Double diapering facilitates hip maturation in newborns: a prospective randomised control study

2020 ◽  
Author(s):  
Wei C. Lee ◽  
Hsuan K. Kao ◽  
Mei C. Chen ◽  
Wen E Yang ◽  
Shih M. Chu ◽  
...  
Keyword(s):  
Sex Ratio ◽  
Gestational Age ◽  
Birth Rate ◽  
Hip Dysplasia ◽  
Alpha Angle ◽  
First Year ◽  
Type I ◽  
Chi Square ◽  
Chi Square Test ◽  
Control Study

Abstract Background Maintaining the hips in flexion and abduction posture is a common recommendation to facilitate hip maturation in infants. Double diapering helps to maintain a baby’s hips in flexion and abduction posture, but the efficacy of double diapers in hip development has never been verified. We investigated whether double diapering results in greater improvement of the alpha angle in the first months of life. Methods This prospective randomised control study enrolled newborns with Graf type IIa hips. Babies were assigned to the double-diaper or single-diaper group. Parents were instructed on proper hip positioning, except for diapering. Change in the alpha angle from newborn to 1 month after birth, rate of improvement to bilateral Graf type I hips in 1 month, and number of ultrasound examinations and orthopaedic clinic visits in the first year were compared between the two groups. For babies with bilateral IIa hips, we used the averaged data from both hips, and for babies with unilateral IIa hips, we used the data from the IIa hips. Results Seventy newborns with 102 type IIa hips were included from January to December 2017. They were allocated to the double-diaper group (N=33) and single-diaper group (N=37). With a comparable sex ratio, gestational age, and newborn alpha angle, the double-diaper group had a greater increase of alpha angles in 1 month than the single-diaper group (+7.9° vs. +5.2°, t-test, p=0.011). Twenty-eight babies in the double-diaper group (84.8%) and 20 babies in the single-diaper group (54.1%) improved to having bilateral Graf type I hips (chi-square test, p=0.006). Subsequent clinical visits and hip ultrasounds before 1 year were significantly reduced in the double-diaper group. Conclusions Our results support double diapering for enhancing hip maturation in babies with Graf type IIa hips. The amount of improvement may not indicate double diapering as a treatment for hip dysplasia, but its effects in immature hips are noteworthy in reducing further clinical and ultrasound follow-ups.

HUBUNGAN ANTARA USIA, PARITAS, PEKERJAAN DAN INDEK MASSA TUBUH DENGAN KEJADIAN PROLAP ORGAN PANGGUL BERDASARKAN SKOR PELVIC ORGAN PROLAPSE QUANTIFICATION

2019 ◽  
Vol 2 (1) ◽  
pp. 39-44
Author(s):  
Ermawati Ermawati ◽  
Hafni Bachtiar
Keyword(s):  
Pelvic Organ Prolapse ◽  
Case Control Study ◽  
Pelvic Organ ◽  
Case Control ◽  
T Test ◽  
Pelvic Organ Prolapse Quantification ◽  
Chi Square ◽  
Chi Square Test ◽  
Control Study

Prolap organ panggul merupakan kondisi yang mempengaruhi kualitas hidup wanita. Prolaps organ panggul ini dapat disebabkan oleh perlukaan sewaktu proses persalinan, proses penuaan, komposisi jaringan pada seorang wanita, batuk- batuk kronis, atau sering melakukan pekerjaan berat. Pengenalan dini prolaps terkait dengan prognosis pemulihan anatomik dan fungsional organ panggul. Hingga kini, penerapannya dalam dunia klinis belum banyak sehingga pelatihan dan pembelajaran lebih lanjut tentang pelvic organ prolapse quantification (POPQ) jelas diperlukan. Penelitian ini dilakukan dengan metode case control study di polikilinik Obgin RSUP. Dr. M. Djamil Padang mulai bulan September 2013 sampai jumlah sampel terpenuhi sebanyak 98 orang. Dengan 49 orang kelompok kontrol dan 49 orang kelompok kasus .Analisis dilakukan untuk menilai hubungan usia, paritas, pekerjaan dan indek massa tubuh dengan kejadian prolap organ panggul berdasarkan skor POPQ. Data disajikan dalam bentuk tabel. Data diuji dengan t test dan chi square test. Jika p<0,05 menunjukan hasil yang bermakna. Terdapat hubungan yang bermakna antara usia dengan kejadian prolap organ panggul dengan (p<0,05) dan OR 27,871.terdapat hubungan yang bermakna antara paritas dengan kejadian prolap organ panggul dengan (p<0,05) dan OR 52,970.Dari analisa statistik pekerjaan tidak bisa di uji secara statistik.indek massa tubuh tidak terdapat hubungan yang bermakna terhadap kejadian prolap organ panggul.(p>0,05)

