Hubungan antara Luas Lesi pada Foto Toraks Penderita TB Paru Dewasa yang Memiliki Riwayat Diabetes Melitus dengan Indeks Massa Tubuh di Rumah Sakit Hasan Sadikin Bandung

2016 ◽  
Vol 1 (3) ◽  
pp. 138-144
Author(s):  
Ina Edwina ◽  
Rista D Soetikno ◽  
Irma H Hikmat

Background: Tuberculosis (TB) and diabetes mellitus (DM) prevalence rates are increasing rapidly, especially in developing countries like Indonesia. There is a relationship between TB and DM that are very prominent, which is the prevalence of pulmonary TB with DM increased by 20 times compared with pulmonary TB without diabetes. Chest X-ray picture of TB patients with DM is atypical lesion. However, there are contradictories of pulmonary TB lesion on chest radiograph of DM patients. Nutritional status has a close relationship with the morbidity of DM, as well as TB.Objectives: The purpose of this study was to determine the relationship between the lesions of TB on the chest radiograph of patients who su?er from DM with their Body Mass Index (BMI) in Hasan Sadikin Hospital Bandung.Material and Methods: The study was conducted in Department of Radiology RSHS Bandung between October 2014 - February 2015. We did a consecutive sampling of chest radiograph and IMT of DM patients with clinical diagnosis of TB, then the data was analysed by Chi Square test to determine the relationship between degree of lesions on chest radiograph of pulmonary TB on patients who have DM with their BMI.Results: The results showed that adult patients with active pulmonary TB with DM mostly in the range of age 51-70 years old, equal to 62.22%, with the highest gender in men, equal to 60%. Chest radiograph of TB in patients with DM are mostly seen in people who are obese, which is 40% and the vast majority of lesions are minimal lesions that is equal to 40%.Conclusions: There is a signifcant association between pulmonary TB lesion degree with BMI, with p = 0.03

2012 ◽  
Vol 52 (4) ◽  
pp. 233
Author(s):  
Neni Sumarni ◽  
Muhammad Sholeh Kosim ◽  
Mohammad Supriatna ◽  
Eddy Sudijanto

Background Ventilator􀁖associated pneumonia (VAP) is anosocomial infection in patients who have received mechanicalventilation (MV), either by endotracheal intubation ortracheostomy, for more than 48 hours. YAP represents 80% ofall hospital􀁖acquired pneumonias. VAP incidence varies from5.1 %􀁖33.3%. The modified clinical pulmonary infection scoreis a criteria for diagnosing suspected YAP and typically includesradiographic evidence. YAP is associated with significantmorbidity and mortality.Objective To determine the relationship between chest x􀁖rayfindings and outcomes in children Mth suspected VAP.Methods This retrospective study was held in Dr. Kariadi Hospitalfrom January - December 2010. Data was collected from medicalrecords of pediatric ICU (PICU) patients with suspected VAP.Chest x􀁖ray findings and patient outcomes were recorded. X􀁖rayfindings were assessed by the on􀁖duty radiologist. Chi square testwas used for statistical analysis.Results Subjects were 30 children consisting of 14 males and 16females. Patient outcomes were 23 patients survived and 7 patientsdied. Chest x􀁖ray findings were categorized into the followinggroups and compared to patient survivability: diffuse infiltrates76.7% (OR􀁗0.694; P􀁗0.532; 95% CI 0.102 to 4.717), localhedinfiltrates 13.3% (OR􀁗4.200; P􀁗 0.225; 95% CI 0.470 t037.49),and no infiltrates 10% (OR􀁗 1.222; P􀁗 0.436; 95% CI 0.593 to0.926). None of the x􀁖ray findings had a significant correlationto patient outcomes.Conclusion There was no significant relationship between chestx􀁖ray findings and outcomes in children with suspected VAP.[Paediatr rndones. 2012;52:233-8].


2019 ◽  
Vol 2 (1) ◽  
pp. 101-108
Author(s):  
Berthiana Berthiana ◽  
Mimin Lestari ◽  
Dian Ana Mutriqah

The world is now inhabited by 171 million people with Diabetes Mellitus (DM) and will double, an estimated 366 million by 2030. Obesity is a risk factor for type II DM. From the results of surveys and observations of researchers at the Palangka Raya Polytechnic, it was seen that some special program class students fall into the category of overweight and obese. This research aims to find out the relationship between overweight and the risk level of type II diabetes melitus in class students specialized in nursing and midwifery courses at Palangka Raya Polytechnic. A quantitative study with correlational studies and research design using a cross-sectional approach. There is a significant relationship between overweight to the risk level of type II DM based on the analysis of chi-square test data, obtained p-value = 0.077. There was a relationship between excess body weight based on body mass index on the risk level of type II DM


