scholarly journals Studi Kasus Kehamilan Dengan Risiko Tinggi

2021 ◽  
Vol 1 ◽  
pp. 1633-1641
Author(s):  
Linda Ratna Sari ◽  
F Fitriyani
Keyword(s):  
High Risk ◽  
Mortality Rate ◽  
Early Detection ◽  
Health Service Delivery ◽  
Infant Mortality Rate ◽  
Midwifery Care ◽  
Mild Anemia ◽  
Risk Patients ◽  
The Subject

AbstractMaternal mortality rate (MMR) and infant mortality rate (IMR) are determinants and benchmarks for the success of health service delivery. In 2019 Indonesia's Maternal Mortality Rate (MMR) is still high, at 305 per 100,000 live births. The purpose of this case study is to provide midwifery care during pregnancy to high-risk mothers aged over 35 years and mild anemia to minimize complications that will occur. The method of this case study is to provide midwifery care to pregnant women with high risk in the form of exposure to the subject of one client who experiences a high risk of pregnancy who will be given care during pregnancy. The results of this case study are given care to reduce the complaints felt by the client and carry out early detection to reduce the occurrence of complications. The conclusion of this case study is midwifery care for Ny. N during pregnancy in Pekalongan has been carried out on high-risk patients aged more than 35 years and mild anemia according to the needs and authority of the midwife so that it does not cause any complications. For this reason, midwives need to provide care as a form of early detection to reduce the incidence of complicationsKey Word: Maternity care, pregnant, high risk AbstrakAngka kematian ibu (AKI) dan angka kematian bayi (AKB) menjadi penentu dan tolak ukur keberhasilan penyelenggaraan pelayanan kesehatan. Pada tahun 2019 Angka Kematian Ibu (AKI) Indonesia masih tetap tinggi, yaitu 305 per 100.000 kelahiran hidup. Tujuan dari studi kasus ini adalah memberikan asuhan kebidanan selama masa kehamilan pada ibu dengan risiko tinggi usia diatas 35 tahun dan anemia ringan untuk meminimalkan komplikasi yang akan terjadi. Metode studi kasus ini adalah dengan pemberian asuhan kebidanan pada ibu hamil dengan risiko tinggi berupa pemaparan dengan subyek satu klien yang mengalami risiko tinggi dalam kehamilanya yang akan diberikan asuhan selama masa kehamilan. Hasil studi kasus ini diberikan asuhan untuk mengurangi keluhan yang dirasakan klien serta melakukan deteksi dini untuk mengurangi terjadinya komplikasi. Simpulan studi kasus ini adalah asuhan kebidanan pada Ny. N selama masa kehamilan Pekalongan sudah dilakukan pada pasien yang mengalami risiko tinggi usia lebih dari 35 tahun dan anemia ringan sesuai kebutuhan dan kewenangan bidan sehingga tidak menimbulkan komplikasi apapun. Untuk itu bidan perlu melakukan asuhan sebagai bentuk deteksi dini untuk mengurangi timbulnya komplikasiKata kunci: asuhan kebidanan, ibu hamil, risiko tinggi

scholarly journals Multi Level Education Katoga Improve The Competence of Health Cadres, Public Figure, and Family in Preventing, Early Detection and Handling Pregnancy Emergency

2020 ◽  
Vol 4 (2) ◽  
pp. 118
Author(s):  
Ratna Hidayati ◽  
Dwi Setyorini
Keyword(s):  
High Risk ◽  
Mortality Rate ◽  
Early Detection ◽  
Community Empowerment ◽  
Infant Mortality Rate ◽  
Community Leaders ◽  
Community Leader ◽  
Public Figure ◽  
Multi Level ◽  
Education Training

Introduction: Extraordinary policies have been launched by the government to reduce Maternal Mortality Rate/ Infant Mortality Rate (MMR/IMR) , however this has not been comparable with the expected results. The purpose of this study was to determine the effectiveness of Katoga's multi-level education on the competence of cadres, public figure, and families in preventing, detecting early and handling emergency pregnancy to reduce MMR/IMR. Methods: This research study used action research with stratified respondents, 10 health cadres who will provide training to 30 community leader respondents and subsequently public figure will provide training to 60 selected families with simple random sampling. The independent variable was multi-level education and the dependent variable was competence in early detection of emergencies in pregnancy. Data were collected using a questionnaire and analyzed by t-test. Results: The results showed that the increasing of the competence in preventing, early detecting and handling emergency pregnancy after receiving multilevel education training in health cadres from the previous value of 70 to 93; in community leaders from 61.1 to 80.5 and in families from 58.0 to 78.9. There was a significant increase in competency with multi-level education training in increasing competency in a larger population with a cadre pValue of 0.003; community leaders 0,000 and families 0,000. Conclusions: Community empowerment in the health sector through multi-level education can spread knowledge in preventing, detecting high-risk pregnancies early and managing maternal emergencies so as to facilitate the task of health nurses to obtain information about pregnant women detected as high-risk populations.

scholarly journals Developing of a Simple Screening Tool for Opportunistic COPD Case Finding

