Association of qSOFA with Ludwig's Angina Patient Mortality at Dr. Sutomo Hospital, Surabaya

2021 ◽  
Vol 8 (6) ◽  
pp. 314-319
Author(s):  
Muhamad Saifuddin ◽  
Dwi Hari Susilo ◽  
Marjono Dwi Wibowo

Objective: This study aims to determine the association between The quick Sequential Organ Failure (qSOFA) score and the mortality of Ludwig's Angina. Material and Methods: Secondary data from the medical records of Ludwig’s Angina patients in the period January 2019 - December 2020. Data included demographic feature, qSOFA data, Outcome patient, comorbidity diseases and complications before treatment. The number of samples was determined using the total sampling method. This study was enrolled into analytical observational study. Results: There were 49 medical records that were included in the inclusion criteria, 6 medical records were excluded because the data were missing. There were more men 36 (73,5%) than women 13 (26,5%). There were 12 (24,5%) high qSOFA and 37 (75,5%) low qSOFA. There were 12 (24,5%) patient outcome dead and 37 (75,5%) outcome alive. The results of Chi-square analysis show qSOFA and confounding Diabetes Mellitus (DM) respectively were statistically significant association with Ludwig's Angina mortality. The results of multivariate logistic regression analysis, shows that there is a significant association between qSOFA and Ludwig's Angina mortality (p: 0.018) with an OR of 20.9 (CI 95% : 1,673 – 263,367). Diabetes mellitus comorbidity factors were also significantly associated with the mortality of Ludwig's angina. Conclusion: There is a significant association between qSOFA and Ludwig's Angina mortality. Keywords: Ludwig’s Angina, Mortality, qSOFA, Sepsis.

2019 ◽  
Vol 12 (1) ◽  
pp. 42-51
Author(s):  
Dwi Indah Sulistiani ◽  
Ujang Maman ◽  
Junaidi J

Objective of this research; 1) determine the perception of ranchers against the properties and behavior of the leadership of the companion in the Society of Al-Awwaliyah 2) analyze the relationship between productivity breeder with productivity of livestock in the Society of Al-Awwaliyah 3) identify the relationship perceptions of ranchers against the leadership companion with productivity of livestock in the Society of Al-Awwaliyah , The data used in this study are primary and secondary data. Primary data were obtained from questionnaires which stem from ranchers while secondary data sourced from literature in the form of books and articles. Data processing was performed using Chi-square analysis using SPSS software version 21. One of the factors relating to the productivity of ranchers is the perception of ranchers against the leadership of their companion. Leadership companion views of the nature and behavior of which is owned by a companion. Productivity ranchers indirectly related to the productivity of the cattle business. Characteristics breeder visits of age, years of education, experience ranchers, and businesses in addition to ranchers. The results of data analysis showed that there is a significant relationship between business other than ranchers with ranchers productivity. The relationship between the perception of the nature of the companion breeder with productivity ranchers produce Pearson Chi-Square value is 9.751 and Asymp. Sig. (2-sided) of 0.002. This is due to interest ranchers against leadership qualities possessed by a companion who produce prolific ranchers. Ranchers consider that a companion of his leadership qualities are ideal as a companion.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Rituparna Basu ◽  
Neena Sondhi

PurposeThis exploratory study aims to examine the prevalent triggers that motivate a premium brand purchase in an online vs offline retail format.Design/methodology/approachA binary logit analysis is used to build a predictive model to assess the likelihood of the premium brand consumer seeking an online or an offline platform. Demographic and usage-based profile of the two set of consumers is established through a chi-square analysis.FindingsThree hundred and forty six urban consumers of premium branded apparels residing in two Indian Metros were studied. A predictive model with 89.6% accuracy was validated for distinguishing premium brand buyers who shop at brick-and-mortar store or online platforms. Quality and finish were factors sought by the online buyer, whereas autotelic need, pleasurable shopping experience and social approval were important triggers for an in-store purchase.Research limitations/implicationsThe study posits divergent demographics and motivational drivers that led to an online vs offline purchase. Though interesting and directional, the study results need to be examined across geographies and categories for establishing the generalizability of the findings.Practical implicationsThe study findings indicate that premium brand manufacturers can devise an omni-channel strategy that is largely tilted toward the online platform, as the quality conscious and brand aware consumer is confident and thus open to an online purchase. The implication for the physical outlet on the other hand is to ensure exclusive store atmospherics and knowledgeable but non-intrusive sales personnel.Originality/valueThe study is unique as it successfully builds a predictive model to forecast online vs offline purchase decisions among urban millennials.


