Three-dimensional pattern of inflammatory periapical lesion extension in the premolar’s region: an application of K-means clustering

Author(s):  
Maryam Kazemipoor ◽  
Fatemeh Valizadeh ◽  
Sara Jambarsang

Background: Cone-beam computed tomography (CBCT) provides better diagnosis of endodontic lesions. Introduction: The present study would assess the pattern of periapical lesion extension in premolar teeth using CBCT. Method: In this descriptive study‚ 330 roots in the regions of maxillary and mandibular premolars have been evaluated. Maximum periapical lesion extensions in the three orthogonal planes (axial, coronal and sagittal) were measured and recorded in millimeters. Measurements were compared based on gender‚ dental arch, tooth type and root. Statistical analysis was performed using repeated measure ANOVA, Bonferroni, Chi-square tests and clustering data analysis (K-means method). The significant level was set at 0.05. Result: There were significant differences between the lesion expansions in the three dimensional planes (p-value<0.001). The highest average of lesion extension in the premolar regions of the examined population was reported in the vertical dimension (4.1± 1.3), followed by horizontal buccolingual dimension (3.4±1.1) and horizontal mesiodistal dimension (3.1±1.0) respectively. According to independent variables, in the premolar region only tooth roots showed significant differences in the lesion extension (p-value=0.002). Clustering data analysis showed that the majority of the participants categorized in a cluster with lower lesion extension. Based on clustering data analysis, the small lesions were significantly observed in the first premolar and buccal roots. Conclusion: Since the periapical lesion extension in the buccolingual dimension, which could not be detected in the 2-D imaging techniques, was rather high in the region of premolar teeth, CBCT -as a 3-D imaging technique- is a suitable option for the precise evaluation of periapical lesion extension. Also, the majority of the lesions in this tooth area are small and located in the buccal roots.

2019 ◽  
Vol 4 (2) ◽  
pp. 293
Author(s):  
Herdianti Herdianti ◽  
Tatik Maryana

<p><em><em>Background: In Batik Mawar, almost all work is done manually using the hands and upper arms on a continuous basis combined with the rigor of work and the use of traditional tools. The work has a heavy workload because all the work process is done by the same craftsman causing fatigue besides that the worker also have double role. The purpose of this study is to determine the relationship between workload and dual role with feelings of fatigue on craftsmen batik roses.Method: This research is Quantitative research with Cross Sectional research design. The population in this study are all artisans in Batik Mawar. Sampling in this study using total sampling technique with the number of research samples as many as 40 respondents. Data analysis used by Univariat and Bivariat.Result: Result of data analysis using Chi-Square test for work load got value p-Value = 0,001. The result of data analysis using Chi-square test for double role got p-value = 0,031. Thus it is concluded that there is a meaningful relationship between workload and dual role with feeling tired. We recommend that craftsmen wash clothes 2 times a day, cook ready meals, other than together in completing the work at home</em></em></p><p><em><br /></em></p><p><em>Di Batik Mawar, hampir semua pekerjaan dikerjakan secara manual menggunakan tangan dan lengan atas secara berkesinambungan yang dikombinasi dengan ketelitian kerja dan penggunaan alat-alat tradisional. Pekerjaan mempunyai beban kerja yang berat dikarenakan semua proses kerja dilakukan oleh pengrajin yang sama sehingga menimbulkan kelelahan</em><em> disamping itu pekerjanya juga memiliki peran ganda</em><em>.</em><em> Tujuan penelitian ini adalah untuk mengetahui hubungan beban kerja dan peran ganda dengan perasaan lelah pada pengrajin batik mawar.Metode: </em><em>Penelitian ini merupakan penelitian Kuantitatif dengan desain penelitian Cross Sectional. Populasi dalam penelitian ini adalah semua pengrajin di Batik Mawar. Pengambilan sampel pada penelitian ini menggunakan teknik total sampling dengan jumlah sampel penelitian sebanyak 40 responden. Analisis data yang digunakan Univariat dan Bivariat.</em><em>Hasil: </em><em>Hasil analisis data yang menggunakan uji Chi-Square untuk beban kerja didapatkan nilai p-Value = 0,001. Hasil analisis data yang menggunakan uji Chi-square untuk peran ganda didapatkan nilai p-value= 0,031. Dengan demikian  disimpulkan bahwa ada hubungan yang bermakna antara beban kerja dan peran ganda dengan perasaan lelah.Sebaiknya pengrajin mencuci pakaian 2 kali sehari, memasak makanan siap saji, selain itu dengan cara bersama-sama dalam menyelesaikan pekerjaan dirumah.</em><em></em></p><strong><em></em></strong>


