scholarly journals HIPERTENSI PADA PEKERJA TERPAPAR BISING DI PT INDONESIA POWER UBP BALI 2015

2019 ◽  
Vol 6 (1) ◽  
pp. 40
Author(s):  
Putu Ardiya Suginama ◽  
I Made Kerta Duana

ABSTRAK Hipertensi adalah salah satu gangguan kesehatan yang disebabkan oleh berbagai faktor, salah satunya adalah paparan bising. Tenaga kerja di unit pembangkit listrik merupakan salah satu profesi yang berisiko mengalami hipertensi. Tujuan penelitian ini adalah untuk mengetahui gambaran kejadian hipertensi berdasarkan karakteristik (umur, pendidikan dan masa kerja), kepatuhan penggunaan APT, jarak paparan dan paparan bising. Desain penelitian yang digunakan adalah cross sectional study. Teknik pengambilan sampel menggunakan simpel random sampling, dengan jumlah sampel sebanyak 79 tenaga kerja di PT Indonesia Power UBP Bali. Alat yang digunakan tediri dari kuisioner, sphygmomanometer, dan sound level meter. Analisis data dilakukan secara deskriftif dengan menggunakan tabel distribusi yang disertai dengan penjelasan pada tabel. Hasil penelitian menunjukkan bahwa kejadian hipertensi lebih banyak ditemukan pada kelompok umur ?40 tahun (47,2%), responden dengan pendidikan tinggi (44,4%), masa kerja ?5 tahun (51,9%),  responden yang tidak patuh  dalam menggunakan alat pelindung telinga (83,3%), responden yang bekerja pada radius I dan II (43,6%), dan pada  paparan bising lebih dari atau sama dengan 85 dB(A) (45,8%). Kejadian hipertensi lebih tinggi secara bermakna pada kelompok umur ?40 tahun (p=0,028), masa kerja ?5 tahun (p=0.004), responden yang tidak patuh dalam penggunaan alat pelindung telinga (p=0,000) %), responden yang bekerja pada radius I dan II (p=0.008), dan pada paparan bising lebih dari atau sama dengan 85 dB(A) (p=0,000). Sedangkan tingkat pendidikan tidak menunjukkan perbedaan yang bermakna terhadap kejadian hipertensi (p=0,082). Perusahaan harus lebih meningkatkan pengendalian kebisingan baik pada sumber kebisingan (sillincer atau barrier), maupun pada penerima (penggunaan APT, meminimalisir faktor risiko hipertensi lainnya) Kata kunci: Hipertensi, Paparan Bising, Pembangkit Listrik   ABSTRACT Hypertension is one of the health problems caused by various factors, one of which is noise exposure. Labor in power generation units is a profession that is at risk of experiencing hypertension. The purpose of this study was to determine the description of the incidence of hypertension based on characteristics (age, education and years of service), compliance with the use of APT, exposure distance and noise exposure. The research design used was cross sectional study. The sampling technique uses simple random sampling, with a total sample of 79 workers at PT Indonesia Power UBP Bali. The tools used consist of questionnaires, sphygmomanometers, and sound level meters. Data analysis was carried out descriptive using a distribution table accompanied by an explanation in the table. The results showed that the incidence of hypertension was more often found in the age group ?40 years (47.2%), respondents with higher education (44.4%), tenure of ?5 years (51.9%), respondents who were not compliant in using ear protection (83.3%), respondents who worked at radius I and II (43.6%), and at noise exposure more than or equal to 85 dB (A) (45.8%). The incidence of hypertension was significantly higher in the age group ?40 years (p = 0.028), work period ?5 years (p = 0.004), respondents who were not compliant in the use of ear protection equipment (p = 0,000)%), respondents who worked at radius I and II (p = 0.008), and at noise exposure more than or equal to 85 dB (A) (p = 0,000). While the level of education did not show a significant difference in the incidence of hypertension (p = 0.082). Companies must further improve noise control both at the source of noise (sillincer or barrier), and at the recipient (use of APT, minimizing other risk factors for hypertension). Keywords: Hypertension, Noise Exposure, Power Plants

