scholarly journals Risk Factors of Stunting in Children Age 24-59 Months Old

2020 ◽  
Vol 3 (1) ◽  
pp. 10
Author(s):  
La Ode Alifariki ◽  
La Rangki ◽  
Haryati Haryati ◽  
Rahmawati Rahmawati ◽  
Sukurni Sukurni ◽  
...  
Keyword(s):  
Health Center ◽  
Control Design ◽  
Total Sample ◽  
Case Control ◽  
Maternal Height ◽  
Z Score ◽  
Median Length ◽  
Body State ◽  
Study Population ◽  
Short Body

Stunting is a short and very short body state that exceeds the Z-Score -2 SD deficit below the median length or height, as measured by height by age or length by age (TB / U or PB / U). Many factors affect the incidence of stunting in toddlers aged 24-59 months. The aim of the study is to determine the determinants of the incidence of stunting in infants aged 24-59 months. This type of research is observational analytic using a case-control design. The study population was all mothers who have children aged 24-59 months in the working area of Puuwatu Health Center, Kendari City. The number of sample cases as many as 35 people while the number of control samples as many as 72 people with a sample comparison of 1 case: 2 controls so that the total sample size of 108 people, obtained through purposive sampling. The results showed that mothers who had a height of <150 cm had a risk of 2.6 times having a toddler suffering from stunting compared to mothers who had a height of ≥ 150 cm. Determinants of stunting proxies in the working area of Puuwatu Health Center, Kendari City was maternal height with Exp value = 0.386.

scholarly journals PENGARUH METODE KONTRASEPSI, LAMA PENGGUNAAN KONTRASEPSI TERHADAP KEJADIAN HIPERTENSI PADA IBU PASANGAN USIA SUBUR DIPUSKESMAS PULO BRAYAN TAHUN 2020

2021 ◽  
Vol 6 (1) ◽  
pp. 25-35
Author(s):  
Debora Lestari Simamora ◽  
Elfalini Warnelis
Keyword(s):  
Blood Pressure ◽  
Health Center ◽  
Univariate Analysis ◽  
Case Control ◽  
Hormonal Contraceptives ◽  
Bivariate Analysis ◽  
Chi Square ◽  
A Value ◽  
Study Population ◽  
Analytical Research

Based on data from Puskesmas Pulo Brayan Medan, the number of hypertension sufferers in the last 3 years has increased. In 2018 the number of hypertension sufferers was 378 people, in 2019 there were 384 people, and in 2020 there were 394 people. Of the 394 patients with hypertension, 214 were women of PUS. There are many factors that are thought to be the cause of hypertension in women with PUS, such as the use of contraceptives. The aim of this study was to analyze the effect of duration of use of contraceptives, contraceptive methods, duration of use of contraception, on the incidence of hypertension in women with fertility. This research is an analytical research and is quantitative in nature with a case control design (case control). The research was conducted in the area of ​​Pulo Brayan Health Center, Medan. The study population was 8,547 people and the sample was obtained as many as 166 people who were divided into 2 groups, each 83 people. Data analysis used univariate analysis, bivariate analysis with chi-square. The results showed that the duration of use of contraception, the method of contraception, the duration of use of contraception, had an effect on the incidence of hypertension in PUS mothers in the Pulo Brayan Public Health Center, Medan, p <0.05. The variable with the greatest influence in this study was the variable body mass index (BMI) which had a value of Exp (B) = 20.639 (95% CI = 5.850-72.823). It is recommended to the Head of Puskesmas Pulo Brayan Medan to inform PUS mothers who use hormonal contraceptives such as pills and injections to carry out routine blood pressure checks at the puskesmas so that early detection of other complications that can accompany an increase in blood pressure.  

scholarly journals Faktor-faktor yang mempengaruhi Kejadian Stunting pada Balita di Sendangrejo, Minggir, Sleman Yogyakarta

2021 ◽  
Vol 12 (1) ◽  
pp. 1-10
Author(s):  
Sri Sularsih Endartiwi
Keyword(s):  
Health Center ◽  
Secondary Data ◽  
Total Sample ◽  
Case Control ◽  
P Value ◽  
Chi Square ◽  
Result Show ◽  
Control Research ◽  
History Of ◽  
And Gender

