scholarly journals PERBANDINGAN KADAR ENDOTHELIN-1 PADA KEHAMILAN PRIMIGRAVIDA DAN MULTIGRAVIDA

2018 ◽  
Author(s):  
JUMROH EKA SUCI RAHMADHANI

Endothelin-1 is potent endothelium derived as the strongest vasoconstrictor that has 21 amino acids and damage of endothelial layer activated the increasing of vasoconstriction, the increasing of endothelin-1 caused a resistence across the maternal vascular system that has endothelial layer make hypertension. This research aims is to determine te difference levels of endothelin-1 in primigravida pregnancy and multigravida pregnancy. The design type of this research was cross sectional study. There were 44 popltions, 22 mothers with primigravida pregnancy and 22 mothers with multigravida pregnancy respectively. The samples were selected using consecutive sampling technique. The instrument ofthis research was laboratory test. The result of this research were tested by Mann Whitney and Kruskal Wallis tests.The results indicate that the average of Endothelin-1 in primigravida pregnant mothers (91.02 ng / L), multigravida pregnancy’s parity ≤3 (89.04 ng / L), the Multigravida pregnancy’s parity >3 (62.13 ng / L) with p=0.367>0.05which means there is no difference of endothelin-1 between primigravida pregnancy and multigravida pregnancy.

2021 ◽  
Vol 71 (3) ◽  
pp. 937-41
Author(s):  
Salman Ashraf Khan ◽  
Obaid Bajwa ◽  
Naima Khalid ◽  
Nissa Khan

Objective: To evaluate awareness among the General Dentists of Lahore regarding the use of lining materials under posterior resin restorations. Study Design: Cross-sectional study. Place and Duration of Study: The study was conducted in Lahore, from Sep 2019 to Jan 2020. Methodology: Non-probability consecutive sampling technique was used. A sample size of 271 was calculated. The questionnaires were distributed by 2 surveyors to the general dentists of Lahore, Pakistan. Results: The response rate was 100%. Amongst these dentists, 191 (63.87%) affirmed that they use lining materials in initial depth cavities, 248 (82.94%) used lining material under moderate depth restorations and 285 (95.31%) used lining materials under advanced depth cavities with calcium hydroxide being the most commonly used material. Conclusion: The findings of the present study indicate that general dentists of Lahore are unaware of the contemporary concepts regarding the placement of cavity liners and tend to place liners in initial and moderate depth cavities under posterior resin restorations.


2017 ◽  
Vol 2 (2) ◽  
pp. 65
Author(s):  
Wayunah Wayunah ◽  
Muhammad Saefulloh

ABSTRAKStroke merupakan penyakit neurologik yeng terjadi karena gangguan suplai darah menuju suatu bagian otak. Angka kejadian stroke meningkat seiring dengan bertambahnya usia, semakin tinggi usia seseorang semakin tinggi kemungkinan terjadi stroke. Menurut penyebabnya stroke dibagi dua yaitu stroke hemoragik akibat pecahnya pembuluh darah otak dan stroke iskemik (stroke non hemoragik) akibat adanya trombus atau embolus pada pembuluh darah otak. Banyak faktor yang menyebabkan stroke, yang terdiri dari faktor yang tidak dapat diubah dan faktor yang dapat diubah. Tujuan  penelitian untuk mengidentifikasi dan menjelaskan faktor risiko yang berhubungan dengan kejadian stroke. Penelitian ini merupakan penelitian observasonal analitik dengan rancangan cross sectional study. Sampel sebanyak 103 responden yang diambil dengan tehnik consecutive sampling. Hasil penelitian menunjukkan ada hubungan yang signifikan antara hipertensi (p = 0,035) dan aktivitas fisik (p = 0,011) dengan jenis stroke. Aktivitas fisik merupakan faktor risiko paling dominan yang berhubungan dengan jenis stroke dengan OR = 5,8. Penelitian ini menyimpulkan riwayat hipertensi dan aktivitas fisik merupakan faktor risiko independen yang berhubungan dengan jenis stroke. Rekomendasi dari penelitian ini ditujukan kepada rumah sakit untuk meningkatkan kegiatan penyuluhan untuk mencegah faktor risiko terjadinya stroke. Selain itu meningkatkan peran perawat dalam  pemberian pelayanan keperawatan, dimana perawat memfokuskan asuhan pada kebutuhan kesehatan pasien secara holistik.ABSTRACT Stroke is a neurological disease that occurs due to disruption of the blood supply to a part of the brain. The incidence of stroke increases with age, that the older the person the possibility of stroke. According to the cause of stroke divided into two hemorrhagic stroke due to rupture of blood vessels of the brain and ischemic stroke (stroke non hemoragik) due to thrombus or embolus in the blood vessels of the brain. Many factors cause a stroke, which consists of factors that can not be changed and the factors that can be changed. The aim of research to identify and explain the risk factors associated with the occurrence of stroke.This research is an analytic observational study with cross sectional study. The sample of this study as many as 103 respondents is taken with consecutive sampling technique. The results showed significant relationship between hypertension (p = 0,035) and physical activity (p = 0.011) with the type of stroke. Physical activity is the predominant risk factor associated with this type of stroke with OR = 5.8. The study concluded a history of hypertension and physical inactivity is an independent risk factor associated with this type of stroke. Recommendations from this study aimed to hospitals to improve education activities to prevent risk factors for stroke. Besides increasing the role of nurses in the delivery of nursing services, where nurses care focuses on the health needs of patients holistically.


