Pub Date : 2023-10-25DOI: 10.17921/2447-8938.2023v25n3p129-136
L. L. Dantas, J. A. Dantas, Luciana Soares de Andrade Freitas Oliveira, T. Vasconcelos, Frederico Sampaio Neves, Daniel Adrian Silva Souza, Paulo Sérgio Flores Campos, William C. Scarfe, I. Rebello
AbstractThe quality of Cone Beam Computed Tomography (CBCT) images is directly influenced by scanning and visualization protocols. Evaluate the subjective quality of the Cone Beam Computed Tomography (CBCT) image of different devices and protocols for diagnosing periodontal structures and correlate the findings with the contrast-to-noise ratio (CNR). One dry dentate mandible was scanned by six CBCT devices: Accuitomo 3D 170, CS 9000, CS 9300, Eagle 3D, i-CAT Classic, and Orthophos XG 3D. All CBCT devices were adjusted to provide a spatial resolution closest to 0.2 mm, and a FOV height limited to less than 100 mm. Cross-sectional images were evaluated randomly. The buccal bone coverage, the periodontal ligament space and the amount of image noise were assessed. The statistics were calculated based on a logistic regression model with the significance level set at 5%. Protocols with large FOVs demonstrated significantly lower image quality. No statistical differences were found regarding buccal bone coverage between the CBCT devices. The CNR showed the highest value for the Accuitomo 60mm x 60mm HiFi 180°, followed by the Accuitomo 60mm x 60mm HiFi 360°, and lower values for the i-Cat Classic and Orthophos XG 3D devices. Most protocols studied presented good image quality in evaluating the buccal bone coverage and periodontal ligament space. However, the exam with the lowest FOV of the Accuitomo 60mm x 60mm HiFi 180° device showed superiority concerning the others. Keywords: Cone-Beam Computed Tomography. Technology, Radiologic. Radiography, Dental, Digital. Periodontics. ResumoA qualidade das imagens de tomografia computadorizada de feixe cônico (CBCT) é diretamente influenciada pelos protocolos de digitalização e visualização. Avaliar a qualidade subjetiva da imagem da Tomografia Computadorizada de Feixe Cone (CBCT) de diferentes aparelhos e protocolos para o diagnóstico de estruturas periodontais e correlacionar os achados com a razão contraste-ruído (RCR). Uma mandíbula dentada seca foi digitalizada por seis dispositivos CBCT: Accuitomo 3D 170, CS 9000, CS 9300, Eagle 3D, i-CAT Classic e Orthophos XG 3D. Todos os dispositivos CBCT foram ajustados para fornecer uma resolução espacial próxima a 0,2 mm e uma altura de FOV limitada a menos de 100 mm. Imagens transversais foram avaliadas aleatoriamente. A cobertura óssea vestibular, o espaço do ligamento periodontal e a quantidade de ruído da imagem foram avaliados. As estatísticas foram calculadas com base em um modelo de regressão logística com nível de significância de 5%. Protocolos com grandes FOVs demonstraram qualidade de imagem significativamente inferior. Não foram encontradas diferenças estatísticas em relação à cobertura óssea vestibular entre os dispositivos CBCT. O CNR apresentou o maior valor para o Accuitomo 60mm x 60mm HiFi 180°, seguido pelo Accuitomo 60mm x 60mm HiFi 360°, e valores menores para os dispositivos i-Cat Classic e Orthophos XG 3D. A maioria dos protocolos estudados apre
摘要锥形束计算机断层扫描(CBCT)图像的质量直接受扫描和显像方案的影响。 评估不同设备和方案的锥形束计算机断层扫描(CBCT)图像在诊断牙周结构时的主观质量,并将评估结果与对比-噪声比(CNR)相关联。我们用六种 CBCT 设备扫描了一个干燥的下颌骨:Accuitomo 3D 170、CS 9000、CS 9300、Eagle 3D、i-CAT Classic 和 Orthophos XG 3D。所有 CBCT 设备都经过调整,以提供最接近 0.2 毫米的空间分辨率和小于 100 毫米的 FOV 高度。横截面图像是随机评估的。对颊骨覆盖率、牙周韧带空间和图像噪音量进行评估。统计结果基于逻辑回归模型计算,显著性水平设定为 5%。FOV较大的方案图像质量明显较低。CBCT设备之间的颊骨覆盖率没有统计学差异。CNR 显示,Accuitomo 60mm x 60mm HiFi 180° 的数值最高,其次是 Accuitomo 60mm x 60mm HiFi 360°,而 i-Cat Classic 和 Orthophos XG 3D 设备的数值较低。在评估颊骨覆盖率和牙周韧带间隙方面,所研究的大多数方案都具有良好的图像质量。然而,Accuitomo 60mm x 60mm HiFi 180°设备的最低FOV检查显示优于其他设备。关键词:锥形束计算机断层扫描。技术,放射学。放射成像,牙科,数字。牙周病学。摘要锥形束计算机断层扫描(CBCT)图像的质量直接受扫描和显像方案的影响。目的是评估不同设备和方案的锥形束计算机断层扫描(CBCT)在诊断牙周结构时的主观图像质量,并将评估结果与对比-噪声比(CRR)相关联。我们使用六种 CBCT 设备扫描了干燥的下颌骨:Accuitomo 3D 170、CS 9000、CS 9300、Eagle 3D、i-CAT Classic 和 Orthophos XG 3D。所有 CBCT 设备都经过调整,空间分辨率接近 0.2 毫米,FOV 高度限制在 100 毫米以下。横截面图像是随机评估的。对颊骨覆盖率、牙周韧带空间和图像噪音量进行了评估。统计结果采用逻辑回归模型计算,显著性水平为 5%。大 FOV 方案的图像质量明显较低。CBCT设备在颊骨覆盖率方面没有统计学差异。CNR 显示,Accuitomo 60mm x 60mm HiFi 180° 的数值最高,其次是 Accuitomo 60mm x 60mm HiFi 360°,而 i-Cat Classic 和 Orthophos XG 3D 设备的数值较低。在评估颊骨覆盖率和牙周韧带间隙时,所研究的大多数方案都显示出良好的图像质量。然而,Accuitomo 60mm x 60mm HiFi 180°设备的最小FOV检查优于其他设备。关键词:锥形束计算机断层扫描。放射技术。数字牙科放射摄影。牙周病学
