scholarly journals Gambaran Rerata Kadar Kalsium Dan Fosfor Pada Pasien Yang Menjalani Hemodialisis Di Rumah Sakit Anna Medika Bekasi

Author(s):  
Nur Annisya ◽  
Linda Armelia

Background: Chronic Kidney Disease (CKD) is a pathophysiological process with a diverse etiology, resulting in slow progressive kidney function. Hemodialysis is used as a therapy to replace deteriorating renal function. PGK has high mortality and morbidity, because it can cause various complications, one of the complications of PGK is the regulation of mineral settings, especially calcium and phosphate. Methods: The type of research in this study is descriptive quantitative with cross sectional study design. The population in this study were PGK patients undergoing hemodialysis at Anna Medika Bekasi Hospital. Sample selection using simple random sampling technique with condition to fulfill inclusion criteria. Secondary data retrieval (medical record). Results: From 55 samples were 32 patients (58.2%) with hypocalcemia category, 14 patients (25.4%) with normal calcium level, 9 patients (16.4%) with hypercalcemia category, 10 patients (18.2%) with hypophosphatemia category, 4 patients (7.3% ) with normal phosphorus levels and 41 patients (74.5%) by category. Of 32 patients (58.2%) hypocalcemia and 41 (74.5%) hyperphosphatemia which decreased calcium along with a rise in phosphorus by 22 patients (40%). Conclusion: In this study it was found that patients were more likely to have hypocalcemia and hyperphosphatemia. Less than half the patients had decreased levels of calcium along with elevated levels of phosphorus.

Author(s):  
Vijaykumar P. Mane ◽  
M. V. Sagar ◽  
Revathy R.

Background: Undernutrition is a major health and nutrition problem in India especially among preschool children. It is an important cause of childhood mortality and morbidity and also leads to permanent impairment of physical and mental growth of those who survive. The objective of the study was to estimate the prevalence of undernutrition among preschool children in the study setting and to determine various factors associated with undernutrition of the child.Methods: A cross sectional study was conducted among 400 preschool children in the field practice area of PHC Aaynoor, Shivamogga, Karnataka. Cluster sampling technique was used for sample selection. Data was collected by interviewing the parent /guardian using a pretested and semistructured questionnaire and anthropometric measurements were done as per standard techniques. Statistical analysis was done using WHO Epi-info software version 3.5.4.Results: The prevalence of underweight, stunting and wasting was observed in 38%, 43% and 15.8% of children respectively. The study found significant association between the prevalence of undernutrition and gender, birth weight, birth order, number of siblings, caste, paternal literacy and availability of toilet in the house of the child.Conclusions: The present study revealed that the problem of undernutrition is critical in the study area and identifies multiple risk factors for its causation, thereby signifying a well - coordinated multi sectorial approach to curb the same. 


2019 ◽  
Vol 13 (1) ◽  
pp. 38
Author(s):  
Fildah Alyani

Indonesia is the second most populated country with TB in the world. The proportion of Tuberculosis (TB) and adult tuberculosis cases in Indonesia is increasing every year. East Java is ranked second in TB cases in Indonesia. Surabaya is the most common city of TB cases. Therefore, WHO recommends the DOTS program for TB control that focuses on finding and healing TB patients, especially TB children. However, the implementation of this program has an imbalance in the number of adult TB findings and child TB. Factors that influence the discovery of TB suspected children are the length of practice and knowledge of Independent Practice Doctors (DPM). The purpose of this study was to analyze the effect of long time practice and knowledge of Practice Doctor Mandiri on TB child suspected finding. This research is an umbrella research of operational research of child TB treatment network with cross sectional study design. The sampling technique is simple random sampling with the amount of 42 people. Data collection is secondary data using data collection sheets. Data analysis using logistic regression. The result shows that there is a long effect of practice on TB children with p value 0,015 <0,05 and OR value is 8,182. Independent Practice Physician Knowledge has no effect on TB children with p value 0,297> 0,05 and OR 2,125. There is a need for regular socialization of child TB, especially the management of child TB and the commitment of the Independent Practice Doctor to the discovery of TB suspected


