scholarly journals Validity of Ottawa Knee Rules at a Teaching Hospital of Eastern Nepal

2021 ◽  
Vol 6 (2) ◽  
pp. 1471-1475
Author(s):  
Bibhuti Nath Mishra ◽  
Santosh Nepal ◽  
Surya Bahadur Parajuli
Keyword(s):  
Teaching Hospital ◽  
Subjective Evaluation ◽  
Knee Injuries ◽  
High Sensitivity ◽  
Cross Sectional Study ◽  
Fisher Exact Test ◽  
X Rays ◽  
Cross Sectional ◽  
Exact Test ◽  
Acute Knee

Introduction: Knee injuries are encountered frequently in Orthopedic emergency and Outpatient departments. Radiographs are routinely ordered in them, but not all of them demonstrate clear fractures. The decision for radiography based on subjective evaluation can help to reduce cost, decrease waiting time, and unnecessary radiation exposure. We lack this information in our context. Objective: The objective of this study was to find the validity of the Ottawa knee rule (OKR) in patients presenting with acute knee injuries at a teaching hospital in eastern Nepal. Methodology: A cross-sectional study was conducted from March 2018 to February 2019 including 210 cases of acute knee injuries. The patients were evaluated as per OKR and their X-rays were evaluated too. Collected data were entered in MS Excel and analyzed by SPSS for validity.   Results: Out of the total of 210 eligible patients (122 males and 88 females) with a mean age of 43.97 years, the radiography rate was 100% but the yield rate was only 10.5%. Overall 69% of patients presented to the hospital within 24 hours of the injury and direct hit/trauma was the commonest mode of injury. Patella fractures were commonest followed by proximal tibia fractures. There was a high sensitivity of 100% and a specificity of 42.02%.  The rule yielded a Positive and Negative Predictive value of 16.79% and 100%, respectively. The OKR, if applied correctly, could result in radiography rate reduction by 37.61%. The Fisher exact test result was significant at p<0.05. Conclusion: OKRs is a valid tool to predict fractures in patients who has a history of acute knee injuries without chances of missing fractures. This rule can reduce unnecessary radiography in our setup as well.

A year of hepatocellular carcinoma at a glance. Demographics, biochemical and radiological characteristics and treatment modalities from a specialized facility of Pakistan

2021 ◽  
pp. 1-6
Author(s):  
Laima Alam
Keyword(s):  
Hepatocellular Carcinoma ◽  
Cross Sectional Study ◽  
Treatment Modalities ◽  
Fisher Exact Test ◽  
Tumour Staging ◽  
Chi Square ◽  
Cross Sectional ◽  
Exact Test ◽  
Team Meetings ◽  
Contrast Enhanced Ct

Objectives:Relation of demographics of hepatocellular-carcinoma with the aetiology.Tumour characteristics in relation to anti-viral therapy and presence of viral-DNA/RNATreatment modalities offeredMethods: This cross-sectional study enrolled all the patients aged 18-70 years with diagnosed hepatocellular carcinoma either through Triphasic Contrast-Enhanced-CT scan and/or Magnetic Resonance Imaging or biopsy presenting to the Outpatient-Department or multi-disciplinary-team meetings for the year 2019. Demographic variables, biochemical analysis including liver profile and stage of cirrhosis, viral-status, tumour staging and the treatment modalities offered were all noted. ANOVA (normal) and Kruskal-Wallis (non-normal) tests were used to compare quantitative data whereas chi-square-test and fisher-exact-test were used to compare qualitative-data.Results: Out of 195 patients with hepatocellular carcinoma, 76% were males in their fifth to sixth decades of life, 96% had cirrhosis, 94% corresponded to viral hepatocellular-carcinoma (82% Hepatitis-C-Virus, 9% Hepatitis-B-Virus and 3% coinfection), 60% of the cirrhotics landed in Child-Pugh A category with tumour staging BCLC-B being the predominant one (43.6%) and single and multiple bilateral nodules were the commonest lesions encountered. Platelets and Alanine-Transaminase had a significant relation across aetiological groups. Lymph-nodes were the most common extra-hepatic organs for metastasis and the presence of viral PCR had a significant impact on the tumour aggressiveness. Thirty-two percent of the patients were amenable to curative treatment.Conclusion: Viral infection is the main cause of rising prevalence of this tumour in Pakistan. Treatment modalities are expensive and expertise are lacking. A nationwide cancer registry is required for the exact disease burden and tumour behaviour for our population. Continuous....

