scholarly journals Factors Affecting the Prevalence of Skin Disorders among Human Immunodeficiency Virus (HIV) Infected Children in Aminu Kano Teaching Hospital (AKTH) Kano, Nigeria

2021 ◽  
Vol 2 (4) ◽  
pp. 223-227
Author(s):  
YA Muhammad

Introduction: Among HIV infected children, skin disorders are vital as they give a clue to diagnosis of the HIV disease. Various factors are associated with occurrence of skin disorders among HIV infected children. Objectives: To determine the factors associated with prevalence of skin disorders among HIV infected children in Aminu Kano Teaching Hospital (AKTH) Kano, Nigeria. Materials and Methods: It was a cross-sectional study conducted to determine the factors affecting skin disorders among HIV infected children attending Paediatric Infectious Disease Clinic of Aminu Kano Teaching Hospital, Kano, Nigeria. A total of 223 HIV infected participants aged 6weeks to14 years were recruited for this study. Chi-square test or Fishers exact test where necessary were used to determine the difference between proportions of categorical variables and level of significance was set at 0.05. Multivariate analysis was used to further analyse significant relationships from the univariate analysis. The confidence level was set at 95% and a p-value less than 0.05 was considered statistically significant Results: There were 110 (49.3%) males and 113 females (50.7%). The male to female ratio was found to be 1:1.1. Seventy-eight percent (78%) of the children had skin disorder. A multivariate analysis showed that only age, social class and immune status were significantly associated with the occurrence of skin disorders. Conclusion: Among the HIV infected children, age, socioeconomic class and immune status were the factors found to determine the Prevalence of skin disorders.

Author(s):  
Ida Ayu Devi Qirani ◽  
Winda Mulia Ningsih ◽  
Ratu Ayu Dewi Sartika

INTRODUCTION: Underweight is one of the most common forms of undernutrition suffered by children and has implications for both short and long term health problems. Characteristics of children, parents, and environment are factors affecting underweight in children, especially aged 24–59 months. OBJECTIVES: This study aimed to find out the dominant factors affecting underweight in children aged 24–59 months in Java Island. METHODS: This cross-sectional study used secondary data from Indonesia Family Life Survey (IFLS) 2014. There were 1,270 children aged 24–59 months who were involved in this study. We conducted univariate analysis, bivariate analysis using chi-square, and multivariate analysis using binary logistic regression. RESULTS: This study found that 20.2% of children in Java were underweight. Based on bivariate analysis, variables that significantly associated (p <  0.05) with underweight were low birth weight (LBW), acute respiratory infection (ARI), diarrhoea, frequency of eating milk and dairy products, parental education level, and underweight father. Furthermore, based on multivariate analysis, low consumption of milk and dairy products was the dominant factor in this study (OR = 1.80). CONCLUSION: Factors related to underweight can be used to determine appropriate prevention and treatment in community levels, such as by promoting a balanced nutrition program and healthy behaviour.


Author(s):  
Muniba Alim ◽  
Rafey Abdul Rahman ◽  
Prabudh Goel

Introduction: Developing countries like India still depend on Replacement Donors (RD) for their blood requirements. Healthcare providers in India often face Replacement Blood Donation (RBD) denials in children especially in rural areas. Aim: To find reasons for RBD denials in children. Materials and Methods: A cross-sectional study was done over six months at a tertiary care centre located in rural part of Northern India. Children requiring Blood Transfusion (BT) whose parents refused RBD were included in the study. Children were divided into three groups based on their age and data on various parameters were collected. Observation parameters included sex, birth order, number of siblings, disease for which admitted, duration between admission and need for transfusion, indication for transfusion, decision maker in the family, resistance to decision of denial by any other member of family, parental education, socio-economic status and reasons for denial. Data were analysed using SPSS software (Statistical Package for the Social Sciences, version 17.0, SPSS Inc, Chicago, Ill, USA). The p-values were computed for categorical variables using Chi-square (χ2) test. A p-value of less than 0.05 was considered statistically significant. Results: Out of 356 children requiring BT, parents and relatives of 130 children (36.51%) refused RBD. Of these 130 children, 84 were females and 46 were males with male-female ratio of 1:1.8. Females were more likely to be denied RBD (p-value=0.001). Of these 130 children, only 77 could be included in the study because of various reasons. Age of the study group ranged between 2 days to 15 years. Denials were significantly higher (p-value=0.0032) in children with 3rd or higher birth order. Little benefit in terms of life expectancy was the commonest reason for denials in neonates and was found statistically significant (p-value=0.00368). Fear of donation was the most common reason for denial in all the groups combined (38.9%). Considering themselves ineligible and religious beliefs were the other reasons for denials. Conclusion: RBD denial in children is common in India. Misconceptions, Illiteracy, poverty, sex discrimination and false beliefs are major contributory factors for denial.


