scholarly journals The Role of Ultrasonography for Diagnosing Wilms Tumor in Developing Country

Author(s):  
Aulia Rahmani ◽  
Nur Melani Sari ◽  
Vita Indriasari

Background: Overall five-year survival rate of Wilm’s Tumor (WT) in developing countries is still poor. Delayed diagnosis is one of the contributing factors, whereas early diagnosis is an important thing for the outcome. It is caused by the WT burden in developing countries that was not comparable with the number of facilities for diagnosis and treatment. Ultrasonography (USG) is the mandatory first-line imaging modality in children with a suspected abdominal mass and an overall sensitivity of 76%. Additionally, it can be found in many health facilities at a lower cost, quick, non-invasive, and carries no risk of radiation. Therefore, the relationship between USG and histopathology should be measured. Materials and Methods: A cross-sectional study with an analytical approach was performed in pediatric (0 untill 18 year of age) renal malignancy and neuroblastoma that admitted to Dr. Hasan Sadikin Hospital, Bandung between 2015-2018. Data were collected from medical records. Statistical analyses using Fisher exact test were done to determine the significance of the relationship between USG and histopathology. Results: Forty-three samples were obtained based on inclusion criteria, such as WT (n=33), neuroblastoma (n=6), renal clear cell carcinoma (n=2) and no specific type of renal malignancy (n=2). Fisher exact test revealed no-significant relationship between USG and histopathology with p-value > 0.05 Conclusion: There is no significant relationship between USG and histopathology. Therefore, centralized unity for USG interpretation is recommended.

2018 ◽  
Vol 7 (2) ◽  
Author(s):  
Iin Rachmawati ◽  
Wiwik Afridah

The quality of nutritional service is one of the indicators of the quality hospital service. Therefore, the purpose of this research was to find out the relationship between the quality of hospital nutritional service and the level of patient’s satisfaction hospitalized in Teratai Room of Islamic Hospital located on Jemursari, Surabaya.The design of research was analytic cross sectional. The population of patient’s hospitalized ≥ 3 days in Teratai Room of Islamic Hospital located on Jemursari, Surabaya by 40 respondents, a sample of 36 respondents, taken using a consecutive sampling.The independent variable was the quality of hospital nutritional service, where as the dependent one was the level of patient’s satisfaction. Instrument using a questionnaire sheet. Analysis of the data by the Fisher Exact Test. The result of research showed that most of the respondent (52,2%) said the quality of nutritional hospital service is good and nearly half (47,2%) said they were satisfied. Fisher’s Exact Test statistic test value obtained ρ = 0.007 describing that there was a significant relationship between the quality of hospital nutritional service and the level of patient’s satisfaction hospitalized in the hospital. The research has concluded that most of the quality nutritional of hospital service is have good and patient’s have satisfaction. The nutritional official must be through, when process and prepare a dish up a food a patient


e-NERS ◽  
2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Martha Revy Sarame ◽  
A. Y. Ismanto ◽  
Abram Babakal

Abstract: Immunization is the vaccine into the body in the form of weakened germs that cause the body to produce antibodies but not cause disease, even children become immune.  The research objective was to determine the relationship of maternal knowledge about immunization with complete basic immunization in infants at IHC Health Center Village Paniki working area Ondong Tagulandang Biaro Siau Islands District . The study design was cross sectional method and using Chi-Square test on the value of the Fisher Exact Test. The study was conducted on 32 mothers of infants aged 9-12 months. Sampling with a total sampling instrument in the form of a questionnaire study to determine the motherʾs knowledge and KMS (Card Towards Health) to determine the completeness of immunization. The analysis shows there is a significant relationship between maternal knowledge about immunization with complete basic immunization in infants (p = 0,000). Conclusion that mothers with a good knowledge of immunization will do complete basic immunization in children compared to mothers with less knowledge about immunization. Keywords: Knowledge mother, Completed Basic Immunization.   Abstrak: Imunisasi  adalah pemberian vaksin ke dalam tubuh berupa bibit penykit  yang  dilemahkan yang menyebabkan tubuh memproduksi antibodi tetapi tidak menimbulkan penyakit, bahkan anak menjadi kebal. Tujuan penelitian adalah untuk mengetahui  hubungan pengetahuan ibu tentang imunisasi dengan kelengkapan pemberian imunisasi dasar pada bayi di Posyandu Kelurahan Paniki wilayah kerja Puskesmas Ondong Kabupaten Kepulauan Siau Tagulandang Biaro. Desain penelitian ini menggunakan metode Cross Sectional dan menggunakan  uji Chi-Square pada nilai Fisher Exact Test. Penelitian dilakukan pada 32 ibu yang memiliki bayi berusia 9-12 bulan. Pengambilan sampel secara total sampling dengan instrument penelitian berupa kuesioner untuk mengetahui pengetahuan ibu dan KMS (Kartu Menuju Sehat) untuk mengetahui kelengkapan imunisasi. Hasil analisis menunjukkan  terdapat hubungan bermakna antara pengetahuan ibu tentang imunisasi dengan kelengkapan pemberian imunisasi dasar pada bayi (p=0.000). Kesimpulan yaitu ibu dengan pengetahuan tentang imunisasi yang baik akan melakukan pemberian imunisasi dasar lengkap pada anaknya dibandingkan ibu dengan  pengetahuan tentang imunisasi yang kurang. Kata kunci: Pengetahuan ibu, Kelengkapan Imunisasi Dasar.