2021 ◽  
Vol 11 (02) ◽  
pp. 54-59
Author(s):  
Syed Adeel Ahmed ◽  
Safia Anwar ◽  
Imtiaz ul Haq

Objective: To investigate the implication of quality of obturation and coronal restoration on periapical tissue in failed endodontically treated teeth. Study Design and Setting: This cross-sectional research was performed in the Operative Department of BUMDC on 187 patients reporting with root canal failure from March 2019 to August 2019. Methodology: Patients of both genders aged between 20-60 years were considered for this study. Single and multirooted teeth indicated for repeated endodontic treatment due to under filled, overfilled obturation, voids in obturation, absence and presence of coronal restoration were included. One operator carried out clinical examination of the teeth and periapical radiograph was taken for each patient by using E-Speed film and evaluated by the same operator using an illuminated viewer box. SPSS 17 for windows software was used for data entering and chi- square test was applied for statistical calculation of the outcomes. Results: Total n=187 endodontic treated failed teeth were evaluated, out of which 52.9% were of females and 47.1% to males. The number of obturations with acceptable length were 81(43.3%), with adequate density were 107 (57.2%) and with consistent taper were 116(62%). Periapical lesion was observed in 118(63.1%) cases. Quality of obturation significantly affects the periapical health. Cross tabulation showed a significant association (p-value <0.000) between inadequate coronal restoration and changes in periapical area. Conclusion: The successful prognosis of the root canal treatment relies on the good quality of obturation and adequate coronal filling.


2021 ◽  
Vol 5 (1) ◽  
pp. 77-88
Author(s):  
Anita Rezeki Carolina ◽  
Defi Efendi ◽  
Maria Dyah Kurniasari

Background: The coverage of immunization among children in Jambi City decreased during COVID-19 pandemic.Purpose: This study aims to identify the factors that might be associated with basic vaccination compliance among mothers in Jambi, Indonesia.Methods: This study uses a case control design in 5 Jambi City Regions in March-May 2021. The sample in this study is mothers who have children in age 9-24 months. The sampling that is used in this study is cluster sampling with total sample of 506 mothers. The data analysis used in this study is descriptive statistical analysis of univariate, bivariate using chi square test.Results: The results of data analysis showed that the variables related to compliance were perceptions of receiving immunization, attitudes, knowledge, husband's support with p value < 0.01, and distance traveled with p value < 0.05.Conclusion: Effort to improve compliance in the pediatric immunization Pandemic are needed to strengthen mother’s perception, knowledge, attitudes during COVID-19. Analysis with predictive models is highly recommended to determine the odd-ratios and adjusted odd-ratios between factors related to the complying for basic vaccination.  


