scholarly journals ANALISIS HASIL PEMERIKSAAN FISIK DAN LABORATORIUM DEMAM BERDARAH DENGUE DERAJAT I DAN II DI RSUD H. SAHUDIN KUTACANE TAHUN 2021

2021 ◽  
Vol 6 (2) ◽  
pp. 73-83
Author(s):  
Joharsah Joharsah ◽  
Fika Lestari ◽  
Purnama Sari Cane

Dengue fever is a severe fever that is often deadly, caused by a virus, characterized by capillary permeability, hemostasis abnormalities and in severe cases, shock syndrome loss of protein. The disease is divided into several degrees. To ensure patients suffer from DENGUE disease, it is necessary to perform physical and laboratory examinations such as hematology tests. This study aims to analyze the results of physical examinations and laboratories of DBD degrees I and II at H.Sahudin Kutacane Hospital. The study used descriptive methods with a Cross Sectional approach. Accidental sampling and the number of samples obtained is 20 respondents, among others, degrees I and II are 10 respondents. The data collection tool is carried out using observation sheets including demographic data, physical examination of DBD degrees I and II, and normal standard numbers and laboratory examination units of Amanah Kutacane Clinic. The results of research conducted from a physical examination of DBD degrees I and II show signs and symptoms of DENGUD disease that appear differently because in addition to the condition of a person's body response is different, It may also be because it has been given symptomatic and supportive treatment, while the laboratory results of DBD degrees I and II are only platelets whose value is low from normal numbers (150,000-450,000/μl) of 88,500/μl and 42,300/μl respectively and these laboratory results are affected by adequate fluid and oxygen intake and nutritious food intake so as to support proper administration of action/management

Author(s):  
Nitin T. Basole ◽  
Sulakshana S. Baliga ◽  
Mubashir Angolkar

Background: Vector borne diseases are one of the major public health problems worldwide. There is significant disease burden contributed to morbidity and mortality due to Dengue. Vector control is the ideal way to control dengue. But vector control methods can be successful with community participation. Hence it becomes important to assess the community’s knowledge regarding the disease. The objective of the study was to assess the knowledge regarding the dengue disease among people in an urban area.Methods: A community based cross sectional study was conducted among 400 participants. Participants were selected by using systematic random sampling method. Data was collected by house to house visit using predesigned questionnaire.Results: Majority of them (87.75%) identified fever as a cardinal symptom of dengue fever. Only 32.25% knew that dengue fever is transmitted by Aedes mosquitoes. 42% of participants had good knowledge of dengue The main source of information on dengue was from the television.Conclusions: Key finding of this study is that knowledge is poor among the study participants although majority of people had clear understanding of fever, headache, joint pain as common signs and symptoms of dengue fever.


2021 ◽  
Author(s):  
Farzaneh Mohammadi ◽  
Hussein Soleimantabar ◽  
Fatemeh Mohamadi ◽  
Sofia Sabouri

Abstract Background A thorough understanding of the vertebral artery (VA) variations and course of the artery and its related branches could significantly enhance the efficacy and safety of interventions involving the neck and spine. Here, we aimed to investigate the incidence of various VA variations in individuals presenting with signs and symptoms of stroke with our neurology team. In this cross-sectional study, all patients referred to our specialized medical imaging center and underwent neck CT-angiography (CTA) were enrolled in this study for two years from September 2019 onward. Patients' information forms were obtained to collect demographic data. Results An experienced board-certified radiologist evaluated the CTA images, recording the characteristics of VA, regarding dominance and any possible anomalies. These included anomalous origin, anomalous route, anomalous branching, stenosis, hypoplasia, atresia, thrombosis, and dissection. A total of 125 patients (53.6% females; mean age, 60.7 (11–87)) were included. In the case of VA dominance, 66.4% of cases were co-dominant while 16.0% were right, and 12.8% were left dominant. Overall, males had more VA anomalies than females, 24.8% and 17.6%, respectively (in general, 42.4% of all participants) (p = 0.020). Among patients, 4.0% (n = 5) had an anomalous origin and anomalous branching was reported in 5 patients (4.0%). Among the variations, significant stenosis (18.4%) and hypoplasia (17.6%) were the most prevalent anomalies with the earliest one having the higher rate. While anomalous branching was reported in 5 patients (4.0%). Conclusions VA variations are relatively common and should be addressed during procedures involving the neck region and would allow surgeons to avoid life threatening injury.


