Tuberculum sellae meningiomas: A series of 41 cases; surgical and ophthalmological outcomes with proposal of a new prognostic scoring system

ABSTRACT Context: Tuberculum sellae meningiomas have proved difficult to treat, partly because of their intimate association with the optic nerves and chiasma, hypothalamus, and internal carotid arteries. Aims: The aim of this study is to analyze the degree of influence of various prognostic factors affecting visual outcome; the pattern of visual recovery and develop a scoring system for prognostication. Settings and Design: This is a retrospective study carried out from January 2004 till June 2011. Materials and Methods: Patients were analyzed on the basis of clinical, radiological, and surgical factors that appeared to affect the outcome. A special scoring system (according to the guidelines of the German Ophthalmological Society) was adopted to quantify the extent of ophthalmological disturbances. Statistical Analysis Used: Comparison of categorical variables between the two was performed using chi-square test and a P value of ≤ 0.05 was considered significant. Logistic regression was used when multivariate analysis was required. Results: Vision improved in 27% and deteriorated in 7.3%. A prognostic scoring system (score 4–13) was developed depending on the degree of influence of significant prognostic factors. The patients with a score of ≤6 had improved vision postoperatively (44%), whereas none of those with a score > 6 improved. Completeness of visual recovery was perceived in 100% of patients within 3 months. Complete resectability was achieved in 73% of patients. Conclusions: The proposed scoring system is very useful in prognosticating the visual outcome of these patients. The patients with a score of ≤6 have the best visual outcome postoperatively. Complete resectability is better achieved with extended bifrontal and unilateral frontal approaches. Short-term postoperative visual outcome is a strong indicator of permanent visual outcome after surgery.

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Correlation of lymphovascular invasion and staging in patients undergoing lymphatic mapping for colon cancer.

Journal of Clinical Oncology ◽

10.1200/jco.2014.32.3_suppl.498 ◽

2014 ◽

Vol 32 (3_suppl) ◽

pp. 498-498

Author(s):

Alpesh K. Korant ◽

Vikrom K. Dhar ◽

Gregory Johnston ◽

Supriya Kumar Saha ◽

Mohammed Shaik ◽

...

Keyword(s):

Colon Cancer ◽

Prognostic Factors ◽

Lymphovascular Invasion ◽

Sentinel Lymph Node Mapping ◽

Categorical Variables ◽

P Value ◽

Chi Square ◽

Lymph Node Mapping ◽

Kaplan Meier ◽

Chi Square Analysis

498 Background: Lymphovascular invasion (LVI) is known as a negative prognostic factor in colon cancer (CCa) patients (pts). Sentinel lymph node mapping (SLNM) is known to upstage more pts than conventional surgery. A retrospective study was undertaken to determine the relationship between LVI and other known prognostic factors in CCa pts undergoing SLNM. Methods: Pts with CCa underwent SLNM. Data was collected for tumor (T) and node (N) stage, distant metastasis (M), size, grade, recurrence, and 5-year overall survival (5yrOS). Chi-square analysis was used to calculate the association between categorical variables with a p value of 0.05 as significant. Kaplan-Meier method was used to calculate 5yrOS. Results: We studied 310 CCa pts undergoing SLNM. Success rate was 100%. Nodal positivity was 46%. LVI was present in 34% of pts overall, in 66% node +ve pts versus only 7% in node -ve pts (p<0.001). Pts with LVI were proportionately of higher grade, larger size, higher T-stage, node +ve and higher AJCC stage. Pts with LVI had significantly higher recurrence and lower 5yrOS (Table). Conclusions: Presence of LVI positively correlated with all known prognostic factors in CCa pts undergoing SLNM, with higher recurrence and significantly lower 5yrOS. [Table: see text]

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Factors Affecting the Utilization of Medical Check Up at the Putri Hijau Level II Hospital

Journal La Medihealtico ◽

10.37899/journallamedihealtico.v2i5.410 ◽

2021 ◽

Vol 2 (5) ◽

pp. 16-25

Author(s):

Putri Junita Sembiring ◽

Aisyah Simanjorang ◽

Nur Aini

Keyword(s):