2021 ◽  
Vol 1 (3) ◽  
pp. 198-203
Author(s):  
Muslim Kasim ◽  
Arti Febriyani Hutasuhut ◽  
Tan’im Arief ◽  
Farah Ulya Suryadana

ABSTRACT: RELATIONSHIP BETWEEN ALLERGIC RHINITIS AND ACUTE OTITIS MEDIA IN CHILDREN IN RSUD DR. H ABDUL MOELOEK  BANDAR LAMPUNG  Introduction: Background : Acute Otitis Media (AOM) is an inflammation that happen in the middle ear and is very common, especially in children. Children are susceptible to acute otitis media (AOM) due to the shorter and horizontal anatomy of the eustachian tube. Allergic Rhinitis is one of the risk factos that caused acute otitis media in children.Purpose : The purpose of this study was to determine the correlation between Allergic Rhinitis and Acute Otitis Media in ChildrenMethod: This study used an observational analytic research with cross sectional research design. The sample in this study was 59 patients diagnosed with acute otitis media at RSUD Dr. H. Abdul Moeloek in 2019-2020. The sampling technique used total sampling. Data analysis using Chi-Square testResult: The results of this study indicated that there was a relationship between allergic rhinitis and acute otitis media in children with p value = 0,047(<0,05) with an OR = 0,146 (95%CI 0,17-1,232). Conclusion: There is a relationship between Allergic Rhinitis and Acute Otitis Media in children at Dr. H Abdul Moeloek Bandar Lampung in 2019-2020 Keyword : Allergic Rhinitis, Acute Otitis Media, Children  INTISARI: HUBUNGAN RINITIS ALERGI DENGAN OTITIS MEDIA AKUT PADA ANAK DI RSUD DR. H ABDUL MOELOEK BANDAR LAMPUNG  Latar belakang: Otitis Media Akut (OMA) merupakan peradangan yang terjadi pada telinga bagian tengah dan sangat sering terjadi terutama pada anak-anak. Anak-anak rentan terkena Otitis Media Akut (OMA) dikarenakan bentuk anatomi tuba eustachius yang lebih pendek dan horizontal. Rinitis Alergi merupakan salah satu faktor risiko yang menyebabkan Otitis Media Akut pada anak.Tujuan: Tujuan penelitian ini adalah untuk mengetahui hubungan Rinitis Alergi dengan Otitis Media akut pada Anak.Metode: Penelitian analitik observasional dengan desain penelitian cross sectional. Sampel sebanyak 59 pasien dengan diagnosa otitis media akut anak di RSUD Dr. H. Abdul Moeloek tahun 2018. Teknik pengambilan sample menggunakan total sampling. Analisis data menggunakan uji Chi-SquareHasil : Hasil penelitian ini menunjukkan bahwa terdapat hubungan antara rinitis alergi dengan otitis media akut pada anak dengan p value = 0,047(<0,05) dengan nilai OR = 0,146 (95%CI 0,17-1,232).Kesimpulan : Terdapat hubungan antara Rinitis Alergi dengan Otitis Media Akut pada anak di RSUD Dr. H Abdul Moeloek Bandar Lampung tahun 2019-2020 Kata Kunci : Rinitis Alergi, Otitis Media Akut, Anak  


2019 ◽  
Vol 12 (4) ◽  
pp. 244-252
Author(s):  
Rian Maylina Sari ◽  
Muhammad Arifki Zainaro

