scholarly journals Suicide, the main cause of referral of patients from a general hospital for psychiatric evaluation

2021 ◽  
Vol 5 (1) ◽  
pp. 018-021
Author(s):  
Gómez Elena ◽  
Guzmán Marianela ◽  
Torres Oriol Yuguero

Introduction: Psychiatric emergencies constitute between 1% - 10% of general emergencies in Spain, of which a quarter will end up being hospital admissions. There is little literature on patients who are referred from general to specialized hospitals. Methods: Cross-Sectional study of all the patients referred in 2018. Sociodemographic variables and clinical variables, such as diagnosis and discharge destination, were analyzed. An analysis was performed by comparing means with the Chi Square test. Results: 433 derived emergencies were analyzed. Most of the patients were women. The main reason for derivation were suicide attempts. Of those patients, 40% required hospitalizations. More than 50% of the derived emergencies were referred to the home and followed up on an outpatient basis. Conclusion: Most derived emergencies are referred to the home after evaluation. This implies that most are not life-threatening and that with adequate tools for evaluating suicide risk, we could avoid transfers and improve the resolution of these cases.

Author(s):  
Lukwan Lukwan

Abstrak Salah satu permasalahan Indonesia secara nasional yang berkaitan dengan kader adalah tingginya angka drop out kader.Tiap Posyandu hanya memiliki 2 orang kader yang aktif. Tujuan penelitian ini adalah untuk mengetahui kontribusi pengetahuan terhadap kinerja kader Posyandu. Jenis penelitian yang digunakan adalah penelitian analitik dengan desain Cross Sectional Study dimana pengukuran variabel terikat dan variabel bebas dilakukan pada waktu dan tempat secara bersamaan. Data diolah dengan menggunakan uji statistik SPSS dengan teknik analisis data menggunakan uji Chi square dan uji phi. Hasil uji Chi square diperoleh X2 hit (4,375) dan uji koefisien kontingensi C = (0,474) dengan tingkat kepercayaan 95% (α = 0,05). Nilai X2 hit (4,375) > X2 (3,841), maka Ho ditolak dan Ha diterima. Kesimpulannya adalah ada hubungan yang cukup antara pengetahuan dengan Kinerja kader Posyandu di wilayah kerja Puskesmas Matandahi Kabupaten Konawe Utara. Kata kunci: Pengetahuan, Kinerja Kader Posyandu Abstract Nationally, one of Indonesia’s problems related to the cadres is the high number of drop out cadres. Each Posyandu only has 2 active cadres. The purpose of this study is to know the contribution of knowledge to the performance of Posyandu cadres. The type of research used is analytical research with Cross Sectional Study design where the measurement of dependent variable and independent variable is done at the same time and place. Data were processed by using statistical test of spss with technique of data analysis using chi square test and phi test. Chi square test results obtained X2 hit (4.375) and contingency coefficient test C = (0.474) with 95% confidence level (α = 0.05). X2 hit value (4.375) > X2 (3.841), then Ho is rejected and Ha accepted. The conclusion is that there is a sufficient relationship between knowledge with the performance of Posyandu cadres in the working area of the Puskesmas Matandahi Kabupaten Konawe Utara. Keywords: Knowledge, Performance of Posyandu Cadre’s


2016 ◽  
Vol 7 (01) ◽  
pp. 99-112
Author(s):  
Chairil

Diarrhea is one of the diseases that get priority eradication program because of the high morbidity and caused many deaths. In an effort to decrease the morbidity due to diarrhea important to know the factors that become menyebab incidence of the disease include the state of the environment, disease vector, personal hygiene, snack habits, and health services. The research was done at Village West Sidomulyo Tuah Karya and Sidomulyo subdistrict Puskesmas Handsome that during the period of the last 4-6 months of diarrhea always get into the top 10 diseases. The research objective was to determine the relationship between risk factors with the incidence of diarrhea. The study was a cross sectional study, using a questionnaire. Sampling was done by randomsampling, some 96 respondents. Results of research for the environmental health situation no association with diarrhea because of the test results chi-square statistic with continuity correction values obtained p = (1.00)> α = (0.05), disease-carrying vector no association with diarrhea because of test results chi-square statistic with continuity correction values obtained p = (1.00)> α = (0.05), there is no relationship between personal hygiene with diarrhea, because of the results of statistical chi-square test with continuity correction values obtained p = (0.69)> α = (0.05), there was no relationship between snacks at roadside with diarrhea, because of the results of statistical chi-square test with continuity correction values obtained p = (1.00)> α = (0, 05) there is no relationship between counseling with diarrhea, because of the results of statistical chi-square test with continuity correction values obtained p = (0.42)> α = (0.05), the variables being researched nothing to do with diarrhea , but it diskritif there, it is to note could be a risk for diarrhea will occur, it is necessary to promotive and preventive efforts. 