scholarly journals Future Living Arrangement for Aging Parents and Its Associated Factors

2019 ◽  
Vol 14 (3) ◽  
Author(s):  
Rahmi Setiyani ◽  
Made Sumarwati ◽  
Dian Ramawati
Keyword(s):  
Older People ◽  
Marital Status ◽  
Associated Factors ◽  
Living Arrangement ◽  
Well Being ◽  
Cross Sectional Study ◽  
Family Type ◽  
Fisher Exact Test ◽  
Cross Sectional ◽  
Exact Test

Background: Shift in demographic structure in Indonesia has raised concern over number of issues, including change in living arrangement of older people. Objectives: The purpose of this study is to examine adult children’s choice of future living arrangement for elderly parent and its associated factors. Methods: A cross sectional study was conducted among 300 young adults in Central Java, Indonesia. Descriptive statistics, Chi-Square and Fisher exact test were used to analyze the data. Results: Majority of respondents (97.3%) preferred parents to live at home, in multi-generational household with children and/or grandchildren (84.5%) in their old age. The choice was significantly influenced by children gender, marital status of parent, and family type (p=0.00; p=0.05, and p=0.05 respectively). Conclusions: In certain circumstances, living in multigenerational household still became a favorable option of living arrangement for elderly parents. Children gender, parent’s marital status and family type were likely to influence the choice. Further researches are needed to investigate which best living arrangement that support older people well-being.

scholarly journals Patients and Patients’ Relatives Perception of Cleanliness in Radiology Department of a Nigerian Teaching Hospital

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Mohammed Abacha ◽  
Isah Mustapha Nma ◽  
Sadiq Abubakar Audu ◽  
Abubakar Umar ◽  
Mohammed Dahiru ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
Cross Sectional Study ◽  
University Teaching ◽  
Hospital Environment ◽  
Radiology Department ◽  
X Rays ◽  
Cross Sectional ◽  
Adequate Knowledge ◽  
Examination Room

Background: Cleanliness and dirt are a dichotomy to categorize a particular environment especially hospital settings in which cleanliness pave a great linkage to patient satisfaction on quality of care and reduction of infection. Dirt creates negative thought on the quality of services being rendered to patients in the hospital environment. Objectives: To assess the perception of patients and their relatives on the level of cleanliness in radiology department of Usmanu Danfodiyo University Teaching Hospital (UDUTH) Sokoto and to determine which amongst the diagnostic rooms is the cleanest (Computed Tomography (CT) room, Routine X-rays room or contrast exams room (fluoroscopy)). Materials and Method: A descriptive cross-sectional study was conducted, 100 questionnaires were distributed to the respondents of which 66 in Routine xray room, 23 in CT suit and 11 in contrast examination room. Out of the 100 questionnaires nine were not returned and the remaining 91 were analysed. The questionnaire contains fifteen statements in total apart from the socio-demographic component. The count of responses was considered and for each type of response (SA, A, N, D, and SD) the percentage were calculated using statistical package for social sciences (SPSS) version 23.0. Results: Sixty percent of the respondents were patients while 40% were relatives of patients that were critically ill. The modal age range of the respondents was 25-34years, 58% were married, while 48.4% were civil servants. The result of our study shows that the respondents have adequate knowledge on cleanliness with a mean score of 4.3, they perceived radiology department as a clean environment for diagnosis and visitation but need further improvement. According to the findings, CT room was the cleanest (87.0%) followed by contrast examination room 64.0% and routine X-rays room was the least 47.0%. It also revealed that lack of manpower is the cause of inadequate sanitation. Conclusion: Radiology Department in Usmanu Danfodiyo University Teaching Hospital is clean and the CT suit is the cleanest.

