scholarly journals Prevalence and Incidence of Multiple Sclerosis (MS) in Guilan Province

Author(s):  
Mozaffar Hosseininezhad ◽  
Sajjad Saadat ◽  
Houra Bakhshipour ◽  
Paria Nasiri

Introduction: The aim of this study was to investigate the prevalence and incidence of multiple sclerosis (MS) in Guilan Province) and to compare the standardized prevalence by the factor of age in this province. Methods: The study was a cross-sectional design that was conducted in 2018 at the Guilan MS Society (GMSS) on people with multiple sclerosis and examined the 654 people with multiple sclerosis case. In this study, the trend of MS disease was examined from 2009 to 2019 and in order to investigate the rate of cumulative incidence of the disease, new cases were defined based on the date of diagnosis of the disease from the beginning of 2018. Data collection was performed using a checklist that was collected during the GMSS registration by a registrar in the form of a structured interview. Prevalence rate was compared between different subgroups using Chi-Square and Fisher's exact tests. Field characteristics were described by using absolute and relative frequency indices or mean and standard deviation using Stata 13 and SPSS 19 statistical software. Results: The results showed that 71.4% of all patients were female. The mean age of the patients was 36.5 years and the highest frequency of MS was observed in the age group of 30-40. The MS patients lived in the urban were 81%. The highest initial manifestations of people with multiple sclerosis were reported in numbness or tingling, vision problems, weakness, other symptoms, and walking (Gait) difficulties, respectively. The highest prevalence of MS was in Lahijan and then Rasht and Astaneh-ye Ashrafiyeh citie.. Conclusion: From the results of this study, it is concluded that there is no significant difference between the prevalence rate in Guilan Province and the standardized rate with the age adjustment based on the WHO standard population, although no analytical comparison has been performed in this study.

2018 ◽  
Vol 2 (3) ◽  
pp. 245
Author(s):  
Lilis Agustina ◽  
Suzanna Primadona

Background: Food waste or plate waste becomes one of the simple indicators which are used in evaluating hospitals’ nutritional care. Leftover food or plate waste may happen due to two factors food presentations and its taste. Objectives: To analyze the relation between food taste and food temperature with plate waste of animal-based food among pediatric patients at Dr. Ramelan Surabaya Naval Hospital. Method: This research was conducted using cross sectional design with 34 child patients in class II and III inpatient rooms, as the respondents. The data collection was done by observing the food leftovers, medical records, and interviewing the respondents. The data regarding plate waste were taken using visual Comstock 6-point scale, and analyzed using chi square test.Results: This research showed that respondents who consider the taste of animal-based food as appropriate with its average waste during breakfast were 71.33%, while respondents who consider it as very appropriate were 37.8% (p=0.04). It also found that there was a significant difference between the average of animal-based food waste and the temperature of animal-based food during the night (p=0.03), in which 53% respondents rated it as appropriate and 38% as very appropriate.Conclusion: Food taste and food temperature were correlated to the plate waste of animal-based food among pediatric patients. ABSTRAKLatar Belakang: Sisa makanan merupakan salah satu indikator yang sederhana yang dapat digunakan untuk mengevaluasi keberhasilan pelayanan gizi rumah sakit. Faktor penampilan dan rasa makanan dapat mempengaruhi terjadinya sisa makanan.Tujuan: Penelitian ini bertujuan untuk menganalisis hubungan antara rasa makanan dan suhu makanan dengan sisa makanan lauk hewani pada pasien anak di ruang rawat inap RUMKITAL Dr. Ramelan Surabaya. Metode: Penelitian ini dilakukan dengan disain cross sectional dengan responden 34 pasien rawat inap anak di kelas II dan III. Pengambilan data penelitian dilakukan dengan metode observasi sisa makanan, rekam medis dan wawancara kepada responden. Data tentang sisa makanan diperoleh dengan metode visual comstock skala 6 poin. Data diolah dengan menggunakan uji chi-square. Hasil: Penelitian ini menunjukkan hasil bahwa responden yang berpendapat bahwa rasa lauk hewani sesuai dengan rata-rata sisa lauk hewani saat pagi sebanyak 71,33%  dan responden yang berpendapat sangat sesuai dengan rata-rata sisa lauk hewani saat pagi sebanyak 37,8% (p=0,04). Hasil selanjutnya menunjukkan bahwa terdapat perbedaan yang signifikan antara rata-rata sisa lauk hewani dengan suhu lauk hewani saat malam hari (p=0,03) dengan responden yang menilai sesuai sebanyak 53% dan yang menilai sangat sesuai sebanyak 38%.Kesimpulan: Rasa makanan dan suhu makanan berhubungan dengan sisa makanan lauk hewani pada pasien anak.