Correlation between Listening Anxiety and Listening Strategies of Chinese Postgraduate Students of Science and Engineering: A Case Study at SUES

2016 ◽  
Vol 6 (4) ◽  
Author(s):  
Shengli Wang
Keyword(s):  
Foreign Language ◽  
First Year ◽  
Chi Square ◽  
Postgraduate Students ◽  
Listening Anxiety ◽  
Medium Level ◽  
Chi Square Test ◽  
Listening Proficiency ◽  
Listening Strategies

<p>English listening is one of the five basic skills such as listening, speaking, reading, writing and translation that a Chinese postgraduate should acquire, and it is also the most significant one. In this study, 194 first-year postgraduate students at Shanghai University of Engineering Science were invited to report their strategies use and listening anxiety in the questionnaire with the 5-Likert Indirect Foreign Language Listening Strategies Scale and the 5-Likert Foreign Language Listening Anxiety Scale. The SPSS13.0 was used to analyze the descriptive statistics, reliability analysis, correlation analysis, Chi-square test and One-way ANOVA, which indicated a medium listening anxiety and a medium level of strategies use. Metacognitive strategies were more frequently used than social and affective strategies, the correlation between listening proficiency and listening anxiety was significantly negative, correlation between listening proficiency and indirect listening strategies was significantly positive, and that between indirect listening strategies and listening anxiety was significantly negative. Indirect listening strategies were useful to allay listening anxiety and would be incorporated into our normal classroom teaching.</p>

scholarly journals Investigating More Effective and Less Effective EFL Learners’Attitudes and Motivational Orientation

2018 ◽  
Vol 9 (5) ◽  
pp. 58
Author(s):  
Mohammadreza Yousefi Halvaei ◽  
Ali Akbar Ansarin
Keyword(s):  
Individual Differences ◽  
Graduate Program ◽  
Motivational Orientation ◽  
Classroom Teaching ◽  
First Year ◽  
Chi Square ◽  
Motivational Orientations ◽  
Efl Learners ◽  
Chi Square Test ◽  
Research Questions

The present study investigated the differences in attitudes and motivation between more effective and less effective learners studying at the first year of graduate university program. Based on this aim, first, the researcher developed the three-part 35-item attitude-motivation questionnaire of the present study based on the AMTB developed by Gardner (1985). Second, he selected 441 students (224 male & 217 female) studying at the first year of their graduate program at universities in East Azarbayjan province (Iran) as the participants of the study. Third, he administered the questionnaire of the study to the selected participants and asked them to complete it. Finally, he analyzed the data of the study in order to answer the mentioned research questions. The chi-square test was utilized to analyze the collected data of the study. The results of the study showed that there were significant differences between more effective and less effective learners’ attitudes and motivation. Based on the results of the study, it was argued that, the EFL syllabus designers and teachers should help the learners to become aware of their attitudes, and motivational orientations. Furthermore, they should make an effort to tailor classroom materials and classroom teaching to the EFL learners’ individual differences.

scholarly journals KOMPOSISI UKURAN, PERBANDINGAN JENIS KELAMIN, DAN TINGKAT KEMATANGAN GONAD IKAN TODAK BERPARUH PENDEK (Tetrapturus angustirostris) DI SAMUDERAHINDIA

2017 ◽  
Vol 3 (2) ◽  
pp. 123
Author(s):  
Dian Novianto ◽  
Budi Nugraha ◽  
Andi Bahtiar
Keyword(s):  
Indian Ocean ◽  
Sex Ratio ◽  
Size Composition ◽  
Maturity Stage ◽  
Chi Square ◽  
Male And Female ◽  
Level Ii ◽  
Chi Square Test ◽  
The Indian Ocean ◽  
Tuna Longline

