Clinical and thoracic radiography features determine patient outcome in young and middle age adults with COVID-19

Background: The new coronavirus disease 2019 (COVID-19) emerged in Wuhan, China, in December 2019. Researchers described COVID-19 mortality risk factors as being elderly, male, having comorbidities, and in some ethnicities. Some authors validated the use of first chest x-ray (CXR) severity scores (CSE) as an independent indicator of poor outcomes with COVID-19. Our objective was to evaluate the clinical and CXR findings as predictors of poor outcomes (death, needing intubation, Intensive Care Unit (ICU) admission) in patients with COVID-19. Methods: We performed a retrospective study of case-controls using a sample size of 60 patients admitted with the diagnosis of COVID-19 during the period of July-August 2020 to the Cuban Hospital in Qatar, as determined with the free online OpenEpi software (https://www.openepi.com/SampleSize/SSCC.htm). We defined cases as patients with a complication like death, needing intubation, ICU admission, or organ failure, and controls as patients who did not demonstrate the described complications. The dependent variables used were patient evolution divided into poor outcome or good outcome. The independent variables used were age, history of diabetes mellitus type II, and high blood pressure (HBP), CSE, and white blood count (WBC). The bivariate analysis was performed using the Chi-Square test or Fisher exact test. Multivariate analysis was done using binary logistic regression (IBM SPSS software 25). The results are expressed in Odds Ratio with p-value < 0.05 defined as statistically significant. Results: The bivariate analysis showed being older, having a history of HBP, diabetes, abnormal WBC, and high CSE were linked to poor outcome (p < 0.05) . The multivariate analysis defined WBC and CSE with independent influence over the patient evolution . Conclusion: We demonstrated that the value of WBC and CSE are predictors of poor outcome in patients with COVID-19. WBC increases the possibility of the described complications in COVID-19 patients 68,634 times and CSE 12,201 times.

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DETERMINAN DISMENOREA DI SMAN 2 BAGAN SINEMBAH KABUPATEN ROKAN HILIR

Jurnal Endurance ◽

10.22216/jen.v3i1.1664 ◽

2018 ◽

Vol 3 (1) ◽

pp. 61

Author(s):

Juliana Juliana

Keyword(s):

Multivariate Analysis ◽

Nutritional Status ◽

Univariate Analysis ◽

Bivariate Analysis ◽

P Value ◽

Cross Sectional ◽

Eating Pattern ◽

Sport History ◽

History Of ◽

Gynecological Disorder

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=<0.000), the habit of doing sport (p=<0.000), history of family (p=<0.000), and nutritional status (p=<0.000), while the result of multivariate analysis showed that nutritional status had p-value=0.000 (p<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 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=<0,000), kebiasaan olahraga (p=<0,000), riwayat keluarga (p=<0,000) dan status gizi (p=<0,000), sedangkan analisis multivariat menunjukkan status gizimemiliki nilai p=0,000 (p<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.

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Kesediaan Vaksinasi HPV pada Remaja Putri Ditinjau dari Faktor Orang Tua

Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) ◽

10.26699/jnk.v7i2.art.p213-222 ◽

2020 ◽

Vol 7 (2) ◽

pp. 213-222

Author(s):

Nonik Ayu Wantini ◽

Novi Indrayani

Keyword(s):

