scholarly journals EVALUASI KOMPETENSI BIDAN DALAM PEMASANGAN ALAT KONTRASEPSI DALAM RAHIM COPPER T 380A BERDASARKAN UMUR, PENDIDIKAN, PENGALAMAN PEMASANGAN DAN LAMA PRAKTIK DI KOTA PADANG

2019 ◽  
Vol 3 (1) ◽  
pp. 37-45
Author(s):  
Desmiwarti Desmiwarti ◽  
Hafni Bachtiar
Keyword(s):  
Intrauterine Device ◽  
Health Providers ◽  
Check List ◽  
Inclusion Criteria ◽  
Exclusion Criteria ◽  
Cross Sectional ◽  
Education Experience

Midwives are health providers influential in helping families to choose appropriate contraception for patients. Midwives must have competence in providing midwifery services in particular IUD insertion. This study’s aim was to evaluate the competency of midwives in the insertion of an intrauterine device Copper T 380A based on their age, education, experience of insertion and duration of practice in Padang City. This study was done in puskesmas and private midwivery practice in Padang from September to December 2014 using cross-sectional method on 24 samples who met the inclusion criteria and not exclusion criteria. We conducted interviews and observed how the respondents perform IUD insertion by using a check- list. From this study, there was no significant association between age (p: 0.540, p> 0.05), education (p: 0.439, p> 0.05), experience of insertion (p: 0.472, p> 0.05) and duration of practice (p: 0.505, p> 0.05) with competency of IUD insertion. Most respondents have a good competence in IUD insertion. Part of the checklist the respondents frequently missed out were conseling to the patients and prevention of infection.Keywords: Midwives Competency, IUD insertion, Copper T-380a

scholarly journals Mental Health in Health Students during Coronavirus Disease-19: Systematic Review

2021 ◽  
Vol 9 (F) ◽  
pp. 205-210
Author(s):  
Agus Purnama ◽  
Susaldi Susaldi ◽  
Halma Zahro Mukhlida ◽  
Hilma Hasro Maulida ◽  
Nyimas Heny Purwati
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Mental Health Problems ◽  
Cross Sectional Study ◽  
Poor Mental Health ◽  
Inclusion Criteria ◽  
Letters To The Editor ◽  
Exclusion Criteria ◽  
Cross Sectional ◽  
Psychological Conditions

Purpose: This study aims to examine the description of mental health characteristics of health students who conducted studies during the COVID-19 pandemic. Methods: The design of this study is to use a systematic review approach by collecting several articles from a database that has been selected consisting of Springer. , ScienceDirect and ProQuest with articles published in 2020. Search for articles was carried out by entering the keyword "mental health AND student AND COVID-19". The search for this article was limited to inclusion criteria and exclusion criteria. The inclusion criteria in this study were health students who were still conducting studies during the COVID-19 pandemic and a cross-sectional study design, while the exclusion criteria were non-health students, only abstracts and books, and letters to the editor. Results: After a search on the selected database, the results are 677 Springer articles, 554 direct articles, and 1348 ProQuest articles. 11 were removed for duplicates, 444 full texts were reviewed and 6 articles matched inclusion and exclusion criteria. The results of the 6 articles that were reviewed showed that the majority of health students reported mental health problems such as anxiety, depression, stress, and another emotional status. Where moderate and severe levels of anxiety were experienced by some Health students who carried out education during the Covid-19 pandemic. Conclusion: The COVID-19 pandemic has an impact on psychological conditions, especially on health students who are carrying out their education. Students report poor mental health conditions while carrying out home education by learning online during the COVID-19 pandemic.

scholarly journals PERBEDAAN RERATA KADAR AKTIVIN A SERUM MATERNAL ANTARA PREEKLAMSIA BERAT DENGAN BUKAN PREEKLAMSIA BERAT

2019 ◽  
Vol 1 (1) ◽  
pp. 30-37
Author(s):  
Dovy Djanas ◽  
Bayu Pramudyo Ariwibowo ◽  
Hafni Bachtiar
Keyword(s):  
Serum Levels ◽  
Activin A ◽  
Maternal Serum ◽  
Severe Preeclampsia ◽  
Inclusion Criteria ◽  
Exclusion Criteria ◽  
Cross Sectional ◽  
Tnf Α ◽  
The Mean ◽  
In Pregnancy

