scholarly journals HUBUNGAN JENIS PERSALINAN DENGAN KEJADIAN SEPSIS NEONATORUM DI RSUP PROF. DR. R. D. KANDOU MANADO

e-CliniC ◽  
2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Maria Y. Lihawa

Abstract: Neonatal sepsis is a bacterial infection that occurs in neonates which happens during the first months of life. WHO estimated that sepsis neonatorum cause 1 billion death every year, which accounts for 10% of all death below age 5. In developing countries, death because of sepsis is about 34 per 1000 birth and for developed countries it is only 5 per 1000 birth. There are some factors triggering neonatal sepsis that come from the mother, these factors include: preterm labor and birth, premature rupture membrane more than 18-24 hours, chorioamnionitis, usage of device during labor, maternal fever (>38oC), maternal UTI, and mother’s nutrition. There are also factors that come from the baby itself, include: perinatal asphyxia, low birth weight, preterm birth, invasive procedure, and congenital abnormality. The aim of this study is to find out the correlation between types of delivery and the incident of neonatal sepsis. This study was conducted in RSUP Prof. DR. R.D. Kandou Manado from August 2012 – August 2013. This is a retrospective analytic study, using total sampling method. Data were obtained from the medical records. Analysis using chi square shows a significant correlation between types of delivery and incident of neonatal sepsis (P = 0.001). Key word: sepsis neonatal, neonatal infection, risk factor of sepsis.    Abstrak: Sepsis neonatorum adalah infeksi bakteri pada neonatus yang terjadi selama bulan pertama kehidupan. WHO memperkirakan 1 juta kematian per tahun (10% dari jumlah kematian berusia dibawah lima tahun) karena sepsis neonatal. Di negara berkembang, kematian neonatus dari seluruh penyebab sepsis kira-kira 34/1000 kelahiran dan di negara maju, hanya sekitar 5/1000 kelahiran.Ada beberapa faktor pencetus sepsis neonatorum yaitu faktor dari ibu (persalinan dan kelahiran kurang bulan, ketuban pecah lebih dari 18-24 jam, korioamnionitis, persalinan dengan tindakan, demam pada ibu (>38,4oC), ISK pada ibu, dan gizi ibu).Dan faktor dari bayi (asfiksia perinatal, berat lahir rendah, bayi kurang bulan, prosedur invasif dan kelainan bawaan).Tujuan penelitian ini untuk mengetahui hubungan jenis persalinan dengan kejadian sepsis neonatorum.Penelitian ini dilakukan di RSUP Prof. Dr. R. D. Kandou Manado periode Agustus 2012- Agustus 2013. Penelitian ini bersifat analitik retrospektif yang diambil dalam bentuk data rekam medik dengan pengambilan sampel menggunakan teknik total sampling.Data yang dikumpulkan diolah dengan menggunakan uji Chi-square. Dari hasil analisa data didapatkan nilai P = 0,001 (P<0,05). Nilai ini menunjukkan bahwa terdapat hubungan yang signifikan antara jenis persalinan dengan kejadian sepsis neonatorum. Kata kunci: sepsis neonatorum, infeksi neonatus, faktor risiko sepsis.

2015 ◽  
Vol 9 (1) ◽  
Author(s):  
Peter Garlans Sina ◽  
Lidya Theresye Raturomon

The aim of this research is to determine the tendency of financial stress as well as the differences between gender categories. The sampling method used is the census with a chi square technique. After the analysis, the results show that both of the hypothesis are accepted, which means that there is a tendency to experience a financial stress and the women tend to experience higher financial stress compared with men. This is due to an mistake in the management of personal finance. Key word : personal finance, financial stress, Gender