2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Vianthy Kundiman ◽  
Lucky Kumaat ◽  
Maykel Kiling

Abstract: Triage is a patient sorting activity based on the severity of trauma or illness that iscarried out immediately in a short time. Overcrowded conditions by patients in the ED due tothe incompatibility of patients with the number of overcrowded nurses have an impact on theaccuracy implementation of triage in patients aimed at reducing morbidity and mortality.Thepurpose was to identify the relationship of overcrowded conditions and the accuracyimplementation of triage at ED of Pancaran Kasih GMIM Hospital Manado. The design studyis analytic survey with cross sectional.Samples 105 respondents with a Non Probabilitysampling technique namely Consecutive sampling. Results used the Chi square test with asignificance level of 95% so that the value of p value is 0,000 smaller than the significant valueof 0.05.Conclusion there is a relationship of overcrowded conditions and the accuracyimplementation of the truage at Emergency Department of Pancaran Kasih GMIM HospitalManado..Keywords: Triage, Overcrowded, AccuracyAbstrak: Triase merupakan kegiatan pemilahan pasien berdasarkan berat dan ringannya traumaatau penyakit yang diderita yang dilakukan segera dalam waktu yang singkat. Kondisiovercrowded oleh pasien di IGD disebabkan karena tidak sesuainya jumlah pasien denganjumlah perawat Overcrowded berdampak pada ketepatan pelaksanaan triase pada pasien yangbertujuan menurunkan angka morbiditas dan mortalitas. Tujuan untuk mengetahui hubunganantara kondisi overcrowded dengan ketepatan pelaksanaan triase di IGD RSU GMIM PancaranKasih Manado. Metode menggunakan desain penelitian cross sectional study. Sampel terdiridari 105 responden dengan tehnik pengambilan sampel Non Probability sampling yaituConsecutive sampling. Hasil menggunakan uji Chi square dengan tingkat kemaknaan 95%sehingga didapatkan nilai p value yaitu 0,000 lebih kecil dari nilai signifikan 0,05. Kesimpulanterdapat hubungan antara kondisi overcrowded dengan ketepatan pelaksanaan triase di IGDRSU GMIM Pancaran Kasih Manado.Kata Kunci: Triase, Overcrowded, Ketepatan


2021 ◽  
Vol 49 (4) ◽  
pp. 223-230
Author(s):  
Heru Muryawan ◽  
Dian Yusnita ◽  
Muyassaroh Muyassaroh

Abstract Education is one of the factors that influence a person's knowledge, thereby increasing human attitudes and behavior for the better. Public knowledge about Covid-19 is very important so that prevention of Covid-19 can be done to reduce the number of incidents. The purpose of this study was to determine the relationship between education level and knowledge, attitudes and behavior of patients on the prevention of Covid-19. This study is a descriptive analytic study on patients aged 18-66 years in the outpatient installation of Merpati RSUP Dr. Kariadi in June 2020 using a validated questionnaire. The number of samples determined was 186. Sampling was carried out by consecutive sampling. Data analysis with Chi Square test. Significant results if p<0.05. There were 186 respondents, the lowest was 15 years and the highest was 66 years. It was found that the level of education was not related to knowledge (p=0.397) and attitude (p=0.148). There is a relationship between education level and behavior (p=0.003). There is a relationship between knowledge and behavior towards the prevention of transmission of Covid-19 with a value of p=0.025. Behavior is related to attitudes towards preventing the transmission of Covid-19 (p<0.001). Keywords: Covid-19 prevention, knowledge, attitude, behavior. Abstrak   Pendidikan merupakan salah satu faktor yang mempengaruhi pengetahuan seseorang sehingga meningkatkan sikap dan perilaku manusia menjadi lebih baik. Pengetahuan masyarakat mengenai covid-19 merupakan hal yang sangat penting agar pencegahan Covid-19 dapat dilakukan untuk menurunkan angka kejadian.Tujuan penelitian ini adalah mengetahui hubungan tingkat pendidikan denagn pengetahuan, sikap dan perilaku pasien terhadap pencegahan covid-19. Penelitian ini bersifat diskriptif analitik yang dilakukan pada pasien usia 18 – 66 tahun di instalasi rawat jalan merpati RSUP Dr. Kariadi bulan juni 2020 dengan menggunakan kuesioner yang sudah divalidasi. Jumlah sampel yang ditentukan sebanyak 186. Pengambilan sampel dilakukan secara consecutive sampling. Analisis data dengan uji Chi Square. Batas kemaknaan p<0,05. Hasil penelitian di dapatkan 186 responden umur terendah 15 tahun dan tertinggi 66 tahun. Didapatkan tingkat pendidikan tidak berhubungan dengan pengetahuan (p=0,397) maupun sikap(p=0,148). Terdapat hubungan antara tingkat pendidikan dengan perilaku (p=0,003). Terdapat hubungan antara pengetahuan dengan perilaku terhadap pencegahan penularan Covid–19 dengan nilai p=0,025. Perilaku berhubungan dengan sikap terhadap pencegahan penularan Covid–19 (p<0,001).    


