Bivariate Analysis Research Articles

Adolescent Agency in Collectivist Cultures: Development and Validation of Personal Agency in Adolescence Scale (PAAS) among Indian School Students

Adolescents exercise personal agency as they plan their life, set goals, make decisions, and perform various actions that define their life course. The objective of this study was to develop and validate a scale measuring the personal agency of adolescents in a collectivist culture, namely, India. Moreover, we integrated key concepts from the existing literature and considered the sociocultural experiences. The newly constructed scale’s psychometric properties were tested on two samples of adolescents aged between 14 and 17 from rural and urban areas. The Exploratory Factor Analysis (EFA) conducted on sample 1 (N = 571) demonstrated that the proposed six-factor model of the Personal Agency in Adolescence Scale (PAAS) was relevant to measure adolescent personal agency. Confirmatory Factor Analysis (CFA) performed on sample 2 (N = 499) showed that the six-factor model had good construct validity and that the 23-item scale could adequately measure the construct. The results also supported the internal consistency and reliability of the scale. Further, the scale’s concurrent validity with other agency scales was established. Bivariate analysis showed moderate and positive correlations with other related scales. PAAS was also moderately correlated with adolescents’ self-esteem and psychological well-being. The findings show that PAAS is a valid and reliable scale that can be employed to assess adolescents’ agency. This tool can be used by those in education, counselling, and research to measure the adolescents’ exercise of personal agency and its relations to other psychological constructs.

DETERMINANT FACTORS OF THE MENSTRUAL CYCLE IN GRADUATE NURSING STUDENTS

According to WHO, more than 75% of women experience menstrual disorders and on average occur at the age of 17-29 years. One of the factors that influence the occurrence of irregular menstrual cycles is poor sleep quality. This study aims to determine the relationship between sleep quality and menstrual cycle in undergraduate nursing students at Harapan Bangsa University. This type of research is an analytic survey with a cross sectional design. The population in this study were 316 undergraduate nursing students and a sample of 174 students with Proportional random sampling method. Instruments used Pittsburgh Sleep Quality Index (PSQI) and menstrual cycle questionnaire. Data analysis used bivariate analysis for frequency distribution and univariate data analysis with chi square to determine the relationship. The results of this study obtained the frequency distribution of sleep quality obtained the highest results (79.3%) in the bad category and the menstrual cycle obtained results (67.8%) in the normal menstrual cycle category, with a p value = 0.151 (p> 0.05). The conclusion is that there is no significant relationship between sleep quality and menstrual cycle in Nursing Study Program Undergraduate Students at Harapan Bangsa University.

Efektifitas Komsumsi Tablet Fe dengan Air Jeruk Nipis terhadap Peningkatan Kadar HB Ibu Hamil Anemia Ringan Trimester III

Background: Anemia is a body condition where the hemoglobin level in red blood cells is lower than the normal standard. Pregnant women are said to be anemic if their Hb content is <11gr/dL. According to WHO, the prevalence of pregnant women throughout the world who experience anemia is 41.8%. The percentage of anemia in pregnant women in Indonesia is 37.1%. For the Special Region of Yogyakarta, the prevalence in pregnant women is 19.01%, and the highest incidence of anemia is in Bantul Regency (27.67%). Data from the Bantul District Health Service, from 27 Community Health Centers, there are 5 Community Health Centers with the highest number of anemia, namely at Sewon II Community Health Center. From this data, Sewon II Community Health Center is in second place. Objective: To determine the effectiveness of consuming fe tablets with lime juice on increasing Hb levels in mildly anemic pregnant women at the Sewon II Bantul Community Health Center, Yogyakarta. Method: This quasi-experiment research uses a one group pretest-posttest design. The sample in the study consisted of 30 pregnant women. The sampling technique uses total sampling. The research instrument gave lime to pregnant women with mild anemia for 2 weeks. Then the hemoglobin level was checked before and after drinking lime using a hemoglobin meter checking device in collaboration with the Puskesmas lab section. Results: The results of this research are based on univariate analysis of the characteristics of respondents aged 20-35 years as many as 26 (86.3%) respondents, the majority have a high school education as many as 26 (86.7%) respondents, the occupation of respondents is housewives 28 (93.3%) ) respondents. The results of the bivariate analysis showed that there was a significant effect on the average value of increasing hemoglobin levels before (10.21) and after drinking lime (11.23) with an average of (1.02). Conclusion: Based on the research results, it can be concluded that there is an effect of giving lime juice on hemoglobin levels in pregnant women in the second trimester at the Sewon II Bantul Community Health Center.

