scholarly journals GAMBARAN KEJADIAN PRE EKLAMSIA PADA IBU HAMIL

2021 ◽  
Vol 6 (1) ◽  
pp. 6
Author(s):  
Evi Wahyuntari ◽  
Pratika Wahyuhidaya
Keyword(s):  
Risk Factors ◽  
At Risk ◽  
Pregnant Women ◽  
Medical Record ◽  
Gestational Hypertension ◽  
Tertiary Education ◽  
Chronic Hypertension ◽  
Medical Record Data ◽  
Work Area ◽  
Record Data

Kelainan tekanan darah selama kehamilan seperti preeklampsia, hipertensi gestasional, dan chronic hipertensi  terjadi pada 10% wanita hamil. Kelainan tekanan darah ini akan berefek pada morbiditas, ketidakmampuan ibu dan penyebab kamatian tertinggi pada ibu hamil. Penelitian ini bertujuan untuk mengetahui faktor yang berhubungan dengan pre eklamsia pada kehamilan Penelitian deskriptif Populasi dalam penelitian ini adalah seluruh ibu hamil baik yang mengalami Preeklampsia maupun yang tidak mengalami Preeklampsia dan melakukan pemerikasaan di RSKIA Sadewa diambil dari data rekam medik pada bulan Januari sampai bulan Nopember 2018 dengan jumlah 2862 ibu hamil. Kriteria Inklusi semua ibu hamil normal yang tidak mengalami Preeklampsia dan data yang ada di dalam rekam medis pasien yang terisi lengkap. Kriteri eksklusi data rekam medis yang tidak terisi lengkap atau tidak adanya data salah satu dari kriteria insklusi Hasil: gambaran faktor risiko preeklampsia di RSKIA Sadewa 31 (31%) responden rentang usia berisiko, 95 (95%) dengan pendidikan tinggi, 53 (53%) responden dengan paritas multigravida, 83 (93%) riwayat kesehatan tidak berisiko. Kesimpulan gambaran preeklampsia di RSKIA Sadewa sebagian besar responden yang mengalami preeklamsia tidak memiliki riwayat kesehatan yang berisiko. Saran dengan mengetahui karakteristik responden, maka kejadian preeklampsia dapat di minimalisir.Blood pressure abnormalities during pregnancy such as pre-eclampsia, gestational hypertension, and chronic hypertension occur in 10% of pregnant women. This blood pressure disorder will influence morbidity, maternal disability and the highest cause of death in pregnant women. This study aims to determine factors associated with pre-eclampsia in pregnancy. Descriptive research the population in this study were all pregnant women both experiencing pre-eclampsia and those not experiencing pre-eclampsia and conducting examinations in RSKIA Sadewa taken from medical record data from January to November 2018 with a total of 2862 pregnant women. Criteria for inclusion of all normal pregnant women without preeclampsia and the data contained in the complete medical records of patients. Criteria for exclusion of incomplete medical record data or absence of data from one of the inclusion criteria Results: description of pre-eclampsia risk factors in RSKIA Sadewa 31 (31%) respondents at-risk age range, 95 (95%) with tertiary education, 53 (53 %) respondents with multigravida parity, 83 (93%) medical history was not at risk. Conclusion Anaemia's description in the work area of Kalasan Public Health Center most of the respondents did not experience anaemia before. Suggestions by knowing the characteristics of respondents, then events can be minimized by doing early detection of risk factors

An Automated Model to Identify Heart Failure Patients at Risk for 30-Day Readmission or Death Using Electronic Medical Record Data

Medical Care ◽  
2010 ◽  
Vol 48 (11) ◽  
pp. 981-988 ◽  
Author(s):  
Ruben Amarasingham ◽  
Billy J. Moore ◽  
Ying P. Tabak ◽  
Mark H. Drazner ◽  
Christopher A. Clark ◽  
...  
Keyword(s):  
Heart Failure ◽  
At Risk ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Medical Record Data ◽  
Heart Failure Patients ◽  
Electronic Medical Record Data ◽  
Record Data ◽  
Patients At Risk

scholarly journals Research on diabetes prediction method based on electronic medical record data analysis

