Test Chi Square Research Articles

Analisis Marketing Mix 7P terhadap Minat Kunjungan Ulang Pasien di Klinik Khasanah Medika dan Baitul Syifa Tahun 2024

Number of repeat visits from old patients in 2023 at the Baitul Syifa Clinic is 74%, while at the Khasanah Medika Clinic ber of patient visits has an impact on low clinic income, so that Marketing Mix 7P can be used as an appropriate marketing strategy to increase patient interest in repeat visits. The purpose of this research analyze influence Marketing Mix 7P on interest in re-visiting patients at the Baitul Syifa Clinic and Khasanah Medika Clinic and analyzing the variabels that have the most dominant influence on interest in re-visiting patients. This type of research is quantitative research by design cross sectional. Sampling technique with Purposive sampling. The subjects of this research were outpatients at the Baitul Syifa Clinic and Khasanah Medika Clinic. The number of samples in this study was 100 patients from each clinic. The research instrument uses a questionnaire with statistical tests chi square. The research results stated that Marketing Mix 7P has a significant effect on interest in repeat visits by Baitul Syifa clinic patients, including variabels Product with a value of 81% (p=0,000), Price with a value of 79% (p=0,000), Promotion with a value of 78% (p=0,000), Place with a value of 80% (p=0,000), People (p=0,000), Process with a value of 80% (p=0,000), and Physical Evidence with a value of 78% (p=0.000), whereas Marketing Mix at the Khasanah Medika clinic which consists of Product with a value of 80% (p=0,000), Price with a value of 80% (p=0,000), and Place with a value of 78% (p=0.000) has a significant effect on patient interest in repeat visits, other variabels, namely Promotion with a value of 43% (p=0,909), People with a value of 67% (p=0,970), Process with a value of 68% (p=0,268), and Physical Evidence with a value of 48% (p=0.983).

Single spot albumin to creatinine ratio as an independent predictor of 12 years follow-up mortality in acute coronary syndromes without ST-segment elevation

Abstract Background To the best of our knowledge there is no evidence of the association between microalbuminuria, measured as single spot urine albumin to creatinine ratio (ACR), with very long-term mortality in patients with non-ST segment Elevation Acute Coronary Syndromes. Aim To evaluate the association between admission ACR and very long-term all-cause mortality in an unselected cohort of non-ST-segment elevation acute coronary syndromes patients. Methods A prospective cohort study was conducted, including patients with non-ST-segment elevation acute coronary syndromes admitted in the Intensive Care Unit. The ACR was determined in spontaneous urine samples during the first 24 hours after admission and analyzed by immunoturbidimetry. The primary endpoint was all-cause mortality during the follow-up. Actuarial survival curves were compared by log rank test and a logistical Cox regression analysis was performed to identify variables independently associated with mortality in the follow-up. Statistics were calculated using the IBM Statistics program SPSS version 26. Results 600 patients were analyzed. The overall average ACR value was 7 mg/gr (95% CI 4-26). 76% had normoalbuminuria (ACR 0-30 mg/gr), 22% had microalbuminuria (ACR 30-300 mg/gr), and 1.5% had macroalbuminuria (ACR > 300 mg/gr). The median and interquartile range of follow-up was 12 years (95% IC 11-14). The average ACR among those who met the primary endpoint was 59.15 mg/gr (95% CI 52-66) and among the survivors, 27.66 mg/gr (95 % CI 63-77), p > 0,003. ACR terciles were defined by 33th and 66th percentiles: tercile 1: patients with ACR of 0 to 4 mg/gr, tercile 2: ACR from 4 to 17 mg/g and tercile 3 values greater than 17mg/gr. Strong associations were observed between ACR with age, hypertension, stroke and history of COPD, previous use of angiotensin II converter/blocking enzyme inhibitors, systolic blood pressure at admission, ST segment deviation, left ventricle ejection fraction and elevation of serum Troponin T and CPK MB. All cause-mortality during the follow-up was 14% (CI 95% 11-17). Elevation of ACR was significantly associated with long term mortality risk: log rank test chi square: 133.936, p = 0.0001. By multivariate Cox regression analysis adjusted by age, gender, diabetes, hypertension, serum creatinine, troponin T elevation, ST segment deviation, previous AMI, prior use of aspirin, statins and percutaneous coronary intervention after hospitalization, the ACR was independently associated with a 12-year follow-up mortality: OR 13 (95% IC 5-35; p < 0.0001). Conclusion Single spot urine ACR at admission is a strong predictor of 12-year follow-up mortality in an unselected cohort of patients with non-ST-segment elevation acute coronary syndromes.Baselines characteristics of cohortsMultivariable COX regression analysis

