scholarly journals Sistem informasi geografis dalam pemetaan angka kematian ibu di Kabupaten Kebumen

2018 ◽  
pp. 7
Author(s):  
Ivan Tinarbudi Gavinov ◽  
Mutiara Nabilah

Maternal mortality rate (MMR) has become an important indicator of public health status. MMR describes the number of women who died from a cause of death related to a pregnancy disorder or their treatment (excluding accidents or incidental cases) during pregnancy, childbirth and in the puerperium (42 days after delivery) without taking into account the length of pregnancy per 100,000 live births. Maternal Mortality Cases in Kebumen District from 2012-2016 can be seen that there has been an increase in the last two years ie 2015 and 2016. The latest data of 2016 was recorded at 80.01 Per 100,000 Birth of Life (KH). As for the target RPJMD is 49 per 100,000 KH which means the number of achievements Kebumen still far from the expected target. Analysis of the distribution of existing cases is already in the form of mapping but only at the point of the kecamatan. This type of research used quantitative descriptive research with the design of a case-control study. The sample for this study is 32 respondents were 16 case respondents and 16 respondents control. Data analysis method with spatial analysis, univariate and bivariate analyzes with logistic regretion test with 95% confidence level. Univariate Analysis were 16 case respondents and 16 respondents control. Based on bivariate analysis indicated that independent variables were have relationship with dependent variable that is the distance of house to puskesmas (p = 0,000) and travel time to puskesmas (p = 0,000). Another factor that influences is the existing road conditions in Kebumen. After the research on respondents, it can be concluded that there is a significant relationship between the distance and travel time with the incidence of maternal mortality in Kebumen.

2021 ◽  
Vol 16 (3) ◽  
Author(s):  
Erika Gustira ◽  
Fathra Annis Nauli ◽  
Yufitriana Amir

<pre>Schizophrenia is a disease that affects the brain and causes strange, disturbing thoughts, perceptions, emotions, movements and behavior. Recurrence is a term that relatively reflects the worsening of symptoms or behaviors that endangers patients and or their environment. This study aims to analyse the characteristics of schizophrenia patients with recurrence at the Tampan Mental Hospital of Pekanbaru With quantitative descriptive research design. The research sample were 167 respondents taken based on inclusion criteria by using purposive sampling technique. The analysis method used is univariate analysis. The results showed clinical characteristics of 167 respondents, received the majority of the respondents lived with the family 85 respondents (50.9%). Medical diagnosis of most schizophrenia paranoid 121 respondents (72.5%). Diagnosed for 1-5 years 82 respondents (49.1). Based on the most recurrence factor caused by treatment 120 respondents (71.9%). Based on the most predisposition factor caused by genetic 74 respondents (44.3%). while the precipitation factors resulting from family and socioeconomic 51 respondents (30.5%). Based on the results of this study can be concluded that the recurrence in schizophrenia patients is caused by a variety of conditions, so that it takes appropriate treatment and according to the characteristics Patients.</pre>


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Mintao Lin ◽  
Jiani Chen ◽  
Sisi Li ◽  
Yingjie Qin ◽  
Xuruan Wang ◽  
...  

AbstractPeople with epilepsy (PWE) have an increased suicide prevalence. This study aimed to identify the risk factors for suicidal tendency among PWE in West China. A nested case–control study was designed in a cohort of patients with epilepsy (n = 2087). In total, 28 variates were calculated. In the univariate analysis, unemployment, low income, seizure frequency, seizure-free time, infectious or structural etiology, levetiracetam or phenobarbital use, anxiety, depression, and stigma were associated with suicidal tendency. A multivariate analysis indicated that unemployment (odds ratio [OR] 5.74, 95% confidence interval [CI] 2.13–15.48), levetiracetam use (OR 2.80, 95%CI 1.11–7.05), depression (C-NDDI-E score ≥ 13; OR 3.21, 95%CI 1.26–8.21), and stigma (SSCI score ≥ 16; OR 6.67, 95%CI 1.80–24.69) were independently associated with suicidal tendency. Conditional inference tree analysis indicated that SSCI and C-NDDI-E scores could effectively identify patients with suicidal tendency. Thus, this study suggests that unemployment, levetiracetam use, depression, and stigma are independent risk factors for suicidal tendency in PWE in China.