Patterns and controls of leaf litter nitrogen and phosphorus of broad-leaved tree species across and within the tropics and the extra-tropics

Leaf litter nitrogen (N) and phosphorus (P), as the final products reflecting the foliar nutrient status after resorption, strongly influence forest production and nutrient cycling. However, our nuanced understanding of their general patterns and controls is still lacking, and whether differential regulatory mechanisms exist between climatic zones remains largely incomplete, which introduces substantial uncertainty in the comprehension of net ecosystem productivity and nutrient cycling. Here, we aimed to evaluate patterns of leaf litter N and P concentrations of broad-leaved tree species, and further quantify their controls from climatic, soil physical, soil chemical, and green foliar nutrient factors across and within the tropics and extra-tropics by updating a global dataset comprising 1171 records from 159 studies. We found that tropical tree species exhibited higher leaf litter N concentrations but lower leaf litter P concentrations than extra-tropical tree species. In contrast to previous findings, the effects of climatic and edaphic variables on leaf litter N and P concentrations are more pronounced in the tropics than in the extra-tropics. Different from past bivariate analyses of climate-nutrient relationships for leaf litter, climate exerted more indirect effects on leaf litter N and P concentrations through soil texture, hydrology, nutrient availability, and green foliar nutrients. We also observed direct effects of green foliar N and P concentrations on leaf litter N and P concentrations enhanced from tropical to extra-tropical zones. Overall, this study refines our understanding of differential controls over leaf litter N and P concentrations across climatic zones and highlights the crucial yet often overlooked role of soil physical and chemical properties. These insights further underscore the urgent need to integrate multiple climatic, edaphic, and green foliar nutrient variables into geographically explicit biogeochemical models to improve our understanding of leaf litter-driven forest nutrient cycling in response to future environmental changes for different climatic zones.

Prostate Specific Antigen Level and Gleason Score in Indonesian Prostate Cancer Patients

In Indonesia, the number of prostate cancer continues to increase and even becomes the most common malignancy in men in 2015. Delayed early detection of prostate cancer is a significant concern. Prostate-specific antigen (PSA) level is found to be elevated in various conditions of prostate tissue damage, including prostate cancer. The extent of tissue damage in prostate cancer, represented by the Gleason score, is suspected to be related to the increase in the PSA level in the bloodstream. To investigate the relationship between the PSA level and Gleason scores in prostate cancer patients, a cross-sectional observational study was conducted. The study population consisted of 83 prostate cancer patients treated in Dr. Hasan Sadikin General Hospital Bandung, Indonesia, from 2017 to 2021. Data collected were analyzed using Spearman correlation test was used with an alpha value of 5%. Results indicated that 37.3% patients had a PSA level above 200 ng/dL, and 25.3% had a PSA level between 10-50 ng/dL. The majority of patients (48.1%) had a Gleason score of 9-10 (ISUP 5), while 24.1% had a score of 8 (ISUP 4). Bivariate analysis showed no significant relationship between the PSA level and Gleason score (p-value=0.445). Further studies are needed to determine the sensitivity and specificity of PSA in diagnosing prostate cancer.

Olive Oil as a Tourist Attraction: An Analysis of Demand

Olive oil is not only an essential culinary element in the diet of Mediterranean countries, but it is also becoming an increasingly attractive element from a tourism perspective. The olive grove landscape, ancient olive trees, and oil mills are increasingly attracting tourists eager to experience this type of tourism. This research analyzes the profile of the oleotourist in the four designations of the province of Córdoba (Spain). SARIMA models have been applied to predict oleotourism demand, resulting in a growing demand, which will create jobs in the towns dedicated to this cultivation. The main problem is the seasonality of this demand, which can be corrected by creating complementary activities such as olive oil festivals, cooking workshops, or tasting sessions. A logit model has also been developed to determine which variables influence the probability of being satisfied with the oleotourism experience, with environmental conservation and travel cost being the most influential. Regarding the bivariate analysis, motivation and satisfaction with the trip are closely related, as is the personal classification of the oleotourist; the more they know about the world of olive cultivation, the more satisfied they are with their experience.