Service Quality ◽

Statistical Tests ◽

P Value ◽

Chi Square ◽

Cross Sectional ◽

Factors Affecting ◽

Physical Evidence ◽

Level Ii ◽

Number Of Patients ◽

Chi Square Test

The purpose of this research is to investigate the variables that affect the use of medical services. At the Putri Hijau Level II Hospital, you may get checked out. It was decided to employ a kuantitatif research design with a cross sectional design for this particular investigation. Patients who came in for a medical check-up at the Putri Hijau Level II Hospital were included in the research study. According to the results of the first survey, the total number of patients who had medical examinations in 2019 was 2135 individuals. We needed to look at 100 different individuals for our experiment. The chi square test and multiple linear regression were the statistical tests that were used. The results of the chi square test study revealed that the variable service quality (reliability p-value = 0,000, responsiveness p-value = 0,000, assurance p-value = 0,036, empathy p-value = 0,003, physical evidence p-value = 0,026) obtained a p-value less than 0.05, the variable facility p-value = 0.000, the variable rate / price p-value = 0.000, and the variable patient perception obtained a p-value Patient views of the use of Medical Check Up services are associated with service quality (reliability, responsiveness, assurance, empathy, physical evidence) as well as medical facilities, rates / pricing and patient perceptions of the usage of Medical Check Up services (p-value = 0.039 0.05). Using multivariate analysis, it was discovered that one of the variables in this research, the Facility variable, had the most influence on the outcome.

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CLOSED TIBIAL FRACTURES

The Professional Medical Journal ◽

10.29309/tpmj/18.4240 ◽

2018 ◽

Vol 25 (11) ◽

pp. 1643-1648

Author(s):

Hamid Saeed ◽

Muhammad Zia Ur Rehman ◽

Samee Javed Bhatti ◽

Aamir Furqan

Keyword(s):

Dynamic Compression ◽

Categorical Variables ◽

P Value ◽

Chi Square ◽

P Values ◽

Chi Square Test ◽

Group 2 ◽

Compression Plating ◽

Dynamic Compression Plating ◽

Group 1

Objectives: The objective is to compare the radiological outcome of closedinterlock intramedullary nailing versus dynamic compression plating in closed tibial fracture.Study Design: Randomized controlled trials. Setting: Department of orthopedics NishtarHospital Multan. Period: 9th July 2016 to March 2017. Methodology: There were 302 patientsdivided in two equal groups of 151. Permission was taken from the ethical committee of NishtarHospital. The 302 patients in age group 20-50 years of both genders meeting the inclusionand exclusion criteria attending the outpatient clinic or admitted to the orthopedics departmentthrough emergency were included in the study. All the data entered and analyzed usingcomputer software SPSS version 10. For quantitative variables like age and duration of fracturemean and standard deviation was calculated. For categorical variables like gender, malunionand infection frequency and percentage were calculated. Chi-square test was applied tocompare the malunion and infection in both groups. A p value 0.05 was considered statisticallysignificant. Results: The 100% (n=302) patients were divided into 2 groups equally, 151 ineach, i.e. intramedullary nail (group 1) and dynamic compression plating (group 2). The mainoutcome variables of this study were the malunion and infection. It was observed that malunionpresented as 57% (n=86) and 70.9% (n=107) in group 1 and group 2 respectively. It was alsoobserved that infection presented as 23.2% (n=35) and 37.1% (n=56) in group 1 and group 2respectively. After applying chi-square test, it was noted that malunion associated with groupshaving p-value 0.012. But it was not associated with gender, stratified age and duration offracture having p-values 0.497, 0.800 and 0.218 respectively. Similarly, after applying chi-squaretest, it was noted that infection associated with gender and groups having p-values 0.007 and0.008 respectively. But it was not associated with stratified age and duration of fracture havingp-values 0.565 and 0.344 respectively. Conclusion: Closed interlock intramedullary nailinghas malunion and infection rates less than dynamic compression plating. So closed interlockintramedullary nailing is preferred method of closed tibia diaphyseal fracture treatment.

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Self-reported hearing impairment among rural adult population of coastal Tamil Nadu

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20150582 ◽

2015 ◽

Vol 1 (1) ◽

pp. 23

Author(s):

Ramesh Chand Chauhan ◽

Amit Kumar Mishra ◽

Mani Kandan ◽

Zile Singh

Keyword(s):

