Spearman Rank Correlation Test Research Articles

Analysis of Therapy Satisfaction on the Quality-of-Life of Type 2 Diabetes Mellitus Patients at Anutapura Hospital Palu

Background: Type 2 Diabetes Mellitus (Type 2 DM) is a chronic disease characterized by increased blood glucose levels caused by impaired insulin function. In Palu City, Type 2 DM is the 2nd most common in Central Sulawesi with a total of 26,204 people. Objective: This study aims to determine the relationship between therapy satisfaction and the quality of life of Type 2 DM patients who perform outpatient treatment at Anutapura General Hospital, Palu. Methods: With a random sample approach, 100 respondents were used in this cross-sectional study that employed an observational method. Data collection used instruments in the form of a DMSAT (Diabetes Medication Satisfaction Tool) therapy satisfaction questionnaire and a DQOL (Diabetes Quality Of Life) quality of life questionnaire. Results: The results of the study were obtained on therapy satisfaction from Type 2 DM patients with the number of respondents in the very satisfied (1.0%), satisfied (90.0%), and quite satisfied (9.0%) categories while the results of the study of the quality of life of Type 2 DM patients 2 fall into the good category (38.0%), and the bad category (62.0%). The statistical analysis test used was the Spearman Rank Correlation test. The results of the Spearman Rank Correlation test value p = 0.037 or p <α (0.05), then H0 is rejected, which means that there is a relationship between satisfaction with therapy and quality of life in patients with Type 2 DM which is very weak. Conclusion: The conclusion in this study is that there is a very weak relationship between therapy satisfaction and quality of life of patients.

Correlation between Language Screening Test and Frenchay Aphasia Screening Test for Aphasia Screening in Ischemic Stroke

Aphasia is a communication disorder that occurs after brain damage. Delays in diagnosing aphasia can lead to depression, decrease quality of life, and raise hospital stays and costs. Ischemic stroke aphasia screening instruments have been widely developed but are still difficult to interpret. Nowadays, the Language Screening Test (LAST) is reportedly quick, easy to understand, straightforward, and suitable for use by nurses. However, the LAST subtests are different from the Frenchay Aphasia Screening Test (FAST), which has been used in the past to evaluate aphasia. This study aims to determine the relationship between LAST and FAST in ischemic stroke aphasic patients for aphasia screening. The study used an analytic observational method with a cross-sectional approach. The population in this study were stroke patients at Tugurejo Semarang Hospital who had their CT Scan checked. The sample was taken using a purposive sampling technique. Bivariate data analysis with Spearman Rank Correlation test. We obtained 50 samples 19 male patients and 31 female patients with the highest age range of 51-60 years as many as 26 patients. The highest Education and profession is primary school and housewife. Patients who experienced aphasia with LAST and FAST scored as many as 27 and 29 people, while the rest not have aphasia. The Spearman's Rank test obtained p-values of 0,000 and < 0,05 respectively. Meanwhile, the correlation coefficients of LAST and FAST on aphasia were 0,678 and 0,678 respectively. There is a positive correlation between the LAST and FAST in ischemic stroke aphasic patients for aphasia screening. Nurses can use the LAST instrument to collect data and establish nursing diagnoses of verbal communication disorders.

Hubungan Self-Esteem Remaja Awal Dengan Perilaku Kesehatan Gigi dan Mulut (Studi Pada Pelajar SMP di Kecamatan Karangpucung)

Self-esteem was a psychological aspect that not only affects mental heath, but also has an important contribution to physical health. Self-esteem was thought to be an aspect that affects early adolescents during puberty, impact on health behavior, one of them was oral health behavior. The aim of this research to determine the relationship between early adolescent self-esteem and oral health behavior in junior high school students in Karangpucung DistrictThis was an analytic observational study with a cross-sectional design. The research sample was 315 junior high school students in Karangpucung District with convenience sampling. Instrument in this study used a Rosenberg Self-Esteem Scale (RSES) and oral health behavior questionnaire. The Spearman Rank correlation test used to determine the relationship between early adolescent self-esteem and oral health behavior in junior high school students in Karangpucung District. There was a significant relationship between adolescent self-esteem and oral health behavior toward positive, weak correlation strength (p=0,004, r=0,163). There was a relationship between early adolescent self-esteem and oral health behavior in junior high school students in Karangpucung District, namely students who have high self-esteem characteristics tend to have oral health behavior in the moderate category.