2020 ◽  
Vol 185 ◽  
pp. 03001
Author(s):  
Chen Hui ◽  
Wang Mingyuan ◽  
Tang Dingjun ◽  
Zhang Longwei ◽  
Guo Ziyan ◽  
...  
Keyword(s):  
Neural Network ◽  
Machine Learning ◽  
Risk Factors ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Network Model ◽  
Neural Network Model ◽  
Medical Record Data ◽  
Electronic Medical Record Data ◽  
Record Data

The continuous progress of computer science and technology has accelerated the pace of informatization construction of the medical system. Medical technology has developed rapidly in various research directions, and the construction of medical IT systems has been continuously improved. The popular application of electronic medical records has produced massive medical data in the medical process. At the same time, in medical behavior, more and more rely on data to make relevant judgments. The coverage of medical equipment is becoming more and more extensive, and the accuracy of data is constantly improving, and the clinical diagnosis is gradually shifting from qualitative judgment to quantitative analysis. Based on the analysis of electronic medical record data, this article studies and analyzes the risk factors leading to diabetes. By analyzing the characteristic variables, the risk factors significantly related to diabetes are obtained as the input variables of the BP neural network model. For complex problems, machine learning algorithms have higher accuracy and stronger generalization capabilities. Based on the BP artificial neural network model, this paper builds and builds a machine learning simulation to predict diabetes.

scholarly journals Epidemiological Profile of Pregnant Women with Eclampsia Admitted in Cuiabá Hospitals from 2008 to 2017

2019 ◽  
Vol 21 (4) ◽  
pp. 414
Author(s):  
Alissa Cristina Oliveira ◽  
Bruna Cararo Machado ◽  
Camila Félix Oliveira ◽  
Fabiana Canavarros Correa de Arruda Schneider ◽  
Frederico César Caixeta ◽  
...  
Keyword(s):  
Risk Factors ◽  
Pregnant Women ◽  
Gestational Hypertension ◽  
Chronic Hypertension ◽  
Private Hospitals ◽  
Mato Grosso ◽  
Gestational Period ◽  
Hypertensive Disorders ◽  
Epidemiological Profile ◽  
Mortalidade Materna

AbstractDuring pregnancy, women undergo several physiological body changes. However, there are some pathologies that can interfere in this period. In Brazil, the main cause of maternal mortality stems from hypertensive disorders. The increased blood pressure gestational period may be due to a preexisting chronic hypertension or Gestational hypertension. Therefore, the hypertension during pregnancy may evolve to preeclampsia, eclampsia or HELLP Syndrome. Each of these disorders has consequences for the mother and the fetus, which can be fatal, in the most serious cases. The objective of this study is to recognize the profile of pregnant women hospitalized with eclampsia, whereas the knowledge of the signs that the pathology presents and the most frequent epidemiological profile to help in the early diagnosis, which directly impacts on the efficacy of the treatment, reducing morbidity and mortality. This study aimed to evaluate the information available in the Sistema de Internações Hospitalares (SIH) of the Sistema de Informações da Secretaria do Estado de Saúde de Mato Grosso and to analyze the increase of pregnant women with eclampsia, in addition to the epidemiological profile of this group. After analyzing the data, it was verified that Afro-Brazilian women, aged between 20-24 years old, are the most affected by eclampsia. In addition, most cases have been reported by private hospitals and more than 50 percent remain hospitalized for up to 3 days. Despite the limitations in the database, the recognition of the most frequent conditions during hospitalization contributes to a better approach to these cases. Keywords:   Risk Factors. Pregnancy Hospital Information System – HIS/SUS. ResumoDurante o período gestacional, a mulher passa por diversas mudanças fisiológicas. Entretanto, existem algumas patologias que podem interferir nesse período. No Brasil, a principal causa de mortalidade materna decorre das síndromes hipertensivas. O aumento dos níveis pressóricos na gravidez pode ser originada por hipertensão crônica prévia ou pela Doença Hipertensiva Específica da Gestação (DHEG). Sendo que, essa última pode evoluir para pré-eclâmpsia, eclampsia ou Síndrome HELLP. Cada uma dessas variações gera consequências para a mãe e o feto, podendo levar à morte, nos casos mais graves. O objetivo desse trabalho é reconhecer o perfil de internações das gestantes acometidas com eclâmpsia, uma vez que o conhecimento dos sinais que a patologia apresenta e o perfil epidemiológico mais frequente auxiliam na identificação precoce dos casos, o que impacta diretamente na eficácia do tratamento, reduzindo a morbimortalidade. Esse estudo, buscou avaliar informações disponíveis no Sistema de Internações Hospitalares (SIH) do Sistema de Informações da Secretaria do Estado de Saúde de Mato Grosso e analisar, por meio deste, a progressão das gestanteacometidas com eclampsia, além do perfil epidemiológico desse grupo.  Após a análise das informações, verificou-se que as mulheres afro brasileiras, com idade entre 20 e 24 anos, são as mais acometidas pela patologia em estudo. Além disso, a maioria dos casos, foram notificados por hospitais particulares e mais da metade, permanece internada por até 3 dias. Apesar das limitações presentes no banco de dados, o reconhecimento das características mais frequentes durante a internação, contribui para uma melhor abordagem desses casos. Palavras-chave: Fatores de Risco. Gravidez. Sistema de Informações Hospitalares.