Desa Sendangrejo Kecamatan Minggir Kabupaten Sleman merupakan desa yang menduduki peringkat pertama kasus stunting di wilayah kerja Puskesmas Minggir. Prevalensi stunting di Desa Sendangrejo sebesar 13,43%. Tujuan penelitian adalah untuk mengetahui faktor-faktor yang mempengaruhi kejadian stunting pada balita di Sendangrejo, Minggir, Sleman Yogyakarta. Penelitian ini adalah penelitian survei dengan rancangan penelitian case control. Populasi pada penelitian ini adalah balita yang mengalami stunting di Desa Sendangrejo Minggir berjumlah 58 balita. Sampel diambil secara total sampling dengan jumlah sebanyak 58 balita stunting dan balita yang tidak stunting sebanyak 58 orang dan total sampel adalah sebanyak 116 balita. Penelitian dilaksanakan di Desa Sendangrejo Minggir Sleman Yogyakarta. Pengumpulan data dilakukan dengan membagikan kuesioner kepada responden sedangkan data stunting menggunakan data sekunder dari Puskesmas Minggir. Data yang diperoleh kemudian dianalisis dengan menggunakan uji Chi-square. Hasil penelitian menunjukkan terdapat 7 variabel yang mempengaruhi terjadinya stunting pada balita di Desa Sendangrejo Kecamatan Minggir Kabupaten Sleman. Ketujuh variabel tersebut adalah tinggi badan ibu pada waktu hamil, sosial ekonomi, pola asuh ibu, pemberian ASI eksklusif, panjang badan lahir, berat badan lahir, dan usia kelahiran dengan nilai p value < 0,05. Sedangkan, 4 variabel lainnya yang diteliti tidak mempengaruhi kejadian stunting pada balita di Desa Sendangrejo Kecamatan Minggir Kabupaten Sleman. Keempat faktor tersebut adalah umur ibu menikah pertama kali, umur ibu melahirkan anak pertama kali, riwayat diare dan jenis kelamin.  Sendangrejo Village, Minggir District, Sleman Regency is the village that ranks first in stunting cases in the working area of ​​the Minggir Health Center. The prevalence of stunting in Sendangrejo Village is 13.43%. The purpose of the study was to determine the factors that influence the incidence of stunting in children under five in Sendangrejo, Minggir, Sleman Yogyakarta. This research is a survey research with a case control research design. The population in this study were toddlers who experienced stunting in Sendangrejo Minggir Village totaling 58 toddlers. Samples were taken by total sampling with a total of 58 stunting toddlers and 58 children who were not stunted and the total sample was 116 toddlers. The research was conducted in Sendangrejo Minggir Village, Sleman Yogyakarta. Data was collected by distributing questionnaires to respondents. While the stunting data used secondary data from the Minggir Health Center. The data obtained were then analyzed using Chi Square. The result show were 7 variables that influenced the occurrence of stunting in toddlers in Sendangrejo Village, Minggir District, Sleman Regency. The seven variables are maternal height during pregnancy, socioeconomic status, maternal parenting, exclusive breastfeeding, birth length, birth weight, and birth age with p value < 0.05. Meanwhile, there are 4 variables studied that do not affect the incidence of stunting in toddlers in Sendangrejo Village, Minggir District, Sleman Regency. The four factors are the age of the mother when she married for the first time, the age of the mother giving birth to her first child, the history of diarrhea and gender. 

Seasonal Variation of Twin Births in Washington State

1993 ◽  
Vol 42 (2) ◽  
pp. 141-149 ◽  
Author(s):  
C.E. Dionne ◽  
M. Söderström ◽  
S. M. Schwartz
Keyword(s):  
Seasonal Variation ◽  
Seasonal Changes ◽  
Control Design ◽  
Case Control ◽  
Washington State ◽  
Light Period ◽  
Birth Certificates ◽  
Climatological Data ◽  
Multiple Ovulation ◽  
Study Population