2020 ◽  
Vol 8 (1) ◽  
pp. 51
Author(s):  
Devi Silpa ◽  
Anuja Sathar ◽  
Beena Thankappan

Background: Diabetic macular edema (DME) characterized by deposition of hard exudates in central retina is now the leading cause of visual loss in persons with diabetes mellitus. Several studies have shown association between severity of retinal hard exudates and various components of serum lipid. The aim of this study is to estimate the proportion of severity of retinal hard exudates with risk factors like dyslipidemia, duration of diabetes, hypertension, HbA1c levels and microalbuminuria.  Methods: A hospital based cross sectional study was done involving 242 diabetic retinopathy patients. After dilated fundus examination, severity of retinal hard exudates was graded by photographs with Topcon fundus camera using modified airlie house classification. These grades were divided into three groups. Group 1 (absent or minimal hard exudates) included patients with grade 0, 1 or 2 hard exudates; group 2 (hard exudates present), included patients with grade 3 or 4 hard exudates and group 3 (prominent hard exudates), patients with grade 5 hard exudates. Values of serum lipid profile, HbA1C and urine microalbumin were analysed in association with severity of retinal hard exudates.Results: Out of the 242 diabetic retinopathy patients, the male female ratio was 1:1 and the mean age was 59.8±7.4 years. There were 12% patients in group one, 52.5% in group two and 35.5% in group three. On univariate analysis, severity of hard exudates was significantly associated with serum cholesterol (p value<0.01), LDL (p value<0.01) triglycerides (p value<0.01), HbA1c (p value<0.01), systemic hypertension (p value<0.01) and urine microalbumin (p value=0.01).  Conclusions: Severity of retinal hard exudates in diabetic retinopathy patients is significantly associated with risk factors like systemic hypertension, dyslipidemia, raised HbA1C levels and urine microalbumin.


2020 ◽  
Vol 35 (Supplement_3) ◽  
Author(s):  
LUIS GUILLERMO PICCONE SAPONARA ◽  
MARIA PAZ CASTRO FERNÁNDEZ ◽  
NANCY GIOVANNA URIBE HEREDIA ◽  
Agustin Carreno ◽  
SARA ANAYA FERNANDEZ ◽  
...  

Abstract Background and Aims Clinical practice guidelines recommend an arteriovenous fistula (AVF) as the preferred vascular access for hemodialysis and are associated with a lower incidence of morbidity and mortality. However, primary vascular access (AV) failure is not uncommon. Low-grade inflammation is present in ERCT. We identify the inflammatory parameters that influence the primary permeability of vascular access for hemodialysis. Method Cross-sectional study; We include all the AVs performed in the HGUCR. We evaluate the initial operation after the creation of the AV. Demographic variables (age, sex), aetiology of CKD and associated comorbidity were collected. Statistical analysis with SPSS 25.0. Categorical variables are expressed as percentages and are compared using the Chi2 Test. Quantitative variables are expressed as mean ± standard deviation and the t-student was used to compare them. We performed a multivariate analysis to determine those factors involved in the primary failure of the VA. Statistical significance for a value of p &lt;0.05. Results 600 VA performed on 466 patients were reviewed between October 2009 and December 2019. 492 autologous VA (86.8%) and 75 prosthetic VA (13.2%) were performed. The mean age of the patients was 65.3 ± 14.2 years and 66.2% were male. The most frequent etiology of CKD was diabetic nephropathy (29.9%), followed by non-affiliated (18%) and glomerulonephritis (16.5%). 90.8% of the patients had arterial hypertension (HT), diabetes mellitus (DM) 48%. 77.2% of AV presented primary permeability. In the univariate analysis using Chi2 and T student, statistical age (p = 0.017), HT (p = 0.002), statin treatment (p = 0.002), antiplatelet therapy (p = 0.001), low ferritin levels (p = 0.011) and PCR (p = 0.019). When performing a multivariate analysis, the high CRP figures (OR: 0.64 95% CI 0.42-0.98 p = 0.043) and ferritinemia (OR: 1.04 95% CI 1.01-1.06 p = 0.013) are predictive factors of primary AV failure. Conclusion In our study, high CRP decreases the probability of primary functioning of AVFs by 36% and elevated ferritin levels are predictors of primary failure after adjusting for age and sex in the multivariate model.