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
Y M Mohamed ◽  
S H Sharkawy ◽  
D I Darwish
Keyword(s):  
High Risk ◽  
Early Detection ◽  
Early Diagnosis ◽  
Outpatient Clinic ◽  
World Wide ◽  
Screening Tool ◽  
Case Finding ◽  
Screening Questionnaire ◽  
Risk Patients ◽  
Simple Screening

Abstract Background Under diagnosis of COPD is serious problem in many countries world-wide because there are no generally detection tools available to detect high-risk patients for spirometry, and patients will not go for COPD check-up until a serious issue happens like exacerbation. Objective The aim of the work is trying to assess a new screening tool for early diagnosis of COPD. Patients and Methods The present study was conducted upon 500 subjects during the period from march 2018 to august 2018 who admitted to our chest department or visit our outpatient clinic, employees and visitors to Ain Sham hospitals.All subjects >40yrs who smoker or ex-smoker(≥10pack-years) applied a six variants(age,sex,packed years smoked during life ,dyspnea,chronic phlegmand chronic cohgh)questionnaire modified from PUMA questionnaire Subjects with score ≥5 did spirometry Results 500 subjects shared in the study 497 of them were males ( 99.4% )and 3 were females (.6%). 152of them(30.4%) had score <5 and 348 of them (69.6%)had score ≥5 who did spirometry.152 subjects did not perform spirometry. By spirometry we diagnosed 81(23.3) case COPD (fev1-fvc <.7) out of 348 subjects under gone spirometry and 16.2% of total subjects(500) . Conclusion Modified puma score is a simple and easy screening questionnaire for early detection of COPD cases and spirometry should be done to confirm the diagnosis or rule out.COPD is prevalent in many healthy apparent persons.

scholarly journals Managing the Prevention of In-Hospital Resuscitation by Early Detection and Treatment of High-Risk Patients

2018 ◽  
Author(s):  
Alain Kalmar ◽  
Nicky Van Der Vekens ◽  
Henk Vanoverschelde ◽  
Diederik Van Sassenbroeck ◽  
Jan Heerman ◽  
...  
Keyword(s):  
High Risk ◽  
Early Detection ◽  
High Risk Patients ◽  
Risk Patients

An Autoantibody Test (AABT) To Aid in Early Detection of Lung Cancer in High-Risk Patients Is Likely To Be Cost-effective

CHEST Journal ◽  
2010 ◽  
Vol 138 (4) ◽  
pp. 241A ◽  
Author(s):  
Peter Boyle ◽  
Derek Weycker ◽  
Anne Khuu ◽  
James R. Jett ◽  
Frank C. Detterbeck ◽  
...  
Keyword(s):  
Lung Cancer ◽  
High Risk ◽  
Early Detection ◽  
Cost Effective ◽  
High Risk Patients ◽  
Risk Patients

Interim results of a screening protocol for early detection of pancreatic cancer in asymptomatic high-risk patients.

2016 ◽  
Vol 34 (4_suppl) ◽  
pp. 223-223
Author(s):  
Alexandra Gangi ◽  
Mokenge Peter Malafa ◽  
Jason Klapman
Keyword(s):  
Pancreatic Cancer ◽  
Clinical Trial ◽  
High Risk ◽  
Early Detection ◽  
Surgical Resection ◽  
Early Stage ◽  
Needle Aspiration ◽  
Screening Protocol ◽  
Risk Patients ◽  
Asymptomatic Individuals

223 Background: Pancreatic cancer (PC) is the 4th leading cause of cancer deaths in the US but is rarely diagnosed at an early curable stage. Early detection of PC will have measurable improved outcomes in affected patients. This study sets out to evaluate if EUS can detect early stage pre-cancerous or cancerous changes in the pancreas of high risk (HR) patients. Methods: After IRB review, a clinical trial (NCT01662609) to evaluate HR patients was opened to accrual. Study subjects met specified inclusion and exclusion criteria as defined by the protocol. Enrolled subjects underwent EUS followed by screening as defined by study protocol: subjects with normal EUS underwent repeat EUS at 1 year; subjects with abnormal EUS underwent fine needle aspiration (FNA) if a mass or cyst was found and measured ≥ 5mm and did not undergo FNA if the lesion measured < 5mm. Those with indeterminate or benign FNA underwent pancreatic CT scan with repeat EUS/FNA at 3 or 6 months respectively. Those with positive FNA were treated appropriately based on findings. Patients with mass/cyst < 5mm underwent repeat EUS/FNA at 3 months. Targeted follow-up is 5 years. Results: Of the 52 subjects accrued thus far, 41 were available for interim analysis. Twenty-seven (67%) subjects had a normal EUS while 14 (34%) subjects had abnormal findings. Two patients had large cysts with FNA consistent with an intraductal papillary mucinous neoplasms (IPMN). These 2 subjects ultimately underwent surgical resection. The 12 remaining subjects had at least 1 subcentimeter lesion and are being routinely screened per the outlined protocol. Conclusions: EUS screening of asymptomatic individuals who are at high risk for pancreatic cancer as defined by our inclusion criteria frequently detects abnormal lesions in the pancreas. These lesions include high risk IPMNs that warrant surgical resection. Our results validate the results of other high risk screening protocols and support the screening of individuals who are at high risk for development of pancreatic cancer. Clinical trial information: NCT01662609.