AbstractTwin births are known to vary across seasons in several countries. It has been hypothesized that this variation may be due to seasonal changes in luminosity leading to pineal gland-mediated multiovulation among susceptible mothers. To describe seasonal variation of twin births in Washington State, all mothers residing in Washington State who gave birth to both a pair of twins and a singleton baby between 1984-1990 (n = 1168) were identified through linkage of computerized State birth certificates. Using a “matched-on-mother” case-control design, the estimated month of conception of twin gestations (the “case” events) were compared to that for their singleton siblings (the “control” events) to determine their relative occurrence during periods of high vs low sunlight in accordance with local climatological data. For the study population as a whole, there was only a slight tendency for twins to have been conceived during the period of high sunlight compared to their singleton siblings (OR = 1.3, 95% C.I. = 1.0-1.7). When stratified by concordant-sex vs discordant-sex, however, more discordant-sex twin pairs were conceived during the light period than corresponding singletons (OR = 1.7, 95% C.I. = 1.0-2.8), whereas no association was found for concordant-sex twins (OR =1.1, 95% C.I. =0.8-1.6). The presence of an association only among discordant-sex twins, all of whom are dizygotic, is consistent with the hypothesis that exposure to sunlight may stimulate multiple ovulation, and thus increase the incidence of twin gestations among twin-prone mothers.

scholarly journals 688 Pediatric Obstructive Sleep Apnea (OSA) and COVID-19-Related Adverse Clinical Outcomes

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A269-A269
Author(s):  
Vaishal Shah ◽  
Nancy Foldvary-Schaefer ◽  
Lu Wang ◽  
Lara Jehi ◽  
Cynthia Pena Obrea ◽  
...  
Keyword(s):  
High Risk ◽  
Clinical Outcome ◽  
Clinical Outcomes ◽  
Pediatric Patients ◽  
Control Design ◽  
Supplemental Oxygen ◽  
Case Control ◽  
World Health ◽  
Invasive Ventilation ◽  
High Flow Oxygen

Abstract Introduction The relationship of OSA and human coronavirus (COVID-19) in the pediatric population is unknown. We postulate that OSA is associated with SARS-CoV-2 positivity and with adverse COVID-19 outcomes in children. Methods A retrospective review of 120 consecutive patients (&lt;18 years) with prior polysomnogram (PSG) and COVID-19 testing from the Cleveland Clinic COVID-19 registry was conducted. Using a case control design of SARS-CoV-2 positive and negative pediatric patients, we examined COVID-19 and pre-existing OSA (dichotomized AHI≥1) using logistic (OR,95%CI) regression and as continuous measures: AHI, oxygen(SpO2) nadir, %time SpO2&lt;90%) using linear regression(beta+/-SE). In those positive for SARS-CoV-2(cases only), we assessed the association of OSA and World Health Organization(WHO) COVID-19 clinical outcome composite score (hospitalization, requiring supplemental oxygen, non-invasive ventilation/high-flow oxygen, invasive ventilation/ECMO or death) using Wilcoxon rank sum test for ordinal data. Results Cases (n=36) were 11.8±4.4 years, 61% male, 27.8% black and 88.9% with OSA, while 85.7% of controls (n=84) had OSA. OSA was not associated with increased SARS-CoV-2 positivity: OR=1.33(0.40, 4.45,p=0.64). No significant difference between cases and controls for mean AHI 3.7(1.5,6.0) vs 3.5(1.5,7.1),p=0.91,SpO2 nadir 88.6±5.4 vs 89.1±4.4,p=0.58,%time SpO2&lt;90% 0.05[0.00,1.00) vs 0.10 (0.00,1.00, p=0.65) respectively was noted. WHO-7 COVID-19 clinical outcome did not meet statistical significance in relation to OSA due to the low event frequency (p=0.49). Of note, those with OSA vs without OSA had a higher WHO-7 outcome score of 2 vs 0 and prevalence of hospitalization: 12.5 vs 0% respectively. Of hospitalized patients, the following was observed: 23% had moderate/severe OSA vs 4.3% mild OSA, 50% required supplemental oxygen and 25% required intubation/invasive ventilation. No deaths or readmissions were reported. High risk conditions included: 75% obesity, 50% asthma, 25% sickle cell disease and 25% hypoplastic left heart. Conclusion In this first report of which we are aware focused on COVID-19 in pediatric OSA, we use a case control design leveraging COVID-19 and sleep laboratory registries. Albeit not statistically significant, pediatric patients with OSA had a higher percentage of worse clinical outcomes. Larger network studies are needed to clarify whether poorer COVID-19 outcomes may be attributable to OSA or modulated via high risk health conditions. Support (if any):

