scholarly journals Characteristics of femur fracture patients at Sanjiwani general hospital Gianyar in 2019

2021 ◽  
Vol 9 (2) ◽  
pp. 334
Author(s):  
Anak Agung Ngurah Krisna Dwipayana ◽  
Kadek Yoga Premana ◽  
I. Made Yedi Wisnawan
Keyword(s):  
Traffic Accidents ◽  
Femur Fracture ◽  
Sampling Technique ◽  
Severe Trauma ◽  
World Health ◽  
Age Group ◽  
Femur Fractures ◽  
One Year ◽  
The One ◽  
Health Organization

Background: Fracture is a discontinuity of bone which is often followed by damage to the surrounding soft tissue, such as blood vessels, muscles, and nerves. World health organization (WHO) stated that there are 5.6 million people died due to fractures and 1.3 million people suffering fractures due to traffic accidents in 2011-2012. One of the most common fractures on lower extremities due to severe trauma is femur fracture. Femur fracture is usually caused by trauma due to pressure that exceeds the capacity of the femur. Femur fracture today is still common and remains one of the major challenges for orthopaedists. Although management in orthopaedic had been growing rapidly, the one-year mortality rate post-trauma is still high, about 10-20%. This study aims to determine the characteristic of femur fracture patients at Sanjiwani hospital Gianyar in 2019.Methods: This study is a retrospective descriptive study that aims to identify the characteristic of femur fracture patients at Sanjiwani hospital Gianyar in 2019. The samples of this study were collected using total sampling technique. The data was obtained from medical record of patients diagnosed with femur fracture at Sanjiwani hospital Gianyar during January-December 2019. Variables in this study including age, sex, cause of femur fractures, type of fractures, and location of the fractures. All obtained data will be analysed using SPSS statistics 22 software.Results The result of this study showed that most of samples are male with 26 peoples (61.9%) and age group is 21-30 years old is the most common age group with 11 peoples (26.2%). Close fracture is the most common fracture type with 38 peoples (90.5%) and located in the middle shaft of femur with 20 peoples (47.6%).Conclusions: In conclusion, the most common characteristic of femur fracture patients at Sanjiwani hospital Gianyar in 2019 is male, age 21-30 years old, closed fracture and located in the middle shaft of the femur.

scholarly journals Prevalence of Sudden and Unexpected Natural Death due to Diseases of Central Nervous System

2019 ◽  
Vol 1 (2) ◽  
pp. 8-12
Author(s):  
Archana Chaudhary ◽  
Tulsi Kadel ◽  
Harihar Wasti ◽  
Pramod Kumar Shreshta
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Sudden Death ◽  
Sampling Technique ◽  
World Health ◽  
Cold Weather ◽  
Unexpected Death ◽  
Cross Sectional ◽  
Alcohol And Drug Abuse ◽  
One Year ◽  
Health Organization

Background: The World Health Organization (WHO) has defined sudden unexpected death as a death, non-violent and not otherwise explained, occurring within 24 hours from the onset of symptoms. This study was performed with the objective to evaluate the different neurological causes of sudden and unexpected death. Methods and materials: this is a cross-sectional analytical study with non-probability consecutive sampling technique over the period of one year. Data were collected, and analyzed using SPSS 20. Data were presented in percentages, and stratifications were used to control the modifiers. Results: There were total 110 autopsies done during the period of one year for sudden and unexpected deaths, among which 19 (17.3%) were deaths due to neurological causes, where 17(89.5%) were males and 2(10.5%) were females. There were 68.43% deaths seen during cold weather. Smoking, alcohol and drug abuse all seems to have higher prevalence among the sudden death due to neurological cause. Most common causes were subarachnoid hemorrhage (58%) followed by ganglionic bleed (26%). Conclusion: Common cause of sudden death due to neurological disease in our study seem to be due to intracerebral hemorrhage where subarachnoid hemorrhage was more common. The deaths were more common during the cold weather and most of them stopped their heart at emergency department during resuscitation.