B-104 Correlation of Anti-Centromere Antibodies (ACA) Detection by Indirect Immunofluorescence (IFA) on HEp-2 Cells and by ELISA Demonstrates High Concordance but Highlights Advantage of IFA

Abstract Background Anti-centromere antibodies (ACA), a type of anti-nuclear antibody (ANA) first identified as a discrete speckled pattern on indirect immunofluorescence assay (IFA), are a hallmark of systemic sclerosis (SSc), especially in its limited cutaneous form (lcSSc) or CREST (calcinosis, Raynaud’s, esophageal dysmotility, sclerodactyly and telangiectasia). These mitosis-related autoantibodies mainly recognize three centromere proteins (CENP), CENP-A, CENP-B, and CENP-C, that comprise the kinetochore important to chromosome segregation, but more recently, at least three other CENP antigens have been identified (CENP-D, CENP-E and CENP-F). Anti-CENP-B is considered the main autoantibody, and many, if not most, ELISA utilize recombinant CENP-B such that antibodies to CENP antigens other than CENP-B are not detected. Here, an ELISA using both CENP-B and CENP-A is compared to the reference method, HEp-2 cell IFA, highlighting its high, but still less than 100%, sensitivity due to multiple centromere subcomponents. Methods Anti-centromere antibodies are determined in patient serum using the reference method, IFA on the HEp-2 cell substrate (Sprinter XL/EUROpattern®, Euroimmun, NJ) which is also the current method for standalone ACA testing as well as screening by selected ANA profiles designed for the rheumatology specialist. Here ACA IFA- positive and negative serum samples were further analyzed by enzyme immunosorbent assay (ELISA) utilizing recombinant CENP-A and CENP-B (QuantaLyzer® 3000, Werfen, CA). Results When compared, samples between ACA pattern by HEp-2 cell IFA and anti- centromere antibodies by ELISA yielded an agreement of 93.2%. McNemar’s Test Chi Square of p>0.999, with a relative sensitivity of 89.7% and a specificity of 100.0%. Conclusions This study demonstrated very high concordance between ELISA and accurate ACA pattern identification on HEp-2 IFA. The ELISA studied here identifies autoantibodies to both CENP-A and CENP-B where many other ELISA identify only anti-CENP-B. Although ACA are relatively specific for SSc, they have also been reported in systemic lupus erythematosus (SLE), primary biliary cholangitis (PBC), rheumatoid arthritis (RA), Sjogren Syndrome, Raynaud's phenomenon and in cancer in individuals with or without evidence of systemic autoimmune rheumatic disease (SARD). Of note, many other commercially available ELISA for anti-centromere antibodies identify only anti-CENP-B, but there at least four other known CENP antigen targets for autoantibodies causing centromere pattern on IFA. Furthermore, almost all laboratories use the ELISA for ACA on ANA panel (or other connective tissue disease) screening. Hence, it should be duly noted that these testing strategies will not detect autoantibodies to all anti-centromere antibodies. Only specialized ANA profiles designed for the difficult-to-diagnose autoimmune patient begin screening using the IFA method for anti-centromere and therefore, are capable of detecting autoantibodies to all CENP antigens. Laboratorians should advise clinicians of these diagnostic limitations especially as our knowledge about centromere subcomponents and their clinical associations increases.

Faktor Ibu dalam Pemberian Makanan Pendamping ASI Secara Dini di Puskesmas Bajeng Kabupaten Gowa

Knowledge occurs after a person makes an infiltration of a particular object. The transmission of objects occurs through the human senses of sight, hearing, smell, taste and rejection by itself. Attitude is a level of affection, both positive and negative in relation to psychological objects, such as: symbols, phrases, slogans, people, institutions, ideals and ideas. The aim of this study is to find out the facts that influence mothers in the early delivery of accompanying food in Puskesmas Bajeng District of Gowa. The study was carried out in Puskesmas Bajeng District of gowa with a sample of 35 mothers. This study aims to determine the knowledge and attitudes of mothers with early breastfeeding to infants and identify the influence of these variables and with analytical descriptive research methods and crossectional approaches. There is an influence between mother's knowledge of giving early breastfeeding in Puskesmas Bajeng district of Gowa based on the statistical test Chi-Square obtained a value p=0,003 < α=0,05. The conclusion of this study is that the knowledge and attitude of the mother is related to the early delivery of accompanying food in the Puskesmas Bajeng district of Gowa.

