scholarly journals RISK FACTORS OF LUNG ADENOCARCINOMA IN PATIENTS AT DR. SOETOMO DISTRICT GENERAL HOSPITAL SURABAYA IN 2018

2020 ◽  
Vol 15 (3) ◽  
pp. 295
Author(s):  
Luluk Lady Laily ◽  
Santi Martini ◽  
Kurnia Dwi Artanti ◽  
Sri Widati

Lung adenocarcinoma is one type of lung cancers that increases in number every year globally. Smoking is one of the risk factors for lung adenocarcinoma. This study aimed to determine the distribution of the risk factors of lung adenocarcinoma in patients. The risk factors observed in this study included age, gender, smoking history, number of cigarettes, types of cigarettes, and smoking duration. This study was descriptive and performed a cross sectional design. The study’s population was all lung cancer patients who were treated at Dr. Soetomo District General Hospital Surabaya. The samples were drawn using the accidental sampling technique from the population that met the inclusion criteria. The inclusion criteria for this respondents were patients who were diagnosed with lung adenocarcinoma and were willing to be interviewed. While the exclusion criteria involved patients with incomplete medical record data and patients who were not willing to be interviewed. The results indicate that the majority of lung adenocarcinoma patients at Dr. Soetomo District General Hospital Surabaya were male who were light smokers, diagnosed at more than 50 years old. Most of them used filter cigarettes and had smoked for more than 30 years. Keywords: Lung adenocarcinoma, risk factors, cross-sectional. 

2018 ◽  
Vol 68 ◽  
pp. 01009
Author(s):  
Virna Widora Saputri ◽  
Rico Januar Sitorus ◽  
H. M. Zulkarnain

The purpose of this study was to determine the factors that affect the quality of life of CRF patients in Hemodialysis Unit at Pringsewu District General Hospital. This study was conducted from February to May 2018 with cross sectional study design. The sampling technique using total sampling technique. Measurement of quality of life using KDQOL-SFTM version 1.3. The results found that quality of life scores were quite low in some domains and subscales. The mean of total score was 55.70 ± 21.30 with mean of Physical Health Composite (PHC) = 38.85 ± 9.26 and mean of Mental Health Composite (MHC) = 36.13 ± 7.08. Regarding the targeted area of ESRD, the scale of renal disease burden and occupational status scale resulted in the lowest score. The sleep quality scale score was 56.18 ± 20.72. Only 61 patients responded to questions of sexual activity with a score of 55.53 ± 27.44 on the scale of sexual function. In the 36-item health survey, the mean total score was 45.90 ± 21.95. The lowest score represented the limitations of roles caused by physical and emotional health problems. The result of statistical test showed that the variables significantly related to the quality of life of CRF patients were age, income, duration of hemodialysis and family support. Thus, family support was the variable that had the greatest impact on determining the quality of life of CRF patients. The CRF patients who lacked family support were 4.6 times more likely to lead poorer life compared to CRF patients who received good family support after being controlled by age, income, duration of hemodialysis, gender, working status, and diabetes mellitus variables.


2019 ◽  
Vol 35 (5) ◽  
Author(s):  
Sidra Hameed ◽  
Faisal Faiyaz Zuberi ◽  
Sagheer Hussain ◽  
Syed Khalid Ali