2013 ◽  
Vol 12 (2) ◽  
pp. 109
Author(s):  
Marcelina Marcelina ◽  
Rasmidar Samad

Betel quid tobacco (BQT) chewing is a process of chewing betel leaves, areca nut, lime, gambier, and tobacco. Chewing and chemical stimulation of BQT can affect the salivary profile. The purpose of this study is to observe the differences of salivary profile such as volume, pH, and salivary inorganic component (Na + and phosphate) between BQT chewers and non-chewers. This study is an observation analytic with cross sectional design on 30-60 years old women that live in Rembon district of Tana Toraja (n=96) using cluster random sampling technique. Salivary volume was measured by measured glass, salivary pH was measured by indicator pH (Macherey-Nagel). The content of the salivary inorganic component was seen using atomic absorption spectrophotometer in BPTP Laboratory, Maros. Data were analyzed by t-test and chi square test using SPSS v 15.0. The result were mean of salivary volume (chewers=3.88 ml/10 s; p=0.051). Mean of salivary pH (chewers=6.92; p=0.001). Mean of salivary Na+  (chewers=0.38 ppm; p=0.112), Mg2+ (chewers=11.9 ppm; p=0.002), phosphate (chewers=156.8 ppm; p=0.001), Ca 2+ (chewers=174.8 ppm; p=0.000), K concluded that there was no significant difference on salivary volume, pH, Na+, K+, Ca2+, Mg(chewers=445.9 ppm; p=0.429). It was +and K+ content between chewers and non chewers, but the content of salivary Mg 2+, Ca2+and phosphate had significant difference.


2021 ◽  
Vol 2 (5) ◽  
pp. 44-51
Author(s):  
Sulfianti Sulfianti ◽  
Hasliana Haslan

The kind of research that was utilized in this study was an analytical questionnaire. In this study, a cross-sectional design was employed to collect data. Sixty-six individuals were included in the samples that fulfilled the requirements. The findings revealed that 1) the midwife's attitude toward promoting exclusive breastfeeding at the UPT Puskesmas (Community Health Center) Mare had no impact on the outcomes of the study. The results of the chi square test revealed that the p-value was 0,089, indicating that the hypothesis was correct (0,05). There is an association between midwife assistance and an increase in exclusive breastfeeding at the University of Puskesmas Mare, according to the findings of the chi square test (p-value =0,007 for exclusive breastfeeding at the UPT Puskesmas Mare) (0,05). The rise in exclusive breastfeeding at the UPT Puskesmas Mare may be attributed to the midwifery program, according to the findings. The results of the chi square test reveal that the p-value is 0,0002, which indicates a significant difference (0,05). 4) Midwife assistance had a 12,7-fold higher impact on the rise in exclusive breastfeeding, with a p-value of 0.028 0.05 for the effect of midwife support. The midwife program, on the other hand, had a moderate impact on the rise in exclusive breastfeeding, with a p-value of 0,038 0.05 and a moderate effect of 11,1 times on the increase in exclusive breastfeeding.


2018 ◽  
Vol 13 (1) ◽  
pp. 33
Author(s):  
Nur Hikmah Wati ◽  
Lailatul Muniroh

Breast Milk is the best and nutritious food in early life for every infants born. Undernourishment in infants can cause growth and development disorders. The attainment of exclusive breastfeeding that still low in Wonoayu sub-district in 2015 becomes the base  the formation of breastfeeding support group (KP-ASI). The aim of this study was to observe the difference of exclusive breastfeeding record and nutrition status of infants aged 6-12 months of KP-ASI participant and non KP-ASI participant. This research was an analytic observational with cross sectional design. This research was done in the working area at Wonoayu and Buduran Health Center, district Sidoarjo. The sample were taken using stratified random sampling, the sample size 36 mothers of infants 6-12 months from KP-ASI participants and 36 mothers of infants 6-12 months from the non KP-ASI participants. The data collection was interviewed by using questionnaire and anthropometry measurements by using length board and baby scale. Data analysis of the research was Chi-Square test and Logistic Regression. The result showed that there was significant difference exclusive breastfeeding record between  groups (p=0.002)  but there was no difference in nutrition status of infants aged 6-12 months (p=0.547) in between both group. Mother employment status (p=0.022 OR=0.211), other family support (p=0.015 OR=O.195) becomes a confounding variable aside from implementation of KP-ASI (p=0.032 OR=3.701) which influence exclusive breastfeeding record. The conclusion of this study was that KP-ASI participant have 3,701 times higher chance to give exclusive breastfeeding the their babies compared with non-KP ASI nember there was no difference nutrition status of infants aged 6-12 months from both group it’ is suggested for Public Health Service of Regency Sidoarjo to develop and reactivate implementation of breastfeeding support group in other district to improve the practice of exclusive breastfeeding.


