scholarly journals TOBACCO SMOKING

2015 ◽  
Vol 22 (04) ◽  
pp. 460-465
Author(s):  
Muhammad Aslam ◽  
Muhammad Asif ◽  
Saima Altaf

Objective: To assess the risk of different cancer sites among the male smokersof the Southern Punjab, Pakistan. Study Design: Case-control design. Period: March - July2012. Setting: A data set of 596 males, belonging to the Southern Punjab was collectedfrom the Outdoor Ward of Cancer, Oncology Ward of Nishtar Hospital and Multan Institute ofNuclear Medicine and Radiotherapy (MINAR) Hospital. Method: Through a self-administeredquestionnaire, smoking status and respondent’s history and medical record of various typesof cancers were noted. The Chi-square test was used to assess the association betweentobacco smoking and cancer disease. For the risk analysis, odds ratios and attributable riskwere computed. Results: Among the respondents, 49.0% smoked tobacco. From the medicalrecord, 438 respondents were confirmed cancerous. The average age to start tobacco wasnoted to be 23.41 ± 4.85 while the age was 45.29 ± 12.24 years for tobacco cessation. Thepercentage of lung cancer among smokers is 24.01 which is highest among all the statedcancer sites. The risk of a smoker getting all types of the stated cancers is at least three times.The risk of lung cancer attributed to smoking is 17.65 and 50.7% of all the stated cancers.Conclusions: Smokers in the Southern Punjab can greatly reduce their risk (more than 50%)of cancer if they quit smoking.

2019 ◽  
Vol 7 (1) ◽  
pp. 25
Author(s):  
Fariska Firdaus

Background: The number of new cases of leprosy in Indonesia is still high with 15,910 new cases found in 2017. East Java is the highest contributor to new leprosy cases with 3,374 incidences in 2017 and the leprosy proportion of the grade 2 disability not reaching the national target is more than 5%. Purpose: This study aimed to analyze the risk of late treatment and the reaction of grade 2 disability of leprosy at Sumberglagah leprosy Hospital, Mojokerto. Methods: This study was the observational type with case-control design. The sample size consists of 35 case samples and 35 control samples. The direct interview and medical records collection were applied in this study. The research was conducted in Sumberglagah Leprosy Hospital from October to November 2018. Several variables were evaluated including the respondent characteristics (gender, age, education level, occupation, and type of leprosy), late treatment, and leprosy reaction. The chi-square test was used in this study. Results: The most Leprosy patients with grade 2 disability were found in the male (31.40%), older citizen (20.00%), people graduated only from elementary school (18.60%), farmers (15.70%), and people experience type-MB leprosy (50.00%). Research conducted at Sumberglagah leprosy Hospital showed the risk of late treatment (p = 0.01) and leprosy reaction (p = 0.01) with grade 2 disability. Conclusion: Late treatment and a history of leprosy reactions cause grade 2 disability in leprosy patients.


2017 ◽  
Vol 6 (1) ◽  
pp. 32
Author(s):  
Sumy Dwi Antono

Background: Antenatal Care is supervison before delivery especially knowing growth and development of fetus in uterus. The purpose of this study is to conceive the relationship between the frequency of ANC (Antenatal Care) with the incidence of anemia in the mother trimester III RSUD Nganjuk 2017. Method: in this study this research in an analytic  survey using case control design or caase control is related to how risk factors are studied using retrospective approach.in this study the population is pregnant women TM Nganjuk from January to june 2017. Populationin this study based on data from RSUD Nganjuk is 254 pregnant women TM III the sample of this  study is TM III pregnant women in the month January to june 2017 large sample are in use is  154 from the data collection in the analysis with chi square test. Results: After doing calculation hence found count bigger than table (3,84) hence ho rejected, so it can be concluded that there is relation between frequency of Antenatal Care with Genesis Anemia in pregnant mother Trimester III. Conclusion: Based on result of analysis,it can be concluded that there is a significant relationship between the frequency  of antenatal Care with the incidence of anemia in pregnant women.