Factors Affecting The Interest Of Women Of Reproductive Age Regarding Visual Inspection Of Acetic Acid (IVA)

Reproductive health is a multidimensional state of physical, mental, and social well-being, covering all aspects of the reproductive system, functions, and processes. Cervical cancer is abnormal cell growth and development, which can lead to abnormal function of the reproductive organs and generally affects women of reproductive age, so the impact on the family is very significant. This study aims to determine the factors between the level of knowledge, access to information, and husband/family support with low Acetic Acid Visual Inspection (IVA) visits. This type of research is survey research with an analytical approach cross-sectional. The samples taken were 67 respondents obtained by the technique of purposive Sampling. The instrument used is a questionnaire. The data obtained is processed using a test Chi Square with a degree of significance (α) = 0.05. The results showed that there was a significant influence between the factors associated with the low number of IVA visits, namely the level of knowledge, access to information, and husband/family support. In the statistical test, the p-value is 0.000. The conclusions of WUS researchers who are married should always pay attention to their reproductive health, one of which is the IVA examination. Health workers would be more active in providing information to the public, especially to mothers, about IVA examination as an effort to prevent and treat cervical cancer as early as possible..

IJCM_32A: Attitude of Medical Students Regarding Empathy towards Patients in a Medical College in Mangalore

Background: The incorporation of medical humanities, an interdisciplinary field of medicine, in medical education may offer significant benefits to the medical community. This study was done to assess the attitude of medical students regarding empathy towards patients and to find out the perception of students about the inclusion of humanity studies to their undergraduate medical curriculum. Methodology: It was a Cross-sectional study done among Final Year MBBS Part One and Part Two, Post Graduate Students of Clinical Specialities and Interns of Kasturba Medical College, Mangalore and its associated teaching hospitals. Data was collected using semi-structured questionnaire which consisted of three sections including Participant information, Jefferson Scale of Physician Empathy – Student’s Version (JSPE-S) which will be used to measure empathy towards patients among medical students and questions on assessing the perception of students regarding the introduction of humanity studies in the medical curriculum. The collected data were entered and analyzed using SPSS version 11.5. Likert scale was analysed using median (±2SD). For qualitative data statistical test Chi-square was used Results: The mean age of the 410 students who were surveyed was 22.11 with a standard deviation of ± 2.136. 41% of the respondents were male and 59% were female. The Jefferson Scale of Physician Empathy is measured on a scale of 20-140. Among the participants, 167 (40.7%) students scored between 46-90, categorized according to the Jefferson Scale as moderately empathetic. 243 students scored between 91-140 - categorized as high empathetic. None of the students scored between 20-45 (least empathetic category) Conclusion: Our study found that all the respondents were either moderately or highly empathetic according to the Jefferson Scale of Physician Empathy. A majority of respondents felt that it is important to understand the feelings and body language of the patient and that the emotions of the patient and family are important in the physician-patient relationship.

Risk Profiling In Vitro Fertilization Pregnancies that Develop Placenta Accreta Spectrum.

The objective of this study is to assess whether, among a cohort of placenta accreta spectrum (PAS) patients, antenatal suspicion of PAS was less likely in in vitro fertilization (IVF) compared with non-IVF patients. In addition, we aimed to assess whether IVF patients exhibited similar risk factors for PAS compared with non-IVF patients. This is an international multicenter retrospective study of patients with pathologically confirmed PAS (accreta, increta, percreta) between 1998 and 2021. PAS patients were identified through a central international PAS database. Antenatal and pathological criteria are specific to each institution. Pregnancies that resulted from IVF were compared with non-IVF pregnancies. Comparisons were made using a chi-square or Fisher's exact test for categorical variables and Wilcoxon rank-sum test for continuous variables. Of the 692 pregnancies included, 44 were in the IVF group and 648 were in the non-IVF group. The IVF group was less likely to have had a prior cesarean delivery (70.5 vs. 91%, p < 0.01) but a similar prevalence of placenta previa (63.6 vs. 68.1%, p = 0.12) compared with the non-IVF group. The IVF group was also less likely to have either a prior cesarean delivery or placenta previa than the non-IVF group (79.5 vs. 95.4%, p < 0.01). Antenatal detection of PAS was less common in the IVF group compared with the non-IVF group (40.9 vs. 60.5%, p < 0.01, respectively), even when adjusted for maternal age, prior cesarean delivery, prior uterine surgery, placenta previa and site (risk ratio: 0.70, 95% confidence interval: 0.62-0.81). The IVF group had less severe pathological disease compared with the non-IVF group (p = 0.02). Pregnant people with PAS who underwent IVF are less likely to have an antenatal suspicion compared with non-IVF patients. This finding may be explained by the lower incidence of prior cesarean deliveries and/or placenta previa as well as less severe forms of PAS. · IVF group is less likely to have antenatal PAS suspicion.. · IVF group is less likely to have had prior cesarean delivery.. · Risk profile for PAS differs in IVF pregnancies..