2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Tariku Gebre Haile ◽  
Eshetu Haileselassie Engeda ◽  
Abdella Amano Abdo

Background. In many studies, compliance with standard precautions among healthcare workers was reported to be inadequate.Objective.The aim of this study was to assess compliance with standard precautions and associated factors among healthcare workers in northwest Ethiopia.Methods.An institution-based cross-sectional study was conducted from March 01 to April 30, 2014. Simple random sampling technique was used to select participants. Data were entered into Epi info 3.5.1 and were exported to SPSS version 20.0 for statistical analysis. Multivariate logistic regression analyses were computed and adjusted odds ratio with 95% confidence interval was calculated to identify associated factors.Results.The proportion of healthcare workers who always comply with standard precautions was found to be 12%. Being a female healthcare worker (AOR [95% CI] 2.18 [1.12–4.23]), higher infection risk perception (AOR [95% CI] 3.46 [1.67–7.18]), training on standard precautions (AOR [95% CI] 2.90 [1.20–7.02]), accessibility of personal protective equipment (AOR [95% CI] 2.87 [1.41–5.86]), and management support (AOR [95% CI] 2.23 [1.11–4.53]) were found to be statistically significant.Conclusion and Recommendation.Compliance with standard precautions among the healthcare workers is very low. Interventions which include training of healthcare workers on standard precautions and consistent management support are recommended.


2018 ◽  
Vol 9 (1) ◽  
pp. 57-62
Author(s):  
Muhammad Sazzad Hossain ◽  
Md Sirajul Islam ◽  
Sharmin Abbasi

Background: Pregnancy and childbirth related complications are the leading causes of maternal mortality and morbidity in Bangladesh. An estimate shows that about 28,000 mothers die in each year in Bangladesh due to obstetric complications. The aim of this study was to find out the birth practice among rural women in Bangladesh.Material and Methods: This descriptive cross sectional study was carried out among 1220 respondents by purposive sampling technique from July 2016 to June 2017 in different Private Hospital, Dhaka. Data were collected by a structured questionnaire duly pretested through face to face interview. Data were analyzed manually and by using computer.Results: Then study revealed that majority of the respondents 80% were Muslims by religion and about 26% respondents were found within the age 25-29 years with mean age 31±7.59 years. Most of them 86% were literate and only 14% were found illiterate. Among the respondents 75% were Housewives and 11%, 9%, 1% and 4% were involved in Service, Business, Agriculture and others occupation respectively. Moreover, 78% respondents monthly income were less than TK 3000. About 43% & 16% respondents were found to have 2 & 3 children respectively. In this study, about 73% received antenatal visit and among them 57% received 1 to 3 antenatal visits and 74% received TT immunizations. It was found that 69%, 54% and 59% received antenatal advices on healthy diet, personal hygiene, drug use respectively. Home delivery and Hospital delivery practice were found among 44% & 56% respondents respectively. The reasons for home delivery like Feeling comfortable, Family decision and Financial problem were found in 60%, 26% & 42% respondents respectively. The most common complications during last delivery were obstructed labor, found among 39% respondents.Conclusion: Still now women prefer home delivery. Major reasons for home delivery were Feeling comfortable, Family decisions and Financial problems. Delivery conduction by qualified doctors were found only among 47% women. Efforts needed to increase maternal health related knowledge and awareness towards birth practice to facilitate decision in minimizing complications and mortality.Anwer Khan Modern Medical College Journal Vol. 9, No. 1: Jan 2018, P 57-62


2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Wossene Negash ◽  
Teshager Dubie