2014 ◽  
Vol 3 (1) ◽  
pp. 39-45
Author(s):  
Samreen Yasmeen ◽  
Muhammad Shahrukh ◽  
Zuhaira Farooqui

OBJECTIVES To determine the awareness level of good body posture in school going students and teachers of different academic places and compare the level of awareness between students and teachers. STUDY DESIGN A cross sectional study was conducted during January 2013 to April 2013. STUDY SETTINGS & PARTICIPANTS Research data was collected from different schools of Karachi. One hundred and thirty two participants including both school going students and teachers were participated in this study. The students belonged to 9-16 year age group. DATA COLLECTION TOOL Data was collected through close ended self-administered questionnaire. RESULTS Chi square test was applied to check the association between occupation and lecture attending question. Chi-square test results (p value = 0.000) showed that, there was a significant association between the occupation and attended lectures regarding postural awareness. Results also revealed that teachers and students were equally aware of standing and lying position, whereas for sitting position teachers were more aware than the students. CONCLUSION Study showed significant association of awareness between students and teachers. However, more education and further awareness regarding good body posture is needed to perform activities of daily living (ADLs) and to prevent prevalence of body pain due to poor posture.


2017 ◽  
Vol 2 (4) ◽  
pp. 143
Author(s):  
Seyed-Ali Mostafavi ◽  
Reza Bidaki ◽  
Hamzeh Shahmoradi ◽  
Afshin Mirzaei ◽  
Ahmad Reza Sayadi ◽  
...  

Background: Skin health and mental health are highly correlated. Considering that less attention has been paid to multidisciplinary fields, we evaluated the prevalence of mental disorders and related problems in patients with acne vulgaris in the city of Rafsanjan, Iran.Methods: This was a cross-sectional study. The study population included all patients with acne vulgaris in Rafsanjan who were referred in 2016 to a skin and hair clinic. After the patients agreed to participate, they underwent a psychological interview. Using the Hamilton Anxiety Scale, Beck Depression Inventory, and suicide questionnaires, their data were recorded and collected. Data were then analyzed using the chi-square test and Fisher’s exact test.Results: Of 100 patients evaluated (48 women and 52 men), 8% had severe anxiety, 61% had moderate anxiety, and 31% had mild anxiety. Moreover, 64% of patients had mild depression, 29% had moderate depression, and 7% had severe depression. Of all patients, only one had a high risk for suicide attempts. We did not find any significant relationship between anxiety or suicide disorder and any of following variables: marital status, disease duration, amount of lesions, location of lesions, and expansion of lesions. We observed that with increasing duration of illness, expansion of lesions, and level of lesions, depression increased significantly in patients with acne vulgaris. Location of lesions was not associated with depression.Conclusion: The prevalence of anxiety and depression is high in patients with acne vulgaris. Acne disease is more significantly correlated with depression.


2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Yoslianto Sarampang ◽  
Freddy W. Wagey ◽  
Maria F. Loho

Abstract: Most mothers now breastfeed less than 6 months and more gave extra food at that age but when viewed in terms of nutritional content of breast milk is superior to the other foods that have a lot of risks that can be caused to the health of the baby. Method: This research used a descriptive analytic cross-sectional study (cross-sectional) located in the obstetrics and gynecology section childbirth Prof. Dr. R. D. Kandou General Hospital Malalayang Manado in November 2012. Result: Based on the statistical test using the chi square test (p <0.05) in this study was p = 0.031 (p <0.05). Thus it is said that there is a significant relationship between the level of knowledge of mothers giving birth to the complementary feeding. Conclusion: In terms of education are mostly good (high school) we can say that there is no relationship with the mother despite knowledge of the test results obtained statistically significant value. It can be seen from the findings that most mothers who have given birth (72%) turned out to have given formula milk shortly after birth. Keywords: Knowledge, Childbirth, Complementary Feeding.   Abstrak: Kebanyakan ibu sekarang memberikan ASI tidak sampai 6 bulan dan lebih memberikan makanan tambahan pada usia tersebut padahal bila dilihat dari segi kandungan nutrisi ASI lebih unggul dari makanan pendamping yang lain sehingga memiliki banyak resiko yang bisa di timbulkan terhadap kesehatan bayi. Metode: Penelitian ini menggunakan desain penelitian deskriptif analitik dengan studi potong lintang (cross sectional) yang berlokasi di ruang nifas bagian obstetri dan ginekologi RSU Prof. Dr. R. D. Kandou Malalayang Manado bulan November 2012. Hasil: Berdasarkan uji statistik dengan menggunakan uji chi square (p<0,05) pada penelitian ini adalah p = 0,031(p<0,05). Dengan demikian dikatakan bahwa terdapat hubungan yang bermakna antara tingkat pengetahuan ibu melahirkan dengan pemberian MP-ASI.  Simpulan: Dilihat dari segi pendidikan yang kebanyakan adalah baik (SLTA) dapat dikatakan bahwa tidak ada hubungan dengan pengetahuan ibu meskipun dari hasil uji statistik diperoleh nilai yang bermakna. Hal tersebut dapat dilihat dari hasil penelitian bahwa kebanyakan ibu yang telah melahirkan (72%) ternyata telah memberikan susu formula sesaat setelah lahir. Kata kunci: Pengetahuan, Melahirkan, MP-ASI (Makanan Pendamping ASI).


