Skull and Face Injuries and Associated Factors in Pedestrian Victims of Traffic Accidents: A Single Trauma Center Analysis

2020 ◽  
Vol 2 (1) ◽  
pp. 53-59
Author(s):  
Josimara A. de Araújo Varela ◽  
Tatiana F.T. Palitot ◽  
Smyrna L.X. de Souza ◽  
Alidianne F.C. Cavalcanti ◽  
Alessandro L. Cavalcanti

Objective: This study aimed to analyze the presence of lesions in the skull and face and the associated factors in pedestrian victims of traffic accidents. Methods: A cross-sectional, descriptive-analytical study carried out through the analysis of medical records of pedestrian victims of traffic accidents in an emergency service in the city of Campina Grande, Brazil, during the year of 2016. Information was collected regarding gender, age group, day of the week, time of the accident, type of vehicle involved, presence of trauma to the skull and face, and outcomes. The Chi-square and Fisher's Exact tests were used, with a significance level of 5%. Results: A total of 1,884 medical records were evaluated, out of which 7.1% (n = 133) involved pedestrians. Men were the most frequent victims (68.4%), and victims of age 60 years old or over (30.5%) predominated. Almost one-third of the cases were recorded during the weekends (30.5%), and the most prevalent time was at night (52.7%). Regarding the type of vehicle involved, motorcycles predominated (47.4%). Head trauma was present in 37.6% of victims, while facial injuries corresponded to 8.2%. In 12% of cases, the victims died. The variables of gender, age group, occurrence on weekends, and trauma to the face showed a statistically significant association with the occurrence of traffic accidents (Chi-square test; p<0.05). Conclusion: Among pedestrian victims of traffic accidents, there is a predominance of men aged 65 years or over. Accidents are frequent at night, and motorcycles are the main vehicles involved. The presence of trauma to the skull and face regions is high.

2022 ◽  
Vol 82 ◽  
Author(s):  
K. M. da Silva ◽  
J. R. da S. Ferreira ◽  
A. de P. M. de Carvalho Neto ◽  
D. C. de S. Gomes ◽  
M. G. dos S. Cavalcanti ◽  
...  

Abstract Viral hepatitis are widely spread infectious diseases caused by a variety of etiological agents that displays liver tropism as a common characteristic. A descriptive, cross-sectional, observational and retrospective study was conducted through the analysis of viral hepatitis medical records treated and diagnosed from 2010 to 2015. The relationship between the variables were made through the chi-square test. 632 viral hepatitis medical records were analyzed. The highest number of cases happened in 2011. Hepatitis A virus (HAV) infection was predominant. The most affected age group was < 20 years and the highest number of cases observed in this age group was related to HAV (p<0.001). The acute clinical form was predominant, with 70.2% of the cases. 92.3% of which corresponded to HAV infection (p<0.001). Most of the cases occurred in the brown race and male gender. Moreover, regarding the probable source/mechanism of infection, the contact with suspicious water/food for hepatitis A cases was highlighted. The sexual form predominated in HBV infection and previous history of blood transfusion in cases of hepatitis C. Most cases were spotted in the mesoregion of Eastern Alagoas, especially in the capital Maceió. It must be observed the importance of knowing the profile of this disease in order to understand its dissemination and thus have subsidies for the creation of actions and strategies to combat the infection.


Author(s):  
Nayanne Deusdará Escobar ◽  
Adevan Bofim Costa Junior ◽  
Andreisa Prieb ◽  
Ana Claúdia Sariava Rocha ◽  
Nathalia Freire Gilo ◽  
...  

Visceral leishmaniasis (VL) is an endemic disease in the region of Gurupi, with higher prevalence in the pediatric age group, aggravated by the high morbidity and low prophylaxis and prevention strategies of this anthropozoonosis. Objective: To characterize the data reported in the municipality of Gurupi - TO in the years 2013 to 2020 and to outline the epidemiological profile of the disease by determining the risk factors for high prevalence of the disease in this locality. Methods: This is a cross-sectional descriptive epidemiological research, retrospective and documental based, extracted from the database of SINAN (Notifiable Diseases Information System) of Gurupi in the interval between 2013 and 2020. Evaluative questionnaires were applied to all patients notified and found, analyzing the variables described in the study and subsequent statistical application of the chi-square test. Results: In the city of Gurupi, the most affected age group was between 2 and 9 years (37.29%); the most affected gender was male (66.10%); the year of highest prevalence was the year 2017 a total of 37.28% of cases in the analyzed period; and the location of highest prevalence in the municipality were the neighborhoods farthest from the city center.  As for the probable sites for contamination, most people point to their own home as a source of contamination. Conclusion: The epidemiological cut shows the prevalence of VL in the city of Gurupi and highlights the need for preventive intervention protocols for the prevention of the disease in endemic areas to decrease morbidity and mortality and control the number of cases.


