Electroencephalography Patterns in Children with First Unprovoked Seizure

Abstract Background First unprovoked seizure (FUS) is a neurological health problem that occurs in an estimated 2% of children aged 16 years or younger. Electroencephalography (EEG) is an electrophysiological technique to record electrical activities arising from the brain; this technique can be used to evaluate patients with suspected seizures, epilepsy, and unusual concomitants. The objective of this study is to describe the EEG patterns in children with FUS and the factors associated with these EEG results. Method A retrospective analytic study was conducted in the Neuropaediatric Clinic, Dr Soetomo General Academic Hospital. The medical record data were obtained from January 2018 to December 2019. Children aged one month to 18 years with FUS and their complete EEG records were included. Descriptive statistics and the chi-square test with Cochran's Q test and Mantel–Haenszel tests were used for statistical calculations. Results One hundred participants enrolled the study. The majority (54%) showed abnormal EEG, which was dominated by epileptiform discharges (68.5%) consisting of benign epileptiform with centro-temporal spikes (BECTS), focal and generalized sharp waves, focal and generalized spikes, and EEG seizures. Factors associated with abnormal EEG results were children aged ≥ 5 years (p = 0.07, OR = 3.093, 95% CI = 1.361–7.030), focal seizure type (p = 0.021, OR = 6.286, 95% CI = 1.327–29,779), and long seizure duration ≥ 5 minutes (p < 0.001, OR = 8.333, 95% CI = 3.029–22.929). Conclusion Children with abnormal EEG were at risk for recurrent seizures. Over 50% of children with FUS had abnormal EEG results. In the present study, abnormal EEG results were frequently found in children with FUS, especially in older children (≥ 5 years old), those with focal seizures, and those with long seizure durations (≥ 5 minutes).

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Prevalence of Insomnia and Factors Associated with it Among the Elderly People of Sarangdanda VDC in Panchthar District

Dhaulagiri Journal of Sociology and Anthropology ◽

10.3126/dsaj.v4i0.4517 ◽

1970 ◽

Vol 4 ◽

pp. 129-142 ◽

Cited By ~ 1

Author(s):

Raj Kumar Subedi

Keyword(s):

Elderly People ◽

The Elderly ◽

Cross Sectional Study ◽

Interview Schedule ◽

Chi Square ◽

Cross Sectional ◽

Factors Associated ◽

Keywords Alcohol ◽

Chi Square Test ◽

Restorative Sleep

Insomnia is one of the major and unsolved problems in older people. Most of the sleep studies report that the different forms of insomnia like Difficulty Initiating Sleep (DIS), Difficulty Maintaining Sleep (DMS) and Non-Restorative Sleep (NRS) are common among the elderly that are associated to many factors. The objective of the study was to measure the prevalence of insomnia and the factors associated to it among the elderly people. A cross-sectional study was conducted among 142 elderly people of and above 60 years of age in Sarangdanda VDC of Panchthar District of Eastern Nepal. The presence or absence of insomnia and the associated factors were assessed on them by the help of interview schedule. The results were analyzed using chi-square test in SPSS (version 11.5). DMS was the most common reported form of insomnia among the elderly followed by DIS and NRS. Association between insomnia and each of factors like use of tobacco before sleeping hours, eating too close to bedtime, use of tea/coffee before sleeping hours and use of alcohol before sleeping hours were statistically significant at 95% level of confidence. Insomnia affects a large proportion of elderly and is triggered by many factors like use of tobacco before sleeping hours, use of tea/coffee before sleeping hours, eating too close to bedtime and use of alcohol before sleeping hours. Keywords: Alcohol; tea/coffee; difficulty initiating sleep (DIS); difficulty maintaining sleep (DMS); non-restorative sleep (NRS); tobacco DOI: 10.3126/dsaj.v4i0.4517 Dhaulagiri Journal of Sociology and Anthropology Vol.4 2010 pp.129-142

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Factors associated with sarcopenia in subjects aged 80 years and over

Revista de Nutrição ◽

10.1590/1415-52732015000300008 ◽

2015 ◽

Vol 28 (3) ◽

pp. 319-326 ◽

Cited By ~ 2

Author(s):

Vanessa Ribeiro dos Santos ◽

Diego Giulliano Destro Christofaro ◽

Igor Conterato Gomes ◽

Ricardo Ribeiro Agostinete ◽

Ismael Forte Freitas Júnior ◽

...