2019 ◽  
Vol 5 (2) ◽  
pp. 166
Author(s):  
Nur Laila ◽  
Budiono Budiono ◽  
Sunarsih Sunarsih ◽  
Aditiawarman Aditiawarman

Introduction: Prevention effort of progestogen-only prevalence rate injectable discontinuation has not got the national target and it always increases. The prevalence rate is one of causes Total Fertility Rate (TFR) increasing. The study analyzed the risk factors associated with the progestogen-only injectable discontinuation case.Methods: This study used analytic observational with cross sectional design which was carried out in Puskesmas Mojo Surabaya on March – April 2019. Population are 646 discontinuation acceptors and 5,751 non discontinuation acceptors of progestogen-only injectable. The inclusion criteria were acceptors of progestogen-only injectable discontinuation case, have a husband, not yet menopause. The exclusion criteria were acceptor of progestogen-only injectable discontinuation who used other contraception. Total samples are 44 samples obtained by with consecutive sampling. Independent variables were desire pregnancy, myths, weight change, spotting, amenorrhea, husband support. Dependent variable was the progestogen-only injectable discontinuation case. The data are collected by questionnaire, analyzed by chi-square test with α < 0.005 and multivariate analysis with independent variable p<0.25Results: The factor which correlated with the progestogen-only injectable discontinuation was husband support (p=0.012). The factors which not correlated with the case are desire pregnancy (p=1.000), myths (p=0.138), weight change (p=0.378), spotting (p=0.164), amenorrhea (p=0.192). The dominant factor was husband support (Odds Ratio = 26.571; 95%Cl = 2.497–282.736).Conclusion: The dominant factor in this study is husband support.


2021 ◽  
Vol 7 (1) ◽  
pp. 9-14
Author(s):  
Amalia Amalia ◽  
Zen Hafy ◽  
Phey Liana

Irregular antibodies or "unexpected antibodies" are antibodies other than antibody A and antibody B that can occur due to pregnancy and blood transfusions. Patients who frequently perform transfusions (multitransfusions) are more at risk of forming irregular antibodies because the frequency of exposure to donor red blood cell antigens is more frequent. Irregular antibodies are clinically significant because they can cause hemolysis (erythrocyte alloantibodies), febrile non-hemolytic transfusion reactions (leukocyte alloantibodies), or refractory platelet transfusions (platelet alloantibodies). This research aims to compare the proportion of irregular antibodies in multitransfusion patients and non-multi transfused patients at UTD Dr. Mohammad Hoesin Palembang. This research is an analytic observational study with a cross-sectional design conducted on 2 groups of subjects, 45 each sample. Antibody identification in each group was carried out. Chi-Square analyzed the proportion of irregular antibodies. An analysis of the types of antibodies found and the accompanying clinical diagnoses were carried out. This study showed a significant difference in the proportion of irregular antibodies between the multitransfusion and non-multitransfusion groups with a p-value of 0.001. The types of irregular antibodies found anti-c, Fya, Lea, M, Kpa, LubkKpb, and the clinical diagnoses that found irregular antibodies were anemia, thalassemia, and AIHA.


2016 ◽  
Vol 12 (3) ◽  
pp. 108 ◽  
Author(s):  
Yulinda Kurniasari ◽  
Mohammad Juffrie ◽  
Mei Neni Sitaresmi ◽  
Muhammad Dawam Jamil

Background: Children with stunning as the accumulations of the lack of nutrient or continuous infection are highly at risk to suffer from illness and death. In developing country, there are 165 million children under the age of suffering from stunting. Research done showed that nationally stunting prevalence in 2013 is 37,2 percent. West Borneo is one of the twenty provinces with the stunting prevalence above the national average. During the growth period, children need calcium, especially for ossification. The lack of calcium is mainly caused by inadequate intake and or non-optimal calcium absorption. Some of the previous research has shown that the level of calcium serum of children with stunting has significantly lowered than the normal children.Objective: The aim of this study was to analyze the calcium serum level of the children with stunting aged 24-59 months in Pontianak City.Method: This study is a cross-sectional design. It conducted in East Pontianak and North Pontianak subdistricts,  from July to August 2015. A number of samples were 90 children. Statistical analysis was performed using chi-square, t-test, and logistic regression.Results: There was no significance in serum calcium level between stunting and nonstunting children (p=0,193). The average of the calcium serum level of the stunting children was 12,14±1,97 mg/dl, while the nonstunting children were 12,16±1,63 mg/dl. The t-test showed that there was no significant difference (p=0,966).Conclusion: There is no significant difference of the calcium serum level between the stunting and nonstunting children aged 24- 59 months in Pontianak City (p=0,193).