Pre- and post-COVID-19 gender trends in authorship for paediatric radiology articles worldwide: a systematic review.

Gender inequalities in academic medicine persist despite progress over the past decade. Evidence-based targeted interventions are needed to reduce gender inequalities. This systematic review aimed to investigate the impact of COVID-19 on gender trends in authorship of paediatric radiology research worldwide. This prospectively registered, PRISMA-compliant systematic review searched the following databases: PubMed, MEDLINE, Web of Science, and Scopus from January 1, 2018, to May 29, 2023, with no restrictions on country of origin. Screening and data extraction occurred independently and in duplicate. Gender of first, last, and corresponding authors were determined using an artificial intelligence-powered, validated, multinational database ( www.genderize.io ). Two time periods were categorised according to the Johns Hopkins Center for Systems Science and Engineering: pre-COVID (prior to March 2020) and peak and post-COVID (March 2020 onwards). One-sample binomial testing was used to analyse proportion of authorship based on gender. Categorical variables were described as frequencies and percentages, and compared using testing chi-square or Fisher exact testing, with a threshold of P<0.05 representing statistical significance. In total, 922 articles were included with 39 countries represented. A statistically significant difference in authorship based on gender persisted during the peak and post-COVID time period (March 2020 onwards) where women represented a statistically significant lower proportion of last (35.5%) and corresponding (42.7%) authors (P<0.001, P=0.001, respectively). Statistically significant differences for first authors were not found in either period (P=0.08 and P=0.48). This study identifies differences in gender trends for authorship in paediatric radiology research worldwide. Future efforts to increase authorship by women are needed.

Construction of a risk prediction model for bronchiolitis obliterans in children with refractory Mycoplasma pneumoniae pneumonia

To explore the establishment of a risk prediction model for concurrent bronchiolitis obliterans (BO) in children with refractory Mycoplasma pneumoniae pneumonia (RMPP). A retrospective study included 116 RMPP children treated in the Department of Pediatrics of Xiangya Changde Hospital from June 2021 to December 2023. Eighty-one cases were allocated to the training set and thirty-five cases to the validation set based on a 7:3 ratio. Among them, 26 cases in the training set developed BO, while 55 did not. The multivariate logistic regression was used to select variable factors for constructing the BO risk prediction model. Nomograms were drawn, and the receiver operating characteristic (ROC) curve was used to assess the discriminative ability of the model, while calibration curves and Hosmer-Lemeshow tests evaluated the model's calibration. Multivariate logistic regression analysis indicated that several factors were significantly associated with concurrent BO in RMPP children, including length of hospital stay, duration of fever, atelectasis, neutrophil percentage (NEUT%), peak lactate dehydrogenase (LDH), ferritin, peak C reactive protein (CRP), oxygenation index (PaO2/FiO2), ≥2/3 lung lobe consolidation, pleural effusion, bronchial mucous plugs, bronchial mucosal necrosis, and arterial oxygen partial pressure (PaO2) (P<0.05). ROC curve analysis for the training set indicated an area under the curve of 0.904 with 88% sensitivity and 83% specificity; the validation set showed an area under the curve of 0.823 with 76% sensitivity and 93% specificity. The Hosmer-Lemeshow test's Chi-square values for the training and validation sets were 2.17 and 1.92, respectively, with P values of 0.221 and 0.196, respectively. The risk prediction model for BO in RMPP children based on logistic regression has good performance. Variables such as length of hospital stay, duration of fever, atelectasis, peak LDH, peak CRP, NEUT%, ferritin, ≥2/3 lung lobe consolidation, pleural effusion, bronchial mucous plugs, bronchial mucosal necrosis, PaO2/FiO2, andPaO2 can be used as predictors.

