scholarly journals TO STUDY THE IMPACT OF OXYGEN SATURATION OF NEONATES ON THEIR IMMEDIATE OUTCOME BY USING TOPS SCORE

Author(s):  
Priyanka Jain ◽  
Rakesh Jain

Background & Method: This study was carried out at Index Medical College Hospital & Research Centre, Indore, when baby come to scnu, SPO2 is measured by pulse oximeter (ChoiceMMed MD300C2.). Fit the pulse oximeter on the foot, the light part of the sensor should be placed over soft tissue supported by a bony area. If the foot is cold or blue the pulse oximeter can be attached at the wrist. If the signal is poor re-position the probe. In a resuscitation situation the pulse oximeter should be attached to the right arm to read pre-ductal saturations. Result: In this study, 28.46% newborns oxygen saturation was less than 85% and 71.53% newborns oxygen saturation was more than 85%. In this study, 67.81% newborns having oxygen saturation less than 85% and 1.9% newborns having oxygen saturation more than 85% died during first 48 hrs of admission. Chi square test was applied and p value was <0.05 and was significant. Conclusion: Most of neonatal transports are self transport without any pre-treatment stabilization or care during transport These new born thus transported can become cold, blue and hypoglycaemic. This can have serious clinical implications. As it is seen in this study that all those babies who were given proper care during transportation were less affected & more over survival was also better among these babies. Keywords: Oxygen Saturation, Neonates & TOPS score.

Objective: This study was carried out to determine the prevalence of microdontia among patients undergoing orthodontic treatment. Materials and Methods: This was a cross-sectional study conducted at Sindh Institute of Oral Health Sciences, (JSMU) from January-2020 to May-2020. Pre-treatment casts were taken of 140 subjects. The mesiodistal dimension of each tooth was recorded through the vernier caliper. Frequency and percentage were calculated for the presence of microdontia. The test applied was Pearson’s Chi-square test to assess the relationship between microdontia and variables like age and gender. P-value <0.05 was taken as statistically significant. Data analysis was performed on SPSS version 22. Results: A total of 140 subjects were selected i.e. 105 (75%) females and 35 (25%) males aged range 13 -30 years with mean age 18.29 ± 3.88. Out of 42, single tooth microdontia was found in 3 (7.1%), more than one tooth microdontia, and generalized microdontia was present in 36 (85.7%) and 3 (7.1%) respectively. Microdontia was found to be more common in the maxilla (n=42, 100%) than the mandible (n=14, 33.3%). It was found more common in females (n=37, 35.2%) as compared to males (n=5, 14.3%). Statistically significant relationship was found among gender and prevalence of microdontia (p=0.019) with a statistically insignificant relationship between age and presence of microdontia (p=0.228). Conclusions: Microdontia was found to be a frequent dental anomaly, was more common in maxilla and females with a significant association with gender.


Author(s):  
Devika V. Desai ◽  
Nigamananda Mishra ◽  
Gayatri V. Savani

Background: It has been since antiquity that the importance of amniotic fluid and fetal growth with perinatal outcome is being documented. But the lacunae lies in studying the relationship between borderline amniotic fluid and perinatal outcome. The following study was undertaken to provide recent data that would help predict perinatal outcome in borderline AFI pregnancies.Methods: About 144 patients were considered in the study OPD/IPD patients in obstetrics and gynecology department in Bhabha Atomic Research Centre and Hospital, with about 72 cases with borderline amniotic fluid index (5-8 cm) and controls with amniotic fluid index ≥9-25 cm. Patients were selected and subjected to history taking, examination, ultrasound test with doppler studies and perinatal outcome documented over a period of one year.Results: The incidence of borderline AFI in my study was 16%. 58% were primigravidas. Meconium stained liquor was found in 18% cases compared to 7% controls. Low birth weight was found in 12.5% cases and 2.7% in controls. On applying statistical test analysis chi square test, it was found that borderline amniotic fluid index in relation to presence of meconium stained amniotic fluid and low birth weight, p value was found to be statistically significant (<0.05).Conclusions: Borderline amniotic fluid and perinatal outcome had significant relationship in terms of meconium stained liquor and birth weight while rest had no significance. Thus, borderline amniotic fluid patients require vigilant fetal surveillance.


