scholarly journals Gambaran Status Gizi Pasien Tuberkulosis Anak di RSUP Dr. M. Djamil Padang

2016 ◽  
Vol 5 (1) ◽  
Author(s):  
Chika Aulia Husna ◽  
Finny Fitry Yani ◽  
Machdawaty Masri Masri
Keyword(s):  
Risk Factors ◽  
Nutritional Status ◽  
Medical Records ◽  
Sampling Method ◽  
Age Groups ◽  
Severe Malnutrition ◽  
Tuberculosis Patients ◽  
The Public ◽  
West Sumatra ◽  
Tuberculosis In Children

AbstrakPrevalensi kejadian tuberkulosis pada anak di Sumatera Barat cukup tinggi, salah satu faktor risikonya adalah status gizi. Anak dengan gizi buruk akan mengakibatkan kekurusan, lemah, dan rentan terserang infeksi tuberkulosis. Tujuan penelitian ini adalah untuk mengetahui gambaran status gizi pasien tuberkulosis anak di RSUP Dr. M. Djamil Padang.Telah dilakukan penelitian deskriptif dengan menggunakan data rekam medik pasien tuberkulosis anak yang terdaftar di RSUP Dr. M. Djamil Padang periode 1 Januari 2013 – 31 Desember 2013 dengan menggunakan metode total sampling, sehingga diperoleh 187 sampel.Hasil penelitian yang didapatkan yaitu tuberkulosis pada anak mayoritas berada di poliklinik anak 64% dengan perbandingan 1,8 : 1. Pasien tuberkulosis pada anak laki – laki dan anak perempuan berjumlah sama di instalasi rawat inap anak 50% dan tidak begitu jauh berbeda di poliklinik anak dengan jumlah pada anak perempuan sedikit lebih banyak 53%. Pasien tuberkulosis anak lebih banyak pada kelompok usia 5 -<14 tahun 44,1% di instalasi rawat inap anak dan 56,3% di poliklinik anak.  Status gizi kurang 57,4% di instalasi rawat inap anak dan 52,1% di poliklinik anak. Kasus tuberkulosis anak masih banyak ditemukan,oleh karena itu diperlukan sosialisasi dan informasi kepada masyarakat akan bahaya tuberkulosis agar dapat menghindarkan diri dari faktor risiko khususnya tentang status gizi.Kata Kunci:tuberkulosis pada anak, status gizi, umur, jenis kelamin AbstractThe prevalence of tuberculosis in children on West Sumatra are quite high, the most of the risk factors is nutritional status. Children with severe malnutrition will lead to emaciation, weak and susceptible infectious tuberculosis. The objective of this study was to identify the nutritional status on children of tuberculosis patients in Dr. M. Djamil Padang hospital. This research is descriptive study using medical records of children with tuberculosis enrolled in Dr. M. Djamil Padang hospital period of January 1st 2013 – December 31th 2013 by using the total sampling method to obtained 187 sampel. The results showed that the majority of tuberculosis in children are in polyclinic 64% with a ratio of 1,8:1. Tuberculosis patients in boys and girls the same number in hospitalization 50% and not so much different in polyclinic with the number of the girls a little more 53%. Patients with tuberculosiswere  more children in the age groups 5-<14 years 44,1% in hospitalizations and 56,3% in polyclinic with malnutrition 57,4% in hospitalizations and 52,1% in polyclinic. In Indonesia, there are still many cases of tuberculosis of children. It need socialization and information to the public about the dangers of tuberculosis in order to avoid the risk factors, especially on nutritional status.Keywords: tuberculosis of children, nutritional status, age, gender

scholarly journals Nutritional status and risk of contrast-associated acute kidney injury in elderly patients undergoing percutaneous coronary intervention

2021 ◽  
Author(s):  
Xiaoqi Wei ◽  
Hanchuan Chen ◽  
Zhebin You ◽  
Jie Yang ◽  
Haoming He ◽  
...  
Keyword(s):  
Risk Factors ◽  
Acute Kidney Injury ◽  
Percutaneous Coronary Intervention ◽  
Nutritional Status ◽  
Elderly Patients ◽  
Kidney Injury ◽  
Coronary Intervention ◽  
Severe Malnutrition ◽  
Percutaneous Coronary ◽  
Conut Score

