scholarly journals Hubungan antara Kadar Hemoglobin dan Jumlah Leukosit dengan Kejadian Prematuritas di Rumah Sakit Umum Pusat Dr. Hasan Sadikin Bandung

2021 ◽  
Vol 4 (2) ◽  
pp. 118-124
Author(s):  
Idham Rizali Saleh ◽  
◽  
Johanes C. Mose ◽  
Budi Handono
Keyword(s):  

Abstrak Tujuan: Mengetahui adanya hubungan antara kadar hemoglobin dan kadar leukosit maternal dengan kejadian prematuritas di Rumah Sakit Umum Pusat Dr. Hasan Sadikin Bandung. Metode: Rancangan penelitian ini adalah observasional analitik dengan desain studi potong-lintang. Subjek penelitian adalah pasien dengan persalinan pada kehamilan usia 24 – 42 minggu di Rumah Sakit Umum Pendidikan Dr. Hasan Sadikin Bandung periode Januari – Desember 2019 yang berjumlah 82 pasien. Dilakukan pengumpulan data dari rekam medis pasien berupa usia kehamilan, kadar hemoglobin, kadar leukosit, dan faktor perancu berupa usia, tingkat pendidikan, dan tingkat paritas. Hubungan antara kadar hemoglobin dan jumlah leukosit dengan persalinan prematur dianalisis statistik dengan uji Chi-square. Variabel-variabel perancu akan dikendalikan melalui analisis multivariat dengan regresi logistik. Hasil: Terdapat hubungan yang signifikan antara kadar hemoglobin dan kadar leukosit dengan terjadinya persalinan prematur (p < 0,05). Hasil analisis dengan uji regresi logstik menunjukkan bahwa tetap terdapat hubungan bermakna antara kadar hemoglobin (OR 0,27; p < 0,05) dan kadar leukosit (OR 3,60; p < 0,05) dengan persalinan prematur setelah dilakukan pengendalian faktor perancu. Kesimpulan: Kadar hemoglobin dan kadar leukosit memiliki hubungan yang signifikan dengan kejadian persalinan prematur tanpa dipengaruhi oleh usia, tingkat pendidikan, dan tingkat paritas. Key word: Hemoglobin, Prematuritas, Leukosit

1970 ◽  
Vol 5 (2) ◽  
pp. 64
Author(s):  
Eny Sendra ◽  
Dewi Indriani

Breast feeding is giving milk to be drunk to the baby from the breast. Uterus involution is a process how the uterus return to the condition back, before pregnanting after bearing. At the moment of suckling, happens a stimulus and brings the hormones out, such as oksitosin uses not only to stimulate some muscles constraction but also to stimulate the uterus, so that the process of uterus involution happens foster. According to the explanations above, the research aimed to know about the correlation between breast feeding and uterus involution. This research’s design was, cross sectional by the population of all childbirth mothers approximately 50 persons / month. By using accidental sampling technique we got 21 sample respondents. The place of research in RSIA Aura Syifa in Kediri Regency on 16th until 22nd of June 2009. From this research’s result, we got 14 persons (66,67%) with normal uterus involution, suckled in a good way, one person (4,67%) with normal uterus involution, suckled in a wrong way, 2 persons (9,52%) with abnormal uterus involution, suckled in a good way and 4 persons (19,05%) with abnormal uterus involution, suckled in a wrong way. Statistic test which used chi-square test, counted the probability frequency in advance, from that we got 3 columns with the score, less than 5, so that chi-square can not be continued and by doing exact fisher test, the score was 0,001. Because P with the grade mistake 0,05 smaller, so the conclusion was “Ho” is rejected, it meant “there was correlation between suckling and uterus involution”. Key Word : Breast feeding, uterus involution


2020 ◽  
Vol 13 (1) ◽  
pp. 56-63
Author(s):  
Sohimah ◽  
Yogi Andhi Lestari ◽  
Arief Hendrawan