ASUHAN KEPERAWATAN PADA TN. M DENGAN FRAKTUR FEMURTERTUTUP 1/3 DISTAL SINISTRA DENGAN PENERAPANINTERVENSI INOVASI TERAPI ASMAUL HUSNA UNTUK MENGATASI MASALAH NYERI AKUT

2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Yulafni Yulafni
Keyword(s):  
Nursing Care ◽  
Acute Pain ◽  
Severe Pain ◽  
Traffic Accidents ◽  
Femur Fracture ◽  
Pain Scale ◽  
World Health ◽  
Closed Fracture ◽  
The World ◽  
Health Organization

The World Health Organization (WHO) noted that in 2017 there were 5.6 million people died and 1.3 million people suffered fractures due to traffic accidents. Femur fracture is one of the emergency cases, which at the beginning will give a severe pain response due to discontinuity of bone tissue. . The purpose of this paper is to provide nursing care to Mr. M with closed fracture of the femur 1/3 distal left with the application of the Asmaul Husna innovation intervention to overcome acute pain problems in Surgery Room III of dr. Reksodiwiryo Padang. The method is carried out by carrying out comprehensive care starting from assessment to evaluation. The results of Asmaul Husna's therapeutic innovation on reducing pain intensity, therapy was given 3 times a day for 15 minutes, the client said that after listening to Asmaul Husna the pain he experienced was reduced from a pain scale of 6 to 3. It is hoped that the results of this writing can be a reference for nurses, namely applying Asmaul Husna therapy to treat acute pain problems.

scholarly journals KONSUMSI JUS BAYAM MERAH DAPAT MENINGKATKAN KADAR HEMOGLOBIN PADA IBU HAMIL TRIMESTER II

2021 ◽  
Vol 7 (2) ◽  
pp. 215-221
Author(s):  
Ramadhani Syaftiri Nasution ◽  
Siti Aisyah ◽  
Hasanah Pratiwi Harahap
Keyword(s):  
Pregnant Women ◽  
World Health Organization ◽  
Statistical Tests ◽  
Sampling Technique ◽  
World Health ◽  
Second Trimester ◽  
Purposive Sampling ◽  
The World ◽  
The One ◽  
Health Organization

 CONSUMPTION OF RED SPINACH JUICE CAN INCREASE HEMOGLOBINE LEVELS IN TRIMESTER II PREGNANT WOMEN Background: Anemia is a condition where the hemoglobin level decreases from the normal amount, which is <11 g%. According to the World Health Organization (WHO), globally the prevalence of anemia in the world is 41.8%, which affects 56 million pregnant women. One of the causes of anemia during pregnancy is iron deficiency. The use of red spinach in juice form as a vegetable ingredient to help improve blood oxygen circulation.Purpose:  This study is for the effect of consumption of red spinach juice on the increase in hemoglobin levels in pregnant women trimester II in the village of Bandar Khalifah, Kec. Percut Sei Tuan Kab. Deli SerdangMethods: The design of this study was a quasy experiment with the design using the one group pretest posttest research design using purposive sampling technique of 15 people. The data used are primary and secondary data. Data were analyzed using paired t test analysis.Results:  From the results of the study with the results of statistical tests, the value of Asym sig (2-tailed) 0.000 is smaller than 0.05, it can be concluded that there is an effect of consumption of red spinach juice on the increase in hemoglobin levels in pregnant women in the second trimester in Bandar Klippa Village, Kec. Percut Sei Tuan Kab. Deli Serdang in 2020.Conclusion: The results showed that there was a significant effect between the provision of red spinach juice on the increase in hemoglobin levels in pregnant women in the second trimester. Suggestion: The results of this study are expected to activate pregnant women by working with local midwives to encourage pregnant women to consume red spinach juice every day or other foods that can increase hemoglobin levels. Keywords: Red Spinach Juice, Increased Hemoglobin Levels, Pregnant Women ABSTRAK Latar Belakang: Persalinan Anemia merupakan keadaan dimana kadar Hemoglobin menurun dari jumlah yang normal yaitu < 11 gr%. Menurut World Health Organization (WHO) mencatat secara global bahwa prevalensi anemia di dunia yaitu sebanyak 41,8 % yang menyerang ibu hamil sebanyak 56 juta orang. Salah satu penyebab anemia selama kehamilan adanya kekurangan zat besi. Penggunaan bayam merah dalam bentuk jus sebagai bahan nabati dapat membantu melancarkan sirkulasi oksigen darah.Tujuan:  Penelitian ini untuk mengetahui pengaruh konsumsi jus bayam merah terhadap peningkatan kadar hemoglobin pada ibu hamil trimester II di Desa Bandar Khalifah Kec. Percut Sei Tuan Kab. Deli SerdangMetode:  Desain penelitian ini adalah quasy experimen dengan Dengan desain menggunakan penelitian  the one group pretest posttest design dengan menggunakan teknik pengambilan sampel purposive sampling sebanyak 15 orang. Data yang digunakan adalah data primer dan sekunder. Data dianalisis dengan menggunakan uji analisis paired t test.Hasil: Dari hasil penelitian dengan hasil uji statistik nilai Asym sig (2-tailed) 0,000 lebih kecil dari 0,05, maka dapat disimpulkan bahwa ada  pengaruh konsumsi jus bayam merah terhadap peningkatan kadar hemoglobin pada ibu hamil trimester II di Desa Bandar Klippa Kec. Percut Sei Tuan Kab. Deli Serdang tahun 2020.Kesimpulan: ada pengaruh yang signifikan antara pemberian jus bayam merah terhadap peningkatan kadar hemoglobin pada ibu hamil trimester II.Saran: Hasil penelitian ini diharapkan dapat mengaktifkan ibu hamil dengan berkerja sama dengan bidan setempat untuk menggerakkan ibu hamil mengkonsumsi jus bayam merah setiap harinya atau makanan lain yang dapat meningkatkan kadar haemoglobin. Kata kunci : Jus Bayam Merah, Peningkatan Kadar Haemoglobin, Ibu Hamil