2019 ◽  
Vol 11 (2) ◽  
pp. 143-148
Author(s):  
Triana Arisdiani ◽  
Ahmad Asyrofi

Waria dan kasus HIV/AIDS sangat erat kaitannya. Waria merupakan salah satu populasi kunci peningkatan HIV/AIDS. Kasus HIV/AIDS di Kabupaten Kendal diperkirakan berjumlah lebih dari 400 orang. Waria berkontribusi sebesar 3 % dari seluruh kasus HIV/AIDS yang ada di Kabupaten Kendal. Penelitian ini bertujuan untuk mengetahui adakah hubungan antara tingkat pengetahuan dengan sikap pencegahan HIV/AIDS pada waria di Kabupaten Kendal. Penelitian menggunakan desain cross sectional. Teknik pengambilan sampel dengan total sampling dengan jumlah sampel 30 responden. Analisis data dilakukan secara univariat dan bivariat. Analisis univariat menggunakan tendensi sentral pada variabel numerik, dan mengunakan distribusi frekuensi dan persentasi pada variabel kategorik. Analisis bivariat menggunakan metode Kendall’s tau kemudian dilakukan analisis statistic alternative menggunakan Fisher exac. Hasil perhitungan menggunakan Fisher exact didapatkan nilai p value 0,04 (P>0,05) menunjukkan adanya Hubungan Tingkat Pengetahuan dengan Sikap Pencegahan HIV/AIDS pada Waria Kabupaten Kendal.   Kata kunci: pengetahuan, sikap pencegahan, HIV/AIDS RELATIONSHIP BETWEEN THE LEVEL OF KNOWLEDGE AND ATTITUDES TOWARDS HIV / AIDS PREVENTION IN TRANSGENDER   ABSTRACT Transvestites and HIV / AIDS cases are very closely related. Transgender is one of the key populations for increasing HIV / AIDS. It is estimated that HIV / AIDS cases in Kabupaten Kendal number more than 400 people. Transgender contributes 3% of all HIV/AIDS cases in Kendal Regency. This study aims to determine whether there is a relationship between the level of knowledge and attitudes towards HIV/AIDS prevention in transgender in Kendal District. The study used a cross sectional design. The sampling technique with total sampling with a sample of 30 respondents. Data analysis was carried out by univariate and bivariate. Univariate analysis uses central tendency on numerical variables, and uses frequency distribution and percentage in categorical variables. Bivariate analysis used the Kendall's method to know then an alternative statistical analysis was performed using Fisher exac. The calculation results using Fisher exact obtained a p value of 0.04 (P> 0.05) indicating a relationship between the Level of Knowledge and the Attitude of Prevention of HIV / AIDS in Kendal District Transgender.   Keywords: knowledge, attitude prevention, HIV/AIDS


2020 ◽  
Vol 9 (2) ◽  
pp. 160-168
Author(s):  
Yustina Ni Putu Yusniawati ◽  
Putu Inge Ruth Suantika

AbstractBackground: Earthquake is unpredictable, making it impertinent for all components of society to be prepared to handle, especially elementary school children. During earthquakes, students often experience panic, endangering their lives. It is, therefore, crucial to identify the factors affecting students' preparedness for disasters (LIPI, 2006).Objectives: This study aimed to determine the factors related to the preparedness of students in disaster prepared schools (DPS) to reduce earthquake risks in Denpasar City, Bali.Methods: This study used a descriptive correlative analytic design with a cross-sectional approach. The sample in this study were all students of Public Elementary Schools (PES) and private schools (PS) in grades 5 and 6 whose institutions have implemented DPS, and the location of the school is in the city of Denpasar. Students chosen as the research samples received a brief explanation of the research process on the first page of the electronic questionnaire and parents can give consent to be research respondents when they approve their child to be a research sample. The instruments used in this study were 50, where this questionnaire was a standard questionnaire modified by researchers from LIPI (2006), Amri et al.,(2017), Hirano et al., (2011), and Davis & Izadkhah (2008). The univariate analysis identifies each research variable, namely disaster preparedness factors (knowledge, attitudes, infrastructure and CIE) and student preparedness in DPS. The bivariate analysis used is the Gamma test when it meets the requirements. Multivariate analysis in this study used the logistic regression analysis.Results: The results of this study show that Communication, Information and Education (CIE) has a robust correlation with earthquake preparedness (r = 0.761 and p-value = 0.000). CIE of DPS schools that are not good enough will lead to low preparedness of DPS students in earthquake disaster management by nine times.Conclusion: Knowledge, attitudes, infrastructure and CIE have a relationship with disaster preparedness school preparedness in the city of Denpasar, where low CIE can lead to a greater lack of preparedness for disaster preparedness school students after the variables of knowledge, attitude, facilities and infrastructure are controlled. Keywords: Preparedness Factors, Students, And Earthquake