scholarly journals Sero-Surveillance of Brucellosis in Cattle of Chitwan District, Nepal

2016 ◽  
Vol 4 (3) ◽  
pp. 365-371
Author(s):  
Sabita Subedi ◽  
Meera Prajapati ◽  
Bhojan Dhakal
Keyword(s):  
Social Study ◽  
Cross Sectional Study ◽  
Elisa Test ◽  
Fisher Exact Test ◽  
Chi Square ◽  
Cross Sectional ◽  
Exact Test ◽  
The Social ◽  
Chi Square Test ◽  
And Control

A cross sectional study was conducted in Eastern and Western parts of Chitwan district from November 2015 to April, 2016  in two parts, the social study followed by biological to determine and compare the prevalence, distribution of antibodies, and level of awareness of farmers  against Brucella abortus in cattle of the two regions of same district. Altogether blood samples of 92 cattle were taken for detection of Brucella antibodies by using RBPT test and the positive samples were further retested by Indirect ELISA test through ID Vet iELISA kit 2016. The samples which showed positive on both tests were confirmed as seropositive. Chi -square test and Fisher Exact test was used to find out the association between various variables. The result showed that 14.13% (13/92) and 10.86% (10/92) sample were positive by RBPT and iELISA test respectively. There was no significant prevalence differences (p>0.05) on location, age group, breed type, and method of service (artificial and natural) used in cattle. Comparing abortion with prevalence of Brucellosis, there was significant differences (p<0.05) in the result of both RBPT and iELISA test. Inferring from this result, there is association between the abortion and occurrence of Brucellosis. The higher significant prevalence differences (p<0.01) was according to the time of abortion where higher seropositivity was obtained in the cattle aborted on 5-7th month of pregnancy and cattle of 3rd parity. The study showed the existence of Brucellosis in Chitwan district with no adoption of any preventive measures against this disease, so here is current need of the strategies for its prevention and control in order to mitigate such overwhelming situation.Int J Appl Sci Biotechnol, Vol 4(3): 365-371

scholarly journals D-1 / PD-L1 EXPRESSION IN INVASIVE BREAST CARCINOMA / CANCER

2021 ◽  
Vol 71 (1) ◽  
pp. 67-72
Author(s):  
Sammeen Salim ◽  
Muhammad Asif ◽  
Rabia Ahmed ◽  
Muhammad Tahir Khadim
Keyword(s):  
Breast Cancer ◽  
Ductal Carcinoma ◽  
Armed Forces ◽  
Tumor Grade ◽  
Cross Sectional Study ◽  
Clinicopathological Parameters ◽  
Fisher Exact Test ◽  
Cross Sectional ◽  
Exact Test ◽  
Prevalent Subtype

Objective: To investigate the immunohistochemical expression of PD-1 and PD-L1 in breast cancer cases and itscorrelation with clinicopathological factors. Study Design: Cross sectional study. Place and Duration of Study: Histopathology department, Armed Forces Institute of Pathology Rawalpindi, form Jan to Jun 2019. Methodology: Sixty five cases of breast cancer were retrieved. Clinicopathological parameters like age, gender,tumor grade and receptor status were noted. Immunohistochemistry for PD-1 and PD-L1 was applied. The datawas entered and statistical analysis was done using SPSS version 21. The associations between variables werefound using the Fisher exact test. Results: Sixty five cases of breast cancer were investigated from tumour registry. The sample included femalepatients, having mean age of 50.86 ± 11.1 Years. Invasive mammary (ductal) carcinoma, NST was the most prevalent subtype 60 (92.3%) and most tumors were grade I/II 53(82%). PD-1 expression was seen in TIL’s 31 (48%) and PD-L1 expression was observed in tumour cells 30 (46%). Expression of PD-1/PD-L1 expression was more common in premenopausal age group and grade I/II tumors. Among molecular subtypes, PD-L1 expression was detected in 11 (52%) TNBC, 5 (71%) in HR-/HER2+ and 12 (32)% in HR + HER2 - and PD-1 expression was observed in 13 (62%) TNBC, 5 (71%) in HR-/HER2+ and 13 (35%) in HR+ HER2-. Conclusion: A large proportion of breast cancer cases show expression of PD-1 / PD-L1. Anti PD-1 and PD-L1therapy may benefit these patients.

