scholarly journals CORRELATION BETWEEN SERUM LEVELS OF FOLLICLE STIMULATING HORMONE AND GRAAFIAN FOLLICLE VASCULARITY ON DOPPLER IN INFERTILE FEMALES OF LAHORE

2021 ◽  
Vol 71 (5) ◽  
pp. 1687-92
Author(s):  
Amjad Iqbal ◽  
Syed Amir Gilani ◽  
Asif Hanif

Objective: To determine correlation between serum levels of Follicle Stimulating Hormone and Graafian Follicle vascularity on Doppler ultrasound in infertile females of Lahore, Pakistan. Study Design: Cross sectional study. Place and Duration of Study: Prime Ultrasound center, 2-Shalamrar Link Road, Mughalpura, Lahore, Pakistan From Mar 2018 to Sep 2019. Methodology: A total of 100 infertile females using simple random sampling were taken. All the married women of reproductive age and married for >12 months who have not conceived despite regular unprotected intercourse, having no other uterine and endometrial or ovarian pathology were taken. The patients who fail to provide serum hormone laboratory reports were excluded. Transvaginal ultrasonography was done for all females and graafian follicle vascularity on Doppler was measured on day 12 of the cycle. Results: The Median age of females was 28 (30-25) years range from 19 and 46 years. The median Follicle Stimulating Hormone levels at day 12 was 6 (8.25-5.22) mlU/ml with minimum and maximum FSH values as 3.20 and 40 mlU/ml. The median follicle size was 13.65 (16.04-10.84) (mm) with minimum and maximum size as 10 mm and 26 mm. There were 61% females who had Grade–1 perifollicular vascularity, 24% females had grade-2 and 15% females had grade-3 of perifollicular vascularity. There was significant positive correlation between perifollicular vascularity grades and Follicle-stimulating hormone levels day 12 (mm) i.e., r=0.309, p-value <0.001. Conclusion: It is concluded that perifollicular vascularity was found to correlate with serum Follicle-stimulating hormone levels, so graafian follicle vascularity on.......

Author(s):  
Dr. Mukesh Batra

Background: Leukoderma is an acquired disease of pigmentation which is presented by depigmented areas of different shape and sizes on the skin. In various researches it was reported that these defects in melanocytes occurred due to autoimmune pathway or the complex causation of oxidative stress and genetics. Material & Methods: In the present cross‑sectional prospective study 100 patients who were diagnosed with Leukoderma and controls who were not having depigmentation of skin and without any known clinical disease were enrolled for present study by simple random sampling. Written informed consent was taken from each study participant. Clearance from institutional ethical committee was also taken prior to the study. Results: The prevalence of psychiatric illness among leukoderma group was 22% and among 78% patients we did not found any psychiatric illness. The most common symptom was depression which was present among 22% of patients with Leukoderma and 18% patients with Leukoderma had anxiety symptoms. Among the control group depression was present in 5 % subjects and anxiety symptoms were present in 7% of subjects. The mean WHO-Quality of life scores was low among Leukoderma group in relation to the control group (p value <0.05). On correlation with psychiatric illness, observations were statistically non-significant (p > 0.05) with HAMA-A and HAMA- D. The observations were statistically significant (p < 0.05) with GHQ total and BSA score. Conclusion:  Higher prevalence of psychitric morbidity among patients with leukoderma and it was found associated with duration of disease and BSA scores. The most common symptom was depression which was followed by anxiety symptoms. Key words: Leukoderma, psychiatric illness, anxiety, depression.