2018 ◽  
Vol 31 (3) ◽  
pp. 311-323
Author(s):  
Tiago Rodrigues de LIMA ◽  
Carla ZANELATTO ◽  
João Luiz BASTOS ◽  
Francisco de Assis Guedes de VASCONCELOS ◽  
Diego Augusto Santos SILVA

ABSTRACT Objective This study estimated the combined prevalence of insufficient number of hours of sleep per day and excess body adiposity among young students. The sociodemographic and behavioral characteristics associated with this concurrent health conditions were investigated. Methods This is a cross-sectional school-based study of 975 participants aged 11-14 years in Florianópolis, Santa Catarina state, Brazil. Body adiposity was assessed based on tricipital and subscapular skinfold measurements and classified according to Lohman. The total number of hours of sleep per day was reported by the students’ parents/guardians, and it was classified as follows: as <8 hours per day and ≥8 hours per day. Data on sociodemographic characteristics, food consumption, and physical activity were collected using a self-administered questionnaire. The chi-square test and multinomial logistic regression with a 5% significance level were used to evaluate the association between the variables. Results The combined prevalence of insufficient number of hours of sleep per day and excess body adiposity was 25.1% (CI95%:20.7-29.9). The sociodemographic and behavioral factors predictive of these conditions were as follows: 13-14 year age group and household monthly income in the intermediate tertile. Conclusion The concurrent presence of insufficient sleep and excess body adiposity was found in a little more than a quarter of the students investigated. The population subgroups belonging to the 13-14 year age group and intermediate tertile of income were more likely to have concurrent insufficient number of hours of sleep per day and excess body adiposity.


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.