2017 ◽  
Vol 23 (4) ◽  
pp. 279-287
Author(s):  
Shu-Hung Chang ◽  
Yi-Ya Chang

BACKGROUND: Exercise and sitting-time may influence depressive symptoms. OBJECTIVE: The purpose of this study was to examine the relationship between sitting-time, exercise, and depressive symptoms among middle-aged adults. DESIGN: Data from community-based physical examinations between 2013 and 2014 in northern Taiwan were used for this cross-sectional study. We collected demographic data and data on exercise behaviours, sitting-time, and depressive symptoms. RESULTS: A total of 655 participants completed this survey. Of these, 21.2% had depressive symptoms, 33.7% had regular exercise habits, and 24.1% reported a daily average sitting-time of more than 6 hours. Subjects who had regular exercise with lower sitting-time (odds ratio [OR] = 0.49), subjects who had regular exercise with higher sitting-time (OR = 0.55), and subjects who did not have regular exercise with lower sitting-time (OR = 0.34) had less prevalence of depressive symptoms compared to subjects without regular exercise and with higher sitting-time. CONCLUSIONS: Middle-aged adults must exercise regularly and reduce sitting-time to prevent depressive symptoms.


2017 ◽  
Vol 11 (1) ◽  
pp. 221-229 ◽  
Author(s):  
Fatemeh Rezaei ◽  
Roohollah Sharifi ◽  
Hamid R. Shahrezaee ◽  
Hamid R. Mozaffari

Background and Objective:Diagnosis and treatment of chronic orofacial pain are one of the most challenging issues in dentistry. The purpose of this study was to assess the knowledge of general dentists regarding orofacial pain in Kermanshah, Iran.Methods:This cross-sectional study was conducted in 2016 including general dentists of Kermanshah city. A researcher-designed questionnaire was administered to collect demographic data as well as measuring knowledge of the dentists in four sections including etiology, clinical presentations, physical examination, and treatment of chronic orofacial pain. The questionnaire had acceptable validity (content validity > 0.9) and reliability (intraclass correlation coefficient= 0.857 for test re-test; Cronbach’s alpha= 0.72 for internal consistency). The data were analyzed by the SPSS software (ver. 18.0) using Spearman’s correlation coefficient (P< 0.05).Results:There were 121 male (72.9%) and 45 female (27.1%) dentists with mean (SD) age of 40.55 (8.03) years and mean (SD) practice history of 13.28 (8.43) years. Mean (SD) knowledge score was 10.54 (2.36) (maximum possible score= 15). 48.2% of dentists had good knowledge in overall. 48.2% about etiology, 45.2% about clinical presentations, 36.1% about physical examination, and 7.8% about treatment had good knowledge. Knowledge had direct and significant relationship with age (r = 0.179;P= 0.022) and practice history (r = 0.18;P= 0.021).Conclusion:The results showed that the studied dentists did not have enough knowledge about chronic orofacial pain especially in the treatment field. Therefore, it is recommended to implement educational programs to improve their knowledge.


Author(s):  
Mazyar Hashemilar ◽  
Saeid Charsouei ◽  
Darioush Savadi-Oskouei ◽  
Elyar Sadeghi-Hokmabadi ◽  
Mohammad Farzipour

Background: Psychogenic non-epileptic seizures (PNES) are manifested as paroxysmal alterations in motor, sensory, autonomic, and/or cognitive and behavioral signs and symptoms, without associated ictal epileptiform discharges. A misdiagnosis of PNES as epilepsy results in a prolonged and unnecessary (antiepileptic) drug treatment and social and psychological stigma of epilepsy in these patients. This study aimed to determine the epidemiology, clinical manifestations, and associated factors of PNES in hospitalized patients in the video-electroencephalography (EEG) monitoring (VEM) service of Razi Hospital, Tabriz, Iran. Methods: In this cross-sectional descriptive study, 55 patients with a final diagnosis of PNES were selected from the patients referred to the VEM unit of Razi Hospital for the evaluation of epilepsy. The study was performed from May 2017 to June 2019. Patient information included demographic data and medical history (drug history, comorbidities, trauma, and family history). The clinical manifestations (semiology and duration of attacks) and EEG findings, as recorded by VEM during hospitalization, were collected. Results: 55 patients with PNES were studied with VEM, 27 (49.1%) of which were men, and 28 (50.9%) were women. The mean and standard deviation (SD) of age of the patients was 34.16 ± 12.64 years. No significant differences were observed in the semiology of PNES between men and women. Depression was the most common psychiatric comorbidity. Conclusion: The clinical manifestations of PNES in the present study were similar to those in most previous studies from other countries. The culture and sex of the patients did not seem to be a contributing factor in PNES semiology.