Berdasarkan Laporan World Bank Tahun 2017, dalam sehari ada empat Ibu di Indonesia yang meninggal akibat melahirkan. Angka ini menempatkan Indonesia sebagai Negara dengan angka kematian tertinggi kedua di Asia Tenggara setelah Laos dengan AKI 357 per 100 ribu (WHO,2017). Penyebab kematian Ibu terdiri dari penyebab langsung dan tidak langsung. Penyebab langsung kematian ibu disebabkan karena perdarahan sampai saat ini masih memegang peranan penting sebagai penyeba utama kematian maternal.  Perdarahan dapat terjadi disetiap usia kehamilan, pada kehamilan muda ssering dikaitkan dengan abortus, misscariiage, early pregnancy loss.  Perdarahan yang terjadi pada umur kehamilan yang lebih tua terutama setelah melewati trimester III disebut perdarahan antepartum. Survey pendahuluan yang dilakukan pada tanggal 4 Januari 2019 dan didukung data pada Profil Dinas Kesehatan Kabupaten Cilacap, Kematian ibu selama tahun 2016 sebanyak 25 kasus, 2017 sebanyak 20 kasus dan 22 kasus selama Tahun 2018.   Penyebab kematian ibu sebagian besar terjadi pada saat persalinan dan segera setelah persalinan yaitu perdarahan (30,37%), eklampsia (32,97%), infeksi (4,34%), Gangguan sistem peredaran darah 8%, Gangguan metabolism 4,34 %, dan lain-lain 0,87 % . Tujuan dari penelitian ini adalah untuk Mengetahui Pengaruh Usia dan Gravida Ibu terhadap kejadian perdarahan antepartum di RSUD Cilacap Tahun 2016 – 2018.  Desain penelitian ini adalah deskriptif analitik dengan metode pendekatan case control yang bertujuan mengetahui analisis Pengaruh fektor usia dan Gravida ibus terhadap kejadian perdarahan antepartum di RSUD Cilacap. Tekhnik pengambilan sampel pada penelitian ini adalah dengan total sampling dengan kriteria inklusi rekam medik lengkap. Uji statistik yang digunakan adalah Chi-Square.     Hasil Penelitian: Berdasarkan hasil analisis  Faktor usia ibu berpengaruh terhadap kejadian perdarahan antepartum dengan p value 0.001.  Faktor gravida berpengaruh terhadap kejadian perdarahan antepartum dengan p value 0.000. Faktor usia merupakan faktor yang paling berisiko terhadap kejadian perdarahan antepartum, dengan OR:  2,098.     Kesimpulan:  Usia ibu yang berisiko berpengaruh 2.098 kali lebih besar terhadap perdarahan antepartum dibanding dengan usia yang tidak  berisiko   Key Word :             Gravida, Perdarahan Antepartum, Usia Ibu


2017 ◽  
Vol 11 (1) ◽  
pp. 43-65 ◽  
Author(s):  
Veronika Makarova ◽  
Anna Reva

This paper surveys language-related extra-curricular activities (ECA) attended by university students in Canada and Russia. Very little information is available about ECA in both countries. The study aimed to gather data about extra-curricular activities in Canada and Russia and to investigate the perceived effect of participation in extra-curricular activities on language learning by university students in these countries. The study employed a questionnaire-based survey as a major research method. The questionnaire constructed by the authors included ‘yes/no’, multiple choice and open-ended questions. The total of 119 university students from both countries participated in the study. The participants’ responses to yes/no and multiple choice questions were entered on SPSS charts for descriptive statistics and an analysis across the groups (chi-square tests). The responses to open-ended questions were analyzed using key-word method. The results indicate that only about 1/3 of university students in both countries had some experience with ECAs. Russian students were more aware of the range of ECAs available through their universities. The array of language-related ECAs was different across the countries: Canadian students mostly attended ECAs that were offered through their universities, and Russian students – outside their universities. There was an agreement between the respondents from both countries that trips abroad were the most efficient form of ECAs. The evaluation of some other specific forms of ECAs showed significant differences across the two participant groups. The majority of respondents from both countries placed a high value on ECAs and thought that ECAs were beneficial for their language skills development.