Keyword(s):

Nutritional Status ◽

Lean Mass ◽

Binary Logistic Regression ◽

Sociodemographic Factors ◽

Noncommunicable Diseases ◽

Chi Square ◽

Significance Level ◽

Factors Associated ◽

Epidemiological Factors ◽

Chi Square Test

OBJECTIVE: To analyze whether sarcopenia is associated with sociodemographic factors and chronic noncommunicable diseases in adults aged 80 years and older. METHODS: The sample consisted of 120 adults aged 80 to 95 years (83.4±2.9 years) from the city of Presidente Prudente (São Paulo, Brazil), of which 76 were females (83.4±3.0 years) and 44 were males (83.4±2.6 years). The study sociodemographic and epidemiological factors were: age stratum, gender, marital status, education level, chronic noncommunicable diseases, ethnicity, and nutritional status. Body composition was determined by Dual-Energy X-Ray Absorptiometry and sarcopenia was identified by the appendicular lean mass ratio (upper limb lean mass + lower limb lean mass [kg]/height [m]2). The Chi-square test analyzed whether sarcopenia was associated with sociodemographic and epidemiological factors and binary logistic regression expressed the magnitude of the associations. The data were treated by the software Statistical Package for the Social Sciences (17.0) at a significance level of 5%. RESULTS: The factors associated with sarcopenia were gender, age, nutritional status, and osteopenia/osteoporosis. CONCLUSION: The factors gender, age, nutritional status, and osteopenia/osteoporosis are independently associated with sarcopenia in adults aged 80 years and older.

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Analysis of Healthy Latrine Ownership Factors in the Coastal Area of Lapulu Village, Kendari City

MIRACLE Journal Of Public Health ◽

10.36566/mjph/vol4.iss1/234 ◽

2021 ◽

Vol 4 (1) ◽

pp. 29-37

Author(s):

Sitti Marya Ulva ◽

Sinar Jannah

Keyword(s):

Statistical Tests ◽

Sampling Technique ◽

P Value ◽

Chi Square ◽

Cross Sectional ◽

Factors Associated ◽

Community Ownership ◽

Land Availability ◽

Tidal Area ◽

Chi Square Test

The percentage of families in Lapulu Village that had healthy latrines was 64,84% who met the health requirements and 35,16% who did not meet the health requirements in 2019. This shows that the ownership of healthy latrines is still lower than the national achievement. This study aims to determine the factors associated with low ownership of healthy latrines in the coastal areas of Lapulu Village, Kendari City. The research design was observational, with a cross-sectional approach. The population in this study was 437 respondents, while the study sample was 209 respondents. The sampling technique used was proportional random sampling technique. The analysis were performed using the Chi-Square test. The results of statistical tests with chi-square obtained the value of land availability (p-value=0,000), knowledge (p-value=0,031), and income (p-value=0,000). It can be concluded that there is a relationship between land availability, knowledge, and income levels associated with low ownership of healthy latrines in the tidal area of Lapulu Village, Kendari City. Therefore, it is hoped that the community and local government will establish this inter sector collaboration with related agencies to increase community ownership of healthy latrines.

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Clinical and Electroencephalographic Profile Of Children

Kathmandu University Medical Journal ◽

10.3126/kumj.v11i2.12484 ◽

2015 ◽

Vol 11 (2) ◽

pp. 110-116

Author(s):

N Limbu ◽

BH Paudel ◽

D Thakur

Keyword(s):

Cerebral Palsy ◽

Febrile Seizure ◽

Pediatric Patients ◽

Birth Asphyxia ◽

Seizure Disorder ◽

Chi Square ◽

Demographic Profiles ◽

Epileptiform Discharges ◽

Chi Square Test ◽

The Relationship

Background Reports on pediatric electroencephalogram of Nepalese patients are rare. Objective We aimed to study the relationship between provisional clinical and electrophysiological diagnoses of pediatric patients with documentation of demographic profiles, and type and frequency of the disorders/diseases. Methods Electroencephalographic reports of 634 children from 2006 to 2009 were analyzed at neurophysiology laboratory, department of Basic and Clinical Physiology, B. P. Koirala Institute of Health Sciences, Dharan, Nepal, retrospectively. Chi-Square test was applied after detail descriptive statistics. Results Male and female were 72.2 % (n=458/634) and 27.76 % (n=176/634) respectively. Most frequent EEG abnormality was seizure disorder (n=370, 59.39%), then febrile seizure (n= 94, 15.08%) and birth asphyxia with hypoxic-induced encephalopathy (n=68, 10.91%). Electroencephalogram showed significant epileptiform discharges in seizure disorder (p=0.001, OR= 2.26, 95 % CI= 1.61 to 3.18) and in cerebral palsy (p=0.049, OR=6.88, 95 % CI=0.89 to 145.95), specifically in 6 to 12 (p=0.001, OR=2.94, 95 % CI=1.43 to 6.06) and one to five (p=0.019) years, respectively. Electroencephalogram detected significantly less epileptiform discharges (p=0.001, OR=0.25, 95 % CI= 0.15 to 0.42) in febrile seizure specifically in 1 to 5 years (p=0.003, OR=0.16, 95 % CI= 0.04 to 0.63). Conclusion Predominant Electroencephalographic abnormality was seizure disorder, followed by febrile seizure and birth asphyxia with hypoxic-induced encephalopathy respectively. Electroencephalographic abnormality was highly associated with seizure disorder and cerebral palsy but was not associated with febrile seizure. DOI: http://dx.doi.org/10.3126/kumj.v11i2.12484 Kathmandu University Medical Journal Vol.11(2) 2013: 110-116