2020 ◽  
Vol 5 (2) ◽  
pp. 1027-1030
Author(s):  
Shanti Sunuwar Subedi ◽  
Rakina Bhansakarya ◽  
Sajjan Kumar Sharma

Introduction: To evaluate the maternal and perinatal outcome in booked and unbooked cases. Objectives: To assess the maternal and fetal outcomes in unbooked and booked patients. Methodology: This was a cross-sectional comparative study conducted in the Department of Obstetrics and Gynecology from Augustti2019 to January 2020. Using a convenient sampling technique, 204 samples were taken and cross-sectional study was done. Results: There were total 204 cases in this study;102were booked and 102 were unbooked. In this study, 85(83%) of booked cases were educated up to secondary level as compared toti65 (64%) of unbooked cases. There was no significant difference in Apgar score in 1 and 5 minute between booked and unbooked cases. More babies in the unbooked group were transferred to NICU as compared to the booked group and the difference was significant (9.8%vs 1.9%). Greater proportion of booked cases had spontaneous vaginal delivery (81.3% vs 59.8%) and complications like preterm delivery, anemia, preeclampsia/ eclampsia, complicated labor and puerperal sepsis was also less in the booked group. Conclusions: The study showed that unbooked mothers and their newborns had higher chance of having complications.


2021 ◽  
Vol 8 (30) ◽  
pp. 2763-2767
Author(s):  
Pratibharani Reddy ◽  
Ramesh K ◽  
Anju Mariam Jacob ◽  
Gangadhara Goud T

BACKGROUND India is doubly burdened with communicable and non-communicable diseases (NCD). Knowledge regarding morbidity profile is important for timely intervention so as to improve the quality of life. For effective health strategies, it is important to know the disease burden of a community. As for the effective preventive strategies, it’s important to know the information regarding disease burden and changing trends of diseases in the locality. Hence this study was done to find the morbidity pattern of urban population in Bellary district, Karnataka. METHODS A cross sectional study was carried out in Millerpet, urban health training centre (UHTC), Bellary, Karnataka. The respective UHTC covers 69195 populations, which has eight wards. Simple random sampling technique was adopted to select the ward. The study was carried out in the selected ward and the study duration was for a period of 3 months. Based on the estimated sample size, 416 houses were selected using random number method. Statistical package for social sciences (SPSS) software version 26 was used for analysing data. Descriptive statistics were used to describe socio demographic and morbidity conditions. RESULTS The most common morbidity among 416 houses were found to be diabetes (22.8 %) followed by hypertension (20 %) and musculoskeletal problems (9 %). Majority of the houses were of nuclear type and the most common age group was 31 - 60 (91.8 %) years followed by 13 - 30 years (80.8 %). 167 (40.1 %) houses had at least one morbidity and 451 (41.4) subjects had at least one morbidity. Socio-demographic variables like age group, family size, monthly income, occupation of head of the family and type of the family were found to be statistically significant. CONCLUSIONS The study revealed that non communicable are the most common diseases present and there is a need to further evaluate the factors responsible so that preventive measures can be taken at the earliest so as to improve the quality of life. KEYWORDS Morbidity Pattern, Urban, Bellary


2021 ◽  
Vol 8 (9) ◽  
pp. 491-496
Author(s):  
Chirayu N. Pandya ◽  
Donald S. Christian ◽  
Mansi M. Patel