2021 ◽  
Vol 55 (2) ◽  
pp. 21-28
Author(s):  
Joseph A. Oliver-Commey ◽  
Peter Puplampu ◽  
Christian Owoo ◽  
Kwame Asare-Boateng ◽  
Anita O. Yawson ◽  
...  

Objective: The study was conducted to determine the prevalence of radiologically diagnosed pneumonia among COVID-19 patients and associated factors.Design, setting, and participants: A retrospective manual data extraction of 275 medical records of COVID-19 patients was conducted at two COVID-19 national treatment centres in Accra from March to May 2020. All patients had a chest x-ray done.Main outcome and analysis: The main outcome was the presence of pneumonia. Descriptive statistics and Chi-square test of independence were employed to determine the associations between independent variables and the presence of pneumonia. All analysis was performed using Stata 16, and a p-value ≤ 0.05 was deemed significantResults: The prevalence of pneumonia was 44%(95%CI) =38.2-50.0). Chi-square independent test indicated that pneumonia in the COVID-19 patients was associated with educational level, history of domestic and international travel, mass gathering in the past 14 days before diagnosis, and discharge plan (p-value< 0.05). Patients classified as secondary cases (61.5%) and those discharged as fully recovered from the health facility (61.2%) had a higher prevalence of pneumonia. In addition, COVID-19 patients with hypertension (32.1%) and asthma (5.2%) had a significantly higher prevalence of pneumonia.Conclusion: Overall, the prevalence of pneumonia was 44% and was associated with the demographic and personal characteristics of the patients. Early detection through contact tracing and community surveillance should be intensified to pick up more asymptomatic cases. The role of the chest x-ray for triaging patients and for clinical management of symptomatic patients remains key.


Author(s):  
Andri Nur Sholihah

The relationship between parenting and sexual behavior in adolescents is the main topic of this study. The research employeddescriptive correlation research method with cross sectional time approach. Respondents consisted of 80 adolescents and the sampling techniques used wastotal sampling techniques. Data were collected by using questionnaires and analyzed by using univariateanalysis, and bivariate analysis with chi square test. The results of the study showed that democratic parenting was 67,5%, permissive parenting was 11,25%,authoritarian parenting was 7,5% and for the application of mixed parenting was 13,75%. The correlation test results obtained p <0,05 (P=0,00) and coefficient value of 0,628 which means that there is a significant relationship and close relationship between parenting and adolescents sexual behavior.


2019 ◽  
Vol 7 (2) ◽  
pp. 115
Author(s):  
Dini Yuliansari

The well is one of the source water used for bathing, washing, and drinking by the citizens in Jiken Hamlet, Rarang Village, Terara Sub-District. Poor dug well construction conditions can affect the amount of coliform bacteria contained in the dug well water. The purpose of this study is to identify the construction of dug wells and the content of coliform bacteria in dug well water and determine the relationship between dug well construction and the content of coliform bacteria. This research is analytic with a cross sectional study design. The results were obtained from 11 samples of dug wells which were observed in construction and the coliform content was known that all samples did not requirements as good dug well construction. Coliform content test results showed that as many as 5 dug well water samples did not pass the clean water quality standards. The results of data analysis with the chi-square test variable construction of dug wells with coliform content variable  showed 0,172 > 0,05, then the concluded is the dug well not suitable to use by people in that area as a source of water for daily needs.


Author(s):  
Ani Media Harumi ◽  
Kasiati Kasiati

Abstract: The purpose of this study is to analyze the relationship of age high risk with the incidence ofbleeding post partum in dr. M. Soewandhie Surabaya hospital. This research is analytic with an approachof a sectional cross. The study population was all post partum mothers in the Dr. M. Soewandhie Surabayahospital in January 2016 to March 2017, which amounts to an average of 1840respondents while theresearch sample number 182. Measuring collection sheet data obtained by systematic random sampling.The Study was conducted Chi-Square test obtained mean count X2 (0,00) is less than á (0.05) thenH0 is rejected and H1 accepted it means that there is a relationship between the age of high risk withbleeding post partum. Conclusion, there is a relationship between the age of high risk with the incidenceof bleeding post partum in the Spaceof the Maternity room Dr. Moch. Soewandhie Surabayahospital.


