scholarly journals ANALISIS FAKTOR RISIKO KEJADIAN TUBERKULOSIS PARU

2020 ◽  
Vol 13 (1) ◽  
pp. 1-10
Author(s):  
Hasriani ◽  
La Rangki

The medical record data at the Napabalano Health Center for pulmonary TB in 2016 from January to December was 315 suspected cases, whereas in 2017 the January-December period suspected 261 cases of pulmonary TB were suspected. This study aims to analyze the risk factors for TB pulmonary disease in Napabalano District, Muna Regency. The research design is the Case Control Study. The study population was all suspected pulmonary TB in Napabalano Subdistrict, Muna Regency, from January to December 2017 totaling 261 cases with the number of sample cases 57 and controls 57 taken with Simple Random Sampling technique. The results showed that occupancy density was a risk factor for pulmonary TB incidence, respondents who were at home with dense occupancy ie> 1 person per 10 m2 at risk of suffering pulmonary TB by 6 times compared to respondents who were at home not dense at <1 person per 10 m2 . Nutritional status is a risk factor for pulmonary TB incidence, respondents with poor nutritional status <18 IMT risk at risk of developing pulmonary TB 33 times compared to respondents with normal nutritional status BMI value 18-24. There is that there are risk factors for occupancy density, nutritional status, towards the incidence of pulmonary TB.

2021 ◽  
Vol 4 (1) ◽  
pp. 72-78
Author(s):  
Samsi Burhan ◽  
Agusrinal ◽  
Ika Sartika ◽  
Asmurti

The number of mothers giving birth with sectio caesarae delivery at BLUD R.S H.M Djafar Harun North Kolaka in 2015 was 254 people, then increased in 2016 to 521 people. The purpose of this study was to analyze the risk factors for the incidence of Sectio Caesarea delivery at H.M Djafar Harun Hospital, North Kolaka. This type of research is an analytic observational study with a case-control study approach. The study population was 68 with a sample of 136 people using the Accidental Sampling Technique. Data analysis using the Odds Ratio test. The results of the risk analysis based on narrow pelvic factors showed the value of OR= 9,681; LL= 2,728; UL= 34,355, and then placenta previa factor showed the value of OR= 6,484; LL= 0,759; UL= 55,385. In conclusion, narrow pelvis is a strong risk factor and placenta previa is not a strong risk factor for Sectio Caesarea delivery. It is hoped that the hospital will seek to identify high-risk pregnancies, complications or pregnancy abnormalities so that they can be detected early so that they are able to more optimally handle complications during childbirth.


Author(s):  
D. J. Patil ◽  
M. M. Shindhe

Background: Worldwide the elderly population gradually increasing and that will definitely pose several challenges. Malnutrition is one of the major but neglected problem in elderly. They are at risk of malnutrition due to physical, psychological, social, dietary and environmental risk factors. Malnutrition in elderly is associated with adverse health effects. Hence to study the nutritional status of elderly.Methods: The study was carried out between January 2016- June 2017. 545 elderly were included in the study. Out of the 6 subcentres, 1 subcentre (Uchagaon) was selected by simple random sampling technique and house to house survey was carried out to select eligible elderly participants in the villages of selected subcentre. Data was collected from eligible elderly by using mini nutritional assessment (MNA) tool.Results: Majority of the participants (65.1%) were between the age group of 60-69 years. 55% were females. 23.5% were malnourished, 49% were at risk of malnutrition and 27.5% had normal nutritional status.Conclusions: The present study concluded that majority of the elderly were at risk of malnutrition. There is a need of actions to improve the nutritional status of the elderly.