scholarly journals Gambaran Faktor Risiko Penderita Osteoartritis Lutut di Instalasi Rehabilitasi Medik RSUP Prof. Dr. R. D. Kandou Manado Periode Januari –Juni 2017

e-CliniC ◽  
2017 ◽  
Vol 5 (2) ◽  
Author(s):  
Ayling Soeryadi ◽  
Joudy Gesal ◽  
Lidwina S. Sengkey
Keyword(s):  
Risk Factors ◽  
Medical Record ◽  
Knee Injury ◽  
Cartilage Damage ◽  
Modifiable Risk Factors ◽  
Medical Record Data ◽  
Knee Oa ◽  
Modifiable Factors ◽  
Record Data ◽  
History Of

Abstract: Osteoarthritis (OA) is a chronically progressive degenerative joint disease associated with joint cartilage damage. It is usually affected the joints of the hands, vertebrae, hips, and knee which is reported as the most common affected location. Risk factors of OA are divided into non-modifiable factors and modifiable factors. The non-modifiable risk factors are age, gender, race, and genetic factors, while the modifiable factors are body mass index, occupation, knee injury, blood pressure, blood sugar level, and cholesterol level. This study was aimed to determine the non-modifiable risk factors and modifiable risk factors in patients with knee OA at the Medical Rehabillitation Unit of Prof. Dr. R. D. Kandou Hospital Manado. This was a quantitative descriptive study using medical record data in the Medical Rehabilitation Unit. There were 36 cases of knee OA during the period of January-June 2017; 27 cases had complete medical record data. The highest distribution of knee OA were patients in the 70-79 age group (33.3%), females (70.4), Minahasa ethnic (59.3%), no family history of OA (70.4%), BMI ≥23 (66.7%), retired (51.9%), history of knee injury (77.8%), prehypertension (51.9%), no history of DM (70.4%) and of hypercholesterolemia (66.7%). Conclusion: Based on the non-modifiable risk factors, females were more at risk of developing knee OA and based on modifiable risk factors, knee injury was the most common factor in the occurrence of knee OA.Keywords: knee osteoarthritis, risk factors Abstrak: Osteoartritis (OA) merupakan penyakit sendi degeneratif yang berkaitan dengan kerusakan kartilago sendi dan bersifat kronik-progresif. Lokasi yang biasanya terkena adalah sendi pada tangan, vertebra, panggul dan lutut, dimana lutut dilaporkan sebagai lokasi yang paling sering terkena. Faktor risiko OA terbagi atas faktor yang dapat di modifikasi dan faktor yang tidak dapat di modifikasi. Faktor risiko yang tidak dapat dimodifikasi ialah antara lain umur, jenis kelamin, suku/ras dan genetik. Faktor risiko yang dapat dimodifkasi berupa indeks massa tubuh, pekerjaan, cedera/trauma, tekanan darah, gua darah, dan kadar kolesterol dalam darah. Penelitian ini bertujuan untuk mengetahui faktor risiko yang tidak dapat dimodifikasi maupun dapat dimodifikasi pada penderita OA lutut di Instalasi Rehabilitasi Medik RSUP Prof. Dr.R. D. Kandou Manado. Jenis penelitian ialah deskriptif kuantitatif menggunakan data rekam medik di Instalasi Rehabilitasi Medik. Terdapat 36 kasus OA lutut selama periode Januari-Juni 2017; hanya 27 kasus yang memiliki data rekan medik lengkap. Pada penelitian didapatkan distribusi OA lutut terbanyak pada kelompok usia 70-79 tahun (33,3%), jenis kelaimin perempuan (70,4%), suku Minahasa (59,3%), tidak memiliki riwayat OA dalam keluarga (70,4%), IMT ≥23 (66,7%), pensiunan (51,9%), riwayat cedera lutut (77,8%), tekanan darah pre-hipertensi (51,9%), tanpa riwayat DM (70,4%) dan riwayat hiperkolesterolemia (66,7%). Simpulan : Berdasarkan distribusi faktor risiko yang tidak dapat dimodifikasi, jenis kelamin perempuan paling rentan terhadap OA lutut dan berdasarkan faktor risiko yang dapat dimodifikasi, cedera/trauma lutut merupakan faktor yang paling sering.Kata kunci: osteoatritis lutut, faktor risiko