2021 ◽  
Vol 3 (2) ◽  
pp. 438-446

Introduction: Medication errors (MEs) are considered preventable errors that may occur frequently during the treatment process with or without patient harm in addition to their economic consequence. MEs occur during prescribing, dose calculation, dispensing, or administration of medicine which could be made by any healthcare professional as a physician, pharmacist or nurse, or by the patient himself. Objective: To detect and report MEs in pediatric inpatients’ medical records and potentially preventing these MEs by making recommendations/suggestions for healthcare professionals about the proper action needed to be taken. Methods: This was a prospective observational study, in which the medical records of admitted pediatric patients to Ibn Al-Atheer Teaching Hospital, Nineveh were reviewed to detect, report, and prevent MEs between the 1st of January and the 30th of June 2019. Results: Out of 6964 medical records reviewed by clinical pharmacists during the study period, 119 MEs were reported to healthcare professionals and prevented. 83% of detected MEs were dosing errors. The results of the Chi-square analysis showed that the highest percentage of dosing errors were associated with antibiotics (p=0.0493). Furthermore, the results of Chi-square analysis showed that the highest percentage of dosing errors were seen in infants and toddlers (p=0.011). Conclusion: This study highlighted the role of clinical pharmacists in recognizing, reporting and preventing MEs which are still occurring in every medical setting. Dosing errors were the most commonly occurring errors and antibiotics were the most frequent group of medicines involved in MEs.


2020 ◽  
Vol 4 (1-3) ◽  
pp. 45
Author(s):  
Dania Mirza Ramadhanty ◽  
Bernie Endyarni Medise

Objective. Overweight is one of the health problems that often occur in children and adolescents throughout the world, both in developed and developing countries. Study results in USA showed yearly increase of overweight prevalence in children aged 2–19 years old. In addition, based on the results by the National Health and Nutrition Examination Survey 2009–2010 in United States, the highest percentage of overweight and obesity by age group was found at 12–19 years old (33.6%). Basic Health Research/Riskesdas’s data in 2013 showed the prevalence of overweight in adolescents aged 16–18 years old in Indonesia reached the highest value of 11.5%. Moreover, most teenagers see their body images as a match between self’s and others’ ideal perception. Teenagers with positive body image tend to be more confident and also easier to get along with other people, especially their peers. In this study, researcher aimed to investigate the relationship between teenagers who have excess body weight with body image, whether it had positive or negative impact.Methods: This was a cross-sectional study. Data collection was done from December 2017 to January 2018. Data collected were anthropometric measurements (weight and height) and the King College London Body Image Questionnaire's filled by participants. From 400 subjects who filled the questionnaires, a total of 350 participants matched the inclusion criteria and were analyzed. Chi square test was done as data analysis.Results: Chi-square analysis for excess body weight status in relation to body image scores showed no relationship (p=1,000).Conclusions: There was no significant relationship between excessive body weight and body image. 


2016 ◽  
Vol 2 (2) ◽  
pp. 134
Author(s):  
Raniasari Bimanti Esthi ◽  
Anggraini Sukmawati

<p>PT Trubus Mitra Swadaya is a company engaged in the agribusiness industry that sells a wide range of agricultural goods. The development of the agribusiness industry, particularly agricultural stores are now increasing to fiercer competition. The objectives of this research were (1) Identify the level of knowledge management at PT Trubus Mitra Swadaya, (2) Identify the level of the activities associated with knowledge management at PT Trubus Mitra Swadaya, and (3) Analyzing the perceptions of employees regarding the application of knowledge management at PT Trubus Mitra Swadaya. The data that used in this research were primary data and secondary data. Collecting the respondences was done by quota sampling technique, database examine was done by descriptive analysis, average value calculation analysis, and chi-square analysis.<br />The result of average value calculation analysis showed level implementation of knowledge management was excellent (67,01%), represented from strongly agree answered 20,75% and agree answered 46,26%. Moreover, employees said bad, represented from less agree answered 19,97% and disagree 13,02%. In this research, found at least two components which employees feel valued and still yet to be repaired, that was 1) knowledge and 2) work time. The result average value calculation showed level of activity associated with knowledge management was less good (42,78%), represented five to ten times answered 22,78% and more than ten times 20%. Moreover, employees answered never 30% and less than five times 20%. The result chi-square showed employees’ perception about knowledge management based on employee characteristics where the majority of employees agreeing with the implementation of knowledge management.</p>


Sains Medika ◽  
2015 ◽  
Vol 6 (1) ◽  
pp. 12
Author(s):  
Citta Arunika Risyudhanti ◽  
Agung Sulistyanto ◽  
Suparmi Suparmi

