Is hydronephrosis a risk factor for complications in conventional percutaneous nephrolithotomy?

Objective: To assess Hydronephrosis as a Risk Factor for complications in Conventional Percutaneous Nephrolithotomy. Study Design: Cross Sectional Descriptive study. Setting: Kidney Centre Post Graduate Training Centre, Karachi. Period: January to December 2020. Material & Methods: This study was done to know post-operative complications including bleeding, infection, and incomplete stone clearance in patients with or without hydronephrosis undergoing percutaneous nephrolithotomy. After applying the inclusion/ exclusion criteria it was found that the patients with hydronephrosis had less bleeding as compared to the no hydronephrosis group. In the same way, they also had fewer nephrostomy tubes placed, and chest drain insertion. All other complications were approximately the same in each group. Patients were selected using non-probability consecutive sampling technique. Percentage and frequencies were determined for quantitative variables. Mean and standard deviation were determined for quantitative variables. Results: Total 300 cases were studied fulfilling inclusion criteria. There were 70.07% male and 29.3% female cases. Age range of the patients was 18-60 years. There were 52.7% cases with hydronephrosis, placed in one group and 47.3% cases were without hydronephrosis placed in other group. Most common complication was postoperative bleeding reported in 48.9% cases with hydronephrosis as compared to 56.2% cases without hydronephrosis. Mean operative time was 115.7 ± 41.9 minutes in patients with hydronephrosis and 135 ± 35.4 minutes in patients without hydronephrosis. Conclusion: Patients with hydronephrosis experienced less postoperative complications, after PCNL as compared to those without hydronephrosis.

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Morbidity Pattern and Its Determinants in Urban Field Practice Area of VIMS, Bellary - A Cross-Sectional Study

Journal of Evidence Based Medicine and Healthcare ◽

10.18410/jebmh/2021/507 ◽

2021 ◽

Vol 8 (30) ◽

pp. 2763-2767

Author(s):

Pratibharani Reddy ◽

Ramesh K ◽

Anju Mariam Jacob ◽

Gangadhara Goud T

Keyword(s):

Quality Of Life ◽

Disease Burden ◽

Sampling Technique ◽

Cross Sectional Study ◽

Age Group ◽

Sectional Study ◽

Cross Sectional ◽

Training Centre ◽

The Family

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

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Vital Pulp Therapies in Clinical Practice: Findings from a Survey with Dentist in Southern Brazil

Brazilian Dental Journal ◽

10.1590/0103-6440201300409 ◽

2015 ◽

Vol 26 (6) ◽

pp. 566-571 ◽

Cited By ~ 12

Author(s):

Luiz Alexandre Chisini ◽

Marcus Cristian Muniz Conde ◽

Marcos Britto Correa ◽

Raquel Venâncio Fernandes Dantas ◽

Adriana Fernandes Silva ◽

...

Keyword(s):

Clinical Practice ◽

Graduate Training ◽

Descriptive Analysis ◽

Cross Sectional Study ◽

Southern Brazil ◽

Cross Sectional ◽

Pulp Capping ◽

Post Graduate Training ◽

Caries Removal ◽

Partial Caries Removal

Studies based on dentists' clinical practice possess vital relevance to understand factors leading the clinicians to choose by a specific technique over another. This study investigated which clinical conduct therapies are adopted by dentists in front of deep caries. Was evaluated how the place of work, post-graduate training and years since complete graduation influenced their decisions. A cross-sectional study was performed using a self-applied questionnaire with dentists (n=276) in Southern Brazil. Information regarding post-graduation training (specialization, master's or PhD), clinical experience (years since completing graduation) and place of work were investigated. The information regarding pulp vital therapies (materials for direct pulp capping; techniques for caries removal in deep cavities and strategies for indirect pulp capping) were collected by specific questions. Data were submitted to descriptive analysis and Exact Fischer Test. Response rate was 68% (187). The majority of dentists selected the calcium hydroxide (CH) as first material for direct (86.3%) and indirect (80.3%) pulp protection. Partial caries removal was reported by 61.9% of dentists. Less experienced clinical dentists choose partial caries removal more frequently (p=0.009), if compared with dentists graduated 10 years and up ago. The use of MTA was more common among professionals working at academic environment. Besides, MTA was not mentioned by professionals working exclusively in the public health service (p=0.003). In conclusion, the time since graduation influenced the clinical conduct related to caries removal. The choice of liner materials was influenced by dentists' workplace.