2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Ademola Adelekan ◽  
Philomena Omoregie ◽  
Elizabeth Edoni

Public health officials have advocated the involvement of men as a strategy for addressing the dismal performance of family planning (FP) programmes. This study was therefore designed to explore the challenges and determine way forward to male involvement in FP in Olorunda Local Government Area, Osogbo, Nigeria. This cross-sectional study involved the use of a four-stage sampling technique to select 500 married men and interviewed them using semistructured questionnaire. In addition, four focus group discussions (FGDs) were also conducted. Mean age of respondents was 28.5 ± 10.3 years. Some (37.9%) of the respondents’ spouse had ever used FP and out of which 19.0% were currently using FP. Only 4.8% of the respondents had ever been involved in FP. Identified barriers to male involvement included the perception that FP is woman’s activity and was not their custom to participate in FP programme. More than half of the FGD discussants were of the view that men should provide their wives with transport fare and other resources they may need for FP. The majority of the respondents had never been involved in family planning with their wives. Community sensitization programmes aimed at improving male involvement in FP should be provided by government and nongovernmental agencies.


2021 ◽  
Author(s):  
(MD

Abstract Background: Undiagnosed depression among university students has an adverse effect on the wellbeing and academic performance of students. This study aimed to assess the prevalence of depression and associated factors among Debre Birhan university students. Methodology: Institutional based cross-sectional study design is conducted in Debre Birhan University from April to June 2013 E.C. Three hundred sixty nine students participated in this study which was selected by simple random sampling technique. Data were collected by using a self-administered PHQ-9 standard depression questionnaire. First the data was entered into in Epidata 3.1 and then was exported to SPSS version 20 for analysis. Associated factors were identified using binary logistic regression and variables with a p-value < 0.05 were declared as statistically significant factors with the outcome variables. Result: All of the study subjects were between ages 18 and 33 with a mean age of 22.65 9 ± 2.78. The overall prevalence of depression is 17.1%. Among this according to PHQ-9 scores cut scores, 161(43.6 %) scored as normal (0–4), 145(39.3%) scored as mild (5–9), 53(14.4%) scored as moderate (10–14), 4(1.1%) scored as moderately severe (15–19) and 6(1.6%) students scored as sever (> 20). In multivariate analysis being female AOR = 9.28[3.47–24.81], academic year AOR = 0.236[0.059–0.936], smoking 26.3[9.33–74.1] and alcohol use AOR of 2.62[0.95–7.21] are significantly associated with depression. Conclusion and recommendation: This study found a considerable proportion of undergraduate students with depression. Higher institutions need to pay special attention to students especially those who are female, junior students, smokers and alcohol users.


2021 ◽  
Vol 7 (01) ◽  
pp. 22-29
Author(s):  
Ni Nengah Nikawati ◽  
Ni Made Sri Muryani