Adolescent Girls ◽

Emotional Support ◽

Parental Support ◽

Hpv Vaccination ◽

Information Support ◽

Bivariate Analysis ◽

P Value ◽

Fisher Exact Test ◽

Chi Square ◽

Cross Sectional

Infeksi HPV dan pre kanker serviks (sel-sel abnormal pada leher rahim yang dapat menyebabkan kanker) telah menurun secara signifikan sejak vaksin HPV digunakan.Cakupan vaksinasi HPV masih rendah di Indonesia.Orang tua adalah pemegang tanggung jawab dan kewajiban utama di dalam penjaminan pemenuhan hak dasar anak untuk mendapatkan vaksinasi. Tujuan penelitian adalah untuk mengetahui faktor yang berhubungan (sikap, kepercayaan, dukungan orang tua) dengan kesediaan vaksinasi pada remaja putri. Jenis penelitian adalah survey analitik dengan pendekatan cross sectional. Penelitian dilaksanakan di SD Muhammadiyah Macanan, Ngemplak dan SMPN 1 Berbah, Sleman pada Mei-Juli 2019. Jumlah sampel 127 remaja putri beserta orang tuanya dipilih dengan accidental sampling. Instrumen kuesioner dan telah dilakukan uji validitas. Analisis bivariat dengan uji chi square (dukungan instrumen, emosional, kepercayaan orang tua) dan uji fisher exact (dukungan informasi dan sikap). Hasil penelitian menunjukkan 92,9% orang tua tidak memberikan dukungan informasi, 85% tidak memberikan dukungan instrumen, 75,6% memberikan dukungan emosional kepada putrinya terkait vaksinasi. Faktor yang berhubungan dengan kesediaan vaksinasi adalah dukungan instrumen (p-value = 0,048). Faktor yang menjadi pertimbangan terbanyak orang tua untuk mengijinkan anaknya di vaksinasi adalah keamanan vaksin (81,1%). Kesimpulan: Ada hubungan dukungan instrumen orang tua dengan kesediaan vaksinasi HPV pada remaja putri. HPV infections and cervical precancers (abnormal cells on the cervix that can lead to cancer) have dropped significantly since HPV vaccine has been in use. HPV vaccination coverage is still low in Indonesia. Parents are the main responsibility and obligation in guaranteeing the fulfillment of the child's basic rights to get a vaccination. The purpose of this study was to determine the related factors (attitudes, beliefs, parental support) with the willingness to participate in HPV vaccination among adolescent girls. This type of the study was analytic survey with cross sectional approach. The study was conducted at SD Muhammadiyah Macanan, Ngemplak and SMPN 1 Berbah, Sleman in May-July 2019. The sample was 127 adolescent girl and their parents selected by accidental sampling. The instrument used questionnaire and already undergone validity test. The bivariate analysis used chi square test (instrument and emotional support, parental trust) and fisher exact test (information support and attitude). The results showed 92.9% of parents did not provide information support, 85% did not provide instrument support, 75.6% provided emotional support to their daughters related to vaccination. Factors related to the willingness of vaccinations were instrument support (p-value = 0.048). The factor that was considered by most parents to allow their children to be vaccinated was vaccine safety (81.1%). Conclusion: There was a correlation between parental instrument support and HPV vaccination willingness of adolescent girls.

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Long-term outcomes of pediatric arteriovenous malformations: the 30-year Pittsburgh experience

Journal of Neurosurgery Pediatrics ◽

10.3171/2020.3.peds19614 ◽

2020 ◽

Vol 26 (3) ◽

pp. 275-282

Author(s):

Michael M. McDowell ◽

Nitin Agarwal ◽

Gordon Mao ◽

Stephen Johnson ◽

Hideyuki Kano ◽

...

Keyword(s):

Multivariate Analysis ◽

Arteriovenous Malformations ◽

Multimodality Treatment ◽

Treatment Choice ◽

University Of Pittsburgh ◽

Poor Outcome ◽

Poor Outcomes ◽

The University

OBJECTIVEThe study of pediatric arteriovenous malformations (pAVMs) is complicated by the rarity of the entity. Treatment choice has often been affected by the availability of different modalities and the experience of the providers present. The University of Pittsburgh experience of multimodality treatment of pAVMs is presented.METHODSThe authors conducted a retrospective cohort study examining 212 patients with pAVM presenting to the University of Pittsburgh between 1988 and 2018, during which patients had access to surgical, endovascular, and radiosurgical options. Univariate analysis was performed comparing good and poor outcomes. A poor outcome was defined as a modified Rankin Scale (mRS) score of ≥ 3. Multivariate analysis via logistic regression was performed on appropriate variables with a p value of ≤ 0.2. Seventy-five percent of the cohort had at least 3 years of follow-up.RESULTSFive patients (2.4%) did not receive any intervention, 131 (61.8%) had GKRS alone, 14 (6.6%) had craniotomies alone, and 2 (0.9%) had embolization alone. Twenty-two (10.4%) had embolization and Gamma Knife radiosurgery (GKRS); 20 (9.4%) had craniotomies and GKRS; 8 (3.8%) had embolization and craniotomies; and 10 (4.7%) had embolization, craniotomies, and GKRS. Thirty-one patients (14.6%) were found to have poor outcome on follow-up. The multivariate analysis performed in patients with poor outcomes was notable for associations with no treatment (OR 18.9, p = 0.02), hemorrhage requiring craniotomy for decompression alone (OR 6, p = 0.03), preoperative mRS score (OR 2.1, p = 0.004), and Spetzler-Martin score (OR 1.8, p = 0.0005). The mean follow-up was 79.7 ± 62.1 months. The confirmed radiographic obliteration rate was 79.4% and there were 5 recurrences found on average 9.5 years after treatment.CONCLUSIONSHigh rates of long-term functional independence (mRS score of ≤ 2) can be achieved with comprehensive multimodality treatment of pAVMs. At this center there was no difference in outcome based on treatment choice when accounting for factors such as Spetzler-Martin grade and presenting morbidity. Recurrences are rare but frequently occur years after treatment, emphasizing the need for long-term screening after obliteration.