Self Management Berhubungan Dengan Nilai Tekanan Darah Pada Pasien Hipertensi

This study aims to determine whether there is a relationship between self-management and blood pressure values ​​in hypertensive patients at UNS Hospital. The method used in this research is a cross sectional approach with a correlational quantitative descriptive research design. The research results were based on the results of the Spearman rank correlation test between self-management and blood pressure values, with a p-value of 0.000 and a correlation coefficient value of 0.363. The results of the research show that there is a correlation between self-management and blood pressure values ​​in hypertensive patients with the level of strength of the relationship between the two variables in the sufficient category. In conclusion, there is a relationship between self-management and blood pressure values ​​in hypertensive patients. Keywords: Self Management, Blood Pressure, Hypertension

Perceptions of HIV-AIDS and motivation for HIV testing among Balinese tourist village community

The right perception of HIV-AIDS by the community of tourist villages can lead to the motivation to identify their HIV status. A tourist village has zero case of HIV-AIDS will have a positive impact on the health conditions of the tourist village community and increase in tourist visits. This study aims to determine the correlation between HIV-AIDS perceptions and the motivation for HIV testing in the tourist village community of Sayan Ubud, Bali. Descriptive correlation design with a cross-sectional approach was used in this study. The sample size was 353 respondents who were taken by proportionate random sampling. Spearman rank correlation test was used for data analysis. The result showed a correlated HIV-AIDS perception and HIV testing motivation (p=0.000; r=0.611). A better perception of HIV-AIDS leads to increased HIV testing motivation in the community. This study can be used as basic data in the preventive programme of new HIV cases through HIV testing services. Thus, the Sayan Ubud tourist village community can identify their HIV status without any negative stigma.

Correlation of circulating fibroblast growth factor 21 levels with inflammatory factors and the degree of coronary artery stenosis in patients with acute myocardial infarction

BackgroundFibroblast growth factor 21 (FGF21) is a secreted protein that plays an important role in atherosclerosis and pathological cardiac remodeling. However, the correlation between FGF21 and the degree of coronary artery stenosis and its potential role in acute myocardial infarction (AMI) remain unclear. We examined whether changes in FGF21 levels in AMI correlate with the degree of coronary artery stenosis and the levels of inflammatory factors, and preliminarily investigated the effects of FGF21 on inflammatory factor levels and myocardial injury in rats with AMI. MethodsSerum levels of FGF21 and inflammatory factors in the AMI group and control group were measured, and the correlation between FGF21 and clinical indicators and inflammatory factors was analyzed. The effects of FGF21 on cardiac function and inflammatory response were evaluated through echocardiography and measurement of inflammatory factors. ResultsMultivariate logistic regression analysis showed that neutrophil percentage (NEUT%, odds ratio [OR]: 1.232; 95 % confidence interval [CI]: 1.028–1.477; p = 0.024) and FGF21 levels (OR: 2.063; 95 % CI: 1.187–3.586; p = 0.01) had independent effects on AMI. Spearman's rank correlation test showed that FGF21 levels were positively correlated with leukocyte count, NEUT%, neutrophil count, neutrophil to lymphocyte ratio, C-reactive protein, interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α), monocyte chemotactic protein-1 (MCP-1) and Gensini scores (p < 0.01), but negatively correlated with lymphocyte count (p < 0.01). FGF21 levels in myocardial tissues and serum levels of FGF21, IL-6, TNF-a, and MCP-1 were significantly higher in AMI rats than in the sham-operated group (p < 0.01). After overexpression of FGF21, serum levels of IL-6, TNF-a, and MCP-1 in rats were significantly decreased (p < 0.01), and cardiac function improved significantly. ConclusionsFGF21 levels were independently associated with AMI and may be related to the severity of coronary artery stenosis. Overexpression of FGF21 reduced serum inflammatory factor levels and improved cardiac function in AMI rats.