LEADERSHIP STYLE, MOTIVATION IN EFFECTIVE PATIENT ROUNDING TECHNIQUESBackground : The Nursing round is the way for a nurses to discuss more about the problems and needs of patients and is a learning process for nurses it hopes of improving cognitive, affective, psychomotor and motivated bias. The results of the interview with the head of the Raden Mattaher General Hospital operating room in Jambi found that nursing rounds were very rare.Purpose: The study is to determine the relationship between nurse motivation and leadership style of nursing rounds in the Surgical Inpatient Room of Raden Mattaher Hospital in Jambi City.Methods: The research was used a quantitative research with cross sectional approach. This study was conducted in the Surgical hospitalization rooms. The population of this study were all of nurses who worked in the Surgical Inpatient Room of Raden Mattaher Hospital in Jambi which totaling 38 nurses. The samples were taken in total sampling thenique. The data collection did by filling out a questionnaire. The data analysis used univariate and bivariate by using chi square test.Results: The results of this study indicated that of 38 respondents, 55.3% had low motivation, 71.1% with good leadership style and 57.9% who did a nursing round. There is no relationship between nurses' motivation for the nursing round with p value 0.122> 0.05. There is a relationship of leadership style to the nursing round because the p value is 0.002 <0.05.Conclusion: The results of this study indicate that the leadership style influences the nursing round.Latar Belakang: Ronde keperawatan merupakan media bagi perawat untuk membahas lebih dalam masalah dan kebutuhan pasien serta merupakan suatu proses belajar bagi perawat dengan harapan dapat meningkatkan kemampuan kognitif, afektif, psikomotor dan bisa termotivasi. Hasil wawancara kepada kepala ruangan bedah RSUD Raden Mattaher Jambi diketahui ronde keperawatan sangat jarang sekali dilakukan.Tujuan: Penelitian ini untuk mengetahui hubungan motivasi perawat dan gaya kepemimpinan terhadap ronde keperawatan diruang rawat inap bedah RSUD Raden Mattaher Jambi.Metode: Penelitian ini adalah penelitian kuantiatif dengan pendekatan cross sectional. Penelitian ini dilakukan diruang rawat inap bedah, dengan populasi penelitian seluruh perawat pelaksana yang berkerja diruang rawat inap bedah RSUD Raden Mattaher Jambi yang berjumlah 38 perawat. Sample diambil secara total sampling. Pengumpulan data dengan menggunakan pengisian kuesioner, analisis yang digunakan adalah univariat dan bivariat dengan menggunakan uji chi square.Hasil: Hasil penelitian ini menunjukkan bahwa dari 38 responden, 55,3% memiliki motivasi rendah, 71,1% dengan gaya kepemimpinan baik dan 57,9% yang melakukan ronde keperawatan. Tidak terdapat hubungan motivasi perawat terhadap ronde keperawatan dengan p value 0,002 > 0,05. Terdapat hubungan gaya kepemimpinan terhadap ronde keperawatan karena nilai p value 0,002<0,05.Kesimpulan : Hasil penelitian ini menunjukkan bahwa gaya kepemimpinan mempengaruhi ronde keperawatan. 


2015 ◽  
Vol 10 (2) ◽  
pp. 67 ◽  
Author(s):  
Atikah Rahayu ◽  
Fahrini Yulidasari ◽  
Andini Octaviana Putri ◽  
Fauzie Rahman

AbstrakKabupaten Hulu Sungai Utara masih dihadapkan dengan permasalahan gizi pada anak bawah dua tahun (baduta). Salah satu masalah gizi hinggasaat ini adalah stunting. Anak dengan riwayat berat badan lahir rendah (BBLR) merupakan salah satu faktor yang potensial memengaruhi pertumbuhan anak. Penelitian ini bertujuan untuk mengkaji risiko riwayat berat badan lahir dengan kejadian stunting pada anak baduta. Desain penelitian adalah potong lintang. Populasi penelitian ini merupakan ibu-ibu yang memiliki anak baduta dan besar sampel sejumlah 117 terdiri dari anak baduta. Pelaksanaan penelitian dilakukan selama tiga bulan pada bulan September – November 2014. Kategori BBLR jika riwayat berat badan lahir < 2.500 gram. Analisis data bivariat menggunakan uji kai kuadrat dan data multivariat menggunakan uji regresi logistik. Hasil analisis bivariat menunjukkan bahwa terdapat hubungan yang signifikan antara riwayat status BBLR (nilai p = 0,015) dengan stunting pada anak baduta. Berdasarkan hasil analisis multivariat, diperoleh bahwa BBLR merupakan faktor risiko yang paling dominan berhubungan dengan kejadian stunting. Anak dengan BBLR memiliki risiko 5,87 kali untuk mengalami stunting. Riwayat BBLR memiliki peranan penting dalam kejadian stunting anak baduta di wilayah Puskesmas Sungai Karias, Hulu Sungai Utara.AbstractNorth Hulu Sungai District is still facing nutrition problems among childrenunder two years old. One of nutrition problems up to now is stunting. Childwith low birthweight (LBW) record is one of potential factors influencing thegrowth of a child. This study aimed to assess any risk of LBW records withstunting incidence among children under two years old. This study usedcross-sectional design. The population was mothers having children under two years old and samples amounted to 117 consisted of children under two years old. This study was conducted within three months on September – November 2014. Category of LBW was if birth weight records < 2,500 gram. Bivariate data analysis used chi-square test and multivariate data analysis used logistic regression test. The result of bivariate analysis showed a significant relation between LBW status records (p value = 0.015) with stunting incidence among children under two years old. Based on the result of multivariate analysis, LBW was the most dominating risk factor related to stunting incidence. Children with LBW had 5.87 times risk of suffering from stunting. LBW records take an important role in stunting incidence among children under two years old around Sungai Karias Primary Health Care area in North Hulu Sungai.


