scholarly journals Faktor Risiko Penyakit Dekompresi Pada Nelayan Penyelam Di Pulau Barrang Lompo

2021 ◽  
Vol 16 (1) ◽  
pp. 69
Author(s):  
Dian Rezki Wijaya ◽  
Ranti Ekasari ◽  
Lilis Widiatuty ◽  
Zil Fadhilah Arranury ◽  
Tri Addya Karini

Decompression sickness is a disorder or disease caused by the release and increase of gas bubbles from the dissolved phase in blood or tissue due to the pressure drop that is often experienced by diving fishermen. Symptoms include dizziness, joint pain, paralysis, and even death. This study aimed to determine the risk factors of decompression disease in divers in Barrang Lompo Island. This study used a Case-Control Study design. The study population was all divers with 15-64 years of age, either suffering or not suffering decompression sickness. The research subjects were 47 cases and 94 controls obtained by accidental sampling. The results showed that the depth of diving (OR = 2.641; Cl 95% = 1.285-5.428), frequency of diving (OR = 4.067; Cl 95% = 1.939-8.531), and length of diving (OR = 3.872; Cl 95% = 1.657-9.052) were the risk factors of the decompression disease incidence on divers in Barrang Lompo Island. It is suggested to divers and all members who participate in the search to prepare a dive plan according to procedures related to depth, frequency, and duration of dives to reduce the incidence of decompression sickness.

2020 ◽  
Vol 9 (3) ◽  
pp. 799 ◽  
Author(s):  
Miguel Angel Rodriguez-Calero ◽  
Joan Ernest de Pedro-Gomez ◽  
Luis Javier Molero-Ballester ◽  
Ismael Fernandez-Fernandez ◽  
Catalina Matamalas-Massanet ◽  
...  

Background. Difficult peripheral intravenous cannulation (DPIVC) is associated with serious complications related to vascular access. These complications might be avoided if the risk factors were identified previously, enabling the detection of potentially difficult situations at an early stage. The aim of this study is to consider these risk factors, to determine the influence of the hospital setting, to examine the association between DPIVC and the different techniques of catheter insertion and to analyse the importance of the clinician’s experience in this context. Methods. Case-control study following a previously published protocol, conducted in 48 units of eight public hospitals in Spain. Adult patients requiring a peripheral intravenous cannula were prospectively included in the study population during their hospital stay. Over a period of 11 months, for consecutive eligible patients, nurses in each participating unit recorded data on their assessment of the vascular access performed and the technique used. Variables related to these medical personnel were also recorded. One of the researchers reviewed the patients’ clinical history to compile the relevant health variables and to characterise the healthcare process. The statistical analysis included association tests among the main study variables. The risk factors were analysed using bivariate logistic regression. The variables found to be statistically significant were included in a multivariate logistic regression model incorporating each of the healthcare environments identified. Results. The study population was composed of 2662 patients, of whom 221 (8.3%) presented with DPIVC. A previous history of difficulty, the presence of non-palpable veins, acute upper limb alterations and punctures in the ante-cubital fossa were found to be independent risk factors for DPIVC. Differences were found in the frequency of occurrence of DPIVC and in some risk factors, according to the healthcare context. The variables related to the characteristics of the hospital personnel did not influence the study event. Conclusion: The present study identifies four independent risk factors for DPIVC that can be incorporated into algorithms aimed at preventing its occurrence and facilitating the referral of patients to vascular access specialist teams.


BMJ Open ◽  
2018 ◽  
Vol 8 (8) ◽  
pp. e022497 ◽  
Author(s):  
Vanessa Hearnden ◽  
Craig Murdoch ◽  
Katy D’Apice ◽  
Susan Duthie ◽  
Nicholas J Hayward ◽  
...  

ObjectivesThis study was conducted to determine the prevalence of and associated risk factors for infection with oral high-risk human papillomavirus (HR-HPV) in adult participants within England, and to explore any association with oral mucosal buccal epithelial cell and whole blood folate concentration.DesignThis was an observational study to determine oral HR-HPV prevalence in the study population. A case–control study was performed to explore the association between infection and folate status.SettingThis study was conducted in Sheffield, UK, between April 2013 and August 2014.ParticipantsSeven hundred participants, aged 18–60 years, were recruited from university students (n=179), university and hospital staff (n=163), dental hospital patients (n=13), Sexual Health Sheffield patients (n=122) and the general public (n=223).InterventionsParticipants completed a lifestyle and sexual behaviour questionnaire, provided an oral rinse and gargle sample for the detection of oral HR-HPV and an oral mucosal buccal epithelial cell sample for the measurement of oral mucosal buccal epithelial cell folate. A blood sample was collected for measurement of whole blood folate concentration.Outcome measuresThe prevalence of oral HR-HPV infection in the study population was the primary outcome measure. Secondary outcome measures included associations between risk factors, folate status and infection.ResultsThe prevalence of oral HR-HPV infection in this cohort was 2.2% (15/680) with 0.7% (5/680) positive for HPV16 or HPV18. Twenty samples were excluded due to insufficient material for HPV detection. Participants with oral HR-HPV infection were more likely to be a former smoker, and have a greater number of sexual and oral sexual partners. Folate status was not linked to likelihood of HPV infection.ConclusionsThe prevalence of oral infection with HR-HPV in adult men and women in Sheffield in the North of England was low. Smoking and sexual behaviour were associated with HR-HPV positivity.Trial registration numberID14106.


2001 ◽  
Vol 120 (5) ◽  
pp. A442-A442
Author(s):  
B AVIDAN ◽  
A SONNENBERG ◽  
T SCHNELL ◽  
G CHEJFEC ◽  
A METZ ◽  
...  

2006 ◽  
Vol 37 (S 1) ◽  
Author(s):  
S Vaz ◽  
B Chodirker ◽  
J Seabrook ◽  
C Prasad ◽  
A Chudley ◽  
...  

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