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Faktor-Faktor yang Mempengaruhi Kepatuhan Ibu dalam Pemanfaatan Posyandu di Wilayah Kerja Puskesmas Menteng Kota Palangka Raya

Jurnal Surya Medika ◽

10.33084/jsm.v6i1.1353 ◽

2020 ◽

Vol 6 (1) ◽

pp. 46-50

Author(s):

Nita Theresia ◽

Rikiy Rikiy

Keyword(s):

Univariate Analysis ◽

Immunization Coverage ◽

Health Indicators ◽

Sampling Technique ◽

Bivariate Analysis ◽

Cross Sectional ◽

Number Of Children ◽

Achievement Rate ◽

Public Health Indicators ◽

Age Range

Central Kalimantan achievement rate in several public health indicators is below the national achievement such as Td2+ immunization coverage (46.2%), postpartum maternity service coverage (76.75%), complete basic immunization coverage (87.3%), and prevalence of lean children (10.6%) and stunting (39%). Utilization of health services, especially posyandu, is still not optimal, which has an impact on the number of children under five suffering from malnutrition and the coverage of several posyandu activities that are still below the national achievement rate. The research design used was observational analytic using a cross-sectional approach. The subjects in this study were all mothers who came to posyandu who were selected by the total sampling technique. From the results of univariate analysis, most mothers who actively use services at posyandu are mothers who are in the age range of 20-35 years, amounting to 55%, the last high school education is as much as 40%, mothers who have toddlers and not working 85%, affordable distance 90%, and non-routine visits to posyandu 87.5%. Based on bivariate analysis, no independent variables (age, education, occupation, and distance) were found which showed the influence on the use of posyandu services.

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ANALISA KEPATUHAN MINUM OBAT ANTIHIPERTENSI PADA PASIEN DEWASA POLI PENYAKIT DALAM DI RSUD KARAWANG

Pharma Xplore : Jurnal Ilmiah Farmasi ◽

10.36805/farmasi.v4i1.621 ◽

2019 ◽

Vol 4 (1) ◽

pp. 303-309

Author(s):

Maya Arfania ◽

Raden Neng Yuni Budiarti

Keyword(s):

Risk Factor ◽

Random Sampling ◽

Medication Compliance ◽

Sampling Technique ◽

Chi Square ◽

Cross Sectional ◽

Critical Success ◽

Compliance Level ◽

Chi Square Test

ABSTRAK Hipertensi merupakan penyakit kronis yang memerlukan terapi. Adanya beberapa hal yang menyebabkan terjadinya penyakit hipertensi, diantaranya usia, tidak dapat mengendalikan stress, kualitas pelayanan kesehatan, polifarmasi. Salah satu penentu keberhasilan terapi adalah adanya kepatuhan minum obat pada pasien. Tujuan penelitian ini adalah untuk melihat gambaran tingkat kepatuhan minum obat antihipertensi pada pasien dewasa dan hubungan antara faktor risiko dengan jenis kelamin dan polifarmasi di RSUD Karawang. Penelitian ini merupakan penelitian Analitik dengan desain cross sectional dimana sampel diambil dengan teknik Purposive Random Sampling. Dari 115 resep yang diperoleh selama penelitian, terdapat 31 pasien (27%) laki-laki dan 84 pasien (73%) perempuan. Setelah dilakukan wawancara menggunakan kuesioner MMAS-8, didapatkan hasil sebanyak (22,6%) patuh dan (77,4%) pasien dewasa tidak patuh. Dari hasil analisis berdasarkan uji Chi Square dapat disimpulkan Jenis Kelamin (p=0,317) dan Polifarmasi (p=0,459) bukan fakor resiko terhadap ketidakpatuhan minum obat hipertensi pada pasien dewasa. Kata Kunci: Hipertensi, Tingkat Kepatuhan, Faktor Resiko ABSTRACT The hypertension is a chronic disease that needs to be treated properly and continuously. There are several things that cause hypertension disease, age, can not control the stress, quality of health services, polypharmacy .One of the critical success of therapy is medication compliance by patients. The purpose of this research is to see an overview the compliance level of adult patient’s anti-hypertention and the relationship between risk factors at gender and polypharmacy at RSUD Karawang. This is a analysis research with cross sectional where sample were taken by purposive random sampling technique. From 115 prescriptions, there were 31 male (27%) Patients and 84 female (73%) patients. After the interview using MMAS-8 questionnare, there were (22,6%) compliance and (77,4%) uncompliance adult patient. From the results of the analysis based on Chi Square test, it can be concluded that Gender (p=0,317) and Polypharmacy (p=0,459) is not a risk factor for uncompliance in taking hypertension medication in Adult patients. Keywords: Hipertensi, Compliance, Risk Factor

