scholarly journals Epidemiological Pattern of Poisoning in Children under the Age of 15 Admitted to the Referral Teaching Hospitals of Yazd and Taft Cities (2014-2019)

Author(s):  
Mahdieh Momayyezi ◽  
Parisa Peigan ◽  
Hossein Fallahzadeh

Introduction: Understanding the epidemiological pattern and causes of poisoning is the first step to prevent and reduce complications and mortality due to poisoning in children. Given that no study has been conducted on this subject in Yazd, this study aimed to determine the epidemiology pattern of poisoning in children admitted to the referral teaching hospitals in Yazd and Taft cities during 2014-2019. Materials and Methods: This descriptive cross-sectional study was conducted on 238 children under the age of 15 who have been admitted to Shahid Sadoughi hospital in Yazd and Shahid Beheshti hospital in Taft city during 2014-2019. The data were analyzed by SPSS version 20.0 using descriptive statistics, Pearson correlation, and Chi-square. In all the statistical analyses, a P-value of less than 0.05 was considered significant. Results: The results showed that the frequency of poisonings was higher in girls (58%), in summer (31.1%), and in urban areas (82.8%). Most cases of poisoning aged less than 15 years (75.1%). The main cause of poisoning in children was drug poisoning (60.5%), followed by cleansing products (10.1%). The most common clinical manifestations included neurological signs (33.6%). During 2014-2019, the frequency of drugs and pesticide poisonings decreased; while poisoning due to drug-opioids and cleansing products increased (P = 0.04). Also, 3 deaths occurred due to poisoning during this period. Conclusion: The higher prevalence of drug and cleansing products poisoning in children under the age of 15 indicates involuntary poisoning in this group. Therefore, proper storage of these substances and more parental care can reduce poisonings in children.


2019 ◽  
Vol 2 ◽  
pp. 27
Author(s):  
Abdul-Hakim Mutala ◽  
Kingsley Badu ◽  
Christian Owusu ◽  
Samuel Kekeli Agordzo ◽  
Austine Tweneboah ◽  
...  

Background: This study aimed at investigating haematological changes in malaria patients across different demographic settlements. Malaria parasites trigger changes in certain haematological parameters, which may result in a number of clinical manifestations. Differences in demographic settlements, such as rural, peri-urban and urban settlements, may also influence these changes, but this has rarely been studied. Methods: We conducted a hospital-based, cross-sectional study from January to December 2018 in three different settlements. A total of 598 participants were recruited. Giemsa-stained blood smears were examined to detect and quantify malaria parasitaemia, while haematological parameters were measured using a haematology analyser. Results: The rural settlement had the highest malaria prevalence compared to the other study communities (p=0.009). The difference in parasite densities across the three communities was also significant (p=0.0149). When the malaria-infected population was compared to the uninfected, there were differences in red blood cell count (p=0.0170), haemoglobin levels (p=0.0165), mean corpuscular volume (p=0.0139) and platelet counts (p<0.0001). The difference in median white blood cell (p-value <0.0001), neutrophil (p-value <0.0001) and lymphocyte (p-value <0.0269) count were significantly higher in infected patients from the peri-urban area compared to malaria patients from the rural and urban areas. There were also significant differences in platelet (p=0.0002), plateletcrit (p=0.0041), mean platelet volume (p=0.0009) and platelet large cell ratio (p=0.0046) levels between patients from the urban, peri-urban and rural areas. Conclusions: Patients infected with malaria generally had low red blood cell, haemoglobin and platelets in comparison to uninfected patients. There were also significant differences in several haematological parameters between malaria-infected patients from the three demographic settlements. Atypical results from routine haematological assays, especially findings of anaemia and thrombocytopenia, may be indicative of malaria and, in cases where the infection is asymptomatic, may improve diagnosis by prompting a more thorough search for the parasite in the peripheral circulation.



2020 ◽  
Author(s):  
Mostafa Bijani ◽  
Saeed Parvizi ◽  
Azizallah Dehghan ◽  
Massih Sedigh Rahimabadi ◽  
Mahsa Rostami Chijan ◽  
...  

