scholarly journals Analysis of the Specificity, Sensitivity and Accuracy of Goniometry Method Compared to Tape Method for Measuring Trunk Mobility in Normal Adults

Author(s):  
Purvi Patel

Measurement of lumbar range of motion (LROM) is a routine method in the examination of patients with low back pain. There is no standard technique which may be used to accurately describe the range of motion in the different plane. So in present study, an attempt has been made to compare goniometric measurement with tape measurement for its sensitivity, specificity and accuracy for measuring spine mobility in normal adults. In this cross sectional study, 137 healthy adults between the ages of 18-26 years of age were included consecutively and assessed using Tape method and goniometry for trunk mobility in all planes (sagittal, frontal and transverse). The association of goniometry with tape method was assessed using chi square test. The study showed that the difference between goniometry and tape method was statistically significant (p value <0.05) for all movements except flexion (p value 0.215). Also the sensitivity, specificity and accuracy of goniometry is not as good as tape method except for flexion compared to tape method. So, from this study we can conclude that Goniometry was not as good as tape method for all movements except forward flexion where both can be equally used.

2019 ◽  
Vol 7 (4) ◽  
pp. 246-249
Author(s):  
Tasleem Bano ◽  
Bushra Nazar ◽  
Muhammad Raza Tahir

Objective: To determine the effect of maternal iron deficiency anemia on APGAR score of neonates at one minute.Patients and Methods: This cross-sectional study was conducted at Aziz Bhatti Shaheed Teaching Hospital Gujrat from January 2017 to November 2017. In total 380 patients (50% anemic and 50% non-anemic mothers) were included in study. Grouping into anemic and non-anemic groups was done, based on their hemoglobin level, MCV, MCH and ferritin levels. APGAR score at 1 minute was noted in neonates born to both groups. Data was analyzed using SPSS 20.0. Chi square test was applied to evaluate the difference of APGAR score.Results: Mean age in anemic was 27+4.6 years and in non-anemic 26+5.1 years. The mean hemoglobin among anemic was 8.9+2.1 g/dl and among non-anemic 12.3+1.2 g/dL. Mean MCV in non-anemic 85.7+3.8 fl, while among anemic was 62.4+4.1 fl Mean ferritin levels among anemic were 7.4+1.1 ng/ml. Neonates delivered by anemic mothers had mean APGAR score of 6.5+0.2 and those delivered to non-anemic had 8.7+0.5. The APGAR score of neonates delivered by anemic and non-anemic showed a significant difference (p-value 0.00). The relative risk of having low APGAR score of infant in anemic compared to non-anemic mothers was 29.00 (95% CI, 13.1798-63.8098) with p<0.0001.Conclusion: Maternal anemia is significantly associated with poor APGAR score in neonates.


2017 ◽  
Vol 6 (2) ◽  
pp. 129
Author(s):  
Entia Nopa ◽  
Ranissa Dwi Imansari ◽  
Irwandi Rachman

Faktor Risiko Kejadian Penyakit Kulit Pada Pekerja Pengangkut Sampah Di Kota Jambi 1Entianopa, 2Ranissa Dwi Imansari, 3Irwandi Rachman       123Program Studi Kesehatan Masyarakat STIKES Harapan Ibu, Jambi   Abstrak Latar Belakang: Kulit merupakan organ terbesar pada tubuh manusia yang membungkus otot-otot dan organ-organ dalam serta merupakan jalinan jaringan pembuluh darah, saraf, dan kelenjar yang tidak berujung, semuanya memiliki potensi untuk terserang penyakit yang salah satunya adalah penyakit kulit. Penyakit kulit merupakan salah satu gangguan kesehatan yang sering dialami oleh pekerja pengangkut sampah. Berdasarkan komposisi sampah yang diangkut serta waktu paparan kerja. Tujuan penelitian ini untuk mengetahui hubungan antara masa kerja, pemakaian Alat Pelindung Diri (APD), dan personal hygiene dengan kejadian penyakit kulit pada pekerja pengangkut sampah di Kota Jambi. Metode: Penelitian ini merupakan penelitian kuantitatif dengan desain penelitian cross sectional study. Sampel penelitian yaitu sebanyak 62 pekerja pengangkut sampah yang berada di Kantor Pekerjaan Umum dan Penata Ruang, yang mana seluruh populasi dijadikan sampel. Data dikumpulkan berdasarkan pemeriksaan kesehatan oleh dokter dan dengan kuesioner, kemudian dianalisa menggunakan uji statistik chi-square. Hasil: Hasil menunjukan bahwa pekerja yang mengalami penyakit kulit sebanyak 35 pekerja (56,5%). Berdasarkan hasil analisis chi-square didapatkan bahwa ada hubungan yang bermakna antara masa kerja dengan kejadian penyakit kulit pada pekerja pengangkut sampah dimana nilai (p-value= 0,006), Pemakaian Alat Pelindung Diri (APD) nilai (p-value= 0,008), personal hygiene nilai (p-value= 0,008). Kesimpulan: Untuk meminimalisir risiko terjadinya penyakit kulit pada pekerja pengangkut sampah disarankan perlunya disusun standar operasional prosedur yang aman, penyediaan sarana sanitasi agar dapat mengurangi resiko terkena penyakit kulit. Pentingnya pemakaian APD dan perilaku hidup bersih dan sehat selama bekerja, serta diharapkan pekerja menggunakan APD pada saat bekerja dan lebih memperhatikan personal hygiene.   Kata kunci      : Masa Kerja, APD, Personal Hygiene