scholarly journals PERBANDINGAN ANTARA KADAR KALIUM SERUM DENGAN ATAU TANPA TERAPI INSULIN PADA PASIEN DIABETES MELLITUS TIPE 2

2018 ◽  
Vol 15 (3) ◽  
pp. 95
Author(s):  
Andi Syamsudduha ◽  
S. V Sembiring ◽  
R DN Pakasi
Keyword(s):  
Serum Level ◽  
Insulin Therapy ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Fisher Exact Test ◽  
Diabetic Mellitus ◽  
Cross Sectional ◽  
Exact Test ◽  
Type 2 Dm

Diabetic patients can suffer from hipokalemia because of prolonged osmotic diuretic and management diabetic mellitus with insulinif does not associate with kalium intake. The aimed of this study was to evaluate kalium serum level on type 2 DM, and comparisonof kalium serum level on type 2 DM patients with or without insulin therapy. A cross-sectional study was done on 33 patiens type 2diabetic mellitus that admission on Stella Maris Hospital who examined kalium serum level. The data were colected from Medical Recordperiode January to December 2007. Data were analyzed with Fisher Exact test using SPSS versi 11.5. From 33 samples found normalkalium level 9 samples (27.3%) and decreased 6 samples (18.2%) and without insulin therapy found decresed 3 samples (9.1%) andnormal Kalium level 15 samples (45.5%). Comparison of Kalium serum level of type 2 DM patiens with or without insulin therapydid not statistically significant with P = 0.135. Kalium serum level of type 2 DM patiens with or without insulin therapy commonly inreference value.

scholarly journals Silent brain infarcts in chronic kidney disease patients with nonspecific neurological symptoms

2021 ◽  
Vol 9 (4) ◽  
pp. 274-279
Author(s):  
P Sasanka ◽  
◽  
Dr. T. Jaya Chandra ◽  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Density Lipoprotein ◽  
High Sensitivity ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Female Ratio ◽  
Exact Test ◽  
Brain Infarcts ◽  
Significant Difference

Introduction: Silent brain infarcts (SBI) are parenchymal lesions of previous infarcts, classified astype III cerebrovascular disorder. A study was undertaken to find the relation between SBIs andnonspecific neurological complaints, an association of high sensitivity C-reactive protein (hsCRP)with silent brain infarcts. Methodology: It was a cross-sectional study conducted in the departmentof Nephrology, GSL Medical College, from January to December 2020. Individuals aged > 18 yearswith nonspecific neurological complaints were included. MRI brain, hsCRP and electrocardiogramwere also carried as per the standard protocol. Fischer exact test was used to find the statisticalsignificance; P < 0.05 was considered statistically significant. Results: A total of 51 members haveincluded the male-female ratio was 1.04. SBI was presented in 27.4% (14). Age-wise, among thecortical SBI patients, maximum (75%) were in the> 61 years group. High density lipoprotein levelswere > 40 mg/dL in 39.2%, normal triglycerides (TGL) were observed in 71% and raised hsCRP in62.7% (32). Statistically, there was no significant difference in TGL levels. hsCRP levels were raisedin 3 (75%) members with cortical SBI; statistically, there was no significant difference. Conclusion:The traditional risk factors associated with stroke were present in the patients with SBI. hsCRP wasraised in chronic kidney disease patients having NSCL and having SBI.

scholarly journals Asupan Energi, Protein dan Lemak dengan Kejadian Gizi Kurang pada Balita Usia 24-59 Bulan di Desa Suci, Gresik

2017 ◽  
Vol 1 (4) ◽  
pp. 341
Author(s):  
Shafira Roshmita Diniyyah ◽  
Triska Susila Nindya
Keyword(s):  
Nutrient Intake ◽  
High Energy ◽  
Cross Sectional Study ◽  
Food Sources ◽  
Fisher Exact Test ◽  
Fat Intake ◽  
Cross Sectional ◽  
Exact Test ◽  
Nutritional Problem ◽  
Food Recall