Animals ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. 2229
Author(s):  
Adam B. O’Connell ◽  
A. Craig Irving ◽  
Paul L. Hughes ◽  
Naomi Cogger ◽  
Boyd R. Jones ◽  
...  

A study in conducted 1987 by Hughes et al., found that 39% of working sheep dogs had multifocal retinitis. One of the identified causes was ocular larval migrans, which were a result of migrating ascarid larvae. Since that paper was published, anthelmintic use in farm dogs has been highly recommended. There has been no follow-up study to determine if fundic lesions are still present. The current study aimed to investigate the prevalence of chorioretinopathy in working sheep dogs in the South-West, Waikato, New Zealand. This was a cross-sectional study of 184 working sheep dogs and 51 owners, undertaken in 2010 with owners sampled from New Zealand’s South-West Waikato and Tux North Island Dog Trial Championship. Two-way tables were used to explore the relationship between variables. Significance of association was assessed using a Chi-squared or Fisher exact test as appropriate, with a p-value of <0.05 considered significant. Overall prevalence of chorioretinopathy in the working sheep dogs was 44/184 (24%). A significantly higher prevalence of chorioretinopathy was shown in dogs with increasing age, from 2 years to >8 years (p = 0.0007) and in males (p < 0.0001). This study concluded that lesions of chorioretinopathy are still present in working sheep dogs in New Zealand.


2020 ◽  
Vol 11 (1) ◽  
pp. 1-7
Author(s):  
Faradina Aghadiati

The birth weight (BW) are utilized as indicators of the healthy and term newborns. Factor that affects the weight of a newborn are micronutrient intake and family economic status. Folic acid and iron (Fe) were associated with birth weight. Family economic status towards the inability of households in eating conditions that will affect the nutritional status of the pregnant women. The purpose of this study was to analyze the relationship between intake of folic acid, iron (Fe) and family economic status with birth weight. This research method was an analytic observational using a cross-sectional approach. The sample in this study were 114 pregnant women living in Yogyakarta. The data collected, subject characteristic, intake of folic acid and iron and the birth weight. Data analysis used the Fisher exact test with p value <0.05. Statistical test results proved a significant relationship between the intake of folic acid and iron (Fe) with the birth weight (p<0.05). There was no significant relationship between economic status and the birth weight (p>0.05). Pregnant women with adequate folic acid intake, iron intake tended to give birth with normal birth weight. While a good economic status does not necessarily affect the weight of newborns.


2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Siti Maskanah ◽  
Suratun Suratun ◽  
Sukron Sukron ◽  
Yulius Tiranda

Objective: To find out the relationship between the physical activity and blood pressure hypertensive patients of Muhammadiyah Hospital of Palembang. Methode: Cross sectional method was used with the number of sample of 67 hypertensive patients taken by using purposive sampling technique: The Fisher Exact test was used to analyze the relationship between physical activity and blood pressure.Results: The result showed that most of the activities carrie d out were moderate activities (67,2%). The result pf the analysis showed that there was a significant relationship between physical activity and systole and diastolic blood pressure with each p value of 0,003, OR: 6,458 and p value 0, 013, OR: 144.  Conclusion: There was a significant relationship between phsical activity and blood pressure. It is expected that health workers be able to play an active role and involve families in optimizing phsical activity for patient with hypertension.


