scholarly journals Suitability of CPOT and BPS to Assess Pain Response in Intubated Mohammad Hoesin Hospital Intensive Care Patients

2021 ◽  
Vol 1 (2) ◽  
pp. 85-94
Author(s):  
Dwi Darmanto ◽  
Agustina Br Haloho ◽  
Rizal Zainal ◽  
Erial Bahar

Background. Assessing pain in mechanically ventilated patients is an important thing for leads to improved outcome and better quality life of patients in the ICU. CPOT and BPS has been developed for measuring nonverbal patients. Aims. To validate suitability the use of CPOT and BPS in ICU RSMH. Methods. Observational analytic with cross sectional design was chosen for 50 samples conducted on July 2020 in ICU RSMH. Data was collected before and after pain procedure. Result. From 50 patients mostly 27(54%) male with age majority > 30 years old 39 (78%). The lowest GCS 2 and the highest 10. Length of treatment in ICU was 1 – 20 days. Bleeding variations was 0 - 1200 cc. BPS average before painful procedure was 2 – 5 and after panful procedure was 5 – 7. CPOT average before painful procedure was 1 – 6 and after painful procedure was 3 - 8. Kappa before painful procedure are moderate (kappa=0,435) and after painful procedure are fair (kappa=0,248) with strongly correlated in Pearson correlation (r = 0,644, r = 0,610) (p < 0,05). Conclusion. This study demonstrated that CPOT more detail than BPS for measuring pain in intubated patients.

2020 ◽  
Vol 1 (2) ◽  
pp. 85-94
Author(s):  
Dwi Darmanto ◽  
Agustina Haloho ◽  
Erial Bahar

Background. Assessing pain in mechanically ventilated patients is an important thing for leads to improved outcome and better quality life of patients in the ICU. CPOT and BPS has been developed for measuring nonverbal patients. Aims. To validate suitability the use of CPOT and BPS in ICU RSMH. Methods. Observational analytic with cross sectional design was chosen for 50 samples conducted on July 2020 in ICU RSMH. Data was collected before and after pain procedure. Result. From 50 patients mostly 27(54%) male with age majority > 30 years old 39 (78%). The lowest GCS 2 and the highest 10. Length of treatment in ICU was 1 – 20 days. Bleeding variations was 0 - 1200 cc. BPS average before painful procedure  was 2 – 5 and after panful procedure was 5 – 7. CPOT average before painful procedure was 1 – 6 and after painful procedure was 3 - 8. Kappa before painful procedure are moderate (kappa=0,435) and after painful procedure are fair (kappa=0,248) with strongly correlated in Pearson correlation (r = 0,644, r = 0,610) (p < 0,05). Conclusion. This study demonstrated that CPOT more detail than BPS for measuring pain in intubated patients. Keywords. BPS, CPOT, ICU, Intubated, Pain


2011 ◽  
Vol 35 (6) ◽  
pp. 206-212 ◽  
Author(s):  
Maja Meerten ◽  
Julia Bland ◽  
Samantha R. Gross ◽  
Antony I. Garelick

Aims and methodOur aim was to follow-up on a cohort of self-referred doctors who attended MedNet. We used a two-point cross-sectional design. Measures included three standardised self-report questionnaires administered before and after consultation. Doctors were also asked to complete a service user questionnaire, and data regarding engagement and onward referrals were gathered through case-note review.ResultsA statistically significant improvement in scores on all three questionnaires was found after intervention; however, scores on one subscale, the risk domain of the Clinical Outcomes in Routine Evaluation – Outcome Measure, did not change significantly. Of the doctors at no risk of suicide at intake, nearly two-thirds (n = 41/70, 59%) were sufficiently helped by the consultations provided to not need further treatment. Of the doctors at some risk of suicide at intake, two-thirds (n = 34/51, 67%) did need an onward referral. Only one doctor required hospital admission, an outcome that suggests the approach used is containing and clinically responsive.Clinical implicationsThis paper highlights the efficacy, need and importance of specialist services for doctors in difficulty. We found that the bespoke consultation model provided at MedNet is valued highly by the doctors as service users.