Rural Communities ◽

Hearing Impairment ◽

Sex Education ◽

Tamil Nadu ◽

Adult Population ◽

Age Groups ◽

Categorical Variables ◽

P Value ◽

Chi Square ◽

Chi Square Test

Background: Hearing impairment is the most frequent sensory deficit in human population and irrespective of the age of development, has devastating consequences. This study was done to assess the burden of hearing impairment among the rural adult population of a coastal area in Tamil Nadu. Methods: This community-based descriptive study was conducted in a rural area of Tamil Nadu state in India. The study protocol was approved by the institute ethics committee of PIMS. Eligible participants from all the household in the study area were selected. A semi-structured questionnaire was used to collect the information and hearing impairment was assessed by self-reporting by the participants. Proportions for categorical variables were calculated and Chi-square test was applied to find the associations.Results: Among a total of 5621 participants interviewed and examined, 232 (4.1%) participants reported to have hearing impairment. Among them, majority reported that they have hearing impairment due to advanced age or non-specific causes resulted in hard to hearing (77.6%) and 12.5% reported to have deafness. Ear discharge (4.3%), wax (3.0%) were other commonly reported cause of hearing impairment. The hearing impairment increased with age and was common among elderly. The reported hearing impairment ranges from 1.5% to 11.3% in different age groups. Age, sex, education and occupation were significantly associated with hearing impairment (p value <0.05).Conclusions: A large number of people in rural communities were having hearing impairment. Improving access to health education and raising awareness about prevention and the needs of people with hearing loss in community is required.

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Factors Related to Adolescent Behavior towards HIV/AIDS Prevention

Kesmas National Public Health Journal ◽

10.21109/kesmas.v13i4.2698 ◽

2019 ◽

Vol 13 (4) ◽

pp. 197

Author(s):

Yuliasti Eka Purnamaningrum ◽

Ratyas Ekartika Puspita Candra Nugrahawati ◽

Munica Rita Hernayanti ◽

Anne Vajee

Keyword(s):

Sampling Technique ◽

Aids Prevention ◽

Cross Sectional Study ◽

P Value ◽

Chi Square ◽

Cross Sectional ◽

Factors Affecting ◽

Chi Square Test ◽

Knowledge And Attitude ◽

Hiv Aids

In 2016 Special Region of Yogyakarta was ranked 9th as the province with the highest number of people suffered from HIV/AIDS especially at Sleman regency. Globally, AIDS was the second leading cause of adolescents’s death aged of 10-19 years. The purpose of this study was to find out factors affecting the behaviour of the adolescents towards HIV/AIDS prevention. This research using with cross sectional study design. The sampling technique which used was stratified random sampling resulted in 59 respondents from 11th grade students at SMA Negeri 2 Sleman were selected as sample. Data were collected using questionnaire and analyzed using Chi-Square test and Multiple Logistic Regression. The result showed that most respondents 66,1% had sufficient knowledge. Students who showed supportive attitude was 54,2%. Information obtained were mostly from electronic media. Thirty one students (52,5%) showed a positive behaviour toward HIV/AIDS prevention. Chi-Square test’s result showed that factors significantly related to adolescent’s behaviour toward HIV/AIDS prevention were knowledge and attitude. Variables most affecting was attitude (p-value=0,008; PR=4,4; 95% CI=1,4-13,1).

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Sociodemographic Aspects of Antibiotic Consumption Practices in Residents of Wah

Life and Science ◽

10.37185/lns.1.1.28 ◽

2020 ◽

Vol 1 (1) ◽

pp. 7

Author(s):

Hina Shan ◽

Ayesha Javaid ◽

Anam Zeb

Keyword(s):

Sampling Technique ◽

Antibiotic Use ◽

Antibiotic Consumption ◽

Categorical Variables ◽

P Value ◽

Antibiotic Prescribing ◽

Chi Square ◽

Validated Questionnaire ◽

Consumption Practices ◽

Chi Square Test

Objective: To assess the frequency of antibiotic use with or without prescription and the source of purchasing antibiotics in relation to social determinants among residents of Wah, Pakistan.Study Design: Cross sectional.Place and Duration of Study: The study was carried out in the community of Wah Cantt from January 2017 to December 2017.Materials and Methods: A two stage cluster random sampling technique was used. 400 participants aged 16 years and older, completed the validated questionnaire. Chi-square test of significance was applied to determine the relationship between categorical variables and a p-value < 0.05 was considered significant.Results: Use of antibiotics in the preceding month was reported by 110 (27.6%) participants, 101 (25.3%) reported having taken antibiotics in the last six months. Use of antibiotics was more in males in all categories as compared to females (chi-square= 15.778, p = 0.008). The analysis showed that individuals between 55-64 years of age had taken antibiotics in last month (69.2%). Government employees showed the highest percentage (36.5%) of respondents who consumed antibiotics in last one month as compared to any other profession. Overall, most respondents 277 (82.7%) reported that they got their antibiotics on a prescription from doctors.Conclusion: Effective education along with close vigilance for the judicious use of antibiotic prescribing should be aimed at both the prescribers and the public. Better knowledge is associated with correct behavior of antibiotic/antimicrobial use. How to cite this: Shan H, Javaid A, Zeb A, Maqbool S. Socio Demographic Aspects of Antibiotic Consumption Practices in Residents of Wah. Life and Science. 2020; 1(1): 17-23. doi: http://doi.org/10.37185/L&S.1.1.28

