scholarly journals Analysis of Environmental Factors with Chronic Diarrhea in Toddlers in Jambi City in 2019

2020 ◽  
Vol 2 (4) ◽  
pp. 300-310
Author(s):  
Eko Misriyanto ◽  
Rico J. Sitorus ◽  
Misnaniarti
Keyword(s):  
Logistic Regression ◽  
Diarrheal Disease ◽  
Chronic Diarrhea ◽  
Growth Failure ◽  
The Body ◽  
P Value ◽  
Multiple Logistic Regression ◽  
Chi Square ◽  
Confidence Degree ◽  
The Impact

Chronic diarrhea is defecation with a frequency of 3 or more times in infants and children lasting for 14 days. The impact of diarrheal disease in general causes loss of fluid in the body (dehydration) and chronic diarrhea can cause a child to experience poor nutritional status and experience growth failure. This study uses a case-control design using a retrospective approach. The number of samples in this study was 135 respondents. Instruments for collecting data in the form of questionnaires and observations. Data were analyzed by univariate, bivariate using the Chi-Square test, and multivariate analysis with multiple logistic regression. The statistical test results obtained p-value on the variables of clean water supply (0.007), latrine ownership (0.001), sewerage system (0.04), confidence degree 95% Confidence Interval (95% CI) and p-value ˂ 0, 05, it can be concluded that there is a significant relationship with chronic diarrheal disease in infants. The results of multiple logistic regression tests, on the variable wastewater discharge obtained OR = 3.801, meaning that sewerage is closely related to causing chronic diarrheal disease in infants.

scholarly journals Hubungan Kebiasaan Makan Pagi (Sarapan) Dengan Status Gizi Anak Usia Sekolah Di SD Muhammadiyah Terpadu Ponorogo

2020 ◽  
Vol 5 (2) ◽  
Author(s):  
Siti Munawaroh ◽  
Elmie Muftiana ◽  
Yayuk Dwirahayu
Keyword(s):  
Elementary School ◽  
Nutritional Status ◽  
The Body ◽  
School Age Children ◽  
Bivariate Analysis ◽  
P Value ◽  
School Age ◽  
Chi Square ◽  
Chi Square Test ◽  
The Impact

Objective: Elementary school age children nutrition problems are the impact of an imbalance between food intake and nutrients released by the body. This can be caused by not having breakfast habits. Eating breakfast has the benefit of maintaining endurance and increasing learning concentration. The breakfast habit provides the energy and nutrients needed to carry out various activities throughout the day such as school, study, and play optimally. This study aims to determine the relationship between breakfast habits and nutritional status of elementary school children.Methods: This research was conducted at SD Muhammadiyah Terpadu Ponorogo class 4 and 5 with a sample of 113 students. The measuring instrument used was a questionnaire to explore the variables of breakfast habits, while to determine the nutritional status of students using a weighing scale. Nutritional status was calculated IMT/U. The bivariate analysis test used the Chi Square test of significance level 0.05Results: Chi square test results obtained p-value 0.406 means that there is no relationship between breakfast habits and nutritional status of school age children at SD Muhammadiyah Terpadu Ponorogo. Many factors influence nutritional status. Respondents do not usually eat breakfast, but during recess they eat by buying a canteen and in their daily life they like to eat vegetables and fruit so there is no problem with nutritional intake.Conclusion: Researchers recommend to the next researchers to dig deeper about the composition of the food at the time the respondent had breakfast.  

scholarly journals RELATIONSHIP OF ADOLESCENTS BEHAVIOR TO CONSUMPTION OF SOFT DRINKS IN SMPN 5 PEKANBARU YEAR 2016

1930 ◽  
Vol 7 (02) ◽  
pp. 53-60
Author(s):  
Alhidayati ◽  
Nurhapipa ◽  
Rahma Putri
Keyword(s):  
Negative Impact ◽  
Calcium Deficiency ◽  
Soft Drinks ◽  
The Body ◽  
P Value ◽  
Negative Effects ◽  
Chi Square ◽  
Cross Sectional ◽  
The Impact