Characteristics of the Occlusal Plane Associated with Unilateral and Bilateral Articular Eminence Inclination: A Cross-Sectional CBCT Study.

The characteristics of the temporomandibular joint (TMJ) are essential in orthodontic and prosthetic treatments. Previous studies have suggested an association between articular eminence inclinations (AEI) and occlusal plane characteristics using radiographs, but no bilateral analysis has been conducted using cone beam computed tomography (CBCT). Objective: This study aimed to investigate the specific characteristics of the occlusal plane inclinations associated with unilateral and bilateral AEI using CBCT. Methods: We conducted a cross-sectional study to evaluate 200 temporomandibular joints (TMJs) from 100 records obtained at the orthodontic department. We evaluated the association between the AEI, and occlusal plane characteristics like the cant of the occlusal angle, occlusal plane angles, inclination of the upper incisor to the Frankfort plane and palatal plane using both bivariate and multivariate analyses both unilaterally and bilaterally. Results: Our findings suggested statistically significant associations (p < 0.050) between AEI (bilateral) and occlusal inclination parameters, including the cant of the occlusal plane (Coef. -0.38; 95%CI -0.70:-0.06; p = 0.017), occlusal plane angle (Coef. -0.39; 95%CI -0.740:-0.05; p = 0.024), and position of the upper incisor relative to the palatal plane (Coef. -0.34; 95%CI -0.63:-0.06; p = 0.016). Conclusion: This study suggests an association between dental inclinations and AEI, which reflects the anatomical characteristics of TMJ and its related dental structures.

Methods used for caries detection and diagnosis in Ontario dental practices: a cross-sectional survey

BackgroundEarly detection of caries is essential for applying non-surgical treatment procedures and preventing the formation of cavitated lesions leading to unnecessary removal of tooth structure. Understanding dentists’ preferences for caries detection tools can inform stakeholders about their strategies and knowledge of contemporary, evidence-based caries management approaches. However, there is a lack of research exploring the detection methods of caries commonly used by dentists in Ontario, Canada. The objective of this study was to investigate the methods of caries detection and diagnosis preferred by dentists in Ontario.MethodsA 21-item self-reported survey was mailed to one thousand Ontario dental practices in the Winter of 2022. Descriptive and bivariate data analysis were performed to determine the associations between: demographics and professional practice characteristics (explanatory variables), and methods for detecting and diagnosing dental caries (outcome variables) using SPSS Statistics 29.0.ResultsA total of 325 dentists (33%) responded to the survey, with 274 answering all of the questions completely. The highest proportion of respondents were 35–44 years of age (32.8%) and male (53.4%). More than half of the respondents reported using a dental explorer to assess primary occlusal caries (57.6%), secondary caries (57.1%), and cervical caries (57.5%). Likewise, 57.9% of the participants reported using dental radiographs to diagnose proximal caries. Among additional caries detection tools, digital radiography (89.8%) and traditional radiography (84.7%) were the most used methods/modalities, while cone beam computed tomography was the least (12.8%). Most study participants did not use any caries classification system (77.7%) or caries risk assessment tool (85.3%).ConclusionsParticipants preferred conventional methods for caries detection, instead of contemporary visual-tactile caries lesions classification and/or caries risk assessment systems. These findings indicate a need for continuing dental education programs tailored to evidence-based caries management approaches.

Predictors of Attitudes toward Aging in Middle-Aged Individuals: A Cross-Sectional Study

Objective: Attitudes toward aging (ATA) are among the most important determinants of well-being in old age. However, little research has examined factors contributing to their formation in middle-aged individuals. This study aimed to investigate predictors of attitudes toward aging among Iranian middle-aged individuals in 2022. Method: This study recruited 330 people with a mean age of 56.5 ± 5.6 using multistage cluster sampling. Data were collected using a three-part questionnaire, including demographic factors, an attitude toward aging questionnaire (AAQ), and a multidimensional scale of perceived social support (MSPSS). The obtained data were analyzed using SPSS (v.22) statistical software to conduct t-tests, ANOVA, Pearson correlation, and linear regression. Results: According to bivariate analysis, perceived social support (PSS), age, level of education, and perceived income adequacy (PIA) had a significant relation with the total ATA score (P &lt; 0.05). According to regression analysis, family support (β = 0.288, P &lt; 0.001), friend support (β = 0.188, P &lt; 0.001), significant others support (β = 0.130, P = 0.04), age (β = 0.118, P = 0.002), and PIA (β = 0.290, P &lt; 0.001) were the predictor factors of ATA and explained 41% of the variance. PSS and PIA were the predictors of all dimensions of ATA. Conclusion: The results highlight the role of potentially modifiable factors, such as PSS, PIA, and level of education, in shaping ATA. This requires interventions and policies that effectively promote social and financial support in middle-aged individuals.

