ASSOCIATION BETWEEN NUTRITIONAL STATUS AND THE OUTCOME OF PEDIATRIC PATIENT WITH DENGUE SHOCK SYNDROME

Background: The association between nutritional status and dengue infection is still considered controversial. Researches that study obesity and shock in pediatric patients with dengue hemmorhagic fever (DHF) has been widely carried out. However, researches that study the association between obesity and the outcome of patients with dengue shock syndrome (DSS) are still rarely done. Objective: The objective is to study the association of obesity in body mass index-for-age (BMI-for-age), gender, and age to the outcome of patients with dengue shock syndrome (recurrent shock or death). Material and method: The research was analytical retrospective observational research with a case-control design using secondary data from the medical records of pediatric patients with DSS in Dr. Soetomo General Hospital during 2015. The analyses used to test the association of obesity (BMI-for-age), gender, age and the outcome of patients with dengue shock syndrome (recurrent shock or death) were the Chi Square or Fisher Exact test. Result: The sample acquired was 60 data, consisting of 46 patients with DSS without recurrent shock or death and 14 pediatric patients with DSS experiencing recurrent shock or mortality. The frequency of boys and girls were found in equal numbers. Age group >5-10 years was found more common (45%). The results of the analyses test found no asssiation between gender (p=0.542), age (p=0.314), and obesity (p=1,000) and the outcome of pediatric patients with dengue shock syndrome. Conclusion: There were no association found between obesity, age, and gender to the outcomes of pediatric patients with DSS at Dr. Soetomo General Hospital.

Download Full-text

ASSOCIATION BETWEEN NUTRITIONAL STATUS AND THE OUTCOME OF PEDIATRIC PATIENT WITH DENGUE SHOCK SYNDROME

Majalah Biomorfologi ◽

10.20473/mbiom.v30i1.2020.1-6 ◽

2020 ◽

Vol 30 (1) ◽

pp. 1

Author(s):

Shidi Laras Pramudito ◽

Dewi Ratna Sari ◽

Ninik Asmaningsih Soemyarso

Keyword(s):

Nutritional Status ◽

Pediatric Patients ◽

Dengue Infection ◽

Secondary Data ◽

Dengue Shock Syndrome ◽

Hemorrhagic Fever ◽

Observational Research ◽

Fisher Exact Test ◽

Academic Hospital ◽

Exact Test

Background: The association between nutritional status and dengue infection is still considered controversial. Researches that study obesity and shock in pediatric patients with dengue hemorrhagic fever (DHF) has been widely carried out. However, researches that study the association between obesity and the outcome of patients with dengue shock syndrome (DSS) are still rarely done. Objective: The objective was to study the association of obesity in body mass index-for-age (BMI-for-age), gender, and age to the outcome of patients with dengue shock syndrome (recurrent shock or death). Materials and Methods: The research was analytical retrospective observational research with a case-control design using secondary data from the medical records of pediatric patients with DSS in Dr. Soetomo General Academic Hospital, Surabaya, Indonesia during 2015. The analyses used to test the association of obesity (BMI-for-age), gender, age and the outcome of patients with dengue shock syndrome (recurrent shock or death) were the Chi-Square or Fisher Exact test. Results: The sample acquired was 60 data, consisting of 46 patients with DSS without recurrent shock or death and 14 pediatric patients with DSS experiencing recurrent shock or mortality. The frequency of boys and girls were found in equal numbers. Age group >5-10 years was found more common (45%). The results of the analyses test found no association between gender (p=0.542), age (p=0.314), and obesity (p=1.000) and the outcome of pediatric patients with dengue shock syndrome. Conclusion: There were no association found between obesity, age, and gender to the outcomes of pediatric patients with DSS at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.