At the start of preelampsia there is a failure of cytotrophoblst invasion into the maternal spiral arteries that will lead to decreased uteroplacetal perfusion which will be followed by the failure of the unit fetoplacenter to get enough oxygen from the room intervillous that ultimately lead to a state of hypoxia in placenta. This will cause the expenditure of TNF-α dan IL-1β from placenta and a factors called hypoxia-inducible transcription factors that will spur the trophoblast to produce activin A lot more. This research was conducted by cross sectional method in maternal room of obstetrics and gynecology department of Central General Hospital of Dr. M. Djamil Padang from August 2015 until February 2016 with 20 patients of severe preeclampsia and 20 patients not severe preeclampsia, who met inclusion criteria and there is no exclusion criteria. Then performed statistical analysis using Mann-Whitney test to determine difference in mean maternal activin A serum levels of severe preeclampsia and not severe preeclampsia. The mean maternal serum levels of activin A in severe preeclampsia is 32,55 ± 1,84 ng/ml and in pregnancy with no severe preeclampsia is 8,59 ± 0,59 ng/ ml. Difference in mean maternal serum level of activin A in the two groups was statistically significant (p=0,001). Ma-ternal serum activin A levels is significantly higher in severe preeclampsia than pregnancy with no severe preeclampsia.Keywords: Activin A, severe preeclampsia, not severe preeclampsia

scholarly journals HEPATIC ENCEPHALOPATHY

2018 ◽  
Vol 25 (12) ◽  
pp. 1857-1862
Author(s):  
Ashok Kumar Lohano ◽  
Shamsuddin Shaikh ◽  
Nazia Arain
Keyword(s):  
Liver Cirrhosis ◽  
Hepatic Encephalopathy ◽  
Serum Sodium Level ◽  
Cross Sectional Study ◽  
Inclusion Criteria ◽  
Exclusion Criteria ◽  
Cross Sectional ◽  
Medicine Department ◽  
Grade Ii ◽  
Cirrhotic Patients

Objectives: To determine the prevalence and relation to severity of hyponatremia in liver cirrhotic patients associated with hepatic encephalopathy. Study Design: Cross sectional study. Place and Duration of Study: Medicine Department of Peoples University of Medical and Health Sciences Nawabshah from 26th October 2016 to 25th April 2017. Material and Methods: All patients of either gender with 15 to 70 years associated liver cirrhosis, were included in the study. Diagnosis of liver cirrhosis was confirmed by laboratory and ultrasonographic findings. Exclusion criteria were patients outside of patient range, patients with hepatocellular carcinoma, or anotherco morbid. Sodium levels were measured by 2cc bloodsample by blood from cubital vein preferably. Encephalopathy was evaluated via West Haven classification. All the data were entered into SPSS 20 version and were analyzed by using the same software. Results: A total of 369 patients met the inclusion criteria. Among them were 129 males and 240 females. The overall mean age of study subjects was 57.07±9.23 years. The overall mean duration of hepatic encephalopathy was 2.53±0.733 days. The overall mean serum sodium level for study subjects was 129.59±7.11 mEq/L. Most of the study subjects, 83.5% had HCV, 12.7% patients were HBV positive whereas 3% were positive for HBV as well as HCV. 26 patients had grade 1 encephalopathy, 30 patients had grade II encephalopathies, 258 patients had grade III encephalopathies, and 55 patients had grade IV encephalopathy. In our study, 73.2% study subjects were observed with hyponatremia. Out of 270 study subjects found with hyponatremia, 25.2% had mild hyponatremia, 44.8% had moderate hyponatremia, and 30% had severe hyponatremia. The results showed that there was a significant association of hyponatremia with viral markers (p=0.030), duration of hepatic encephalopathy (p=0.102) and grades of hepatic encephalopathy (p=0.746). Conclusion: We concluded hyponatremia is frequently found in patients with cirrhosis liver. Significant correlation of hyponatremia with the severity of hepatic encephalopathy.

scholarly journals Pathophysiological and Genetic Aspects of Vascular Calcification