{"title":"Effect of Different Cone Beam Computed Tomography Devices and Protocols on Image Quality for the Evaluation of Periodontal Structures","authors":"L. L. Dantas, J. A. Dantas, Luciana Soares de Andrade Freitas Oliveira, T. Vasconcelos, Frederico Sampaio Neves, Daniel Adrian Silva Souza, Paulo Sérgio Flores Campos, William C. Scarfe, I. Rebello","doi":"10.17921/2447-8938.2023v25n3p129-136","DOIUrl":"https://doi.org/10.17921/2447-8938.2023v25n3p129-136","url":null,"abstract":"AbstractThe quality of Cone Beam Computed Tomography (CBCT) images is directly influenced by scanning and visualization protocols. Evaluate the subjective quality of the Cone Beam Computed Tomography (CBCT) image of different devices and protocols for diagnosing periodontal structures and correlate the findings with the contrast-to-noise ratio (CNR). One dry dentate mandible was scanned by six CBCT devices: Accuitomo 3D 170, CS 9000, CS 9300, Eagle 3D, i-CAT Classic, and Orthophos XG 3D. All CBCT devices were adjusted to provide a spatial resolution closest to 0.2 mm, and a FOV height limited to less than 100 mm. Cross-sectional images were evaluated randomly. The buccal bone coverage, the periodontal ligament space and the amount of image noise were assessed. The statistics were calculated based on a logistic regression model with the significance level set at 5%. Protocols with large FOVs demonstrated significantly lower image quality. No statistical differences were found regarding buccal bone coverage between the CBCT devices. The CNR showed the highest value for the Accuitomo 60mm x 60mm HiFi 180°, followed by the Accuitomo 60mm x 60mm HiFi 360°, and lower values for the i-Cat Classic and Orthophos XG 3D devices. Most protocols studied presented good image quality in evaluating the buccal bone coverage and periodontal ligament space. However, the exam with the lowest FOV of the Accuitomo 60mm x 60mm HiFi 180° device showed superiority concerning the others. Keywords: Cone-Beam Computed Tomography. Technology, Radiologic. Radiography, Dental, Digital. Periodontics. ResumoA qualidade das imagens de tomografia computadorizada de feixe cônico (CBCT) é diretamente influenciada pelos protocolos de digitalização e visualização. Avaliar a qualidade subjetiva da imagem da Tomografia Computadorizada de Feixe Cone (CBCT) de diferentes aparelhos e protocolos para o diagnóstico de estruturas periodontais e correlacionar os achados com a razão contraste-ruído (RCR). Uma mandíbula dentada seca foi digitalizada por seis dispositivos CBCT: Accuitomo 3D 170, CS 9000, CS 9300, Eagle 3D, i-CAT Classic e Orthophos XG 3D. Todos os dispositivos CBCT foram ajustados para fornecer uma resolução espacial próxima a 0,2 mm e uma altura de FOV limitada a menos de 100 mm. Imagens transversais foram avaliadas aleatoriamente. A cobertura óssea vestibular, o espaço do ligamento periodontal e a quantidade de ruído da imagem foram avaliados. As estatísticas foram calculadas com base em um modelo de regressão logística com nível de significância de 5%. Protocolos com grandes FOVs demonstraram qualidade de imagem significativamente inferior. Não foram encontradas diferenças estatísticas em relação à cobertura óssea vestibular entre os dispositivos CBCT. O CNR apresentou o maior valor para o Accuitomo 60mm x 60mm HiFi 180°, seguido pelo Accuitomo 60mm x 60mm HiFi 360°, e valores menores para os dispositivos i-Cat Classic e Orthophos XG 3D. A maioria dos protocolos estudados apre","PeriodicalId":15927,"journal":{"name":"Journal of Health Sciences","volume":"110 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139313907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-17DOI: 10.17532/jhsci.2023.2234
Adriano Friganović, Snjezana Čukljek, Sandra Bošković, Biljana Kurtović, Irena Kovačević, Marija Spevan, Josip Brusić, Kristian Civka