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Faktor yang Berhubungan dengan Kejadian Dehidrasi pada Pekerja Tempe di Kelurahan Rajawali Kota Jambi

Jurnal Kesmas Untika Luwuk : Public Health Journal ◽

10.51888/phj.v11i2.26 ◽

2020 ◽

Vol 11 (2) ◽

pp. 43-48

Author(s):

Novitri Sari ◽

Eko Mirsiyanto

Keyword(s):

Drinking Water ◽

Body Weight ◽

Fluid Intake ◽

Sampling Technique ◽

Business Owners ◽

Fluid Consumption ◽

Chi Square ◽

Cross Sectional ◽

Factors Associated ◽

Chi Square Test

Dehidrasi merupakan kekurangan cairan tubuh karena jumlah cairan yang keluar lebih banyak dari pada jumlah cairan yang masuk. Salah satu pekerjaan yang beresiko mengalami dehidrasi adalah pada perebusan pembuatan tempe dimana menggunakan lingkungan yang cukup panas sehingga banyak mengeluarkan keringat dan mebutuhkan asupan cairan yang lebih. Tujuan penelitian adalah untuk mengetahui faktor-faktor yang berhubungan dengan kejadian dehidrasi pada pekerja pengrajin tempe. Penelitian ini merupakan penelitian deskriptif analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh jumlah pengrajin tempe. Sampel berjumlah 30 responden. Teknik pengambilan sampel dengan cara total sampling. Analisis data dalam penelitian ini secara univariat dan bivariat dengan uji chi square. Hasil penelitian ada hubungan konsumsi cairan (0,004) dan beban kerja (0,007) dengan kejadian dehidrasi pada pekerja pengrajin tempe. Tidak ada hubungan berat badan dengan kejadian dehidrasi pada pekerja pengrajin tempe (p=0,875). Diharapkan pemilik usaha pengrajin tempe untuk dapat selalu menyediakan air minum yang cukup bagi pekerjanya saat pekerja membutuhkan sehingga kejadian dehidrasi dan dampaknya dapat diminimalisir. Dehydration is a lack of body fluids because the amount of fluid that comes out is more than the amount of fluid that is entered. One of the jobs that are at risk of dehydration is in boiling the manufacture of tempeh which uses a hot enough environment so that you sweat a lot and require more fluid intake. The research objective was to determine the factors associated with the incidence of dehydration in tempe craftsmen. This research is a descriptive analytic study with a cross sectional approach. The population in this study were all of the tempe craftsmen. The sample is 30 respondents. The sampling technique was total sampling. Data analysis in this study was univariate and bivariate with the chi square test. The results showed a relationship between fluid consumption (0.004) and workload (0.007) with the incidence of dehydration among workers of tempe craftsmen. There is no correlation between body weight and dehydration in tempe craftsmen workers (p = 0.875). It is expected that the tempe craftsman business owners can always provide sufficient drinking water for their workers when they need them so that the incidence of dehydration and its impact can be minimized.

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An urgent need for a paradigm shift in HIV testing for older children: A sine qua non condition to achieve an AIDS-free generation

10.1101/2020.06.22.20128363 ◽

2020 ◽

Author(s):

H.A. Yumo ◽

J.J.N. Ndenkeh ◽

I. Sieleunou ◽

D.N. Nsame ◽

P.B. Kuwoh ◽

...