2018 ◽  
Vol 10 (01) ◽  
pp. e163-e171
Author(s):  
Sahil Aggarwal ◽  
Seanna Grob ◽  
Dhruba Banerjee ◽  
Preston Putzel ◽  
Jeremiah Tao

Objectives To identify differences in letters of recommendation (LORs) of applicants to a single ophthalmology residency program by gender, race, academic performance, and match outcome. Design This was a retrospective analysis of LORS for 2,523 applicants (7,569 letters) to the University of California, Irvine ophthalmology residency program from 2011 to 2018. Methods Programming scripts were employed to determine the number of times 22 key words from four thematic categories (standout words, ability, grindstone, and compassion) appeared in LORs for each applicant. A chi-square test was performed to assess for possible differences in the presence of each key word by the following characteristics: gender, underrepresented minority (URM) status, Alpha Omega Alpha (AOA) membership, the United States Medical Licensing Exam (USMLE) Step 1 score, and match outcome. Linear regressions were created to determine the frequency at which words in each thematic category appeared according to the same baseline characteristics. Results In the LORs, females were more likely to be described as “empathetic” (p = 0.002), URMs were more likely to be described as “caring” (p = 0.002), high Step 1 scorers (≥240) were more likely to be described as “outstanding” (p = 0.002), and matched students were more likely to be described as “exceptional” (p = 0.001), “outstanding” (p < 0.001), and “superb” (p = 0.001). Standout words appeared more often in the LORs of AOA members, matched candidates, and high Step 1 scorers (p < 0.001 for all comparisons). “Competent” appeared more commonly in LORs for low Step 1 scorers (p < 0.001) and unmatched applicants (p = 0.001). Conclusion This study identifies differences in LORs by gender, URM status, and achievement including successful ophthalmology residency match. Females and URMs were more likely to be described as “empathetic” and “caring,” respectively; otherwise, we detected no gender or racial disparities in key word use in LORs. Candidates with high USMLE Step 1 scores or AOA membership had a higher frequency of standout words in their LORs. Whether they were truly more qualified in various dimensions or if they benefited from a halo effect bias warrants further investigation. There was a significant difference in the number of standout words in LORs between matched and unmatched applicants, suggesting that key word frequency may be a relevant metric for LOR appraisal.


e-CliniC ◽  
2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Maria Y. Lihawa

Abstract: Neonatal sepsis is a bacterial infection that occurs in neonates which happens during the first months of life. WHO estimated that sepsis neonatorum cause 1 billion death every year, which accounts for 10% of all death below age 5. In developing countries, death because of sepsis is about 34 per 1000 birth and for developed countries it is only 5 per 1000 birth. There are some factors triggering neonatal sepsis that come from the mother, these factors include: preterm labor and birth, premature rupture membrane more than 18-24 hours, chorioamnionitis, usage of device during labor, maternal fever (>38oC), maternal UTI, and mother’s nutrition. There are also factors that come from the baby itself, include: perinatal asphyxia, low birth weight, preterm birth, invasive procedure, and congenital abnormality. The aim of this study is to find out the correlation between types of delivery and the incident of neonatal sepsis. This study was conducted in RSUP Prof. DR. R.D. Kandou Manado from August 2012 – August 2013. This is a retrospective analytic study, using total sampling method. Data were obtained from the medical records. Analysis using chi square shows a significant correlation between types of delivery and incident of neonatal sepsis (P = 0.001). Key word: sepsis neonatal, neonatal infection, risk factor of sepsis.    Abstrak: Sepsis neonatorum adalah infeksi bakteri pada neonatus yang terjadi selama bulan pertama kehidupan. WHO memperkirakan 1 juta kematian per tahun (10% dari jumlah kematian berusia dibawah lima tahun) karena sepsis neonatal. Di negara berkembang, kematian neonatus dari seluruh penyebab sepsis kira-kira 34/1000 kelahiran dan di negara maju, hanya sekitar 5/1000 kelahiran.Ada beberapa faktor pencetus sepsis neonatorum yaitu faktor dari ibu (persalinan dan kelahiran kurang bulan, ketuban pecah lebih dari 18-24 jam, korioamnionitis, persalinan dengan tindakan, demam pada ibu (>38,4oC), ISK pada ibu, dan gizi ibu).Dan faktor dari bayi (asfiksia perinatal, berat lahir rendah, bayi kurang bulan, prosedur invasif dan kelainan bawaan).Tujuan penelitian ini untuk mengetahui hubungan jenis persalinan dengan kejadian sepsis neonatorum.Penelitian ini dilakukan di RSUP Prof. Dr. R. D. Kandou Manado periode Agustus 2012- Agustus 2013. Penelitian ini bersifat analitik retrospektif yang diambil dalam bentuk data rekam medik dengan pengambilan sampel menggunakan teknik total sampling.Data yang dikumpulkan diolah dengan menggunakan uji Chi-square. Dari hasil analisa data didapatkan nilai P = 0,001 (P<0,05). Nilai ini menunjukkan bahwa terdapat hubungan yang signifikan antara jenis persalinan dengan kejadian sepsis neonatorum. Kata kunci: sepsis neonatorum, infeksi neonatus, faktor risiko sepsis.


