scholarly journals HUBUNGAN PENGETAHUAN IBU TENTANG KONTRASEPSI SUNTIK DEPO PROVERA DENGAN KEPATUHAN KUNJUNGAN ULANG DI POLINDES KUALA II KABUPATEN KUBU RAYA TAHUN 2015

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Denny Pebrianti, Yuliana
Keyword(s):  
P Value ◽  
Product Service ◽  
Depo Provera

HUBUNGAN PENGETAHUAN IBU TENTANG KONTRASEPSI SUNTIK DEPO PROVERA DENGAN KEPATUHAN KUNJUNGAN ULANG DI POLINDES KUALA II KABUPATEN KUBU RAYA TAHUN 2015Denny Pebrianti1, Yuliana2Akademi Kebidanan Panca Bhakti PontianakEmail korespondensi: [email protected] Kontrasepsi depo provera kontrasepsi suntik yang memiliki efektifitas yang tinggi, apabila dilakukan secara teratur sesuai jadwal yang ditentukan. Studi menunjukkan bahwa 60 sampai dengan 78 % wanita menjadi hamil atau gagal menggunakan kontrasepsi yang disebabkan karena ketidakpatuhan kunjungan ulang suntikan. Berdasarkan data yang diperoleh dari Polindes Kuala II tahun 2016, jumlah akseptor yang menggunakan kontrasepsi suntik sebanyak 869 akseptor, dari jumlah tersebut ada 3 akseptor yang mengalami kegagalan yang disebabkan ketidakpatuhan kunjungan ulang suntikan. Tujuan penelitian ini untuk mengetahui hubungan pengetahuan ibu tentang kontrasepsi suntik Depo provera dengan kepatuhan kunjungan ulang di Polindes Kuala II Kabupaten Kubu Raya Tahun 2016. Jenis penelitian yang dipakai adalah penelitian deskriptif korelasi dengan pendekatan survey. Dalam penelitian ini menggunakan teknik sampling Nonprobability Sampling. Besar sampel dalam penelitian ini yaitu 51 responden yang memenuhi kriteria inklusi. Uji analisis yang digunakan adalah Kendall Tau-b dengan menggunakan program statistical product service solution. Hasil penelitian menjelaskan bahwa akseptor yang pengetahuannya baik dengan kepatuhan tinggi kunjungan ulang suntikan depo provera sebesar 31%, akseptor dengan pengetahuan cukup dan kepatuhan sedang terhadap kunjungan ulang suntikan depo provera ada sebesar 27%, akseptor berpengetahuan kurang dengan kepatuhan rendah terhadap kunjungan ulang suntikan depo provera sebesar 14%. Hasil P value=0,000 <α = 0,05, maka H0 ditolak dan Ha diterima dengan nilai koefisien korelasi sebesar 0,677 berarti ada hubungan yang kuat pengetahuan ibu tentang kontrasepsi suntik depo provera dengan kepatuhan kunjungan ulang di Polindes Kuala II Kabupaten Kubu Raya tahun 2016. Kesimpulan dari penelitian ini adalah ada hubungan yang kuat pengetahuan ibu tentang kontrasepsi suntik depo provera dengan kepatuhan kunjungan ulang di Polindes Kuala II Kabupaten Kubu Raya tahun 2016. Oleh karena itu diharapkan kepada petugas kesehatan untuk dapat terus memberikan pemahaman tentang pentingnya melakukan kunjungan ulang sesuai jadwal yang telah ditentukan serta meningkatkan pengetahuan akseptor tentang kontrasepsi suntik depo provera.Kata Kunci: Pengetahuan, Depo Provera, Kepatuhan, Kunjungan Ulang

scholarly journals Changes in Body Weight and Blood Pressure among Women Using Depo-Provera injection in Northwest Ethiopia

2019 ◽  
Author(s):  
Muluken Fekadie Zerihun ◽  
Tabarak Malik ◽  
Yohannes Mulu Ferede ◽  
Tesfahun Bekele ◽  
Yigizie Yeshaw
Keyword(s):  
Blood Pressure ◽  
Body Mass Index ◽  
Body Weight ◽  
Weight Gain ◽  
Body Mass ◽  
T Test ◽  
P Value ◽  
Arterial Blood ◽  
Significant Difference ◽  
Depo Provera