Ikan todak berparuh pendek atau ikan tumbuk atau shortbill spearfish (Tetrapturus angustirostris) merupakan salah satu hasil tangkapan sampingan rawai tuna. Informasi mengenai ikan todak berparuh pendek seperti komposisi ukuran, perbandingan kelamin, dan tingkat kematangan gonadsangat terbatas. Tulisan ini bertujuan untuk menyajikan data dan informasi mengenai aspek biologi ikan todak berparuh pendek yang merupakan hasil tangkapan sampingan dari rawai tuna yang beroperasi di Samudera Hindia. Penelitian ini dilakukan pada bulan September sampai Desember 2008 di perairan Samudera Hindia. Hasil penelitian menunjukan bahwa ikan todak berparuh pendek memiliki kisaran panjang tubuh 135-175 cmLJFL dan modus pada kisaran 155-165 cmLJFL.Perbandingan jenis kelamin ikan jantan dan betina 1:13,5, berdasarkan atas hasil uji chi-square menunjukan bahwa rasio ikan jantan dan betina pada periode penelitian ini tidak seimbang. Pada bulan September ikan todak berparuh pendek betina didominansi oleh tingkat kematangan gonad IIsebesar 66,7%, bulan Oktober oleh tingkat kematangan gonad V sebesar 46,2%, bulan Nopember oleh tingkat kematangan gonad II sebesar 53,3%, sedangkan pada bulan Desember oleh tingkat kematangan gonad III sebesar 42,9%. Pada bulan Nopember sampai Desember terlihat bahwa tingkat kematangan gonad V mulai berkurang, hal ini menunjukan bahwa pada bulan Nopember sampai Desember diduga banyak ikan todak berparuh pendek betina yang sudah memijah. Shortbill Spearfish (Tetrapturus angustirostris) is one of bycatch of tuna longline. Information about shortbill spearfish on the size composition, sex ratio, and maturity stage is still very limited. The objective this paper is to present the data and information about shortbill spearfish which is a bycatch of tuna longline that operated in the Indian Ocean. Research was conducted during September until December 2008 in Indian Ocean. The results showed that the shortbill spearfish have body length about 135-175 cmLJFL and modes in 155-165 cmLJFL. Sex ratio of the male and female was 1:13.5. Based on chi-square test showed that the ratio of male and female in the period of the study was not balanced. In September, the female stage maturity was dominated by level II of 66.7%, October by level V of 46.2%, November by level II of 53.3%, and December by level III of 42.9%. During November until December showed that the maturity stage of level V was decreased, this shows that in this time the female of shortbill spearfish was spawned.

scholarly journals Prevalence of oral habits in children

2017 ◽  
Vol 74 (4) ◽  
pp. 272
Author(s):  
Pedro Diniz Rebouças Rebouças ◽  
Levy Sombra de Oliveira ◽  
Henrique Matos Costa Lima ◽  
Lorena Walesca Macedo Rodrigues ◽  
Regina Glaucia Lucena Aguiar Ferreira
Keyword(s):  
Descriptive Study ◽  
First Year ◽  
Age Group ◽  
Absolute Frequency ◽  
Chi Square ◽  
Oral Habits ◽  
Chi Square Test ◽  
Quantitative Descriptive ◽  
Epidemiological Profile ◽  
Structured Questionnaire

Objective: this quantitative descriptive study aimed to evaluate the presence of deleterious oral habits and associated factors in children attending the Amadeu Barros Leal day care in Fortaleza, CE, Brazil. Material and Methods: the sample consisted of 75 children (51% of girls) aged 0 to 5 years. Data were collected through the application of a structured questionnaire to the parents or guardians and analyzed statistically with Fisher’s exact or Chi-square test, considering a 95% confidence interval. The results were expressed as absolute frequency and percentage. Results: 89% of the children participating in the study were breastfed, and 43.5% of them were breastfed at least until the first year of age. As much as 19% of the children slept with their mouths open and 39% used a pacifier, 56.7% of which used it constantly during the day and at night. About 91% of children used a feeding bottle, and most of bottles (79%) did not have an orthodontic nipple. In addition, 60% of children aged 24-36 months had the deleterious habit of grinding their teeth. Conclusion: in the present study, we investigated children from 0 to 5 years old and observed that this age group is predisposed to deleterious oral habits. In this way, more studies that trace a safe epidemiological profile aiming to reduce these harmful habits are extremely necessary.

scholarly journals ULTRASOUND PREDICTABILITY OF LOWER UTERINE SEGMENT CESAREAN SECTION SCAR THICKNESS

2020 ◽  
pp. 9-11
Author(s):  
Madhu Kumari ◽  
Kumari Bibha ◽  
Abha Sinha ◽  
Debarshi Jana
Keyword(s):  
Cesarean Section ◽  
Gestational Age ◽  
Statistical Significance ◽  
P Value ◽  
Chi Square ◽  
Medical College ◽  
Chi Square Test ◽  
Uterine Scar ◽  
Age Range ◽  
The Given