Derivation and validation of a nomogram based on clinical characteristics to diagnose endometriosis associated ovarian cancer preoperatively

PurposeThe preoperative diagnosis of endometriosis associated ovarian cancer (EAOC) remains challenging for lack of effective diagnostic biomarker. We aimed to study clinical characteristics and develop a nomogram for diagnosing EAOC before surgery.MethodsA total of 87 patients with EAOC and 348 patients with ovarian endometrioma (OEM) were enrolled in our study. Least absolute shrinkage and selection operator (LASSO) regression and Logistic regression were utilized to select variables and construct the prediction model. The performance of the model was assessed using receiver operating characteristic (ROC) analyses and calibration plots, while decision curve analyses (DCAs) were conducted to assess clinical value. Bootstrap resampling was used to evaluated the stability of the model in the derivation set.ResultsThe EAOC patients were older compared to the OEM patients (46.41 ± 9.62 vs. 36.49 ± 8.09 year, P < 0.001) and proportion of postmenopausal women was higher in EAOC group than in the OEM group (34.5 vs. 1.5%, P < 0.001). Our prediction model, which included age at diagnosis, tumor size, cancer antigen (CA) 19–9 and risk of ovarian malignancy algorithm (ROMA), demonstrated an area under the curve (AUC) of 0.858 (95% confidence interval (CI): 0.795–0.920) in the derivation set (N = 304) and an AUC of 0.870 (95% CI: 0.779–0.961) in the validation set (N = 131). The model fitted both the derivation (Hosmer–Lemeshow test (HL) chi-square = 12.600, P = 0.247) and the validation (HL chi-square = 8.210, P = 0.608) sets well.ConclusionCompared to patients with OEM, those with EAOC exhibited distinct clinical characteristics. Our four-variable prediction model demonstrated excellent performance in both the derivation and validation sets, suggesting its potential to assist with preoperative diagnosis of EAOC.

Relationship Between Family Income And Stunting Incidence For Toddlers In Banjarsari Wetan Village In 2023

Stunting is a condition where there is a failure of growth and development in children under five which is triggered by malnutrition. Based on data it was recorded that in 2021 there were 195 toddlers who were stunted, while in 2022 there were 69 (30.39%) toddlers who were stunted. The aim of the study was to determine the relationship between family income and the incidence of stunting in toddlers in the Banjarsari Wetan village. This research uses analytical survey methods with case control approach. The The sample for this research is 60 respondents (30 cases and 30 controls). Data analysis used is univariate analysis, bivariat uses test chi square. The results showed that the most dominant sex of toddlers was male, which was 60%, while family income in Banjarsari Wetan Village was high income (51.7%). The results of the chi square test analysis were obtained (p = 0.002) which means that there is a relationship between family income and the incidence of stunting in toddlers in Banjarsari Wetan Village. The conclusion from this study is that there is a relationship between family income with the incidence of stunting.

Factors Affecting the Incidence of Disease Due to Employment Relationship at PT. Indrabakti Mustika North Konawe

Background: The results of interviews with 10 workers illustrate that aspects of workers' health are disturbed, namely many workers who have suffered injuries, decreased attendance due to illness, exposure to mineral dust from the location or conditions of mining areas with dry and sandy soil structures that can cause silicosis or exposure to noise sourced from the operation of work tools. The purpose of the study is to determine the factors related to diseases due to labor relations in nickel mine workers at PT. IndrabaktiMustikaKonawe North.&#x0D; Methods: This study uses a Cross sectional Study approach. The study has been carried out for 30 days. The population numbered 568 people. The Research Sample totaled 82 samples. The sample technique in this study is Simple Random Sampling. The data were processed using the Data Normality Test (Kolmogrov Smirnov Test) Chi Square Test.&#x0D; Result: The results showed that there was a relationship between age X2hits = 14,024 &gt; X2 tabs = 3,841, length of work X2hits = 7,678 &gt;X2 tabs = 3,841 and air temperature X2hits = 15,752 &gt;X2 tabs = 3,841 to diseases due to labor relations in nickel mine workers at PT. IndrabaktiMustika North Konawe.&#x0D; Conclusion: Research shows that there is a relationship between age, noise and PPE use to diseases due to labor relations in nickel mine workers in PT. IndrabaktiMustika North Konawe.