Keyword(s):

Hiv Testing ◽

Pediatric Hiv ◽

Hiv Care ◽

Older Children ◽

Chi Square ◽

Treatment Services ◽

Art Initiation ◽

Testing Technology ◽

Chi Square Test ◽

Free Generation

AbstractBackgroundAchieving an AIDS-free generation requires effective pediatric testing and treatment services. While pediatric HIV testing has been more focused on children below 18 months through PMTCT, the yield of this approach remains unclear comparatively to testing children above 18 months through routine PITC. This study aimed at bridging this evidence gap and provide knowledge to guide pediatric HIV testing investments.Materials and MethodsParents visiting or receiving HIV care in three hospitals in Cameroon were invited to test their children for HIV. HIV testing was done using PCR and antibody rapid tests for children < 18 months and those ≥18 months, respectively. We compared HIV case detection and ART initiation between the two subgroups of children and this using Chi-square test at 5% significant level.ResultsA total of 4079 children aged 6 weeks-15 years were included in the analysis. Compared to children < 18 months, children group ≥18 months was 4-fold higher among those who enrolled in the study (80.3% vs 19.7%, p<0.001); 3.5-fold higher among those who tested for HIV (77.6% vs 22.4%, p<0.001); 6-fold higher among those who tested HIV+ (85.7% vs 14.3%, p=0.241) and 11-fold higher among those who enrolled on ART (91.7% vs 8.3%, p< 0.028).ConclusionsOur results show that 4 out of 5 children who tested HIV+ and over 90% of ART enrolled cases were children ≥ 18 months. Thus, while rolling out PCR HIV testing technology for neonates and infants, committing adequate and proportionate resources in antibody rapid testing for older children is a sine quo none condition to achieve an AIDS-free generation.

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Factors associated with sarcopenia in institutionalized elderly

Journal of Public Health ◽

10.1093/pubmed/fdaa122 ◽

2020 ◽

Author(s):

Leônidas de Oliveira Neto ◽

Larissa Praça de Oliveira ◽

Pedro Moraes Dutra Agrícola ◽

Vagner Deuel de Oliveira Tavares ◽

Igor Conterato Gomes ◽

...

Keyword(s):

Muscle Mass ◽

The Elderly ◽

Chi Square ◽

Institutionalized Elderly ◽

Elderly Individuals ◽

Factors Associated ◽

Knee Height ◽

Qualitative Variables ◽

Health Related ◽

Chi Square Test

ABSTRACT Background The diagnosis of sarcopenia is based on the analysis of strength, functionality and muscle mass. The objective was to verify the factors associated with sarcopenia in institutionalized elderly. Methods In total, 219 elderly individuals (≥60 years old) living in long-term institutions in Natal/RN were included in the study. After defining the elderly as sarcopenic or non-sarcopenic, anthropometric, biochemical, sociodemographic and health-related were analyzed. The Student t-test and Mann–Whitney test were used to analyze the quantitative, while the chi-square test was used for the qualitative variables. Finally, Poisson regression was used to provide prevalence ratios for those variables that presented differences in the bivariate analyses. Results Physical capacity and anthropometry were associated with sarcopenia. For each 1 cm of knee height, the elderly presented 2.71% more chance of not having sarcopenia, and eutrophic or overweight individuals (according to BMI) presented 37.71 and 91.81% chances, respectively, of not presenting sarcopenia. Elderly individuals who ambulate have a 30.08% chance of not being considered sarcopenic. In addition, biochemical and anthropometric indicators demonstrated a relationship of sarcopenia with malnutrition. Conclusion Sarcopenia is associated with a loss of body mass, not only selective muscle mass, and greater physical inability to ambulate.

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Prevalence and factors associated with human brucellosis in livestock professionals

Revista de Saúde Pública ◽

10.1590/s1518-8787.2017051006051 ◽

2017 ◽

Vol 51 (0) ◽

Cited By ~ 10

Author(s):

Franco Cazembe Mufinda ◽

Fernando Boinas ◽

Carla Nunes

Keyword(s):