A patient-centric chest pain management approach utilizing a high sensitivity Troponin-I assay

ObjectiveThe purpose of this study was to assess the impact of adoption of a new cardiac chest pain pathway that included hs-cTnI in the emergency department (ED) when evaluating chest pain patients. MethodsA new pathway incorporating both hs-cTnI testing (Seimens Healthineers Atellica) and risk stratification tools was developed. The impact of the new algorithm was assessed through a retrospective observational review of patients admitted to the ED with chest pain before implementation and after implementation. Before implementation, the conventional Seimens troponin Vista assay was utilized without a defined algorithmic approach. Bivariate analyses were performed comparing the time periods to determine differences in patient discharge dispositions, length of stay, outcomes, and rate of diagnostic cardiac catheterization. ResultsThe proportion of patients discharged from the ED increased while the proportion of patients placed in observation or admitted as in-patient decreased. Variation amongst providers regarding patient disposition decreased. The stress testing rate of patients placed in observation decreased over baseline. There was no change in 30-day MACE rate, but there was a decrease in 30-day MI rate. ConclusionsThe new standardized hs-cTnI algorithm approach is safe as demonstrated by no change in 30-day MACE and is also more appropriate and efficient for patients presenting to the ED with chest pain compared to the non-standardized approach with cTnI used previously.

Survey analysis of workplace violence among public healthcare workers in Yogyakarta, Indonesia

BackgroundWorkplace violence in the healthcare sector has become a global issue that poses a threat to the safety and well-being of healthcare staff. This study aims to understand and analyze workplace violence experienced by public healthcare workers in Yogyakarta, Indonesia.ResultsThis is an observational analytical descriptive study using a cross-sectional design across 482 healthcare workers from 7 general public hospitals taken through stratified random sampling with a standardized questionnaire. The surveys found that 65 from 482 healthcare workers (13.6%) admitted to experiencing physical violence, verbal abuse, bullying, and/or sexual harassment. It is most prevalent among nurses, with the majority occurring in the emergency department ward. Verbal abuse is the most common type, mainly perpetrated by patients’ relatives. Most workers who experience violence take no action. In the bivariate analysis, there was a significant relationship between professions (p = 0.045) and their workplace (p < 0.001) with workers experiencing violence. No significant relationships were found regarding age, gender, marital status, duration of work, and years of service.ConclusionsA low prevalence of workplace violence was noted in public hospitals in Yogyakarta, suggesting that underreporting might be a major concern. Nurses and the emergency department are the most vulnerable and thus need more urgent interventions. Further research should focus on private hospitals and more effective preventive and responsive measures.

Hubungan Family Support, Self Care, dan Self Efficacy dengan Kualitas Hidup pada Pasien DM di Puskesmas Kraksaan

Background: Diabetes mellitus is a significant health issue and a non-communicable disease targeted by global leaders for effective management. Objective: This study aims to determine the relationship between family support, self-care, and self-efficacy with the quality of life in patients with diabetes mellitus. Methods: A quantitative, correlational study with a cross-sectional design was conducted. The population consisted of 86 diabetes mellitus patients at Kraksaan Health Center. Sampling was done using the Lemeshow formula, resulting in 86 respondents. Data collection was carried out through closed-ended questionnaires, where respondents selected answers by marking the appropriate option. Bivariate analysis was performed using the Spearman test, and multivariate analysis was done using logistic regression. The study was conducted at Kraksaan Health Center from June to July 2023. Results: Among the tested variables, three independent variables were significantly related to the dependent variable, namely family support (p=0.005), self-care (p=0.00), and self-efficacy (p=0.004). Therefore, these three variables are associated with the quality of life in diabetes mellitus patients.

Association between bariatric surgery preoperative chemoprophylaxis and postoperative bleeding.