2020 ◽  
Vol 4 (3) ◽  
pp. 130-141
Author(s):  
Darmila ◽  
Nadia Alfira ◽  
Muriyati ◽  
Andi Baso Tombong

The results of observations at RSUD H. Andi Sultan Daeng Radja carried out observations on all types of wounds that entered the emergency room with each wound characteristic observed, namely the location of the wound, the shape of the wound, the size of the wound, the depth of the wound, and the wound edge. Research Objectives To determine the relationship between wound characteristics and infection incidence in RSUD H. Andi Sulthan Daeng Radja, Bulukumba Regency. The research design is quantitative research. This study used a cross-sectional design. The sample size is 14 people. Results Based on the Fisher exact test, the value of p = 0.005 (<α = 0.05) was obtained, which means that there is a significant relationship between the location of the wound and the incidence of infection. Kolmogorov Smirnov test results obtained p-value = 0.016 (<α = 0.05), which means that there is a significant relationship between the shape of the wound and the incidence of infection. Kolmogorov Smirnov test results obtained p-value = 0.010 (<α = 0.05), which means that there is a significant relationship between wound size and the incidence of infection. Kolmogorov Smirnov test results obtained p-value = 0.002 (<α = 0.05), which means that there is a significant relationship between wound depth and the incidence of infection. The Kolmogorov Smirnov test results obtained p-value = 0.267 (> α = 0.05), which means that there is no significant relationship between the wound edges and the incidence of infection. Conclusion and suggestion that there is a significant relationship between the location, shape, size, and depth of the wound and the incidence of infection. It is hoped that there will be further research with a larger number of samples with in-depth studies.


Author(s):  
Yusrah Taqiyah ◽  
Fatma Jama ◽  
Hasraeni Hasraeni

Hormonal contraception has several side effects namely nausea, headache, mammary pain, fluor albus, weight gain, hyporeorrhea found in the use of pill contraception. Whereas the use of injection contraception often causes irregular bleeding (spotting), and amenorrhoea. The purpose of this study is to determine the relationship between the use of injection contraception contraception with menstrual bleeding disorders in family planning acceptors at Tompobulu Health Center, Gowa Regency. The research design used was cross-sectional. The sample in this study were 101 family planning acceptors, selected using purposive sampling. Data were collected using questionnaire, then analyzed using Fisher's exact test. The results showed that there was a significant relationship between the use of injection contraception and spotting, with p-value of 0.007 and there was no significant relationship between the use of injection contraception contraception with menorrhagia, with p-value of 1.000. Keywords: injecting contraception; spotting; menorrhagia ABSTRAK Kontrasepsi hormonal memiliki beberapa efek samping yaitu rasa mual, sakit kepala, nyeri pada mammae, fluor albus, kenaikan berat badan, hipomenorea terdapat pada penggunaan kontrasepsi pil. Sedangkan pada pemakaian kontrasepsi suntik sering menimbulkan perdarahan yang tidak teratur (spotting), dan amenorea Tujuan dari penelitian ini adalah untuk mengetahui hubungan pemakaian alat kontrasepsi suntik dengan gangguan perdarahan menstruasi pada akseptor keluarga berencana di Puskesmas Tompobulu Kabupaten Gowa. Desain penelitian yang digunakan adalah cross-sectional. Sampel dalam penelitian ini adalah 101 akseptor keluarga berencana, yang dipilih dengan teknik purposive sampling. Data dikumpulkan menggunakan kuesioner, lalu dianalisis menggunakan Fisher’s exact test. Hasil penelitian menunjukkan bahwa ada hubungan yang signifikan antara pemakaian alat kontrasepsi suntik dengan spotting dengan nilai p 0,007 dan tidak ada hubungan yang signifikan antara pemakaian alat kontrasepsi suntik dengan menoragia, dengan nilai p 1,000. Kata kunci: kontrasepsi suntik; spotting; menorrhagia