Author(s):  
Seno Adjie ◽  
Meily Meily ◽  
Ranti P Permatasari

Objective: To determine the risk factors that affect preterm labor in Dr. Cipto Mangunkusumo Hospital. Methods: This was an analytic descriptive study done in Emergency Unit of Dr. Cipto Mangunkusumo Hospital from July to December 2014. We recruited all women who gave birth in Emergency Unit of Dr. Cipto Mangunkusumo Hospital from July to December 2014 with gestational age less than 37 weeks. Of the total sampling method, we got 365 patients. We analyzed the data using chi square. Results: The characteristic age of subjects were 14.0% of less than 20 years old, 69.0% of 21-35 years old, and the rest were more than 35 years old. Most subjects (93.1%) were employed, 94.5% were married once, 62.3% of subjects had cesarean section history, 73.7% were primiparous, only 4.4% had history more than 1 abortion, and most of them were at 33-36 weeks of gestation. Socio-demographic factor associated with preterm labor and Preterm Premature Rupture of Membrane (PPROM) was age (p=0.011; OR 1.74; 95% CI 1.136-2.679). Obstetric history associated with preterm labor and PPROM was parity (p=0.017; OR 1.78; 95% CI 1.132-2.878). Conclusion: In this study, age and parity are associated with preterm labor and PPROM. [Indones J Obstet Gynecol 2017; 5-1: 3-7] Keywords: obstetric history, parity, PPROM, preterm labor, socio-demographic factors


2021 ◽  
Vol 9 (B) ◽  
pp. 1224-1228
Author(s):  
Ni Made Reditya Noviyani ◽  
I Made Kardana ◽  
Dewi Sutriani Mahalini ◽  
Ida Bagus Gede Suparyatha ◽  
Ketut Ariawati ◽  
...  

BACKGROUND: Neonatal bacterial meningitis has a significant contribution on neonatal morbidity and mortality. It is the most common complication of late-onset neonatal sepsis. An understanding of the risk factors for bacterial meningitis in late-onset neonatal sepsis is required to provide comprehensive management. AIM: To identify the risk factors of bacterial meningitis in late-onset neonatal sepsis. METHODS: This is an analytical study with a case–control design, conducted in May 2019-February 2021, involving neonates aged 4–28 days who suffered from late-onset neonatal sepsis in Level II and III Neonatal Care Unit, Sanglah General Hospital Denpasar. Statistical analysis was performed using Chi-square and logistic regression. RESULTS: A total of 54 patients were analyzed in this study. The mean age of subjects with neonatal bacterial meningitis was 13 days and the majority of them were male (51.9%). The risk factor of bacterial meningitis in late-onset neonatal sepsis was gestational age <37 weeks with odds ratio 4.22 (95% confidence interval 1.28–13.86, p = 0.01). There was no significant association of birth weight <2500 g, neonatal asphyxia, and invasive procedure on neonatal bacterial meningitis. CONCLUSION: Gestational age <37 weeks is a risk factor for bacterial meningitis in late-onset neonatal sepsis.


1970 ◽  
Vol 5 (2) ◽  
pp. 64
Author(s):  
Eny Sendra ◽  
Dewi Indriani

Breast feeding is giving milk to be drunk to the baby from the breast. Uterus involution is a process how the uterus return to the condition back, before pregnanting after bearing. At the moment of suckling, happens a stimulus and brings the hormones out, such as oksitosin uses not only to stimulate some muscles constraction but also to stimulate the uterus, so that the process of uterus involution happens foster. According to the explanations above, the research aimed to know about the correlation between breast feeding and uterus involution. This research’s design was, cross sectional by the population of all childbirth mothers approximately 50 persons / month. By using accidental sampling technique we got 21 sample respondents. The place of research in RSIA Aura Syifa in Kediri Regency on 16th until 22nd of June 2009. From this research’s result, we got 14 persons (66,67%) with normal uterus involution, suckled in a good way, one person (4,67%) with normal uterus involution, suckled in a wrong way, 2 persons (9,52%) with abnormal uterus involution, suckled in a good way and 4 persons (19,05%) with abnormal uterus involution, suckled in a wrong way. Statistic test which used chi-square test, counted the probability frequency in advance, from that we got 3 columns with the score, less than 5, so that chi-square can not be continued and by doing exact fisher test, the score was 0,001. Because P with the grade mistake 0,05 smaller, so the conclusion was “Ho” is rejected, it meant “there was correlation between suckling and uterus involution”. Key Word : Breast feeding, uterus involution