Use of chemoprophylaxis for prevention of venous thromboembolism (VTE) after bariatric surgery is a generally accepted principle; however, the optimal strategy in terms of medication type and pre- and postoperative dosing is uncertain. In our healthcare system, four hospitals performed bariatric surgery and utilized differing protocols for VTE prophylaxis. The analysis sought to evaluate the association of differing prophylaxis strategies on bleeding and VTE occurrence. Adult patients who underwent laparoscopic sleeve gastrectomy (SG) or Roux-en-Y gastric bypass (RYGB) from 2018 to 2021 at four hospitals were studied. Patients were grouped by whether or not they received preoperative chemoprophylaxis. The primary outcome was postoperative bleeding, defined as requiring a blood transfusion or reoperation for bleeding within 30days. Bivariate analyses were performed with Chi-square and Wilcoxon Rank tests where applicable. Multivariate logistic regression was performed for the outcome of postoperative bleeding. A total of 2145 bariatric surgeries were evaluated (33.6% RYGB, 66.4% SG). Among 1712 patients who underwent surgery at Hospitals A, B, and C, 93.1% received preoperative VTE prophylaxis, compared with 1 patient (0.1%) among 433 patients operated on at Hospital D. Postoperative bleeding occurred more frequently in patients who received preoperative VTE prophylaxis versus those who did not (3.7% vs 1.1%; p < 0.01). After multivariable regression analysis, only RYGB (OR 3.59; p < 0.01) and preoperative VTE prophylaxis (OR 3.54; p = 0.02) were significantly associated with postoperative bleeding. Rates of VTE for patients receiving preoperative VTE prophylaxis or no prophylaxis were not significantly different (0.6% vs. 0.2%; p = 0.26). Preoperative VTE prophylaxis prior to bariatric surgery was associated with postoperative bleeding without differences in VTE occurrence. These results call into question the routine use of VTE chemoprophylaxis for all patients undergoing bariatric surgery and favor selective usage.

Socio-demographic predictors of the time interval between successive hospitalizations among patients with borderline personality disorder

Background: Borderline personality disorder (BPD) affects 0.7 to 2.7% of the adult population and higher rates are reported in inpatient care. Hospitalizations of BPD patients are a complex and controversial challenge for mental health professionals. Recurrent hospitalizations are common and it is essential to identify risk factors that characterize patients who benefit from their hospitalization and those who return to the ward shortly after discharge. Aim: To investigate the potential link between BPD patients’ socio-demographic factors and the expected time interval between their successive hospitalizations. Methods: A retrospective analysis of 1051 hospitalization records from 174 BPD patients. Through univariate, bivariate, and multivariate analyses, we investigated the possible relationship between patients’ primary socio-demographic factors and the time between their successive hospitalizations. Results: Patients’ age, marital status, and living arrangement were found to be statistically connected with the time interval between successive hospitalizations. Specifically, being older, married and/or patients to live with one’s spouse/partner seem to be linked with a longer time interval between successive hospitalizations compared to patients who are young, single/divorced and/or those who live with their parents. Conclusions: The expected time interval between successive hospitalization of BPD patients can be partly explained by their socio-demographic characteristics.

Emergency cesarean section in pregnant trauma patients presenting after motor vehicle collision

BackgroundMost pregnant trauma patients (PTPs) present after motor vehicle collision (MVC). The national rate and risk factors for emergency cesarean section (ECS) during the index hospitalization for pregnant trauma patients (PTPs) are unknown. We sought to investigate the national rate of ECS in PTPs presenting after MVC, hypothesizing a higher risk of ECS among those with severe injuries or elevated shock index (SI). MethodsThe 2020–2021 TQIP was queried for PTPs presenting after MVC. PTPs that underwent ECS were compared to patients that did not undergo ECS. Elevated SI was defined as ≥1. Severe injury was defined by abbreviated injury scale grade ≥3. Bivariate and multivariable logistic regression analyses were performed. ResultsFrom 1183 PTPs, 95 (8.0 %) underwent ECS. The median time to ECS was 115 min. The ECS group had higher rates of lung (27.4 % vs. 12.2 %, p < 0.001) injury, spleen (18.9 % vs. 5.5 %, p < 0.001) injury, and elevated SI (22.1 % vs. 9.8 %, p < 0.001). ECS patients had higher rates of complication (9.5 % vs. 2.1 %, p < 0.001) and death (4.2 % vs. 1.1 %, p = 0.012). Independently associated risk factors for ECS included severe head (OR 2.65, CI 1.14–6.17, p = 0.023) or abdominal (OR 2.07, CI 1.08–3.97, p = 0.028) injuries and elevated SI (OR 2.17 CI 1.25–3.79, p = 0.006). ConclusionThe national rate of ECS among PTPs presenting after MVC is 8 % with most occurring within the first 2 hours of arrival. Severe head and abdominal injuries as well as elevated SI are risk factors for ECS.