2020 ◽  
Vol 14 (1) ◽  
pp. 30
Author(s):  
Gurdani Yogisutanti ◽  
Dhony Firmansyah ◽  
Suyono Suyono

Background: Fatigue is a workplace accident that decreased efficiency and endurance at work. This study aims to determine the factors that influence work fatigue in tofu production workers at the Galih Dabeda Silk Tofu Factory Kampung Cibuntu Bandung. Method: The research was cross sectional design and sample in the form of total sampling with a total of 80 employees. Data collection is done through interviews and direct measurements. Data analysis was performed univariately and bivariately with chi square test and the magnitude of the relationship (OR). Results: Factors related to work fatigue are noise (p-value 0,0001) and lighting (p-value 0,0001), but heat stress (p-value 0.532; OR 1.045 95%; 0.987- 1,112) did not correlate with fatigue. Conclusion: The conclusion that can be drawn from this study is the noise and lighting associated with the occurrence of work fatigue in employees in the factory know, while the heat pressure is not proven to be associated with work fatigue. Suggestions that can be recommended are to provide alternating hours of rest for 30-60 minutes to employees, use personal protective equipment as needed and drink water at least 8-10 glasses a day or 160 - 200 ml of water in one day according to their respective needs the worker.


2020 ◽  
Vol 4 (1) ◽  
pp. 25-33
Author(s):  
Eva Santi Hutasoit

ABSTRACT : Obesity is a state of imbalance between incoming energy and energy coming out for a long time. This excess energy will be stored in the form of fat and fat tissue so that it can result in weight gain. Obesity can be prevented by frequent physical activity by exercising regularly, consuming foods that are low in fat and healthy, maintaining weight in a healthy way. The purpose of this study was to determine the relationship of factors that influence obesity in Fertile Age Women in Payung Sekaki Health Center, Pekanbaru City. This type of research is quantitative with correlational analytic research designs with cross sectional techniques. This research was conducted on October 15 - November 15, 2019. The number of samples was 100 people with a purposive sampling technique. Data collection on knowledge, attitudes and exercise using a questionnaire, fiber intake with FFQ Semi Quantitative interviews. Data analysis was performed with univariate and bivariate data analysis with chi-square test. The results obtained by the incidence of obesity in WUS as much as 60%. Analysis of bivariate data with 95% CI level obtained by factors related to obesity is knowledge factor P value = 0.037 OR 0.405 (0.172 - 0.957, Attitude P value = 0,000, Sports 0.012 OR 3.523 (1,280 - 9,690) .Inrelated factors are intake fiber P value = 0.412. Therefore, prevention and response efforts need to be done by increasing public knowledge and awareness about eating patterns, limiting energy intake in accordance with daily energy needs.