2014 ◽  
Vol 17 (1) ◽  
pp. 175-188 ◽  
Author(s):  
Mirian Carvalho de Souza ◽  
Ana Glória Godoi Vasconcelos ◽  
Marise Souto Rebelo ◽  
Paulo Antonio de Paiva Rebelo ◽  
Oswaldo Gonçalves Cruz

INTRODUCTION: Tobacco use is directly related to the future incidence of lung cancer. In Brazil, a growing tendency in age-adjusted lung cancer mortality rates was observed in recent years. OBJECTIVE: To describe the profile of patients with lung cancer diagnosed and treated at the National Cancer Institute (INCA) in Rio de Janeiro, Brazil, between 2000 and 2007 according to their smoking status. METHODS: An observational study was conducted using INCA's database of cancer cases. To assess whether the observed differences among the categories of sociodemographic variables, characterization of the tumor, and assistance - pertaining to smokers and non-smokers - were statistically significant, a chi-square test was applied. A multiple correspondence analysis was carried out to identify the main characteristics of smokers and non-smokers. RESULTS: There was a prevalence of smokers (90.5% of 1131 patients included in the study). The first two dimensions of the multivariate analysis explained 72.8% of data variability. Four groups of patients were identified, namely smokers, non-smokers, small-cell tumors, and tumors in early stages. CONCLUSION: Smoking cessation must be stimulated in a disseminated manner in the population in order to avoid new cases of lung cancer. The Tumors in Initial Stages Group stood out with greater chances of cure.


2016 ◽  
Vol 8 (1) ◽  
pp. 1
Author(s):  
Nisa Azza Katulistiwa ◽  
Kusuma Scorpia Lestari

Abstract: In Klaten district,  leptospirosis cases raised  up  during  6 years (2006–2013), except in 2012.  The  healthy houses coverage raised up as well, although some houses still had not met healthy house criteria. The aim of this study was to analyze of house conditions and the rat exsistence affected to the leptospirosis cases in Klaten district. This study was observational analytic study used case control design. This study  was conducted on November, 2013–June, 2014 by using questionnaire, interview, and observation. The sample was 60 respondents with 30 cases and 30 controls. The independent variables  were the house conditions, house components, sanitation facilities, behavior,  and rat existence in the  house. Bivariate analysis  used chi square  test,  the  result showed that the  house conditions (p value  =  0.009 OR = 6.882), behavior  (p value = 0.017 OR = 6.000), and the rat existence in the house (p value = 0.030 OR = 10.545) were related to the leptospirosis cases. Multivariate analysis  used logistic regression test, the result showed unhealthy house conditions was the dominant risk factors that affect to the leptospirosis cases with value of probability about 74,6% and  two-fold  higher  risk compared with healthy house conditions. The suggestion for community in Klaten District is attempting to improve  the environmental house health by having a clean  and healthy living, such as always to put the garbage away to the waterproof  and closed bins and to put the garbage away regularly from house in the evening to prevent  rats go into house.Keywords: housing conditions, rat, unhealthy houses, leptospirosis


2019 ◽  
Vol 7 (2) ◽  
pp. 92-98
Author(s):  
Isabel Laudensye Karo Karo ◽  
Novia Fransiska Ngo ◽  
Yadi

Premature Rupture of Membrane (PROM) is the ruptured membranes before labor. There are several factors that increase the incident of PROM including infection (leukocytosis and bacteriuria). The aim of this research is to know the relation about these factors with PROM in Abdul Wahab Sjahranie Hospital in Samarinda in 2018. This research is an analytic observational study with case control design. The data in this study were taken from medical records at Abdul Wahab Sjahranie Hospital in Samarinda in 2019 using simple random sampling technique for maternities with the incident of PROM then without the incident of the PROM at Abdul Wahab Sjahranie Hospital in Samarinda. The ampunt of samples that obtained in this study are 104 samples that was divided to 52 cases sample and 52 controls that met the inclusion and exclusion criteria. The data analysed using Chi-Square test. The results of the study found that leukocytosis and bacteriuria was not associated with the incidence of PROM (p = 0.680; p = 0.693) in Abdul Wahab Sjahranie Hospital in Samarinda in 2018.


2020 ◽  
Vol 38 (29_suppl) ◽  
pp. 36-36
Author(s):  
Meghan Meadows ◽  
Meredith Ray ◽  
Matthew Smeltzer ◽  
Nicholas Faris ◽  
Carrie Fehnel ◽  
...  