Deciphering the point source carbon footprint puzzle: Land use dynamics and socio-economic drivers

Point source carbon emissions account for approximately 80 % of total emissions. Investigating the influence of land use and socio-economic indicators on these emissions is crucial for achieving sustainable development goals. Existing research faces challenges such as focusing on specific regions, mixing variables that may exhibit multicollinearity, and lacking sufficient land use information. This study takes China, the largest emitting country, as a case study, utilizing geospatial big data to subdivide land use into 11 categories based on emission sectors. The impacts of land use and socio-economic indicators on different emission sectors are discussed from the perspectives of bivariate and spatial statistical analysis, with spatial hotspots identified. Hierarchical regression is used to evaluate the explanatory power of the indicators and to establish models, and potential carbon reduction strategies are further explored. Key findings reveal: (1) Significant multicollinearity between land use and socio-economic indicators was demonstrated, with land use explaining 57.1 % of emissions compared to 37.4 % explained by socio-economic indicators. The spatial consistency between land use and emissions exceeds 80 %, and the spatiotemporal variability is relatively low, making land use a more advantageous factor in explaining point source carbon emissions. (2) Agricultural mechanization increases emission intensity, but this efficient farming method helps convert surplus plowland, the largest influencing factor (Coefficient = 0.717), into carbon sinks, thereby controlling agricultural emissions. (3) Land intensification helps control industrial land, the main factor influencing industrial emissions (Coefficient = 0.392). It also contributes to the efficient use of carbon reduction technologies and industrial supporting land. (4) Mixed commercial and residential land has the greatest impact on commercial, service, and household emissions. However, its relationship with the economy (Correlation = 0.479) is stronger than its relationship with emissions (Correlation = 0.182), making it more applicable to cities that serve as economic growth hubs.

Spatial-temporal patterns of foliar and bulk soil 15N isotopic signatures across a heterogeneous landscape: Linkages to soil N status, nitrate leaching, and N2O fluxes

The natural abundance of plant and bulk soil 15N isotopic signatures provides valuable insights into the magnitude of nitrogen cycling and loss processes within terrestrial ecosystems. However, 15N isotopic signatures are highly variable in space due to natural and anthropogenic factors affecting N cycling processes and losses. To date, most studies on foliar and bulk soil 15N isotopic signatures have focused on N-limited forest ecosystems at relatively large spatial scales, while similar studies in N-enriched ecosystems at finer spatial scales are lacking. To address this gap and evaluate links between soil 15N isotopic signatures and ecosystem N cycling and loss processes (plant N uptake, N leaching, and gaseous loss), this study quantified foliar and bulk soil 15N isotopic signatures, soil physicochemical parameters, gaseous (N2O), and hydrological (NO3) N losses at 80 sites distributed across a heterogeneous landscape (∼5.8 km2). To account for the spatial-temporal heterogeneity, the measurements were performed in four campaigns (March, June, September 2022, and March 2023) at sites that considered different land uses, soil types, and topography. Results indicated that foliar and bulk soil 15N isotopic signatures were significantly (P < 0.05) more enriched in arable and grassland ecosystems than forests, suggesting a more open N cycle with significant N cycling and losses due to higher N inputs from fertilizers. Similar to soil inorganic N, N2O fluxes, and NO3 leaching rates, landscape-scale foliar and soil 15N isotopic signatures varied widely spatially, particularly at grassland and arable land (−3 to 9.0‰), with bivariate and multivariate analyses also showing significant relationships between landscape-scale soil 15N isotopic signatures and the aforementioned parameters (r2: 0.29 to 0.82). Based on these relationships, our findings suggested that foliar and bulk 15N isotopic signatures may capture fine-scale areas with persistently high and low environmental N losses (N2O fluxes and NO3 leaching) within a heterogeneous landscape.