2019 ◽  
Author(s):  
Stephen Banda

BACKGROUND Occupational conditions are deadly health hazards especially where dust exposure is inevitable causing chronic disabilities, impaired respiratory function and ultimately leading to death if no intensive measures are put in place. Unhealthy practices and negative attitudes rise in the number of cases of pneumoconiosis due to poor health education and awareness strategies. Pneumoconiosis is not only a health problem but also a social and economic burden on the livelihood of people living in mining areas around the globe. OBJECTIVE to assess knowledge, attitude and practices of miners and post-occupational miners towards pneumoconiosis in Wusakile Township, Kitwe, Zambia. METHODS A cross-sectional study was employed to conduct a research in Wusakile Township and a questionnaire was customized in order to syphon data relevant to the study as well to be brief. The study was conducted among 73 participants who were randomly selected among miners and post-occupational miners and all satisfied the inclusion criteria. Both quantitative and qualitative methods were used to collect data. The data was entered and analysed using IBM SPSS software version 23. RESULTS Among 73 participants interviewed, 33.99% of participants had poor knowledge on the complications of pneumoconiosis. However, despite this poor knowledge, all participants had an idea about pneumoconiosis particularly silicosis. 13.70% of the respondents had bad practices towards pneumoconiosis while 86.30% had some good practices towards pneumoconiosis. Of the total participants, 19.18% of the participants had a negative attitude towards pneumoconiosis. Correlation between the level of education and practices of participants using Pearson Chi-Square, a p value of 0.021 (significant) was found ruling out the null hypothesis. CONCLUSIONS Information about pneumoconiosis and awareness programs towards pneumoconiosis are not widely disseminated among miners and post-occupational miners. There is still a significant number of participants who need to be educated more about pneumoconiosis and its complications so that attitude and practices are improved and also promote full community participation by involving competent health professionals to help in implementing preventive measures.


Author(s):  
Fitra Yulia Ningshi ◽  
Suhadi Suhadi ◽  
Jumakil Jumakil

 Stres kerja merupakan gangguan fisik serta emosional pekerja yang diakibatkan oleh banyaknya jumlah beban kerja yang harus diselesaikan oleh para pekerja dan menghasilkan tingkat kelelahan karena mengejartargetproduksi yang akan di pasarkan, sehingga memicu terjadinya stres kerja. Serta ketidakpastian pekerjaan yang dimiliki dapat menyebabkan stres kerja karena sebagian besar dari pekerja merupakan pekerja harian yang tidak terikat oleh kontrak kerja sehingga berpeluang untuk kehilangan pekerjaannya. Tujuan penelitian ini yaitu untuk mengetahui hubungan faktor pekerjaan dengan stres kerja pada pekerja di PT. Sultratuna Samudra Kendari tahun 2020. Jenis penelitian ini adalah deskriptif analitik dengan rancangan cross sectional study. Sampel pada penelitian ini sebanyak 72 orang dengan tehnik menggunakan probability sampling. Analisis data meliputi analisis univariat dan analisis bivariat dengan menggunakan uji chi square. Hasil penelitian menunjukan bahwa ada hubungan yang signifikan antara ketidakpastian pekerjaan dengan stres kerja di PT. Sultratuna Samudra Kendari (p value = 0.003) dan tidak ada hubungan yang signifikan antara jumlah beban kerja dengan stres kerja di PT. Sultratuna Samudra Kendari (p value = 0,893). Adapun kesimpulan dari penelitian ini adalah terdapat hubungan ketidakpastian pekerjaan dengan stres kerja pada pekerja di PT. Sultratuna Samudra Kendari dantidak terdapat hubungan antara jumlah beban kerja dengan stres kerja pada pekerja di PT. Sultratuna Samudra kendari