Author(s):  
Muhammad Sufriannor ◽  
Hardiono Hardiono ◽  
Juanda A. Zuraini

Abstract: Knowledge, Attitude with Merchants Participation In The Management of Market Waste. In Banjarbaru city waste volume transported by TPS officers per day about 90 tons / day to TPA. One of the source of waste is the market which is a big problem because most of the market waste is wet garbage. So these waste piles become flies nest, rats, insects.Waste management is also influenced by the participation of merchants that were still lacking awareness to play an active role in the implementation. The purpose of this study is to determine the relations of knowledge, attitude with the participation of merchants in waste management in the Bauntung market Banjarbaru. The type of this research is analytical survey research with Cross Sectional approach. The population in this study is all merchants in the Bauntung market Banjarbaru. The sample is 85 respondents, obtained by proportional sampling method. The research variables consist of independent variables, namely knowledge and attitude while the dependent variable is the participation of merchants in waste management. Data analysis used is univariat and bivariate (using Chi Square with α = 0,05). The result of the research stated that there is no correlation between knowledge level and participation (p-value 0,747> 0,05). There is a correlation between attitudes with participation (p-value 0.001


Author(s):  
Y. Widyastuti Y. Widyastuti

  ABSTRACT [In advanced countries the number of permanent contraception option ( kontap ) approximately 10 % of all national family planning methods , while in Indonesia reached approximately 5.7 % . Based on data obtained from medical records Bhayangkara Hospital Palembang in 2010 the number of achievement when seen from the percentage of contraceptive use is only 9.10 % The purpose of this study is known age and parity relationship with the selection of contraceptive methods Surgery Women ( MOW ) in Palembang RS.Bhayangkara obstetrics clinic in 2012 . This study uses the analytic survey with cross sectional approach . The population in this study were women who become new acceptors were recorded in medical records at the hospital . Palembang Bhayangkara Hospitals January 1, 2012 to December 31 in 2012 . The sample in this study is part of a whole number of new acceptors ( either using contraception methods MOW and other family planning methods ) were registered in the hospital . Palembang Police Hospitals of January 1, 2012 to December 31 years of data 2012.Analisa univariate and bivariate statistical Chi - Square test with significance level α = 0.05 . The results showed there were 80 respondents ( 46.3 % ) who became MOW contraceptive acceptors , acceptors who have old age by 45 respondents ( 56.3 % ) and who has a young age by 35 respondents ( 43.8 % ) . acceptors which have high parity were 44 respondents ( 55 % ) who had low parity and a total of 36 respondents ( 45 % ) . From the results of Chi-square test value obtained ρ = 0.00 is smaller than α = 0.05 . There is a significant correlation between age and the selection of MOW Chi square test results obtained ρ value = 0.00 and there was a significant association between parity with the election MOW Chi square test results obtained ρ value = 0 , . From these results , it is expected to power health, especially family planning services at the hospital . Palembang Police Hospitals in order to improve the quality of family planning services in an effective, efficient , and safe are considered particularly suitable for users of contraception OperatingMethodWomen(MOW).                                      ABSTRAK Di negara sudah maju jumlah pilihan kontrasepsi mantap (kontap) sekitar 10% dari semua metode KB nasional, sedangkan di Indonesia baru mencapai sekitar 5,7 %. Berdasarkan data yang diperoleh dari Rekam medik  Rumah Sakit Bhayangkara Palembang tahun 2010 Jumlah pencapain tersebut jika dilihat dari persentasi penggunaan kontrasepsi MOW hanya  9,10% Tujuan penelitian ini adalah diketahuinya hubungan umur dan paritas dengan pemilihan alat kontrasepsi Metode Operasi Wanita (MOW) di poliklinik kebidanan RS.Bhayangkara Palembang Tahun 2012. Penelitian ini menggunakan metode survey analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah wanita yang menjadi akseptor KB Baru yang tercatat di rekam medik  di RS. Bhayangkara Palembang tanggal 1 januari 2012 sampai dengan 31 Desember  tahun 2012. Sampel dalam penelitian ini adalah sebagian dari seluruh jumlah akseptor KB Baru (baik yang menggunakan alat kontrasepsi Metode MOW maupun Metode KB lain) yang teregister di RS. Bhayangkara Palembang dari tanggal 1 januari 2012 sampai dengan 31 Desember  tahun 2012.Analisa data dilakukan secara univariat dan bivariat dengan uji statistik Chi-Square dengan tingkat kemaknaan α = 0,05. Hasil penelitian menunjukkan dari 80 responden terdapat (46,3%) yang menjadi akseptor kontrasepsi MOW, akseptor yang memiliki umur tua sebanyak 45 responden (56,3%) dan yang memiliki  umur muda sebanyak 35 responden (43,8%). akseptor yang memiliki paritas tinggi sebanyak 44 responden  (55%) dan yang memiliki  paritas rendah sebanyak 36 responden (45%). Dari hasil uji Chi square didapatkan ρ value = 0,00 lebih kecil dari α = 0,05. Ada hubungan yang bermakna antara umur dengan pemilihan MOW dari hasil uji Chi square didapatkan ρ value = 0,00 dan ada hubungan yang bermakna antara paritas dengan pemilihan MOW hasil uji Chi square didapatkan ρ value = 0,.Dari hasil penelitian ini, diharapkan kepada tenaga kesehatan khususnya pelayanan KB  di RS. Bhayangkara Palembang  agar dapat meningkatkan kualitas pelayanan KB secara efektif, efisien, dan aman yang dianggap cocok bagi penggunanya khususnya mengenai kontrasepsi Metode Operasi Wanita (MOW).    