2020 ◽  
Vol 2020 ◽  
pp. 1-11
Author(s):  
Luis Fernando Escobar Guzman ◽  
Cristian Andres Escobar Guzman ◽  
Neuza Helena Moreira Lopes
Keyword(s):  
Systematic Review ◽  
Vascular Calcification ◽  
Genetic Factors ◽  
Case Control ◽  
Inclusion Criteria ◽  
Exclusion Criteria ◽  
Cross Sectional ◽  
Prospective Cohort Studies ◽  
Chemical Mediators

Recent evidence suggests that vascular calcification is an independent cardiovascular risk factor (CRF) of morbidity and mortality. New studies point out the existence of a complex physiopathological mechanism that involves inflammation, oxidation, the release of chemical mediators, and genetic factors that promote the osteochondrogenic differentiation of vascular smooth muscle cells (VSMC). This review will evaluate the main mechanisms involved in the pathophysiology and genetics modulation of the process of vascular calcification. Objective. A systematic review of the pathophysiology factors involved in vascular calcification and its genetic influence was performed. Methods. A systematic review was conducted in the Medline and PubMed databases and were searched for studies concerning vascular calcification using the keywords and studies published until 2020/01 in English. Inclusion Criteria. Studies in vitro, animal models, and humans. These include cohort (both retrospective and prospective cohort studies), case-control, cross-sectional, and systematic reviews. Exclusion Criteria. Studies before 2003 of the existing literature.

A REVIEW OF SAFETY CONSTRUCTION OF BILLBOARD AROUND BANJARMASIN

2015 ◽  
Vol 77 (23) ◽  
Author(s):  
Reza Adhi Fajar ◽  
Joni Irawan ◽  
Rinova Firman
Keyword(s):  
Inclusion Criteria ◽  
Exclusion Criteria ◽  
Cross Sectional

A safe and standard billboard construction is very important everywhere as well as in and around Banjarmasin. Therefore, the research using cross-sectional descriptive design to analyze the ratio of axial-flexible stress of pillars was conducted. The inclusion criteria for the billboards are billboards with dimension of 4x6 m2, 5x10 m2 and cross-road horizontal billboard or Bando. Meanwhile the exclusion criteria are billboards with dimension of 2x4 m2, 1x1 m2 and non-steel materials billboards. The result shows that billboard construction that is considered safe as well as standard one is billboard with the dimension of 4x6 m2, 10” pillar, 5x5 cm2 angled steel profile; and five pillars Bando with 18” middle pillar, two f 10” side pillars (2.5” truss). Meanwhile billboard construction which is not considered safe are 5x10 m2 billboard, 18” pillar, 2”truss, 5x5 cm2 angled steel profile; and Bando with three 18” pillars, 2” truss. The improvement for 5x10 m2 billboards is by adding 2” diagonal truss, 18” pillar, 2” truss; for three pillars Bando, the improvement is by adding four f 6” pillar, 18” pillar, 2.5” truss.   

PEMENUHAN KEBUTUHAN SEKSUAL PADA JOMLO

2021 ◽  
Vol 13 (1) ◽  
pp. 78-86
Author(s):  
Andan Firmansyah ◽  
Suhanda ◽  
Heri Ariyanto ◽  
Henri Setiawan
Keyword(s):  
Reproductive Organs ◽  
Inclusion Criteria ◽  
Exclusion Criteria ◽  
Cross Sectional ◽  
Human Needs ◽  
Open Population ◽  
Self Actualization ◽  
Positive Meaning ◽  
Study Population ◽  
Quantitative Descriptive

Introduction: According to Maslow, there are five basic human needs (KDM), namely physiological needs, comfort and security needs, love and affection needs, self-esteem needs, and self-actualization needs. One of the five most important KDM is physiological needs such as sex, this is one of the important indicators in human needs that must be met. Sexuality is a way of how to function and maintain the health of reproductive organs optimally. Objective: The purpose of this study was to find out how to fulfill the sexual needs of single people. Methods: This study uses a quantitative descriptive research with a cross sectional approach. The population in this study was an open population that met the inclusion and exclusion criteria. Respondents' inclusion criteria include; boys and girls aged 12-14 years; can write and read; and willing to fill out informed consent through the google form platform. While the respondents' exclusion criteria are; suffer from chronic diseases; being on psychotic medication; and do not have a cellphone/mobile phone/smartphone. Collecting data using a research instrument in the form of a 10-point Likert scale behavioral questionnaire. After the data was obtained, it was analyzed using IBM/SPSS software version 25.0 which was grouped into sociodemographic and behavioral categories of respondents. Behavior is declared positive if the questionnaire score <50. Results: From the study population and the overall sample based on the inclusion criteria, 154 respondents. The results showed that all respondents had positive behavior in fulfilling their sexual needs with a total score of less than 50. Conclusion: Based on the research that has been done, it can be concluded that the respondents' perceptions of sexual behavior in singles are categorized as positive, meaning good.