Behavior consumption of soft drinks are the actions or deeds regarding how often consume soft drinks per week is calculated. Carbonated drinks consumption habits will have a negative impact when it accumulates in the long term. Have been many studies that explain the negative effects of soft drinks, including carcinogenic benzene in soft drinks is very high, high phosphate content of vital minerals in the body that can trigger heart disease (magnesiumdeficiency), osteoporosis (calcium deficiency) and more. Based on the survey results of the sale of soft drinks in the cafeteria, 5 schools with the highest sales level, is SMP N 5 Pekanbaru selling 6-7 boxes per month. This type of research is quantitative with cross sectional design which was held on 16-18 May 2016 in SMP N 5 Pekanbaru. The population of this research is all student grades 7 and 8 SMP N 5 Pekanbaru which amounted to 541 people, with a sample size of 115 people. Data collected technique by stratified random sampling use questionnaire measuring instrument. Univariate data analysis and use your bivariate chi-square test. The results showed that there was a relationship between the knowledge obtained value (p value = 0.001 value POR = 2.14), Effect of friends (p value = 0.006 value POR = 3.45), Access (p value = 0.029 value POR = 2.70), And advertisement (p value = 0:01 value POR = 3.20) with the consumption of soft drinks. Suggested to the relevant instance, that is SMP N 5 Pekanbaru to provide education and information to as many students on the impact of consuming soft drinks for health when consumed in the long term and excessive, and form healthy canteen, or supervise the beverage products , to minimize the beverage products are bad for health.

scholarly journals PENGETAHUAN,SIKAP DAN PERILAKU PENGGUNAAN MASKER DALAM UPAYA PENCEGAHAN ISPA PADA JEMAAH HAJI INDONESIA DI ARAB SAUDI TAHUN 2016

2018 ◽  
Vol 21 (3) ◽  
pp. 179-187
Author(s):  
Rustika Rustika ◽  
Esny Burase
Keyword(s):  
Logistic Regression ◽  
Multivariate Analysis ◽  
Odds Ratio ◽  
P Value ◽  
Multiple Logistic Regression ◽  
Chi Square ◽  
Cross Sectional ◽  
Regression Test ◽  
Logistic Regression Test ◽  
Attitude Variable

Since 2014, the program to provide masks for Hajj pilgrims from Indonesia in Saudi Arabia as one of the efforts to prevent ISPA, continues to be increased in 2015 Ministry of Health Perform Movement Use Mask (GERMAS). Based on this case, this research focuses on the relationship of Knowledge and Attitude with Mask Usage Behavior among Prayer Hajj Indonesia in Saudi Arabia Year 2016 in preventing the incidence of Acute Respiratory Tract Infection. The design used is cross sectional with quantitative approach. The population in this study is all pilgrims who perform the pilgrimage, amounting to 168,800 people with a sample of 163 respondents. Data analysis techniques include univariate analysis, bivariate analysis with Chi-Square test, and multivariate analysis using multiple logistic regression test. The result of bivariate selection shows that the knowledge variable has no significant correlation with relationship p-value is 0.284 > 0.05. Where as attitude variable have relationship because p-value value 0.000 < 0.05. In multivariate analysis multiple logistic regression test showed that attitude variable which has the most dominant significance with the mask use on haj pilgrims with p-value 0.000 <0.05 and Odds Ratio 3.558. This means that attitude that does not support the use of masks has a 3 times chance of experiencing ISPA events. Abstrak Sejak tahun 2014 program pemberian masker bagi jemaah haji asal Indonesia di Arab Saudi sebagai salah satu upaya pencegahan ISPA, terus ditingkatkan pada tahun 2015 Kementerian Kesehatan melakukan Gerakan Memakai Masker (GERMAS). Tujuan penelitian ini untuk melihat hubungan pengetahuan, sikap dengan tindakan penggunaan masker pada jemaah haji Indonesia. Desain yang digunakan cross sectional, dengan pendekatan kuantitatif. Populasi dalam penelitian adalah seluruh jemaah haji yang melakukan ibadah haji sebanyak 168.800 jiwa, sampel adalah jemaah haji Indonesia yang berada di Mekkah dan Madinah sebanyak 163 responden. Teknik analisis data meliputi analisis univariat, analisis bivariat dengan uji Chi-Square, dan analisis multivariat dengan menggunakan uji regresi logistik berganda. Hasil seleksi bivariat menunjukkan bahwa variabel pengetahuan tidak memiliki hubungan yang signifikan dimana nilai p-value 0,284 > 0,05, sedangkan variabel sikap memiliki hubungan karena nilai p-value 0,000 < 0,05. Pada analisis multivariat uji regresi logistik berganda diperoleh bahwa variabel sikap yang memiliki signifikansi paling dominan dengan penggunaan masker pada jemaah haji atau nilai p-value 0,000 < 0,05 dan Odds Ratio 3,558, artinya sikap yang tidak mendukung penggunaan masker berpeluang sebesar 3 kali mengalami kejadian ISPA.