scholarly journals Assessment of Risk Factors in Hypertensive Disorder During Pregnancy: Hospital Based (KAP) Knowledge, Attitude and Practice Survey. A Key for Preventive Approach

2018 ◽  
Vol 16 (2) ◽  
pp. 74-77
Author(s):  
Merina Shrestha
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Pregnant Women ◽  
Gestational Hypertension ◽  
Cross Sectional Study ◽  
Chronic Hypertension ◽  
Hypertensive Disorder ◽  
Cross Sectional ◽  
Knowledge And Attitude ◽  
Associated Risk Factors

Background: Hypertensive disorder (HDP) during pregnancy is a group of conditions featuring with high blood pressure that may lead to feto-maternal morbidity and mortality, particularly in developing countries. Aims and Objectives: To assess relationship between risk factor of hypertensive disorder during pregnancy, their self care knowledge and practice to prevent and control hypertension. Materials And Method: A cross-sectional study of 93 registered, pregnant women belonging to reproductive ageth group, after 20th  gestation age completed, who came for ANC checkup or admitted for hypertension management or prior to delivery in Nepalgunj medical college and teaching hospital under department of Obstetrics and Gynecology from 15th  June to 15th  December 2018. Blood pressure was measured for each women at booking or at subsequent visits. Urine test for protein albumin was performed if blood pressure was elevated. Data was entered and analysis was completed using SPSS package version 20. Results: The overall prevalence of hypertensive disorder during pregnancy was 2.85% among all deliveries. Pre-eclampsia accounted 36% of the cases followed by eclampsia 18%. Gestational hypertension was 21%, pregnancy induced hypertension was 20% and chronic hypertension was only 5% in study population. Conclusion: Knowledge and attitude regarding lack of exercise, low salt diet, obesity and lack of rest were poor contributory risk factors. It is recommended that all pregnant women must develop knowledge about associated risk factors and ensure the application of behavioral change practices to control and prevent hypertensive disorder during pregnancy.

scholarly journals Antenatal risk factors for childhood diabetes mellitus; a case-control study of medical record data in Yorkshire, UK

Diabetologia ◽  
1997 ◽  
Vol 40 (8) ◽  
pp. 933-939 ◽  
Author(s):  
P. A. McKinney ◽  
R. Parslow ◽  
K. Gurney ◽  
G. Law ◽  
H. J. Bodansky ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Medical Record ◽  
Case Control Study ◽  
Case Control ◽  
Childhood Diabetes ◽  
Medical Record Data ◽  
Record Data ◽  
Control Study

Influential Factors in The Law Enforcement Process of Sexual Violence Cases in Children in The City of Semarang