BACKGROUND Smartphone use has gone tremendously up throughout the world during the past decade and addiction potential is well documented among the users. Smartphone addiction among adolescents and young adults should be seen with caution as they lay the foundations not only for their healthy lives but also of the country’s future and its economy, they live in. METHODS Both school and college students aged between 15 - 24 years were enrolled in this cross sectional study, using systematic random sampling technique to determine smartphone addiction potential through Smartphone Addiction Scale (SAS). The possible factors contributing to SAS scores were also determined through statistical tests (Chi-square test, Kruskal-Wallis H test and Mann Whitney U test). RESULTS Among a total of 239 respondents of age 15 to 24 years (mean age 18.5 ± 2.35 years), there were 124 (51.9 %) females and 231 (96.7 %) belonged to the urban area. Most of the participants were studying in high school (40.6 %) followed by medical field (40.2 %). A total of 110 (46 %), students had used their smartphone commonly for social media purpose, followed by entertainment purpose (29.3 %), education (36 %), web surfing (20 %). The median daily usage of smartphone was found to be 4 hours among participants. The mean score of SAS was found to be 103.59 ± 25.08. There was statistically significant difference in SAS score according to age group, according to their smartphone usage per day, according to common purpose of usage of smartphone and also according to their streams, and monthly expenses the student spends to recharge their smartphone. CONCLUSIONS Smartphone addiction potential was determined according to various social and demographic characteristics. Factors causing smartphone addiction should be tackled by multiple stakeholders to reduce the chances of addiction due to smartphone and to protect them from future health consequences. KEYWORDS Adolescent, Smartphone Addiction, Smartphone Addiction Scale, Young Adults


2020 ◽  
Vol 10 (1) ◽  
pp. 36-41
Author(s):  
Divya Rayamajhi ◽  
Shreejana Wagle ◽  
Arun Karki

Introduction: Mental health and physical health are association with each other’s: poor mental health is a risk factor for chronic physical condition and it significantly impact on people’s quality of life. The social determinants of health impact on both chronic physical condition and mental health. The purpose of this study was to determine the prevalence sub-clinical depression and factors associated with depression among the hypertensive out patients’ department ofhospitals in Pokhara.  Methods: A hospital based cross-sectional study design was conducted among 215 hypertensive patient visiting OPD ward of selected hospitals of Pokhara Metropolitan City. Depression levels were assessed using the Beck Depression Inventory-Ia (BDI) scale. Demographics and risk factors were assessed. Systematic random sampling was conducted for selecting hospitals and proportionate random sampling technique was used to make the sample representative of hospitals. Results: Out of the total 215 hypertensive patients and around fifty-nine percentage were males and the mean age of respondents is 52 +12.04 years. Around one-third of the hypertensive patients had depression. The mean BDI-Ia score for depression status having respondent was 16.88±16.45. Conclusions: This study provides the evidence of depression is associate with hypertensive patient’s socio-demographic factors such as sex, age, marital status, employment and income and behavioral factors. Hypertensive patients should be encouraged to increase their physical activities and family support.


Author(s):  
Anupama Dhiman ◽  
Naveen K. Goel ◽  
Dinesh Kumar ◽  
Navpreet . ◽  
Abhiruchi Galhotra

Background: Antenatal care (ANC) provides an important opportunity to improve maternal understanding about pregnancy, childbirth, and care of the newborn. Adequate and quality ANC can help ensure a favourable pregnancy outcome, but the coverage of ANC in India remains inadequate. The present study was conducted with an objective to assess ante natal counselling services at health centers in Chandigarh Tricity.Methods: The cross-sectional study was conducted in the Chandigarh Tricity during April 2012 to September 2013. Stratified multistage sampling technique was used to select health centers in tricity. A total of 345 pregnant women in second and third Trimester were interviewed with the help of pre-designed, structured and pre-tested questionnaire after taking their written informed consent. It was supplemented by observation of ante natal sessions. Data was entered and analyzed using SPSS version 19.Results: Nearly one-fourth (28.1%) participants received counselling regarding diet and rest. Only 26 (07.5%) participants were explained about danger signs during pregnancy. Significant difference was found between counseling given regarding ‘diet and rest’ with respect to city (p=0.03) and health centers (p=0.00). Significant difference was found between counselling for ‘family planning’ with respect to city (p=0.01) and health centers (p=0.00).Conclusions: Findings from our study indicate low level of counselling on various components of ANC. Thus, strategies under National Health Mission to improve quality of antenatal communication as well as maternal understanding should be strengthened.