36 Background: The Multidisciplinary Thoracic Oncology Conference (MTOC) model is easier to implement than the Multidisciplinary Clinic (MDC) model, but does not directly involve patients in decision-making. We compared the processes and outcomes of lung cancer care between patients discussed in a weekly MTOC versus those seen in a MDC. Methods: Prospective observational study of thoroughness of staging, stage confirmation (defined as biopsy of the stage-defining lesion), National Comprehensive Cancer Network guideline-concordant treatment, overall (OS) and event-free (EFS) survival of lung cancer patients in a community healthcare system’s MDC and MTOC from 2014-2019. We used the chi-square test and multivariable logistic regression to evaluate guideline-concordant treatment and stage confirmation; Kaplan-Meier curves and multivariable Cox regression were used to evaluate OS and EFS. We adjusted models for age, sex, race, insurance, smoking status, and histology. Results: 614 patients received care in MDC; 571 in MTOC. MDC patients were older (median age: 69 vs. 67); less likely to be active smokers (44% vs. 47%; p=0.03); more likely to have bimodal (98% v 95%, p=0.02) and trimodal staging (60% v 46%, p<0.0001). The stage-confirmation rate (OR: 1.55; 95% CI: 1.22-1.96) and mediastinal stage confirmation rate (OR: 1.55; 95% CI: 1.23-1.95) were both significantly higher in MDC, even after adjustment (aOR: 1.60; 95% CI: 1.25-2.03); (aOR: 1.58, 95% CI: 1.25-2.00). A higher proportion of patients received guideline-concordant treatment in MDC than in MTOC (82% vs. 73%; OR: 1.63; 95% CI: 1.21-2.20) even after adjustment (aOR: 1.64; 95% CI: 1.20-2.24). However, MTOC patients had significantly better OS (p=0.03) and EFS (p=0.001) than MDC patients and a lower hazard of death (HR: 0.81; 95% CI: 0.67-0.98), even after adjusting for confounding variables (aHR: 0.79 95%CI: 0.66-0.95). Conclusions: Although the processes of lung cancer care delivery were better in MDC than in MTOC, survival was better in MTOC. Patient selection may have played a role in these survival differences. The MTOC model, as implemented, seems competitive with the MDC model and is worthy of further exploration as a more feasible model of multidisciplinary care. [Table: see text]


2015 ◽  
Vol 4 (2) ◽  
Author(s):  
Rika Andriyani ◽  
Kiki Megasari

AbstrakToksoplasmosis pada ibu hamil dapat mengakibatkan keguguran dan kematian pada bayi yang dilahirkan, hal ini dikarenakan terjadinya infeksi pada saat bayi dalam kandungan. Berdasarkan SDKI tahun 2007, tercatat 35% ibu hamil mengalami toksoplasma. Tahun 2008 kejadian toksoplasma pada ibu hamil meningkat menjadi 47%. Tujuan penelitian ini adalah untuk mengetahui faktor risiko yang berhubungan dengan kejadian Toksoplasma pada ibu hamil di RSUD Arifin Achmad Provinsi Riau tahun 2013. Populasi dalam penelitian ini adalah seluruh ibu hamil yang mengalami infeksi toksoplasma yaitu sebanyak 30 orang. Pada penelitian ini seluruh populasi dijadikan sebagai subjek yaitu 30 orang (kelompok kasus) dan 30 orang kelompok (kontrol). Penelitian ini menggunakan jenis penelitian analitik kuantitatif dengan desain case control. Analisis data dilakukan secara univariat, bivariat dengan uji chi-square dan multivariat. Hasil penelitian diperoleh bahwa variabel yang berhubungan bermakna dengan kejadian toksoplasmosis yaitu variabel pendidikan. Hasil analisis multivariat, didapatkan OR dari variabel pendidikan adalah 4.344 (CI 95% : 1.804-16.427) artinya ibu hamil dengan pendidikan rendah beresiko 4 kali mengalami toksoplasmosis daripada ibu hamil yang berpendidikan tinggi.Kata kunci: faktor risiko, ibu hamil, toxoplasma AbstractToxoplasmosis in pregnant women, can lead to miscarriage and death in babies born due to infection by the time the baby in the womb. SDKI 2007, there were 35% of pregnant women experience toxoplasma and in 2008 the incidence of toxoplasmosis in pregnant women increased to 47%. The objective of this study was to determine the risk factors associated with the incidence of toxoplasma in pregnant women at Arifin Achmad Pekanbaru in 2013. Population in this study were all pregnant women who become infected with Toxoplasma as many as 30 people. The entire population of this study serve as a subjects in this study, in the number of samples of 30 persons (cases) and 30 person group (control). This research used quantitative analytical research with case control design. The data were analyzed using univariate, bivariate with chi-square test and multivariate. The results showed that the variables significantly associated with the incidence of toxoplasmosis is the variable of education. Multivariate analysis of variables obtained OR education is 4.344 (95% CI: 1804-16427) means that pregnant women with low education are at risk 4 times suffered from toxoplasmosis in pregnant women with high education.Keywords: risk factor, pregnant woment, toxoplasma