Download Full-text

Pengetahuan dan sikap orang tua hubungannya dengan pola konsumsi dan status gizi anak autis

Jurnal Gizi Klinik Indonesia ◽

10.22146/ijcn.18209 ◽

2012 ◽

Vol 8 (3) ◽

pp. 135 ◽

Cited By ~ 1

Author(s):

Maria Martiani ◽

Elisabeth Siti Herini ◽

Martalena Purba

Keyword(s):

Nutritional Status ◽

Children With Autism ◽

Consumption Pattern ◽

Fisher Exact Test ◽

Autistic Children ◽

Chi Square ◽

Cross Sectional ◽

Exact Test ◽

Knowledge And Attitudes ◽

Cross Sectional Design

Background: The prevalence of autistic spectrum disorder (ASD) has increased in recent years. In 1993 the prevalence of ASD was 2-4 cases per 10.000 children. The number increased significantly to 152 cases per 10.000 children in 2003 (0.15-0.2%). In addition to diet, nutritional status can be influenced by parent’s knowledge and attitudess toward children with autism. Improving parent’s knowledge and attitudess about autism can be an effective way to manage children with autism.Objective: To examine the relationship between parent’s knowledge and attitudes toward autism with dietary pattern and nutritional status of autistic children in SLBN Semarang.Methods: This was an observational study with cross sectional design. The subjects were students with autism who attended SLBN Semarang and their parents. A questionaire was used to collect the information on parent’s knowledge and attitudes toward autism, Food Frequency Questionnaire (FFQ) was used to obtain the data on gluten and casein consumption, whereas the data on nutritional status were measured by weight and height of the children. Chi square and Fisher Exact test were used to analyze the data.Result: As many as 55.3% of parents have good knowledge and 65.8% have a possitive attitudes toward autism. Fifty percent of children presented with good consumption pattern of gluten, 65% exhibited good consumption pattern of casein and 55.3% of autistic children had good consumption pattern of both gluten and casein. Almost half (47.4%) of the children were undernourished. There were no association found between parent’s knowledge and gluten and casein consumption (p>0.05); parent’s knowledge and nutritional status (p>0.05); and parent’s attitudes and nutritional status (p>0.05). Only parent’s attitudes towards autism was found to be associated with casein and gluten consumption pattern (p<0.05).Conclusion: There was a significant association between parent’s attitudes and consumption of gluten and casein in children with autism.

Download Full-text

Factors Influencing the Decision of Parents to LP in Pediatric with CNS Infection

Sumatera Medical Journal ◽

10.32734/sumej.v2i3.1262 ◽

2019 ◽

Vol 2 (3) ◽

Author(s):

Dessy Dian Antarini ◽

Yazid Dimyati ◽

Nelly Rosdiana ◽

Isti Ilmiati Fujiati ◽

Cynthea Prima Destariani

Keyword(s):

Pediatric Patients ◽

Invasive Procedure ◽

Cns Infection ◽

Fisher Exact Test ◽

Chi Square ◽

Exact Test ◽

Factors Influencing ◽

Mother’S Education ◽

The Subject ◽

Mother's Education

Lumbal Puncture (LP) is a procedure that can help to diagnosed CNS infection in children. The procedure of LP is a common invasive procedure, but sometimes it had refused by the parents. Furthermore, it can cause a delayed in the diagnosis and affected the prognosis. The subject was the parents of pediatric patients with CNS infection. We have a questionnaire and using Chi-square and Fisher exact test to analyze factors that influenced the parent’s decision of LP procedure. From the parents of 50 children with CNS infection, 19 parents (38%) were refused the LP procedure. Father’s education was related to the refusal of LP procedure with PR 6.64 (95%CI; 8.95-788.08). Mother’s education was related to the refusal of LP procedure with PR 7.69 (95%CI; 3.19-16.24). There was the significant result of the parent's education with the decision of LP procedure.

Download Full-text

Factors Related to the Low Nutritional Status among Tuberculosis Patients

Jurnal Keperawatan Padjadjaran ◽

10.24198/jkp.v8i1.1294 ◽

2020 ◽

Vol 8 (1) ◽

Author(s):

Anggraini Dwi Kurnia ◽

Nurlailatul Masruroh ◽

Nur Melizza

Keyword(s):

Logistic Regression ◽

Nutritional Status ◽

Occupational Status ◽

Binary Logistic Regression ◽

Tuberculosis Patient ◽

Fisher Exact Test ◽

Chi Square ◽

Exact Test ◽

Tuberculosis Patients ◽

The One

Tuberculosis and malnutrition are serious problems. Tuberculosis causes malnutrition that potentially lessen patients’ immunity and increase the risk for activating tuberculosis. The purpose of this study was to identify the factors related to the low nutritional status among tuberculosis patients in Malang City. This research applied a corelational study. The subjects involved were tuberculosis patients with BMI<18.5. Chi-square and Fisher Exact Test were used to analyse the identified factors. Moreover, binary logistic regression to identify factors related to the low nutritional status among tuberculosis patients in Malang City. This study found almost half of participants (46.8%) had poor family knowledge about dietary TB patients. More than half of the participant’s culture (62.5%) was abstinence. A more than half of participant (59.6%) had Moderate malnutritions. There was no significant correlation between low nutritional satus and variable of gender p=1.000, education p=0.404, family knowledge p=0.767, and culture p=0.310. The significant correlation was occupational status with p=0.043. The binary logistic regression showed that tuberculosis patient with unoccupied are 1.286 times more likely to have a low nutritional status. Occupational status was the one factor that significantly related to the low nutritional status among TB patients in Malang City.