 Background: Undernutrition is still the major of nutritional problem in Indonesia. Toddlers are one of age group that are susceptible to nutritional problems.  One of the direct cause of malnutrition  is nutrient intake.  Low intake of energy, protein and fat causes the utilization of nutrient intake become not optimal and susceptible to infectious diseases. Objectives: The purpose of this study was to analyze the correlation between energy, protein and fat intake with underweight toddlers aged 24-59 months. Methods: This research used a cross sectional study design with a sample size of 62  toddlers that living in the Suci Village Gresik. Data were collected by interview with questionnaires that related to the characteristic of toddlers and parents, form food recall 2x24 hours and measurement of weight toddlers based on WAZ index.  Data were analyzed using fisher exact test. Results: Underweight toddlers have lower intake of energy, protein and fat intake than non underweight toddlers. The results showed that there are 79.0% non underweight toddlers and 21.0% underweight, most of toddlers have adequate levels of energy, protein and fat intake. There was a correlation between energy (p=0.007), protein(p=0.039) and fat intake(p=0.010) with nutritional status of toddlers based on WAZ index.  Conclusions: It was suggested to increase the varied  and  food sources of  high energy, protein and fat, so the malnutrition can’t getting worse.ABSTRAK Latar Belakang:  Gizi kurang masih menjadi masalah gizi utama di Indonesia. Balita merupakan salah satu kelompok usia yang rentan mengalami masalah gizi. Penyebab langsung terjadinya gizi kurang salah satunya dipengaruhi oleh asupan zat gizi. Asupan energi, protein dan lemak yang rendah menyebabkan pemanfaatan zat gizi tidak optimal dan rentan mengalami penyakit infeksi.         Tujuan: Tujuan dari penelitian ini adalah menganalisis hubungan asupan energi, protein dan lemak dengan kejadian gizi kurang balita usia 24-59 bulan. Metode: Penelitian ini menggunakan desain studi cross sectional  dengan jumlah sampel 62 balita yang tinggal di wilayah Desa Suci Gresik. Pengumpulan data dilakukan dengan wawancara dengan kuesioner terk1q`3aq15b`6aait karakteristik balita dan orangtua, form food recall 2x24 jam dan pengukuran berat badan balita menggunakan indikator BB/U. Data dianalisis menggunakan uji fisher exact.Hasil:  Hasil dari penelitian ini menunjukkan balita dengan status gizi baik 79,0% dan balita gizi kurang 21,0%. Sebagian besar balita memiliki tingkat asupan energi, lemak dan protein dalam kategori cukup. Terdapat  hubungan antara asupan energi (p=0,007), protein (p=0,039) dan lemak (p=0,010) dengan status gizi balita berdasarkan indeks BB/U. Kesimpulan: Balita gizi kurang memiliki tingkat asupan energi, protein dan lemak lebih rendah dibandingkan dengan balita gizi baik. Perlu meningkatkan asupan bahan makanan sumber energi, protein dan lemak yang tinggi serta bervariasi agar kondisi gizi kurang tidak semakin memburuk.

scholarly journals Knowledge of pregnant women about anemia is related with adherence to iron tablets

2018 ◽  
Vol 26 (1) ◽  
pp. 26
Author(s):  
Baksono Winardi ◽  
Elga Caecaria Grahardika Andani
Keyword(s):  
Pregnant Women ◽  
Cross Sectional Study ◽  
P Value ◽  
Fisher Exact Test ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
Exact Test ◽  
Study Population ◽  
Almost All