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Analisis Perbedaan Posisi Meneran Miring Kiri dan Setengah Duduk Pada Ibu Bersalin Dengan Lama Kala II Di RSUD Dr. H. Moch Anshari Saleh Banjarmasin

Proceeding Of Sari Mulia University Midwifery National Seminars ◽

10.33859/psmumns.v0i1.22 ◽

2019 ◽

pp. 39-46

Author(s):

Dewi Pusparani Sinambela ◽

St. Hateriah

Keyword(s):

Univariate Analysis ◽

Data Retrieval ◽

Bivariate Analysis ◽

P Value ◽

Fisher Exact Test ◽

Exact Test ◽

Second Stage Of Labor ◽

Second Stage ◽

Long Time ◽

Second Stage Labor

Latar Belakang: Lama Kala II dalam persalinan yaitu jangka waktu mulai dari serviks berdilatasi penuh sampai dengan kelahiran bayi tidak boleh melebihi 2 jam pada primigravidan dan 1 jam pada multigravida. Pemilihan posisi melahirkan sangat dianjurkan untuk memberikan rasa nyaman pada ibu, posisi dapat membantu penurunan janin ke dasar panggul dan mempercepat proses persalinan. Dari data yang diperoleh bulan Januari 2018 jumlah persalinan kala II lama sebanyak 0,30% dari 240 persalinan normal.Tujuan: Menganalisis Perbedaan Posisi Meneran Miring Kiri dan Setengah Duduk Pada Ibu Bersalin Dengan Lama Kala II.Metode: Jenis penelitian ini adalah Analisis kuantitatif. Rancangan penelitian menggunakan quasi eksperiment. Populasi penelitian semua ibu bersalin di RSUD Dr. H. Moch Anshari Saleh Banjarmasin. Pengambilan sebanyak 30 responden. Pengambilan data dilakukan dengan menggunakan ceklist. Analisa data yang dilakukan adalah Analisa Univariat dan Analisa Bivariat dengan uji Fisher Exact Test.Hasil: Responden yang menggunakan posisi meneran miring kiri 15 orang (50%) dan setengah duduk sebanyak 15 orang (50%). Jumlah responden primipara yang mengalami persalinan kala II 60 menit sebanyak 12 orang (40,0%), primipara yang mengalami kala II 60 menit sebanyak 2 orang (6,7%) dan responden multipara yang mengalami kala II 30 menit sebanyak 16 orang (53,3%), multipara yang mengalami kala II 30 menit sebanyak 0 orang (0%) dari hasil uji Fisher Exact Test dengan nilai p sebesar 0,483.Simpulan: Tidak ada perbedaan posisi miring kiri dengan posisi setengah duduk terhadap kemajuan persalinan kala II di RSUD Dr. H. Moch. Anshari Saleh Banjarmasin. Kata Kunci: Lama Kala II, Persalinan, Posisi Meneran. Analysis of Different Left and Half Posisition Straining on Mother with Second Duration of Labour In RSUD Dr. H. Moch Anshari Saleh BanjarmasinABSTRACT Background: The duration of second stage of labor is the period from the full dilated cervix to the birth of the baby should not exceed 2 hours in primigravida and 1 hour in multigravida. Position selection is very beneficial for giving comfort to the mother, the position can help lower the fetus to the pelvic floor and improve labor. From the data obtained in January 2018 the number of prolonged second stage deliveries was 0.30% of 240 normal deliveries.Objective: Analyze the Differences in Position Meniring Left and Half Seated at the Maternity with Long Time II.Method: This type of research is quantitative analysis. The study design used quasi experiment. The study population of all mothers giving birth at Dr. RSUD H. Moch Anshari Saleh Banjarmasin. Taking as many as 30 respondents. Data retrieval is done using a checklist. Data analysis performed was Univariate Analysis and Bivariate Analysis with Fisher Exact Test.Results: Respondents who used the left oblique piercing position were 15 people (50%) and half sat as many as 15 people (50%). The number of primiparous respondents who increased labor at second time 60 minutes was 12 people (40.0%), primipara who added second stage 60 minutes as many as 2 people (6.7%) and multiparous respondents who used second time 30 minutes as many as 16 people (53.3%), multiparas who replaced time II 30 minutes as many as 0 people (0%) from the results of the Fisher Exact Test with a p value of 0.483.Conclusion: There was no difference in left oblique position with sitting position towards the progress of second stage labor in Dr. Hospital. H. Moch. Ansari Saleh Banjarmasin. Keywords : Second Duration, Labour, Straining Position