Background: Anxiety is a feeling felt by respondents regarding disturbing mental tension, which as a general reaction with the inability to overcome a problem or there is no sense of security, which later leads to a physiological and psychological change. The level of family anxiety can be assessed by using a questionnaire with each respondent's characteristics and level of anxiety can be divided into several parts, namely: normal anxiety levels, mild anxiety levels, moderate anxiety levels, severe anxiety levels and panic. Objective: Knowing the description of the level of family anxiety in caring for patients with schizophrenia at the Mental Poliklinik UPTD. Rumah Sakit Jiwa Provinsi Bali and the characteristics of families caring for patients with schizophrenia based on education, age, and type of work. Methods: The research method that used in this study was descriptive research. This study used a cross sectional study, which was a study in which the subjects were evaluated only once and the measurement of each only one variable at the same time that using sampling consecutive sampling technique. The sample used was 32 people consisting of family members of hallucinations patients. Results: Based on research conducted at the Poliklinik UPTD. Rumah Sakit Jiwa Provinsi Bali toward 32 family members who was caring for patients by schizophrenia, most family members did not experience anxiety or anxiety in the normal range which was 29 family members of 32 family members and 3 families who experienced mild anxiety levels. Conclusion: That most family members who treated patients by schizophrenia at the Poliklinik UPTD. Rumah sakit Jiwa Provinsi Bali does not experience anxiety or anxiety still within normal limits. Latar Belakang: Kecemasan adalah suatu perasaan yang dirasakan oleh responden mengenai ketegangan mental yang menggelisahkan, dimana sebagai reaksi umum dengan ketidakmampuan dalam mengatasi suatu masalah atau tidak ada rasa aman, yang nantinya menimbulkan suatu perubahan fisiologis dan psikologis. Keluarga yang memiliki anggota keluarga dengan  gangguan jiwa dapat mengalami kecemasan Tingkat kecemasan keluarga dengan skizofrenia yaitu cemas ringan (80,49%) dan 8 keluarga mengalami cemas sedang (19,51%). Tujuan: Mengetahui gambaran tingkat kecemasan keluarga dalam merawat pasien dengan skizofrenia di Poliklinik Jiwa UPTD Rumah Sakit Jiwa Provinsi Bali dan karakteristik keluarga yang merawat pasien dengan skizofrenia berdasarkan pendidikan, umur, dan jenis pekerjaan. Metode: Metode penelitian yang digunakan dalam penelitian ini adalah penelitian bersifat deskriptif. Penelitian ini menggunakan penelitian cross sectional yaitu suatu penelitian dimana subjek diobsevasi hanya satu kali saja dan pengukurannya masing-masing satu variabel pada waktu yang sama yang menggunakan teknik sampling consecutive sampling. Sampel yang digunakan berjumlah 32 orang terdiri dari anggota keluarga pasien Halusinasi. Hasil: Berdasarkan penelitian yang dilakukan di Poliklinik Jiwa UPTD. Rumah Sakit Jiwa Provinsi Bali terhadap 32 anggota keluarga yang merawat pasien dengan skizofrenia, sebagian besar anggota keluarga tidak mengalami kecemasan atau kecemasan masih dalam batas normal jumlah 29 anggota keluarga dari 32 anggota keluarga dan 3 keluarga yang mengalami tingkat kecemasan ringan. Kesimpulan: Sebagian besar anggota keluarga yang merawat pasien dengan skizofrenia di Poliklinik Jiwa UPTD. Rumah Sakit Jiwa Provinsi Bali tidak mengalami kecemasan atau kecemasan masih dalam batas normal.


2017 ◽  
Vol 4 (2) ◽  
pp. 110-114 ◽  
Author(s):  
Nabila Kanwal ◽  
Ghazala Riaz ◽  
Muhammad Shahid Riaz ◽  
Shoumaila Safdar

Absenteeism is a usual pattern of absence from a duty or responsibility. Usually, absenteeism is considered as an indication of person poor performance. In this study a descriptive cross sectional study design was used. A close ended questionnaire was used as a research tool. Convenient sampling technique was used. Data was analyzed on SPSS 20 version. Nurses are absent from their duties because they suffer from minor ailments e.g. headache and backache? In response of this question, 42.5% responded said that they are strongly agreed, 17.5% were agreed, 8.8% were neutral, 21.3% were disagreed, and 10% were strongly agreed. Nurses do absent from their work because workload is too heavy, 42.5% were agreed, 30% were strongly agreed, 12.5% were neutral,7.5% were disagreed and 7.5% were also strongly disagreed. The lack of appropriate recognition and reward could lead to dissatisfaction and absenteeism among nurses, in response of this question nurses asked that they do absent 31.3% agreed, 41.3% strongly agreed, 15.0% are neutral, 12.5%are disagreed and 0% are strongly disagreed. Staff absenteeism is a growing management concern. It can contribute to sickness absence, staffing instability, work overload and job dissatisfaction that could have a negative impact on patient care. The rate of absenteeism can be reduced by productive management, and loyal leadership. It will not only reduce absenteeism rate but also improve quality of care toward the patients. In return of good performance nurses need appraisal.Int. J. Soc. Sc. Manage. Vol. 4, Issue-2: 110-114


2020 ◽  
Vol 5 (2) ◽  
pp. 1027-1030
Author(s):  
Shanti Sunuwar Subedi ◽  
Rakina Bhansakarya ◽  
Sajjan Kumar Sharma