Reducing hospital aquired pneumonia (HAP) with Massey Screen.

2016 ◽  
Vol 34 (7_suppl) ◽  
pp. 232-232
Author(s):  
Kerri Slavin ◽  
Robyn Dunbar ◽  
Cheryl Clements ◽  
Margaret Bonawitz ◽  
Joanne McGovern
Keyword(s):  
High Risk ◽  
Early Detection ◽  
Acute Care ◽  
Patient Outcomes ◽  
Nursing Staff ◽  
Oral Care ◽  
Oncology Patients ◽  
High Risk Patients ◽  
Telemetry Unit ◽  
Risk Patients

232 Background: Hospital Acquired Pneumonia (HAP) is a leading cause of prolonged hospitalization in patients. The oncology population is especially susceptible to critical illness related to an immunocompromised state. The purpose of this study was to implement the Massey Bedside Swallowing Screen upon admission to the oncology telemetry unit to detect any deficits that could potentially lead to HAP, in conjunction with strict oral care for identified high risk patients. Methods: The importance of the Massey Bedside Swallowing Screen upon admission and the knowledge that early detection leads to better patient outcomes was educated to the nursing staff. Every patient admitted to the oncology telemetry unit was screened with the Massey Bedside Swallowing Screen. Patients identified as high-risk were placed on nothing-by-mouth (NPO) precaution. A Speech and Swallow Evaluation was ordered to further evaluate the patient. Acutely ill oncology patients unable to perform their own oral care were placed on a strict oral care regimen performed by the nursing staff. The charge nurse audited compliance with this protocol. Results: The pre-intervention phase of the study evaluated January – April 2015 included 1,605 patient days. The data revealed 4 HAPs acquired on the oncology telemetry unit, demonstrating 2.45 incidence/1000 patient days. Post-intervention [May – August 2015] indicated 2 HAPs acquired on the oncology telemetry unit, signifying 1.35 incidence/1000 patient days. With the implementation of the Massey Bedside Swallowing Screen for each patient upon admission, and strict oral care regimen for high-risk patients, the overall incidence of HAP on the unit decreased by 50%. Conclusions: Oncology patients assessed with the Massey Bedside Swallowing Screen upon admission to the oncology telemetry unit were noted to have improved outcomes and lower rates of HAP. Every oncology patient admitted to an acute care unit should have an admission screen in place to evaluate risk for aspiration. Early detection of patients at high-risk for HAP and implementation of interventions to improve oral care in high-risk patients lead to improved patient outcomes through lower incidence of HAP in the acute care setting.

scholarly journals Analisis Hubungan Faktor Internal Dan Eksternal Dengan Kinerja Bidan Desa Dalam Deteksi Dini Dan Penanganan Ibu Hamil Kekurangan Energi Kronik (KEK) di Kabupaten Grobogan Tahun 2015

2016 ◽  
Vol 4 (3) ◽  
pp. 206-213
Author(s):  
Rosmala Kurnia Dewi ◽  
Sri Achadi Nugraheni ◽  
Ayun Sriatmi
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Early Detection ◽  
Pregnant Women ◽  
Community Support ◽  
Health Facilities ◽  
Infant Mortality Rate ◽  
Live Births ◽  
Leader Support ◽  
Health Centres

Chronic Energy Deficiency (CED) is one of the causes of maternal and infant mortality indirectly. Maternal Mortality Rate (MMR) in Grobogan District increased gradually during the period of 2011 – 2012 from 26 cases (114.03/100,000 live births) to 34 cases (151.15/100,000 live births), and decreased sharply to be 22 cases (102.03/100,000 live births) in 2013. Meanwhile, Infant Mortality Rate (IMR) was 194 cases in 2011, rose dramatically in 2012 to be 240 cases, and declined sharply in 2013 to be 166 cases. Low Birthweight Babies (LBWB) was one of the causes of infant mortality because pregnant women suffered from CED during their pregnancies. The aim of this study was to analyse internal and external factors with performance of village midwives in conducting early detection and handling pregnant women with CED. This was an observational-analytic study using cross-sectional approach. Data were collected using structured questionnaires. Population was 243 village midwives at health centres in Grobogan District. As many as 71 village midwives were selected randomly using a technique of stratified random sampling. Data were analysed using analyses of bivariate (chi square test) and multivariate (logistic regression test). The results of this research showed that most of the respondents aged ranging from 20-35 years old (76.1%), had working period less than or equal to 6 years (53.5%), ever handled CED (81.7%). Variables of health facilities (p=0.001), fellow worker support (p=0.016), community support (p=0.001), leader support (p=0.0001) had significant relationship with the performance of village midwives in conducting early detection of pregnant women with CED. Factors jointly influencing the performance were health facilities (p=0.000; Exp(B)=25.395), and leader support (p=0.001; Exp(B)=10.278). As suggestions, health centres and District Health Office need to provide complete health facilities to improve performance of health workers in providing services.

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