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P4157Coronary flow reserve but not ischemia is a strong predictor of mortality in 551 outpatients referred for stress myocardial perfusion by Rubidium-82 PET imaging

European Heart Journal ◽

10.1093/eurheartj/ehz745.0729 ◽

2019 ◽

Vol 40 (Supplement_1) ◽

Author(s):

N Tavares Poppi ◽

J Soares Junior ◽

J C Meneghetti ◽

B Mahler Mioto ◽

M C P Giorgi ◽

...

Keyword(s):

Multivariate Analysis ◽

Myocardial Perfusion ◽

Primary Endpoint ◽

Pet Imaging ◽

P Value ◽

Survival Curves ◽

Stress Myocardial Perfusion ◽

Flow Reserve ◽

History Of ◽

Rubidium 82

Abstract Background The assessment of myocardial ischemia in patients with suspected coronary artery disease (CAD) is encouraged by current guidelines. The ischemic burden is associated with impaired prognosis. Coronary flow reserve (CFR) is also an independent predictor of cardiovascular mortality but it is unclear which one of these two variables would be stronger to predict mortality. Purpose To evaluate the predictors of death in symptomatic stable patients with suspected CAD referred for stress myocardial perfusion (MP) Rubidium-82 PET imaging. Methods 551 consecutive patients (52% men, mean age 63 years) were enrolled in this study from February to October 2013. The primary endpoint was all-cause death. The event-free survival curves for the primary endpoint were obtained using the Kaplan-Meier method in four groups of patients based on whether ischemia was present and whether CRF was impaired (<2) (Figure). Univariate analysis was performed using Cox regression to identify the variables that were associated with mortality, and the Cox proportional-hazards regression model for the multivariate analysis adjustment. Results During a median follow-up period of 32 months there were 43 deaths giving an estimated cumulative event rate of 7.8%. Univariate predictors of death were: age, higher prevalence of DM and CKD, lower LVEF and BMI. Following a multivariate analysis, only CFR was independently associated with mortality (Table). Predictors of death Variable Univariate model Multivariate model HR (95% CI) P value HR (95% CI) P value Age 1.03 (1.00–1.06) 0.036 1.01 (0.99–1.04) 0.324 Male sex 1.41 (0.76–2.56) 0.277 0.96 (0.70–1.32) 0.809 History of DM 2.12 (1,13–3,97) 0.019 – – History of CKD 4.95 (2,66–9,20) <0.001 – – BMI <30 1.14 (1.05–1.22) <0.001 2.22 (0.93–5.26) 0.071 Rest LVEF, % 0.98 (0.96–0.99) 0.029 0.99 (0.98–1.01) 0.477 Ischemia, % 1.02 (0.97–1.06) 0.436 0.99 (0.91–1.10) 0.990 Ischemia ≥10% 1.33 (0.59–2.99) 0.488 0.90 (0.40–2.05) 0.806 CFR 0.26 (0.15–0.43) <0.001 0.27 (0.16–0.46) <0.001 LVEF = left ventricular ejection fraction. Survival curves for all-cause death. Conclusions In symptomatic outpatients with suspected CAD referred for stress MP Rubidium-82 PET imaging, CFR is the strongest predictor of mortality. Notably, neither the presence of ischemia nor the ischemic burden was associated with the outcome in question.