Author(s):  
N. E. Chinawa ◽  
V. K. Odogu ◽  
E. I. Ezeh ◽  
F. E. Anyiam

Background: Ocular diseases vary in different parts of the world and are influenced by racial, geographic, socioeconomic and cultural factors. The common ocular diseases worldwide are cataract, glaucoma, conjunctivitis, corneal ulcers, uveitis, refractive errors, pterygium. Methods: This was a community-based cross-sectional descriptive study carried out in Rumuokwuta community in Rivers state. Socio-demographic and clinical presentation information was obtained from an interviewer-administered questionnaire. Distant visual acuity was assessed at 6 m with the Snellen’s chart while near vision assessment was at 33 cm with a Sussex vision R near vision chart. External eye examination was with pen touch while fundoscopy was with direct Ophthalmoscope. Data were analyzed with the Statistical Package for Social Sciences (SPSS) v20. Using descriptive statistics, categorical variables were presented in the form of frequencies and percentages (%) and summary statistics in means and standard deviations (SD). Using inferential statistics, the Chi-Square (X2) test of significance was used to associate categorical variables and a p-value ≤ 0.05 was considered statistically significant. Results: A total of 114 subjects were examined.The mean age was 41.41± 15.49 years. The male to female ratio was 2:3. About 70.5% and 76.2% respectively in Right Eye and Left Eye had normal vision better than 6/18, while 27.1% and 21.9% respectively in Right Eye and Left Eye had a low vision (VA between 6/18 and 6/60). About 2.6% in either eye were blind. The three most common ocular conditions were Glaucoma (13.95%), Refractive error (13.02%) and Presbyopia (12.56%). Conclusion: The commonest cause of Ocular morbidity in this study are glaucoma, refractive error and presbyopia. The age distribution of a study area was a significantly associated factor in the frequency of visual impairment and blindness.


2016 ◽  
Vol 1 (1) ◽  
Author(s):  
Mina Blandina Ayomi

<p align="center"><strong>ABSTRACT</strong></p><p>Work stress is distress experienced by individuals in the face of work caused by the stressors of work environment factors such as physical environment, organizational systems and individuals. The research objective was to determine what factors are causing stress in nurses who work in Hospital. This research used <em>explanatory research</em> with <em>cross sectional </em>approach. These samples included 55 nurses in hospitalization ward. The instrument of this study is a questionnaire. The data were analyzed using descriptive statistics, bivariate analysis using <em>chi square test, </em>and multivariate analysis using <em>Structural Equation Modeling (SEM).</em>The results of univariate analysis showed that the nurses stress of 61.8% found in the characteristics of the age of 21-40 years (87.3%), female (85.5%) education level Diploma Nurses (74.5%), has a work period ≤ 5 years (60.0%), the status of civil servants (54.5%), were married (76.4%), and working in the internal ward (30.9%), with a personality type extrovert (70.9%). The level of stress is often the case that <em>self esteem</em> (87.3%), despair and a sense of worthlessness (80%), success (72.7%) and interest (72.7%). The bivariate analysis showed that, Stressors that significant with stress were: support, organization, interaction with the <em>p-value</em> (0.012 &lt;0.05). The coping mechanisms were social support as an emotional reason the value of <em>p-value</em>(0.040 &lt;0.05).The closeness to the religious <em>p-value</em>(0.002 &lt;0.05) significantly between closeness to religion with work stress. The most factors that have an effect on the coping mechanisms <em>Equtional Modeling Structural</em> testing with loading value of 0.598 and 7.798 correlated, which means that the coping mechanisms 7 times have influence to reduce stress in the workplace.</p>