Abstract Background This study aimed to investigate the connection between malnutrition evaluated by the Controlling Nutritional Status (CONUT) score and the risk of contrast-associated acute kidney injury (CA-AKI) in elderly patients who underwent percutaneous coronary intervention (PCI). Methods A total of 1308 patients aged over 75 years undergoing PCI was included. Based on the CONUT score, patients were assigned to normal (0–1), mild malnutrition (2–4), moderate-severe malnutrition group (≥ 5). The primary outcome was CA-AKI (an absolute increase in ≥ 0.3 mg/dL or ≥ 50% relative serum creatinine increase 48 h after contrast medium exposure). Results Overall, the incidence of CA-AKI in normal, mild, moderate-severe malnutrition group was 10.8%, 11.0%, and 27.2%, respectively (p < 0.01). Compared with moderate-severe malnutrition group, the normal group and the mild malnutrition group showed significant lower risk of CA-AKI in models adjusting for risk factors for CA-AKI and variables in univariate analysis (odds ratio [OR] = 0.48, 95% confidence interval [CI]: 0.26–0.89, p = 0.02; OR = 0.46, 95%CI: 0.26–0.82, p = 0.009, respectively). Furthermore, the relationship were consistent across the subgroups classified by risk factors for CA-AKI except anemia. The risk of CA-AKI related with CONUT score was stronger in patients with anemia. (overall interaction p by CONUT score = 0.012). Conclusion Moderate-severe malnutrition is associated with higher risk of CA-AKI in elderly patients undergoing PCI.

scholarly journals Risk factors for tuberculosis in contact investigations in Rotterdam, the Netherlands

2012 ◽  
Vol 4 (2) ◽  
pp. 26 ◽  
Author(s):  
Jesse Eduard Verdier ◽  
Sake Jan De Vlas ◽  
Inge D. Kidgell-Koppelaar ◽  
Jan Hendrik Richardus
Keyword(s):  
Risk Factors ◽  
The Netherlands ◽  
Old Age ◽  
Latent Tuberculosis ◽  
Index Patient ◽  
Active Tuberculosis ◽  
Tuberculosis Case ◽  
Tuberculosis Patients ◽  
The Public ◽  
Contact Investigations

Contact investigations around tuberculosis patients enable early detection of infection and disease, and prevention of secondary tuberculosis cases. We aim to identify risk factors for <em>M. tuberculosis </em>transmission to contacts of tuberculosis patients, based on unique data from routine contact investigations by the Public Health Service in Rotterdam, the Netherlands, collected between 2001 and 2006. Through logistic regression analysis, we determined the effect of various risk factors on the chance of finding a latent tuberculosis (TB) infection or overt tuberculosis case among contacts. A total of 1165 index patients with active tuberculosis were registered and at least one contact was investigated in 731, resulting in 21,540 contacts overall. Altogether, the contact investigations led to 91 cases of active tuberculosis. Of the 12,698 contacts eligible for screening by tuberculin skin test, 1091 (9%) were diagnosed with latent tuberculosis infections. Risk factors were old age of the contact, old age of the index patient, and the relationship to the index. A larger fraction of infected close contacts was strongly associated with infections among more distant contacts. Our findings emphasize the importance of including these personal and interpersonal risk factors in decision making in contact investigations.

scholarly journals DETERMINANTS OF NUTRITIONAL STATUS OF UNDER 5 YEARS CHILDREN

2019 ◽  
Vol 17 (1) ◽  
pp. 6-10
Author(s):  
Hira Ejaz ◽  
Nirmal Walicha ◽  
Saba Rizwan ◽  
Sadaf Javeria ◽  
Sana Iqbal ◽  
...  
Keyword(s):  
Public Health ◽  
Nutritional Status ◽  
Family Structure ◽  
Family System ◽  
Nuclear Family ◽  
Age Groups ◽  
Public Health Problem ◽  
Severe Malnutrition ◽  
Major Public Health Problem ◽  
Cross Sectional