scholarly journals ANALISIS THEORY OF REASONED ACTION SERTA PENGARUH PRICE, LOCATION DAN DEVELOPER’S REPUTATION TERHADAP PURCHASE INTENTION PADA APARTEMEN DI SIDOARJO

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Mega Meilya Alif
Keyword(s):  
Purchase Intention ◽  
Theory Of Reasoned Action ◽  
Reasoned Action ◽  
Sampling Technique ◽  
Survey Method ◽  
Age Group ◽  
Statistical Program ◽  
Spss Software ◽  
One Year ◽  
The One

The purpose of this study is to analyze the theory of reasoned action and the influences of price, location and developer’s reputation toward apartment purchase intention in Sidoarjo. This research uses a quantitative approach and include as clausal study. The sampling technique is non probability sampling. The criteria of the respondents are people who were born between 1980-2000 or the age group of 20-40 years in 2020 (millennials), who is planning to buy an apartment within the one year; and has never bought an apartment in Sidoarjo before. The techniques of data collection uses a survey method by five-level of Likert scale. The questionnaire was distributed by electronic links using email and social media. This study uses multiple linear regression assisted with the Statistical Program for Social Science (SPSS) software for the data analysis. The result of the study are attitude, subjective norms, price, location, and developer’s reputation have a significance influence toward purchase intention.

Obstacles to Claiming Permanence and Injury-Relatedness for “Posttraumatic” Headache

2009 ◽  
Vol 14 (3) ◽  
pp. 3-6
Author(s):  
Robert J. Barth
Keyword(s):  
Complete Recovery ◽  
World Health ◽  
Related Factors ◽  
Posttraumatic Headache ◽  
Sixth Edition ◽  
Causative Relationship ◽  
Short Period ◽  
The One ◽  
Health Organization ◽  
Subjective Reports

Abstract “Posttraumatic” headaches claims are controversial because they are subjective reports often provided in the complex of litigation, and the underlying pathogenesis is not defined. This article reviews principles and scientific considerations in the AMAGuides to the Evaluation of Permanent Impairment (AMA Guides) that should be noted by evaluators who examine such cases. Some examples in the AMA Guides, Sixth Edition, may seem to imply that mild head trauma can cause permanent impairment due to headache. The author examines scientific findings that present obstacles to claiming that concussion or mild traumatic brain injury is a cause of permanent headache. The World Health Organization, for example, found a favorable prognosis for posttraumatic headache, and complete recovery over a short period of time was the norm. Other studies have highlighted the lack of a dose-response correlation between trauma and prolonged headache complaints, both in terms of the frequency and the severity of trauma. On the one hand, scientific studies have failed to support the hypothesis of a causative relationship between trauma and permanent or prolonged headaches; on the other hand, non–trauma-related factors are strongly associated with complaints of prolonged headache.