Objective: The objective of this study is to find out association between scar thickness, assessed sonographically, and intraoperative findings (IOF). Study Design: Descriptive study. Place and Duration of Study: Department of Obstetrics and Gynecology, Sri Krishna Medical College and Hospital, Muzaffarpur, Bihar from June 2019 to May 2020. Methodology: A total of 70 pregnant patients were included in this study. Transabdominal ultrasound was done for scarred uteri. Sonographic findings were co-related with introperative findings. All the given data were entered on SPSS version 23. Age was expressed as mean ± SD. Parity, gestational age, and interval between cesarean sections were expressed as frequencies with percentages. Statistical analysis was done by using Chi-square test for categorical data for association between sonographic scar thickness and intraoperative findings. The statistical significance was set at p-value <0.05. Results: The age range of the patients was 20- 36 years with a mean of 27.91 ±3.690 years. Gestational age at the time of cesarean section was between 27-40 weeks of gestation with a mean of 37 ±2.126 weeks. The interval from previous cesarean was 10 months at the minimum, and 6 years at the maximum with a mean of 2.29 ±1.0 months. Mean scar thickness was 2.5 mm. Association between scar thickness (<1-3 mm) and intaoperative findings of dehiscence and rupture showed a p-value of <0.001. Conclusion: Sonographic assessment of a uterine scar has a practical application to determine the thickness of previous scar, and assess its integrity.

scholarly journals BEBERAPAASPEKBIOLOGI IKANBELOSO(Sauridamicropectoralis) DI PERAIRANUTARAJAWATENGAH

2017 ◽  
Vol 3 (6) ◽  
pp. 363
Author(s):  
Adrian Damora ◽  
Tri Ernawati
Keyword(s):  
Sex Ratio ◽  
Maturity Stage ◽  
Chi Square ◽  
Central Java ◽  
Weight Growth ◽  
Gonadal Maturity ◽  
Carnivorous Species ◽  
Chi Square Test ◽  
Java Sea ◽  
Stadium I

Indeks kelimpahan stok ikan beloso (Saurida micropectoralis) di Laut Jawa cenderungmengalami penurunan dari tahun ke tahun dan untuk mencegahnya perlu bahan masukan yang bersumber dari hasil penelitian yang dijadikan sebagai dasar pengelolaannya. Penelitian dilakukan untukmengkaji beberapa aspek biologimeliputi hubungan panjangberat, nisbah kelamin, tingkat kematangan gonad, panjang pertama kali tertangkap dan panjang pertama kali matang gonad, serta kebiasaan makan ikan beloso. Penelitian dilakukan pada bulanApril–Agustus 2009 di perairan utara Jawa Tengah. Hasil penelitian menunjukkan bahwa nisbah kelamin ikan jantan dan betina berada dalam keadaan tidak seimbang. Pertumbuhan ikan beloso bersifat allometrik positif, dimana pertambahan berat lebih cepat dibandingkan pertumbuhan panjangnya dan tingkat kematangan gonad (TKG) ikan beloso didominasi oleh stadium I. Panjang pertama kali ikan beloso tertangkap lebih kecil dari panjang pertama kali matang gonadnya (Lc < Lm) sehingga akan mengancam kelestariaannya. Ikan beloso bersifat karnivora, dimana makanan utamanya adalah potongan ikan dasar, cumi, dan teri. Index of stock abundance of Lizardfish (Saurida micropectoralis) in Java Sea tend to decreased from year to year. The decline was expected because of the potential of Lizardfish decreasing but the effort continue to rise. The objective of this study is to assess the biological aspects including length-weight relationship, sex ratio, gonadal maturity stage, length of first capture (Lc) and length of first mature (Lm), and feeding habit of Lizardfish in north waters of Central Java. This study was conducted from April to August 2009 in north waters of Central Java. Results showed that the sex ratio between males and females was 1:0,97. Based on Chi-square test it is showed that sex ratio is not balanced. The growth of Lizardfish indicated positive allometric where the weight growth more faster than its length growth. The gonadalmaturity stage of Lizard fish is dominated by the first stage. The length of first capture of Lizardfish was under the length of first mature (Lc < Lm) so that will threaten its sustainability. Lizardfish was indicated carnivorous species where its main food are part of demersal fishes, squids and anchovies.

scholarly journals FAKTOR RISIKO KESEGARAN JASMANI SISWI SMA MUHAMMADIYAH 1 PONOROGO Risk Factors of Physical Fitness among Female Student in Muhammadiyah 1 Ponorogo High School

2020 ◽  
Vol 15 (2) ◽  
pp. 73
Author(s):  
Ikanov Safitri ◽  
R. Bambang Wirjatmadi
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
High School ◽  
Haemoglobin Level ◽  
Case Control Study ◽  
Female Students ◽  
Chi Square ◽  
Low Protein ◽  
Chi Square Test ◽  
Control Study