Author(s):  
Oliver Drouin ◽  
Jonathan P. Winickoff ◽  
Anne N. Thorndike

Social norms predict health behaviors of adults and adolescents. We aimed to determine if parents’ beliefs about social norms were associated with children’s exposure to three behavioral risk factors. We asked 648 parents of children ages 0-18 years old attending two pediatric practices about their children’s exposure to smoking at home. Parents of 341 parents with children >2 years old were also asked about insufficient dental care, and 435 with children aged >12 months about their children’s sugar-sweetened beverage (SSB) consumption. Children were categorized as “at risk” or “not at risk” for each factor.The primary outcome was the parent-reported estimate of neighborhood prevalence of those same risk factors.Of eligible participants, 8% reported smoking at home, 23% that their child hadn’t seen a dentist for 6 months, and 35% that their child drank SSBs once a day or more. In multivariate analyses, parents with children in the “at risk” group estimated that the prevalence of each risk factor was higher in their neighborhood, than did participants with children in the “not at risk” group: difference of 12.2% [95% CI, 5.8%-18.6%] for tobacco-smoke exposure, 18.6% [95% CI, 10.7%-26.5%] for lack of regular dental visits and 12.1% [95% CI, 5.1%-19.0%] for SSB consumption (P<0.001 for all comparisons).Parents of children exposed to three behavioral risk factors reported higher perceived prevalence of each risk factor compared to parents of children not at risk. Addressing parents’ social norms beliefs could help promote healthier behaviors of children.


2018 ◽  
Vol 9 (2) ◽  
pp. 149
Author(s):  
Yulia Puspita Sari ◽  
Rahmi Kurnia Gustin

Pneumonia is the premier killer of toddlers in the world. Ministry of Health RI prevalence of Pneumonia in infants in Indonesia in 2014 range between 23% -27%. Cases of Pneumonia in the Work Area Rao PuskesmasPasaman District in 2016 found 20 cases. This study aims to determine the risk factors of Pneumonia incidence in infants in the Rao Pasum Community Health Center Working Area 2017, including, Exclusive Breast, Nutritional Status, Drug Use Mosquito Fuel, and Use of Cooking Fuel. The design of this study used the case-control study. The research started from March to September 2017 in the Work Area of Puskesmas Rao Pasaman District. The case population as many as 20 cases and the control in this research is the mother who has a toddler who does not suffer from Pneumonia. The sample of the case using formula as many as 11 cases with the technique of simple random sampling and control sample 11 respondents taken by purposive sampling. Data were analyzed using chi-square (95% CI, α = 0,05). Results of analysis of exclusive breastfed variables with the incidence of pneumonia in toddlers in get p = 0.003; OR = 45, Nutritional status was obtained p-value = 0,024; OR = 17,500, The use of Mosquito Drugs obtained p = 0,659; OR = 2,222, and Cooking Usage result p = 1,000; OR = 1.524.It can be concluded that Exclusive Breast Milk and Nutritional Status are statistically related and a risk factor for the incidence of Pneumonia (p <0.05), while the Use of Mosquito and Cooking Fossil is statistically unrelated and is a risk factor for the occurrence of Pneumonia (p> 0, 05). It is suggested to Rao PuskesmasPasaman to increase P2 ISPA program in prevention and prevention of pneumonia disease in under-fives.


Gerontology ◽  
2021 ◽  
pp. 1-7
Author(s):  
Yin-Hwa Shih ◽  
Zhen-Rong Hong ◽  
Shih-Min Hsia ◽  
Shang-Yu Yang ◽  
Tzong-Ming Shieh