Abstract Background: High prevalence of hypertension (HTN) and its subsequent serious complications make this disease as a major health-treatment concern in many societies. The current study aimed to investigate known factors as risk factors for hypertension and the way of their association in study population of Fasa cohort in south of Iran at 2019.Methods: This is an analytical-cross sectional study. Study population was the individuals covered by Fasa cohort. Information of the first phase of Fasa Persian cohort in south of Iran was used in the study. Independent t-test, chi-square test, analysis of variances, Pearson correlation coefficient, and logistic regression were used to analyze data. Data was analyzed using SPSS software version 22, and P-value<0.05 was considered statistically significant.Results: Out of the population of 10111 individuals of the study, 5546(54.86%) subjects were female and 4565(45.16%) were male. The overall prevalence of hypertension was 41.8 %. In the present study (28/5%) were with HTN stage 1, and (13/3%), were with HTN stage 2. In addition, a significant association was observed among HTN and cardiovascular diseases, diabetes and renal failure (p<0.5).Conclusions: prevalence of HTN in study population is considerable. Given its hazardous complications, application of appropriate methods in order to screen, prevent and treat HTN is necessary. In addition, using training programs, changing lifestyle, and promoting self-care behaviors can be effective in prevention, control, and decrease in hazardous complications caused by HTN.



2017 ◽  
Vol 6 (2) ◽  
pp. 129
Author(s):  
Entia Nopa ◽  
Ranissa Dwi Imansari ◽  
Irwandi Rachman

Faktor Risiko Kejadian Penyakit Kulit Pada Pekerja Pengangkut Sampah Di Kota Jambi 1Entianopa, 2Ranissa Dwi Imansari, 3Irwandi Rachman       123Program Studi Kesehatan Masyarakat STIKES Harapan Ibu, Jambi   Abstrak Latar Belakang: Kulit merupakan organ terbesar pada tubuh manusia yang membungkus otot-otot dan organ-organ dalam serta merupakan jalinan jaringan pembuluh darah, saraf, dan kelenjar yang tidak berujung, semuanya memiliki potensi untuk terserang penyakit yang salah satunya adalah penyakit kulit. Penyakit kulit merupakan salah satu gangguan kesehatan yang sering dialami oleh pekerja pengangkut sampah. Berdasarkan komposisi sampah yang diangkut serta waktu paparan kerja. Tujuan penelitian ini untuk mengetahui hubungan antara masa kerja, pemakaian Alat Pelindung Diri (APD), dan personal hygiene dengan kejadian penyakit kulit pada pekerja pengangkut sampah di Kota Jambi. Metode: Penelitian ini merupakan penelitian kuantitatif dengan desain penelitian cross sectional study. Sampel penelitian yaitu sebanyak 62 pekerja pengangkut sampah yang berada di Kantor Pekerjaan Umum dan Penata Ruang, yang mana seluruh populasi dijadikan sampel. Data dikumpulkan berdasarkan pemeriksaan kesehatan oleh dokter dan dengan kuesioner, kemudian dianalisa menggunakan uji statistik chi-square. Hasil: Hasil menunjukan bahwa pekerja yang mengalami penyakit kulit sebanyak 35 pekerja (56,5%). Berdasarkan hasil analisis chi-square didapatkan bahwa ada hubungan yang bermakna antara masa kerja dengan kejadian penyakit kulit pada pekerja pengangkut sampah dimana nilai (p-value= 0,006), Pemakaian Alat Pelindung Diri (APD) nilai (p-value= 0,008), personal hygiene nilai (p-value= 0,008). Kesimpulan: Untuk meminimalisir risiko terjadinya penyakit kulit pada pekerja pengangkut sampah disarankan perlunya disusun standar operasional prosedur yang aman, penyediaan sarana sanitasi agar dapat mengurangi resiko terkena penyakit kulit. Pentingnya pemakaian APD dan perilaku hidup bersih dan sehat selama bekerja, serta diharapkan pekerja menggunakan APD pada saat bekerja dan lebih memperhatikan personal hygiene.   Kata kunci      : Masa Kerja, APD, Personal Hygiene