Background: Malnutrition continues to be a major public health problem in developing and underdeveloped countries. The objectives of the study were to determine the determinants of nutritional status of under 5 years children in our population. Materials & Methods: This analytical cross sectional study was conducted by the Department of Public Health, Islamabad, Federal College, Islamabad, from November 2016 to March 2017. Sample size was 200 selected by convenient sampling. Demographic variables were sex, age-groups, socio-economics status, family structure. Research variable was nutritional status. The data collection was done in urban slums of Islamabad on a structured questionnaire. Statistical analysis was done by using SPSS software. Results: Out of 200 children, 117(58.5%) were boys and 83(41.5 %) were girls. One hundred (50%) children were of 6 to 24 months and 100(50%) were of 25 to 59 months of age. Eighty three (41.5%) were rich and 117(58.5%) were poor. One hundred and fifty eight (79%) children were from joint family system and 42(21%) were living in nuclear family system were children. One hundred and fifty one (75.50%) were normal, 39(19.50%) were mild and 10(5%) were having severe malnutrition. Conclusion: Except age all the other factors including sex, socio-economics status and family structure were associated with nutritional status of under 5 year children.

scholarly journals Risk factors for miliary tuberculosis in children

2017 ◽  
Vol 57 (2) ◽  
pp. 63
Author(s):  
Clarissa Cita Magdalena ◽  
Budi Utomo ◽  
Retno Asih Setyoningrum
Keyword(s):  
Risk Factors ◽  
Nutritional Status ◽  
Medical Records ◽  
Clinical Symptoms ◽  
Population Control ◽  
Miliary Tuberculosis ◽  
Chi Square ◽  
Control Subjects ◽  
Potential Risk Factors ◽  
And Control

Background Miliary tuberculosis (TB) is a fatal form of tuberculosis with severe clinical symptoms and complications. The mortality rate from this disease remains high, therefore, it is important to identify the risk factors for miliary TB for early detection and treatment.Objective To identify risk factors for miliary tuberculosis in children.Methods A case-control study of children aged 0-14 years with miliary TB was conducted in Dr. Soetomo Hospital from 2010 to 2015. Data were taken from medical records. Case subjects were children with miliary TB, and control subjects were children with pulmonary TB . Patients with incomplete medical records were excluded. Case subjects were identified from the total patient population; control subjects were included by purposive sampling, with case:control ratio of 1:1. Potential risk factors were age, nutritional status, BCG immunization status, and history of contact with TB patients. Statistical analyses were done with Chi-square and logistic regression tests. P values < 0.05 were considered to be statistically significant.Results A total of 72 children were analyzed, with 36 case and 36 control subjects. Nutritional status had a significant associatation with miliary TB in children (OR 3.182; 95%CI 1.206 to 8.398; P=0.018) in both bivariate and multivariate analyses. The probability of a child with moderate or severe undernutrition developing miliary TB was 76.09%. Other factors were not significantly associated with miliary TB.Conclusion Nutritional status is significantly associated with miliary TB in children, and moderate or severe undernutrition increases the risk for developing miliary TB.

scholarly journals Risk factors associated with childhood tuberculosis: a case control study in endemic tuberculosis area

2018 ◽  
Vol 5 (11) ◽  
pp. 4702
Author(s):  
Zia Faizaty Zuraida ◽  
Siwi Pramatama Mars Wijayanti
Keyword(s):  
Risk Factors ◽  
Nutritional Status ◽  
Case Control ◽  
Childhood Tuberculosis ◽  
Tuberculosis Patients ◽  
Several Variables ◽  
Environment Variables ◽  
Regression Test ◽  
Logistic Regression Test ◽  
Control Study

Background: Tuberculosis (TB) in childreen is still considered as important public health problems in various countries, including Indonesia. Risk factors related to childhood tuberculosis is crucial to identify in order to conduct prevention effort effectively. The purpose of this research is to determine the effect of environmental health in house, contact history and nutritional status toward childhood tuberculosis.Methods: This research is an analytical observational study using case-control design, with 35 samples of the case and 35 samples of the control. Several variables such as house environment, contact history and nutritional status were obtained by questionnaire and observation in house of respondents. Data analysis was conducted using Logistic Regression test to determine correlation between independent and dependent variables.Results: This research highlighted that contact history and nutritional status were correlated with childhood tuberculosis. While house environment variables such as lighting level, floor type, house occupancy density were not related to the incidence of tuberculosis in children.Conclusions: Contact history and nutritional status were the factors which determined childhood tuberculosis in Banyumas. It is important for parents to maintain good nutritional status of their children and to avoid them from contact with tuberculosis patients.

scholarly journals Determinants of sputum smear nonconversion in smear-positive pulmonary tuberculosis patients in Suriname, 2010 – 2015