Introduction: To evaluate the maternal and perinatal outcome in booked and unbooked cases. Objectives: To assess the maternal and fetal outcomes in unbooked and booked patients. Methodology: This was a cross-sectional comparative study conducted in the Department of Obstetrics and Gynecology from Augustti2019 to January 2020. Using a convenient sampling technique, 204 samples were taken and cross-sectional study was done. Results: There were total 204 cases in this study;102were booked and 102 were unbooked. In this study, 85(83%) of booked cases were educated up to secondary level as compared toti65 (64%) of unbooked cases. There was no significant difference in Apgar score in 1 and 5 minute between booked and unbooked cases. More babies in the unbooked group were transferred to NICU as compared to the booked group and the difference was significant (9.8%vs 1.9%). Greater proportion of booked cases had spontaneous vaginal delivery (81.3% vs 59.8%) and complications like preterm delivery, anemia, preeclampsia/ eclampsia, complicated labor and puerperal sepsis was also less in the booked group. Conclusions: The study showed that unbooked mothers and their newborns had higher chance of having complications.


2020 ◽  
Vol 10 (1) ◽  
pp. 59-63
Author(s):  
Sailaja Sharma ◽  
Ratna Shila Banstola ◽  
Sakuntala Pageni

Introduction: Tobacco is one of the proven risk factors, contributes substantially to the rising epidemic of non-communicable diseases. Methods: This cross-sectional study was conducted to determine the prevalence of tobacco use and associated factors among adolescents of a selected public School in Kaski district. Non-probability purposive sampling technique was adopted and data was collected with self-administered questionnaire from 168 respondents. Results: The prevalence of tobacco-use was 19.6 percent and mean age of initiation was13.84 years. The most common reasons for smoking were peer pressure (63.3%), imitation (27.3%), family influence (27.3%) and quest for new experience (21.2%). Tobacco-use was strongly associated with ethnicity (p=0.03), mother's education level (p=0.02), father's occupation (p=0.03), peer pressure (p=0.01) and friends smoking habit (p=0.03). Conclusion: Tobacco-focused interventions are required for school going adolescents to promote cessation among users and prevent its initiation.


2020 ◽  
Vol 36 (2) ◽  
Author(s):  
Saif Hassan Alrasheed ◽  
Abd Elaziz Mohamed Elmadina

Purpose:  To see the effect of binocular vision problems on childhood academic performance and to record the teacher's perspectives about childhood eye care in Khartoum State of Sudan. Place and Duration of Study:  A descriptive cross-sectional study done among the school going children in the Khartoum State of Sudan during the year 2018. Study Design:  Descriptive cross sectional study. Material and Methods:  Three hundred and forty (340) primary school children’s were recruited for study by convenient sampling technique during the academic year 2018. After relevant history, ocular examination was performed. It included visual acuity measurement, assessment of refractive errors and binocular function tests. Academic performance of the children was recorded from academic records of the children. Finally, the qualitative data was derived from teachers’ perspectives about childhood eye care. Results:  Mean age of the participants was 11.96 ± 1.63 years. The findings revealed that (78.6%) of children achieved poor academic performances with decompensated exophoria at near. 52.7% children with poor academic performances had weak positive fusion reserve at near P = 0.04. 37.2% of the poor performers had convergence insufficiency. Fort eight percent of females with ocular complaints achieved poor academic performances P = 0.034. With regard to teacher's perspectives about childhood eye care, 98.8%believed that the vision problems had effect on the academic record of the children. Seventy percent of the teachers reported that the students did not undergo eye examinations before joining school. Conclusion:  Convergence Insufficiency and weak positive fusional reserve at near has a significant effect on academic performances.


Author(s):  
Chinta Durga Kumar ◽  
Venkata Suresh Anga

Background: Eye is one of the most vital organs of human body. Any abnormality in the eye can impair vision and make the person handicapped for life. The school children form a special group because they are most vulnerable to the effects of reduced vision and its impact on learning capability and educational potential. The objective of the study was to find out the factors affecting vision of secondary school children, to suggest preventive and remedial measures for defective vision.Methods: It was a cross sectional study. School children of Zilla Parishad secondary high school during November 2016 to December 2016 were studied. A pretested semi structured questionnaire was administered. A total of 320 students were included in the study by using convenient sampling technique. Data was entered in Microsoft excel sheet and analyzed using Statistical Package for Social Sciences (SPSS) version 20. Results were expressed as proportions for different study variables.Results: Out of the 320 students, majority 181 (56.56%) of study participants were girls. The highest number of students (49.38%) was between 12-13 years of age group. Prevalence of defective vision is 34%. Family history is present in 29% of the study population. 34% of children with defective vision, it was detected by their mother.Conclusions: Refractive errors are more in girls. Children and parents should be educated regarding ocular hygiene and early correction of refractive errors.


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