Objective: To evaluate risk factors having significant effect on mortality of smear positive Pulmonary Tuberculosis (PTB) inpatients. Methods: A descriptive cross-sectional study was conducted at Ojha Institute of Chest Diseases, Dow University Hospital Ojha Campus, Karachi. One hundred and seventy (170) inpatients of smear positive PTB confirmed by Acid Fast Bacilli (AFB) smear, aged between 13-80 years were enrolled by using consecutive sampling technique while patients with drug resistant Tuberculosis (TB) and extra pulmonary TB were excluded from the study. Selected patients were interviewed for collecting demographic data and risk factor data by using a standard questionnaire. Results: Out of 170 PTB inpatients, mortality was observed in 23 (13.5%) patients among which male patients were 12 (52.2%), and female were 11 (47.8%). Mortality was significantly associated with increasing age (p=0.003), socioeconomic status (p=0.019), anemia (p=0.03), Chronic Liver Disease (CLD) (p=0.005), Diabetes Mellitus (DM) (p=0.001), Human Immunodeficiency Virus (HIV) (p=0.007), Hypertension (HTN) (p=0.006), recurrent TB (p=0.001), and smoking (p=0.001). Conclusion: Increasing age, poverty, smoking history, and presence of comorbidities like DM, CLD, HIV, hypertension, and anemia are associated with higher mortality in smear positive PTB cases. doi: https://doi.org/10.12669/pjms.35.5.919 How to cite this:Hameed S, Zuberi FF, Hussain S, Ali SK. Risk factors for mortality among inpatients with smear positive pulmonary tuberculosis. Pak J Med Sci. 2019;35(5):---------. doi: https://doi.org/10.12669/pjms.35.5.919 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


2017 ◽  
Vol 13 (2) ◽  
pp. 125
Author(s):  
Firdinia Gafuri Dohamid ◽  
M. Darwin Prenggono ◽  
Dona Marisa

Abstract: Breast cancer is the most common malignancies among woman in Indonesian. One of breast cancer treatment is chemotherapy which resist cancer’s cells to grow. But chemotherapy also cause DNA damage that interfere lymphocyte proliferation. Depletion on lymphocyte counts will increased patient’s susceptibility to opportunistic infection. The aim of this research was to knowing the difference of lymphocyte counts because of chemotherapy on breast cancer patients in general hospital Ulin Banjarmasin. This research was an observational analytic with cross sectional approach. The sampling technique was non-probability sampling followed by consecutive sampling. Total samples were 61 patients that match with inclusion criteria. Paired T-test was used to analyze the hypothesis with the result of pvalue=0.000 (ρ<0.05), that means there’s a significant decrease in the number of lymphocyte counts after receiving chemotherapy in general hospital Ulin Banjarmasin, January 2014 to December 2015 period. Keywords: chemotherapy, lymphocyte, breast cancer


2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Frank Kiiza ◽  
Daniel Kayibanda ◽  
Pidson Tumushabe ◽  
Leticia Kyohairwe ◽  
Raymond Atwine ◽  
...  

Background. Hyperglycemia in pregnancy complicates up to 30% of pregnancies in Africa, and this poses a major risk to both the mother and fetus. Although recommended by the World Health Organization (WHO), universal screening for hyperglycaemia in pregnancy is not routinely done in many of the hospital in low- and middle-income countries. This study sought to determine the frequency and factors associated with hyperglycaemia first detected in pregnancy at a general public hospital in South Western Uganda. Methods. We conducted this study at Itojo General Hospital (IGH) in Ntungamo District, South Western Uganda. The study followed a cross-sectional design that employed a systematic random sampling technique to identify potential study participants during the months of October to December 2019. Using a pretested questionnaire, data on sociodemographic and medical characteristics were collected on a sample of 307 pregnant women. Blood samples were collected and analyzed for hyperglycemia using random blood sugar and fasting blood sugar test results. Data generated were analyzed with appropriate statistical tests using the statistical package for social sciences (SPSS) version 26 (SPSS Inc., USA) at P<0.05. Results. The frequency of hyperglycaemia was found to be 15.6% among the study population. Multivariate analysis revealed that the ages of 19-30 years, peasantry, and multiparity with more than 5 live children and second trimester pregnancy were independent risk factors for the observed hyperglycaemia frequency. Conclusion. Our study reports new epidemiological information about the frequency and risk factors of hyperglycaemia in pregnancy from a selected Ugandan population. Our findings suggest an introduction of hyperglycaemia screening in the routine antenatal care package for proper maternal and neonatal health outcomes.