2019 ◽  
Vol 43 ◽  
pp. 1 ◽  
Author(s):  
Eric Commiesie ◽  
Deborah Stijnberg ◽  
Diana Marín ◽  
Freddy Perez ◽  
Mauro Sanchez
Keyword(s):  
Risk Factors ◽  
Pulmonary Tuberculosis ◽  
Age Groups ◽  
Multivariate Logistic Regression Analysis ◽  
Sputum Smear ◽  
Tuberculosis Patients ◽  
National Tuberculosis ◽  
Smear Positive Pulmonary Tuberculosis ◽  
Potential Risk Factors ◽  
Control Study

Objective. To identify factors associated with sputum smear nonconversion in patients with pulmonary tuberculosis (PTB) in Suriname. Methods. A case-control study was conducted using routinely-collected surveillance data of PTB cases reported in January 2010 – December 2015 and recorded in the database of the National Tuberculosis Program of Suriname. Cases were smear-positive PTB patients whose sputum results were negative 2 months after treatment initiation. Controls were the smear-positive PTB patients whose sputum results were negative in the same timeframe. Multivariate logistic regression analysis was used to examine associations between potential risk factors and smear conversion. Results. The two age groups ≥ 35 years (35 – 54 years, AOR: 2.7, 95%CI: 1.2 – 6.1; and 55+ years, AOR: 2.5, 95%CI: 1.1 – 5.9) and high bacillary load at baseline (AOR 2.34, 95%CI: 1.2 – 4.8) were significantly associated with delayed smear conversion. Conclusion. The National TB program of Suriname should develop strategies to address patients at higher risk for delayed smear conversion to prevent further spreading and unfavorable treatment outcomes. To better inform decision-making and future studies, the NTP should expand its data collection to include all risk factors for delayed smear conversion.

scholarly journals Analysis of Risk Factors in COVID-19 Adult Mortality in Russia

2021 ◽  
Vol 12 ◽  
pp. 215013272110080
Author(s):  
Youri Kirillov ◽  
Sergei Timofeev ◽  
Ashot Avdalyan ◽  
Vladimir N. Nikolenko ◽  
Leonid Gridin ◽  
...  
Keyword(s):  
Risk Factors ◽  
Medical Records ◽  
Retrospective Cohort ◽  
Cohort Analysis ◽  
Age Groups ◽  
Significant Risk ◽  
Adult Mortality ◽  
Lung Damage ◽  
Post Mortem ◽  
Increased Risk

Background and Objective Epidemiological data obtained during the ongoing SARS-CoV-2 pandemic suggests that COVID-19 mortality has specific age and gender associations. However, limited epidemiological studies explored specific populational risk factors, including comorbidities, and patient clinical characteristics. The main aim of our retrospective cohort study was to analyze associations between age, gender, and comorbidities in deceased COVID-19 patients. Materials and Methods A retrospective cohort analysis was performed to assess significant risk factors in adult patients deceased from COVID-19 infection by evaluating Electronic Medical Records and post-mortem analysis in COVID-19 patients deceased between April 2020 to October 2020. All patients underwent post-mortem evaluation along with medical history analysis, including data on disease duration, hospitalization, and clinical peculiarities. Results Medical records of 1487 COVID-19 patients revealed that the prevalence of males was higher (by 23%) than females; the median age for males was 71 years of age whereas for females it was 78. The most prevalent comorbid pathologies were: hypertension, obesity, diabetes, and cancer. Males are at significantly increased risk of lethal outcome, even in younger age groups, with comorbid conditions. Conclusion The study concluded that comorbidities, such as hypertension, obesity, diabetes, cancer are the most important risk factors for comorbid mortality in COVID-19 patients. In addition to lung damage, multiple organ dysfunctions may be a crucial reason for COVID-19 induced death. Special precautions, such as early hospitalization, increased monitoring, and preventative tactics should be taken for at-risk patients.