Physical fi tness is the ability of each individual to carry out various daily activities without feeling fatigue. Physical fi tness is useful as a supporting capacity for the physical activity of children therefore it is expected to improve their health and achievement. Factors that infl uence physical fi tness include genetics, age, gender, physical activity, nutritional status, food intake, haemoglobin level, resting time and smoking habits. The purpose of this study was to analyze the risk factors of physical fi tness among female students in Muhammadiyah 1 Ponorogo High School. This case control study included 50 female students and divided into 25 cases and 25 controls. Chi-Square test was used to analyze the relationships between variables. The results showed that there was an association between protein adequacy (p=0.023) OR = 11.3 and haemoglobin levels (p=0.049) OR = 9.3 with physical fi tness. While the adequacy of iron (p=0.345) did not associated with physical fi tness. Student with low protein adequacy and haemoglobin level have respectively 11.3 and 9.3 times higher risk of having low physical fi tness than student with good protein adequacy and haemoglobin level.

scholarly journals Fetal, neonatal, and post-neonatal mortality in the 2015 Pelotas (Brazil) birth cohort and associated factors

2019 ◽  
Vol 35 (7) ◽  
Author(s):  
Andrea Ramirez Varela ◽  
Bruna Celestino Schneider ◽  
Susana Bubach ◽  
Mariangela Freitas Silveira ◽  
Andréa Dâmaso Bertoldi ◽  
...  
Keyword(s):  
Neonatal Mortality ◽  
Birth Cohort ◽  
Gestational Age ◽  
Associated Factors ◽  
Reference Group ◽  
Multinomial Logistic Regression ◽  
First Year ◽  
Chi Square ◽  
Neonatal Deaths ◽  
First Year Of Life

This study aimed to describe fetal, neonatal, and post-neonatal mortality and associated factors in participants of the 2015 Pelotas (Brazil) birth cohort. The child mortality sub-study followed up all deaths in the first year of life. Data were collected on intrauterine fetal deaths (weight ≥ 500g and/or gestational age ≥ 20 weeks), neonatal deaths (< 28 days of life), and post-neonatal deaths (from 28 days to the end of the first year of life). Descriptive analyses using the Pearson chi-square test and a multinomial logistic regression to estimate the risk of fetal, neonatal, and post-neonatal deaths compared to live infants in the cohort (reference group) were performed. Data from 4,329 eligible births were collected, of which 54 died during the fetal period. Of the 4,275 eligible live births, 59 died in the first year of life. An association between fetal, neonatal, and post-neonatal deaths (OR = 15.60, 7.63, and 5.51 respectively) was found, as well as less than six prenatal consultations. Compared to live infants, fetal deaths were more likely to occur in non-white mothers, and neonatal deaths were 14.09 times more likely to occur in a preterm gestational age (< 37 weeks). Compared to live infants, infants that were born in a C-section delivery had 3.71 increased odds of post-neonatal death. Additionally, neonatal deaths were 102.37 times more likely to have a low Apgar score on the fifth minute after birth. These findings show the need for early interventions during pregnancy, ensuring access to adequate prenatal care.

scholarly journals The Impact of the Circadian Genes CLOCK and ARNTL on Myocardial Infarction

2020 ◽  
Vol 9 (2) ◽  
pp. 484
Author(s):  
Ivana Škrlec ◽  
Jakov Milić ◽  
Robert Steiner
Keyword(s):  
Myocardial Infarction ◽  
Circadian Clock ◽  
Case Control Study ◽  
Clock Genes ◽  
Physiological Mechanisms ◽  
Chi Square ◽  
Chi Square Test ◽  
Circadian Clock Genes ◽  
The Impact ◽  
Control Study

The circadian rhythm regulates various physiological mechanisms, and its disruption can promote many disorders. Disturbance of endogenous circadian rhythms enhances the chance of myocardial infarction (MI), showing that circadian clock genes could have a crucial function in the onset of the disease. This case-control study was performed on 1057 participants. It was hypothesized that the polymorphisms of one nucleotide (SNP) in three circadian clock genes (CLOCK, ARNTL, and PER2) could be associated with MI. Statistically significant differences, estimated by the Chi-square test, were found in the distribution of alleles and genotypes between MI and no-MI groups of the CLOCK (rs6811520 and rs13124436) and ARNTL (rs3789327 and rs12363415) genes. According to the results of the present study, the polymorphisms in the CLOCK and ARNTL genes could be related to MI.

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