scholarly journals Factors Associated with 0-28 Day Neonatal Mortality in Central Aceh Regency in 2020

2021 ◽  
Vol 2 (2) ◽  
pp. 38-49
Author(s):  
Asriwati Amirah ◽  
Thomson P Nadapdap ◽  
Suryani Suryani
Keyword(s):  
Logistic Regression ◽  
Neonatal Mortality ◽  
Maternal Age ◽  
P Value ◽  
Multiple Logistic Regression ◽  
Chi Square ◽  
Factors Associated ◽  
Regression Test ◽  
Chi Square Test ◽  
Logistic Regression Test

This study aims to determine the factors associated with neonatal mortality 0-28 days in Central Aceh District in 2020. This research is a quantitative study with a case control research design and uses a retrospective approach. The study population was all mothers giving birth whose babies died at the age of 0-28 days from January to December 2020. The sample in this study was 120 respondents consisting of 60 cases and 60 controls. The sampling technique used was total sampling. Data analysis using chi square test and multiple logistic regression test. The results of the bivariate analysis using the chi square test showed that there were 2 variables that were significantly related to neonatal mortality, namely the maternal age variable with p value = 0.012 and the pregnancy examination variable with p value = 0.047. The results of multivariate analysis with multiple logistic regression test showed that there were 3 variables that influenced neonatal mortality, namely the maternal age variable with a p value of 0.001, the birth spacing variable with a p value of 0.018 and the pregnancy examination variable with a p value of 0.018, while the most dominant variable affecting the incidence of death Neonatal age is the variable of maternal age with an OR value of 4.397.

scholarly journals RELATIONSHIP OF AGE, MENOPAUSE STATUS, AND BMI WITH THE EVENT OF BACTERIAL VAGINOSIS IN NEW PATIENTS OF PELVIC ORGAN PROLAPSE

2021 ◽  
Vol 4 (2) ◽  
pp. 109
Author(s):  
Atmi Marmiati ◽  
Pungky Mulawardhana ◽  
Zakiyatul Faizah
Keyword(s):  
Logistic Regression ◽  
Pelvic Organ Prolapse ◽  
Maternal Age ◽  
Menopausal Status ◽  
Pelvic Organ ◽  
P Value ◽  
Multiple Logistic Regression ◽  
Chi Square ◽  
Exact Test ◽  
Relationship Of

AbstractBackground and Purpose : The prevalence of Bacterial Vaginosis (BV) among Asian women in India and Indonesia is 32% while in the case of BV in 2018 the obstetric clinic of Dr. Soetomo Regional Hospital is 181 BV sufferers. The impact of BV on Pelvic Organ Prolapse (POP) patients, namely the delay in POP treatment such as BV pessaries can be influenced by age, menopausal status, and BMI. This study aims to analyze the relationship of age, menopausal status, and BMI with the incidence of BV in POP patients. Methods: This study used observational analytics with a retrospective and cross sectional approach. The number of samples used was 86 patients. Samoel taking technique with total sampling. The independent variable is the incidence of BV, while the dependent variable is age, menopause status, BMI. Bivariate data analysis using chi square, fisher's exact test and multivariate test using multiple logistic regression tests. Results: The results showed a positive BV prevalence of 76.7% with the majority of patients aged over 60 years at 44.2%, having menopause at 81.4%, and having a BMI of 18.5-24.5 at 47.7%. Fisher's exact test analysis test showed p value of maternal age = 0.003 (RR = 6.398) and p value of BMI = 0.767 (p> 0.005). Chi square analysis test showed p value of menopause status = 0.009 (RR = 4.833). The multiple logistic regression analysis test showed that maternal age was the most dominant factor with a value of p = 0.006 (OR = 6.398 (1,711-23,929)). Conclusion: There is a relationship between age and menopausal status with the incidence of BV. Age is the most dominant independent factor in the incidence of BV.

scholarly journals Pengaruh Faktor Predisposisi, Faktor Pendorong Dan Faktor Pendukung Terhadap Pencatatan Rekam Medis di RSUD Dr. RM Djoelham Binjai