Potential beneficial effects of kefir and its postbiotic, kefiran, on child food allergy

2021 ◽  
Author(s):  
Susy Érika de Lima Barros ◽  
Caique dos Santos Rocha ◽  
Mayara Storel Beserra de Moura ◽  
Mariana Pegrucci Barcelos ◽  
Carlos Henrique Tomich de Paula da Silva ◽  
...  
Keyword(s):  
Public Health ◽  
Quality Of Life ◽  
Food Allergy ◽  
Nutritional Status ◽  
Age Groups ◽  
Public Health Problem ◽  
Food Allergies ◽  
The Public ◽  
Beneficial Effects

Food allergies are known as the public health problem, affecting people of all age groups, but more commonly in babies and children, with consequences for nutritional status and quality of life.

scholarly journals A study of nutritional assessment of newly diagnosed tuberculosis patients in a tertiary care hospital of Tripura, India

2018 ◽  
Vol 6 (4) ◽  
pp. 1382 ◽  
Author(s):  
Somnath Das ◽  
Sukanta Sen ◽  
Ankita Debnath ◽  
Sumitra Basuthakur ◽  
Prabir Kumar Saha ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Tertiary Care ◽  
Care Facility ◽  
Public Health Problem ◽  
Severe Malnutrition ◽  
Care Hospital ◽  
Newly Diagnosed ◽  
Effective Measure ◽  
Tuberculosis Patients ◽  
Number Of Patients

Background: Tuberculosis kills more than any infection in India. TB is a serious public health problem in India. Tuberculosis causes immense morbidity. The mortality rate of this disease is also very high. Tuberculosis causes a great distress to the patients. To control this infection is a challenge to the health care facility of India. A lot of steps are being taken at various levels to end this disease. Still a huge number of patients are dying everyday from these deadly diseases. Out of so many recognised risk factors, malnutrition is considered to be as one of the most important among them. The immunity of a malnourished patient is suppressed. When the patient’s immunity is ineffective, the conversion of latent tuberculosis to diseases happens. Malnutrition invites tuberculosis and tuberculosis again causes morbidity, so there is a complex relation between this two. Malnutrition and tuberculosis are both problems of considerable magnitude in most of the underdeveloped regions of the world.Methods: In this cross sectional hospital based study involving 400 newly diagnosed Tuberculosis cases were taken. Their nutritional status was measured by BMI.Results: It was found that 66% of the study population is having malnutrition (BMI <18.5kg/m2). Malnutrition was more in females (71%). Mean BMI is 17.9Kg/m2. Mean height of the population is 1.53 meters.Conclusions: Nutritional supplementation may represent a novel approach for fast recovery in tuberculosis patients. In addition, raising nutritional status of population may prove to be an effective measure to control tuberculosis in underdeveloped areas of world. This study has demonstrated that half of newly diagnosed adult TB patients were malnourished at the time of starting treatment, with more than a quarter having moderate to severe malnutrition.

scholarly journals Association between malnutrition status and incident heart failure in community population

2021 ◽  
Vol 42 (Supplement_1) ◽  
Author(s):  
Z X D Zhuang ◽  
S Z Zhang ◽  
X X Liao
Keyword(s):  
Risk Factors ◽  
Heart Failure ◽  
Nutritional Status ◽  
Hazard Ratio ◽  
Severe Malnutrition ◽  
Increased Risk ◽  
Community Monitoring ◽  
Community Population ◽  
The Uk ◽  
Conut Score

Abstract Background Malnutrition is commonly prevalent in patients with heart failure (HF) and associated with poor prognosis. However, few studies have explored the association between malnutrition status and incident HF in community population. Method 379,759 participants (46.3% women) without HF at baseline from the UK Biobank were included. Nutritional status was evaluated using the Controlling Nutritional Status (CONUT) score, with higher scores reflecting worse nutritional status. Association between CONUT score and incident HF were investigated using Cox proportional hazard regression models, with adjustment for traditional risk factors. Results During a median follow-up of 8.1 years, 5,520 cases (1.5%) of HF occurred. The hazard ratio for incident HF with 1-point increase of CONUT scores was 1.16 (95% CI, 1.12–1.20, P&lt;0.001), after adjustment for traditional HF risk factors. Compared with good nutritional status, malnutrition was associated with significantly increased risk for incident HF [adjust hazard ratio were 1.25 (95% CI 1.17–1.34, P&lt;0.001) for mild malnutrition and 2.06 (95% CI 1.36–3.12, P=0.001) for moderate or severe malnutrition]. Conclusion Malnutrition status were associated with increased risk of incident HF. Further studies are needed to confirm these findings and evaluate the use of CONUT in community monitoring. FUNDunding Acknowledgement Type of funding sources: None.

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