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FAKTOR-FAKTOR YANG MEMPENGARUHI KADAR ASAM URAT PADA USIA PRODUKTIF DI DESA NONGAN, KABUPATEN KARANGASEM

Bali Medika Jurnal ◽

10.36376/bmj.v5i2.43 ◽

2018 ◽

Vol 5 (2) ◽

pp. 134-142

Author(s):

Rai Wiwik Dwi Astari ◽

Ni Ketut Ayu Mirayanti ◽

I Made Arisusana

Keyword(s):

Physical Activity ◽

Uric Acid ◽

Random Sampling ◽

Sampling Technique ◽

P Value ◽

Cross Sectional ◽

Probability Sample ◽

Food Knowledge ◽

Knowledge Levels ◽

Age Range

Pendahuluan: Usia produktif dengan rentang usia dari 18-45 tahun, merupakan usia dimana manusia sudah matang secara fisik dan biologis. Tidak sedikit masyrakat dengan usia produktif yang sudah merasakan beberapa gejala adanya penyakit degeneratif yaitu contohnya penyakit asam urat. Penyakit asam urat adalah jenis arthiritis yang sangat menyakitkan yang disebabkan oleh penumpukan kristal persendian. Tujuan Penelitian mengetahui faktor–faktor yang mempengaruhi kadar asam urat darah pada usia produktif di Desa Nongan, Kabupaten Karangasem. Metode: Jenis penelitian ini adalah korelasional dan pendekatan yang digunakan adalah cross-sectional. Jumlah sampel pada penelitian ini adalah 58 responden dengan Non- probability sample yaitu dengan Random sampling. Hasil: Hasil analisis statistik dengan menggunakan rank spearman menunjukan bahwa dari 4 variabel yaitu makanan dengan p value = 0,000, aktifitas fisik dengan p value = 0,001, tingkat pengetahuan dengan p value = 0,000, jenis kelamin dengan p value = 0,000 lebih kecil dari pada 0,05 maka ada hubungan yang bermakna antara makanan, tingkat pengetahuan, aktifitas fisik, jenis kelamin dengan Kadar Asam Urat pada Usia Produktif di Desa Nongan. Kata Kunci: asam urat, usia produktif ABSTRACT Introduction: Productive age with age range from 18-45 years old, is the age which is human are mature physically and biologidally. Not afew peoples with productive age who al ready feel some sign of degenative disease for example uric acid disease. Uric acid disease is the arthritis type that very painfull uaused by cumulation of crystal joint. The purpose of this study to know factors that influence blood uric acid levels in productive age at Nongan village, Kabupaten Karangasem. Method: The type of this study is cross – sectional. The amount sample of this study is 58 respondents with Non –probability sample thatis Random sampling technique. Result: Statistical analysis results using rank spearman show that from 4 variables that is food with p value = 0,000 , physical activity with p value = 0,001, knowledge levels with p value = 0,000 , gender with p value = 0,000 smaller than 0,05 so there is a meaning ful correlation between food, knowledge levels, physical activity, gender with Uric acid levels in productive age at Nongan village. Keywords: uric acid, productive age

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Hypertension: Dominant Risk Factor on Stroke Occurence Analytical Observational Study in Sultan Agung Islamic Hospital Semarang during January 1, 2012 - August 31, 2013

Sains Medika ◽

10.26532/sainsmed.v6i1.336 ◽

2015 ◽

Vol 6 (1) ◽

pp. 8

Author(s):

Desia Laila Dian Saputri ◽

Ika Rosdiana ◽

Endang Lestari

Keyword(s):

Risk Factor ◽

Observational Study ◽

Sampling Technique ◽

Simple Random Sampling ◽

Dominant Factor ◽

Stroke Patients ◽

Cross Sectional ◽

Factors Associated ◽

Stroke Study ◽

Cross Sectional Design

Introduction: Stroke ranks as the first cause of disabilities and the third cause of death in the world. Many factors associated with stroke. Objective: this study aimed at evaluating the factors associated with stroke. Study Design: This study was an analytical observational study using cross sectional design. Samples were obtained from medical records of 263 patients who were admitted in neurology’s ward of Sultan agung Islamic hospital during 1 January 2012-31 August 2013. Samples categorized in 2 groups: 97 hemorrhagic’s stroke patients and 166 non hemorrhagic’s stroke patients with simple random sampling technique. This study were conducted by analyzing 5 variables such as gender, age, hypertension, diabetes mellitus and total cholesterol levels. Results: Logistic regression test using SPSS showed that hypertension was the most dominant factor associated with stroke (p=0.001; PR=1.707; CI=1.249–2.433). Conclusion: Hypertension was the most dominant risk factor for stroke.