Author(s):  
Dur-e- Nishat

Background: Family medicine is a field in which complete and detailed set of healthcare services are provided to the patients and their families. In developed countries, freshly graduated students choose family medicine as a priority for their career. However, in Pakistan it is not the case. The present study is undertaken to determine the perceptions of final year medical students’ about Family Medicine as a viable career. Methods: A total number of 504 students participated in the study. This was a cross-sectional study. The study participants were in their final year of medical college. Data was collected using a preapproved questionnaire. Data was entered and analyzed via SPSS version 17 and Chi-Square test was used post-stratification. Results: Only 14.3% (n=72) medical students had heard about Family Medicine. Only 18% (n=92) would select family medicine as a profession. The most frequent rationale for choosing the field of Family Medicine was the variety of patients seen in general practice (55.4% n=51). Conclusion: There is a dire need to focus on increasing awareness about the field of family medicine among medical students. The students should be counseled on the advantages along with the disadvantages of choosing this field as a medical profession.


2020 ◽  
Vol 2 (1) ◽  
pp. 53-59
Author(s):  
Josimara A. de Araújo Varela ◽  
Tatiana F.T. Palitot ◽  
Smyrna L.X. de Souza ◽  
Alidianne F.C. Cavalcanti ◽  
Alessandro L. Cavalcanti