2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Muhammad Khairi Akbar Fikar Siregar ◽  
Riza Rivany

The incidence of cervical cancer is still quite high. It is never separated from the risk factors that influence it. Some of them are sexually active, relatively young marital age,  have high parity, use of contraception, and smoking can increase a woman's potential for cervical cancer. The aim of this study was to determine the characteristics of patients about the risk factors for cervical cancer in Haji Adam Malik General Hospital, Medan in 2016-2018. This research method uses descriptive observational design with cross sectional using medical record data. The results of this study using consecutive sampling techniques, took 100 samples and obtained several characteristics are age of patients, age of marriage, marriage history, number of parities, use of contraception, and smoking history. From this study it can be concluded that the characteristics of the incidence of cervical cancer in the General Hospital of Haji Adam Malik Medan in 2016-2018 are 50-59 years old, marital age ≤ 20 years old, married once, multigravida, uses injection type of hormonal contraception , and not smoking .


2019 ◽  
Vol 7 (20) ◽  
pp. 3488-3492
Author(s):  
Anggreiny Anggi ◽  
Dadik Wahyudi Wijaya ◽  
Oke Rina Ramayani

AIM: To evaluate the risk factors of CAUTI in ICU patients at Haji Adam Malik General Hospital and Universitas Sumatera Utara Hospital, Medan, Indonesia. METHODS: This hospital-based observational research was an observational analytic research with a cross-sectional study. This research was conducted at Haji Adam Malik General Hospital Medan, Universitas Sumatera Utara Hospital, and Department of Microbiology Medical Faculty of Medicine Universitas Sumatera Utara, on July to August 2018 until the number of samples was fulfilled. The samples were adults aged ≥18 years, admitted to an ICU between July until August 2018 with an indwelling urinary catheter during their admission, admitted in ICU with different complaints and presentations and developed clinical evidence of infection that did not originate from patient’s original admitting diagnosis, in accordance which corresponded to the inclusion criteria by using consecutive sampling technique were included in the study. Patients who were shifted out of the ICU within 48 h of admission were excluded from the study. These critical patients were referred for monitoring, observation, and management from different departments, e.g., medic, general surgery, neurosurgery, gynaecology/obstetrics, and accident/emergency departments. RESULTS: From this research, it was found that fifty-four patients with catheter were screened for UTI infection. Of those, 24 patients (44.4%) were confirmed to have UTI by urine culture. Pseudomonas aeroginosa (16.7%) and Enterococcus faecalis (12.5%) were the most common pathogens. Patients aged > 50 years old (P < 0.03) and catheter use > 6 days (P < 0.03) were both significantly associated with increased risk of developing UTI. CONCLUSION: There are eleven uropathogens identified in this study: Pseudomonas aeruginosa, Enterococcus faecalis, Escherichia coli, Klebsiella pneumonia, MRSA, Salmonella enteric, Acinetobacter baumanii, Acinetobacter lwoffi, Acinetobacter haemoliticus, Burkholderia cepacia, and Staphylococcus sciur.  


Author(s):  
Victory E. Iyanam ◽  
Alphonsus U. Idung ◽  
Henry E. Jombo ◽  
Ndifreke E. Udonwa