Author(s):  
Absar Ahmed Qureshi ◽  
◽  
Shadia Hamoud Alshahrani ◽  
Premalatha Paulsamy ◽  
Dr. Ghadha Mohammed Ali AL –Asbi ◽  
...  

Stroke is the largest cause of death worldwide and the primary cause of disability. As a result, it was required to investigate the level of hypertension patients' knowledge of risk factors and warning symptoms. A descriptive cross- sectional study carried out among 200 hypertensive patients who were selected using purposive sampling technique. The tool was constructed with three sections: demographic data, risk factor awareness, and stroke signs and symptoms. The study results show that he total mean of knowledge on risk factors of stroke was 11.73 with the SD of 2.17 and warning signs was 9.61 with the SD of 1.99. The gender, age and level of education had significant relationship with knowledge of the hypertensive patients on risk factors of stroke at p=0.05 level. The study concludes that the majority of hypertension patients had insufficient understanding of stroke risk factors and warning symptoms. Hence, the first priority should be to raise public knowledge of hypertension and support primary prevention in order to reduce the morbidity and mortality related to stroke. Keywords: Knowledge, Hypertensive Patients, Risk Factors, Warning Signs, Stroke


2021 ◽  
Vol 20 (2) ◽  
pp. 162-169
Author(s):  
Barsha Bajracharya ◽  
Anita Dahal ◽  
Rajeeb Kumar Deo

Introduction: The incidence of oral cancer in South Asian countries, including Nepal is increasing despite the fact that all of its risk factors are modifiable. This can be attributed to lack of awareness regarding oral cancer and its risk factors among general public. This study was conducted among subjects attending Dental OPD of a tertiary hospital to assess the knowledge and attitude regarding oral cancer and also practices of risk factors associated with it.  Methods: This is a questionnaire based cross-sectional study conducted from July 2020 to October 2020. Subjects attending Dental OPD of a tertiary hospital in Kathmandu were asked to fill a structured close-ended Questionnaire. Section one of the questionnaire focused on the demographic data of the subjects, second part elicited information pertaining to knowledge of oral cancer, third part focused on attitude and fourth part on practices of participants towards risk factors of oral cancer. Result: Out of 300 subjects, 65% were males. Most were in the age group 41 - 50 years and 75.6% were literate. Majority mentioned smokeless tobacco as the risk factor, followed by smoking and alcohol. Regarding signs and symptoms, most of the participants mentioned non-healing ulcer, followed by lump and pain. Most of the participants responded tongue as the most common site of oral cancer. Majority answered that oral cancer can be prevented by not chewing tobacco. Among the total, 55.3% said oral cancer is non-contagious. Only 25% had undergone oral examination in the last one year. 31.7% had habit of tobacco and / or alcohol. Conclusions: The awareness level and knowledge about risk factors and early signs of oral cancer in this cross-section of dental patients were satisfactory. Key words: awareness; oral cancer; risk factors; tobacco