Abstract Objectives: Depo-Provera is an injectable contraceptive method containing medroxyprogesterone acetate. It has some adverse effects like changes in menstrual pattern, loss in bone mineral density and risk of weight gain. Therefore, this study is aimed at to investigate the effects of Depo-Provera on body weight and blood pressure among Ethiopian women. Institution based cross-sectional study design was conducted from January 2017 to April 2017. Data were analyzed using SPSS version 21 software. Paired t-test, independent t-test and ANOVA were used to evaluate the presence of mean difference and relationship between changes in variables and duration of use of Depo-Provera. P-value ≤ 0.05 were considered as statistically significant. Results: The mean weight and body mass index (BMI) of Depo-Provera users were increased significantly (p=0.02 for mean body weight and p=0.019, for body mass index). There was no significant difference in mean arterial blood pressure (MAP) of Depo-Provera users compared to controls or their respective pretreatment value (p-value=0.85 for Depo-Provera users and 0.67 for non-users). The finding of this study revealed that there is an increased weight gain and BMI among Depo-Provera users compared to non-users, which really requires attention of health professionals and other stake holders.

ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN PENGGUNAAN SUNTIKAN 3 BULAN DI PUSKESMAS WARA UTARA PALOPO

2018 ◽  
Vol 6 (08) ◽  
pp. 8-16
Author(s):  
Sri Devi Syamsuddin ◽  
Tn. Rezki ◽  
Reskiana Azizah
Keyword(s):  
Logistic Regression ◽  
P Value ◽  
Research Use ◽  
Cross Sectional ◽  
Motivation Factors ◽  
Regression Test ◽  
Maternal Motivation ◽  
Depo Provera ◽  
The Relationship ◽  
Logistic Regression Test

Depo provera containing 150 mg DMPA (depo medroxyprogesterone acetate) given every 3 months. This research use Cross sectional method. Subjects were assigned as many as 35 family planning acceptors at the Wara Utara Community Health Center.The study was conducted on June 18, 2016 by analyzing factors related to the use of 3-month injection. The variables studied are knowledge, parity and motivation factors. Data analysis in this paper using logistic regression test to see the relationship between variables. The significance limit p ≤ 0.05, IK 95%.The results obtained, based on the knowledge of the variable value of p = 0.04 is smaller than the value of α = 0.05. From the analysis can be interpreted that there is relationship between mother knowledge with 3-month injection contraception. The result of the analysis of parity variable is calculated by p value = 0,036 smaller than α = 0,05. From the analysis there is a relationship between mother parity with 3-month injection contraception. For motivation value p = 0,002 smaller than value α = 0,05 or there is relation between mother motivation with 3-month injection contraception. The most statistically significant mean variables affecting the use of 3-month injection contraception is maternal motivation. Keywords : Acceptor, Depo provera, 3 month injection

scholarly journals Changes in Body Weight and Blood Pressure among Women Using Depo-Provera injection in Northwest Ethiopia

2019 ◽  
Author(s):  
Muluken Fekadie Zerihun ◽  
Tabarak Malik ◽  
Yohannes Mulu Ferede ◽  
Tesfahun Bekele ◽  
Yigizie Yeshaw
Keyword(s):  
Blood Pressure ◽  
Body Mass Index ◽  
Body Weight ◽  
Weight Gain ◽  
Body Mass ◽  
T Test ◽  
P Value ◽  
Arterial Blood ◽  
Significant Difference ◽  
Depo Provera