2017 ◽  
Vol 33 (7) ◽  
pp. 317
Author(s):  
Dwi Andayani ◽  
Ova Emilia ◽  
Djauhar Ismail

Purpose This study aimed to determine the effect of the implementation of the antenatal class toward exclusive breastfeeding.Methods The research was a case-control study with a quantitative approach. This research was also supported by a qualitative approach which aimed to complement and reinforce the results obtained from the quantitative data. Sample cases were 135 exclusive breastfeeding infants aged 6-12 months, and the control sample were 135 not exclusive breastfeeding infants aged 6-12 month. Data analysis used the McNemar and conditional logistic regression tests with significance level of p = <0.05 and 95% confidence interval.Results Bivariate analysis showed that antenatal class affected exclusive breastfeeding p = 0.026 and OR = 1.80 (95% CI: 1.03 to 3.24). In the results of multivariate analysis after controlling by including support of her husband and the ANC p = 0.03 and OR = 1.86 (95% CI: 1.05 to 3.30). Mothers who attended antenatal class have exclusive breastfeeding rate 1.86 times higher compared to mothers who did not attend the antenatal class.Conclusion The antenatal class can directly affect exclusive breastfeeding, in spite of controlling the support of her husband and the ANC.


2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S109-S110
Author(s):  
Charles Hoffmann ◽  
Gordon Watkins ◽  
Patrick DeSimone ◽  
Peter Hallisey ◽  
David Hutchinson ◽  
...  

Abstract Background Staphylococcus aureus bacteremia (SAB) is associated with 30-day all-cause mortality rates approaching 20–30%. The purpose of this case–control study was to evaluate risk factors for 30-day mortality in patients with SAB at a community hospital. Methods As part of an antimicrobial stewardship program (ASP) initiative mandating Infectious Diseases consultation for episodes of SAB, our ASP prospectively monitored all cases of SAB at a 341-bed community hospital in Jefferson Hills, PA from April 2017–February 2019. Cases included patients with 30-day mortality from the initial positive blood culture. Only the first episode of SAB was included; patients were excluded if a treatment plan was not established (e.g., left against medical advice). Patient demographics, comorbidities, laboratory results, and clinical management of SAB were evaluated. Inferential statistics were used to analyze risk factors associated with 30-day mortality. Results 100 patients with SAB were included; 18 (18%) experienced 30-day mortality. Cases were older (median age 76.5 vs. 64 years, P < 0.001), more likely to be located in the intensive care unit (ICU) at time of ASP review (55.6% vs. 30.5%, P = 0.043), and less likely to have initial blood cultures obtained in the emergency department (ED) (38.9% vs. 80.5%, P < 0.001). Variables associated with significantly higher odds for 30-day mortality in univariate analysis: older age, location in ICU at time of ASP review, initial blood cultures obtained at a location other than the ED, and total Charlson Comorbidity Index (CCI). Variables with P < 0.2 on univariate analysis were analyzed via multivariate logistic regression (Table 1). Conclusion Results show that bacteremia due to MRSA and total CCI were not significantly associated with 30-day mortality in SAB, whereas older age was identified as a risk factor. Patients with initial blood cultures obtained at a location other than the ED were at increased odds for 30-day mortality on univariate analysis, which may raise concern for delayed diagnosis. Disclosures All authors: No reported disclosures.


2020 ◽  
Vol 258 (11) ◽  
pp. 2431-2439
Author(s):  
Adrien Mazharian ◽  
Christophe Panthier ◽  
Romain Courtin ◽  
Camille Jung ◽  
Radhika Rampat ◽  
...  