От неалкогольной к метаболически ассоциированной жировой болезни печени. Стеатометрия и кардиометаболические факторы как предикторы развития стеатогепатита

Non-alcoholic metabolic dysfunction-associated fatty liver disease is the most common liver sickness linked with the high risk of hepatic and extrahepatic complications. The article provides an overview of changes in the nomenclature of this disease, analysis of risk factors for its development and the results of own research. The aim of the study was to estimate the clinical significance of steatometry (CAP function) by Fibroscan and cardiometabolic factors in assessing the risk of steatohepatitis development. Material and methods. Patients with hepatic steatosis accompanied by metabolic disorders were examined. Steatometry as well as routine physical and laboratory examination, including biochemical blood tests and abdominal ultrasound were provided. Statistical analysis included χ2 test, Spearman's rank correlation test, Student's t-test, Mann–Whitney test, multiple linear regression analysis. Results. 74 patients were included. Main characteristics of the cohort: 62.2% male, mean age – 48.8 years, cases of steatohepatitis – 41.9%. It was revealed that the number of metabolic factors in an individual patient correlated with the presence of steatohepatitis (χ2 = 3.29; p &lt; 0.05) and the severity of steatosis by steatometry (rs = 0.37; p &lt; 0.05). Individual clinical and laboratory parameters influenced the severity of steatosis with varying degrees. The most significant parameters were: abdominal circumference, concentration of HDL, insulin, activity of ALT, GGTP, and the presence of arterial hypertension. Using these indicators, a formula for assessing the risk of severe liver steatosis was created. Conclusion. Steatometry is to be considered as an important diagnostic method for the prognosis assessment in patients who have risk factors for the development and progression of non-alcoholic metabolic dysfunction-associated fatty liver disease. Severe steatosis is a predictor of steatohepatitis. The number of metabolic factors present in an individual patient is important in assessing the risk of severe liver steatosis and steatohepatitis.

Relationship between the Duration of Suffering from Diabetes and HbA1c Levels with the Degree of Liver Stiffness in Type 2 Diabetes Mellitus Patients

BACKGROUND : Type 2 diabetes mellitus (DM) is one of the major problems faced by the health system. Diabetes is a multifactorial, chronic and progressive metabolic disorder characterized by chronic hyperglycemia. Persistent hyperglycemia is associated with long-term damage to the liver. Ultrasound elastography is one of imaging modality that can assess liver stiffness, thus can assist clinicians in determining therapy, evaluating, and predicting disease progression. AIMS : Aim of this study was to determine the relationship between liver stiffness degree by using ultrasound elastography with the duration of T2DM and HbA1c levels. METHOD : This study was an observational analytic research with a cross-sectional approach which carried out from May to September 2022 at the radiology department of Dr. Kariadi Hospital Semarang. Fifty subjects were included in this study and Rank-Spearman correlation test was used to analyze the relationship between liver stiffness degree with T2DM duration and HbA1c levels. RESULT : Using ultrasonography elastography, the liver stiffness average was 7.92 + 6.72 kPa. The average of HbA1c levels was 8.55 + 2.63%. T2DM duration average was 9.10 + 6.50 years. The rank-spearman test showed a significant correlation between HbA1c levels and the degree of liver stiffness (p = 0.000) with a correlation coefficient (r) of 0.68. There was no significant correlation between the T2DM duration and the degree of liver stiffness (p = 0.052). CONCLUSION : There was a significant correlation between liver stiffness and HbA1c levels, but there is no correlation between liver stiffness and T2DM duration

Influences of critical success factors on nonprofit outcomes of ODA education construction projects: a case of Vietnam

Purpose Official development assistance (ODA) education projects have played a crucial role in improving education and training fields in developing countries, but are often facing several considerable challenges (e.g. long implementation time). Thus, this study aims to identify critical success factors (CSFs) in ODA education projects and investigate the influences of CSFs on ODA project performance measured by 11 nonprofit outcomes (NPOs). Design/methodology/approach A comprehensive literature review and expert interviews were conducted to compile a list of 35 potential success factors for ODA education projects. Using a survey questionnaire, 143 valid responses were collected from practitioners joining ODA projects in Vietnam. Various statistical methods (e.g. mean score method, Spearman rank correlation test, analysis of variance test, factor analysis and regression analysis) were used to analyze the collected data. Findings This research identified seven CSFs for ODA education projects in Vietnam: comprehensive project management competency (C1), clarity and compliance in project execution (C2), transparency and committed funding (C3), external context conditions (C4), well-controlled design and project management procedures (C5), preparations in equipment and complexity insight (C6) and punctual site delivery (C7). Furthermore, the results of regression analysis indicated that comprehensive project management competency (C1) and transparency and committed funding (C3) could significantly affect various NPOs. Originality/value This study offers significant insights for practitioners (e.g. project managers) to improve ODA projects’ performance and effectiveness in the education and training sector of a developing country context (like Vietnam).