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Exercising Interest in the Middle Age Group

Jurnal Performa Olahraga ◽

10.24036/jpo131019 ◽

2019 ◽

Vol 4 (02) ◽

pp. 214-223

Author(s):

Jeki Haryanto ◽

Wilda Welis

Keyword(s):

Middle Age ◽

Sampling Technique ◽

The Elderly ◽

Age Group ◽

Guttman Scale ◽

Cross Sectional Survey ◽

Cross Sectional ◽

The Family ◽

Age Range

This research begins with a phenomenon that occurs in Air Hangat Subdistrict, Kerinci Regency, which shows that a lack of interest to do sport in the middle age group (45-59 years old). This study aims to find out how interested this age group is in exercising. This type of research is a cross-sectional survey research that is describes a particular situation or situation as it is with the process of taking data only takes place at one time. The subjects in this study are the elderly who are in the middle age category, namely the elderly who are in the age range of 45 - 59 years who do sports in the Air Hangat subdistrict of Kerinci Regency (N=33). The sampling technique used in this research is sensus sampling which mean making the entire population as a sample. The data in this study was collocted using a Guttman scale questionnaire. The data is analysed using descriptive statistics. Based on the results of data analysis, it shows that the interest of the elderly in the middle age group to exercise is in the sufficient category. This is due to the lack of knowledge and role of the family, so their interest needs to be increased again with the hope that in the future this age group will be healthier.

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Ocular Biometry among primary angle closure

Journal of Chitwan Medical College ◽

10.3126/jcmc.v8i1.23708 ◽

2018 ◽

Vol 8 (1) ◽

pp. 5-9

Author(s):

Dakki Sherpa

Keyword(s):

Risk Factor ◽

Sampling Technique ◽

Normal Subjects ◽

Angle Closure ◽

Control Group ◽

Cross Sectional ◽

Primary Angle Closure ◽

Ocular Biometry ◽

Lens Diameter ◽

The Mean

Objective: To determine ocular biometry of primary angle closure. Materials and methods: A cross-sectional comparative study was carried out in Nepal Eye Hospital including thirty-six eyes of 29 diagnosed cases of primary angle closure and 44 eyes of 22 normal subjects selected by convenience sampling technique. A complete ocular examination of all the subjects was carried out. AL, ACD and LD measurement was done using ultrasound A scan. Result: Out of 80 eyes, there were 36 eyes of 29 diagnosed primary angle closure subjects and 44 eyes of 22 normal subjects. The mean age of primary angle closure patients were 61. 65+/- 10.44. The mean AL of PAC was 22.15mm +/-0.76. The mean AL of control group was 22.98 mm with SD of 0.63. The mean ACD of PAC patients were 2.85mm and SD of 0.46 and the mean ACD of control group was 3.59 with SD of .40. The mean lens diameter of PAC group was 4.57 mm +/- 0.58 and the mean LD of control group was 4.43mm +/- 0.54. The Sig (2-tailed) test showed: Age: 0.268, AL: 0.001, ACD: 0.000 and LD: 0.466. Conclusion: This study reveals that short AL and shallow ACD is a strong risk factor of primary angle closure. Though LD more than 4.5 mm is a risk factor of primary angle closure it is not statistically significant.

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GAMBARAN PELAKSANAAN PPIA PADA KUNJUNGAN AWAL ANTENATAL CARE OLEH BIDAN PRAKTEK MANDIRI (BPM) DI KOTA DENPASAR TAHUN 2018

Jurnal Genta Kebidanan ◽

10.36049/jgk.v8i2.154 ◽

2018 ◽

Vol 8 (2) ◽

pp. 65

Author(s):