2019 ◽  
Author(s):  
Stephen Banda

BACKGROUND Occupational conditions are deadly health hazards especially where dust exposure is inevitable causing chronic disabilities, impaired respiratory function and ultimately leading to death if no intensive measures are put in place. Unhealthy practices and negative attitudes rise in the number of cases of pneumoconiosis due to poor health education and awareness strategies. Pneumoconiosis is not only a health problem but also a social and economic burden on the livelihood of people living in mining areas around the globe. OBJECTIVE to assess knowledge, attitude and practices of miners and post-occupational miners towards pneumoconiosis in Wusakile Township, Kitwe, Zambia. METHODS A cross-sectional study was employed to conduct a research in Wusakile Township and a questionnaire was customized in order to syphon data relevant to the study as well to be brief. The study was conducted among 73 participants who were randomly selected among miners and post-occupational miners and all satisfied the inclusion criteria. Both quantitative and qualitative methods were used to collect data. The data was entered and analysed using IBM SPSS software version 23. RESULTS Among 73 participants interviewed, 33.99% of participants had poor knowledge on the complications of pneumoconiosis. However, despite this poor knowledge, all participants had an idea about pneumoconiosis particularly silicosis. 13.70% of the respondents had bad practices towards pneumoconiosis while 86.30% had some good practices towards pneumoconiosis. Of the total participants, 19.18% of the participants had a negative attitude towards pneumoconiosis. Correlation between the level of education and practices of participants using Pearson Chi-Square, a p value of 0.021 (significant) was found ruling out the null hypothesis. CONCLUSIONS Information about pneumoconiosis and awareness programs towards pneumoconiosis are not widely disseminated among miners and post-occupational miners. There is still a significant number of participants who need to be educated more about pneumoconiosis and its complications so that attitude and practices are improved and also promote full community participation by involving competent health professionals to help in implementing preventive measures.



2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Wolvaardt ◽  
R Nemuntandani ◽  
I Kamungoma-Dada

Abstract Background Access to essential medicines in South Africa has been compromised by stockouts in health facilities. This study describes the occurrence of stockouts for a selection of essential medicines. Methods This cross-sectional study used secondary data retrieved from the Stop Stock Outs Project (SSP). A descriptive analysis was conducted on data from the 2013-2015 SSP case management database of routinely reported stockouts. Chi square tests of independence was conducted on data from the SSP 2015 annual telephonic survey to investigate associations between the occurrence of stockouts, the level of health facility and the type of health professional. Results 231 facilities reported 609 stockouts. Antiretroviral medication had the most stockout reports (78%; n = 475/609), followed by anti-infectives (17.1%; n = 104/609) and tuberculosis medication (4.9%; n = 30/609). The highest number of stockout reports were received from Gauteng province and the majority (71.09%; n = 150/211) of facilities reporting stockouts were in urban areas. There were more stockouts at ambulatory, rather than inpatient care, facilities however, this was not statistically significant. Conclusions This study confirms that South Africa experiences medicine stockouts for many of the essential medicines, with antiretroviral medication being the category most affected. The stockouts vary between provinces and the urban-rural divide but are an equal threat to both ambulatory and inpatient facilities. Key messages The pattern of stockouts experienced over a three-year period suggest that stockouts are ‘normal’ despite the substantive effects of treatment interruption – especially patients with HIV and/or TB. Antiretroviral therapy is at risk as a result of stockouts.



Author(s):  
Fitra Yulia Ningshi ◽  
Suhadi Suhadi ◽  
Jumakil Jumakil

 Stres kerja merupakan gangguan fisik serta emosional pekerja yang diakibatkan oleh banyaknya jumlah beban kerja yang harus diselesaikan oleh para pekerja dan menghasilkan tingkat kelelahan karena mengejartargetproduksi yang akan di pasarkan, sehingga memicu terjadinya stres kerja. Serta ketidakpastian pekerjaan yang dimiliki dapat menyebabkan stres kerja karena sebagian besar dari pekerja merupakan pekerja harian yang tidak terikat oleh kontrak kerja sehingga berpeluang untuk kehilangan pekerjaannya. Tujuan penelitian ini yaitu untuk mengetahui hubungan faktor pekerjaan dengan stres kerja pada pekerja di PT. Sultratuna Samudra Kendari tahun 2020. Jenis penelitian ini adalah deskriptif analitik dengan rancangan cross sectional study. Sampel pada penelitian ini sebanyak 72 orang dengan tehnik menggunakan probability sampling. Analisis data meliputi analisis univariat dan analisis bivariat dengan menggunakan uji chi square. Hasil penelitian menunjukan bahwa ada hubungan yang signifikan antara ketidakpastian pekerjaan dengan stres kerja di PT. Sultratuna Samudra Kendari (p value = 0.003) dan tidak ada hubungan yang signifikan antara jumlah beban kerja dengan stres kerja di PT. Sultratuna Samudra Kendari (p value = 0,893). Adapun kesimpulan dari penelitian ini adalah terdapat hubungan ketidakpastian pekerjaan dengan stres kerja pada pekerja di PT. Sultratuna Samudra Kendari dantidak terdapat hubungan antara jumlah beban kerja dengan stres kerja pada pekerja di PT. Sultratuna Samudra kendari