2016 ◽  
Vol 5 (3) ◽  
Author(s):  
Rahmat Nurul Yuda Putra ◽  
Ermawati Ermawati ◽  
Arni Amir

AbstrakBeberapa dekade terakhir ini, telah terjadi kecenderungan onset menarche dini yang dikaitkan dengan nutrisi yang lebih baik. Penelitian yang telah ada menemukan penurunan usia menarche yang diiringi oleh peningkatan Indeks Massa Tubuh (IMT) yang terjadi dalam 25 tahun terakhir. Onset menarche yang lebih cepat juga ditemukan pada anak yang gemuk dibandingkan yang kurus. IMT rendah menunjukkan tidak terpenuhinya nutrisi yang dapat mempengaruhi kecepatan tumbuh–kembang anak. Tujuan penelitian ini adalah menentukan hubungan  IMT dengan usia menarche. Penelitian cross-sectional study ini dilakukan terhadap 77 siswi yang dipilih melalui teknik proportional random sampling dan wawancara menggunakan kuesioner. Data yang telah terkumpul lalu dianalisis dengan uji korelasi spearman. Hasil studi ini adalah rata-rata IMT 19,93 (±3,162) kg/m2dan rata-rata usia menarche adalah 11,75 tahun dengan usia termuda 9 tahun dan tertua 14 tahun. Ditemukan adanya hubungan antara IMT dengan usia menarche dengan nilai p=0,000 (p<0,05) dan r=-0,429. Kesimpulan studi ini ialah semakin tinggi IMT, maka semakin cepat terjadi menarche.Kata kunci: IMT, usia menarche, menarche AbstractThe last decades, there has been a trend of earlier onset of menarche is associated with better nutrition. Several studies have found a decrease in age of menarche is accompanied by an increase in Basal Metabolism Index (BMI). Rapid onset of menarche also found in obese children than lean. Low BMI show no fulfillment of nutrients that can affect the growth and development speed in children. The objective of this study was to determine the relationship between BMI with age at menarche. This cross sectional study was conducted on 77 female students who were selected through proportional random sampling technique. The data was collected by questionnaires and interviews, than was analyzed by Spearman correlation test. The results of this study was the average BMI 19.93 (±3.162) kg / m2, and the average age of menarche was 11.75 years with 9 years old as the youngest and the oldest 14 years. There is a correlation between BMI at the age at menarche, with p value=0.000 (p<0.01) and r=-0.429. The conclusion is a higher BMI could cause  more rapidly menarche.Keywords:  BMI, age at menarche, menarche


2021 ◽  
Author(s):  
Melash Belachew Asresie ◽  
Gizachew Worku Dagnew

Institutional delivery is the foundation for diminishing maternal mortality. Evidence showed that community-based behavioral change interventions are increasing institutional delivery in developing countries. By understanding this, the government of Ethiopia launched a community-based intervention called “pregnant women’s conferences” to improve institutional delivery. This study was conducted to assess its effectiveness on institutional delivery among 871 women who gave birth within the last 12 months (435: pregnant women’s conference attendants and 436: pregnant women’s conference non-attendants) in 2017. It was a community-based comparative cross-sectional study and participants were selected using a multistage-simple random sampling technique. A structured interviewer-administered questionnaire was used for data collection. The result showed that institutional delivery among women who attended pregnant women’s conferences was 54.3% (95%CI: 49.9–59.1), higher compared with 39.9% (95%CI: 35.3%- 44.7%) of women who did not attend the conference. Likewise, the level of well-preparedness for birth was higher among women who attended the conference (P = 38.9%, 95%CI: 33.8–43.7), compared with their counterparts (P = 25.7%, 95% CI: 22.2–29.4). Similarly, women’s knowledge of obstetric danger signs was higher among women who attended the conference. Therefore, encouraging pregnant women to attend the conference should be strengthened.