2021 ◽  
Vol 2 (01) ◽  
pp. 41-50
Author(s):  
Nurasisa Lestari ◽  
Eva Novawaty ◽  
Muh. Fajrin Wijaya ◽  
St. Fadhillah Oemar Mattalitti ◽  
Lilies Anggarwati Astuti ◽  
...  

Pendahuluan : Pencabutan gigi merupakan suatu tindakan pembedahan yang melibatkan jaringan tulang dan jaringan lunak dari rongga mulut, tindakan tersebut dibatasi oleh bibir, pipi dan terdapat faktor yang dapat mempersulit dengan gerakan lidah dan rahang bawah. Berbagai macam cara dilakukan untuk mencegah terjadinya infeksi silang antara lain dengan pemakaian proteksi diri yaitu masker, kacamata pelindung, sarung tangan, baju praktek, maupun penutup rambut dan kebersihan lingkungan tempat kerja yang meliputi cara pembersihan alat dan lingkungan. Tujuan Penelitian : Untuk mengetahui hubungan pengetahuan mahasiswa kepaniteraan terhadap tindakan kontrol infeksi pada pasien pencabutan gigi. Bahan dan Metode: Penelitian ini menggunakan jenis penelitian bersifat observasional analitik dengan menggunakan pendekatan cross sectional study. Sampel penelitian ini adalah mahasiswa kepaniteraan Fakultas Kedokteran Gigi UMI di RSIGM YW-UMI Makassar. Hasil: Sebagai mahasiswa kepaniteraan diketahui terdapat 5,71% dengan pengetahuan yang cukup, dan diketetahui terdapat 94,29% dengan pengetahuan baik. Sedangkan untuk tindakan kontrol infeksi mahasiswa kepaniteraan diketahui terdapat 65,71% dengan tindakan yang cukup dan diketahui terdapat 34,29% dengan tindakan yang baik. Berdasarkan hasil pengujian hipotesis dengan uji statistic chi-square diperoleh p-value sebesar 0,044. Karena p-value < alpha (0,05). Kesimpulan : Terdapat hubungan yang signifikan antara pengetahuan mahasiswa kepaniteraan tentang kontrol infeksi dengan tindakan kontrol infeksi pada pasien pencabutan gigi


2019 ◽  
Vol 1 (01) ◽  
pp. 38-45
Author(s):  
Helena Wadja ◽  
Hamidah Rahman ◽  
Nani Supriyatni

Diabetes adalah penyakit yang berlangsung lama atau kronis serta ditandai dengan kadar gula (glukosa) darah yang tinggi atau di atas nilai normal. Glukosa yang menumpuk di dalam darah akibat tidak diserap sel tubuh dengan baik dapat menimbulkan berbagai gangguan organ tubuh. Diabetes melitus (DM) menjadi ancaman serius bagi kesehatan manusia pada abad ke-21. Jumlah penderita DM mencapai 422 juta orang di dunia pada tahun 2014. Sebagian besar dari penderita tersebut berada di negara berkembang. Indonesia sebagai salah satu negara berkembang memiliki jumlah penderita yang cukup tinggi. Tujuan penelitian ini adalah untuk mengetahui hubungan tingkat pengetahuan, tingkat stres, dan durasi tidur terhadap kejadian Diabetes Mellitus. Metode penelitian dengan menggunakan desain cross sectional study. Populasi dalam penelitian ini adalah  pasien yang datang memeriksakan kadar gula darah di UPTD Diabetes Center Kota Ternate Tahun 2018. Jumlah sampel 95 orang yang diambil dengan cara accidental sampling. Hasil uji statistik dengan menggunakan uji chi square menunjukkan bahwa faktor-faktor yang berhubungan dengan penyakit Diabetes Mellitus adalah tingkat stres dengan p-value = 0,037 ( <0,1 ) dan durasi tidur dengan p-value = 0,025 ( <0,1 ), sedangkan yang tidak berhubungan adalah tingkat pengetahuan dengan p-value = 0,709 ( >0,1 ). Oleh karena itu, disarankan kepada petugas kesehatan lebih meningkkatkan lagi  informasi kepada masyarakat tentang penyakit Diabetes Mellitus, agar masyarakat lebih tahu tentang penyakit Diabetes Mellitus.