scholarly journals Influences on catch-up growth using relative versus absolute metrics: evidence from the MAL-ED cohort study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Stephanie A. Richard ◽  
Benjamin J. J. McCormick ◽  
Laura E. Murray-Kolb ◽  
Pascal Bessong ◽  
Sanjaya K. Shrestha ◽  
...  
Keyword(s):  
Cohort Study ◽  
Low Income ◽  
Cognitive Outcomes ◽  
Absolute Difference ◽  
Maternal Height ◽  
Z Score ◽  
Linear Regression Models ◽  
Poor Growth ◽  
Micronutrient Status

Abstract Background Poor growth in early childhood has been considered irreversible after 2–3 years of age and has been associated with morbidity and mortality over the short-term and with poor economic and cognitive outcomes over the long-term. The MAL-ED cohort study was performed in eight low-income settings with the goal of evaluating relationships between the child’s environment and experience (dietary, illness, and pathogen exposure, among others) and their growth and development. The goal of this analysis is to determine whether there are differences in the factors associated with growth from 24 to 60 months using two different metrics. Methods Across six MAL-ED sites, 942 children had anthropometry data at 24 and 60 months, as well as information about socioeconomic status, maternal height, gut permeability (lactulose-mannitol z-score (LMZ)), dietary intake from 9 to 24 months, and micronutrient status. Anthropometric changes were in height- or weight-for-age z-score (HAZ, WAZ), their absolute difference from the growth standard median (HAD (cm), WAD (kg)), as well as recovery from stunting/underweight. Outcomes were modeled using multivariate regression. Results At 24 months, almost half of the cohort was stunted (45%) and 21% were underweight. Among those who were stunted at 24 months (n = 426), 185 (43%) were no longer stunted at 60 months. Most children increased their HAZ from 24 to 60 months (81%), whereas fewer (33%) had positive changes in their HAD. Linear regression models indicate that girls improved less than boys from 24 to 60 months (HAZ: -0.21 (95% CI -0.27, -0.15); HAD: -0.75 (-1.07, -0.43)). Greater intestinal permeability (higher LMZ) at 0–24 months was associated with lower relative and absolute changes from 24 to 60 months (HAZ: -0.10 (-0.16, -0.04); HAD: -0.47 (-0.73, -0.21)). Maternal height (per 10 cm) was positively associated with changes (HAZ: 0.09 (0.03, 0.15); HAD: 0.45 (0.15, 0.75)). Similar relationships were identified for changes in WAZ and WAD. Conclusions The study children demonstrated improved growth from 24 to 60 months of age, but only a subset had positive changes in HAD and WAD. The same environmental factors were associated with growth from 24 to 60 months regardless of metric used (change in HAZ or HAD, or WAZ and WAD).

Depressive Symptoms in Comorbid Obstructive Sleep Apnea and Insomnia: An Integrative Review

2021 ◽  
pp. 019394592198965
Author(s):  
Bomin Jeon ◽  
Faith S. Luyster ◽  
Judith A. Callan ◽  
Eileen R. Chasens
Keyword(s):  
Obstructive Sleep Apnea ◽  
Depressive Symptoms ◽  
Sleep Apnea ◽  
Control Design ◽  
Case Control ◽  
Integrative Review ◽  
Study Quality ◽  
Cross Sectional ◽  
Obstructive Sleep ◽  
The Relationship

The purpose of this integrative review was to synthesize evidence concerning the relationship between comorbid obstructive sleep apnea and insomnia (OSA+I), and depressive symptoms. OSA and insomnia are common sleep disorders, recently comorbid OSA+I has been recognized as prevalent in adults. Although each sleep disorder increases the risk and severity of depressive symptoms, the effect of comorbid OSA+I on depressive symptoms remains unclear. A systematic search of PubMed, CINAHL, and PsycINFO identified 15 data-based studies. All the studies were observational with either a cross-sectional (n = 14) or a case-control design (n = 1). Study quality was assessed. Most of the studies (n = 14) indicated that comorbid OSA+I had an additive role on depressive symptoms. Insomnia appeared to have a more important role than OSA in increasing the severity of depressive symptoms in persons with comorbid OSA+I.