2020 ◽  
Vol 21 (1) ◽  
pp. 36-39
Author(s):  
Syahrastani Syahrastani ◽  
Argantos Argantos ◽  
Siska Alicia Farma

The situation of lack of oxygen supply to cells and tissues is often not realized by many people (hypoxia). Hypoxia can occur in various situations in life. The main effect of hypoxia is the effect on the brain, so the body will do everything it can to restore the state of homeostasis. HIF-1α protein is a marker of hypoxic conditions. HIF-1α regulates the synthesis of many genes to maintain and restore body homeostasis from hypoxia to normoxia. This study was a descriptive study with cross-sectional design. The sample of this study were six swimming athletes with a 12-19 year age range who met the inclusion and exclusion criteria. The HIF-1α protein is measured by the ELISA method. Data were analyzed statistically. The results showed higher levels of HIF-1α after anaerobic exercise than the levels of HIF-1α before and after aerobic exercise. This is greatly influenced by the intensity of the exercise carried out. This proves that cellular adaptation to hypoxia is more stable in aerobic exercise, where the body's metabolism during aerobic exercise is more stable  


2021 ◽  
Vol 6 (2) ◽  
pp. 62-64
Author(s):  
Masdiwani Noviana Simanjuntak ◽  
Ade Pryta Simaremare ◽  
Rosminta Girsang

Background : Pulmonary tuberculosis is an infectious disease caused by mycobacterium tuberculosis. This bactery can be transmitted through airbone particles and droplets. The treatment is a long term therapy and can be a stressor which effect patient’s physical and psychologycal, that leads to depression. Objective : The objective of this study was to determine the correlation between pulmonary tuberculosis treatment duration and depression score.  Methods : This study was a correlative analysis with cross sectional design. The sample were 52 respondents whom currently endured the treatment of pulmonary tuberculosis in pulmonary unit in RSUD Pirngadi Medan, selected by consecutive sampling. Beck’s inventory depression II questionnaires were used to measure depression score. The data were analyzed with pearson correlation test.  Result : There was a low negative correlation between duration of pulmonary tuberculosis treatment and depression score (p = 0,027 ; r = -0,309) Conclusion  : The longer duration of pulmonary tuberculosis treatment, the lower the depression score. 


Author(s):  
Faris Lazwar Irkhami

ABSTRACTStress can be perceived as a response to threats situations (either physical or psychological) caused by individual inability  to overcome existing threats within his/her environment. Job stress is the result of interaction between an individual (i.e. a worker) and his/her occupation. The objective of this study to identify the factor affecting tojob stress by the divers at PT. X. This study applied cross-sectional design conducted by observing the divers at PT. X. The population of this study was all divers working at PT. X. Data was analyzed by Spearman Correlation Test, Pearson Correlation Test, and Chi-square Test. The results of this study is strong correlation between personality type and job stress (as indicated by correlation coefficient 0.645). The divers’ age (correlation coefficient -0.283), educational level (correlation coefficient -0.220), years of service/experience (correlation coefficient -0.158), length of diving session (correlation coefficient 0.083), and threats of marine animal attack (correlation coefficient 0.156) had lower correlation with job stress. While the divers residence might also affect their job stress (as indicated by correlation coefficient 0.539).Keywords: job stress, diver


Author(s):  
Elsya Vira Putri

Introduction: The workload that exceeds individual work capacity will increase the pulse rate rapidly. The purpose of this research was to study the correlation between physical workload and the increase in workers’ pulse rate. Methods: This research utilized cross-sectional design by using the observational method with 23 workers from the BRF area of PT X Sidoarjo as respondents. This research was conducted by conducting the direct observation by calculating the workload received by the worker by using %CVL method and calculating the resting and working heart rates. Results: The result showed that all workers were male and had the productive age distribution of 60.9% in the age range of 25-50 years. Based on the calculation of workload, the majority of workers have the workload on the moderate %CVL category, amounting to 56.5%. Based on the measurement of the resting and working heart rates, it was found that all workers experienced the pulse rate increase. Based on the result of Pearson correlation statistical test, the result was p<0.05, which means that there was a significant correlation between the workload and the increase in the workers’ pulse rate. Moreover, the correlation coefficient was 0.911, that indicated a very strong and positive correlation. Conclusion: This research concludes that there is a strong and positive correlation between workload and the increase in the workers’ pulse rate. Keywords: %CVL, cardiovascular load, workload, pulse rate 


2020 ◽  
Vol 2 (1) ◽  
pp. 280-285
Author(s):  
Nelly SD Situmeang ◽  
Etti Sudaryati ◽  
Jumirah

Stunting is a chronic nutritional problem due to insufficient intake for a long time, in Indonesia the prevalence is high. The World Health Organization (WHO) classifies if the length/height z score is below −2 SD. The purpose of this study was to analyze the correlation between parenting, and nutrient intake (energy and protein) with stunting in children aged 24-59 years. This study used a cross sectional design with a sample of 117 children. Data collection was carried out with questionnaire instruments for parenting, and 24-hour food recall for nutritional intake. Data stunting was performed by comparing the height of the children measured by the WHO growth standards. Correlation analysis using Pearson correlation analysis. The results showed that the prevalence of stunting for children aged 24-59 months was 50.4%. There was a significant correlation between parenting with stunting (r = 0.287 and p = 0.02), energy intake with stunting (r = 0.215 and p = 0.020) and protein intake with stunting (r = 0.354 and p = 0.0001). It is recommended that the Ministry of Health improve nutrition surveillance programs, and encourage the community to monitor the growth of children under five years every month in health services.


