMD p value: 0.697 (p value> 0.05). length of work with the implementation of IMD p value: 0.029 (p value <0.05). and peer support with the implementation of IMD p value: 0.007 (p value <0.05). Conclusions there is a relationship between knowledge, length of work, peer support with the implementation of the IMD, and training factors that have nothing to do with IMD implementation. The strongest factor in the relationship is peer support. It is recommended that the Anutarapura Palu Hospital be able to motivate midwives so that they can further enhance their role in the implementation and provide support to their colleagues so that the implementation of the IMD can be carried out in accordance with applicable standards.Keywords: Knowledge, APN Training, Duration of work, Implementation of IMD

DAMPAK PENERAPAN BEA MASUK ANTI-DUMPING ATAS IMPOR PRODUK TINPLATE

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Marsanto Adi Nurcahyo ◽  
Aditya Subur Purwana
Keyword(s):  
Free Trade ◽  
Descriptive Analysis ◽  
Secondary Data ◽  
P Value ◽  
Import Duty ◽  
Domestic Production ◽  
The Mean ◽  
Mean Equality ◽  
Equality Test

ABSTRACT:Anti-dumping on tinplate products aim to protect domestic industries. Still, some industries want tinplate products not to be subject to anti-dumping because domestic production is not sufficient. This research examines the application of anti-dumping import duties on tinplate products from China, Taiwan, and Korea from 2014 to 2018, to know whether there are differences in the value of imports before and during the anti-dumping import duty. Use secondary data sourced from UN-Comtrade. Samples are selected by countries that have continuously sent tinplate products to Indonesia from 2010 to 2018, namely China, Taiwan, Korea, Japan, Germany, India, and Malaysia. Using the Mean Equality Test, it is known that there are differences in the import value before and during the anti-dumping import duty, with a p-value of 0.0114 less than α (0.05), so it is concluded that there is a difference in the import value of the tinplate product before and during anti-dumping duty. Descriptive analysis results illustrate imports from China and Taiwan tend to decrease. In contrast, imports from Korea tend to increase despite being subjected to anti-dumping duties because they can compete by using preferential tariffs based on free trade schemes.Keywords: Antidumping, Import duty, TinplateABSTRAK:Anti-dumping terhadap produk tinplate bertujuan melindungi industri dalam negeri, akan tetapi terdapat ìndustri yang menginginkan produk tinplate tidak dikenakan anti-dumping karena produksi dalam negeri belum mencukupi. Penelitian ini menguji penerapan bea masuk anti-dumping terhadap produk tinplate dari China, Taiwan dan Korea selama tahun 2014 s.d. 2018, dengan tujuan mengetahui apakah ada perbedaan nilai importasi sebelum dan selama dikenakan bea masuk anti-dumping. Menggunakan data sekunder yang bersumber dari UNComtrade. Sampel dipilih negara yang secara kontinyu mengirim produk tinplate ke Indonesia sejak 2010 s.d. 2018, yaitu China, Taiwan, Korea, Jepang, Jerman, India dan Malaysia. Menggunakan Mean Equality Test, diketahui terdapat perbedaan nilai importasi sebelum dengan selama dikenakan bea masuk anti-dumping. Hasil penelitian menunjukkan bahwa nilai-P (p-value) adalah 0,0114 lebih kecil dari alpha (α=0,05), sehingga disimpulkan terdapat perbedaan pada nilai importasi produk tinplate sebelum dengan selama dikenakan bea masuk anti-dumping. Hasil analisis deskriptif menggambarkan importasi dari China dan Taiwan cenderung menurun sedangkan importasi dari Korea cenderung naik walaupun dikenakan bea masuk anti-dumping karena mampu bersaing dengan menggunakan tarif preferensi berdasarkan skema perdagangan bebas.Kata Kunci: Anti-dumping, Bea Masuk, tinplate

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