2019 ◽  
Vol 9 (4) ◽  
pp. 413-420
Author(s):  
Amella Gusty ◽  
Dachriyanus Dachriyanus ◽  
Leni Merdawati

Kinerja perawat merupakan hasil yang dicapai dalam melaksanakan asuhan keperawatan di rumah sakit. Terciptanya asuhan keperawatan yang optimal sangat diperlukan dukungan dari pihak rumah sakit salah satunya adalah menciptakan kualitas kehidupan kerja baik bagi perawat. Penelitian ini bertujuan untuk mengetahui hubungan antara kualitas kehidupan kerja terhadap kinerja perawat pelaksana di RSUD Teluk Kuantan. Jenis penelitian kuantitatif dengan pendekatan cross sectional. Jumlah sampel 120 responden yang diperoleh melalui proportionate simple random sampling. Hasil penelitian menunjukkan kualitas kehidupan kerja perawat RSUD Teluk Kuantan berada pada kategori sedang, kinerja perawat berada pada kategori kurang baik. Berdasarkan analisis kedua variabel teridentifikasi bahwa tidak ada hubungan antara kualitas kehidupan kerja dengan kinerja perawat pelaksana dengan  p value 0,817. Dimensi work context merupakan komponen yang memiliki hubungan dengan kinerja perawat pelaksana dengan p value 0,008, dimensi work life  tidak berhubungan secara signifikan dengan kinerja perawat. Kesimpulan penelitian diketahui tidak ada hubungan antara kualitas kehidupan kerja dengan kinerja perawat pelaksana. Ada hubungan dimensi work context dengan kinerja perawat pelaksana. Tidak ada hubungan dimensi work life dengan kinerja perawat.   Kata kunci: kualitas kehidupan kerja, kinerja, perawat pelaksana   THE RELATIONSHIP BETWEEN THE QUALITY OF WORK LIFE AND THE PERFORMANCE OF IMPLEMENTERS NURSES   ABSTRACT Nurse performance is the result achieved in implementing nursing care in a hospital. The creation of optimal nursing care is very much needed support from the hospital, one of which is to create a good quality of work life for nurses. This study aims to determine the relationship between the quality of work life and the performance of nurses at the Kuantan District Hospital. This type of quantitative research with cross sectional approach. The number of samples of 120 respondents obtained through proportionate simple random sampling. The results showed that the quality of work life of nurses at the Kuantan District Hospital was in the medium category, the nurses' performance was in the unfavorable category. Based on the analysis of the two variables, it was identified that there was no relationship between the quality of work life with the performance of implementing nurses with a p value of 0.817. The work context dimension is a component that has a relationship with the performance of nurses implementing with p value 0.008, the dimension of work life does not significantly correlate with nurse performance. The conclusion of the research is that there is no relationship between the quality of work life and the performance of the implementing nurses. There is a relationship between the dimensions of the work context and the performance of the nurses. There is no relationship between the dimensions of work life and nurse performance.   Keywords: quality of work life, performance, implementers nurse


2019 ◽  
Vol 8 (2) ◽  
pp. 92-99
Author(s):  
Aminah Aatinaa Adhyatma

Deteksi dini kanker serviks salah satunya melalui pemeriksaan Pap Smear, sebagai pemeriksaan sitologi untuk melihat adanya keganasan pada epitel serviks/ porsio. Salah satu masalah pelaksanaan Pap Smear umunya masih disebabkan karena masih rendahnya tingkat pendidikan dan pengetahuan penduduk Indonesia mengenai pemeriksaan Pap Smear. Tujuan dari penelitian ini untuk mengetahui hubungan tingkat pengetahuan Wanita Usia Subur (WUS) dengan motivasi melakukan pemeriksaan Pap Smear di Desa Jetis Wilayah Kerja Puskesmas Jimbaran Tahun 2012. Desain penelitian yang digunakan adalah survey analitik secara Cross Sectional pada wanita usia subur usia 35-40 tahun di Desa Jetis sebanyak 87 responden diambil dengan teknik Simple Random Sampling. Pengumpulan data dengan menggunakan kuesioner serta analisis data dengan menggunakan uji korelasi KendallTau (τ).Hasil penelitian menunjukkan bahwa sebagian besar tingkat pengetahuan responden tentang Pap Smear kurang yaitu sebesar 62,1% sedangkan motivasi responden untuk melakukan pemeriksaan pap smear sebagian besar rendah yaitu sebesar 86,2%. Ada hubungan yang bermakna antara tingkat pengetahuan wanita usia subur dengan motivasi melakukan pemeriksaan pap smear (p value <0,05) dan nilai τ = 0,281 memiliki makna ada hubungan arah positif, hal ini berarti perubahan pengetahuan yang baik akan mempengaruhi motivasi yang tinggi untuk melakukan pemeriksaan pap smear.