Author(s):  
Y. Widyastuti Y. Widyastuti

  ABSTRACT [In advanced countries the number of permanent contraception option ( kontap ) approximately 10 % of all national family planning methods , while in Indonesia reached approximately 5.7 % . Based on data obtained from medical records Bhayangkara Hospital Palembang in 2010 the number of achievement when seen from the percentage of contraceptive use is only 9.10 % The purpose of this study is known age and parity relationship with the selection of contraceptive methods Surgery Women ( MOW ) in Palembang RS.Bhayangkara obstetrics clinic in 2012 . This study uses the analytic survey with cross sectional approach . The population in this study were women who become new acceptors were recorded in medical records at the hospital . Palembang Bhayangkara Hospitals January 1, 2012 to December 31 in 2012 . The sample in this study is part of a whole number of new acceptors ( either using contraception methods MOW and other family planning methods ) were registered in the hospital . Palembang Police Hospitals of January 1, 2012 to December 31 years of data 2012.Analisa univariate and bivariate statistical Chi - Square test with significance level α = 0.05 . The results showed there were 80 respondents ( 46.3 % ) who became MOW contraceptive acceptors , acceptors who have old age by 45 respondents ( 56.3 % ) and who has a young age by 35 respondents ( 43.8 % ) . acceptors which have high parity were 44 respondents ( 55 % ) who had low parity and a total of 36 respondents ( 45 % ) . From the results of Chi-square test value obtained ρ = 0.00 is smaller than α = 0.05 . There is a significant correlation between age and the selection of MOW Chi square test results obtained ρ value = 0.00 and there was a significant association between parity with the election MOW Chi square test results obtained ρ value = 0 , . From these results , it is expected to power health, especially family planning services at the hospital . Palembang Police Hospitals in order to improve the quality of family planning services in an effective, efficient , and safe are considered particularly suitable for users of contraception OperatingMethodWomen(MOW).                                      ABSTRAK Di negara sudah maju jumlah pilihan kontrasepsi mantap (kontap) sekitar 10% dari semua metode KB nasional, sedangkan di Indonesia baru mencapai sekitar 5,7 %. Berdasarkan data yang diperoleh dari Rekam medik  Rumah Sakit Bhayangkara Palembang tahun 2010 Jumlah pencapain tersebut jika dilihat dari persentasi penggunaan kontrasepsi MOW hanya  9,10% Tujuan penelitian ini adalah diketahuinya hubungan umur dan paritas dengan pemilihan alat kontrasepsi Metode Operasi Wanita (MOW) di poliklinik kebidanan RS.Bhayangkara Palembang Tahun 2012. Penelitian ini menggunakan metode survey analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah wanita yang menjadi akseptor KB Baru yang tercatat di rekam medik  di RS. Bhayangkara Palembang tanggal 1 januari 2012 sampai dengan 31 Desember  tahun 2012. Sampel dalam penelitian ini adalah sebagian dari seluruh jumlah akseptor KB Baru (baik yang menggunakan alat kontrasepsi Metode MOW maupun Metode KB lain) yang teregister di RS. Bhayangkara Palembang dari tanggal 1 januari 2012 sampai dengan 31 Desember  tahun 2012.Analisa data dilakukan secara univariat dan bivariat dengan uji statistik Chi-Square dengan tingkat kemaknaan α = 0,05. Hasil penelitian menunjukkan dari 80 responden terdapat (46,3%) yang menjadi akseptor kontrasepsi MOW, akseptor yang memiliki umur tua sebanyak 45 responden (56,3%) dan yang memiliki  umur muda sebanyak 35 responden (43,8%). akseptor yang memiliki paritas tinggi sebanyak 44 responden  (55%) dan yang memiliki  paritas rendah sebanyak 36 responden (45%). Dari hasil uji Chi square didapatkan ρ value = 0,00 lebih kecil dari α = 0,05. Ada hubungan yang bermakna antara umur dengan pemilihan MOW dari hasil uji Chi square didapatkan ρ value = 0,00 dan ada hubungan yang bermakna antara paritas dengan pemilihan MOW hasil uji Chi square didapatkan ρ value = 0,.Dari hasil penelitian ini, diharapkan kepada tenaga kesehatan khususnya pelayanan KB  di RS. Bhayangkara Palembang  agar dapat meningkatkan kualitas pelayanan KB secara efektif, efisien, dan aman yang dianggap cocok bagi penggunanya khususnya mengenai kontrasepsi Metode Operasi Wanita (MOW).    


e-NERS ◽  
2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Fransisca M.A. Wowiling ◽  
Benny Wantouw ◽  
Julia Rottie

Abstract: Early Initiation of Breastfeeding is the baby starts to suckle his own soon after birth, as long as the skin is left in contact with his mother, at least 1 hour after birth. How to initiate early breastfeeding baby was named after the breast crawl or crawl seek his own breast. This study aims to gain an overview of the relationship between knowledge and attitude of mothers VK (maternity) Prof Dr Irina D BLU. R.D. Kandou Manado. Design of this study used cross sectional method where the entire population is a normal post partum mothers in space VK (Maternity) Prof Dr Irina D BLU. R.D. Kandou Manado with a sample size of 30 responden. Data responde collected using questionnaires and observation sheets then the data presented preformance cross tabulation tables and chi square test with a significance level of 0.05. Based on the results of the study showed that of the chi square test results obtained ρ value ​> 0.05. It states that there is no correlation between knowledge and attitude with the implementation of early breastfeeding initiation (IMD) in mothers post partum in space VK (maternity) Prof. Dr Irina D BLU R.D. Kandou Manado. Keywords: Knowledge and Attitude Post Partum Mom, Implementation of Early Initiation of Breastfeeding (IMD).     Abstrak: Inisiasi Menyusu Dini adalah bayi mulai menyusu sendiri segera setelah lahir, asalkan dibiarkan kontak dengan kulit ibunya, setidaknya 1 jam setelah lahir. Cara bayi melakukan inisiasi menyusu dini ini dinamakan the breast crawl atau merangkak mencari payudara sendiri. Penelitian ini bertujuan memperoleh gambaran mengenai hubungan pengetahuan dan sikap ibu post partum dengan pelaksanaan inisiasi menyusu dini (IMD) di Ruang VK (bersalin) Irina D BLU RSUP Prof. R.D. Kandou Manado. Desain penelitian ini menggunakan metode cross sectional dimana populasinya adalah keseluruhan ibu post partum secara normal di Ruang VK (Bersalin) Irina D BLU RSUP Prof. R.D. Kandou Manado dengan besar sampel 30 responden.Data dikumpulkan dari responde dengan menggunakan lembar kuisioner dan observasi kemudian data disajikan dalm tabel tabulasi silang dan uji chi square dengan derajat kemaknaan 0,05. Berdasarkan hasil penelitian menunjukkan bahwa dari hasil uji chi square didapatkan nilai ρ > 0,05. Ini menyatakan bahwa tidak ada hubungan pengetahuan dan sikap dengan pelaksanaan inisiasi menyusu dini (IMD) pada ibu post partum di Ruang VK (bersalin) Irina D BLU RSUP Prof.Dr. R.D. Kandou Manado. Kata kunci: PengetahuandanSikapIbuPost Partum, Pelaksanaan Inisiasi Menyusu Dini (IMD).