<b><i>Introduction:</i></b> The prevalence of malnutrition among inpatient older adults is as high as 20∼50%. Masticatory performance is known to affect the nutritional status of individuals. However, an objective measurement to reflect the real status of masticatory muscle performance is lacking at the bedside. <b><i>Methods:</i></b> This pilot study analyzed the masticatory performance using surface electromyography (sEMG) of masticatory muscles that measures both muscle strength and muscle tone at the bedside. The nutritional status was measured using the Mini Nutritional Assessment tool. The handgrip strength was measured using a hand dynamometer. The statistical data were analyzed using SPSS 25 software. <b><i>Results:</i></b> The data revealed that female inpatient older adults more frequently had substandard handgrip strength (<i>p</i> = 0.028), an at-risk and poor nutritional status (<i>p</i> = 0.005), and a higher masseter muscle tone (<i>p</i> = 0.024). Inpatient older adults with an at-risk and poor nutritional status had an older age (<i>p</i> = 0.016), lower handgrip strength (<i>p</i> = 0.001), and higher average masseter muscle tone (<i>p</i> = 0.01). A high masseter muscle tone predicted the risk of having an at-risk and poor nutritional status. The at-risk or poor nutritional status predicted having a substandard handgrip strength by 5-fold. <b><i>Conclusions:</i></b> A high masticatory muscle tone predicts malnutrition and frailty. Medical professionals should combat masticatory dysfunction-induced malnutrition by detecting masticatory muscle performance using sEMG and referring patients to dental professionals. Additionally, encouraging inpatient older adults to perform oral motor exercise is recommended.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
M. Flook ◽  
C. Jackson ◽  
E. Vasileiou ◽  
C. R. Simpson ◽  
M. D. Muckian ◽  
...  

Abstract Background Severe Acute Respiratory Syndrome coronavirus-2 (SARS-CoV-2) has challenged public health agencies globally. In order to effectively target government responses, it is critical to identify the individuals most at risk of coronavirus disease-19 (COVID-19), developing severe clinical signs, and mortality. We undertook a systematic review of the literature to present the current status of scientific knowledge in these areas and describe the need for unified global approaches, moving forwards, as well as lessons learnt for future pandemics. Methods Medline, Embase and Global Health were searched to the end of April 2020, as well as the Web of Science. Search terms were specific to the SARS-CoV-2 virus and COVID-19. Comparative studies of risk factors from any setting, population group and in any language were included. Titles, abstracts and full texts were screened by two reviewers and extracted in duplicate into a standardised form. Data were extracted on risk factors for COVID-19 disease, severe disease, or death and were narratively and descriptively synthesised. Results One thousand two hundred and thirty-eight papers were identified post-deduplication. Thirty-three met our inclusion criteria, of which 26 were from China. Six assessed the risk of contracting the disease, 20 the risk of having severe disease and ten the risk of dying. Age, gender and co-morbidities were commonly assessed as risk factors. The weight of evidence showed increasing age to be associated with severe disease and mortality, and general comorbidities with mortality. Only seven studies presented multivariable analyses and power was generally limited. A wide range of definitions were used for disease severity. Conclusions The volume of literature generated in the short time since the appearance of SARS-CoV-2 has been considerable. Many studies have sought to document the risk factors for COVID-19 disease, disease severity and mortality; age was the only risk factor based on robust studies and with a consistent body of evidence. Mechanistic studies are required to understand why age is such an important risk factor. At the start of pandemics, large, standardised, studies that use multivariable analyses are urgently needed so that the populations most at risk can be rapidly protected. Registration This review was registered on PROSPERO as CRD42020177714.


2011 ◽  
Vol 17 (3) ◽  
pp. 233 ◽  
Author(s):  
Anthea Worley ◽  
Karen Grimmer-Somers

Glaucoma is an insidious eye disease, potentially putting 4% of older Australians at risk of blindness, unless detected sufficiently early for initiation of effective treatment. This paper reports on the strengths of evidence and glaucoma risk factors that can be identified by primary health care providers from a patient’s history. A comprehensive search of peer-reviewed databases identified relevant secondary evidence published between 2002 and 2007. Risk factors that could be determined from a patient’s history were identified. A novel glaucoma risk factor reference guide was constructed according to evidence strength and level of concern regarding risk of developing glaucoma. The evidence is strong and consistent regarding the risk of developing glaucoma, and elevated intraocular pressure, advancing age, non-Caucasian ethnicity and family history of glaucoma. There is moderate evidence of association with glaucoma, and migraine, eye injury, myopia and long-term use of corticosteroids. There is conflicting evidence for living in a rural location, high blood pressure, diabetes and smoking. Early detection of people at risk of developing glaucoma can be initiated using our risk factor guide coupled with a comprehensive patient history. Timely future assessment and subsequent management strategies for at-risk individuals can then be effectively and efficiently actioned.