2021 ◽  
Vol 6 (2) ◽  
pp. 161-173
Author(s):  
Giyatno ◽  
Megawati
Keyword(s):  
Logistic Regression ◽  
Medical Record ◽  
Medical Records ◽  
P Value ◽  
Multiple Logistic Regression ◽  
Chi Square ◽  
Cross Sectional ◽  
Knowledge Variable ◽  
Chi Square Test ◽  
The Republic

Law of the Republic of Indonesia number: 29 of 2004 concerning Medical Practice, which includes the obligation of doctors and dentists to make medical records. The results of the evaluation of the completeness of medical records in RSUD Dr. RM Djoelham Binjai still found incomplete medical record files. This study aims to determine the effect of predisposing factors (knowledge, attitudes), driving factors (support from other officers) and supporting factors (facilities and facilities, regulations) on the behavior of doctors in recording medical records. The research design used in this study was a descriptive analytic survey with a cross sectional design, a sample of 29 doctors and quantitative data analysis with univariate, bivariate and multivariate analysis. Based on the results of the chi square test, it was obtained that Knowledge variable p = 0.001, Attitude power p = 0.002, other support staff p = 0.000, facilities and facilities p = 0.002 and settings p = 0.007 multivariate test showed that of the 5 variables tested multiple logistic regression showed variable which has a p-value > 0.05. Based on the results of the multiple logistic regression test, the significant value of the model together was obtained at 0.002 < 0.05, which means that the four variables used as models have a significant influence on Medical Record Recording, the factor that has the greatest influence on Medical Record Recording is the Support Personnel variable. Others are indicated by an OR value of 0.062. The conclusion in this study is that there is an influence, Knowledge, Attitude, Support of Other Personnel, Facilities and Facilities, and Regulations on the Completeness of Medical Record Recording. It is hoped that doctors do not delay in recording complete medical records.

Faktor Risiko Kematian Neonatal Di Kabupaten Timor Tengah Selatan dan Sumba Timur

2019 ◽  
Vol 2 (2) ◽  
Author(s):  
Masrida Sinaga ◽  
Keristina Br. Ginting
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
Neonatal Death ◽  
Low Birthweight ◽  
P Value ◽  
Multiple Logistic Regression ◽  
Chi Square ◽  
Neonatal Deaths ◽  
Regression Test ◽  
Logistic Regression Test