2018 ◽  
Vol 5 (1) ◽  
pp. 16-22
Author(s):  
Jaenudin ◽  
Sandi Aprianto ◽  
Citra Setyo Dwi Andini

Background: Garbage is something material or solid objects that is no used by humans. The impact or risk of improper handling of garbage can cause to environmental damages that can cause health problems and disesase, one of them is diarrhea disease. According to the health profile of West Java Province (2012) showed that the 1.906.886 diarrhea incidence. Cirebon City is ranked ninth with 88,702 diarrhea incidence. Purpose: The purpose of this research is to know the relationship of waste management with the incidence of diarrhea In Argasunya Village Cirebon City. Method: This research used descriptive correlation with kohort retrospekif approach. The population in this study that is all the people who suffer from diarrhea in the Argasunya Village with 72 respondents. The sample in this study using total sampling with 72 respondents who suffer from diarrhea. The research instrument used the observation sheet of waste management and the result of the status of the patient according the medical record data in Sitopeng Public Health Center. The analysis used univariate and bivariate used Chi Square test. Result: The result of univariate analysis showed that most of the waste management did not fulfill the requirement of 59 respondents (81,9%) and most of the acute diarrhea was 62 respondents (86,1%). There was no significant relationship of waste management with the incidence of diarrhea In Argasunya Village Cirebon City, p-value = 0,677.


2016 ◽  
Vol 5 (2) ◽  
pp. 118-122 ◽  
Author(s):  
Mohammed Jasim Aljuboori ◽  
Hussien Ali Al-Wakeel ◽  
Lor Yen Fang ◽  
Navenithamaria Eirutharajan ◽  
Santhanalaxmi A Balachandran

ABSTRACT Objectives Previous studies showed there were variations in the interforamina distance of mental foramen between races. The aim of our study is to determine the interforamina distance of mental foramen among Malaysian populations. Materials and methods A total of 503 orthopantomogram (OPG) radiographs were observed. Interexaminer calibration was estimated using the Kappa-Cohen formula. A sheet of transparent paper was superimposed on the panoramic film and the mental foramen was traced on it by using a fine marker pen. A vertical line marking the midline was drawn passing between the maxillary central incisors, the mandibular central incisors, or the nasal septum by using a ruler. The distance of the mental foramen from the midline was then recorded from both the left and the right side. The data were analyzed using chi-square test. Results According to our inclusion and exclusion criteria, 110 OPGs have been excluded and 393 OPGs were selected. In the Malay population, the most common interforamina distance for a male is between 55 and 60+ mm (n= 73, 54.8%). Also, the most common interforamina distance for a female is 55 to 60+ mm (n = 84, 50%). In the Chinese population, the most common interformina distance for a male is between 55 and 60+ mm (n=60, 66.8%). Similarly, the most common interforamina distance for a female is between 55 and 60+ mm (n= 73, 53.8%). Among the Indian population, the most common interforamina distance for a male falls between 55 and 60+ mm (n= 53, 43.4%) and for a female as well (n=50, 54%). According to the chi-square test, the results show that the study is statistically insignificant since the p-value is >0.05 for both the male and female population. Conclusion There is no relationship between the interforamina distance and the ethnicity. The most common interforamina distance for all the races falls between 55 and 60+ mm. How to cite this article Al-Juboori MJ, Saini R, Al-Wakeel HA, Fang LY, Eirutharajan N, Balachandran SA. Evaluation of the Intermental Foramina Distance among Malaysian Population by using Orthopantomogram Radiograph. Int J Experiment Dent Sci 2016;5(2):118-122.