Abstract Purpose To evaluate eye rubbing and sleeping position in patients with Unilateral or Highly Asymmetric Keratoconus (UHAKC). Methods Case-control study of consecutive UHAKC patients diagnosed at the Rothschild Foundation. Controls were age- and sex-matched, randomly selected refractive surgery clinic patients. Patients self-administered questionnaires regarding their family history of keratoconus, eye rubbing, and sleeping habits. All the eyes underwent a comprehensive ocular examination. Logistic regression was used to analyze univariate and multivariate data to identify risk factors for keratoconus. Results Thirty-three UHAKC patients and 64 controls were included. Univariate analyses showed that daytime eye rubbing [OR = 172.78], in the morning [OR = 24.3], or in eyes with the steepest keratometry [OR = 21.7] were significantly different between groups. Allergy [OR = 2.94], red eyes in the morning [OR = 6.36], and sleeping on stomach/sides [OR = 14.31] or on the same side as the steepest keratometry [OR = 94.72] were also significantly different. The multivariate model also showed statistical significance for most factors including daytime eye rubbing [OR = 134.96], in the morning [OR = 24.86], in the steepest eye [OR = 27.56], and sleeping on stomach/sides [OR = 65.02] or on the steepest side [OR = 144.02]. A univariate analysis in UHAKC group, comparing the worse and better eye, showed that eye rubbing [OR = 162.14] and sleeping position [OR = 99.74] were significantly (p < 0.001) associated with the worse eye. Conclusion Our data suggests that vigorous eye rubbing and incorrect sleeping position are associated with UHAKC. This is especially true in rubbing the most afflicted eye, and contributory sleep position, including positions placing pressure on the eye with the steepest keratometry.


Author(s):  
Abdourahamane Diallo ◽  
Irmina Maria Michalek ◽  
Ibrahima Koussy Bah ◽  
Ibrahima Amadou Diallo ◽  
Telly Sy ◽  
...  

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e029477 ◽  
Author(s):  
Kristine Thorell ◽  
Patrik Midlöv ◽  
Johan Fastbom ◽  
Anders Halling

ObjectivesThis study aimed to investigate the importance of potentially inappropriate medications, number of medications and chronic conditions for the risk of hospitalisation among an elderly population.DesignThis is a case–control study.SettingPopulation-based study in 2013 of all individuals aged 75 years and older (17 203) in the county of Blekinge in the southeast of Sweden.ParticipantsA total of 2941 individuals were included who had at least one hospitalisation to a medical, geriatric and palliative, or orthopaedic ward during 2013. From this total, 81 were excluded because of incomplete data or absence of controls. In total, 5720 patients were included and formed 2860 risk sets matched on age and gender.Primary and secondary outcome measuresConditional logistic regression was used to analyse the odds for hospitalisation according to use of potentially inappropriate medication (PIM), number of chronic conditions and medicines using univariate and multivariate models. PIM was defined as long-acting benzodiazepines, tramadol, propiomazine and medicines with anticholinergic effect.ResultsThe univariate analysis for use of PIM showed a significant association with hospitalisation (OR 1.54, 95% CI 1.30 to 1.83). For the number of chronic conditions, the OR was increased and was significant from two or more chronic conditions, and for the number of medicines from the use of five or more medicines, in the univariate analysis. Use of PIM has no association with hospitalisation in the full model. The number of chronic conditions and medicines in the full models continued to have strong associations for hospitalisation, from five to seven chronic conditions (OR 1.86, 95% CI 1.49 to 2.33) and use of five to nine medicines (OR 1.46, 95% CI 1.21 to 1.77) at the same time.ConclusionThe number of chronic conditions and medications are important for the odds of hospitalisation, while the use of PIM, according to the definition used in this study, was no significant in the full model.


2021 ◽  
Vol 43 (5) ◽  
pp. 652
Author(s):  
Ariane Lasry ◽  
Ahmad Badeghiesh ◽  
Alexander Volodarsky-Perel ◽  
Yaron Gil ◽  
Jacques Balayla

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