Abstract Objectives: Depo-Provera is an injectable contraceptive method containing medroxyprogesterone acetate. It has some adverse effects like changes in menstrual pattern, loss in bone mineral density and risk of weight gain. Therefore, this study is aimed at to investigate the effects of Depo-Provera on body weight and blood pressure among Ethiopian women. Institution based cross-sectional study design was conducted from January 2017 to April 2017. Data were analyzed using SPSS version 21 software. Paired t-test, independent t-test and ANOVA were used to evaluate the presence of mean difference and relationship between changes in variables and duration of use of Depo-Provera. P-value ≤ 0.05 were considered as statistically significant. Results: The mean weight and body mass index (BMI) of Depo-Provera users were increased significantly (p=0.02 for mean body weight and p=0.019, for body mass index). There was no significant difference in mean arterial blood pressure (MAP) of Depo-Provera users compared to controls or their respective pretreatment value (p-value=0.85 for Depo-Provera users and 0.67 for non-users). The finding of this study revealed that there is an increased weight gain and BMI among Depo-Provera users compared to non-users, which really requires attention of health professionals and other stake holders.

HUBUNGAN PEMAKAIAN KONTRASEPSI SUNTIK DEPO PROVERA JANGKA PANJANG DENGAN BERAT BADAN IBU DI PUSKESMAS BALOI PERMAI KOTA BATAM TAHUN 2018

2020 ◽  
Vol 9 (1) ◽  
pp. 92-104
Author(s):  
Dino Gagah Prihadianto ◽  
Acholder Tahi Perdoman
Keyword(s):  
Body Weight ◽  
Population Growth ◽  
Significant Relationship ◽  
Statistical Test ◽  
Observational Research ◽  
P Value ◽  
Test Results ◽  
Body Weight Data ◽  
Depo Provera

Increasing the rate of population growth raises various problems, to control population growth can be overcome by family planning methods or contraception. contraception as prevention of pregnancy that can be temporary or can be permanent, long-term use can cause weight gain. This research is a quantitative type with an analytic observational research design with a cross-sectional approach conducted in December-January 2017. The population of this study is mothers who use Depo Provera injections as many as 11,143 people and 40 samples have been included using the research criteria using the method accidental sampling. Data collected using medical records were analyzed to determine the number of samples using Depo Provera contraception, then distributed based on criteria and by measuring body weight. Data were analyzed univariately and bivariate by computer using the chi-square statistical test. Based on statistical test results, it was found that there was a significant relationship between the use of contraceptive depo Provera contraception and body weight with p-value = 0,000 (p <0.05). The results also showed that based on statistical test results it was found that there was a significant relationship between the use of Depo Provera contraception and body weight with p-value = 0,000 (p <0.05). From the results of the study it can be concluded that there is a significant relationship between the use of long-term Depo Provera injection contraception with maternal weight in Baloi Permai Public Health Center, Batam City in 2018.

scholarly journals Changes in body weight and blood pressure in women using Depo-Provera in Northwest Ethiopia

2019 ◽  
Author(s):  
Muluken Fekadie Zerihun ◽  
Tabarak Malik Malik ◽  
Yohannes Mulu Ferede ◽  
Tesfahun Bekele ◽  
Yigizie Yeshaw
Keyword(s):  
Blood Pressure ◽  
Body Weight ◽  
Weight Gain ◽  
T Test ◽  
P Value ◽  
Mineral Density ◽  
Bone Mineral Density Loss ◽  
Arterial Blood ◽  
Significant Difference ◽  
Depo Provera

Abstract Objectives: Depo-Provera is a widely known brand name for medroxyprogesterone acetate. It has some adverse effects which is reversible after discontinuation include changes in bleeding patterns and bone mineral density loss risk of weight gain in obese adolescents. The study aims to investigate the effects of Depo-Provera on body weight and blood pressure of Ethiopian women. Institutional based cross-sectional study design was conducted. The data was analyzed using SPSS version 21 software packages. Paired t-test, independent t-test and ANOVA were used to evaluate the presence of mean difference and relationship between changes in variables and duration of use of Depo-Provera. The p-values less than 0.05 were considered as statistically significant. Results The mean weight and body mass index (BMI) of Depo-Provera users were increased significantly (p-value-0.02 and p-value-0.019 respectively). There was no significant difference in mean arterial blood pressure (MAP) of Depo-Provera users compared to controls or their respective pretreatment value (p-value-0.85, p-value-0.67, respectively). Depo-Provera users showed weight gain and an increased BMI, which requires attention of stake holders.