Relationship of psychosocial stimulation by mother to development children age 3th-5 th years in Gamping 1st Public Health Center Working Area

&lt;p&gt;&lt;strong&gt;&lt;em&gt;Background&lt;/em&gt;&lt;/strong&gt;&lt;em&gt;: According to World The Health Organization (WHO) states that around 95% of children with developmental disorders live in the country income low and intermediate. Several studies show that stunting and being underweight are related to child development, especially motoric, cognitive, and language development on child. Psychosocial stimulation is external or environmental stimulation that is important for child development. Children who receive targeted and regular stimulation develop faster than children who receive less or no stimulation. If developmental deviations are not treated early and adequately, they tend to result in disability. &lt;/em&gt;&lt;/p&gt;&lt;p&gt;&lt;strong&gt;&lt;em&gt;Objectives&lt;/em&gt;&lt;/strong&gt;&lt;em&gt;: To determine the relationship between maternal psychosocial stimulation and children development age 3&lt;sup&gt;th&lt;/sup&gt;– 5&lt;sup&gt;th&lt;/sup&gt; years in Gamping 1&lt;sup&gt;st&lt;/sup&gt; Public Health Center Working Area.&lt;/em&gt;&lt;/p&gt;&lt;p&gt;&lt;strong&gt;&lt;em&gt;Methods&lt;/em&gt;&lt;/strong&gt;&lt;em&gt;: The quantitative analytical research with design cross sectional. The sampling technique used is probability sampling with a type of cluster random sampling technique design with a total sample of 103 children from 1,421 in population at posyandu in Gamping 1&lt;sup&gt;st&lt;/sup&gt; Public Health Center Working Area. Child development is measured using a Questionnaire Pre-Screening Development (KPSP). Psychosocial stimulation mothers were measured using the HOME instrument&lt;/em&gt;&lt;em&gt; &lt;/em&gt;&lt;em&gt;which has been tested by CVI Expert&lt;/em&gt;&lt;em&gt;. The bivariate analysis used is the test chi square .&lt;/em&gt;&lt;/p&gt;&lt;p&gt;&lt;strong&gt;&lt;em&gt;Results&lt;/em&gt;&lt;/strong&gt;&lt;em&gt;: Based on the research results after carrying out the Chi Square Test, the p value was 0.002 (p-value was &amp;lt;0.05). &lt;/em&gt;&lt;/p&gt;&lt;strong&gt;&lt;em&gt;Conclusions&lt;/em&gt;&lt;/strong&gt;&lt;em&gt;: That psychosocial stimulation has an relationship on children's development aged 3-5 years this is also one of the nurturing patterns that mothers can do at home. The need for further research is to control the amount or how much influence from outside regarding the information obtained by the mother which can influence the level or model of stimulation that the mother develops when providing stimulation&lt;/em&gt;

Maternal Age and Parity As Risk Factors Affecting The Incidence of Iron Deficiency Anemia in Pregnant Women in The Working Area of The Bungus Health Center, Padang City

Anemia is a serious health problem in pregnant women because red blood cells play an important role in distributing supplements and oxygen for fetal development. Based on WHO data (2019), the number of people in the world who suffer from anemia is more than 2 billion people or 30% of the total population. Pregnant women who experience anemia worldwide reach 41.8%. The prevalence of anemia in pregnant women at the Bungus Community Health Center in 2021 is 36% and is the highest incidence of anemia among all community health centers in Padang City. Among the risk factors that cause iron deficiency anemia in pregnant women are age and parity. This research uses quantitative methods through a cross sectional approach with a sample of 67 pregnant women in the Bungus Community Health Center working area. Random sampling technique proportional simple random sampling and data analysis using tests Chi-Square. The results of the study showed that there was a relationship between maternal age (p=0,046) with the incidence of anemia, while parity showed no significant relationship (p=0,119). It is hoped that Bungus Community Health Center officers can increase intensive outreach strategies so that the incidence of anemia in pregnant women can be prevented from an early age.