Standardization of Factor VIII – IV. Establishment of the 3rd International Standard for Factor VIII: C Concentrate

1983 ◽  
Vol 50 (03) ◽  
pp. 697-702 ◽  
Author(s):  
T W Barrowcliffe ◽  
A D Curtis ◽  
D P Thomas
Keyword(s):  
Factor Viii ◽  
High Purity ◽  
Collaborative Study ◽  
World Health ◽  
Current Standard ◽  
Two Stage ◽  
International Standard ◽  
One Stage ◽  
The One ◽  
Health Organization

SummaryAn international collaborative study was carried out to establish a replacement for the current (2nd) international standard for Factor VIII: C, concentrate. Twenty-six laboratories took part, of which 17 performed one-stage assays, three performed two-stage assays and six used both methods. The proposed new standard, an intermediate purity concentrate, was assayed against the current standard, against a high-purity concentrate and against an International Reference Plasma, coded 80/511, previously calibrated against fresh normal plasma.Assays of the proposed new standard against the current standard gave a mean potency of 3.89 iu/ampoule, with good agreement between laboratories and between one-stage and two- stage assays. There was also no difference between assay methods in the comparison of high-purity and intermediate purity concentrates. In the comparison of the proposed standard with the plasma reference preparation, the overall mean potency was 4.03 iu/ampoule, but there were substantial differences between laboratories, and the two-stage method gave significantly higher results than the one stage method. Of the technical variables in the one-stage method, only the activation time with one reagent appeared to have any influence on the results of this comparison of concentrate against plasma.Accelerated degradation studies showed that the proposed standard is very stable. With the agreement of the participants, the material, in ampoules coded 80/556, has been established by the World Health Organization as the 3rd International Standard for Factor VIII :C, Concentrate, with an assigned potency of 3.9 iu/ampoule.

Preventing Premature Weaning: Management Options for Common Lactation Conditions, Including OMT

2020 ◽  
pp. 20-25
Author(s):  
Denise Sackett ◽  
Tala Dajani ◽  
David Shoup ◽  
Uzoma Ikonne
Keyword(s):  
Postpartum Depression ◽  
Family Physician ◽  
Treatment Options ◽  
World Health ◽  
Management Options ◽  
Pharmacological Management ◽  
Control And Prevention ◽  
Lactational Mastitis ◽  
One Year ◽  
Health Organization

The benefits of breastfeeding are well established. The World Health Organization and the Centers for Disease Control and Prevention recommend that mothers breastfeed infants for at least one year, but most children are not breastfed that long because of many factors. Breastfeeding mothers face many challenges to continued breastfeeding, including medical conditions that arise during this period, such as postpartum depression and lactational mastitis. Because of a perceived lack of consistent guidance on medication safety, it can be difficult for the family physician to treat these conditions while encouraging mothers to continue breastfeeding. The purpose of the current review is to summarize and clarify treatment options for the osteopathic family physician treating lactating mothers. We specifically focus on the pharmacological management of contraception, postpartum depression, and lactational mastitis.

scholarly journals COVID-19 PANDEMIC UPDATES AND PERSPECTIVES. NEED FOR AN INTEGRATED AND EQUITABLE APPROACH.

2021 ◽  
Author(s):  
Grigoris Gerotziafas ◽  
Mariella Catalano ◽  
Ioannis Theodorou ◽  
Patrick van Dreden ◽  
Vincent Marechal ◽  
...  
Keyword(s):  
Mitigation Strategies ◽  
World Health ◽  
Learning Technology ◽  
Pharmacological Interventions ◽  
Health Crisis ◽  
Patients At Risk ◽  
Physical Barriers ◽  
Risk Of Disease ◽  
One Year ◽  
Health Organization