Angka Kematian Bayi (AKB) sampai saat ini masih tinggi di Indonesia, dan Provinsi Nusa Tenggara Timur (Provinsi NTT) merupakan salah satu penyumbang tingginya AKB tersebut, paling tinggi angka di Kab. Sumba Timur dan Timor Tengah Selatan. Kematian neonatal bisa terjadi karena faktor risiko pada ibu dan juga anak. Tujuan penelitian ini untuk menganalisa faktor-faktor yang berpengaruh terhadap kematian neonatal, agar dapat dikembangkan model pengendaliannya. Penelitian menggunakan desain kasus kontrol, dengan populasi adalah semua bayi baru lahir yang bersalin di dan tercatat di RSUD dan Puskesmas perawatan yang berlokasi di Kabupaten TTS dan Sumba Timur pada tahun 2016. Sampel kasus adalah 116 kasus kematian neonatal, dan kontrol adalah 232 neonatal hidup yang merupakan tetangga terdekat kasus dengan status sosial ekonomi yang disamakan. Data dianalisis secara deskriptif dan inferensial, yakni analisis data univariabel, bivariabel (uji chi-square), dan multivariabel (uji regresi logistik ganda). Hasil penelitian menunjukkan bahwa sebagian besar kematian neonatal di Kab. TTS (81,7%) dan Kab. Sumba Timur (86,4%) terjadi pada neonatal dini, sebagian besar disebabkan asfiksia (69,2%). Faktor risiko ibu yang berhubungan dengan kematian neonatal adalah tingkat pendidikan ibu (p-value = 0,02), status gizi (anemi/KEK) (p-value = 0,000), komplikasi (p-value = 0,000), dan praktek ANC (p-value = 0,000). Semua faktor risiko anak yang diteliti yakni prematuritas (p-value = 0,000), berat bayi lahir (p-value = 0,000), asfiksia (p-value = 0,000) dan infeksi (p-value = 0,000) berhubungan dengan kematian neonatal. Sebagian besar bayi yang lahir dengan BBLR (65,5%), dengan asfiksia (69,0%) mengalami kematian neonatal. Hasil uji regresi logistik ganda menunjukkan bahwa komplikasi pada ibu (p-value = 0,000), anemi (p-value = 0,01), asfiksia (p-value = 0,000), BBLR (p-value = 0,001) dan prematuritas (p-value=0,012) merupakan faktor yang paling berisiko terhadap kematian neonatal. Perlu upaya pencegahan komplikasi pada ibu hamil/melahirkan dan peningkatan kesehatan serta status gizi ibu sebelum dan saat hamil, agar anak yang dilahirkan tidak BBLR, asfiksia, dan prematur, sehingga kematian neonatal bisa dicegah.   Infant Mortality Ratio (MMR) in Indonesia remains high, and the Province of Nusa Tenggara Timur (NTT) is one of the contributors to the high IMR, the highest mortality occurred in the districts of Sumba Timur and Timor Tengah Selatan. Neonatal deaths are due to risk factors faced by women and children. The objective of this research is to analyze factors influencing neonatal death, which serve to contribute to the development of a control model. This research employs control case design, where the population consists of all neonates born (and recorded) at district hospitals and inpatient health centers located in the districts of Timor Tengah Selatan and Sumba Timur, within the year of 2016. The sample consists 116 neonatal deaths, and the control consists of 232 live neonates within the closest neighborhood, with equated socio-economic status. Data are analyzed descriptively and inferentially, through uni-variable, bi-variable (chi-square-test), and multi-variable (multiple logistic regression test) analyses. Results of this research show that most neonatal death in TTS (81.7%) and Sumba Timur (86.4%) districts occurred within the early neonates, and those are mostly caused by asphyxia (69.2%). Risk factors faced by women relevant to neonatal deaths are women’s level of education (p-value = 0.02), nutritional status (anemia/Chronic Energy Deficiency) (p-value = 0.000), complication (p-value = 0.000), and ANC practice (p-value = 0.000). All researched risk factors raced by neonates are prematurity (p-value = 0.000), birthweight (p-value = 0.000), asphyxia (p-value = 0.000) and neonatal death related infection (p-value = 0,000). Most of infants are born with Low Birthweight (65.5%), and asphyxia (69.0%) died as neonates. Results of multiple logistic regression test show that complication suffered by women (p-value = 0.000), anemia (p-value = 0.01), asphyxia (p-value = 0.000), Low Birthweight (p-value = 0.001) and prematurity (p-value = 0.012) are the highest risk factors for neonatal deaths. Prevention of complication among pregnant women/women in labor and improvement of nutritional status of women before and during pregnancy are required to ensure that infants are not born with low birthweight, asphyxia, and prematurely, which in turn prevent neonatal deaths.

scholarly journals Faktor Risiko Pasien Batu Ginjal Rawat Jalan RSUD Dr. Doris Sylvanus Palangkaraya

2018 ◽  
Vol 4 (2) ◽  
pp. 97
Author(s):  
Yetti Wira Citerawati SY ◽  
Erma Nurjanah Widiastuti ◽  
Retno Ayu Hapsari
Keyword(s):  
Logistic Regression ◽  
Kidney Stones ◽  
Kidney Stone ◽  
Public Hospital ◽  
Bivariate Analysis ◽  
P Value ◽  
Multiple Logistic Regression ◽  
Chi Square ◽  
Cross Sectional ◽  
Dietary Compliance