Bovine brucellosis is among the top five diseases primarily threatening both public health and livestock economy. Available data are limited to central and highland areas of the country leaving documented literature on the disease in cattle to be found hardly in pastoral and agropastoral regions of the country. As a result, the magnitude and extent of the disease remained to be investigated. A cross-sectional study design was conducted on local Afar cattle aged six months and above from February 2017 to January 2019 in selected districts of Afar region. Technically, study districts and kebeles were selected purposively whereas simple random sampling technique was applied to select cattle owners and individual animals for sample collection. An average of 8 ml whole blood was drawn of jugular vein into plain vacutainer tube using sterile needle. Using Thrusfield formula, a total of 420 blood samples were collected. The sera were tested by RBPT and CFT tests for detection of Brucella antibodies. Data were analyzed using Stata v14.0. Of the 420 sera tested by RBPT, 50 were positive for Brucella antibodies providing an overall animal level prevalence of 11.9% and those RBPT positive sera were further retested by specific and sensitive confirmatory CFT test and 24 of the retested samples had come positive for the disease providing an overall individual animal seroprevalence of 5.7% over the three districts. Of the 3 associated factors (sex, age, and district) considered, only sex had significantly associated ( P < 0.05 : 0.036 ) with the disease. To estimate the strength of sex impact, odds ratio was generated using bivariate and multivariate logistic regression analyses with 95% CI and P < 0.05 providing OR of 2.484 (1.061–5.815) and 2.514 (1.041–6.07), respectively. Hence, the computations revealed that male cattle were 2.484 and 2.514 times more likely at higher risk for the disease as compared to their female counterparts.


Author(s):  
Dahniar Dahniar ◽  
Nurdiana Nurdiana ◽  
Abdul Halim

Weaning too early can affect the growth of the baby and the mother often ignores the nutritional needs of the baby. In addition, malnutrition is more common today than during the first 4-6 months of life. This is because many families do not understand the special needs of babies and are unable to provide food with good nutritional value. The type of research used is a survey with a cross-sectional study approach. The population is all mothers who have babies aged 6 months and the sample is all mothers who have babies aged 6 months. The sampling technique was simple random sampling. The results showed that there was a significant effect between mothers who did weaning for less than 6 months with education = 0.006. There is a significant effect between mothers who do weaning for less than 6 months with employment status = 0.008. There is a significant effect between mothers who do weaning less than 6 months with birth spacing = 0.007.


2019 ◽  
Vol 5 (3) ◽  
pp. 124
Author(s):  
I Made Subhawa Harsa

Abstract Water is a good medium for bacterial growth, so that contamination is happening especially if less attention in terms of hygiene and sanitation. The use of bed water sources can increase the risk of diarrhea. Diarrhea is one of the environmentally based disease is a major cause of morbidity and mortality. Kampung Baru village located around Jagir Kali Surabaya Most people are in the middle to low socioeconomic level.  The lifestyle of them, also pays less attention to environmental hygiene and sanitation, so that it can cause water pollution which can increase the risk of diarrhea. This study was an observational analytic cross sectional study. Entire study population villagers of Kampung Baru. A sample of 75 respondents drawn with simple random sampling technique. The data used is primary data obtained through the distribution of questionnaires, interviews, and observations. Data analysis using the Spearman rank test with a significance level (α = 0.1). The results showed that 53,3% affected diarrhea and 46,7% didn’t affected (P =0.087, r=0.463). The results showed a medium correlation between the source of water with the incidence of diarrhea in Kampung Baru Resident At Ngagelrejo Wonokromo Surabaya. Keyword : Diarrhae, Water Sanitation


1970 ◽  
Vol 7 (1) ◽  
pp. 62-65
Author(s):  
Muhammad Faisal Qureshi ◽  
Aneeta Rathore ◽  
Nandlal Seerani ◽  
Sumera Qureshi ◽  
Bisharat Faisal ◽  
...  