2013 ◽  
Vol 38 (2) ◽  
pp. 189-198
Author(s):  
Subhagata Choudhury ◽  
Tanvira A Sultana ◽  
M Sirazul Islam ◽  
M Aminul Islam ◽  
Parvin A Khanam

Bone marrow morphological examination was performed on 835 patients either admitted in the inpatient departments of BIRDEM General Hospital or examined on outpatient basis. 760 of them were adults and 75 of them were children. 74 of the patients were diagnosed as suffering from a blood cancer known as Multiple Myeloma (MM). The age range of MM in our study was 40 to 85 years with a mean age of 63.25 years. Male to female ratio was 5:2 with a slight male preponderance. The median age of presentation was lower in females (60 years) than in males (65 years). MM was the second most frequent haematological disorder among all the patients examined, the most frequent one being leukemia. The frequency of MM was slightly higher among patients admitted in BIRDEM Hospital (10.4%) than those examined on outpatient basis (8.3%) although the difference was not statistically significant (P = 0.379 by Pearson’s Chi square test). The highest frequency of MM was found in patients admitted in the department of Orthopaedic Surgery (20.8%) followed by the Department of Nephrology (16.7%). This data represents a cross sectional picture of the prevalence of MM in elderly population. DOI: http://dx.doi.org/10.3329/jasbs.v38i2.15609 J. Asiat. Soc. Bangladesh, Sci. 38(2): 189-198, December 2012


Author(s):  
Wargustini Wargustini

ABSTRACK  This study aimed to determine the knowledge, motivation, leadership, incentives / rewards, and education with the performance of midwives in Antenatal Care Services (ANC) at health centers in the country Palembang, this study uses observational analytic study design "cross sectional" with 48 midwives sample using the formula, by conducting interviews and questionnaires. There are 15 respondents have less knowledge has an 31.25% lower performance. Results obtained by chi-square test p-value = 0.04 (p <0.05) and Rφ = 0.288 means that there is a connection with the performance of midwife knowledge, the closeness of the relationship is low, motivation midwives obtained value ρ = 0.017 and Rφ = 0.466 means that there is a relationship the performance of average -midwife with the relationship, clinic leaders leadership values obtained ρ = 0.00 and Rφ = 0.28  means that there is a relationship with the midwives' work closeness of the relationship is low. Chi-square test results obtained by the value of the incentive factor ρ = 0.019 = 0.328 declared value Rφ no relationship with the midwives' work closeness of the relationship is average. Factors education obtained ρ = 0.021 and the value of Rφ = 0.041 means that there is a relationship with the midwives' work closeness of the relationship being. Four chief centers are expected to consider factors - factors related to the performance of midwives that knowledge, motivation, leadership, incentives, and education.         ABSTRAK Penelitian ini bertujuan untuk mengetahui faktor pengetahuan, motivasi kerja, kepemimpinan, insentif / imbalan, dan  pendidikan yang berhubungan dengan kinerja bidan pada pelayanan Antenatal Care ( ANC ) di Puskesmas Sekota Palembang, penelitian ini menggunakan penelitian observasi analitik dengan rancangan “cross sectional study” dengan jumlah sampel 48 bidan dengan menggunakan rumus, dengan melakukan wawancara dan kuesioner. Terdapat 15 responden memiliki pengetahuan kurang 31,25 % memilki kinerja rendah. Hasil uji chi-square diperoleh nilai p=0,04 ( p< 0,05) dan Rφ = 0,289 berarti ada hubungan pengetahuan dengan kinerja bidan, dengan keeratan hubungan rendah, motivasi bidan diperoleh nilai ρ=0,017 dan Rφ=0,466 berarti ada hubungan dengan kinerja bidan dengan keeratan hubungan sedang, kepemimpinan pemimpin puskesmas diperoleh nilai ρ=0,00 dan Rφ = 0,28 berarti ada hubungan dengan kinerja bidan dengan keeratan hubungan rendah. Hasil uji chi-square faktor insentif diperoleh nilai ρ = 0,019 nilai Rφ = 0,328 menyatakan ada hubungan dengan kinerja bidan dengan keeratan hubungan rendah. Faktor pendidikan diperoleh nilai ρ = 0,021 dan Rφ = 0,41 berarti ada hubungan dengan kinerja bidan dengan keeratan hubungan sedang. Diharapkan keempat kepala puskesmas memperhatikan faktor – faktor yang berhubungan dengan kinerja bidan yaitu pengetahuan, motivasi kerja, kepemimpinan, insentif, dan pendidikan.        