Abstract: Risk Factors Of Outpatient With Kidney Stone In Dr. Doris Sylvanus Regional Public Hospital Of Palangkaraya . Kidney stones are crystalline structures in the urinary tract that have achieved sufficient size to cause symptoms (Alla, 2008). The most commonly formed kidney stones is calcium oxalate stones (80%). Based on data on the number of new cases in 2015 obtained on Medical Record Installation at Dr. Doris Sylvanus Regional Public Hospital of Palangka Raya was 1212 people during the period of January to December, thus the average patient was approximately 101 monthly. The research purpose was to understanding the relationship of intake (oxalate, protein, calcium, fluid), activity and level of knowledge with dietary compliance of kidney stone patients at Dr. Doris Sylvanus Regional Public Hospital of Palangka Raya. A cross sectional design was used in this research and subjects of the study were outpatients with kidney stones in Urology Medicine Polyclinic of Dr. Doris Sylvanus Regional Public Hospital of Palangka Raya. Chi Square test was conducted for bivariate analysis, furthemore, multiple logistic regression test was used for multivariate. The result of bivariate analysis showed that there was a significant relationship between fluid intake and activity with dietary compliance of kidney stone patients (p value = 0,05 and p value = 0,001), while there was no significant relationship in other variable such as oxalate intake , protein, calcium and level of knowledge. The results of multiple regression logistic test showed that the most influencing variable of dietary compliance of outpatients with kidney stones in Dr. Doris Sylvanus Regional Public Hospital of Palangka Raya is activity variable ( p value = 0,001).Abstrak: Faktor Risiko Pasien Batu Ginjal Rawat Jalan RSUD Dr. Doris Sylvanus Palangkaraya.  Batu ginjal merupakan terbentuknya struktur kristal di saluran kemih yang telah mencapai ukuran cukup sehingga menimbulkan gejala (Alla, 2008). Batu ginjal yang paling sering terbentuk adalah batu kalsium oksalat (80%). Kasus baru pada tahun 2015 di RSUD Dr. Doris Sylvanus dari Januari hingga Desember sebanyak 1212 orang, sehingga rata-rata pasien perbulannya 101 orang. Tujuan penelitian untuk mengetahui hubungan asupan (oksalat, protein, kalsium,cairan), aktivitas dan pengetahuan dengan kepatuhan diet pasien batu ginjal rawat jalan Di RSUD Dr. Doris Sylvanus. Desain cross sectional dengan subjek penelitian pasien batu ginjal yang menjalani rawat jalan di Poli Urologi RSUD Dr. Doris Sylvanus. Analisis menggunakan uji Chi Square dan multiple logistic regression. Hasil menunjukkan terdapat hubungan yang bermakna antara asupan cairan dan aktivitas dengan kepatuhan diet pasien batu ginjal (p=0,05 dan p= 0,001). Sedangkan yang tidak berhubungan adalah asupan oksalat, protein, kalsium dan pengetahuan. Hasil analisis menggunakan multiple logistic regression menunjukkan bahwa variabel yang paling mempengaruhi kepatuhan diet adalah aktivitas (p=0,001).

HUBUNGAN PEMBERIAN ASI EKSKLUSIF DENGAN KEJADIAN STUNTING PADA BALITA USIA 1-5 TAHUN DIPUSKESMAS SUKAHENING KECAMATAN SUKAHENING KABUPATEN TASIKMALAYA

2020 ◽  
Vol 13 (2) ◽  
pp. 109
Author(s):  
Yuyun Sarinengsih
Keyword(s):  
Public Health ◽  
Health Center ◽  
Exclusive Breastfeeding ◽  
Growth Failure ◽  
Sampling Technique ◽  
Not Given ◽  
Chi Square ◽  
Cross Sectional ◽  
Public Health Center ◽  
The Impact