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HUBUNGAN ANTARA PARITAS, RIWAYAT KEHAMILAN,DAN ASUPAN KALSIUM DENGAN KEJADIAN PRE EKLAMPSIA BERAT

Jurnal Ilmu Keperawatan dan Kebidanan ◽

10.26751/jikk.v10i2.686 ◽

2019 ◽

Vol 10 (2) ◽

pp. 358

Author(s):

Diah Andriani ◽

Rusnoto Rusnoto

Keyword(s):

Pregnant Women ◽

Calcium Intake ◽

Severe Preeclampsia ◽

Influential Factor ◽

Bivariate Analysis ◽

P Value ◽

Pregnancy History ◽

History Of ◽

Relationship Of ◽

The Relationship

Latar Belakang: Preeklampsia/eklampsia merupakan salah satu penyebab utama morbiditas dan mortalitas perinatal di Indonesia. Sampai sekarang penyakit preeklamsia/eklamsia masih merupakan masalah kebidanan yang belum dapat erpecahkan secara tuntas. Preeklampsia merupakan penyakit yang angka kejadiannya di setiap negara berbeda-beda.Tujuan : Mengetahui hubungan paritas, riwayat kehamilan,dan asupan kalsium dengan kejadian pre eklampsia berat di UPT Puskesmas Jepang.Metode: Dalam penelitian ini yang menjadi populasi adalah semua ibu hamil yang melakukan ANC di Puskesmas Jepang Kecamatan Mejobo Kabupaten Kudus pada bulan Agustus 2017 sebanyak 30 ibu hamil.Sampel dalam penelitian ini adalah ibu hamil yang melakukan kunjungan ANC di Puskesmas Jepang Kecamatan Mejobo Kabupaten Kudus pada bulan Agustus 2017 sebanyak 30 orang. Analisis data menggunakan analisis univariat dan bivariat. Hasil penelitian Mayoritas responden memiliki paritas multipara sebanyak 18 orang (60%), dan yang primipara sebanyak 12 orang (40%). Mayoritas responden memiliki riwayat tidak pernah pre eklampsia berat sebanyak 16 orang (53,3%) dan yang pernah pre eklampsia berat sebanyak 14 orang (46,7%). Mayoritas responden memiliki asupan kalsium cukup sebanyak 18 orang (60%) dan yang asupan kalsium tidak cukup sebanyak 12 orang (40%). Mayoritas responden tidak pre eklampsia berat sebanyak 18 orang (60%) dan yang pre eklampsia berat sebanyak 12 orang (40%). Ada hubungan paritas dengan kejadian pre eklampsia berat di upt puskesmas jepang (p value = 0,001). Ada hubungan riwayat kehamilan dengan kejadian pre eklampsia berat di upt puskesmas jepang (p value = 0,001). Ada hubungan asupan kalsium dengan kejadian pre eklampsia berat di upt puskesmas jepang (p value = 0,009). Berdasarkan analisis regresi faktor yang paling berpengaruh dengan kejadian pre eklampsia berat adalah asupan kalsium (koefisien = 0,477). Kesimpulan Ada hubungan paritas, riwayat kehamilan dan asupan kalsium dengan kejadian pre eklampsia berat di UPT Puskesmas Jepang..Kata Kunci : Preeklampsia berat, paritas, riwayat kehamilan, asupan kalsiu ABSTRACT Background: Preeclampsia / eclampsia is one of the major causes of perinatal morbidity and mortality in Indonesia. Until now the disease of preeclampsia / eclampsia is still a matter of obstetrics that can not be eradicated completely. Preeclampsia is a disease whose number of events in each country is different. Objective: To determine the relationship of parity, pregnancy history, and calcium intake with the incidence of severe pre eclampsia Method: In this study the population is all pregnant women who do the ANC at the Health Center of Jepang District Mejobo Kudus Regency in August 2017 as many as 30 pregnant women. Samples in this study were pregnant women who visited the ANC at the Puskesmas Jepang District Mejobo Kudus District on in August 2017 as many as 30 people. Data analysis used univariate and bivariate analysis. Result of research Majority of respondents have multiparity parity as many as 18 people (60%), and primipara 12 (40%). The majority of respondents have a history of never preeclampsia as many as 16 people (53.3%) and who ever peb as many as 14 people (46.7%). The majority of respondents have enough intake of calcium as many as 18 people (60%) and who intake of calcium is not enough as many as 12 people (40%). The majority of respondents are not preeclampsia as many as 18 people (60%) and who preeclampsia as many as 12 people (40%). There is a parity relationship with the incidence of severe eclampsia in Puskesmas Jepang upt (p value = 0.001). There was a correlation of pregnancy history with severe pre eclampsia incidence at upt Puskesmas jepang (p value = 0,001). There is a correlation of calcium intake with severe pre eclampsia occurrence at UPT Puskesmas jepang (p value = 0,009). Based on regression analysis the most influential factor with severe pre eclampsia incidence was calcium intake (coefficient = 0.477). Conclusion There was a parity relationship, a history of pregnancy and calcium intake with severe preeclampsia events at the UPT Puskesmas Jepang. . Keywords: severe preeclampsia, parity, pregnancy history, calcium supplements

