scholarly journals Analysing prognostic factors among patients with perforative peritonitis

2021 ◽  
Vol 8 (5) ◽  
pp. 1466
Author(s):  
Pradeep M. Wagh ◽  
Samadhan Patil
Keyword(s):  
Prognostic Factors ◽  
High Mortality ◽  
Exploratory Laparotomy ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
Perforative Peritonitis ◽  
Perforation Peritonitis ◽  
Large Perforation

Background: The mortality of perforation peritonitis is highly dependent on early approach to the hospital, quick diagnosis and prompt surgical treatment as it correlates with the duration and degree of peritoneal contamination, the patient's age, the general health of the patient and the nature of the underlying aetiology. The present study was done to assess the role of various prognostic factors which have a bearing on the final outcome of the patients.Methods: This prospective observational cross-sectional study was conducted in the at a tertiary level hospital in Maharashtra, in which 47 patients who presented a surgical emergency of perforation peritonitis and underwent an exploratory laparotomy were included. We compared different variables between patients who survived and those who died. Results: High mortality was also found in patients who presented after 24 hours of developing symptoms. Ileal perforation was significantly more common among dead patients (50%) as compared to patients who survived (20%), p-value<0.05. There were significantly higher proportion of patients who had shock on day 1 who died (67%) as compared to those who survived (12%), p-value<0.05. Also, the group of patients who died, had significantly higher MPI (p-value<0.01), higher proportion of patients with multiple perforations (p-value<0.05), larger perforations (p-value<0.01) and contamination more than 1000 ml (p-value<0.05).  Conclusions: High mortality was observed in patients who presented late, had ileal perforations, multiple and large perforation and developed shock on day one.

scholarly journals Penggunaan media sosial dan peran orang tua terhadap kejadian pernikahan dini

2020 ◽  
Vol 14 (3) ◽  
pp. 445-451
Author(s):  
Asnuddin Asnuddin ◽  
Asrini Mattrah
Keyword(s):  
Social Media ◽  
Cross Sectional Study ◽  
Early Marriage ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
Role Of Parents ◽  
Use Of Social Media

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

scholarly journals Role of Physiotherapy in Hospitalised Patients of COVID-19 disease

2021 ◽  
Vol 9 (3) ◽  
pp. 154-159
Author(s):  
Dr. Sanjay Kumar Bharty ◽  
◽  
Dr. Jitendra Kishore Bhargava ◽  
Dr. Brahma Prakash ◽  
Dr. Vikas Patel ◽  
...  
Keyword(s):  
Severity Index ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
Medical College ◽  
Breathing Exercises ◽  
Hospitalised Patients ◽  
Before And After ◽  
Respiratory Physiotherapy

Introduction: Respiratory physiotherapy is one of the therapeutic methods in various respiratoryviral infections. Breathing exercises with other interventions, could enhance the total lung capacityand symptom alleviation in patients with virus-related acute respiratory distress syndrome (ARDS).Aim: To study the clinical evaluation of the role of physiotherapy in hospitalised patients of covid-19diseases. Method: This was an Observational (prospective, cross-sectional) study. 187 patientswere recruited and diagnosed as COVID-19 as per RTPCR at NSCB Medical College, Jabalpur (MP).Patients were randomised into the physiotherapy group and controlled group. Patients in thephysiotherapy group were undergone positional changes, prone ventilation, Breathing exercise,Resistive training, Passive joint motion, Muscle stretching, Bedside standing training, enduranceexercise by a specialized physiotherapist. Mean cough severity index, MMRC grade, respiration rateand peripheral blood saturation were recorded before and after intervention and compared with thecontrolled group. Result: There was significant improvement found in MMRC grade and respirationrate after physical therapy in the physiotherapy group (p-value < 0.05). Exertional dyspnoea andcough severity index significant deceased in physiotherapy group. The positive change was found inperipheral blood saturation. There was decreased in hospitalization stay in the physiotherapy groupas compared to the controlled group. Conclusion: Our study revealed the positive effect ofphysiotherapy on covid-19 disease in terms of symptoms and hospitalization duration among thephysiotherapy group. Physiotherapy exerts a beneficial role in the management of the covid-19disease.