Author(s):  
Manthankumar N. Kapadiya

A quantitative approach was used to assess the knowledge regarding prevention and management of water borne diseases among mothers of under five children. Simple random sampling technique was used to select the mothers of under five children for study.100 samples collected from selected areas of mehsana. The duration of data collection was 1 day. The results of the study revealed that majority of the study sample (58.63%) have average knowledge regarding water borne diseases, 71.5% of the study sample having knowledge about causes and risk factors of Water borne diseases, 68.22% of the study sample having knowledge about prevention of Water borne diseases and 70.36% of the study sample having knowledge about management of Water borne diseases.


2021 ◽  
Vol 23 (11) ◽  
pp. 381-401
Author(s):  
Umar Abdullahi Tawfiq ◽  
◽  
Shohaimi Shamarina ◽  
Syafinaz Amin Nordin ◽  
Mohd Noor Hisham Mohd Nadzir ◽  
...  

Typhoid is a life-threatening disease that has remained endemic in parts of Africa and Asia where its burden is elevated by the inefficiency of control efforts which have been hampered by lack of epidemiological data, among others. In Nigeria, such data is absent in most of the States like Gombe where the disease has been rife for a long time, hence, to bridge that knowledge gap, this study was set up to determine the host-associated risk factors for typhoid occurrence and recurrence in Gombe. A questionnaire that was designed and validated for this location was used to obtain data from 663 respondents using simple random sampling and analyzed using the Chi-square test for association and binomial logistic regression to obtain risk factors for typhoid occurrence and recurrence, respectively. The study revealed that occurrences were statistically significantly associated with the variables for vaccination (χ2 = 39.729, p < 0.01), having houseboy/girl (χ2 = 16.909, p < 0.01), typhoid patient at home (χ2 = 13.393, p < 0.01), hand washing before handling food (χ2 = 22.856, p < 0.01), consuming iced/frozen items (χ2 = 16.805, p < 0.01), boiling drinking water (χ2 = 49.633, p < 0.01), and eating commercially available foods/drinks (χ2 = 27.864, p < 0.01), while recurrences were statistically significantly predicted by „not sure of been vaccinated‟ (OR = 2.962, CI = 1.290 to 6.802, p < 0.01), „not having another typhoid patient at home‟ (OR = 1.799, CI = 0.998 to 3.244, p < 0.01), and „drinking unboiled water sometimes‟ (OR = 2.130, CI = 1.023 to 4.434, p < 0.01). It is believed that these findings will guide efforts by the Government for health interventions against typhoid in the study area, thus improving the quality of life for the population.


2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Ashish Atreja ◽  
Ashish Aggarwal ◽  
Angelo A. Licata ◽  
Bret A. Lashner

Background. Patients with inflammatory bowel disease (IBD) are at high risk of developing osteoporosis. Our objective was to determine the usefulness of IBD guidelines in identifying patients at risk for developing osteoporosis.Methods. We utilized institutional repository to identify patients seen in IBD center and extracted data on demographics, disease history, conventional, and nonconventional risk factors for osteoporosis and Dual Energy X-ray Absorptiometry (DXA) findings.Results. 59% of patients (1004/1703) in our IBD cohort had at least one risk factor for osteoporosis screening. DXA was documented in 263 patients with indication of screening (provider adherence, 26.2%), and of these, 196 patients had DXA completed (“at-risk” group). Ninety-five patients not meeting guidelines-based risk factors also had DXA completed (“not at-risk” group). 139 (70.9%) patients in “at-risk” group had low BMD, while 51 (53.7%) of “not-at-risk” patients had low BMD. Majority of the patients with osteoporosis (83.3%) missed by the current guidelines had low BMI. Multivariate logistic regression analysis showed that low BMI was the strongest risk factor for osteoporosis (OR 3.07; 95% CI, 1.47–6.42;P=0.003).Conclusions. Provider adherence to current guidelines is suboptimal. Low BMI can identify majority of the patients with osteoporosis that are missed by current guidelines.


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