Author(s):  
Nasrin Moghimi ◽  
Khaled Rahmani ◽  
Mohsen Rajabnia

Background: Regarding the association of osteoporosis with various fractures and its disabilities, high cost of treatment and rehabilitation, asymptomatic majority of patients and revealing after serious disability and preventable disability and its complications, this study was conducted to determine the prevalence of osteoporosis and its association with demographic factors and body mass index (BMI) in patients referred to Sanandaj densitometry center. Methods: This cross- sectional descriptive- analytic study was carried out on 250 patients referring to Sanandaj densitometry center from September 2017 to September 2018. For the subjects, BMD was determined by dual-energy X-ray absorptiometry method at two bone segments, ie the hip and spine. Data were analyzed using independent t-test, fisher exact test, chi- square test and logistic regression test using SPSS V.23 software. Results: In 250 studied subjects, there were found 68 cases (27.2%) osteoporosis in spine region and 38 cases (15.2%) in hip region. There was a significant correlation between age and incidence of osteoporosis in the spine and hip (P-value < 0.001), with the increase in age, the prevalence of osteoporosis increased. Despite the prevalence of osteoporosis in females, there was no significant relationship between sex and osteoporosis in spine and hip (P-value > 0.05). Despite the higher prevalence of osteoporosis in the study population living in the city, there was no significant relationship between residence and osteoporosis in spine and hip (P- value > 0.05). There was a significant relationship between education level and osteoporosis in spine and hip (P- value < 0.001), so that with the increase in education, the prevalence of osteoporosis decreases. There was a significant correlation between BMI and osteoporosis in spine and hip (P- value < 0.05), with an increase in BMI, the prevalence of osteoporosis decreases. Conclusion: This study revealed a high prevalence of osteoporosis. Therefore, considering the increased risk of fracture, the morbidity and mortality due to osteoporosis and their costs, increasing awareness of people about complications, how to reduce the risk factors and timely treatment, it seems necessary.


2021 ◽  
Vol 4 (2) ◽  
pp. 160
Author(s):  
Estin Puspaningrum ◽  
Sri Umijati ◽  
Sri Utami ◽  
Dominicus Husada

AbstractBackground: In 2017, the prevalence of malnutrition in Indonesia was ranked 4­th among Southeast Asia countries. The nonoptimal complementary feeding is one of the reasons. The nonoptimal complementary feeding is associated with the prevalence of underweight and stunting in the children at the age 6-23 months. Complementary feeding pattern include frequency and dietary diversity. This study aims to investigate the relationship between complementary feeding pattern and nutritional status of infants at the age 7-12 months in the Kedungwaru Health Center, Tulungagung. Methods: This study used observational analytic and cross-sectional study design. The sample consisted of 71 mothers of the infants which were taken by total sampling. The variables of this study were complementary feeding pattern and nutritional status. This study also used a questionnaire and observation sheet. The Fisher Exact Test was used to analyse the data. Result: The results showed 88.7% of the infants have good nutritional status. There are 49.3% appropriate complementary feeding and 69% which applied various types of complementary feeding. The frequency of complementary feeding with the nutritional status of infants obtained p value 0.478 and the dietary diversity of complementary feeding with nutritional status obtained p value 0.102. Conclusions: There were no significant relation between the complementary feeding pattern and the nutritional status (weight-for-age) in infants at the age 7-12 months. Further research about other variables is needed. 


2021 ◽  
Vol 31 (1) ◽  
pp. 24
Author(s):  
Katharina Ratri Benita ◽  
Hendrian Dwikoloso Soebagjo ◽  
Siprianus Ugroseno Yudho Bintoro

Background: Ocular trauma is an accident caused by a foreign object that affects the eye tissue. Ocular trauma can cause pain and a decrease in the person’s best-corrected visual acuity. Mechanical ocular traumas can cause morphological and functional eye changes that are serious enough to cause blindness. Blindness is often used to describe a severe visual impairment with the remaining visual function. Objective: To determine and to analyze the relationship between mechanical ocular trauma and the best-corrected visual acuity of the patients of Dr. Soetomo General Academic Hospital, Surabaya, Indonesia in 2016-2018. Material and Method: This study was an analytic study with a cross-sectional design. The data were collected using the medical records of the patients of Dr. Soetomo General Academic Hospital, Surabaya, Indonesia in 2016-2018. The population of this study consists of all patients with pure mechanical ocular trauma with a total of 198 subjects. Results: Fisher exact test results showed a value of p=0.054, showing that there was no significant relationship between the best-corrected visual acuity and mechanical ocular trauma. Conclusion: No significant relationship was present between mechanical ocular trauma and the best-corrected visual acuity (BCVA) based on the medical record of patients with ocular trauma in Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, Surabaya, in 2016–2018. Most of the patients had BCVA 6/24 - 2 meter counting finger.


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