Background: The most common benign pathological lesion in women of reproductive age is uterine leiomyoma. Gestational trophoblastic disease includes tumors and tumor like lesions originating from trophoblastic tissue. The aim of this study was to find the spectrum of molar pregnancy and uterine pathologies focusing on gestational trophoblastic disease as no study has been done in the past few years. Methods: Endometrial and uterine specimens of patients (n=436) between the ages of 15-65 years were collected from a private hospital in Karachi from December 2018 to December 2019. This cross-sectional study was carried out by pathological diagnosis of patients’ samples under light microscopy using hematoxylin and eosin staining. Stratification was done about age and nature of specimen to control the effect modifiers. The post stratification Chi square test was applied and p value <0.05 was considered significant. Results: Mean age of the patients was 36.1 years ±7.8. Total 436 uterine biopsies included 260(59.6%) hysterectomies, 56(12.8%) endometrial curetting’s, 117(26.8%) evacuation specimens and 3(0.7%) polypectomies. Common pathologies included 124(28.4%) leiomyomas, 61(14%) proliferative endometrium, 52(11.9%) adenomyosis and 32(7.3%) endometrial polyps. Gestational trophoblastic disease was seen in 9(2.06%). Seven (87.5%) were partial hydatidiform moles, one (12.5%) exaggerated placental site reaction and one choriocarcinoma. Mole was common between 26-30 years with mean age of 27.2 years and prevalence was 6/100 abortions. Conclusion: Leiomyoma was the commonest (28.4%) uterine pathology followed by proliferative endometrium (14.5%). However, endometrial stromal sarcoma and endometriosis were found 0.2% each. High prevalence of mole was seen in this study. Partial mole was most common and choriocarcinoma was least common. Keywords: Hydatidiform Mole; Pathology; Prevalence.


2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Basok Buhari ◽  
Susi Widiawati ◽  
Anggi Ellijayanti

Latar Belakang: Praktik klinik merupakan proses pembelajaran di rumah sakit yang bertujuan untuk mengenal lebih awal bagi mahasiswa mengaplikasikan ilmu yang didapat untuk mengenal proses keperawatan. Lingkungan klinik rumah sakit merupakan satu-satunya sumber kecemasan terbesar bagi kalangan mahasiswa keperawatan Praktik klinik ini akan menimbulkan kecemasan. Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan peran preceptor dan pengetahuan mahasiswa dengan kecemasan mahasiswa terhadap pembelajaran praktik klinik dirumah sakit. Metode: Penelitian ini menggunakan desain penelitian kuantitatif dengan rancangan cross sectional. Subjek yang diteliti adalah mahasiswa keperawatan yang praktik klinik di RSUD Raden Mattaher Jambi. Penelitian ini telah dilakukan pada Tanggal 16 s/d 20 Juli Tahun 2019 dengan 6 Ruang Rawat Inap. Pengambilan sampel pada penelitian ini menggunakan simple random sampling sebanyak 43 responden. Metode pengambilan data dengan menyebarkan kuesioner kepada mahasiswa. Penelitian ini menggunakan analisis univariat dan bivariat. Hasil: Hasil analisis univariat menunjukkan bahwa terdapat 28 (65,1%) responden menyatakan peran preceptor baik, 25 (58,1%) responden memiliki pengetahuan yang baik dan 27 (62,8%) responden memiliki tingkat kecemasan normal terhadap pembelajaran praktik klinik di RSUD Raden Mattaher Jambi Tahun 2019. Hasil analisis bivariat menunjukkan bahwa hubungan pengetahuan mahasiswa dengan kecemasan mahasiswa terhadap pembelajaran praktik klinik di RSUD Raden Mattaher Jambi Tahun 2019 (P-Value= 0,000). Saran: Diharapkan RSUD Raden Mattaher Jambi melakukan pelatihan secara berkala bagi preceptor. Penelitian ini dapat dijadikan masukan bagi Rumah Sakit terkait peran preceptor dan pengetahuan mahasiswa yang dapat mempengaruhi kecemasan mahasiswa saat melakukan praktik klinik di Rumah Sakit. Kata Kunci: Pengetahuan Mahasiswa Keperawatan, Kecemasan, Peran Preceptor