Characteristics, incidence, and outcomes of gastrointestinal complications post cardiac surgery in a quaternary referral centre: A retrospective study

BackgroundGastrointestinal (GI) complications after cardiac surgery are associated with high morbidity and mortality. Early identification and treatment of GI complications could improve patient outcomes. ObjectivesThe objective of this study was to ascertain the incidence, risk factors, and clinical outcomes of GI complications following cardiac surgery. MethodsA retrospective single-centre cohort study of adult patients undergoing cardiac surgery in an Australian quaternary cardiothoracic surgical referral centre was conducted from November 2012 to March 2020. Preoperative, intraoperative, and postoperative characteristics were compared between patients who did and did not develop GI complications. Data are presented as n (%). Between-group comparisons were analysed using Chi-square and Fisher's exact tests (where n < 6) for categorical variables and Wilcoxon rank-sum test for continuous variables. ResultsOf the 4417 patients who underwent cardiac surgery, 95 (2.2%) patients developed a total of 100 GI complications, with the most common being paralytic ileus (n = 22/100, 22%). Baseline characteristics and preoperative factors associated with GI complications included an age of >70 years (GI complication vs no GI complication: 55.8% vs 37.6%; p = 0.000), preexisting diabetes (49.5% vs 34.5%; p = 0.002), and a creatinine level >200 mcg/ml (11.6% vs 3.7%; p = 0.000). Intra-operative factors included a cardiopulmonary bypass time >120 min (28.4% vs 15.5%; p < 0.01). Postoperatively, developing a GI complication was associated with return to theatre (36.8% vs 13.9%; p < 0.01) and new stroke, pneumonia, and acute kidney injury (all p < 0.01). Patients with a GI complication had a higher intensive care unit and hospital mortality (7.4% vs 1.1%, and 13.6% vs 1.4%, respectively), and a longer intensive care unit and hospital stay (5.5 vs 2.3 days, and 24.0 vs 10.3 days). ConclusionsMultiple risk factors associated with GI complications in cardiac surgery patients were identified. These provide potential targets to support the early detection and management of GI complications to reduce morbidity and mortality in these patients.

Teledentistry content in Canadian dental and dental hygiene curricula.

To explore the extent to which teledentistry (TD) content is incorporated into Canadian dental and dental hygiene curricula. An anonymous survey was distributed among all 10 dental and 35 dental hygiene programs across Canada in June and July 2022. The survey focused on TD teaching (methods employed, content taught, and barriers to TD education), with descriptive (frequency, maximum, minimum, mean) and inferential (Pearson chi-square for odds ratio test) data analyses using SPSS. A ρ - value<0.05 was considered statistically significant. Thirty-four programs responsed to the survey, including all dental (n=10) and 68% (n=24) of dental hygiene programs; eighteen reported having TD content, including three dental programs. An average of 9.22±4.86h was reported for teaching TD, with lecture format as the most employed approach and using TD in dental practice as the most covered topic. While 53% of the dental hygiene programs employed formative and summative assessments, only one dental program reported having assessment for this content. Moreover, programs that dedicated less than 9 h to teaching this content were less likely to address more than seven topics (Odds ratio (OR)=0.14). The dental and dental hygiene programs in Canada differ in their offering TD education, and 30% of the dental and 62.5% of the surveyed dental hygiene programs addressed TD content. This scarcity emphasizes the necessity for incorporating such content in future curriculum planning to consequently decrease the lack of knowledge, an identified barrier to TD implementation in education and practice, as today's students will be future educators.

HUBUNGAN PENDIDIKAN, PARITAS DAN UMUR IBU DENGAN KETIDAKPATUHAN KUNJUNGAN ANC DI PUSKESMAS PENYANDINGAN KABUPATEN OKU INDUK

Non-compliance in the ANC examination can cause the unknowability of various kinds of high-risk pregnancies that can affect the continuity of pregnancy or pregnancy complications so that they cannot be overcome immediately which will result in an increase in Maternal Mortality Rate (MMR). This type of research is observational research that is analytical in nature with a cross sectional design or approach. The sample in this study was 73 pregnant women who were and carried out examinations for pregnant women in the work area of the Puskesmas Penyandingan in 2023. The type of data used secondary data, The results of a bivariate study of the relationship between education, parity and maternal age with non-compliance of ANC visits based on the statistical test chi square education p-value 0.025 &lt; 0.05, p-value parity 0.026 &lt;0.05 and maternal age p-value 0.026&lt; 0.05 can be concluded that there is a relationship between education, parity and maternal age simultaneously with non-compliance with ANC visits in the work area of UPTD Puskesmas Penyandingan Ogan Komering Ulu Induk Regency in 2022. The suggestion to the leadership of UPTD Puskesmas Penyandingan is to increase information about non-compliance with ANC visits by involving community leaders, health workers to provide counseling and counseling, as well as distributing brochures, billboards, and advertisements in print and electronic media so that the public knows the importance of ANC visits.