scholarly journals Factors Related to Behavior Handwashing Using Primary-School-Age Children's Soap on Rt's Covid-19 Pandemic. 008/Rw. 007 Bananas, Ciputat Timur in 2021

2021 ◽  
Vol 1 (1) ◽  
pp. 1011-1020
Author(s):  
Leandra Binar Ilyasa ◽  
Andriyani Asmuni ◽  
Nur Romdhona ◽  
Ernyasih Ernyasih
Keyword(s):  
School Children ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
School Age Children ◽  
P Value ◽  
School Age ◽  
Chi Square ◽  
Cross Sectional ◽  
Role Of Parents

About 40% of the world's human population has no place in their homes to wash their hands with soap and water. The prevalence of handwashing behavior with soap for school children in Indonesia in 2018 was 46%. In 2018 the behavior of washing hands with soap in Banten Province in the group of school children was 44.5%.  South Tangerang City has a prevalence of handwashing behavior with soap in school children in 2018 of 69.12%. This research was conducted to Factors Related to the Behavior of Washing Hands with Soap for Elementary School Age Children During the COVID-19 Pandemic at RT.008/RW.007 Pisangan, East Ciputat in 2021. Cross-sectional study design with 86 people as samples, the sampling done by total sampling technique. Data analysis used chi-square test (α = 0.05). Variables related to the handwashing behavior with soap are knowledge (p-value 0,038. OR= 3,4), facilities (p-value = 0,000. OR= 76,3), the role of parents (p-value = 0,005. OR= 4,5). While variables not related to handwashing behavior with soap are attitude (p-value = 0,132. OR = 8,1). Factors Related to the Behavior of Washing Hands with Soap at RT.008 RW.007 Pisangan, East Ciputat are knowledge, facilities, the role of parents. An active parental role is needed so that they can guide, teach and be an example for their children in good handwashing behavior with soap. There is a need for prevention actions such as the distribution of handwashing soap and pamphlets containing an invitation to wash hands and this activity is under the supervision of the Pisangan Health Center

scholarly journals Serum Calcium Levels in Preeclampsia

2021 ◽  
pp. 127-131
Author(s):  
Feriha Fatima Khidri ◽  
Hina Riaz ◽  
Farah Naz ◽  
. Almas ◽  
Arsalan Ahmed Uqaili ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Serum Calcium ◽  
Calcium Concentration ◽  
Normal Pregnancy ◽  
Cross Sectional Study ◽  
Severe Preeclampsia ◽  
P Value ◽  
Cross Sectional ◽  
Mild Preeclampsia

Objectives: To determine the serum calcium levels in mild and severe preeclampsia and compare it with normal pregnancy. Methods: It was a comparative cross sectional study. Thirty five normotensive pregnant women, n=30 women with mild preeclampsia and n=70 with severe preeclampsia were recruited at Liaquat University of Medical and Health Sciences, Hospital. The serum calcium was measured and levels were compared among three groups. The data was analysed on SPSS v. 20. Results: The gestational age was more in the normal pregnancy compared to mild and severe preeclampsia (38.7±2.1 vs 36.7±3.6 and 36.2±2.8, p-value=0.0002). The calcium concentration was less in the both groups of preeclampsia i.e., 8.41± 0.96 mg/dl in mild and 8.02± 0.77 mg/dl in severe preeclampsia vs 9.2± 0.32 mg/dl in normal pregnant women, (p-value <0.001). Conclusion: We found lower levels of serum calcium in preeclampsia, suggesting its possible role in pathogenesis. Further studies to investigate the potential role of dietary supplementation of micronutrients during pregnancy are recommended.

scholarly journals Sejumlah Faktor yang Berhubungan dengan Pemberian Vitamin A pada Balita

2019 ◽  
Vol 2 (2) ◽  
pp. 146
Author(s):  
Sunarti Hanapi ◽  
Nuryani Nuryani ◽  
Rahmawaty Ahmad
Keyword(s):  
Vitamin A ◽  
Community Health ◽  
Health Center ◽  
Community Health Center ◽  
Cross Sectional Study ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test