scholarly journals Relation between Attachment and Obesity in Preschool Years: A Systematic Review of the Literature

Nutrients ◽  
2021 ◽  
Vol 13 (10) ◽  
pp. 3572
Author(s):  
Ana F. Santos ◽  
Mariana C. Martins ◽  
Carla Fernandes ◽  
Kelly K. Bost ◽  
Manuela Veríssimo
Keyword(s):  
Empirical Studies ◽  
Intervention Programs ◽  
Inclusion Criteria ◽  
Exclusion Criteria ◽  
Cross Sectional ◽  
Effective Prevention ◽  
Attachment Quality ◽  
Underlying Mechanisms ◽  
The Relationship

Increasing evidence suggests that attachment plays an important role in obesity. However, few studies examined this relationship in preschool children. This study aimed to systematically examine the empirical, peer-reviewed evidence regarding the relationship between attachment quality and obesity in the preschool years. Using established guidelines, relevant peer-reviewed literature published between 2000 and July 2021 was searched through EBSCO. This yielded a total of 1124 records for review. Established inclusion criteria comprised: empirical studies published in peer-review journals; include at least one anthropometric measure and/or food consumption measure. Exclusion criteria comprised: attachment measures not following Bowlby-Ainsworth conceptualization of the construct; children in institutionalized settings; context of severe mental illness, documented substance use disorders, or eating disorders; include only a measure of the psychological aspects of eating; intervention programs. After exclusions, eight studies with a total of 9225 participants met the inclusion criteria. Results support the role of attachment in weight-related outcomes, suggesting that considering attachment in the risk of obesity could contribute to the elaboration of effective prevention and intervention programs. Limitations included the small number of studies, predominately cross-sectional designs, the diversity of methodologies, most samples not including fathers, and lack of evidence about the developmental mechanisms underlying the association between attachment and obesity. More evidence is needed to determine how attachment and obesity are linked, and the potential underlying mechanisms accounting for this relationship.

scholarly journals Differences of Main Levels of Serum P-Selectin and Trombosite in Severe Preeclampsia and Eclampsia

2017 ◽  
Vol 1 (1) ◽  
pp. 1-6
Author(s):  
Joserizal Serudji ◽  
Yudha Meiriza Kartika ◽  
Erkadius Erkadius
Keyword(s):  
Maternal Morbidity ◽  
World Wide ◽  
Serum Levels ◽  
Severe Preeclampsia ◽  
Inclusion Criteria ◽  
Exclusion Criteria ◽  
Cross Sectional ◽  
Activated Platelets ◽  
Maternal Morbidity And Mortality ◽  
Main Complication

Preeclampsia-eclampsia is a main complication of pregnancy in which the incidence is increasing world-wide and is associated with maternal morbidity and mortality. P-selectin (CD62P) is released from the cell surface and circulation as soluble molecules in the plasma. Both forms of, as membrane and soluble forms, p-selectin is an agonist of the process of thrombosis and inflammation. This research was conducted by cross sectional method in maternity emergency room of obstetrics and gynecology department of Central General Hospital of Dr. M. Djamil Padang from June 2015 through the sample size is met with 20 patients of severe preeclampsia and 8 patients of eclampsia, who met the inclusion criteria and there is no exclusion criteria. Then performed statistical analysis using t-test to determine differences in mean serum levels of p-selectin and platelet of severe preeclampsia and eclampsia. Differences in mean serum levels of p-selectin and plate-let in the two groups were statistically significant (p = 0.000). Activated platelets at eclampsia is higher than severe preeclampsia, which is indicated by the high levels of p-selectin serum and low platelets remaining in eclampsia than severe preeclampsia.Keywords: P-selectin, Platelet, Severe Preeclampsia, Eclampsia

scholarly journals PERBEDAAN RERATA FAKTOR HEMOSTASIS PADA PREEKLAMPSIA BERAT DAN EKLAMPSIA