2019 ◽  
Vol 1 (2) ◽  
pp. 54-57
Author(s):  
Yunita Syahputri Damanik ◽  
Efrata Sembiring

HUBUNGAN PENGETAHUAN DAN SIKAP IBU RUMAH TANGGA DENGAN PENGGUNAAN GARAM BERYODIUM AbstractIn Indonesia IDD (Iodine Deficiency Disorder) is one of the serious public health problems because of the impact it has on the survival and quality of human resources. A long-term sustainable effort is by iodizing salt, which is adding iodine to food ingredients. The aim of this program is that 90% or more households consume iodized salt according to the requirements, which is 30-80 parts permillion (ppm). The aim of this research was to determine the relationship between knowledge and attitudes of the housewives with the use of iodized salt in Delitua Timur, Deli Serdang. The sampling technique in this research was non probability sampling using a purposive method of 96 people. The analysis carried out using the chi-square test. The results of the research on 96 respondents for the knowledge variable obtained a p-value of 1,000 where p > 0.05 which means there was  not relationship between knowledge and the use of iodized salt. And for attitude variables obtained p-value 0.010 which means there was a relationship between attitudes and use of iodized salt in Delitua Timur, Deli Serdang. The suggested for this research to the society to increase their knowledge and positive attitude to use of iodized salt in an effort to improve health and nutrition.


2018 ◽  
Vol 5 (8) ◽  
pp. 2899
Author(s):  
Prashanta Swami Pujar ◽  
K. B. Phuleker ◽  
Nagaraj Bhalki

Background: Prevention of Surgical site infection (SSI) remains a focus of attention because wound infections continue to be a major source of expense, morbidity, and even mortality. Three quarters of deaths of surgical patients with SSIs are attributed to nosocomial infections, nearly all of which are organ/space infections. The objective of the present study was to estimate the incidence of SSI and to study the various risk factors associated with SSI.Methods: This is a prospective study of 180 eligible cases eligible subjects, who underwent various surgeries in the department of General Surgery after applying inclusion and exclusion criteria. The study conducted at the Navodaya Medical College Hospital and Research Centre, Raichur. The tenure for the study was April 2017 to June 2017. Data was collected using pretested proforma. Data was analysed using SPSS version 16. Chi -square test and multiple logistic regression was applied to know the association between various risk factors and occurrence of SSI.Results: Among 180 patients 33 (18.33%) developed surgical site infections (SSI). Among 33 SSIs 25 (75.76%) were grade 3 and 8 (24.24%) were grade 4 infections. SSIs were found more commonly among patients over 50 years, diabetics, HIV infected patients, patients with longer duration of surgery and associations with these factors were found statistically significant.Conclusions: The incidence rate of SSI was quite high, and its end results will have a greater impact on patients as well as on healthcare systems. Prevention of SSI requires multipronged approach targeting both patient related and procedure related risk factors in pre- operative, intra-operative, and post-operative period.


2019 ◽  
Vol 21 (1) ◽  
pp. 7-11
Author(s):  
Kundan Kumar Shrestha ◽  
K Acharya ◽  
RR Joshi ◽  
S Maharjan ◽  
D Adhikari

Computed tomography (CT) of the para-nasal sinuses (PNS) has nowadays become the investigation of choice for the diagnosis of sinonasal diseases. Numerous sinonasal anatomic variants exist and are frequently seen on CT scans. A sound knowledge of these variations is important not only for diagnosis but also for planning surgery in order to avoid complications. The aim of this study is to investigate the frequency of these variations in patients with sinonasal symptoms and also to determine their relation to sinonasal disease if any. A total of 76 patients were included in the study from August 2017 to July 2018 of which 43 (56.6%) were males and while 33 (43.4%) were females with male to female ratio of 1.3:1. The ages of patients ranged from 14 to 72 years with a mean age of 33.2±14.2 years. Out of 76 patients, 68 (89.5%) had at least one type of anatomical variation while 8 (10.5%) had no variation. Only one variation was seen in 39 (51.3%) patients while 29 (38.2%) had two or more variations. The most common variant was deviated nasal septum (DNS), occurring in 49 (64.5%) patients followed by concha bullosa (CB) and agger nasi cell (AN) seen in 15 (19.7%) and 14 (18.4%) patients respectively. Genderwise, anatomical variations were seen more in males but the difference was not statistically significant. Some variations were seen more on the right side while others on the left. Some variations were present bilaterally. The difference was not statistically significant. The presence of DNS was statistically significant in the study population (p value 0.012 in nonparametric chi square test). The age group 14 to 30 years showed maximum variations though not significant statistically. Therefore, during management of patients with sinonasal symptoms, these variations need to be addressed, if required, surgically. Proper knowledge of both common and uncommon sinonasal variations in our community could help in better surgical planning and overall management of sinonasal disorders.