ABSTRAKStunting yaitu keadaan gagal tumbuh akibat dari kekurangan gizi kronis. Prevalensi stunting di Kabupaten Tasikmalaya menempati urutan keempat, dimana kecamatan Sukahening menempati urutan pertama tertinggi dengan jumlah 155 balita mengalami stunting. Faktor yang dapat mempengaruhi kejadian stunting yaitu pengasuhan anak yang kurang baik dimana tidak diberikannya ASI secara Ekslusif. Pencegahan stunting yaitu pada 1000 hari kehidupan dimana salah satunya pemberian ASI secara Ekslusif.Penelitian ini bertujuan untuk mengetahui hubungan antara pemberian ASI Ekslusif dengan kejadian stunting pada balita 1-5 tahun di Puskesmas Sukahening Kecamatan Sukahening Kabupaten Tasikmalaya.Jenis Penelitian yang digunakan adalah deskriptif korelasional dengan pendekatan cross-sectional. Populasi total sampling sebanyak 95 responden menggunakan teknik purposive sampling.Hasil Penelitian diperoleh lebih dari setengah responden 51,6% tidak diberikan ASI secara Ekslusif, dan sebagian besar 65,3% balita mengalami stunting. Hasil perhitungan chi-square diperoleh ρ.value (0,000<0,05) maka H0 ditolak sehingga terdapat hubungan antara Pemberian ASI Ekslusif dengan kejadian stunting pada balita 1-5 tahun di Puskesmas Sukahening Kecamatan Sukahening Kabupaten Tasikmalaya.Hasil penelitian ini diharapkan dapat memberi informasi yang bermanfaat dan perlu dilakukan pendidikan kesehatan ulang yang terjadwal terkait nutrisi yang terjangkau dan sehat sehingga dapat meningkatkan cakupan ASI Ekslusif dan dapat menurunkan angka stunting.Kata Kunci : ASI Ekslusif, StuntingDaftar Pustaka : 25 buku (2010-2018)9 jurnal (2013-2019)2 Website (2010-2017) ABSTRACTStunting is a condition of growth failure due to chronic malnutrition. The stunting prevalence in Tasikmalaya Regency was at the fourth place where Sukahening sub-district was at the highest with 155 stunting. Factor that can influence the occurrence of stunting is a poor parenting where exclusive breastfeeding is not given. The best prevention of stunting is on 1000 days of life where exclusive breastfeeding is given. The impact, if the baby is not given exclusive breastfeeding, they will lack of nutrition and also will have an impact on the growth or inappropriate height. This aims of the research is to determine the relationship between exclusive breastfeeding and the incidence of stunting on toddler under 5 years of at Sukahening Public Health Center, Sukahening Sub district, Tasikmalaya Regency. The type of research used is descriptive correlation with a cross-sectional approach. The total samplings were 95 respondents which used purposive sampling technique. The results of the research were obtained more than half of the respondents 51.6% were given exclusive breastfeeding, and most 65.3% of children under five had stunting. The chi-square calculation results obtained that ρ.value (0,000 <0,05) then H0 is rejected so that there is a relationship between exclusive breastfeeding and the incidence of stunting on toddlers under 5 years in Sukahening Public Health Center, Sukahening Sub district, Tasikmalaya Regency. Performed the health education related to affordable and healthy nutrition so that it can increase the coverage of exclusive breastfeeding and can reduce stunting rates. Keywords : Exclusive breastfeeding, Stunting Bibliography : 25 books (2010-2018) 9 journals (2013-2019) 2 Websites (2010-2017) 

The impact of SPY angiography on intraoperative decision making and outcomes for post-mastectomy reconstruction

2019 ◽  
pp. 1-5
Keyword(s):  
Decision Making ◽  
Logistic Regression ◽  
Skin Necrosis ◽  
Regression Models ◽  
Multivariable Analysis ◽  
P Value ◽  
Flap Necrosis ◽  
Single Institution ◽  
Logistic Regression Models ◽  
The Impact

Objective: While the use of intraoperative laser angiography (SPY) is increasing in mastectomy patients, its impact in the operating room to change the type of reconstruction performed has not been well described. The purpose of this study is to investigate whether SPY angiography influences post-mastectomy reconstruction decisions and outcomes. Methods and materials: A retrospective analysis of mastectomy patients with reconstruction at a single institution was performed from 2015-2017.All patients underwent intraoperative SPY after mastectomy but prior to reconstruction. SPY results were defined as ‘good’, ‘questionable’, ‘bad’, or ‘had skin excised’. Complications within 60 days of surgery were compared between those whose SPY results did not change the type of reconstruction done versus those who did. Preoperative and intraoperative variables were entered into multivariable logistic regression models if significant at the univariate level. A p-value <0.05 was considered significant. Results: 267 mastectomies were identified, 42 underwent a change in the type of planned reconstruction due to intraoperative SPY results. Of the 42 breasts that underwent a change in reconstruction, 6 had a ‘good’ SPY result, 10 ‘questionable’, 25 ‘bad’, and 2 ‘had areas excised’ (p<0.01). After multivariable analysis, predictors of skin necrosis included patients with ‘questionable’ SPY results (p<0.01, OR: 8.1, 95%CI: 2.06 – 32.2) and smokers (p<0.01, OR:5.7, 95%CI: 1.5 – 21.2). Predictors of any complication included a change in reconstruction (p<0.05, OR:4.5, 95%CI: 1.4-14.9) and ‘questionable’ SPY result (p<0.01, OR: 4.4, 95%CI: 1.6-14.9). Conclusion: SPY angiography results strongly influence intraoperative surgical decisions regarding the type of reconstruction performed. Patients most at risk for flap necrosis and complication post-mastectomy are those with questionable SPY results.

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