2019 ◽  
Vol 2 (1) ◽  
pp. 10-15
Author(s):  
Dyhan Purna Setia ◽  
Ferdinal Ferry ◽  
Dovy Djanas
Keyword(s):  
Medical Record ◽  
Cross Sectional Study ◽  
Severe Preeclampsia ◽  
Inclusion Criteria ◽  
Exclusion Criteria ◽  
Cross Sectional ◽  
Hemostatic Factors ◽  
The Mean ◽  
The Difference ◽  
D Dimer

Objective : To find the difference in mean hemostatic factors in severe preeclampsia and eclampsia.Method : The study was analytic descriptive using a cross sectional study design by looking at the subject's Medical Record according to the time and place of research. The sample is the entire medical record of pregnant women who suffer from preeclampsia and eclampsia in the obstetric and gynecology departments of Dr. M. Djamil Padang Hospital in the period 15 January 2016 to 31 December 2017. The assessment was in the form of assessed platelet levels, PT, APTT and D-Dimer. Samples were taken from populations that met the inclusion criteria and did not have exclusion criteria. Sampling using consecutive sampling techniques taken from the Medical Record Dr. M.Djamil Padang. Statistical analysis to assess significance using the T-Test.Result : The severity the condition of pregnancy the lower the platelet mean and PT. Significant differences were obtained between platelets in PEB and eclampsia (p> 0.05). The mean PT, APTT and D-Dimer showed no significant differences in pregnancy conditions. Statistical test with T-Test did not show significant differences in mean PT, APTT, and D-dimer between eclampsia and PEB (p> 0.05).Conclusion : There were significant differences in mean in platelets, whereas in PT, APTT, and D-dimers in PEB and eclampsia there were no significant differences.Keywords: Pregnancy, severe preeclampsia, eclampsia, platelets, PT, APTT, D-Dimer.

scholarly journals Seasonal Variation in Cases of Acute Appendicitis

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Rawan A. Rahman AlHarmi ◽  
Sayed Ali Almahari ◽  
Jasim AlAradi ◽  
Asma Alqaseer ◽  
Noof Sami AlJirdabi ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Pearson Correlation ◽  
Inclusion Criteria ◽  
Microsoft Excel ◽  
Exclusion Criteria ◽  
Cross Sectional ◽  
Mean Temperature ◽  
The Mean ◽  
Monthly Incidence ◽  
Moderate Positive Correlation

Objectives. To investigate whether the incidence of acute appendicitis increases in summer and whether complicated cases present more in summer. Methods. A single-center cross-sectional, retrospective study on 697 cases of appendicitis admitted in the year 2018. Inclusion criteria: patients admitted with acute appendicitis who underwent appendectomy of all ages. Exclusion criteria: conservative management. Analysis was performed using Microsoft Excel. Pearson correlation coefficient was calculated to assess the correlation between monthly incidence of appendicitis and mean temperature in that month. Results. Fifty-one patients who were managed conservatively were excluded. Accordingly, 646 patients were included. Ages ranged from three to 77 years. Males comprised the majority (500, 77.4%). Gangrenous, perforated, and purulent appendices were regarded as complicated appendicitis. The highest number of cases were admitted in summer (234), comprising 36.2% of cases. Complicated cases were equal to 65, of which 23 (35.4%) were admitted in summer and 30 (46.2%) in winter. The highest number of cases was during the month of July (68), while the lowest (40) was during February. This corresponded to the highest recorded mean temperature (36.2°C) and second lowest (19.8°C), respectively. Moderate positive correlation (Pearson’s R 0.5183) between the monthly incidence of appendicitis and the mean temperature is noted. Conclusion. More cases of appendicitis were noted during summer. Monthly incidence correlated positively with the temperature. Larger numbers over several years are needed to draw better conclusions and reach the possible causes behind such variation.

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