Download Full-text

Venous Thromboembolism and High Grade Gliomas

Thrombosis and Haemostasis ◽

10.1055/s-0038-1649592 ◽

1993 ◽

Vol 70 (03) ◽

pp. 393-396 ◽

Cited By ~ 38

Author(s):

Mandeep S Dhami ◽

Robert D Bona ◽

John A Calogero ◽

Richard M Hellman

Keyword(s):

Risk Factors ◽

Venous Thromboembolism ◽

Medical Center ◽

Significant Risk ◽

Bleeding Complications ◽

Fisher Exact Test ◽

High Grade ◽

Chi Square ◽

Exact Test ◽

High Grade Gliomas

SummaryA retrospective study was done to determine the incidence of and the risk factors predisposing to clinical venous thromboembolism (VTE) in patients treated for high grade gliomas. Medical records of 68 consecutive patients diagnosed and treated at Saint Francis Hospital and Medical Center from January 1986 to June 1991 were reviewed. The follow up was to time of death or at least 6 months (up to December 1991). All clinically suspected episodes of VTE were confirmed by objective tests. Sixteen episodes of VTE were detected in 13 patients for an overall episode rate of 23.5%. Administration of chemotherapy (p = 0.027, two tailed Fisher exact test) and presence of paresis (p = 0.031, two tailed Fisher exact test) were statistically significant risk factors for the development of VTE. Thrombotic events were more likely to occur in the paretic limb and this difference was statistically significant (p = 0.00049, chi square test, with Yates correction). No major bleeding complications were seen in the nine episodes treated with long term anticoagulation.We conclude that venous thromboembolic complications are frequently encountered in patients being treated for high grade gliomas and the presence of paresis and the administration of chemotherapy increases the risk of such complications.

Download Full-text

Hubungan Status Gizi Dengan Proses Penyembuhan Luka Di Rsud H. Andi Sulthan Daeng Radja Kabupaten Bulukumba

Jurnal Kesehatan Panrita Husada ◽

10.37362/jkph.v2i1.147 ◽

2017 ◽

Vol 2 (1) ◽

pp. 20-28

Author(s):

Fitriani ◽

Tenriwati

Keyword(s):

Wound Healing ◽

Nutritional Status ◽

Healing Process ◽

Data Retrieval ◽

Observational Research ◽

Wound Healing Process ◽

P Value ◽

Chi Square ◽

Cross Sectional ◽

Chi Square Test

At present, the incidence of injuries in Indonesia is quite high, as seen from data on traffic accidents in the general public. There are several factors that affect wound healing, one of which is nutritional status. Based on the preliminary data retrieval conducted by researchers in the seruni surgery room in the last 1 month namely in March, it was found that the number of wounded patients was 109 patients, where the number of men was 78 (71.56%) while the number of women was 31 ( 28.44%) The purpose of this study was to determine the relationship between nutritional status and the wound healing process in RSUD. H. Andi. Sulthan Daeng Radja Kab. Bulukumba. This research uses the type of design of this research is quantitative research. This type of research uses analytic observational research with cross sectional approach. The sample of this study were 41 respondents taken by purposive sampling method. Data analysis in this study used the chi-square test (chi square test). The results of the analysis used the chi-square statistical test with a confidence level (α = 0.05). Based on the results of this test, the p value is 0.001, thus p <α (0.001 <0.05), then Ho is rejected and Ha is accepted. The conclusion of this study is that there is a relationship between nutritional status and the process of wound healing in RSUD. H. Andi. Sulthan Daeng Radja Kab. Bulukumba. Researchers suggest that this study be used as a material consideration in the fulfillment of nutrition in wound care patients in RSUD.H.A. Sulthan Daeng Radja Kab. Bulukumba and this research can be continued by conducting research related to the wound healing process and linking it with other variables.