2018 ◽  
Vol 6 (3) ◽  
pp. 244
Author(s):  
Bella Putri Lanida ◽  
Farapti Farapti

Background: Diarrhea is the fourth largest cause of death among children aged less than 5 years. One of the causes of diarrheal diseases in infants is a milk bottle that is not hygiene. Purpose: This study aimed to analyze how to maintain the hygiene of milk bottles in preventing the incidence of diarrhea in infants in Sidotopo Village, Semampir District, Surabaya City. Methods:  This study was an observational analytic study with a cross sectional study design. The population in this study were mothers who had children under five in Sidotopo Village, Semampir District, Surabaya City. The research sample was taken using simple random sampling method with calculations based on Slovin formula so that the samples obtained were 60 toddlers. Data collection was conducted from 2 January - 5 February 2018 Data collection using questionnaires and in-depth interviews. Data analysis using the chi-square test. Results: This study showed that the technique of maintaining the hygiene of milk bottles can prevent the incidence of diarrhea in infants (p <0.05). The results of the chi square test showed a significant relationship between the technique of washing hands with soap using soap and not using soap with the incidence of diarrhea (p = 0.03), but the results of testing on the behavior of hand washing habits of mothers with diarrhea showed insignificant results (p = 0.27). Conclusion: There is a relationship between techniques in maintaining the hygiene of milk bottles with efforts to prevent the occurrence of diarrhea in Sidotopo Village, Semampir District, Surabaya City.


Rev Rene ◽  
2020 ◽  
Vol 21 ◽  
pp. e44194
Author(s):  
Lediana Dalla Costa ◽  
Kelly Dalorsoletta ◽  
Ketlin Margarida Warmling ◽  
Marcela Gonçalves Trevisan ◽  
Géssica Tuani Teixeira ◽  
...  

Objective: to analyze the association between maternal difficulties in home care for newborns and parity. Methods: cross-sectional study, carried out in Primary Health Care in a Brazilian municipality. The sample consisted of 247 puerperal women, whose data collection took place by using two questionnaires, applied in home visits. The data were analyzed using Pearson’s chi-square test. Results: it was observed that both primiparous and multiparous women had a very high percentage of difficulties related to care, however, primigravid women showed greater obstacles in the care related to bathing and belching while multiparous women reported greater obstacles during breastfeeding. The worry with the choice of clothes and the umbilical stump was statistically significant, regardless of the number of gestations. Conclusion: there were difficulties, regardless of the woman’s previous obstetric experience, being mainly associated with insecurity, concern, and helplessness.


2020 ◽  
Vol 6 (1) ◽  
pp. 115-121
Author(s):  
Nurhelmi Helmi ◽  
Zulmeriza Rasyid

Sectio Caesarea Is A Surgery To Give Birth To The Fetus Via The Incision On The Abdomen And Uterus. Based On Early Observation Conducted Researchers Obtained The Normal Maternity Was 106 (20,7%) And 406 (79,3%) With Sectio Caesarea At January- March 2019. This Purpose Of This Study To Know The Determinant Of Sectio Caesarea At Maternity In X Hospital Pekanbaru. The Research Used A Method Of Analytic Survey With The Design Of Cross Sectional Study. The Total Of  Population 512 And Sample Of This Research 81 Maternities Who Were Birthing In The Hospital. Sampling Techniques Used Consecutive Sampling. The Measuring Instrument  Used A Questionnaire And Computerized Data Processed. Analysis Used Of Univariate And Bivariate With Chi-Square Test. Results Of The Studied In X Hospital Pekanbaru  There Was 51 (63%) Sectio Caesarea And 30 (37%) Normal Childbirth, After Analysis There Was Relationship Between Knowledge (P= 0,041, Or= 2,909 (1,142- 7,409)), Premature Of Membranes (P=0,041 Or=3,159 (1,152-8,662)), And Hypertension ((P=0,025, Or=3,348 (1,257-8,914)) With Sectio Caesarea. Expected For The Health Promotion And Health Of Both Mother And Child In X Hospital Pekanbaru To More Actively Educated About Maintaining Health During Pregnancy, Normal Childbirth And Sectio Caesarea Childbirth.


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