2020 ◽  
Vol 7 (6) ◽  
pp. 997
Author(s):  
Dharmendra Jhavar ◽  
Neha Kirti ◽  
Sumit Kumar Vishwakarma ◽  
Umesh Kumar Chandra ◽  
Vinod Verma

Background: Since a long time ago, the experts have realized that determination of cut-off point for diagnosing diabetes will be revised over time with the lower blood glucose level as the more sensitive diagnosis for detecting the occurring complication and biochemical changes.Methods: This cross sectional study was carried out in the department of medicine, M.G.M. Medical College and M.Y. Hospital Indore from July, 2016 to August, 2017 in 200 individuals and patients having euglycemic status attending General Medicine OPD.Results: In the low and high normal group 2 (2.0%) and 8 (8.0%) were having abnormal total cholesterol (TC) level respectively. The mean total cholesterol in the low normal group was 117.16±26.94mg/dl and it was 154.74±28.38mg/dl in the high normal group. The difference was found to be statistically significant (p value 0.000). In the low and high normal group, 4 (4.0%) and 17 (17.0%) were having abnormal triglyceride (TG) levels respectively. The mean TG levels in the low and high normal group were 96.93±22.64mg/dl and 110.55±32.37mg/dl respectively. The difference was found to be statistically significant (p value 0.001). In the low and high normal group, 6 (6.0%) and 14 (14.0%) patient was having abnormal uric acid levels respectively. The mean uric acid levels in the low and high normal group was 4.88±1.10mg/dl and 5.31±1.31mg/dl respectively. The difference was found to be statistically significant (p value 0.013).Conclusions: Higher levels of Cholesterol and Triglycerides were found more commonly in high normal euglycemic group compared to low normal euglycemic group. Mean cholesterol and mean triglyceride levels were higher in high normal euglycemic group.


Objective: This study was carried out to determine the prevalence of microdontia among patients undergoing orthodontic treatment. Materials and Methods: This was a cross-sectional study conducted at Sindh Institute of Oral Health Sciences, (JSMU) from January-2020 to May-2020. Pre-treatment casts were taken of 140 subjects. The mesiodistal dimension of each tooth was recorded through the vernier caliper. Frequency and percentage were calculated for the presence of microdontia. The test applied was Pearson’s Chi-square test to assess the relationship between microdontia and variables like age and gender. P-value <0.05 was taken as statistically significant. Data analysis was performed on SPSS version 22. Results: A total of 140 subjects were selected i.e. 105 (75%) females and 35 (25%) males aged range 13 -30 years with mean age 18.29 ± 3.88. Out of 42, single tooth microdontia was found in 3 (7.1%), more than one tooth microdontia, and generalized microdontia was present in 36 (85.7%) and 3 (7.1%) respectively. Microdontia was found to be more common in the maxilla (n=42, 100%) than the mandible (n=14, 33.3%). It was found more common in females (n=37, 35.2%) as compared to males (n=5, 14.3%). Statistically significant relationship was found among gender and prevalence of microdontia (p=0.019) with a statistically insignificant relationship between age and presence of microdontia (p=0.228). Conclusions: Microdontia was found to be a frequent dental anomaly, was more common in maxilla and females with a significant association with gender.


Author(s):  
Etienne Belinga ◽  
Isidore Tompeen ◽  
Claude Cyrille Noa Ndoua ◽  
Junie Metogo Ntsama ◽  
Sandrine Mendibi ◽  
...  

Background: Uterine synechiae refers to a total or partial union of the inner walls of the uterus resulting from endometrial trauma. It is a cause of reproductive failure. Until now, synechia was not optimally treated and has remained understudied in Cameroon. Objective of present study was to Evaluate the diagnostic, therapeutic and prognostic aspects of uterine synechiae treated by hysteroscopy.Methods: We conducted a descriptive cross-sectional study with an analytical component from January 1st 2015 to July 31st 2017 at Yaounde. All patients diagnosed with uterine synechiae and treated with hysteroscopy were our sample. Sampling was consecutive. The chi-square test was used for the comparison of qualitative variables and Fisher's test for ANOVA variance analysis. The comparison of the averages was made by the Student's test. P-value less than 0.05 was considered as statistically significant.Results: Hysteroscopies were indicated for uterine synechiae in 14.50%. Nulliparous were 56.67%. A history of curettage/aspiration was present in 66.66%. All of the patients had a form of infertility and 83.33% had menstrual disorders. Hysterosalpingography showed a better sensitivity (88%). After hysteroscopic treatment, 63.30% had a complete anatomical restitution. There is a significant correlation between the stage of severity of synechia and anatomical restitution (p=0.008; Spearman correlation coefficient=-0.477).Conclusions: Uterine synechiae represent one-sixth of all indications for hysteroscopy and present clinically as menstrual disorder associated with infertility. A past history of uterine curettage is common. Hysterosalpingography has a better preoperative diagnostic sensitivity. Hysteroscopy allows optimal treatment.