Introduction: Hearing impairment due to cochlear damage is one complication of Type 2 Diabetes Mellitus (DM2). Objective: This study aims to determine the relationship between duration of DM2 with hearing impairment.Method: The analytic observasional study with the cross sectional design using the medical record of DM2 outpatient in internal clinic of Islamic Sultan Agung Hospital Semarang and also pure tone audiometric examination’s record in Otorynolaryngology clinic of Islamic Sultan Agung Hospital Semarang.31 medical records of DM2 patients were meeting the inclusion and exclusion criteria. The data consist of 18 medical records of patients with less than6 years duration of DM2, and 13 medical records of patients with more than 6 years duration of DM2. The pure tone audiometry was used to classified the hearing impairment. The data analysis was conducted using SPSS 20.0. The correlation between the duration of DM2 and hearing impairment was analyzed using Chi Square test. The significance relation between the duration of DM type 2 and hearing impairment was analyzed using cooficient contigency, with significance of < 0.05. Result: hearing impairment’s distribution frequency on tested ears in Sultan agung Islamic Hospital Semarang were 27 ears having SNHL type (43,5%), 19 ears having CHL (30,6%) and 16 ears were normal (25,8%), p = 0,02 (p < 0,05). Conclusion: There is a weak correlation between the DM 2 duration and the incidence of hearing impairment in Sultan Agung Islamic Hospital Semarang.


Author(s):  
Tri Wahyuni ◽  
Suherman Suherman ◽  
Nazarwin Saputra ◽  
Istianah Surury

The world is undergoing the new pandemic named COVID-19 of early 2020 announced in China and all over the world and infect more than 10 million people in the world (incidence rate 1.3). Indonesia has the number of cases 28.818 per June 04, 2020, with a CFR of 6%, the highest in Southeast Asia. Besides confirming the case, the suspect like ODP, PDP, and OTG should also be monitored. Although the number of cases and suspects in the Kebayoran Baru district is not the highest in South Jakarta, as the center of South Jakarta where many offices and high mobility, and the population is not as much as another district, so the possible transmission of COVID-19 in Kebayoran Baru still high. To find out the relationship between age, sex, comorbid hypertension, diabetes mellitus, and heart disease with the severity of symptoms in COVID-19 suspect of Kebayoran Baru district March – June 2020. The design of this study used cross-sectional secondary data of COVID-19 suspect monitoring in Community Health Center Kebayoran Baru. Analysis with chi-square 0.005. Statistical results of COVID-19 suspects in the Kebayoran Baru district are 44% having symptoms. The research suggests that a significant relationship between age, hypertension comorbid, diabetes mellitus comorbid, and heart disease with the symptoms. While sex has no significant relation with symptoms. The government should have more attention to protect people that having comorbid such as hypertension, diabetes mellitus, or heart disease.


2020 ◽  
Vol 9 (8) ◽  
pp. e980986871
Author(s):  
Lucas Nunes de Brito Silva ◽  
Ingrid Torres de Almeida ◽  
Matheus Corrêa da Silva ◽  
Lucya Giselle Costa Moreira ◽  
Eryck Canabarra Ávila ◽  
...  

Introdução: Angina de Ludwig (AL) é uma infecção da cabeça e pescoço, potencialmente fatal, que acomete os espaços fáscias submandibulares, sublinguais e submentoniano. A diabetes mellitus (DM), por suas repercussões imunológicas e microvasculares, pode predispor a AL ou modificar a resposta do paciente a essa infecção. Objetivo: avaliar o impacto da diabetes melittus nos pacientes com AL. Metodologia Trata-se de uma revisão de literatura na qual foi proposta uma estratégia de busca que utilizou, como base de dados, o MEDLINE, acessado via PUBMED, limitada ao idioma inglês e a publicações do período de 1954 a 2020. Na pesquisa foram utilizados os seguintes descritores: “Ludwig’s angina” e “diabetes”. Incluíram-se relatos de caso e estudos observacionais que abordavam a angina de Ludwig em pacientes diabéticos. Resultados: foram encontrados 26 artigos e, após a leitura dos seus resumos, foram eliminados 12 artigos que não estabeleceram nenhuma relação entre AL e DM. Em relação ao tempo de internação hospitalar, os pacientes diagnosticados com hiperglicemia passam mais dias no hospital, devido a complicações e acompanhamento clínico. As bactérias do gênero Klebsiella pneumoniae foram encontradas em maior quantidade na cultura de pacientes diabéticos. A terapêutica medicamentosa mais utilizada empiricamente foi a associação entre amoxicilina, clavulanato de potássio e metronidazol. Conclusão: é possível observar que a Angina de Ludwig tem seu curso clínico modificado pela diabetes mellitus. As complicações envolvendo a associação DM e AL ocorrem tanto em pacientes diabéticos sem controle glicêmico, como naqueles diabéticos controlados, ainda que em menor grau.


Author(s):  
P. Infante-Cossio ◽  
E. Fernandez-Hinojosa ◽  
MA. Mangas-Cruz ◽  
LM. Gonzalez-Perez

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