Factors Related to Masticatory Rhythm in Patients with Oral Tumors.

Background: Older adults who have undergone surgery for oral tumors are at increased risk of impaired masticatory rhythm. This study investigated the correlations between masticatory rhythm, objective masticatory performance, and subjective masticatory performance as well as factors related to masticatory rhythm. Methods: The participants were 44 adults (24 men, 20 women; age range 42~90 years old) who had undergone maxillectomy, mandibulectomy, or glossectomy and were rehabilitated with a maxillofacial prosthesis. The number of functional contact teeth pairs was confirmed by intraoral examination. Chewing rate, cycle duration, coefficient of variation (CV) for cycle duration (reflecting the stability of masticatory rhythm), and mixing ability were measured simultaneously using a mastication movement rhythm tracking device during gum chewing. Maximum occlusal force was measured using the dental prescale system. Patients' perception of chewing ability was rated using a questionnaire. Results: The Spearman's rank correlation test revealed that mixing ability, patient-rated masticatory scores, cycle duration, CV for cycle duration, and maximum occlusal force showed significant correlations with chewing rate. Multiple linear regression analysis identified mixing ability and the CV for cycle duration as significant predictors of masticatory rhythm. Conclusions: Factors associated with a faster chewing rate were higher mixing ability and masticatory scores, greater maximum occlusal force, shorter cycle duration, and smaller CV for cycle duration. Stable masticatory rhythm and mixing ability are significant predictors of chewing rate. Poor masticatory performance and unstable masticatory rhythm can result in slower chewing and thus a higher risk of inadequate dietary intake.

Correlation between interleukin 17 (IL-17) levels and malondialdehyde (MDA) levels in patients with chronic suppurative otitis media

Background: Otitis media is one of the most common causes of fever in the pediatric population. CSOM or also called chronic otitis media is an ear disease condition where a chronic infection is found in the middle ear without an intact tympanic membrane. Oxygen free radical levels and deficiency of antioxidant defense complexes may be involved in the pathogenesis of chronic suppurative otitis media. The IL-17 pathway plays an important role in the pathogenesis of otitis media by increasing ROS including MDA levels. Purpose: To analyze the levels of interleukin 17 (IL-17) and malondialdehyde (MDA) in chronic suppurative otitis media patients. Method: Analytical observational research with a cross sectional approach was conducted in December 2022 at RSUD Dr. Moewardi, the research sample was a patient with chronic suppurative otitis media without active phase cholesteatoma. Sampling used consecutive sampling, namely a non-random sampling method, so that a sample size of 40 participants was obtained, divided into two groups, namely the CSOM group and the healthy group. The data analysis used is univariate and bivariate analysis using parametric tests, namely the product moment correlation test and if it is not normally distributed (p-value &lt;0.05) then use the Spearman rank correlation test. Results: The mean IL-17 level in the CSOM group was 78.76 ± 28.01 and the healthy group was 47.68 ± 21.75 with p = 0.000 &lt; 0.05. The mean MDA value in the CSOM group was 138.37 ± 123.96 and in the healthy group was 55.84 ± 47.37 with a p value = 0.008 &lt; 0.05. Because the p value is &lt;0.05 for the IL-7 and MDA variables, there is a significant difference between CSOM and the group of healthy people. The product moment correlation test obtained a correlation coefficient value of 0.623 with a p value = 0.000. Because the p value is &lt;0.05, there is a significant positive relationship between IL-17 levels and MDA in the blood of chronic suppurative otitis media (CSOM) patients. Conclusion: There is a significant positive relationship between IL-17 levels and MDA in the blood of chronic suppurative otitis media (CSOM) patients.

Partisipasi Petani dalam Program Indeks Pertanaman (IP) Padi 400 di Desa Kragan, Kecamatan Gondangrejo, Kabupaten Karanganyar

The Ministry of Agriculture conducted a program to increase the Rice Planting Index (IP) to 400 or commonly known as the IP400 program. One of the factors determining the success of the Rice Planting Index (IP) 400 program is the participation of farmers in following the program, because without active participation from farmers the program will not run smoothly. This study aims to assess the level of farmer participation, examine the factors that shape farmer participation, and analyze the relationship between the factors that shape farmer participation in the Rice 400 Cropping Index (IP) program in Kragan Village. Sampling was conducted using saturated sampling method (census) with a sample size of 30 respondents. Data analysis used the Spearman Rank Correlation Coefficient Test (rs) at the 95% confidence level. The results showed that the planning stage was in the medium category, while the implementation, utilization of results, and valuation stages were in the high category. The relationship between factors shaping farmer participation in the Rice 400 Planting Index (IP) program is that there is a significant relationship between non-formal education, personal experience of farmers in farming, the influence of people who are considered important, and land area with farmer participation in the IP Rice 400 program. Factors shaping farmer participation in the Rice 400 Planting Index (IP) program that do not have a significant relationship are the age of farmers and formal education of farmers.