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Malignancy Risk Factors of Hydatidiform Mole

Indonesian Journal of Obstetrics and Gynecology ◽

10.32771/inajog.v7i2.581 ◽

2019 ◽

pp. 146-151

Author(s):

Akbar N D Saputra ◽

Agustria Z Shaleh ◽

Patiyus Agustiansyah ◽

Theodorus Theodorus

Keyword(s):

Risk Factors ◽

Multivariate Analysis ◽

Risk Factor ◽

Hydatidiform Mole ◽

Blood Type ◽

Bivariate Analysis ◽

Control Group ◽

Fisher Exact Test ◽

Independent Variable ◽

Β Hcg

Abstract Objective: to determine risk factors inhydatidiform mole patients who will develop into Gestational Trophoblast Neoplasm (GTN) in Dr.Mohammad Hoesin Hospital Palembang Method: An observational analytical study with case control design was conducted in Department of Obstetrics and Gynecology in Dr. Mohammad Hoesin Hospital Palembang / Faculty of Medicine Sriwijaya University Palembang from January 2017 to August 2017. The frequency and distribution of data are described in tables. Bivariate analysis was done to determine correlation between independent variable and dependent variable using Chi Square/Fisher Exact test and multivariate analysis was used to know which independent variable has the biggest influence to the occurrence of Gestational TrophoblastNeoplasm (GTN) post evacuation of hydatidiform mole. Data analysis was done using SPSS version 21.0. Results: There were 45 patients who fulfilled inclusion criteria with control group and case group ratio 1 : 2 (15 cases and 30 controls). Statistical analysis showed a significant correlation between patient age, pre-evacuation β HCG level, parity, and histopathologic appearance with occurrence of Gestational Trophoblast Neoplasm (GTN) after evacuation of hydatidiform mole (p <0,05). From multivariate analysis, it was found that pre-evacuation β HCG levels ≥ 134,182.5 mIU/ml was a risk factor of Gestational Trophoblast Neoplasm (OR = 77.008, p value = 0.004). Conclusion: Pre-evacuation β HCG levels ≥ 134,182.5 mIU / ml is a risk factor for the occurrence of Gestational Trophoblast Neoplasm (GTN). Keywords: Hydatidiform mole, GTN, age, pre-evacuation β HCG level, parity, uterine size, blood type, hysthopathology feature

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FAKTOR YANG BERHUBUNGAN DENGAN KADAR CHOLINESTERASE DARAH PEKERJA BAGIAN PENYEMPROTAN PT. ANGLO EASTERN PLANTIONS

JURNAL MUTIARA KESEHATAN MASYARAKAT ◽

10.51544/jmkm.v6i1.1917 ◽

2021 ◽

Vol 6 (1) ◽

pp. 1-9

Author(s):

Dian Maya Sari Siregar

Keyword(s):

Sampling Technique ◽

Bivariate Analysis ◽

P Value ◽

Fisher Exact Test ◽

Related Factors ◽

Cross Sectional ◽

Exact Test ◽

Analytical Research ◽

Field Workers ◽

Spraying Process

ABSTRACT The spraying process is a condition where workers are very likely to be exposed to toxic chemicals contained in pesticides. Problems encountered in the field, workers do not spray with the correct method and do not use a complete PPE. The danger that can occur when spraying is a disturbance in the enzyme Cholinesterase (CHE) in the blood. CHE is an enzyme that is in the body's tissues has a role to keep nerve cells, muscles and glands working properly. The purpose of this study was to determine the factors related to CHE levels in spraying workers. The research design used analytical research with cross sectional approach. The population was 30 spraying workers. The sampling technique used a total population of 30 people. Data analysis used univariate and bivariate analysis tested by Fisher Exact Test statistical test. Data obtained by questionnaire and examination of CHE levels through blood samples. The results with bivariate analysis revealed p-value of each variable, namely age .143>.05, gender 1,000>.05, education level .374>.05, years of service .071>.05, duration of exposure .02<.05, spraying method 0,000<.05, the last spraying time was .210>.05 and PPE .001 <.05. The conclusion shows that there is a relationship between the length of exposure to pesticides, how to spray and PPE with CHE levels. Keywords: Related Factors, Cholinesterase Levels, Spraying Workers