Background: Despite the fact that anaemia is a preventable morbidity in most cases, its prevalence among pregnant women is still unacceptably high especially in rural and sub-urban settings. This is worrisome considering the enormous contribution of anaemia to maternal and infant morbidity and mortality. Objective: This study aimed at determining the prevalence of anaemia at booking, identifying and describing its risk factors among pregnant women who attended the antenatal clinic of General Hospital, Etinan, a sub-urban area in Akwa Ibom State, South-South Nigeria. Methodology:  This was a cross-sectional descriptive study involving 375 pregnant women seen at the antenatal (booking) clinic of General Hospital, Etinan, between April and October 2018, recruited through non-probability consecutive sampling technique. A pretested semi-structured interviewer-administered questionnaire was used to obtain data on socio-demographic, family and nutritional characteristics and obstetric and medical history of the respondents. Blood sample of each respondent was obtained from the median cubital vein, analysed with haemoglobinometer and their haemogloin (Hb) level determined and classified. Results:  The age of the respondents ranged from 15-49 years with mean and standard deviation of 26.62 + 6.29 years. Results obtained show that out of 375 pregnant women, 265 had Hb <11g/dl giving 70.67% of anaemia among them. While 18.49% had mild anaemia (Hb:10.0-10.9g/dl), 4.15% had severe anaemia(Hb:<7.0g/dl). Anaemia was statistically associated with rural residence (p=0.024), low educational status (p=0.02), low family income (p=0.003), being married (p=0.016), lower parity (p=0.000), late booking (p=0.001), non-use of family planning (p=0.000), non-use of insecticide-treated nets (p=0.000), febrile illness in index pregnancy (p=0.000) and poor nutrition (p=0.000). Conclusion: The prevalence of anaemia among pregnant women in the study is high. This has far-reaching negative implications on the health status of the women during pregnancy, delivery and puerperum and that of the fetus. The need for preconception  counseling and screening, health and nutrition education, early booking, contraception, treatment and prevention of causes of febrile illness, priority to girl child education and overall poverty eradication measures and recommended.


Author(s):  
Desti Widya Astuti Desti Widya Astuti

ABSTRAK   Berdasarkan data di RSUD Kota Prabumulih bahwa terdapat peningkatan jumlah kejadian perdarahan post partum, tahun 2014 sebanyak 178 orang, tahun 2015 sebanyak 246 orang dan tahun 2016 sebanyak 151 orang. Penelitian ini bertujuan untuk mengetahui hubungan umur ibu dan jarak kehamilan terhadap kejadian perdarahan post partum di RSUD Kota Prabumulih Tahun 2016. Penelitian ini merupakan penelitian analitik dengan rancangan cross sectional. Populasi yang digunakan adalah semua ibu bersalin di RSUD Kota Prabumulih, sebanyak 1.296 ibu bersalin dan 306 sampel. Pengambilan sampel dengan mengunakan random sampling, analisa data menggunakan analisa univariat dan bivariat dengan menggunakan uji statistik chi-square dengan derajat kemaknaan 0,05. Hasil penelitian ini menunjukan bahwa dari 288 ibu bersalin terdapat 151 yang mengalami perdarahan post partum sebagian besar adalah ibu dengan umur resiko tinggi sebanyak 43 orang  (40,9%) dan ibu dengan jarak kehamilan resiko tinggi sebanyak 21 orang (17,3%). Hasil uju chi-square umur didapatkan p.value 0,000 < α 0,05 dan uji chi-square untuk jarak kehamilan didapatkan p.value 0,000 < α 0,05. Maka ada hubungan umur ibu dan jarak kehamilan terhadap kejadian perdarahan post partum di RSUD Kota Prabumulih Tahun 2016. ABSTRACK   Based on the data at District General Hospital (RSUD) Prabumulih, there was increasing of post-partum bleeding, in 2014, there were 178 people. In 2015, there were 246 people. And in 2016, there were 151 people. The purpose of the study was to know relationship between maternal mother and the distance and old post-partum bleedingat District General Hospital (RSUD) Prabumulih in 2013. The study was analytic researchwith cross sectional design. Population thas was used in the study was all maternal mother ar District General Hospital (RSUD) Prabumulih. It was about 1.296 maternal mother and from 306. Random sampilng was done in the study, data analyses used univariate and bivariate analyses by using chi-square statistic test with significance level 0,05. The study result showed that from 306 maternal mother, there were 151 mother who experienced old post-partum bleeding, the large of that was high maternal mother 43 people  (40,9%) and mother age high distance 21 people (17,3%). The result of chi-square test was p value 0,000 < α 0,05 and chi-square test for age was p value 0,000 < α 0,05. It meant that there was relationship between maternal mother and the distance and of post-partum bleeding at District General Hospital (RSUD) Prabumulih in 2016.