Author(s):  
Ivan Buntara ◽  
Yohanes Firmansyah ◽  
Hendsun Hendsun ◽  
Ernawati Su

Gastroesophageal Reflux Disease (GERD) is a form of gastrointestinal motility disorder, where stomach contents reenter the esophagus and oral cavity, causing symptoms and complications. GERD is a condition that is quite often experienced, where the prevalence estimated at 8 - 33% worldwide. One of the suspected cause of  GERD is Ramadan fasting, which has been routinely carried out by Muslim groups. This study aims to prove whether Ramadan fasting triggers GERD. A cross-sectional study (survey) conducted online via Google form on the last three days of the fasting month (21 May 2020 - 23 May 2020). The variables in this study were respondents who fasted Ramadan and those who did not fast, also the total value of the GERD-Q questionnaire along with the final conclusions. Statistical analysis using Chi square with Yates Correction and Independent T-test with Mann Whitney Alternative Test. 311 respondents met the inclusion criteria. The results of Mann Whitney statistical test found that there was no difference in the mean value of the total GERD-Q questionnaire between the fasting and non-fasting groups (p-value: 0.313). Pearson Chi Square with Yates Correction results found no significant relationship between fasting and incidence of GERD (p-value: 0.552), although clinically there was a possibility of fasting had a risk of 1,228 (95% CI: 0.772 -2,088) times to trigger GERD incident.as Conclusion, Ramadan fasting has not been shown to improve GERD symptoms. Further research needs to be done through longitudinal studies. Keywords: GERD; digestion; Ramadan fastingABSTRAKGastroesophageal Reflux Disease (GERD) merupakan suatu bentuk gangguan motilitas saluran cerna, dimana isi lambung masuk kembali ke dalam esofagus dan rongga mulut, sehingga menyebabkan gejala dan komplikasi. GERD merupakan kondisi yang cukup sering dialami, dimana prevalensinya diperkirakan mencapai 8 – 33% di seluruh dunia. Salah satu faktor yang diperkirakan sebagai penyebab GERD adalah puasa Ramadhan yang selama ini rutin dijalankan oleh kelompok Muslim. Penelitian ini bertujuan untuk membuktikan apakah puasa Ramadhan mencetuskan kejadian GERD. Penelitian potong lintang (survei) yang dilaksanakan secara online melalui google form pada tiga hari terakhir bulan puasa Ramadhan 2020 (21 Mei 2020 – 23 Mei 2020). Variabel dalam penelitian ini adalah responden yang berpuasa Ramadhan maupun yang tidak berpuasa Ramadhan dan nilai total kuesioner GERD-Q beserta kesimpulan akhir dari kuesioner GERD-Q. Analisis statistik menggunakan uji statistik Chi square with Yates Correction dan Independent T-test dengan Uji Alternatif Mann Whitney. 311 responden memenuhi kriteria inklusi. Hasil uji statistik Mann Whitney tidak terdapat perbedaan rerata nilai total kuesioner GERD-Q antara kelompok yang berpuasa dan tidak berpuasa (p-value : 0,313). Hasil uji statistik Pearson Chi Square with Yates Correction didapatkan hubungan yang tidak bermakna antara berpuasa dengan kejadian GERD (p-value : 0,552), walaupun secara klinis ditemukan adanya kemungkinan yang berpuasa lebih berisiko 1,228 (CI 95% : 0,772 -2,088) kali untuk mencetuskan kejadian GERD. Sebagai kesimpulan, Puasa Ramadhan tidak terbukti meningkatkan gejala-gejala GERD. Perlu dilakukan penelitian lebih lanjut melalui studi longitudinal untuk tindak lanjut hasil penelitian ini.


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