Objectives: to identify association between knowledge of pregnant women about anemia and the adherence to consume iron tablets in BPM Titik Suharti, Surabaya, IndonesiaMaterials and Methods: Observational analysis cross sectional study. Population consisted of 55 trimester pregnant women in BPM Titik Suharti, Surabaya, in March-April 2017. Samples were recruited using consecutive sampling. The number of sample was 35 respondents. Data were analyzed using chi-square test.Results: This research showed that all of the less knowledgeable women on anemia (100.00%) were non-adherent to consume iron tablets, almost all moderately knowledgeable women (92.9%) were adherent, and all of the fully knowledgeable women (100.00%) were adherent. Fisher exact test in significance level of 0.05 revealed p value equal to 0.0001, indicating association between knowledge about anemia and adherence to consume iron tablets at BPM Titik Suharti, Surabaya, Indonesia.Conclusion: There is an association between knowledge of pregnant women about anemia with adherence to iron tablets.

scholarly journals HUBUNGAN KEBIASAAN MEROKOK DENGAN KEJADIAN HIPERTENSI PADA LANSIA LAKI-LAKI DI DESA BEKKU KECAMATAN AWANGPONE KABUPATEN BONE

2021 ◽  
Vol 5 (2) ◽  
pp. 898-903
Author(s):  
Ruslang Ruslang ◽  
Nirmawati Darwis ◽  
Tetti Surianti ◽  
Riki Rusanda
Keyword(s):  
Smoking Habit ◽  
Cross Sectional Study ◽  
Smoking Habits ◽  
Fisher Exact Test ◽  
Sectional Study ◽  
Elderly Men ◽  
Chi Square ◽  
Cross Sectional ◽  
Exact Test ◽  
The Relationship

ABSTRACT The prevalence of hypertension increases in line with the lifestyle of elderly men that harm their own health, namely smoking which without them knowing it can cause hypertension. The purpose of this study was to determine the relationship between smoking habits and the incidence of hypertension in elderly men in Bekku Village, Awangpone District, Bone Regency. The purpose of this study was to determine the relationship between smoking habits and the incidence of hypertension. This type of research is quantitative research with a Cross Sectional Study approach. Data were collected through a questionnaire given to each respondent. The analysis test used a computer program, namely SPSS 21 to assess the frequency statistical data and the Chi-Square test on the bivariate variable obtained the Fisher exact test value, on the smoking habit variable the value of = 0.01 < 0.05, so it can be stated that there is a relationship between Smoking Habits with Hypertension Incidence in Elderly Males in Bekku Village, Awangpone District, Bone Regency. The researcher's suggestion is for elderly men in Bekku Village to reduce their smoking habits so that their hypertension does not continue. Keywords : Hypertension, Smoking, Elderly Male ABSTRAK Prevalensi hipertensi meingkat sejalan dengan gaya hidup lanjut usia laki-laki yang merugikan kesehatan mereka sendiri yakni kebiasaan merokok yang tanpa mereka sadari dapat menyebabkan terjadinya hipertensi. Tujuan penelitian ini untuk mengetahui Hubungan Kebiasaan Merokok Dengan Kejadian Hipertensi Pada Lanjut Usia Laki-Laki Di Desa Bekku Kecamatan Awangpone Kabupaten Bone. Tujuan penelitian ini untuk mengetahui hubungan kebiasaan merokok dengan kejadian hipertensi. Jenis penelitian ini yaitu penelitian kuantitatif dengan pendekatan Cross Sectional Study. Data dikumpulkan melalui kuesioner yang diberikan kepada masing-masing responden. Uji analisis menggunakan program komputer yaitu SPSS 21 untuk menilai data statistik frekuensi dan uji Chi-Square pada pada variabel bivariat diperoleh nilai fisher exact test, pada variabel kebiasaan merokok diperoleh nilai ρ=0,01< α=0,05, sehingga dapat dinyatakan ada hubungan antara Kebiasaan Merokok Dengan Kejadian Hipertensi Pada Lanjut Usia Laki-Laki Di Desa Bekku Kecamatan Awangpone Kabupaten Bone. Adapun saran peniliti yaitu bagi para lanjut usia laki-laki di desa bekku agar kebiasaan merokoknya dikurangi agar penyakit hipertensi yang dideritanya tidak terus berlanjut. Kata Kunci : Hipertensi, Merokok, Lanjut Usia Laki- Laki

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