scholarly journals Changes in Body Weight and Blood Pressure among Women Using Depo-Provera injection in Northwest Ethiopia

2019 ◽  
Author(s):  
Muluken Fekadie Zerihun ◽  
Tabarak Malik ◽  
Yohannes Mulu Ferede ◽  
Tesfahun Bekele ◽  
Yigizie Yeshaw
Keyword(s):  
Blood Pressure ◽  
Body Mass Index ◽  
Body Weight ◽  
Weight Gain ◽  
Body Mass ◽  
T Test ◽  
P Value ◽  
Arterial Blood ◽  
Significant Difference ◽  
Depo Provera

Abstract Objectives: Depo-Provera is an injectable contraceptive method containing medroxyprogesterone acetate. It has some adverse effects like changes in menstrual pattern, loss in bone mineral density and risk of weight gain. Therefore, this study is aimed at to investigate the effects of Depo-Provera on body weight and blood pressure among Ethiopian women. Institution based cross-sectional study design was conducted from January 2017 to April 2017. Data were analyzed using SPSS version 21 software. Paired t-test, independent t-test and ANOVA were used to evaluate the presence of mean difference and relationship between changes in variables and duration of use of Depo-Provera. P-value ≤ 0.05 were considered as statistically significant. Results: The mean weight and body mass index (BMI) of Depo-Provera users were increased significantly (p=0.02 for mean body weight and p=0.019, for body mass index). There was no significant difference in mean arterial blood pressure (MAP) of Depo-Provera users compared to controls or their respective pretreatment value (p-value=0.85 for Depo-Provera users and 0.67 for non-users). The finding of this study revealed that there is an increased weight gain and BMI among Depo-Provera users compared to non-users, which really requires attention of health professionals and other stake holders.

Total Hospital Costs and Readmission Rate of Patient-Specific Instrument in Total Knee Arthroplasty Patients

2020 ◽  
Author(s):  
Stephen Thomas ◽  
Ankur Patel ◽  
Corey Patrick ◽  
Gary Delhougne
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Hospital Cost ◽  
Readmission Rate ◽  
Hospital Costs ◽  
Patient Specific ◽  
P Value ◽  
Total Hospital Cost ◽  
Total Hospital ◽  
Total Knee

AbstractDespite advancements in surgical technique and component design, implant loosening, stiffness, and instability remain leading causes of total knee arthroplasty (TKA) failure. Patient-specific instruments (PSI) aid in surgical precision and in implant positioning and ultimately reduce readmissions and revisions in TKA. The objective of the study was to evaluate total hospital cost and readmission rate at 30, 60, 90, and 365 days in PSI-guided TKA patients. We retrospectively reviewed patients who underwent a primary TKA for osteoarthritis from the Premier Perspective Database between 2014 and 2017 Q2. TKA with PSI patients were identified using appropriate keywords from billing records and compared against patients without PSI. Patients were excluded if they were < 21 years of age; outpatient hospital discharges; evidence of revision TKA; bilateral TKA in same discharge or different discharges. 1:1 propensity score matching was used to control patients, hospital, and clinical characteristics. Generalized Estimating Equation model with appropriate distribution and link function were used to estimate hospital related cost while logistic regression models were used to estimate 30, 60, and 90 days and 1-year readmission rate. The study matched 3,358 TKAs with PSI with TKA without PSI patients. Mean total hospital costs were statistically significantly (p < 0.0001) lower for TKA with PSI ($14,910; 95% confidence interval [CI]: $14,735–$15,087) than TKA without PSI patients ($16,018; 95% CI: $15,826–$16,212). TKA with PSI patients were 31% (odds ratio [OR]: 0.69; 95% CI: 0.51–0.95; p-value = 0.0218) less likely to be readmitted at 30 days; 35% (OR: 0.65; 95% CI: 0.50–0.86; p-value = 0.0022) less likely to be readmitted at 60 days; 32% (OR: 0.68; 95% CI: 0.53–0.88; p-value = 0.0031) less likely to be readmitted at 90 days; 28% (OR: 0.72; 95% CI: 0.60–0.86; p-value = 0.0004) less likely to be readmitted at 365 days than TKA without PSI patients. Hospitals and health care professionals can use retrospective real-world data to make informed decisions on using PSI to reduce hospital cost and readmission rate, and improve outcomes in TKA patients.