2018 ◽  
Vol 3 (1) ◽  
pp. 61
Author(s):  
Juliana Juliana

<p><em>Dysmenorrhea is one of gynecological disorder which commonly found in women. The preliminary survey at SMAN 2 Bagan Sinembah revealed that many female students were absent from school because of suffering from dysmenorrhea. The objective of the research was to identify the determinants of the factors which were correlated with dysmenorrhea at SMAN 2 Bagan Sinembah, Rokan Hilir Regency, in 2016. The research used cross sectional designand 141 of them were used as the samples. The research variables were anemia, the habit of doing sport, history of family, and nutritional status. The data were analyzed by using univariate analysis, bivariate analysis, and multivariate analysis with logistic regression test. The result of bivariate analysis showed the variables of anemia (p=&lt;0.000), the habit of doing sport (p=&lt;0.000), history of family (p=&lt;0.000), and nutritional status (p=&lt;0.000), while the result of multivariate analysis showed that nutritional status had p-value=0.000 (p&lt;0.05), OR=5,508 (95% CI; 2.842-23.824). The conclusion was that there was the correlation of anemia, the habit of doing sport, history of family, and nutritional status with dysmenorrhea. The factor which had the most dominant correlation was nutritional status. The respondents should improve their knowledge of determinants of dysmenorrhea, either from their eating pattern or from their habitual actions</em></p><p><em><br /></em></p><p>Dismenorea atau nyeri haid merupakan salah satu keluhan ginekologi yang paling umum pada perempuan muda. Berdasarkan survey pendahuluan yang peneliti lakukan di SMAN 2 Bagan Sinembah banyak siswi yang izin tidak masuk sekolah, dan alasan yang didapat oleh peneliti mereka izin tidak masuk sekolah dikarenakan dismenorea yang mereka alami. Penelitian ini bertujuan untuk mengidentifikasi determinan faktor-faktor yang berhubungan dengan dismenorea di SMAN 2 Bagan Sinembah Kabupaten Rokan Hilir Tahun 2016. Penelitian ini menggunakan desain cross sectional dengan jumlah sampel sebanyak 141 orang. Variabel dalam penelitian ini adalah, anemia, kebiasaan olahraga, riwayat keluarga dan status gizi. Analisis data digunakan secara bertahap mencakup analisis univariat, analisis bivariat, serta analisis multivariat dengan uji regresi logistik. Hasil analisis bivariat diperoleh variabel anemia (p=&lt;0,000), kebiasaan olahraga (p=&lt;0,000), riwayat keluarga (p=&lt;0,000) dan status gizi (p=&lt;0,000), sedangkan analisis multivariat menunjukkan status gizimemiliki nilai p=0,000 (p&lt;0,05), OR = 5,508 (95% CI; 2,842-23,824). Kesimpulannya adanya hubungan anemia, kebiasaan olahraga, riwayat keluarga dan status gizi dengan dismenorea, serta faktor yang paling dominan adalah status gizi. Disarankan kepada responden untuk lebih menambah pengetahuannya tentang determinan dismenorea baik dari segi menjaga pola makanannya serta kebiasaan yang dilakukannya.</p><p><em><br /></em></p>


2018 ◽  
Vol 1 (2) ◽  
pp. 58
Author(s):  
Setia Budi ◽  
Ria Dila Syahfitri

The rate of stroke incidence is about 200 per 100,000 people throughout the world. This study aims to determine the Relation Suffer Stroke With Independence Level In Neurology Polyclinic TK II DR Ak Gani Palembang Year Hospital 2017. The research method used is descriptive quantitative with cross sectional design that is done by interviewing techniques with questionnaires on 42 respondents with Accidental sampling technique. This research was conducted in August 2017. Data analysis used is univariate data analysis and bivariate data analysis with one way anova test result. The results of univariate analysis showed that the duration of the respondents suffering from stroke was between 2.10 years to 3.38 years. Also found that most respondents were at the level of independence f; independent, except bathing, dressing, moving, and one other function with a total of 12 respondents. The results showed that there was a significant relationship between the long suffering stroke with the level of independence with the value of p value 0.025. For that the need for rehabilitation to patients and families of patients in order to help improve the independence of stroke patients in doing their daily activities. Keywords : Long Suffer Stroke, Level of Independence


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