Download Full-text

A year of hepatocellular carcinoma at a glance. Demographics, biochemical and radiological characteristics and treatment modalities from a specialized facility of Pakistan

Journal of the Pakistan Medical Association ◽

10.47391/jpma.826 ◽

2021 ◽

pp. 1-6

Author(s):

Laima Alam

Keyword(s):

Hepatocellular Carcinoma ◽

Cross Sectional Study ◽

Treatment Modalities ◽

Fisher Exact Test ◽

Tumour Staging ◽

Chi Square ◽

Cross Sectional ◽

Exact Test ◽

Team Meetings ◽

Contrast Enhanced Ct

Objectives:Relation of demographics of hepatocellular-carcinoma with the aetiology.Tumour characteristics in relation to anti-viral therapy and presence of viral-DNA/RNATreatment modalities offeredMethods: This cross-sectional study enrolled all the patients aged 18-70 years with diagnosed hepatocellular carcinoma either through Triphasic Contrast-Enhanced-CT scan and/or Magnetic Resonance Imaging or biopsy presenting to the Outpatient-Department or multi-disciplinary-team meetings for the year 2019. Demographic variables, biochemical analysis including liver profile and stage of cirrhosis, viral-status, tumour staging and the treatment modalities offered were all noted. ANOVA (normal) and Kruskal-Wallis (non-normal) tests were used to compare quantitative data whereas chi-square-test and fisher-exact-test were used to compare qualitative-data.Results: Out of 195 patients with hepatocellular carcinoma, 76% were males in their fifth to sixth decades of life, 96% had cirrhosis, 94% corresponded to viral hepatocellular-carcinoma (82% Hepatitis-C-Virus, 9% Hepatitis-B-Virus and 3% coinfection), 60% of the cirrhotics landed in Child-Pugh A category with tumour staging BCLC-B being the predominant one (43.6%) and single and multiple bilateral nodules were the commonest lesions encountered. Platelets and Alanine-Transaminase had a significant relation across aetiological groups. Lymph-nodes were the most common extra-hepatic organs for metastasis and the presence of viral PCR had a significant impact on the tumour aggressiveness. Thirty-two percent of the patients were amenable to curative treatment.Conclusion: Viral infection is the main cause of rising prevalence of this tumour in Pakistan. Treatment modalities are expensive and expertise are lacking. A nationwide cancer registry is required for the exact disease burden and tumour behaviour for our population. Continuous....

Download Full-text

Phlebitis associated with peripheral intravenous catheters in adults admitted to hospital in the Western Brazilian Amazon

Revista da Escola de Enfermagem da USP ◽

10.1590/s0080-623420160000200012 ◽

2016 ◽

Vol 50 (2) ◽

pp. 263-271 ◽

Cited By ~ 3

Author(s):

Sandra Maria Sampaio Enes ◽

Simone Perufo Opitz ◽

André Ricardo Maia da Costa de Faro ◽

Mavilde de Luz Gonçalves Pedreira

Keyword(s):

Intermittent Infusion ◽

Brazilian Amazon ◽

Fisher Exact Test ◽

Intravenous Therapy ◽

Chi Square ◽

Significance Level ◽

Exact Test ◽

Dorsal Hand Vein ◽

Mean Time ◽

Intravenous Catheters

Abstract OBJECTIVE To identify the presence of phlebitis and the factors that influence the development of this complication in adult patients admitted to hospital in the western Brazilian Amazon. METHOD Exploratory study with a sample of 122 peripheral intravenous catheters inserted in 122 patients in a medical unit. Variables related to the patient and intravenous therapy were analyzed. For the analysis, we used chi-square tests of Pearson and Fisher exact test, with 5% significance level. RESULTS Complication was the main reason for catheter removal (67.2%), phlebitis was the most frequent complication (31.1%). The mean duration of intravenous therapy use was 8.81 days in continuous and intermittent infusion (61.5%), in 20G catheter (39.3%), inserted in the dorsal hand vein arc (36.9 %), with mean time of usage of 68.4 hours. The type of infusion (p=0.044) and the presence of chronic disease (p=0.005) and infection (p=0.007) affected the development of phlebitis. CONCLUSION There was a high frequency of phlebitis in the sample, being influenced by concomitant use of continuous and intermittent infusion of drugs and solutions, and more frequent in patients with chronic diseases and infection.