2018 ◽  
Vol 6 (08) ◽  
pp. 31-37
Author(s):  
Abdullah Sappe Ampin Maja

The research of this research to analysis dietary compliance of low purine diet in uric acid patients in Wara Health Clinic Year 2016. Type of this research that was used cross sectional approach and use a sampling technique was purposive sampling. The sample of the research was a portion of gout patients enrolled in Wara Health Clinic that fulfilled the inclusion criteria were 42 people.Based on the analysis by using statistical test Fisher's exact test, the value p = 0468 (p> 0.05%), it can be concluded that the hypothesis "there is no correlation between dietary compliance low purine with uric acid in Puskesmas Wara Palopo".Based on the result of research purpose recommendations were provide clearly information about the low purine diet and provide support in the form of motivation for pay attention of type food consumed so as to prevent the increasing of uric acid. Keywords : Compliance, Diet Low Purin, Uric Acid


2018 ◽  
Vol 8 (1) ◽  
pp. 46
Author(s):  
Ni Wayan Noviani ◽  
Ni Komang Sari Suindani

<p><strong><em>Abstract: Knowledge of Pregnant Women About Sexual Relations Position During Pregnancy</em></strong><em>. The purpose of this study was to determine the knowledge of pregnant women about the position of sexual relations during pregnancy in BPM Wahidah, S.ST Year 2017. This research type is descriptive research with cross sectional approach by using accidental sampling technique. The population of this study were pregnant women who did the examination in BPM Wahidah, S.ST. The number of samples is 50 respondents who meet the inclusion criteria. This research started from 6-21 february 2017. The result showed that pregnant woman's knowledge about the position of sexual relationship during pregnancy was mostly (54%) knowledgeable enough. A small percentage of respondents aged 20-35 years ie 11 people (22%) have enough knowledge, from the work showed that almost half of respondents ie 23 people (46%) who do not work have enough knowledge, from education showed that almost half of respondents or 16 people (32%) who have medium education have enough knowledge, and from parity shows that almost half of respondents are 14 people (28%) who are multiparous have enough knowledge.</em></p><p><strong> </strong></p><p><strong>Abstrak : Pengetahuan Ibu Hamil Tentang Posisi Hubungan Seksual Pada Masa Kehamilan. </strong>Tujuan penelitian ini adalah untuk mengetahui pengetahuan ibu hamil tentang posisi hubungan seksual pada masa kehamilan di BPM Wahidah, S.ST Tahun 2017. Jenis penelitian ini adalah penelitian deskriptif dengan pendekatan <em>cross sectional </em>dengan menggunakan teknik <em>accidental sampling. </em>Populasi penelitian ini adalah ibu hamil yang melakukan pemeriksaan di BPM Wahidah, S.ST.Jumlah sampel sebanyak 50 responden yang memenuhi criteria inklusi.Penelitian ini dimulai dari tanggal 6-21 februari 2017. Hasil penelitian menunjukkan bahwa pengetahuan ibu hamil tentang posisi hubungan seksual pada masa kehamilan sebagian besar (54%) berpengetahuan cukup. sebagian kecil responden umur 20-35 tahun yaitu 11 orang (22%) memiliki pengetahuan cukup, dari pekerjaan menunjukkan bahwa hampir setengahnya responden yaitu 23 orang (46%) yang tidak bekerja memiliki pengetahuan cukup, dari pendidikan menunjukkan bahwa hampir setengahnya responden atau 16 orang (32%) yang berpendidikan menengah mempunyai pengetahuan cukup, dan dari paritas menunjukkan bahwa hampir setengahnya responden yaitu 14 orang (28%) yang multipara memiliki pengetahuan cukup.</p>


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