SOEPRA ◽  
2020 ◽  
Vol 6 (2) ◽  
pp. 4
Author(s):  
Liya Suwarni
Keyword(s):  
Law Enforcement ◽  
Sexual Violence ◽  
Medical Record ◽  
Child Protection ◽  
Influential Factors ◽  
Medical Record Data ◽  
Violence Against Children ◽  
Record Data ◽  
The Law ◽  
The City

Background. Cases of sexual violence increase every year, victims ranging from adolescents, children to toddlers. Based on data from the Indonesian Child Protection Commission, abuse and violence against children in Indonesia in 2013 were 23 cases, in 2014 there were 53 cases, in 2015 there were 133 cases, 2017 reached 1,337 cases, and as of July 2018 there were 424 cases. Purpose. Knowing the factors that influence the law enforcement process of sexy violence cases in Semarang City. Method This study uses descriptive analytical methods for cases of violence against children, based on medical record data in hospitals, documents in Mapolrestabes, the District Attorney's Office and the Semarang City Court for the period of January 2015 to December 2018. Results. Based on research results obtained 213 experimental cases section from medical record data in hospitals in the city of Semarang. Most cases of child abuse occurred in 2018 with 72 cases. Most victims are 12-14 years old age group, female. Most types of cases are cases of intercourse. The majority of violations are persons known as victims, perpetrators not working, and most of the places of occurrence are in the defendant's house. At the time of prosecution and trial, the number of cases was significantly reduced to only 8 cases. Factors related to this include lack of evidence, difficulty in obtaining information from victims, convoluted statements of coverage, lack of election, and obtaining diversion rates. Conclusion Cases of sexual violence have increased from year to year. The process of law enforcement on this problem still has many difficulties in each manufacturing process which is still difficult to overcome.

scholarly journals The Association of Familial Hypertension and Risk of Gestational Hypertension and Preeclampsia

2021 ◽  
Vol 18 (13) ◽  
pp. 7045
Author(s):  
Małgorzata Lewandowska
Keyword(s):  
Risk Factor ◽  
Pregnant Women ◽  
Odds Ratio ◽  
Independent Risk Factor ◽  
Gestational Hypertension ◽  
First Trimester ◽  
Chronic Hypertension ◽  
Modifiable Factors ◽  
The Family ◽  
Maternal Hypertension

It has not been established how history of hypertension in the father or mother of pregnant women, combined with obesity or smoking, affects the risk of main forms of pregnancy-induced hypertension. A cohort of 912 pregnant women, recruited in the first trimester, was assessed; 113 (12.4%) women developed gestational hypertension (GH), 24 (2.6%) developed preeclampsia (PE) and 775 women remained normotensive (a control group). Multiple logistic regression was used to calculate adjusted odds ratios (AOR) (and 95% confidence intervals) of GH and PE for chronic hypertension in the father or mother of pregnant women. Some differences were discovered. (1) Paternal hypertension (vs. absence of hypertension in the family) was an independent risk factor for GH (AOR-a = 1.98 (1.2–3.28), p = 0.008). This odds ratio increased in pregnant women who smoked in the first trimester (AOR-a = 4.71 (1.01–21.96); p = 0.048) or smoked before pregnancy (AOR-a = 3.15 (1.16–8.54); p = 0.024), or had pre-pregnancy overweight (AOR-a = 2.67 (1.02–7.02); p = 0.046). (2) Maternal hypertension (vs. absence of hypertension in the family) was an independent risk factor for preeclampsia (PE) (AOR-a = 3.26 (1.3–8.16); p = 0.012). This odds ratio increased in the obese women (AOR-a = 6.51 (1.05–40.25); p = 0.044) and (paradoxically) in women who had never smoked (AOR-a = 5.31 (1.91–14.8); p = 0.001). Conclusions: Chronic hypertension in the father or mother affected the risk of preeclampsia and gestational hypertension in different ways. Modifiable factors (overweight/obesity and smoking) may exacerbate the relationships in question, however, paradoxically, beneficial effects of smoking for preeclampsia risk are also possible. Importantly, paternal and maternal hypertension were not independent risk factors for GH/PE in a subgroup of women with normal body mass index (BMI).

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