2019 ◽  
Vol 4 (3) ◽  
Author(s):  
Ria Wulandari ◽  
Sari Puspita

Latar belakang: Hipertensi merupakan penyakit degeneratif yang menjadi masalah serius saat ini. Hipertensi dikategorikan sebagai the silent disease atau the silent killer karena penderita tidak mengetahui dirinya mengidap hipertensi atau tidak mengetahui sebelum memeriksakan tekanan darahnya. Insiden hipertensi meningkat seiring bertambahnya usia. Tujuan: untuk mengetahui hubungan Pengetahuan, Dukungan Keluarga, dan Peran Petugas Kesehatan dengan Kepatuhan Penderita Hipertensi dalam menjalani pengobatan di Puskesmas. Metode: Jenis penelitian ini menggunakan metode survey analilitik dengan pendekatan cross sectional. Sampel pada penelitian ini berjumlah 65 orang dengan menggunakan tehnik simple random sampling. Hasil: Dari hasil analisa diperoleh bahwa ada hubungan pengetahuan (p-value 0,00), dukungan keluarga (p-value 0,00), peran petugas kesehatan (p-value 0,00), dengan dengan Kepatuhan Penderita Hipertensi dalam menjalani pengobatan. Saran: Disarankan dapat menjadi bahan masukan bagi Puskesmas untuk melakukan promosi kesehatan dengan penyuluhan tentang faktor-faktor resiko dan upaya pencegahan hipertensi yang dapat dilakukan masyarakat dan mengatur strategi untuk penanganan hipertensi dengan mengaktifkan kader PTM dengan melakukan screening sejak dini. Kata kunci    : Hipertensi, Pengetahuan, Dukungan Keluarga, Peran Petugas.


2021 ◽  
pp. 026010602098234
Author(s):  
Gizachew Worku Dagnew ◽  
Melash Belachew Asresie

Background: Overweight/obesity has become a global health problem for both developed and developing regions. Nowadays, overweight/obesity among childrearing-age women has become rapidly increasing in both urban and rural areas. Aim: This study aimed to assess the variation of overweight/obesity among urban and rural reproductive-age women in Ethiopia. Methods: For this study, the 2016 Ethiopia Demographic and Health Survey data were used. The survey was a community-based cross-sectional study, which used a two-stage stratified cluster sampling technique to select the participants. A total of 13,451 reproductive-age women were included in the analysis. Both descriptive and analytical analysis was performed. A p-value of less than 0.05 was used as the measure of statistical significance. Results: The prevalence of overweight/obesity among urban reproductive-age women was statistically higher ( p = 21.5%; 95% confidence interval (CI): 18.2–25.1) than the rural women ( p = 3.5%; 95% CI: 2.9%–4.2%). Women who attend secondary or above education, women in the age groups 25–34 and ≥ 35 years, and high wealth index (rich) had higher odds of overweight/obesity in both urban and rural women. Moreover, women who were married, who had a large family size, and who have a history of alcohol intake had higher odds of overweight/obesity among urban women. Conclusions: Overweight/obesity among reproductive-age women is a public health problem in Ethiopia, especially for women who are living in urban settings. Therefore, it is important to establish targeted overweight reduction programs with particular emphasis on urban, older aged, educated, and married women. Additionally, encouraging the limitation of the number of family size and alcohol intake can reduce women’s overweight/obesity.


2005 ◽  
Vol 113 (9) ◽  
pp. 1160-1163 ◽  
Author(s):  
Rogelio Recio ◽  
Guadalupe Ocampo-Gómez ◽  
Javier Morán-Martínez ◽  
Victor Borja-Aburto ◽  
Malaquías López-Cervantes ◽  
...  

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