Kepatuhan Diet pada Penyandang Diabetes Mellitus di Puskesmas Simpang IV Sipin Kota Jambi

Diabetes mellitus has become a global health threat. Diabetes mellitus patients need to understand the importance of meal schedule consistency, food type, and caloric intake to prevent complications. Many factors influence dietary compliance in diabetes mellitus patients, including social support, information exposure, and comorbidities. This study aims to identify the factors associated with dietary compliance among diabetes mellitus patients. This is a quantitative study with a cross-sectional design. The population consisted of all diabetes mellitus patients visiting Simpang IV Sipin Health Center in 2021, totaling 1,543 patients. A sample of 91 respondents was selected using accidental sampling. The study was conducted from June 15 to July 12, 2023, at Simpang IV Sipin Health Center, Jambi City. Data were collected using questionnaires and analyzed univariately and bivariately using the chi-square statistical test. The univariate analysis results showed that most respondents had good social support, were exposed to information about diabetes mellitus diets, had comorbidities, and exhibited high dietary compliance. The bivariate analysis revealed a significant relationship between social support and comorbidities with dietary compliance, but no relationship was found between information exposure and dietary compliance in diabetes mellitus patients at Simpang IV Sipin Health Center, Jambi City.

A Comparative Analysis of International Classification Systems to Predict the Risk of Collapse in Single-Level Osteoporotic Vertebral Fractures.

Various classifications for osteoporotic vertebral fractures (OVFs) have been introduced to enhance patient care and facilitate clinical communication. However, there is limited evidence of their effectiveness in predicting vertebral collapse, and very few studies have compared this association across different classification systems. This study aims to investigate the association between OVF categories, according to the most widely used classification systems, and vertebral collapse. A retrospective single-center study was conducted involving patients diagnosed with acute OVFs at the emergency department of a tertiary-level academic hospital with a minimum follow-up of 6 months. Vertebral fractures were independently classified by two radiologists according to several classification systems, including those proposed by Genant, Sugita, the German Society for Orthopedics and Trauma (DGOU), and the AO Spine. Associations between vertebral collapse and OVF classification systems were analyzed using bivariate and logistic regression analyses. This study included 208 patients (82.7% females; mean age of 72.6 ± 9.2 years). The median follow-up time was 15 months, with L1 being the most common fracture site (47.6%). The most frequent OVF types observed, according to Genant's morphological, Genant's quantitative, Sugita 's, DGOU's, and AO Spine's classifications, were biconcave (50%), grade 0.5 (47.6%), bow-shaped (61.5%), OF2 (74%), and A1 (61.5%), respectively. All classifications, except for Genant's quantitative system, were significantly associated with vertebral collapse in bivariate analyses. Logistic regression analyses showed a significant association (p = 0.002) between the AO Spine classification and vertebral collapse, with 85.7% of A4 fractures developing collapse on follow-up. The AO Spine classification showed the highest predictive capacity for vertebral collapse. Specifically, A4 fracture types showed a very high risk of vertebral collapse, confirming the need for non-conservative management of these fractures. Further multicentric and prospective studies are warranted to confirm these findings.

RELATIONSHIP BETWEEN STRESS LEVEL AND EMOTIONAL EATING WITH NUTRITIONAL STATUS IN HEALTH FACULTY STUDENTS AT MUHAMMADIYAH GRESIK UNIVERSITY

This study found that when a person experiences stress, it will cause a response in the form of emotional eating. Emotional eating is an eating urge that arises in response to negative emotions. This study aims to determine the relationship between stress levels, emotional eating and nutritional status in students of Universitas Muhammadiyah Gresik Faculty of Health. This research was conducted on 81 students of level I, II and III. The measuring instruments used in this study used the Perceived Sources Academy of Stress, the Dutch Eating Behavior Questionnaire (DEBQ) scale, anthropometric data and 2x24 hour Recall. Bivariate analysis was performed using the Spearman Rank test and multivariate analysis using multiple linear regression. Results: 93.8% of respondents experienced severe stress levels, 45.7% of respondents experienced moderate emotional eating and 61.7% of respondents had normal nutritional status. There is a significant relationship between stress levels and emotional eating (Sig. of 0.001 (0.001 &lt;0.05) and there is no significant relationship between stress levels, emotional eating and nutritional status (p = 0.700; p = 0.876). So, it can be concluded that respondents should be able to manage stress well and maintain the intake of food to be consumed.