Based on Indonesian Basic Health Research 2018Vitamin A capsule coverage for children 6-59 months reached 53.1%. Based on Department of Health Gorontalo district Vitamin A capsule coverage in work area of Asparaga community health center reached 80%. The research aims at investigating association of giving vitamin A toward toddler. This research used observational analytic method with cross sectional study approach. This research was conducted in February until April with total of samples were 262 children  6-59 mount and respondents were toddler mother. The technique of collecting samples was using purposive sampling technique and the technique of data collection was using questionnaire. The technique of data analysis was chi square test. The findings reseacrh was found that the giving of vitamin A on toddler was 126 (48,1%) and not giving vitamin A was 136 (51,9%) toddlers, low mothers knowledge 63,4%, active cadre 28,2%, active participation toddlers 5,0%. Base on analysis bivariate indicated that sufficient knowledge of mothers 67,7% of the toddlers were given vitamin A and chi square test showed knowledge of p value = 0,000, the role of active cadres 82,4% of the toddlers were given vitamin A with p value = 0,000 and the activity of toddlers visiting community health center / Posyandu 100% of the toddlers were given vitamin A with p value = 0,000. It was concluded that the mothers knowledge factor, the role of cadres and the activity of toddlers visiting Community Health Center and Posyandu were related to the provision of viramin A in the toddlers. It was recommended for mothers of toddlers to explore more information regarding the importance of providing vitamin A to toddlers, and to be active partisipation in Community Health Center / Posyandu activities.Berdasarkan hasil Riskesdas 2018 cakupan kapsul vitamin A pada anak 6-59 bulan mencapai 53,1%. Berdasarkan data Dinas Kesehatan Kabupaten Gorontalo cakupan pemberian vitamin A di Wilayah Kerja Puskesmas Asparaga mencapai 80%. Tujuan dalam penelitian ini untuk mengetahui sejumlah faktor yang berhubungan dengan pemberian vitamin A pada balita. Penelitian ini menggunakan metode observasional analitik dengan rancangan cross sectional study. Penelitian ini dilakukan pada Februari sampai April dengan jumlah sampel 262 balita umur 6-59 bulan dengan ibu balita sebagai responden. Pengambilan sampel dengan tekhnik purvosive sampling dan pengumpulan data dengan menggunakan kuesioner, analisis menggunaka chi square test. Hasil penelitian didapatkan pemberian vitamin A pada balita sebanyak 126 (48,1%) dan tidak diberikan vitamin A sebanyak 136 (51,9%) balita, pengetahuan ibu kurang 63,4%, keaktifan kader 28,2%, keaktifan kunjungan balita 5,0%. Berdasarkan hasil uji bivariat menunjukkan pengetahuan ibu cukup 67,7% anak balita diberikan vitamin A chi square  test menunjukkan pengetahuan  p value = 0,000, peran kader aktif 82,4% balita diberikan vitamin A dengan p value = 0,000, dan keaktifan kunjungan balita ke Puskesmas / Posyandu 100% balita diberikan vitamin A dengan p value = 0,000 berhubungan dengan pemberian vitamin A pada balita. Disimpulkan bahwa faktor pengetahuan ibu, peran kader dan keaktifan kunjungan balita ke Puskesmas dan Posyandu berhubungan dengan pemberian viramin A pada balita. Disarankan kepada ibu balita agar lebih menggali informasi terkait pentingnya pemberian vitamin A pada balita, serta aktif dalam kegiatan Puskesmas / Posyandu.

scholarly journals Role Of Care Giver Stimulation On Toddler’s Language Development in Day Care

Jurnal NERS ◽  
2016 ◽  
Vol 11 (2) ◽  
pp. 240
Author(s):  
Ilya Krisnana, S.Kep.Ns., M.Kep. ◽  
Praba Diyan Rachmawati
Keyword(s):  
Language Development ◽  
Day Care ◽  
Care Center ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
Day Care Center ◽  
Development Data ◽  
Children Development