2021 ◽  
Vol 3 (2) ◽  
pp. 92-101
Author(s):  
Adi Zayd Bintang ◽  
Ayik Mirayanti Mandagi

ABSTRACTDepression is a mental health problem that mostly occurs during adolescence. Physical, cognitive and emotional changes experienced during adolescence can cause stress. The prevalence of depression in adolescence has a very high increase compared to the age of children and adults. The main factor in being able to cure depression in adolescents is social support (Depkes, 2007). This study aims to identify depressive symptoms in adolescents and to find out the relationship between social support factors and depression incidence. This research is a quantitative research, with the type of observational analytic research with a cross sectional approach involving students at SMA XY in Jember Regency in May 2020. The analytical method uses the Chi Square test to see the relationship between independent and dependent variables with a significance level of α ≤ 0, 05. Data collection tool using google form. Determination of respondents by random sampling with a total of 158 respondents. The results of this study indicate that the distribution of women is 76.58% more than that of men. Based on the distribution of social support, 56.96% received good social support, while based on the incidence of depression, 54.43% did not experience depression. From the statistical test, the significance value of <0.05 indicates that there is a relationship between social support factors and the incidence of depression. Social support plays an effective role in overcoming depression experienced by adolescents.Keywords: Depression, Teens, social support. ABSTRAKDepresi merupakan salah satu masalah kesehatan mental yang sebagian besar terjadi pada masa remaja. Perubahan fisik, kognitif dan emosional yang dialami pada masa remaja dapat menimbulkan stress. Prevalensi depresi pada usia remaja memiliki peningkatan yang sangat tinggi dibandingkan dengan usia anak-anak dan usia dewasa. Faktor utama untuk dapat menyembuhkan depresi pada remaja yaitu dukungan sosial (Depkes, 2007). Penelitian bertujuan untuk mengidentifikasi gejala depresi pada remaja dan mengetahui mengenai Hubungan Faktor Dukungan Sosial dengan Kejadian Depresi. Penelitian ini adalah penelitian kuantitatif, dengan jenis penelitian analitik observasional dengan pendekatan cross sectional yang melibatkan siswa di SMA XY di Kabupaten Jember pada Bulan Mei tahun 2020. Metode analisis menggunakan uji Chi Square untuk melihat hubungan variabel independen dan dependen dengan tingkat kemaknaan α ≤ 0,05. Alat pengumpulan data menggunakan google form. Penentuan responden secara random sampling dengan jumlah 158 reponden. Hasil penelitian ini menunjukan distribusi perempuan 76,58% lebih banyak daripada laki-laki, berdasarkan distribusi dukungan sosial sebesar 56,96% mendapatkan dukungan sosial yang baik, sedangkan berdasarkan kejadian depresi sebesar 54,43% tidak mengalami depresi. Dari uji statistik nilai signifikansi sebesar < 0,05 menunjukkan bahwa ada hubungan antara faktor dukungan sosial dengan kejadian depresi. Dukungan sosial berperan efektif dalam mengatasi depresi yang dialami remaja.Kata Kunci: Depresi, Remaja, Dukungan Sosial.


2017 ◽  
Vol 51 (suppl.2) ◽  
Author(s):  
Gisélia Santana Souza ◽  
Ediná Alves Costa ◽  
Rafael Damasceno de Barros ◽  
Marcelo Tavares Pereira ◽  
Joslene Lacerda Barreto ◽  
...  