2021 ◽  
Vol 2 (01) ◽  
pp. 41-50
Author(s):  
Nurasisa Lestari ◽  
Eva Novawaty ◽  
Muh. Fajrin Wijaya ◽  
St. Fadhillah Oemar Mattalitti ◽  
Lilies Anggarwati Astuti ◽  
...  

Pendahuluan : Pencabutan gigi merupakan suatu tindakan pembedahan yang melibatkan jaringan tulang dan jaringan lunak dari rongga mulut, tindakan tersebut dibatasi oleh bibir, pipi dan terdapat faktor yang dapat mempersulit dengan gerakan lidah dan rahang bawah. Berbagai macam cara dilakukan untuk mencegah terjadinya infeksi silang antara lain dengan pemakaian proteksi diri yaitu masker, kacamata pelindung, sarung tangan, baju praktek, maupun penutup rambut dan kebersihan lingkungan tempat kerja yang meliputi cara pembersihan alat dan lingkungan. Tujuan Penelitian : Untuk mengetahui hubungan pengetahuan mahasiswa kepaniteraan terhadap tindakan kontrol infeksi pada pasien pencabutan gigi. Bahan dan Metode: Penelitian ini menggunakan jenis penelitian bersifat observasional analitik dengan menggunakan pendekatan cross sectional study. Sampel penelitian ini adalah mahasiswa kepaniteraan Fakultas Kedokteran Gigi UMI di RSIGM YW-UMI Makassar. Hasil: Sebagai mahasiswa kepaniteraan diketahui terdapat 5,71% dengan pengetahuan yang cukup, dan diketetahui terdapat 94,29% dengan pengetahuan baik. Sedangkan untuk tindakan kontrol infeksi mahasiswa kepaniteraan diketahui terdapat 65,71% dengan tindakan yang cukup dan diketahui terdapat 34,29% dengan tindakan yang baik. Berdasarkan hasil pengujian hipotesis dengan uji statistic chi-square diperoleh p-value sebesar 0,044. Karena p-value < alpha (0,05). Kesimpulan : Terdapat hubungan yang signifikan antara pengetahuan mahasiswa kepaniteraan tentang kontrol infeksi dengan tindakan kontrol infeksi pada pasien pencabutan gigi



2015 ◽  
Vol 8 (4) ◽  
pp. 32 ◽  
Author(s):  
Solmaz Araghi ◽  
Rohollah Sharifi ◽  
Goran Ahmadi ◽  
Mahsa Esfehani ◽  
Fatemeh Rezaei

<p><strong>INTRODUCTION</strong><strong>:</strong> In dentistry, medicine often prescribed to relieve pain and remove infections .Therefore, wrong prescription can lead to a range of problems including lack of pain, antimicrobial treatment failure and the development of resistance to antibiotics.</p> <p><strong>MATERIALS &amp; METHODS</strong><strong>:</strong> In this cross-sectional study, the aim was to evaluate the common errors in written prescriptions by general dentists in Kermanshah in 2014. Dentists received a questionnaire describing five hypothetical patient and the appropriate prescription for the patient in question was asked. Information about age, gender, work experience and the admission in university was collected. The frequency of errors in prescriptions was determined. Data by SPSS 20statistical software and using statistical t-test, chi-square and Pearson correlation were analyzed (0.05&gt; P).</p> <p><strong>RESULTS</strong><strong>: </strong>A total of 180 dentists (62.6% male and 37.4% female) with a mean age of 8.23 ± 39.199 participated in this study. Prescription errors include the wrong in pharmaceutical form (11%), not having to write therapeutic dose (13%), writing wrong dose (14%), typos (15%), error prescription (23%) and writing wrong number of drugs (24%).The most frequent errors in the administration of antiviral drugs (31%) and later stages of antifungal drugs (30%), analgesics (23%) and antibiotics (16%) was observed. Males dentists compared with females dentists showed more frequent errors (P=0.046). Error frequency among dentists with a long work history (P&gt;0.001) and the acceptance in the university except for the entrance examination (P=0.041) had a statistically significant relationship.</p> <p><strong>CONCLUSION</strong><strong>:</strong> This study showed that the written prescription by general dentists examined contained significant errors and improve prescribing through continuing education of dentists is essential.</p>