Author(s):  
Kapil H. Agrawal ◽  
Syed M. Ausim ◽  
Rhishikesh M. Awode ◽  
Sarika R. Katiyar

Background: To determine whether educational program based on the surviving sepsis campaign (SSC) guidelines affects the compliance of implementation of SSC guidelines, total ICU and hospital mortality.Methods: A prospective observational study conducted in adult patients with severe sepsis or septic shock admitted to 11 bedded adult medical and surgical ICU of Bhopal Memorial Hospital and Research Centre, Bhopal, Madhya Pradesh, India. In pre-education period all patients in ICU were daily screened according to severe sepsis screening tool and followed up daily during their entire period of ICU stay. Outcome measures were compliance of implementation of SSC guidelines, total ICU and hospital mortality noted. Education program of resident doctors of the ICU, emergency department, medical and surgical units was carried out. Post-education period data noted similar to the pre-education period. Comparative statistics applied by using Chi-square test and paired Student t-test.Results: Compliance to all resuscitative measures in SSC guideline both 3 hour and 6 hour bundles significantly improved after education program (P-value 0.014). In pre-education period 33.3% patients were treated with complete implementation of SSC Guidelines Bundles compared to 63.6% in post-education period. Total ICU mortality and hospital mortality did not change significantly after education program during study period. Total ICU mortality during pre-education period was 29.52% as compared to 25.45% in post-education period (P-value 0.44) while total hospital mortality in pre-education period was 5.18% as compared to 5.62% in post-education period (P-value 0.07).Conclusions: The Institutional educational program has significant impact on increasing compliance to both 3 hour and 6 hour bundles in SSC guideline but failed to show any significant impact on decreasing overall total ICU and hospital mortality.


2020 ◽  
Vol 5 (2) ◽  
Author(s):  
Siti Munawaroh ◽  
Elmie Muftiana ◽  
Yayuk Dwirahayu

Objective: Elementary school age children nutrition problems are the impact of an imbalance between food intake and nutrients released by the body. This can be caused by not having breakfast habits. Eating breakfast has the benefit of maintaining endurance and increasing learning concentration. The breakfast habit provides the energy and nutrients needed to carry out various activities throughout the day such as school, study, and play optimally. This study aims to determine the relationship between breakfast habits and nutritional status of elementary school children.Methods: This research was conducted at SD Muhammadiyah Terpadu Ponorogo class 4 and 5 with a sample of 113 students. The measuring instrument used was a questionnaire to explore the variables of breakfast habits, while to determine the nutritional status of students using a weighing scale. Nutritional status was calculated IMT/U. The bivariate analysis test used the Chi Square test of significance level 0.05Results: Chi square test results obtained p-value 0.406 means that there is no relationship between breakfast habits and nutritional status of school age children at SD Muhammadiyah Terpadu Ponorogo. Many factors influence nutritional status. Respondents do not usually eat breakfast, but during recess they eat by buying a canteen and in their daily life they like to eat vegetables and fruit so there is no problem with nutritional intake.Conclusion: Researchers recommend to the next researchers to dig deeper about the composition of the food at the time the respondent had breakfast.  


2020 ◽  
Vol 1 ◽  
pp. 142-145
Author(s):  
Wasis Sapto Putro ◽  
Sodikin Sodikin

Fast and accurate services are essential in the Emergency Departement (ED). Services in the emergency room will be hampered if it is are full of patients. If this is not managed well, the right services cannot be implemented. In turn, it will have a bad effect on patient satisfaction. To analyze the correlation between response time and waiting time with patient satisfaction during service at the Emergency Department of the Banyumas Regional General Hospital.This research is quantitative research. The sampling technique in this study used purposive sampling of 96 respondents. The statistical test used is the chi square test.Most respondents percieved the responding time in ER is fast; most of them also rated that the waiting time in ER is short. Most of them are also satisfied with ER services. The chi square test results in p value of <0.05 for each variable. It means there is a relationship between response time and waiting time with patient satisfaction during service at the Emergency Department of Banyumas Regional General Hospital.Response time and waiting time are related to patient satisfaction during service at the Emergency Department of Banyumas Regional General Hospital.


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