Statistical Significance ◽

Human Brucellosis ◽

Chi Square ◽

Cross Sectional ◽

Significance Level ◽

Logistic Regression Models ◽

Factors Associated ◽

Professional Category ◽

Chi Square Test ◽

Service Location

ABSTRACT OBJECTIVE The objective of this study is to estimate the seroprevalence of human brucellosis in livestock professionals and analyze the factors associated with brucellosis focusing on sociodemographic variables and the variables of knowledge and practices related to the characteristics of the activities carried out in livestock. METHODS This is a cross-sectional seroepidemiological study with a population of 131 workers of butchers, slaughter rooms, and slaughterhouse and 192 breeders sampled randomly in Namibe province, Angola. The data were obtained from the collection of blood and use of questionnaires. The laboratory tests used were rose bengal and slow agglutination. The questionnaire allowed us to collect sociodemographic information and, specifically on brucellosis, it incorporated questions about knowledge, attitudes, and behaviors of livestock professionals. In addition to the descriptive statistical approach, we used the Chi-square test of independence, Fisher’s test, and logistic regression models, using a significance level of 10%. RESULTS The general weighted prevalence of brucellosis was 15.6% (95%CI 13.61–17.50), being it 5.3% in workers and 16.7% (95%CI 11.39–21.93) in breeders. The statistical significance was observed between human seroprevalence and category (worker and breeder) (p < 0.001) and education level (p = 0.032), start of activity (p = 0079), and service location (p = 0.055). In a multivariate context, the positive factor associated with brucellosis in professionals was the professional category (OR = 3.54; 95%CI 1.57–8.30, related to breeders in relation to workers). CONCLUSIONS Human brucellosis in livestock professionals is prevalent in Namibe province (15.6%), where the professional category was the most important factor. The seroprevalence levels detected are high when compared with those found in similar studies.

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THE ANALYSIS OF FACTORS RELATED TO THE IMPLEMENTATION OF PREGNANT EXERCISE AT PUSKESMAS

Jurnal Ilmiah Wijaya ◽

10.46508/jiw.v10i1.12 ◽

2018 ◽

Vol 10 (1) ◽

pp. 59-67

Author(s):

Hani Siti Hanifatun Fajria ◽

Annisa Annisa Dwi Yuniastari

Keyword(s):

Pregnant Women ◽

Health Center ◽

Health Centers ◽

Bivariate Analysis ◽

Western Region ◽

Chi Square ◽

Cross Sectional ◽

Factors Associated ◽

Chi Square Test ◽

Good Attitude

During pregnancy, pregnant women would usually have complaints. Moderated exercise such as pregnancy exercise would make your feet and heels more comfortable. Percentage of antenatal care in health centers of West Navan especially for K1 and K4 already met the target of 95% . The purpose of this studied is analysis of factors associated with the implementation of the health center pregnancy exercise in Navan western region in 2013. This researched used analytic studied with cross -sectional correlation. The population in this study were all pregnant women in the region checkups Navan West Health Center in 2012 as many as 871 pregnant women then took sample of 59 samples using accidental sampling methode. Analyzed used univariate and bivariate analysis with the chi square test. These results it could be concluded that most of the samples have a relatively good knowledge (67.8 %), good attitude (69.5 %) , not working (55.9 %) , support pregnant women during pregnancy (67.8 %) and doing pregnancy exercise (71.2 %). Thechi-square statistical test found no relationship between knowledge , attitude and family support with the implementation of the pregnancy exercise with each value p = 0.005 , p = 0.001 and p = 0.005 then found that there was no relationship between job execution pregnancy exercise with p = 0.362.

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Clinical variables associated with disability in leprosy cases in northeast Brazil

The Journal of Infection in Developing Countries ◽

10.3855/jidc.5341 ◽

2015 ◽

Vol 9 (03) ◽

pp. 232-238 ◽

Cited By ~ 9

Author(s):

Victor Santana Santos ◽

Andressa Mayara Santos de Matos ◽

Lorena Sheila Alves de Oliveira ◽

Ligia Mara Dolce de Lemos ◽

Ricardo Queiroz Gurgel ◽

...

Keyword(s):

Physical Disability ◽

Lepromatous Leprosy ◽

Northeast Brazil ◽

Chi Square ◽

Factors Associated ◽

Operational Classification ◽

Leprosy Patients ◽

Chi Square Test ◽

Multibacillary Leprosy ◽

Significant Factors

Introduction: The clinical outcomes of leprosy include complications such as physical disabilities and deformities that vary according to the degree of impairment of nerve trunks. Knowledge of the factors that lead to the development of these complications is important for disability prevention programs. This study aimed to evaluate clinical factors associated with the occurrence of physical disability in leprosy cases. Methodology: This was a retrospective study of 2,358 cases of leprosy in Aracaju, northeast Brazil, between 2001 and 2011. Analysis was done using the Chi-square test and logistic regression model. Results: Significant factors associated with disability were found to be male gender, having more than two affected nerves, multibacillary leprosy classification, leprosy reaction, and lepromatous leprosy. The multivariate analysis revealed that the associated factors included having more than two affected nerves, leprosy reaction (adjusted odds ratio [aOR]: 2.02, 95% confidence interval [CI]: 1.36 to 3.01), the multibacillary form (aOR: 2.74, 95% CI: 1.84 to 4.08), and lepromatous leprosy (aOR: 4.87, 95% CI: 2.86 to 16.08). Conclusions: The number of affected nerves, leprosy reaction, operational classification, and clinical presentation were identified as the main factors associated with the development of disability in leprosy patients.

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