2021 ◽  
Vol 3 (4) ◽  
pp. 168-175
Author(s):  
Susi Purwanti ◽  
Nursari Abdul Syukur ◽  
Cristinawati B/R Haloho

Introduction: Breast cancer or breast maligna is one of the second high death causes after heart coronary and tend to increase. Purpose of this study is to understand the risk factors of breast cancer in Dr.Kanujoso Djatiwibowo Balikpapan hospital. Methods: This study is quantitaive, analytic study with case control design and used Chi-Square, this study used 48 samples women with breast cancer (1:1) with purposive sampling.  Bivariate analysis using chi-Square test, with OR (Odd Ratio or chance) using 95%confidence level. Results: The results showed a significant relationship between obesity (OR 11.7; p<0.001), hormonal family planning (OR=4.1; p=0.019), history of breastfeeding (OR=0.3; p=0.035) and family history (OR=4.5; p=0.017) with the incidence of breast cancer. Conclusion: obesity is the dominant risk factor where obese women are 11.7 times at risk of breast cancer.


2018 ◽  
Vol 5 (2) ◽  
pp. 185-192
Author(s):  
Dian Arsiana

Earlier rupture at membrane case has a great contribution to perinatal mortality, one of which is caused by the DKP. Earlier rupture at membrane case at the Dr. M. Yunus hospital Bengkulu increases every year. In 2011, it is recorded Earlier rupture at membrane 482 case (21,5%). The purpose of this study is to recognize DKP correlation with the earlier rupture at membrane case in Dr M. Yunus hospital Bengkulu 2012. This study used case-control design where all in the space C1 maternal Midwifery in 2011 amounted to 2244 people, a sample is taken with a ratio of 1:1 ie 190 by systematic random sampling. The research was conducted in July to August 2012. Retrieval of data using secondary data obtained from maternal registers. Data were analyzed with univariate and bivariate analysis using chi square test. The results showed that a small percentage (3.7%) respondents with DKP, more than most (55.3%) of respondents with parity primiparous and grandemultipara, a small portion (12.6%) of respondents with gestational age preterm and post-mature and small proportion (14.2%) of respondents to the location of the abnormality. There is no significant relationship between the DKP, parity, gestational age, mal position and Earlier rupture at membrane cases. Medical officer, especially midwives, must increase the frequency of counseling about the prevention and treatment for mothers who have risky factors in midwifery polyclinic.


2021 ◽  
Vol 16 (2) ◽  
pp. 158-169
Author(s):  
Gustika Trisiyani ◽  
Muhammad Syukri ◽  
Rd. Halim ◽  
Fahrul Islam

Diarrhea is a major cause of child morbidity and mortality in developing countries, including Indonesia. This study aimed to determine the risk factors for diarrhea in children aged 6-24 months. This study used a case-control design with 48 cases and 48 controls. Cases were children aged 6-24 months who had experienced diarrhea with the ICD code A.09 recorded in the register book from October 2019 to March 2020. The control samples were children aged 6-24 months who did not suffer from diarrhea with age (range ±3 months), gender, and domiciled in the same village as the case. Samples were taken using the total sampling method. Data collection used interview and direct observation techniques in July 2020. Data analysis was carried out univariate and bivariate using the chi-square test. The results of the study showed the relationship between exclusive breastfeeding (p= 0.000 OR=4.8 95% CI: 2.04-11.53), use of milk bottles (p=0.000 OR=6.3 95%CI 2.5-15.7), and CTPS habits (p = 0.000 OR = 4.8 95% CI 2.0-11.5) with the incidence of diarrhea in children. Family latrines (p=0.168 OR=4.3 95%CI 0.4-39.7), and drinking water sources (p=1,000 OR=1.0 95%CI 0.1-16.4) were not factors diarrhea risk. Health workers should educate the importance of the habit of washing hands with soap and washing bottles. Parents should give exclusive breastfeeding, clean regularly, and pay attention to how to store milk bottles before use.


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