Download Full-text

Comparison of blood plasma and gelatin solution in resuscitation of children with dengue shock syndrome

Paediatrica Indonesiana ◽

10.14238/pi49.6.2009.322-9 ◽

2009 ◽

Vol 49 (6) ◽

pp. 322

Author(s):

Suryadi Nicolaas Napoleon Tatura ◽

Novie Homenta Rampengan ◽

Jose Meky Mandei ◽

Ari Lukas Runtunuwu ◽

Max FJ Mantik ◽

...

Keyword(s):

Blood Plasma ◽

Dengue Shock Syndrome ◽

Shock Rate ◽

Gelatin Solution ◽

Chi Square ◽

Management Guidelines ◽

Exact Test ◽

Chi Square Test ◽

A Prospective Study ◽

To Receive

Background Dengue shock syndrome (DSS) is characterized bysevere vascular leakage and hemostasis disorder. It is the cause of death in 1 to 5 percent of cases. WH 0 management guidelines for resuscitation remain empirical rather than evidence-based.Objective To find out the alternative fluids to replace plasmaleakage in DSS.Methods We performed a prospective study and randomizedcomparison of plasma and gelatin solution for resuscitation ofIndonesian children with DSS. We randomly assigned 25 subjectswith DSS to receive plasma and 25 children to receive gelatinfluid. Statistical analyse were performed using chi-square test,Fisher's exact test, t test, Mann-Whitney test.Results The increment of pulse pressure width and the decrement of hematocrit in subjects treated with gelatin were higher than that of plasma atfour-hour therapy (P=0.002 and P=0.017). Only one patient died caused by unusually manifestation of DSS. The increment of body temperature in subjects treated with plasma was higher than that of gelatin at four-hour therapy (P=O.Oll). The decrement of platelet count in subjects treated with gelatin were less than that of plasma (P=0.018). The increment of diuresis rate in subjects treated with gelatin was higher than that of plasma at twenty-hour therapy (P<O.OOOl). The decrement of respiratory rate in subjects treated with gelatin was higher than that of plasmaat twenty-eight hour therapy (P=0.018). There was no differencein studied variables : total volume rate, blood pressure, pulse rate, re-shock rate, clinical fluid overload, allergy reactions, bleeding manifestations, and length of stay (P>0.05).Conclusions Gelatin solution can be used as volume replacementin resuscitation of DSS if blood plasma is not available especiallyat four-hour therapy.

Download Full-text

Effect Of Maternal Growth Monitoring Knowledge On Stunting, Wasting And Underweight Among Children 0-18 Months In Tamale Metropolis Of Ghana

10.21203/rs.2.16457/v2 ◽

2019 ◽

Author(s):

Mohammed Bukari ◽

Muzamil Mohammed Abubakari ◽

Mohammed Majeed ◽

Abdul-Razak Abizari ◽

Anthony Wemakor ◽

...

Keyword(s):

Nutritional Status ◽

Cross Sectional Study ◽

Growth Monitoring ◽

Knowledge Level ◽

Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Exact Test ◽

Tamale Metropolis ◽

Structured Questionnaire

Abstract This study sought to assess maternal growth monitoring knowledge and its effect on stunting, wasting and underweight among children 0-18 months in the Tamale Metropolis. An analytical cross-sectional study design, involving 340 mother-child pairs randomly selected from 4 health facilities in the Tamale Metropolis, was used. A structured questionnaire was used to collect information on socio-demographic characteristics and maternal growth monitoring knowledge. Weight and length of children were taken to assess nutritional status (stunting, underweight and wasting). Chi-square/Fisher’s exact test was used to determine the association between maternal growth monitoring knowledge level and child nutritional status.This study sought to assess maternal growth monitoring knowledge and its effect on stunting, wasting and underweight among children 0-18 months in the Tamale Metropolis. An analytical cross-sectional study design, involving 340 mother-child pairs randomly selected from 4 health facilities in the Tamale Metropolis, was used. A structured questionnaire was used to collect information on socio-demographic characteristics and maternal growth monitoring knowledge. Weight and length of children were taken to assess nutritional status (stunting, underweight and wasting). Chi-square/Fisher’s exact test was used to determine the association between maternal growth monitoring knowledge level and child nutritional status.

Download Full-text