Background: Children's health is very important for their better learning and timely nourishment everywhere in the world. Malnutrition among school going children has remained a big challenge in under developed countries. Methods: Cross-sectional study was conducted among 422 children of four Government Primary schools of Qasimabad, district Hyderabad after taking the proper consent and administration approval from the head of school. Multi stage simple random sampling technique was adopted. Study was approved from Institutional review board of Health Services Academy Islamabad. Results: Out of total, 217 (51.4%) were boys and 205 (48.6%) were girls. Mean Height of boys and girls were 128.09 cm (±SD 12.90) and 130.36 cm (±SD 12.50) respectively. Mean Weight of boys was 25.27 Kgs (±SD 6.17) while in girls mean Weight was 26.83 Kgs (±SD 7.03). 17.57 cm (±SD 2.34) was mean MUAC for all participants and mean BMI was 15.42 (±SD 2.02). Prevalent of stunting and wasting were 24.4% and 18.3% respectively. While in 13.7% thinness (BMI for age) was seen. Stunting was statistically significant in girls 9-10 year (p value=.015, CI: .118-.823, OR=.311) and 11-≥12 years (p value=.018, CI: .215-.874, OR=.434). Pallor was more in girls (17%) and Dental caries were higher in boys (20.8%). Insufficient breakfast was done by 347 (82.2%), whereas 75 (17.8%) were doing sufficient breakfast. 341 (80.8%) students became ill during last year, out of that 80 (19%) were having history of hospitalization. Conclusion: Poor polices and lack of food aid interventions regarding health of primary school going children was assessed during this study.


Author(s):  
Vijaykumar P. Mane ◽  
Yuvaraj Bhanot Yenkanaik ◽  
Shankrappa Dhanapur ◽  
Sangappa Yallammanavar ◽  
Rashmi Sreenivasamurthy

Background: Tobacco is a major risk factor for a number of diseases affecting all age groups. One person dies every six seconds due to tobacco use and up to half of current users will eventually die of a tobacco-related disease. Government of India has enacted cigarette and other tobacco products act (COTPA) in the year 2003 to control tobacco use. The objective of study was to estimate the level of compliance to selected sections (4 to 9) of COTPA (cigarette and other tobacco products – prohibition of advertisement and regulation of trade and commerce, production, supply and distribution) act, 2003 in Koppal district, Karnataka.Methods: The present study was a cross sectional study conducted as an independent evaluation of COTPA act 2003 in Koppal district as per National Tobacco Control Program guidelines. Cluster sampling technique was used for sample selection and sample consisted of 158 public places, 102 educational institutional, 87 shops/ sell points and 60 tobacco products. Data entry and analysis was done using microsoft office excel 2013.Results: The prevalence of compliance to section 4, 5, 6A, 6B, 7, 8 and 9 of COTPA act 2003 in Koppal district were 80.3%, 96.5%, 98.9%, 64.8%, 53.3%, 63.3% and 50% respectively.Conclusions: Compliance level was poor especially in relation to display of health warnings on tobacco products which needs to be tackled through strict enforcement of the existing laws.


2018 ◽  
Vol 1 (2) ◽  
pp. 16-25
Author(s):  
Rudy Surya K. Hedo

Incompleteness and inaccuracy of charging informed consent in patient’s pre-operation is a problem related to patient safety, professionalism, behavior, and quality culture. The research objective is to analyze the knowledge and perception of the Implementation of Informed Consent in Patients with Pre-Operations at RS HVA Toeloengredjo Pare. Design Cross-sectional study using. The population is the preoperative patient at RS HVA Toeloengredjo Pare.exclusion criteria using simple random sampling technique. The independent variable of research is the knowledge and perception of the patient, and the dependent variable of the study is the completeness and accuracy of implementation preoperative patient's informed consent. Data were collected by questionnaire and a check list, then the data were analyzed using linear regression with a <0.05 and cross tabulation analysis. The results showed most respondents have sufficient knowledge of as many as 69 respondents (44,8%), most respondents have the perception that quite as much as 82 respondents (53.2%), linear regression showed that the variables significantly affect the perception of completeness informed consent (p = 0.000) and in the knowledge variables significantly affect the accuracy of informed consent (p = 0.006). The conclusion of this study is to increase knowledge and perception, will support the implementation of the informed consent form completeness and accuracy of informed consent.


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