Introduction: Role of caregiver in the day care is really important in every aspect of children development, especially language development. This study aimed to analyze the relationship between role of caregiver in giving stimulation and language development toddler in 3 day care in Surabaya. Methods: This study was using cross-sectional study. The population were children and caregivers in day care with purposive sampling. 16 caregivers and 33 children as respondents, taken according to inclusion and exclusion criteria. The dependent variable was role of cargiver in giving stimulation. The independent variable was the toddler language development. Data collection for caregivers stimulation through observation sheets and for language development children through Denver II, and were analyzed by using non-parametric correlation analysis (Spearman rho) with significance value α=0.05. Result: The result showed that caregiver in giving stimulation has correlate with language development toddler (p-value = 0.002, r = 0.0510). Discussion: It can be concluded that correlation between role of cargiver in giving stimulation with language development toddler was significant and has strong enough correlation. Further research need to identify more factors such as genetic factor and the other aspects of environmental factor.Keywords: language development, stimulation, children day care center, caregiver, toddler 

scholarly journals FAKTOR YANG BERHUBUNGAN DENGAN PEMBERIAN KOLOSTRUM PADA BAYI BARU LAHIR DI RSKDIA PERTIWI MAKASSAR

2018 ◽  
Vol 3 (1) ◽  
pp. 44
Author(s):  
Ayatullah Harun ◽  
Jumriani Jumriani
Keyword(s):  
Family Support ◽  
Post Partum ◽  
Cross Sectional Study ◽  
P Value ◽  
Mature Milk ◽  
Cross Sectional ◽  
Health Officer ◽  
Relationship Of ◽  
The Relationship

Colostrum represents the first fluid that secreted by the breast gland, containing tissue debris and residual material in the alveoli and ducts of the breast glands pre- and post-puerperium. It is also viscous liquid with yellowish color and more yellow than mature milk (Wulandari & Handayani, 2011). This research aimed to determine the relationship of mother knowledge, family support and health officers by giving colostrum at RSKDIA Pertiwi Makassar. The methods of research by using anaytical design with cross sectional study apparoach, the sample of research is post-partum mother as many as 122 mothers. The result of research indicates that there is significant correlation between mother’s knowledge with the giving of colostrum for newborn with p-value = 0.014 < α = 0.05, there is no significant correlation between family support and the giving of colostrum with p-value = 0.79 > α = 0.05 and there is no correlation between health officer support with the giving of colostrum with p-value = 0.283 > α = 0.05. It can be concluded that there is a relationship between mother’s knowledge with the giving of colostrum and there is no relationship between family support, and health officer support with the giving of colostrum. It is expected that mothers can increase their knowledge about colostrum delivery for newborn by following counseling of health officer as well as increasing the role of health officer by giving health program especially in improving the understanding of communities about the importance of colostrum.

scholarly journals The role of blood pressures in patients with a headache

2016 ◽  
Vol 5 (2) ◽  
Author(s):  
Mehrdokht Mazdeh ◽  
Mojtaba Khazaei ◽  
Arezou Sayad ◽  
Javad Zebarjadi Bagherpour ◽  
Mohammad Taheri
Keyword(s):  
Blood Pressure ◽  
Cross Sectional Study ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
History Of ◽  
Daily Headache ◽  
Blood Pressures ◽  
Stage 1

Background: A headache is the most common cause of patients referred to the doctor. About 40 percent of people are suffering from a headache for at least once a year. Due to it's the high prevalence and its association with cardiovascular diseases, hypertension was considered as a  health problem in industrialized and developing countries. The aim of this study was to investigate the role of blood pressure in patients with a headache referred to the neurological clinic during  2014-2015 in Hamadan.Method: This cross-sectional study was performed to evaluate patients with a headache referred to the neurological clinic. Exclusion criteria included: a headache with a specific cause (a migraine, stroke, chronic daily headache, kidney disease, Diabetes Mellitus, history of heart disease or use of cigarette. The data were entered into the list and then were analyzed by SPSS software through paired T-test and chi-square test.Results: In this study, the 100 patients with a headache (78% females and 22% males) were investigated. The average age of patients was 60.07±13.175 years. The prevalence of stage 1 & 2 hypertension was 85%, and prehypertension prevalence of 7% was reported. Most of the headaches were in the frontal (33 %). Furthermore, the most headaches occur in varied time (70%). There wasn’t a significant correlation between age (P-value=0.698), gender (P-value=0.952), headache and blood pressure.Conclusion: The results obtained from the present study indicated that there was not any significant correlation between a headache and blood pressure, and the prevalence of blood pressure in the patients with a headache was similar to those who do not have headaches.Keywords: Blood Pressure, Hypertension, Headache

scholarly journals Assessment of awareness and attitude of EMS personnel concerning pre-hospital stroke care based on American Stroke Association Guideline