Ni Wayan Sukma Adnyani ◽

Ni Made Rai Widiastuti ◽

Ketut Novia Arini

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Community Health Centers ◽

Sample Selection ◽

Sampling Technique ◽

Child Health Services ◽

Independent Practice ◽

Initial Visit ◽

Cross Sectional ◽

Age Range

Abstract: Characteristics and Implementation of PMTCT in The Initial Visit Of Antenatal Care By Independent Practice Midwife (BPM) In Denpasar City. Based on data from the Bali Provincial Health Office (2014), the number of pregnant women who were willing to take the PMTCT test was 5,029 (42.91%) of the national target achievement of 78% of pregnant women who were tested for HIV. Independent Practice Midwives (BPM) as maternal and child health services that offer and provide PPIA services during ANC visits. This study seeks to determine description of the implementation of PMTCT by midwife practice independent. This research is a descriptive study using a cross-sectional approach. The sample selection used a total sampling technique in which 73 BPM met the inclusion criteria. The results of this study showed 60.3% of midwives with education < D3 Midwifery, 60.3% of midwives were in the age range > 40 - 60 years, and most of them were 74% midwives carried out PMTCT services in accordance with the provisions that were offered the initial visit and a small portion of 26% of midwives did not carry out PMTCT services according to the provisions, but referred patients to PMTCT on the next visit when the nausea and vomiting had disappeared. Thus, supervision from policy makers from the Ministry of Health and Community Health Centers (Puskesmas) is very important in conducting a review of the implementation of PPIA regularly to increase the scope of PPIA in BPM.Key words : Pregnancy,PMTCT, Independent Practice MidwivesAbstrak : Karakteristik dan Gambaran Pelaksanaan PPIA pada Kunjungan Awal Antenatal Care oleh Bidan Praktek Mandiri (BPM) Di Kota Denpasar. Berdasarkan data Dinas Kesehatan Provinsi Bali (2014), jumlah wanita hamil yang bersedia melakukan tes PMTCT adalah 5.029 (42,91%) dari pencapaian target nasional yaitu 78% dari wanita hamil yang dites HIV. Bidan Praktek Mandiri (BPM) sebagai tempat pelayanan kesehatan Ibu dan Anak yang menawarkan dan memberikan pelayanan PPIA dalam kunjungan ANC. Penelitian ini berusaha untuk mengetahui gambaran pelaksanaan PPIA oleh BPM Penelitian ini merupakan penelitian deskriptif dengan menggunakan pendekatan cross-sectional. Pemilihan sampel menggunakan teknik total sampling di mana 73 BPM memenuhi kriteria inklusi. Hasil penelitian ini menunjukkan sebanyak 60,3% dengan pendididkan < D3 Kebidanan, 60,3% dalam rentang umur > 40 – 60 tahun, dan sebagian besar yaitu 74% bidan melaksanakan pelayanan PPIA sesuai dengan ketentuan yaitu ditawarkan pemeriksaan pada kunjungan awal dan sebagian kecil yaitu 26% bidan belum melaksanakan pelayanan PPIA sesuai ketentuan, melainkan merujuk pasien untuk PPIA pada di kunjungan berikutnya saat mual muntah sudah hilang. Dengan demikian, pengawasan dari pembuat kebijakan dari Departemen Kesehatan dan Pusat Kesehatan Masyarakat (Puskesmas) sangat penting dalam melakukan tinjauan mengenai pelaksanaan PPIA secara teratur untuk meningkatkan ruang lingkup PPIA di BPM.Kata kunci: Kehamilan, PPIA, Bidan Praktek Mandiri,

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A study to assess common morbidity pattern of an urban population of Tripura

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20175339 ◽

2017 ◽

Vol 4 (12) ◽

pp. 4613

Author(s):

Anjan Datta ◽

Kaushik Nag ◽

Nabarun Karmakar ◽

Srabani Datta

Keyword(s):

Respiratory Infections ◽

Sampling Technique ◽

Simple Random Sampling ◽

Local Area ◽

Cross Sectional Study ◽

Communicable Diseases ◽

Cross Sectional ◽

Training Centre ◽

Non Communicable Diseases ◽

Medical College

Background: To plan for effective health measures, knowledge regarding morbidity profile of local area is very important. Preventive health strategies cannot be made without an idea about the disease burden and changing trend of diseases of the locality. Keeping this background in mind the present study was conducted. The objective of the study was to assess the common morbidity pattern of people living in an urban area of Tripura.Methods: A community based cross-sectional study was conducted among people living in the filed practice area of Urban Health Training Centre, Dukli under Department of Community Medicine, Tripura Medical College & DR. BRAM Teaching Hospital, Hapania for a period of one year. Five hundred fourty participants were selected using simple random sampling technique and data was collected using a pre-designed pretested questionnaire and analyzed using SPSS version 20.0 software. Results: Majority (50.93%) of the study participants were females and belonged to 19-59 years age group (32.78%). The commonest type of morbidity was found to be acute respiratory infections (31.10%), followed by musculo-skeletal disorders (17.78%), with non-communicable diseases like diabetes mellitus, hypertension, obesity etc. catering 13.70% of all morbidities. Majority of the participants were having single morbidity (55.74%) than those having comorbidities. Conclusions: There is dual burden of communicable as well a non-communicable diseases in our study population. Future studies for risk factors assessment are required to plan for effective preventive strategies locally.

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