Author(s):  
Vaibhav Munjal ◽  
Puneet Singh Talwar ◽  
Jagjit Singh ◽  
Mandeep Kumar ◽  
Ramandeep Gambhir

Background: Dental caries is a multifactorial disease with diet being one of the contributing factors. The influence of vegetarianism on the development of caries has scarcely been investigated in the past. Therefore, this study was done to evaluate the association of dental caries with frequency of sugar exposures and vegetarian / mixed diet.Methods: The present cross-sectional study was conducted among 2500 school children of 12 and 15 years age groups selected on the basis of simple random sampling from different schools of the city. Dental caries was recorded using Decayed, Missing and Filled teeth index (WHO modification, 1997) and correlated with the different dietary variables. Subjects were also segregated on the basis of diet: vegetarian and mixed. Statistical analysis was done using Student t-test and Pearson’s Correlation Coefficient.Results: The prevalence of dental caries in the 12 and 15 year age group of subjects consuming mixed diet was 83.36% and 86.47% respectively. It was lower in case of subjects on vegetarian diet. The correlation between DMFS and TSE, FSE and AMSE was found to be statistically significant (p<0.05) in the 12 year age-group. In the 15 year age-group the correlation of DMFS with TSE and LSE was also found to be statistically significant (p<0.05).Conclusions: There was no statistically significant difference in dental caries status among subjects in both the groups (vegetarian and mixed). However, there was significant association between sugar exposures and dental caries among subjects of both the age-groups.


2021 ◽  
Vol 29 (01) ◽  
pp. 26-30
Author(s):  
Taimoor Hassan ◽  
Sana Saeed ◽  
Muhammad Sikander Ghayas Khan ◽  
Ghulam Mustafa Hingoro ◽  
Syed Moin Islam

Objective: To find out the frequency of wound infection in children undergoing appendectomy for acute vs perforated appendicitis. Study Design: Observational and Cross-sectional study. Setting: Department of Surgery at Children’s Hospital and the Institute of Child Health Lahore. Period: January 2018 to July 2018. Material & Methods: Data was collected by using Random sampling technique. Patients of both genders were included. Diabetic children were excluded. Questionnaire was developed with the help of experts, literature review and data collection. Results: A sum of 120 patients were included with mean age of 9 + 1.94 SD minimum was 7 and maximum was 13. Some patients have acute appendicitis 20(16.67%) and 100 (80.33) perforated appendix undergone appendectomy. Conclusion: The findings of the study indicated that there is less wound infection in acute appendix but more wound infection observed in perforated appendix after appendectomy.


2019 ◽  
Author(s):  
Berhanu Elfu Feleke ◽  
Teferi Elfu Feleke ◽  
Fantahun Biadglegne

Abstract Background Each year, more than 13.7 million people became an active case of tuberculosis and more than 1.5 million cases of TB patient will die. The association between TB and malnutrition is bi-directional, TB leads the patient to malnutrition, and malnutrition increases the risk of developing active TB by 6 to 10 times. Improving the nutrition of individual greatly reduces tuberculosis. The aims of this study were to assess the nutritional status and determinants of underweight among TB patients.Methods A comparative cross-sectional study design was implemented. The sample size was calculated using 95% CI, 90% power, the prevalence of malnutrition in TB patients 50%, TB patients to TB free resident ratio of 3, the design effect of 2 and a 5% non-response rate. Systematic random sampling was used to select TB patients and simple random sampling technique was used to select TB free residents. The data were collected from July 2015- May 2018. The data were collected by interviewing the patient, measuring anthropometric indicators and collecting the stool and blood samples. The data were entered into the computer using Epi-info software and analyzed using SPSS software. Descriptive statistics were used to find the proportion of malnutrition. Binary logistic regression was used to identify the determinants of malnutrition.Results A total of 5045 study participants (1681 TB patients and 3364 TB free residents) were included giving for the response rate of 93.1%. The prevalence of underweight among TB patients was 57.17% (95% CI: 54.80%, -59.54%) and 88.52% of TB patients were anemic. The prevalence of malnutrition (underweight) among TB free residents was 23.37% (95% CI: 21.93-24.80). The nutritional status of TB patients was determined by site of infection AOR: 0.68 [0.49-0.94], sex of the patient AOR: 0.39 [0.25-0.56], residence AOR: 3.84 [2.74-5.54], intestinal parasite infection AOR: 7 [5.2-9.95], problematic alcohol use AOR: 1.52 [1.17-2.13].Conclusion High proportions of TB patients were malnourished. TB patients were highly susceptible to malnutrition and even a very distal reason for malnutrition in the community became a proximal cause for TB patients.


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