Dietary diversity linked to anthropometric measurements of women of reproductive age in Ekiti State, Nigeria

PurposeThis purpose of this study was to assess dietary diversity among women of reproductive age (WRA) and the associations between consumption of a diversified diet and overweight/obesity statuses in Ekiti State, Nigeria.Design/methodology/approachCross-sectional study of 207 WRA from six local government areas in Ekiti State, Nigeria, was done. A validated interviewer-administered questionnaire was used to collect data on sociodemographic characteristics, dietary intake and anthropometry. Dietary intake was assessed with 24-h dietary recall to calculate the Minimum Dietary Diversity Score for Women (MDD-W). Data were analyzed using descriptive statistics, Spearman rank correlation and Chi square test at α0.05.FindingsMajority of the participants (65.2%) were aged between 19 and 34 years, 58.5% were married and 49.8% had high school as their highest level of education. Mean MDD-W and body mass index (BMI) were 3.8 ± 0.9 and 25.46 ± 6.4 kg/m2, respectively. All participants (100%) consumed foods from the “grains, white roots and tubers” group and majority also from the “meat and poultry” group (79.7%) but ranked low in the consumption of foods from other food groups. Many were overweight (34.8%), obese (14.0%) and a few (1.9%) had morbid obesity. MDD-W was significantly associated with marital status (X2 = 7.7, P = 0.022) and BMI (X2 = 11.4, P = 0.023) and had a weak positive correlation with BMI (r = 0.189, P = 0.007).Research limitations/implicationsStudy shows that both undernutrition and overweight/obesity coexist in the population, indicating a case of double burden of malnutrition (DBM) at a population level. However, further studies may be needed to investigate the extent of DBM at individual levels. Although there was a positive correlation between MDD-W and BMI, it cannot be used to predict causality. Study further reveals that the micronutrient intake of the WRA population in Ekiti is inadequate. Considering the importance of the 10 food groups highlighted in MDD_W to nutrition and health, the promotion of the consumption of foods from these food groups with more attention to the micronutrient-rich ones needs to be heightened.Originality/valueDiet of participants was not diverse enough, indicating micronutrient inadequacy. Promotion of the consumption of a diverse diet, particularly from the food groups rich in micronutrient, needs to be heightened, while food groups high in calorie should be minimally consumed to forestall DBM.

Enhancing Nurses' Proficiency: A Study on the Impact of Caring Education Booklets

Background: Caring is a common phenomenon and a crucial component in delivering nursing care. In providing quality nursing care, in addition to caring, nurses also require adequate knowledge to provide optimal nursing care. One way to enhance knowledge is by using media that are engaging and easily comprehensible for nurses. Method: A pre-experimental research design with a non-randomized and post-test without a control group design was employed. The study was conducted in July 2023 in the Internal Medicine Ward of the hospital, involving a total of 32 respondents selected through a total sampling technique. The research instrument used was a questionnaire. Data were analyzed using the Spearman rank correlation test. Results: The research results indicated that the majority of nurses were aged 35 years, with 17 female respondents (53.1%), and 19 respondents (59.4%) having a Ners degree as their latest education. The average knowledge score of nurses regarding caring during nursing care before receiving caring training was 16.25, and after receiving caring training, it increased to an average of 19.28. After conducting the Spearman rank correlation test, a p-value of 0.016 was obtained (p0.05). Conclusion: There is an influence of caring education using booklets on nurses' knowledge while providing nursing care to patients in the Internal Medicine Ward of Ajibarang Regional General Hospital.