Hubungan Self Management Dengan Tingkat Kepatuhan Pasien Terhadap Keberhasilan Terapi Hipertensi Di Puskesmas Bonorowo Kebumen

Hypertension is a condition when blood pressure systolic over 140mmHg and diastolic blood pressure over 90mmHg . one _ effort for resolve hypertension is with self management or management self with obedience patient to success therapy hypertension . Study this aim for identify characteristics and connection patient and level percentage self management and level obedience patient to success therapy hypertension . Type study this is non - experimental nature correlational with approach cross sectional with use period on month December 2022. Method taking sample on study this that is purposive sampling . Data analysis was performed that is analysis bivariate and test chi square using the Statistical Package for the Social Science (SPSS) program. Study this carried out at the Health Center Bonorowo Kebumen . Population in study this that is all patient hypertension pure nor with participant who did examination at the Health Center as many as 106 respondents on period month December 2022. Based on results study self management sufferer hypertension as much as 49.0% of respondents is at on category enough . A total of 47.2 % of respondents own level obedience medium . There is connection significant Among self management with level compliance ( p-value 0.000) which is correlated (r-0.906) with direction connection positive . Conclusion there is connection significant Among self management with level obedience patient to success therapy hypertension at the health center Bonorowo Kebumen .

Hubungan Stabilitas Kadar Gula Darah Dengan Penurunan Ketajaman Penglihatan Pada Diabetes Melitus Tipe II Didesa Sokaan Kecamatan Krejengan Kabupaten Probolinggo

Diabetes Mellitus (DM) is a metabolic disease with hyperglycemia characteristics that occurs because abnormality of insulin secretion . Diabetes mellitus can cause eye damage . Study this aim to know the correlation of stability of blood sugar levels with decreased visual acuity in type II diabetes mellitus.This study use analytical study design correlation with approach cross sectional. The technique used purposive with 52 respondents who meet the criteria. The analysis of the data used test Chi-Square. The results of study showed that for stability rate sugar blood of 29 respondents are unstable. Decrease in visual acuity of 23 respondents were in moderate category. The results of the chi-square test of the stability of blood sugar levels with decreased visual acuity in Diabetes Mellitus type II obtained p value = 0.00 0 so that the p -value &lt; = 0.05 . The results of this study indicate a relationship between the stability of blood sugar levels with decreased visual acuity.It can be concluded that unstable blood sugar levels can affect the decrease in visual acuity in Diabetes Mellitus. On the contrary, if blood sugar levels are in a stable range, the risk of decreased visual acuity will decrease.&#x0D;

Impact of SGLT2 Inhibitors on AF Recurrence After Catheter Ablation in Patients With Type 2 Diabetes

BackgroundThe effects of sodium-glucose cotransporter 2 inhibitors (SGLT2-Is) on recurrent atrial fibrillation (AF) among patients undergoing catheter ablation is not well described. ObjectivesThis study sought to assess the impact of SGLT2-Is on the recurrence of AF among patients with type 2 diabetes mellitus (DM) after catheter ablation. MethodsUsing the TriNetX research network, we identified, by means of Current Procedural Terminology codes, patients ≥18 years of age with type 2 diabetes mellitus (DM) who had undergone AF ablation from April 1, 2014, to November 30, 2021. Patients were stratified based on the baseline SGLT2-I use. Propensity-score matching resulted in 2,225 patients in each cohort. The primary outcome was a composite of cardioversion, new antiarrhythmic drug (AAD) therapy, or re-do AF ablation after a blanking period after the index ablation. Additional outcomes included heart failure exacerbations, ischemic stroke, all-cause hospitalization, and death during 12 months of follow-up. ResultsSGLT2-I use in patients with type 2 DM undergoing AF ablation was associated with a significantly lower risk of cardioversion, new AAD therapy, and re-do AF ablation (adjusted OR: 0.68; 95% CI: 0.602-0.776; P < 0.0001). At 12 months, patients on SGLT2-Is had a higher probability of event-free survival (HR: 0.85, 95% CI: 0.77-0.95; log-rank test chi-square = 8.7; P = 0.003). All secondary outcomes were lower in the SGLT2I group; however, the ischemic stroke did not differ between groups. ConclusionsUse of SGLT2-Is in patients with type 2 DM is associated with a lower risk of arrhythmia recurrence after AF ablation and thence a reduced need for cardioversion, AAD therapy, or re-do AF ablation.