Author(s):  
Gisela Pineda-García ◽  
Estefanía Ochoa-Ruiz ◽  
Gilda Gómez-Peresmitré ◽  
Silvia Platas-Acevedo

The objective of this study is to assess the effect of alcohol consumption, anxiety, and food restriction before and after consuming alcohol and body image on the risk of anorexia and bulimia in college students from Tijuana, Baja California, through predictive statistical models. A quantitative, descriptive, and cross-sectional design and a non-probabilistic sample of 526 college students from Tijuana, Baja California, México were used. Application of the scales (with acceptable psychometric properties) was conducted in classrooms. Through path analyses, four models were found with adequate indicators of goodness of fit: (1) risk of anorexia in women [Chi Square (X2) = 5.34, p = 0.376, Adjusted Determination Coefficient (R2)= 0.250]; (2) anorexia risk for men (X2 = 13.067, p = 0.192, R2 = 0.058); (3) risk of bulimia in women (X2 = 3.358, p = 0.645, R2 = 0.202); and bulimia risk for men (X2 = 14.256, p = 0.075, R2 = 0.284). The findings provide empirical evidence for the food and alcohol disturbance model.


2018 ◽  
Vol 20 (4) ◽  
pp. 230-243 ◽  
Author(s):  
Hanne Berthelsen ◽  
Tuija Muhonen ◽  
Susanna Toivanen

PurposeThere is an increased interest for introducing activity-based offices at universities. The purpose of this study is to contribute to the knowledge about the importance of the built environment for the psychosocial work environment within academia by analyzing how staff at a large Swedish university experienced the physical and psychosocial work environment before and after moving to activity-based offices.Design/methodology/approachA Web-based survey was distributed to all employees at two faculties at a university three months before (2015,n= 217, response rate 51 per cent) and nine months after (2016,n= 200, response rate 47 per cent) relocation to a new activity-based university building.FindingsIn the new premises, a vast majority (86 per cent) always occupied the same place when possible, and worked also more often from home. The social community at work had declined and social support from colleagues and supervisors was perceived to have decreased. The participants reported a lower job satisfaction after the relocation and were more likely to seek new jobs. No aspects in the physical or psychosocial work environment were found to have improved after the relocation.Research/limitations implicationsThe study had a two-wave cross-sectional design, which does not allow establishing causal relations.Practical implicationsThere is reason to be cautious about relocation to activity-based offices at universities. The potential savings in costs for premises may lead to may be followed by an increase in other costs. The risk that staff cannot concentrate on their work in activity-based university workplaces and lose their sense of community with colleagues are factors, which in the long run may lead to decreased efficiency, more conflicts and poorer well-being.Originality/valueThis paper contributes with new knowledge concerning changes in the physical and psychosocial work environment when relocating from cell offices to activity-based offices in a university setting.


Author(s):  
Abdulmuminu Isah ◽  
Chibueze Anosike ◽  
Chukwuma Stephen Ogbodo ◽  
Charles Obinna Emeka ◽  
Chukwuemeka Sylvester Nworu

Objective: The aim of this study was to evaluate the prevalence of malaria and its relationship with the ABO blood group and genotype at the University of Nigeria Medical Centre. Methods: The study had a prospective cross-sectional design in which malaria status and blood groups and genotype were determined. All collected data were analysed using Statistical product and services Solution (V.21). Frequencies and percentages were used to describe the data while Chi-square and Pearson correlation were used to determine associations between malaria prevalence and patients’ demographic and clinical characteristics. Statistical significance was considered for p<0.05. Results: Three hundred and twenty-three (323) patients were tested for malaria, 245(75.9%) of whom tested positive. The prevalence was highest for patient’s aged 19-25 y (28.5%). The difference was statistically significant for age: χ2 (5) = 33.60, p = 0.0005. There were more blood group O (57.6%) among the patients, while AA genotype was the majority (72.4%). Those with blood group O had the highest prevalence of malaria (33.7%) and it was statistically significant (χ2 (3) = 72.10, p = 0.0005)). Correlation showed that the association between blood group and malaria prevalence was moderate (R = 0.457). The AA genotype had more incidence of malaria (54.5%), but the difference was not statistically significant. Conclusion: The prevalence of malaria was high among the patients surveyed. Its association with the patients’ ABO blood group was established to be statistically significant, with blood group O having the highest incidence. Although AA genotype was observed to have the highest cases of malaria, the relationship was found not to be significant.


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