scholarly journals Radioprotective Effect of Hesperidin: A Systematic Review

Medicina ◽  
2019 ◽  
Vol 55 (7) ◽  
pp. 370 ◽  
Author(s):  
Musa ◽  
Omyan ◽  
Esmaely ◽  
Shabeeb
Keyword(s):  
Clinical Trials ◽  
Survival Rates ◽  
Control Design ◽  
Case Control ◽  
Radioprotective Effect ◽  
Cellular Damage ◽  
Animal Cells ◽  
Meta Analyses ◽  
Late Side ◽  
Radioprotective Agent

Background and objectives: Ionizing radiation (IR) has been of immense benefit to man, especially for medical purposes (diagnostic imaging and radiotherapy). However, the risks of toxicity in healthy normal cells, leading to cellular damage as well as early and late side effects, have been major drawbacks. The aim of this study was to evaluate the radioprotective effect of hesperidin against IR-induced damage. Materials and Methods: The preferred reporting items for systematic reviews and meta-analyses (PRISMA) were applied in reporting this study. A search was conducted using the electronic databases PubMed, Scopus, Embase, Google Scholar, and www.ClinicalTrials.gov for information about completed or ongoing clinical trials. Results: From our search results, 24 studies involving rats, mice, and cultured human and animal cells were included. An experimental case—control design was used in all studies. The studies showed that the administration of hesperidin reduced oxidative stress and inflammation in all investigated tissues. Furthermore, it increased 30-day and 60-day survival rates and protected against DNA damage. The best radioprotection was obtained when hesperidin was administered before irradiation. Conclusions: The results of the included studies support the antioxidant, anti-inflammatory, and antiapoptotic abilities of hesperidin as a potential radioprotective agent against IR-induced damage. We recommend future clinical trials for more insights.

scholarly journals HUBUNGAN PERILAKU MASYARAKAT DALAM PEMBERANTASAN SARANG NYAMUK DAN FAKTOR LINGKUNGAN DENGAN KEJADIAN DEMAM BERDARAH DENGUE DI WILAYAH PUSKESMAS I DENPASAR SELATAN DAN PUSKESMAS I DENPASAR TIMUR

2016 ◽  
Vol 10 (1) ◽  
pp. 17
Author(s):  
Dwi Jata ◽  
Nyoman Adi Putra ◽  
I.B.G. Pujaastawa
Keyword(s):  
Public Health ◽  
Health Center ◽  
Sampling Method ◽  
Hemorrhagic Fever ◽  
Total Sample ◽  
Cross Sectional ◽  
Public Health Center ◽  
Community Behavior ◽  
Service Need

Dengue hemorrhagic fever (DHF) is one of diseases that causes health problems in Indonesia and oftenly creates extraordinary events with great death. The purpose of this research is to discover relationship community behavior in mosquito nesting eradication and environmental factors with DHF incidence in 1st Public Health Center Denpasar Selatan and 1st Public Health Center Denpasar Timur. The research design used is observational, cross-sectional. Total sample of 82 households. Sampling was done in proportion sampling method. Results of the analysis of environmental variables associated with DHF incidence in 1st Public Health Center Denpasar Selatan: occupant density (p = 0.02), mobility (p = 0.01), the habit of hanging clothes (p = 0.04). 1st Public Health Center Denpasar Timur: mobility (p = 0.00), clogged water ditches (p = 0.00), containers water existance (p = 0.03), the habit of hanging clothes (p = 0.00). Knowledge, attitude and actions in 1st Public Health Center Denpasar Selatan and 1st Public Health Center Denpasar Timur statistically correlated with DHF incidence. As conclusion of the research results, in 1st Public Health Center Denpasar Selatan and 1st Public Health Center Denpasar Timur, that is mobility, the habit of hanging clothes, knowledge, attitude and actions strongly related with DHF incidence, while that is clogged water ditches, containers water existance and occupant density has no relation with DHF incidence. Public Health Center need to intensify health promotion, improves the quality of MNE (PSN), and the Provincial Health Service need to support Public Health Center on setting policies which necessary.

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