2015 ◽  
Vol 9 (1) ◽  
Author(s):  
Peter Garlans Sina ◽  
Lidya Theresye Raturomon

The aim of this research is to determine the tendency of financial stress as well as the differences between gender categories. The sampling method used is the census with a chi square technique. After the analysis, the results show that both of the hypothesis are accepted, which means that there is a tendency to experience a financial stress and the women tend to experience higher financial stress compared with men. This is due to an mistake in the management of personal finance. Key word : personal finance, financial stress, Gender


2020 ◽  
Vol 63 (6) ◽  
pp. 2016-2026
Author(s):  
Tamara R. Almeida ◽  
Clayton H. Rocha ◽  
Camila M. Rabelo ◽  
Raquel F. Gomes ◽  
Ivone F. Neves-Lobo ◽  
...  

Purpose The aims of this study were to characterize hearing symptoms, habits, and sound pressure levels (SPLs) of personal audio system (PAS) used by young adults; estimate the risk of developing hearing loss and assess whether instructions given to users led to behavioral changes; and propose recommendations for PAS users. Method A cross-sectional study was performed in 50 subjects with normal hearing. Procedures included questionnaire and measurement of PAS SPLs (real ear and manikin) through the users' own headphones and devices while they listened to four songs. After 1 year, 30 subjects answered questions about their usage habits. For the statistical analysis, one-way analysis of variance, Tukey's post hoc test, Lin and Spearman coefficients, the chi-square test, and logistic regression were used. Results Most subjects listened to music every day, usually in noisy environments. Sixty percent of the subjects reported hearing symptoms after using a PAS. Substantial variability in the equivalent music listening level (Leq) was noted ( M = 84.7 dBA; min = 65.1 dBA, max = 97.5 dBA). A significant difference was found only in the 4-kHz band when comparing the real-ear and manikin techniques. Based on the Leq, 38% of the individuals exceeded the maximum daily time allowance. Comparison of the subjects according to the maximum allowed daily exposure time revealed a higher number of hearing complaints from people with greater exposure. After 1 year, 43% of the subjects reduced their usage time, and 70% reduced the volume. A volume not exceeding 80% was recommended, and at this volume, the maximum usage time should be 160 min. Conclusions The habit of listening to music at high intensities on a daily basis seems to cause hearing symptoms, even in individuals with normal hearing. The real-ear and manikin techniques produced similar results. Providing instructions on this topic combined with measuring PAS SPLs may be an appropriate strategy for raising the awareness of people who are at risk. Supplemental Material https://doi.org/10.23641/asha.12431435


Crisis ◽  
2015 ◽  
Vol 36 (6) ◽  
pp. 416-423 ◽  
Author(s):  
Richard Shadick ◽  
Faedra Backus Dagirmanjian ◽  
Baptiste Barbot

Abstract. Background: Research on young adults in the general population has identified a relationship between sexual minority identification and risk for suicide. Differential rates of suicidal ideation and attempts have also been found across racial and ethnic groups. Aims: This study examined risk for suicide among university students, based on membership in one or more marginalized groups (sexual minority and racial minority identification). Method: Data were collected from first-year college students (N = 4,345) at an urban university. Structural equation modeling was employed to model a suicidality construct, based on which a "risk for suicide" category system was derived. Chi-square and logistic regression analyses were then conducted to estimate the relationship between the background variables of interest and suicide risk. Results: Students who identified as lesbian, gay, or bisexual (LGB) were associated with higher suicide risk than their heterosexual peers. Students of color were slightly less at risk than their heterosexual peers. However, LGB students of color were associated with elevated suicide risk relative to heterosexual peers. Conclusion: Results indicate that belonging to multiple marginalized groups may increase one's risk for suicide, though these effects are not simply additive. Findings highlight the complexity of the intersection between marginalized identities and suicidality.


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