Objective: This study aimed to analyze the presence of lesions in the skull and face and the associated factors in pedestrian victims of traffic accidents. Methods: A cross-sectional, descriptive-analytical study carried out through the analysis of medical records of pedestrian victims of traffic accidents in an emergency service in the city of Campina Grande, Brazil, during the year of 2016. Information was collected regarding gender, age group, day of the week, time of the accident, type of vehicle involved, presence of trauma to the skull and face, and outcomes. The Chi-square and Fisher's Exact tests were used, with a significance level of 5%. Results: A total of 1,884 medical records were evaluated, out of which 7.1% (n = 133) involved pedestrians. Men were the most frequent victims (68.4%), and victims of age 60 years old or over (30.5%) predominated. Almost one-third of the cases were recorded during the weekends (30.5%), and the most prevalent time was at night (52.7%). Regarding the type of vehicle involved, motorcycles predominated (47.4%). Head trauma was present in 37.6% of victims, while facial injuries corresponded to 8.2%. In 12% of cases, the victims died. The variables of gender, age group, occurrence on weekends, and trauma to the face showed a statistically significant association with the occurrence of traffic accidents (Chi-square test; p<0.05). Conclusion: Among pedestrian victims of traffic accidents, there is a predominance of men aged 65 years or over. Accidents are frequent at night, and motorcycles are the main vehicles involved. The presence of trauma to the skull and face regions is high.


2021 ◽  
pp. 105477382098668
Author(s):  
Kathleen Schell ◽  
Denise Lyons ◽  
Barry Bodt

The aim of this retrospective study was to determine the prevalence of orthostatic hypotension (OH) among a convenience sample of older adults on two Acute Care of the Elderly (ACE) units of the ChristianaCare™ in Delaware. Another aim was to determine if subjects with documented OH experienced falls. Retrospective de-identified data was obtained from electronic medical records for the years 2015 to 2018. Among all patients who had valid first orthostatic vital sign (OVS) readings ( n = 7,745), 39.2% had orthostatic hypotension on the first reading. Among the patients, 42.8% were found to be hypotensive during OVS. Thirty-one (0.9%) of those with OH fell at some point during their stay. The odds ratio for falls in the presence of OH was 1.34 with a 95% confidence interval (0.82, 2.21), but a chi-square test failed to find significance ( p = .2494). The results could not determine if OVS should be mandatory in fall prevention protocols.


2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1814.3-1814
Author(s):  
I. Madroñal García ◽  
C. Aguilera Cros ◽  
L. Mendez Diaz

Background:Sarcoidosis (S) is a systemic granulomatous disease of unknown etiology, which most frequently affects the ganglion, lung and skin, although it can affect other organs, including the musculoskeletal system.Objectives:- Describe the clinical, analytical and radiological characteristics of patients diagnosed with S presenting joint manifestations.- To assess the association between patients who have joint manifestations and the use of corticosteroids (C) and immunosuppressants (IS), with respect to those without joint involvement.Methods:Retrospective descriptive study of patients with diagnosis of S with joint manifestations, treated in our Hospital from 2017 to 2019. Data were obtained by reviewing medical records. Chi square tests and Fisher’s exact test have been performed to establish the differences described in the objectives.Results:From a database of 102 patients with S, 18 presented joint manifestations (50% women), with a mean age of 57 ± 6 years. Of these patients, 4 (22.2%) have presented positive ANA. Regarding the clinic, 3 patients presented the association of polyarthritis and bilateral ankle swelling, 8 patients presented with polyarthritis, 3 monoatritis and 4 patients presented bilateral ankle swelling. 61.1% had fever at the onset of the disease.14 patients (77.8%) had high ACE values at the onset of the disease, without presenting significant differences with respect to all patients diagnosed with S who do not have joint involvement.All patients received treatment with C and 10 patients (55.5%) needed an IS treatment, finding no differences with respect to patients who do not have joint involvement (p=0.92).On the course of the disease, the majority of patients with joint involvement have a chronic course (72.2%). Nor were significant differences found when compared with patients who have no joint involvement (p = 0.73).Conclusion:Patients with joint involvement in our study have been 17.6% (18), an approximate result to that described in the literature (over 10%), although our result may be increased by the fact that the patients who are followed in Rheumatology present or have presented joint involvement. No significant differences were found between patients with S who presented joint involvement and those who did not, with respect to the initial ACE values, treatment and disease course. Prospective, multicenter and larger sample studies are necessary to better understand these associations.Disclosure of Interests:None declared


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