2019 ◽  
Vol 1 (01) ◽  
pp. 38-45
Author(s):  
Helena Wadja ◽  
Hamidah Rahman ◽  
Nani Supriyatni

Diabetes adalah penyakit yang berlangsung lama atau kronis serta ditandai dengan kadar gula (glukosa) darah yang tinggi atau di atas nilai normal. Glukosa yang menumpuk di dalam darah akibat tidak diserap sel tubuh dengan baik dapat menimbulkan berbagai gangguan organ tubuh. Diabetes melitus (DM) menjadi ancaman serius bagi kesehatan manusia pada abad ke-21. Jumlah penderita DM mencapai 422 juta orang di dunia pada tahun 2014. Sebagian besar dari penderita tersebut berada di negara berkembang. Indonesia sebagai salah satu negara berkembang memiliki jumlah penderita yang cukup tinggi. Tujuan penelitian ini adalah untuk mengetahui hubungan tingkat pengetahuan, tingkat stres, dan durasi tidur terhadap kejadian Diabetes Mellitus. Metode penelitian dengan menggunakan desain cross sectional study. Populasi dalam penelitian ini adalah  pasien yang datang memeriksakan kadar gula darah di UPTD Diabetes Center Kota Ternate Tahun 2018. Jumlah sampel 95 orang yang diambil dengan cara accidental sampling. Hasil uji statistik dengan menggunakan uji chi square menunjukkan bahwa faktor-faktor yang berhubungan dengan penyakit Diabetes Mellitus adalah tingkat stres dengan p-value = 0,037 ( <0,1 ) dan durasi tidur dengan p-value = 0,025 ( <0,1 ), sedangkan yang tidak berhubungan adalah tingkat pengetahuan dengan p-value = 0,709 ( >0,1 ). Oleh karena itu, disarankan kepada petugas kesehatan lebih meningkkatkan lagi  informasi kepada masyarakat tentang penyakit Diabetes Mellitus, agar masyarakat lebih tahu tentang penyakit Diabetes Mellitus.



Objective: This study was carried out to determine the prevalence of microdontia among patients undergoing orthodontic treatment. Materials and Methods: This was a cross-sectional study conducted at Sindh Institute of Oral Health Sciences, (JSMU) from January-2020 to May-2020. Pre-treatment casts were taken of 140 subjects. The mesiodistal dimension of each tooth was recorded through the vernier caliper. Frequency and percentage were calculated for the presence of microdontia. The test applied was Pearson’s Chi-square test to assess the relationship between microdontia and variables like age and gender. P-value <0.05 was taken as statistically significant. Data analysis was performed on SPSS version 22. Results: A total of 140 subjects were selected i.e. 105 (75%) females and 35 (25%) males aged range 13 -30 years with mean age 18.29 ± 3.88. Out of 42, single tooth microdontia was found in 3 (7.1%), more than one tooth microdontia, and generalized microdontia was present in 36 (85.7%) and 3 (7.1%) respectively. Microdontia was found to be more common in the maxilla (n=42, 100%) than the mandible (n=14, 33.3%). It was found more common in females (n=37, 35.2%) as compared to males (n=5, 14.3%). Statistically significant relationship was found among gender and prevalence of microdontia (p=0.019) with a statistically insignificant relationship between age and presence of microdontia (p=0.228). Conclusions: Microdontia was found to be a frequent dental anomaly, was more common in maxilla and females with a significant association with gender.



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