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Factors Related To Abortus Events In Mitra Medika Rsu Tanjung Mulia Medan In 2019

Human Care Journal ◽

10.32883/hcj.v5i3.581 ◽

2020 ◽

Vol 5 (3) ◽

pp. 631

Author(s):

Qori Armiza Septia

Keyword(s):

Pregnant Women ◽

Health Workers ◽

Statistical Tests ◽

World Health ◽

Bivariate Analysis ◽

P Value ◽

Contraceptive Failure ◽

Study Approach ◽

History Of ◽

Relationship Of

Abortion is an important problem in public health because it affects maternal morbidity and mortality. Based on data from the World Health Organization (WHO) in 2016, around 830 women die from pregnancy-related complications worldwide every day. During 2010-2014, an estimated 56 million abortions occur each year worldwide. The aim is to find out factors related to the abortion at Mitra Medika Tanjung Mulia Medan Hospital in 2019.<pre> This research uses a Mix Methods research with a Sequential Explanatory strategy. The approach used in quantitative retrospectives and qualitative uses a case study approach. The population in this study were all pregnant women who experienced abortion recorded in the medical records of Mitra Medika Hospital Tanjung Mulia Medan as many as 73 respondents. The sample in a quantitative approach of 73 respondents with the technique of Total Population while for qualitative 2 pregnant women who have abortion, 2 husbands, 1 midwife. Data collection is carried out with primary, secondary and tertiary data. Data analysis was performed by univariate, bivariate analysis. Qualitative data analysis with data reduction, data presentation, and drawing conclusions.</pre><pre> Data obtained from the results of statistical tests show there is a relationship between age and abortion p value 0.005, there is a relationship of work with abortion p value 0.017, there is a relationship of parity with abortion p value 0.022, there is a relationship between historical abortion with abortion p value 0.001. And there is no correlation between contraceptive failure and abortion p value 0.297. Qualitatively based on in-depth interviews with informants that the cause of the occurrence of abortion is due to the age of the mother at risk, a history of previous abortion and fatigue at work. Another factor related to the incidence of abortion is husband's support.</pre> The conclusion of this study is that there is a relationship between age, occupation, parity, history of abortion of pregnant women with abortion and there is no relationship between contraceptive failure of pregnant women with abortion in Mitra Medika Tanjung Mulia Hospital in 2019. It is expected that health workers can improve the quality of services in efforts to manage abortion and providing information about pre-conception preparation and health monitoring during pregnancy.

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Hubungan faktor sosiodemografi dengan kunjungan antenatal care

Jurnal Kebidanan dan Keperawatan Aisyiyah ◽

10.31101/jkk.221 ◽

2018 ◽

Vol 13 (1) ◽

pp. 55-61

Author(s):

Elika Puspitasari ◽

Mochammad Hakimi ◽

Evi Nurhidayati

Keyword(s):

Logistic Regression ◽

Multivariate Analysis ◽

Antenatal Care ◽

Bivariate Analysis ◽

P Value ◽

Cross Sectional ◽

Care Visit ◽

Regression Test ◽

Cross Sectional Design ◽

Logistic Regression Test

Abstact: The purpose of this study was to investigate the association ofsociodemographic factors with antenatal care visits. Types of analyticsurvey research with cross sectional design. Sampling with quota samplingwas obtained 100 trimester pregnant women 3. Bivariate analysis usingchi-square test. Multivariate analysis with logistic regression test. Theresults showed that the factors unrelated to ANC were Age (p-value =0.46), occupation (p-value = 0,55), knowledge (p-value = 0.88), andincome -value = 0.22). While the factors of education and distance ofpregnancy is related to antenatal care visit (p-value <0,02). ConclusionsAge, occupation, knowledge and income are unrelated to antenatal visitswhereas education and pregnancy distances are related to antenatal carevisits.

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