2017 ◽  
Vol 4 (2) ◽  
pp. 141-144
Author(s):  
Dian Ika Puspitasari ◽  
Mujib Hannan ◽  
Su'udiyah Su'udiyah

Abstract: Stroke is a disturbance of acute nerve function caused by blood circulatory disorders to the brain. The impact that often occurs in stroke patients is constipation due to disease complications, drugs and minimum mobilization. Aim of this study to analyze the effect of early mobilization sim right-left to constipation in patients with stroke infarction in ICU Room RSUD dr. H. Mohammad Anwar Sumenep. The design of this research is quasi experiment with non-equivalent control group design. Population in this study were stroke infarct patients treated in ICU Room RSUD dr. H. Moh. Anwar Sumenep in August - September 2016 period as many 20 people, with a sample size of 10 people control group, and 10 treatment groups. Research instruments are Standard Operational Procedure (SOP) of mobilization, checklist and observation sheet. Data analysis using Chi square test with α (0,05). Results of the control group during pre test showed that all respondents (100%) did not defecate and at the time of post test it was found that almost all (80%) of respondents experienced defecation. While the results in the treatment group during pre test found that all respondents (100%) did not defecate and at the time of post test most (70%) of  respondents experienced defecation. The result of data analysis shows that p value = 0,025 with α = 0,05 so that p value <α meaning there is influence of left right SIM mobilization to constipation in patient of stroke infark in ICU Room RSUD dr. H. Moh. Anwar Sumenep. Right-left sim position is an independent nursing action that can reduce constipation in stroke patients unable to mobilize due to bed rest.


2018 ◽  
Vol 5 (1) ◽  
pp. 23-33
Author(s):  
Ni Kadek Wulandari ◽  
Ni Komang Ayu Resiyanthi ◽  
Putu Widiastuti

Pendahuluan: Masa remaja merupakan salah satu periode dari perkembangan manusia. Masa ini merupakan masa perubahan atau peralihan dari masa kanak-kanak menuju masa dewasa yang meliputi perubahan biologis, perubahan psikologis, dan perubahan sosial. Adapun permasalahan yang sering dialami pada masa ini adalah perilaku sosiopatik. Penyebab yaitu dapat disebabkan oleh kemajuan teknologi, informasi, lingkungan, keluarga dan salah satunya pola asuh orang tua mempengaruhi perilaku sosiopatik. Metode: Metode yang digunakan dalam penelitian ini adalah deskriptif korelasi dengan pendekatan cross sectional. Jumlah sampel pada penelitian ini sebanyak 184 responden dengan  teknik simple random sampling. Hasil: Hasil penelitian menunjukkan p value = 0,000< α = 0,05 yang berarti ada hubungan pola asuh orang tua dengan perilaku sosiopatik pada remaja kelas VIII di SMP PGRI 3 Denpasar. Analisis: Teknik analisa data yang dipergunakan adalah uji Chi-square. Diskusi: Saran bagi orang tua agar memberikan pola asuh yang tepat bagi remaja.   Kata kunci: pola asuh, perilaku sosiopatik, remaja   ABSTRACT Introduction: Adolescence is a period of human development. This period is a period of change or transition from childhood into adulthood that include biological changes, psychological changes, and social change. As for problems that are often experienced during this period is sosiopatik behavior. Causes that can be caused by advances in technology, information, environment, family, and one of them parenting parents influence the behavior sosiopatik. Method: The method used in this research is descriptive correlation with cross sectional.Number of samples in this study were 184 respondents withtechnique. simple random sampling. Result: The results showed p value = 0.000 <α = 0.05, which means that there is a relationship with the parents' parenting behaviors in adolescents sosiopatik class VIII in SMP PGRI 3 Denpasar. Analysis: Data analysis technique used is thetest. Chi-square. Discussion: Suggestions for parents to provide appropriate parenting for teenagers.   Keywords: parenting, sosiopatik behavior, adolescent


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