2021 ◽  
Vol 39 (6_suppl) ◽  
pp. 489-489
Author(s):  
Elie W. Akl ◽  
Pier Vitale Nuzzo ◽  
Elio Adib ◽  
Amin Nassar ◽  
Sarah Abou Alaiwi ◽  
...  

489 Background: Immune checkpoint inhibition (ICI) has greatly improved clinical outcomes for pts with mUC and other cancers. ICI is associated with a class of AEs, deemed irAEs due to immune activation. Nonetheless, biomarkers associated with irAE are still lacking. We hypothesized that the immune response against neoantigens is partly responsible for irAEs and investigated the association between irAEs, TMB and response to ICI. Methods: We identified patients with mUC at Dana Farber Cancer Institute who were treated with ICI (monotherapy or combination) and had available tumor sequencing data through Oncopanel. TMB was calculated using the number of non-synonymous exonic mutations per megabase. The severity of irAEs was graded using CTCAE v.5.0. Mann-Whitney U test was performed to identify association between TMB, incidence and grade of irAEs. A cut-off of 10/mb was assigned for TMB. Fisher’s exact test was used to evaluate the radiologic response between pts with and without irAEs and low vs. high TMB. Multivariable linear regression was used to assess the relationship between TMB, irAEs and response. p-values were adjusted using Benjamini-Hochberg method. Results: Of 101 pts with mUC who met the inclusion criteria, 32 (32%) reported irAEs. 6 (6%) were grade (G)1, 20 (20%) were G2, and 6 (6%) were G3. Median(m) time on therapy was 84 days for pts without irAEs and 88 days for pts with irAEs. Pts with irAEs had higher mTMB (15.4/mb) compared to pts with no irAEs (9.8) ( p = 0.01). In pts on monotherapy (93), those with irAEs (n=27) had a higher mTMB (15.13/mb) compared to pts with no irAEs (n=66) (mTMB = 10.20/mb) ( p = 0.01). Out of 94 pts with radiological data, response was achieved in 16 (50%) pts with irAE vs 10 (16%) pts with no irAE ( p < 0.001). When both irAE and response were included in a multivariable regression, the association between irAE and TMB was not significant ( p = 0.4). Pts with both irAE and high TMB had a response rate of 56% which was significantly higher than those with either irAE but low TMB (28.6%) or high TMB but no irAE (21.2 %) or low TMB and no irAE (10.3%) (Chi-square test p = 0.002; FDR corrected p-values for individual comparisons in Table). There was no association between TMB and irAE grade. Conclusions: Higher TMB was associated with higher incidence of irAEs in pts with mUC on ICIs. Moreover, pts with both high TMB and irAEs exhibited better response rates than those with only high TMB or irAEs, suggesting that they may provide complementary tumor and host characteristics. Further evaluation in mUC is needed to confirm this relationship between TMB, irAEs and response in a larger cohort and explore specific mutational signatures that may be associated with irAEs. [Table: see text]


2021 ◽  
Vol 12 (2) ◽  
pp. 487
Author(s):  
Tauseef AMAN ◽  
Mussawar SHAH ◽  
Humera JAMAL ◽  
Younas KHAN ◽  
Muhammad ARIF ◽  
...  

The major objective of this study was to measure the association between various interventions and Chitral Gole National Park (CGNP) role in preservation of bio-diversity and socio-economic uplift. A sample size of 346 respondents was randomly selected from total population of 3326 from the 4 selected villages on the basis of close proximity. A conceptual framework including dependent variable social development and independent variable tourism development were taken. The data were analyzed through frequency and percentage distribution. Moreover, Chi-square test was applied to know the relationship between dependent and independent variables at bi-variate level. In bi-variate analysis a highly significant (P=0.000) relation was found between CGNP is main source of promoting tourism in Chitral,tourists do any impacts upon local community in terms of increased business activities, local culture is safeguarded despite influx of tourists in the area, tourism produced employment opportunities, and social development. Qualitative data supported the empirical findings, however tourism brings economic opportunities at micro and macro level, but unfortunately CGNP is not as satisfactory regarding generating income since its establishment. The government should ensure to make such polices pertaining to the entrance fee, provides accommodation services on payment to the tourists and to reserve the entrance fee or any other form of taxes to ensure CGNP to spend on self-sustaining basis by ensuring refinement in the procedures as well.


Sign in / Sign up

Export Citation Format

Share Document