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OBESE PRIMIGRAVID WOMEN;

The Professional Medical Journal ◽

10.29309/tpmj/2017.24.08.955 ◽

2017 ◽

Vol 24 (08) ◽

pp. 1147-1151

Author(s):

Raheela Rani Junejo ◽

Rabail Rani Junejo ◽

Raheel Sikandar ◽

Shahla Baloch ◽

Mehrunnisa Khaskheli

Keyword(s):

Case Series ◽

Categorical Variables ◽

P Value ◽

Antenatal Visit ◽

Age Group ◽

Chi Square ◽

Case Series Study ◽

Pregnancy And Delivery ◽

Chi Square Test ◽

To Come

Objectives: To determine the frequency of macrosomia in obese primigravidwomen. Study Design: Case series study. Period: Six months. Setting: Department ofGynecology and Obstetrics Department Jamshoro. Patients and Methods: The inclusioncriteria of the study were primigravida women between age 18 to 35 years with singletonpregnancy and gestational duration of 37 to 42 weeks, and during labour with BMI 30 or >30kg/m2 and All booked women who were primigravid during antenatal visit try to come and BMIcalculated by weight in kg and height in meter square. The variables include post-delivery ifthe weight of baby is 4.5 kg is macrosomic and mode of the delivery. The data was analyzed inSPSS version 17, the frequency and percentage was calculated while the chi-square test wasapplied on categorical variables and the p-value ≤0.05 was considered as significant. Results:During six months study period total 203 pregnant obese ladies were observed for macrosomicbabies. Age group was analyzed which shows that in age group between 18-25 years were105(52.00%) women, in age group of 26-30 years were 62 (30.69%) women and age group of30 years and above were 35 (17.31%) women with mean age ± SD of ladies was 24.6 ±6.2years. Regarding modes of delivery shown 132 (65.02%) ladies had C-section and 71 (34.97%)ladies had vaginally delivery. Weight of the babies was assessed which shows 27 (13%) wereborn with less than 2.5 Kg, babies having weight between 2.6-3 Kg were 71 (35.3%) , babieswere having weight 3 kg to 4.5kg 38 (18.7%) and babies having more than 4.5kg which shows67 (33%). Neonatal complications observed were macrosomic babies 67 (33.1%). Frequencyof macrosomic babies was higher in women with BMI more than 3.5kg/m2 44(21.67%) andin women with BMI between 30 to 35kg/m2 25(12.31%). Conclusion: Obesity responsible forcomplications during pregnancy and delivery for both mother and babies. Fetal complicationsare macrosomia and these obese ladies should motivate for maintenance of weight.

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FAKTOR-FAKTOR KESEHATAN KERJA TERHADAP PENINGKATAN PERSONAL HYGIENE PADA PETUGAS PENGANGKUT SAMPAH DI KOTA GORONTALO

Akademika Jurnal Ilmiah Media Publikasi Ilmu Pengetahuan dan Teknologi ◽

10.31314/akademika.v8i2.405 ◽

2019 ◽

Vol 8 (2) ◽

pp. 116

Author(s):

Hartati Inaku ◽

Moh Malik A Hanafi

Keyword(s):