Author(s):  
Bhaskar Singamsetty ◽  
Pavan Kumar Gollapudi

Background: Occupational health should aim at the promotion and maintenance of the highest degree of physical, mental and social well-being of workers in all occupations. Among the occupational diseases, diseases due to chemical agents like chemical gases, inorganic and organic dusts, metals and their compounds, chemicals and solvents constitute one important group. Workers engaged in lead industries like gasoline additives, lead based paints, ceramic glazes, plumbing of pipes  are continuously exposed and are at a greater risk of lead toxicity. The present study was aimed to emphasize the health profile of workers in a battery factory and with reference to their blood lead levels and correlation with signs and symptoms of lead toxicity.Methods: A prospective cross sectional study was conducted among workers for 6 months period and health details were evaluated along with demographic data (age, duration of work, etc.) and examined for signs and symptoms of lead toxicity. Blood lead levels of the workers were estimated and correlated with other parameters like Hb%, serum creatinine. Results: Mean blood lead levels of the workers were high among the workers working for longer duration in battery fitting unit. Toxicity signs and symptoms were observed and they were attributable to lead toxicity. Few cases had audiometric disturbances and one had loss of vision. High levels of lead in blood were found to be related to hypertension and anemia among the workers. Conclusions: Heavy metal, lead is a major environmental pollutant and its toxicity continues to create health problems in several segments of the population. There is urgent need for the prevention and control of lead toxicity by strengthening the systematic screening for blood lead levels compatible with sub clinical lead toxicity and a routine case finding for hypertension secondary to lead exposure, including IEC activities at all levels.


2021 ◽  
Author(s):  
Deniz Yilmaz ◽  
Betul Erismis ◽  
Emine Isil Ustun ◽  
Hakan Kocoglu ◽  
Cemal Bes

Abstract Background: Fibromyalgia (FM) is the most common cause of chronic generalized musculoskeletal pain and it is generally accompanied by the other nonspecific common symptoms. The etiology and the pathophysiology is still not clear but also there are some studies that show a relationship between FM and thyroid diseases. So, in this study we aimed to determine the frequency of FM in patients with hypothyroidism and the variables that may affect this frequency. Methods: This is a cross-sectional, single center and prospective study. A total of 180 patients -who were applied to internal medicine outpatient clinics- included in the study and the patients who described the generalized musculoskeletal pain were consulted to the physical medicine and rehabilitation outpatient clinics. We have evaluated demographic data, laboratory, presence of thyroid disease and FM, and Beck Depression Questionnaire (BDQ) and FM Impact Questionnaire (FIQ) for FM patients.Results: 39.4% (n = 71) of the patients had FM and 60.6% (n = 109) of them did not. There was a positive corelation between FIQ score and age at diagnosis and disease duration. As the age at diagnosis and duration of disease increased, the FIQ score increased by 37.3% and 25.7%, respectively. In addition, as BDQ increased, the FIQ score increased by 44.8%. Conclusion: Signs and symptoms of hypothyroidism is similar to signs and symptoms of FM, and approximately 40% of patients with hypothyroidism could have FM concomittantly. Therefore, all patients with hypothyroidism should also be examined for FM.


2016 ◽  
Vol 86 (5-6) ◽  
pp. 242-248 ◽  
Author(s):  
Genc Burazeri ◽  
Jolanda Hyska ◽  
Iris Mone ◽  
Enver Roshi

Abstract.Aim: To assess the association of breakfast skipping with overweight and obesity among children in Albania, a post-communist country in the Western Balkans, which is undergoing a long and difficult political and socioeconomic transition towards a market-oriented economy. Methods: A nationwide cross-sectional study was carried out in Albania in 2013 including a representative sample of 5810 children aged 7.0 – 9.9 years (49.5% girls aged 8.4 ± 0.6 years and 51.5% boys aged 8.5 ± 0.6 years; overall response rate: 97%). Children were measured for height and weight, and body mass index (BMI) calculated. Cut-off BMI values of the World Health Organization (WHO) and the International Obesity Task Force (IOTF) were used to define overweight and obesity in children. Demographic data were also collected. Results: Upon adjustment for age, sex, and place of residence, breakfast skipping was positively related to obesity (WHO criteria: OR = 1.5, 95% CI = 1.3–1.9; IOTF criteria: OR = 1.9, 95% CI = 1.4–2.5), but not overweight (OR = 1.1, 95% CI = 0.9–1.3 and OR = 1.1, 95% CI = 0.9–1.4, respectively). Furthermore, breakfast skipping was associated with a higher BMI (multivariable-adjusted OR = 1.05, 95% CI = 1.02–1.07). Conclusions: Our findings point to a strong and consistent positive relationship between breakfast skipping and obesity, but not overweight, among children in this transitional southeastern European population. Future studies in Albania and other transitional settings should prospectively examine the causal role of breakfast skipping in the development of overweight and obesity.


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