Isolated Liner Revision for Total Knee Arthroplasty Instability: A Road That Should Remain Less Taken

2020 ◽  
Author(s):  
Jason D. Tegethoff ◽  
Rafael Walker-Santiago ◽  
William M. Ralston ◽  
James A. Keeney
Keyword(s):  
Total Knee Arthroplasty ◽  
Femoral Component ◽  
Knee Arthroplasty ◽  
Primary Total Knee Arthroplasty ◽  
P Value ◽  
Surgical Morbidity ◽  
Exact Test ◽  
Total Knee ◽  
Component Revision

AbstractIsolated polyethylene liner exchange (IPLE) is infrequently selected as a treatment approach for patients with primary total knee arthroplasty (TKA) prosthetic joint instability. Potential advantages of less immediate surgical morbidity, faster recovery, and lower procedural cost need to be measured against reoperation and re-revision risk. Few published studies have directly compared IPLE with combined tibial and femoral component revision to treat patients with primary TKA instability. After obtaining institutional review board (IRB) approval, we performed a retrospective comparison of 20 patients treated with IPLE and 126 patients treated with tibial and femoral component revisions at a single institution between 2011 and 2018. Patient demographic characteristics, medical comorbidities, time to initial revision TKA, and reoperation (90 days, <2 years, and >2 years) were assessed using paired Student's t-test or Fisher's exact test with a p-value <0.01 used to determine significance. Patients undergoing IPLE were more likely to undergo reoperation (60.0 vs. 17.5%, p = 0.001), component revision surgery (45.0 vs. 8.7%, p = 0.002), and component revision within 2 years (30.0 vs. 1.6%, p < 0.0001). Differences in 90-day reoperation (p = 0.14) and revision >2 years (p = 0.19) were not significant. Reoperation for instability (30.0 vs. 4.0%, p < 0.001) and infection (20.0 vs. 1.6%, p < 0.01) were both higher in the IPLE group. IPLE does not provide consistent benefits for patients undergoing TKA revision for instability. Considerations for lower immediate postoperative morbidity and cost need to be carefully measured against long-term consequences of reoperation, delayed component revision, and increased long-term costs of multiple surgical procedures. This is a level III, case–control study.

Motivasi dan kepuasan kerja pegawai puskesmas BLUD dan non-BLUD Kabupaten Semarang

2018 ◽  
Vol 2 (3) ◽  
pp. 111
Author(s):  
Aswindar Adhi Gumilang ◽  
Tri Pitara Mahanggoro ◽  
Qurrotul Aini
Keyword(s):  
Public Health ◽  
Job Satisfaction ◽  
Financial Management ◽  
Work Motivation ◽  
P Value ◽  
The Public ◽  
The Status ◽  
The Difference ◽  
Demand For Health ◽  
Public Demand

The public demand for health service professionalism and transparent financial management made some Puskesmas in Semarang regency changed the status of public health center to BLUD. The implementation of Puskesmas BLUD and non-BLUD requires resources that it can work well in order to meet the expectations of the community. The aim of this study is to know the difference of work motivation and job satisfaction of employees in Puskesmas BLUD and non-BLUD. Method of this research is a comparative descriptive with a quantitative approach. The object of this research are work motivation and job satisfaction of employees in Puskesmas BLUD and non-BLUD Semarang regency. This Research showed that Sig value. (P-value) work motivation variable was 0.019 smaller than α value (0.05). It showed that there was a difference of work motivation of employees in Puskemas BLUD and non-BLUD. Sig value (P-value) variable of job satisfaction was 0.020 smaller than α value (0.05). It showed that there was a difference of job satisfaction of BLUD and non-BLUD. The average of non-BLUD employees motivation were 76.59 smaller than the average of BLUD employees were 78.25. The average of job satisfaction of BLUD employees were 129.20 bigger than the average of non-BLUD employee were 124.26. Job satisfaction of employees in Puskesmas BLUD was higher than non-BLUD employees.

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