Occupational Health ◽

Sampling Technique ◽

Personal Hygiene ◽

P Value ◽

Protective Equipment ◽

Chi Square ◽

Cross Sectional ◽

Factors Affecting ◽

Chi Square Test ◽

The City

The purpose of this study was to determine the Factors Affecting Occupational Health in Improving Personal Hygiene in Garbage Transport Officers in the City of Gorontalo. The research design uses Analytic Survey with Cross Sectional approach. Sampling using Accidental Sampling technique with a sample of 50 respondents. Analysis of the study used a chi square test with a significant α = 0.05, the results obtained p value = 0.001 (<0.05) which means there is an influence of knowledge with occupational health in improving personal hygiene, then the value of p value = 0.416 (<0, 05) which means there is no influence of work period with occupational health in improving personal hygiene and the value of p value = 0,000 (<0.05) which means there is an influence of the use of personal protective equipment (PPE) with occupational health in improving personal hygiene in the garbage transport officer in Gorontalo City.Tujuan penelitian ini adalah untuk mengetahui Faktor-faktor yang Mempengaruhi Kesehatan Kerja Dalam Peningkatan Personal Hygiene Pada Petugas Pengangkut Sampah di Wilayah Kota Gorontalo. Desain penelitian menggunakan Survey Analitik dengan pendekatan Cross Sectional. Pengambilan sampel menggunakan tekhnik Accidental Sampling dengan sampel 50 responden. Analisis penelitian menggunakan uji chi square dengan signifikan α = 0,05, hasil didapatkan p value = 0,001 (<0,05) yang berarti terdapat pengaruh pengetahuan dengan kesehatan kerja dalam peningkatan personal hygiene, kemudian didapatkan nilai p value = 0,416 (<0,05) yang berarti tidak terdapat pengaruh masa kerja dengan kesehatan kerja dalam peningkatan personal hygiene dan nilai p value = 0,000 (<0,05) yang berarti terdapat pengaruh pemakaian alat pelindung diri (APD) dengan kesehatan kerja dalam peningkatan personal hygiene pada petugas pengangkut sampah di Kota Gorontalo

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FAKTOR YANG BERPENGARUH TERHADAP KEJADIAN POSTPARTUM BLUES

Journal of Health Sciences ◽

10.33086/jhs.v11i2.105 ◽

2018 ◽

Vol 11 (2) ◽

pp. 130-139

Author(s):

Devi Endah Saraswati Saraswati

Keyword(s):

Edinburgh Postnatal Depression Scale ◽

Depression Scale ◽

P Value ◽

Questionnaire Data ◽

Chi Square ◽

Cross Sectional ◽

Factors Affecting ◽

Postpartum Blues ◽

Chi Square Test ◽

Postpartum Mothers

Childbirth is a happy moment, but there are some cases can be frightening, this is because women who give birth often experience feelings of sadness and fear that affects the emotional and sensitivity of the mother, known as postpartum blues. The purpose of this study is to know the factors - factors that affect the incidence of postpartum blues. The research design was cross sectional. The study was conducted at BPM “D” in Campurejo Village, Bojonegoro District and BPM “S” in Sukorejo Village, Bojonegoro District from January to February 2018 to 30 postpartum mothers. The study instrument used an EDPS (Edinburgh Postnatal Depression Scale) questionnaire. Data processing using Chi Square test. The results showed that the factors affecting the phenotype of postpartum blues include p value = 0,04, education with p value = 0,049, obstetric status with p value = 0,011. Factors affecting postpartum blues events include age, education, occupation, and obstetric status.

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Analysis on factors affecting nausea and vomiting severity suffered by patients in the early phase of hemodialysis therapy

Proceedings Series on Health & Medical Sciences ◽

10.30595/pshms.v1i.29 ◽

2020 ◽

Vol 1 ◽

pp. 30-34

Author(s):

Muhammad Rafi Fathurrohman ◽

Sri Suparti

Keyword(s):

Logistic Regression ◽

Sampling Technique ◽

Total Sample ◽

Nausea And Vomiting ◽

Bivariate Analysis ◽

P Value ◽

Chi Square ◽

Factors Affecting ◽

Chi Square Test ◽

Simple Logistic

Nausea and vomiting should be further checked and prevented, because these conditions can be a cause or complication during hemodialysis patients. Electrolyte and water imbalance (dehydration) can be considered as the main complication of nausea and vomiting itself. The aim of this study was to determine the factors that influence the severity of nausea and vomiting in patients undergoing hemodialysis. This type of research is quantitative with analytic descriptive method, with an approach using a retrospective cohort research design. The sampling technique in this study was a total sampling technique with a total sample of 57 patients. The research instrument used questionnaires and observations, data analysis using the Chi Square test and simple logistic regression analysis. The location of the study was the hemodialysis therapy site at the Islamic Hospital in Purwokerto in January-February 2020. The results showed that most of the respondents with the severity of nausea and vomiting, the patient's diet was not balanced (61.4%), the excess fluid had edema (63.2%), the gender was male (59.6%), female (40.4%). %), age 18-65 (57.9%), duration of HD <12 months (64.9%) and 58 respondents> 12 months (35.1). The results of bivariate analysis using logistic regression, obtained p value of the patient's diet 0.009, excess fluid, age and sex 0.001 and the duration of HD 0.003. From this analysis, there are 5 factors that can cause the severity of nausea and vomiting, namely the patient's diet, excess fluidity, gender, age, and duration of HD.

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