Prognostic relevance of the most predominant and least differentiated grades of gastric adenocarcinoma after curative gastrectomy

BackgroundPrognostic relevance of differentiation grade has remained controversial in gastric adenocarcinoma (GAC) after curative resection. MethodsGAC patients who underwent curative gastrectomy were analyzed. Differentiation grade was evaluated according to either the most predominant or least differentiated component. Impacts of clinicopathologic parameters on postoperative recurrence and nodal metastasis were analyzed by the multivariate Cox regression analysis in pT1/2/3/4a and pT1b/2/3 GAC and by the logistic regression analysis in pT1b GAC, respectively. Results154 patients with GAC, consisting of 34 pT1a (recurrence rate 0%), 45 pT1b (4.4%), 18 pT2 (22.2%), 40 pT3 (35.0%), and 17 pT4a (76.5%), were included. In pT1/2/3/4a GAC, recurrence was significantly associated with only depth of invasion (pT) and grade of venous invasion (VI), although either mode of differentiation grade was significantly associated with pT by the Spearman's rank correlation test. Next, given no recurrence in pT1a and high-grade histopathology in nearly all pT4a, pT1b/2/3 GAC was analyzed, revealing that recurrence was significantly associated with only VI grade and nodal metastasis. Finally, nodal metastasis was not found in any pT1a GAC, of which 44.1% was predominantly high-grade. In pT1b GAC, nodal metastasis was irrelevant to either mode of differentiation grade, tumor size, and ulceration status but was only associated with lymphatic invasion, suggesting that endoscopic resection of pT1 GAC with negative margin can be curative even with high-grade histopathology. ConclusionEither mode of differentiation grade revealed limited prognostic relevance after curative gastrectomy. Our results may warrant a controversy over current curability evaluation of endoscopic GAC resection.

The Correlation Between Self Efficacy and Nurse’s Motivation with The Implementation of Nursing Care in Patient Wards in Islamic Hospital Purwokerto

Background: Self-efficacy and motivation are needed by a nurse in carrying out the nursing care process. Nurseswho have good self-efficacy and motivation will also produce good nursing care processes so that they will bebetter able to provide maximum nursing care services to patients. Method: This research uses a correlational analytical design with a cross-sectional approach. Sampling was taken using a total sampling technique of 45 respondents. The test used is the Spearman's rank correlation test. Results: Most of the respondents, 27 respondents (60.0%), were under 30 years old, and34 respondents (75.6%) were female. Most of the respondents, 40 respondents (88.9%), had Diploma 3 education, and 32 respondents (71.1%) had worked less than 5 years.29 respondents (64.4%) had good self-efficacy, 18 respondents (40.0%) had good motivation, and 29 respondents (64.4%) conducted completenursing care.Spearman's Rankcorrelation testbetween self-efficacyand theimplementation ofnursing careinthe inpatient room of Purwokerto Islamic Hospital indicated a p-value of 0.000 (0.05) with Spearman's correlationor rho of 0.840. The correlation between nurse motivation and the implementation of nursing care in the inpatientward of Purwokerto Islamic Hospital showed a p-value of 0.000 (0.05) with Spearman's correlation or rho of 0.762. Conclusion:There is a significant correlation between self-efficacy and the motivation of nurses with theimplementation of nursing care in the inpatient ward at Purwokerto Islamic Hospital.

Hubungan Dismenore Primer Dengan Aktivitas Belajar Siswi SMK Bina Putra Nugraha Kadupandak Cianjur Jawa Barat Tahun 2023

Primary dysmenorrhea is menstrual pain that is not based on a pathological condition. Female students who experience primary dysmenorrhea will certainly feel that their learning activities are disrupted, and this often results in them being absent or unable to attend school. This research aims to determine the relationship between primary dysmenorrhea and the learning activities of female students at SMK Bina Putra Nugraha Kadupandak Cianjur, West Java in 2023. The type of research is quantitative with a cross sectional design. The population is all 38 female students of Bina Putra Nugraha Vocational School. The sampling technique uses nonprobability sampling with a total sampling technique. The data analysis used was univariate and bivariate using the Spearman's Rank Correlation Coefficient test. Based on data analysis, the results obtained were from 38 respondents, the largest distribution of respondents were female students who experienced moderate pain during menstruation, namely with a frequency of 23 respondents (60.5%), and mild pain with 15 respondents (39.5%). while the results of learning activities showed that the majority of respondents were female students whose learning activities were disrupted due to the impacts caused by primary dysmenorrhea with a frequency of 33 respondents (86.8%) being disturbed. From the results of the Spearman rank correlation test, it can be seen that the value of p = 0.003 (p &lt; 0.05). The results of the correlation coefficient show that there is a relationship between primary dysmenorrhea and the learning activities of female students at SMK Bina Putra Nugraha Kadupandak Cianjur, West Java in 2023. Therefore, the proposed hypothesis means that Ho is rejected and Ha is accepted.