2017 ◽  
Vol 33 (5) ◽  
pp. 243
Author(s):  
Koheresto G. Liufeto ◽  
Abdul Wahab ◽  
Ova Emilia

The use of intra uterine device (IUD) and sexual activity patterns in women in KupangPurposeThe purpose of this study was to know the influence of intra uterine device type contraceptive use to the pattern of sexual activity.MethodsThis research was an observational study with a cross-sectional design using questionnaires to collect data. The samples were 190 women of fertile age in the city of Kupang. The correlation of intra uterine device usage and sexual activities pattern was analyzed by using chi square tests, and continued with multivariate analysis using logistic regression tests, using confidence interval (CI) of 95% and a level of significance of p<0.05.ResultsThere was no significant difference in patterns of sexual activities of women using intra uterine device with those who were not using contraception. The variables that were statistically significant were age, parity, duration of marriage and effects of intra uterine device use. Meanwhile variables that were not statistically significant were working status and duration of intra uterine device use.ConclusionThe usage of intra uterine device contraception did not affect patterns of sexual activities of women in Kupang. However, the effect of intra uterine device usage did have influence toward sexual activity, but such effect would be reduced over time up to 1 year of using. The recommendations given in this research is that it is necessary to further analyze intra uterine device usage effects toward sexual activities patterns.


2019 ◽  
Vol 5 (4) ◽  
pp. 151-160
Author(s):  
Alia Saberi ◽  
◽  
Hamidreza Hatamian ◽  
Amirreza Ghayeghran ◽  
Fatemeh Mola Hosseini ◽  
...  

Background: Multiple Sclerosis (MS) is a chronic demyelinating, inflammatory, and degenerative disease of the central nervous system. MS gradually limits and deteriorates the patients’ quality of life. Objectives: This study aimed to evaluate and compare the quality of life in patients with MS consuming Fingolimod and Cinnovex. Materials & Methods: In an analytical cross-sectional study, 106 patients with Relapsing-Remitting MS (RRMS) referred to specialized neurology clinics of Guilan University of Medical Sciences were selected for the study using a convenience sampling method (52 patients consuming Fingolimod and 54 patients consuming Cinnovex). Then, we collected their demographic information and medical profile. The patients were assessed by the Hamburg quality of life questionnaire in MS. The obtained data were analyzed in SPSS V. 22 using the Chi-square test, independent t-test, Mann-Whitney U, one-way and multivariate analysis of covariance. Results: There was a significant difference between the two groups in terms of age, number of attacks in the last 6 months, and educational level (P<0.05). After controlling confounding variables, it was found that consumers of Fingolimod had a better quality of life. At the subscales level, this difference was significant only in the mood dimension (F=6.931, P=0.011, η=0.12). Conclusion: Patients consuming Fingolimod reported a better quality of life compared to consumers of Cinnovex. This improvement was mainly found in mood scores.


2020 ◽  
Vol 15 (2) ◽  
pp. 70-74
Author(s):  
Tri Bayu Purnama ◽  
Sri Rezeki Hartati Eliandy ◽  
Cindy Lestari

Background: Islamic Boarding School is one of the domains of education to introduce the PHBS Program. One of the indicators is washing hands with soap. It is expected that the pesantren community could apply the indicators of PHBS Program and protected from various diseases. This study aimed to describe the practice of washing hands with soap among santri at Islamic Boarding Schools In Medan. Method: This research was a quantitative study using Cross-Sectional design. The sampling technique was using Simple Random Sampling. The population was all students in seven Islamic boarding school in Medan. The samples were 436 santri (students). Data was collected using a questionnaire and analyzed using the Chi-Square test. Result:  The age of students who washed their hands with soap had an insignificant difference in proportions, in which the p-value was 0.204 > 0.005 with Prevalens Risk (PR) on 95% CI 1.331 (0.855 – 2.071). The sex of students who washed their hands with soap had a p-value of 0.137 > 0.005 with PR on 95% CI 0.725 (0.475 – 1.108), which means there was no significant difference in the proportion. The education level also did not have a significant difference with the behavior of washing hands with soap with a p-value of 0.210 > 0.005 with PR on 95% CI 1.375 (0.835 – 2.266). The practice of washing hands with soap among santri was poor. The highest percentage of washing hands with soap among santri was in the boarding school with a percentage of 47.9%. There was no significant difference in the proportion of age, sex, and education level with the practice of handwashing with soap among santri.


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