One year after the declaration of the COVID-19 pandemic by the World Health Organization (WHO) and despite the implementation of mandatory physical barriers and social distancing, humanity remains challenged by a long-lasting and devastating public health crisis. Non-pharmacological interventions (NPI) are efficient mitigation strategies. The success of these intense NPI is dependent on the approval and commitment of the population. The launch of a mass vaccination program in many countries in late December 2020 with mRNA vaccines, adenovirus-based vaccines, and inactivated virus vaccines has generated hope for the end of the pandemic. Current issues: The continuous appearance of new pathogenic viral strains and the ability of vaccines to prevent infection and transmission raise important concerns as we try to achieve community immunity against SARS-CoV-2 and its variants. The need of a second and even third generation of vaccines and the possibility of potentially harmful side-effects of the vaccines (i.e. venous thromboembolism ) have already been acknowledged. Perspectives: There is a critical and urgent need for a balanced and integrated strategy for the management of the COVID-19 outbreaks organized on three axes: (1) Prevention of the SARS-CoV-2 infection, (2) Detection and early diagnosis of patients at risk of disease worsening, and (3) Anticipation of medical care (PDA). Conclusion: The “PDA strategy” integrated into state policy for the support and expansion of health systems and introduction of digital organization (i.e. telemedicine, artificial intelligence and machine learning technology) is of major importance for the preservation of citizens’ health and life world-wide.

Reflections on FDA and WHO recommendations concerning clinical trials

1989 ◽  
Vol 4 (2) ◽  
pp. 117-122 ◽  
Author(s):  
J.-F. Dreyfus ◽  
D. Cremniter ◽  
J.D. Guelfi
Keyword(s):  
Clinical Trials ◽  
Drug Users ◽  
Objective Evaluation ◽  
World Health ◽  
Measuring Instruments ◽  
New Techniques ◽  
The Usa ◽  
The One ◽  
Health Organization

SummaryWe are still confronted by numerous different nosographic models and problems concerning the objective evaluation of patients progress during treatment. It is interesting to consider the consequences of this situation in psychiatry which still involves a relative diversity of practical methods used in clinical trials. The recommendations of the USA Food and Drug Administration, on the one hand, constitute a highly structured and precise reference. The World Health Organization, on the other hand, promulgates general recommendations resulting from a compromise designed to satisfy the greatest number of clinicians.Despite the apparently diverse principles and the different practical methods they propose, both those sets of recommendations have been useful in inspiring clinicians to reflect upon these different methodological approaches. The qualities of the inclusion criteria used in the study of patients and the sensitivity of the different measuring instruments have allowed psychotropic drug users as well as producers to recognize the need for a certain rigour in clinical trials.The FDA and WHO guidelines have certainly improved the quality of clinical trials in psychopharmacology. However, they also represent a source of resistance to innovation.A series of consensus meetings to first reconcile US and European points of view and later to include new techniques in the recognized sets of methods would therefore be helpful.

scholarly journals Bleeding risks are higher in children versus adults given prophylactic platelet transfusions for treatment-induced hypoproliferative thrombocytopenia

Blood ◽  
2012 ◽  
Vol 120 (4) ◽  
pp. 748-760 ◽  
Author(s):  
Cassandra D. Josephson ◽  
Suzanne Granger ◽  
Susan F. Assmann ◽  
Marta-Inés Castillejo ◽  
Ronald G. Strauss ◽  
...  
Keyword(s):  
Bleeding Risk ◽  
World Health ◽  
Age Group ◽  
Transplant Recipients ◽  
Disease Treatment ◽  
Platelet Counts ◽  
Wide Range ◽  
Treatment Category ◽  
Dose Trial ◽  
Health Organization

Age-group analyses were conducted of patients in the prophylactic platelet dose trial (PLADO), which evaluated the relation between platelet dose per transfusion and bleeding. Hospitalized patients with treatment-induced hypoproliferative thrombocytopenia were randomly assigned to 1 of 3 platelet doses: 1.1 × 1011, 2.2 × 1011, or 4.4 × 1011 platelets/m2 per transfusion, given for morning counts of ≤ 10 000 platelets/μL. Daily hemostatic assessments were performed. The primary end point (percentage of patients who developed grade 2 or higher World Health Organization bleeding) was evaluated in 198 children (0-18 years) and 1044 adults. Although platelet dose did not predict bleeding for any age group, children overall had a significantly higher risk of grade 2 or higher bleeding than adults (86%, 88%, 77% vs 67% of patients aged 0-5 years, 6-12 years, 13-18 years, vs adults, respectively) and more days with grade 2 or higher bleeding (median, 3 days in each pediatric group vs 1 day in adults; P < .001). The effect of age on bleeding differed by disease treatment category and was most pronounced among autologous transplant recipients. Pediatric subjects were at higher risk of bleeding over a wide range of platelet counts, indicating that their excess bleeding risk may be because of factors other than platelet counts. This trial was registered at www.clinicaltrials.gov as #NCT00128713.

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