2020 ◽  
Vol 6 (2) ◽  
pp. 68-72
Author(s):  
Payman Asadi ◽  
Vahid Monsef Kasmaei ◽  
Seyyed Mahdi Zia Ziabari ◽  
Shiva Bakian ◽  
Amir Noyani
Keyword(s):  
Demographic Data ◽  
Stroke Care ◽  
Cross Sectional Study ◽  
Medical Emergency ◽  
P Value ◽  
Cross Sectional ◽  
Contract Employees ◽  
Spss Software ◽  
Multiple Choice Items

Objective: Emergency medical services (EMS) is a critical component of health care system and the forefront of stroke care. The prominent role of EMS in stroke care is timely and accurate diagnosis of acute ischemic stroke and transfer of the patients to stroke centers. The present study aimed to assess the "awareness" and "attitude" of EMS personnel concerning prehospital stroke care based on American Stroke Association (ASA) guideline in Rasht town. Methods: This was an analytical cross-sectional study. The participants, consisted of all EMS personnel (n=115) in Rasht town in 2012, entered the study based on census method. Awareness and attitude of EMS personnel toward prehospital stroke care were assessed using a questionnaire based on ASA guideline. The questionnaire had two sections. The first part contained demographic data and the second part had multiple choice items (Likert-type scale response anchors) to assess awareness and attitude of the personnel. The questionnaires were filled out by the personnel. The collected data were analyzed using descriptive and inferential statistics using SPSS software version 20. P value less than 5% was considered significant. Results: Ninety people participated in this study. The average of age and working experience of participants were 36.84 ± 8.02 and 11.36 ± 5.71, respectively. Most of the participants had bachelor degree (n=33, 36.7%) and majored in medical emergency (n=43, 47.8%). Most of them were contract employees (47.8%). Mean scores of awareness and attitude of the personnel were 26.68 (the total number of score = 51) and 32.56 (the total number of score = 80), respectively. Conclusion: Findings revealed poor awareness and attitude of EMS personnel toward prehospital stroke care based on ASA guideline in Rasht Town. We recommended retraining courses to promote awareness of EMS personnel.

scholarly journals PRE-ANESTHETIC MEDICATIONS IN PATIENTS UNDERGOING EXPLORATORY LAPAROTOMY: RESULTS OF A CROSS-SECTIONAL STUDY

2018 ◽  
Vol 11 (3) ◽  
pp. 277
Author(s):  
Anant D Patil ◽  
Madhuri Kulkarni
Keyword(s):  
Exploratory Laparotomy ◽  
Cross Sectional Study ◽  
Anticholinergic Agent ◽  
Sectional Study ◽  
Descriptive Data ◽  
Cross Sectional ◽  
Medication Utilization ◽  
Perforation Peritonitis ◽  
Study Population ◽  
Male Patients

 Objective: The objective of this study was to understand the pattern of pre-anesthetic medication utilization in patients undergoing exploratory laparotomy.Methods: In this cross-sectional study, we reviewed the records of patients who underwent exploratory laparotomy under general anesthesia. Descriptive data of the pre-anesthetic medications used in the patients are presented.Results: A total of 49 patients with mean age of 65.85±34.15 years were included in the study. The study population was dominated by male patients (65.85%). Two major indications for exploratory laparotomy in the study population were perforation peritonitis 19 (38.77%) and intestinal obstruction 9 (18.37%). Ondansetron was used in all patients. metoclopramide and ranitidine were used in 48 (98%) patients each. Midazolam was given to 43 (87.8%) patients. A total of 41 (83.7%) patients received anticholinergic agent glycopyrrolate or atropine. Pentazocine and fentanyl were used in 39 (79.6%) and 10 (20.4%) patients, respectively.Conclusion: Ondansetron, metoclopramide, ranitidine, midazolam, glycopyrrolate, and pentazocine were the major pre-anesthetic medications in patients undergoing exploratory laparotomy. Glycopyrrolate was the most preferred anticholinergic agent.

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