OBJECTIVE: To characterize the current stage of the institutionalization of pharmaceutical services in Brazilian cities. METHODS: This study is part of the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines), a cross-sectional, exploratory, and evaluative study composed by an information survey in a representative sample of cities, stratified by Brazilian regions. We interviewed municipal secretaries of health, responsible for pharmaceutical services, and pharmacists responsible for the dispensing of medicines. The variables selected from the interviews were grouped into five dimensions that defined three stages of pharmaceutical services institutionalization: incipient (0%-34.0%), partial (35.0%-69.0%), and advanced (70.0%-100%), estimated based on the interviewees’ answers. Frequencies were estimated with 95% confidence intervals. For the statistical association analysis, the Chi-square test was applied, with significance level of p<0.05. RESULTS: Our results show a partial and heterogeneous process of institutionalization of pharmaceutical services in Brazil, and an advanced stage in formal structures, such as the municipal health plans and the existence of a standardized list of medicines. The analysed variables in the “organization, structure, and financing” dimension configured stages that range from partial to advanced. The management presented partial institutionalization, positively showing the existence of computerized system, but also disparate results regarding the autonomy in the management of financial resources. Indispensable items related to the structure expressed disparities between the regions, with statistically significant differences. CONCLUSION: The study showed a partial and heterogeneous process of institutionalization of pharmaceutical services in Brazilian cities, showing regional disparities. Variables related to the normative aspects of institutionalization were positively highlighted in all dimensions; however, it is necessary to conduct new studies to evaluate the institutionalization of pharmaceutical services’ finalistic activities


2021 ◽  
Vol 2 (3) ◽  
pp. 85-91
Author(s):  
Yuningsih

One of the contributors to maternal and infant mortality is the incidence of preeclampsia that occurs during pregnancy. The cause of preeclampsia is still unknown, but it is suspected that age and parity are one of the triggers for this occurrence. Women of childbearing age who are nulliparous with extreme age under the age of less than 20 years and women with the age of more than 35 years are most commonly found to have preeclampsia. The design in this study is analytic with a cross sectional approach. The population of all mothers giving birth in the delivery room of RSD Balung Jember was 3594 in 2019. The number of samples taken using non-random sampling by purposive sampling was finally obtained by 97 respondents. In this study, the independent variables were maternal age and parity, while the dependent variable was the incidence of preeclampsia. The instrument used is medical records. The data is processed by editing, coding, processing and cleaning processes. Data were analyzed using multiple logistic regression. The results of the chi-square test for the age variable obtained that the Pearson chi-square value was 0.019 and the p value = 0.000 <0.05 from these results Ho was rejected, and the parity variable the Pearson chi- square value was 0.019 and the p value = 0.000 <0.05 from these results Ho is rejected. In conclusion, there is a relationship between age and preeclampsia, and there is a relationship between parity and preeclampsia.


2018 ◽  
Vol 8 (1) ◽  
Author(s):  
Tri Aprillia Tauriska ◽  
Farida Umamah

The correlation between baby’s suck and breast milk production in breastfeeding mothers in RSI Jemursari Surabaya. The mothers feel reluctant to breastfeed their babies even though the exclusive breastfeeding has become a government’s propaganda. The pre-data taken from 15 breastfeeding mothers inform that 60% had a low breast milk production. Purpose of this study was to find out the correlation between baby’s suck and breast milk production in breastfeeding mothers in RSI Jemursari Surabaya.The design of study was analytic-observational done by applying cross sectional approach. The population involved all breastfeeding mothers as imumnunization visiting the hospital with their babies, totally 18 people, in which 17 respondents were taken by using probability sampling technique. The instrument used for collecting the data was a checklist. The variables used in this study were baby’s suck and breast milk production. The data were analyzed by using Chi-Square test with the significance level α = 0.05.The result of study showed that nearly all of the babies (94.1%) sucked correctly, whereas nearly all of the mothers (88.2%) had sufficient breast milk production. Moreover, the result of statistic test showed that p = 0.018 with the significance level α = 0.05 so that p < α. It also meant that H0 was rejected. The conclusion of study often the babies suck correctly, breast milk is produced. Hence, the breastfeeding mothers to still maintaining for breastfeed their baby with train them how to breastfeed correctly to increase breast milk production.


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