Adiksi Media Sosial Sebagai Penyebab Harga Diri Rendah Pada Usia Dewasa Muda

The use of social media has increased in the last few years. Social media has a negative impact on a person's self-esteem because they make social comparisons based on what they see on social media. This study aims to examine the relationship between the level of social media use and the level of self-esteem in young adults. The study used a cross-sectional approach, and the population in this study was college students (19-20 years old) in Malang, Indonesia. The sample consisted of 96 respondents, selected using purposive sampling. Respondents filled out the Bergen Social Media Addiction Scale (BSMAS) questionnaire and the Coopersmith Self-esteem Inventory (CSEI). Data were analyzed using the Spearman Rank correlation test in SPSS. The results showed that 57.3% of respondents were at the alert category level of social media use, and 63.5% of respondents had very low self-esteem. The correlation test showed a negative relationship between social media use and self-esteem (p-value = 0.044; r = -0.206). The strength of the relationship is weak and has a negative direction, meaning that the higher the level of social media use, the lower the self-esteem level will be. Alert-level social media use among young adults has an effect on low levels of self-esteem.

Performance of HCV core antigen and PCR testing in a predominantly genotype 3 population.

Hepatitis C core antigen (HCVcAg) is becoming increasingly recognized as an alternative to molecular testing for the confirmation of chronic hepatitis C. However, there are limited data on the performance of this assay in a genotype 3 (GT3) predominant country like Pakistan. We conducted a study to evaluate the diagnostic performance of HCVcAg against the HCV polymerase chain reaction (PCR) molecular test. HCV antibody-positive patients requiring confirmatory testing were recruited from August to October 2018 at the Pakistan Kidney and Liver Institute and Research Center (PKLI&RC), Lahore, Pakistan. Patients with previously known diagnoses or treatment histories were excluded. The Abbott HCV Ag assay was used for HCVcAg testing. Results ≥3.00 fmol/L were considered positive for HCVcAg. The Abbott RealTime HCV assay was used for PCR testing with a lower detection limit of ≥12 IU/mL. We computed the sensitivity, specificity and correlation of HCVcAg against HCV PCR. A total of 394 patients were recruited. The median age of the patients was 42 years. Most participants were females (51.5%, n = 203), 30.7% (n = 121) had HTN, 10.4% DM (n = 41) and 5% had APRI ≥2. The overall sensitivity was 98.0% and the specificity was 98.6%. The lowest detection limit of cAg was an HCV RNA value of 4657 IU/mL. The levels of cAg were highly correlated with those of HCV RNA by Spearman's rank correlation test (r = 0.935, p < .001). HCVcAg represents a suitable alternative with high sensitivity and specificity compared with HCV PCR in the GT3-predominant population and can be incorporated into algorithms to improve linkage to care.

Correlation between Dermatology Life Quality Index and Psoriasis Area and Severity Index in Patients with Psoriasis: A Cross-sectional Global Healthcare Study on Psoriasis.

Quality of life impairment in dermatology patients and severity of psoriasis are quantified by the Dermatology Life Quality Index (DLQI) and the Psoriasis Area and Severity Index (PASI), respectively. The aim of this study is to compare the correlation between PASI and DLQI in patients from different geographical areas and to identify predictors of high DLQI across geographical regions. Correlations between PASI and DLQI were evaluated using Spearman's rank correlation tests and quantile regression. The study included 1,158 patients with psoriasis, with a median (interquartile range) PASI and DLQI of 6.0 (3.0-12.0) and 8.0 (4.0-15.0), respectively. Correlations were demonstrated between PASI and DLQI, both overall and stratified by geographical region. Quantile (median) regression yielded coefficients of 0.75 (95% confidence interval (95% CI) 0.62, 0.88) for Switzerland, 0.50 (95% CI 0.42, 0.58) for Latin America, 0.34 (95% CI 0.16, 0.51) for Asia, and 0.31 (95% CI 0.08, 0.53) for the USA. Current age, age at diagnosis, sex, body mass index, and psoriasis arthritis affected DLQI in Latin America, while education had an impact among patients treated in Switzerland. Few countries were included within each continent; hence, more data from different countries are necessary for generalizability. The study showed correlations between PASI and DLQI among patients in all included geographical regions. The patients' characteristics affecting DLQI vary worldwide.