Introduction: Burnout syndrome is a growing concern among nursing students, potentially impacting their academic success and future professional performance. This study aimed to explore the prevalence of burnout syndrome in Croatian nursing students and examine the associations between burnout and demographic features (age, gender, year of study, part-time or full-time study). Methods: A quantitative cross-sectional study was conducted with 423 nursing students from the University of Applied Health Sciences, Zagreb, and the Faculty of Health Sciences, Rijeka. The Maslach Burnout Inventory (MBI); MBI human services survey was used to assess burnout levels. Results: Nursing students at the Faculty of Health Sciences, Rijeka, experienced higher burnout levels than those at the University of Applied Health Sciences, Zagreb (χ2 = 10.214, ss = 2, p = 0.006). Significant associations were found between burnout levels and age, gender, year of study, and enrolment status. Specifically, younger students, female students, and full-time students reported higher levels of emotional exhaustion (EE). 2nd-year students reported lower EE than their first and 3rd-year peers. Conclusions: This study underscores the importance of recognizing and addressing the unique needs and stressors faced by different subgroups of nursing students. Tailored interventions and support systems are essential for alleviating burnout and promoting well-being in nursing students. Further research, including longitudinal studies, is required to better understand burnout progression and to inform the development of effective strategies for reducing burnout in nursing education.
职业倦怠综合症是护理专业学生日益关注的问题,可能会影响他们的学业成功和未来的职业表现。本研究旨在探讨克罗地亚护理专业学生中职业倦怠综合征的患病率,并研究职业倦怠与人口统计学特征(年龄、性别、学习年份、兼职或全日制学习)之间的关系。方法:对来自萨格勒布应用健康科学大学和里耶卡健康科学学院的423名护理专业学生进行定量横断面研究。Maslach职业倦怠量表(MBI);采用MBI人力服务调查评估职业倦怠水平。结果:里耶卡健康科学学院护生的职业倦怠水平高于萨格勒布应用健康科学大学护生(χ2 = 10.214, ss = 2, p = 0.006)。倦怠水平与年龄、性别、学习年份和入学状况之间存在显著关联。具体来说,年龄较小的学生、女学生和全日制学生报告的情绪衰竭(EE)水平更高。二年级学生的情感表达比一年级和三年级学生低。结论:本研究强调了认识和解决护理学生不同群体所面临的独特需求和压力源的重要性。量身定制的干预措施和支持系统对于减轻护理学生的倦怠和促进福祉至关重要。需要进一步的研究,包括纵向研究,以更好地了解倦怠的进展,并为制定有效的策略来减少护理教育中的倦怠提供信息。
{"title":"Differences in Burnout Aspects in Croatian Nursing Students – A Cross-Sectional Study","authors":"Adriano Friganović, Snjezana Čukljek, Sandra Bošković, Biljana Kurtović, Irena Kovačević, Marija Spevan, Josip Brusić, Kristian Civka","doi":"10.17532/jhsci.2023.2234","DOIUrl":"https://doi.org/10.17532/jhsci.2023.2234","url":null,"abstract":"Introduction: Burnout syndrome is a growing concern among nursing students, potentially impacting their academic success and future professional performance. This study aimed to explore the prevalence of burnout syndrome in Croatian nursing students and examine the associations between burnout and demographic features (age, gender, year of study, part-time or full-time study). Methods: A quantitative cross-sectional study was conducted with 423 nursing students from the University of Applied Health Sciences, Zagreb, and the Faculty of Health Sciences, Rijeka. The Maslach Burnout Inventory (MBI); MBI human services survey was used to assess burnout levels. Results: Nursing students at the Faculty of Health Sciences, Rijeka, experienced higher burnout levels than those at the University of Applied Health Sciences, Zagreb (χ2 = 10.214, ss = 2, p = 0.006). Significant associations were found between burnout levels and age, gender, year of study, and enrolment status. Specifically, younger students, female students, and full-time students reported higher levels of emotional exhaustion (EE). 2nd-year students reported lower EE than their first and 3rd-year peers. Conclusions: This study underscores the importance of recognizing and addressing the unique needs and stressors faced by different subgroups of nursing students. Tailored interventions and support systems are essential for alleviating burnout and promoting well-being in nursing students. Further research, including longitudinal studies, is required to better understand burnout progression and to inform the development of effective strategies for reducing burnout in nursing education.","PeriodicalId":15927,"journal":{"name":"Journal of Health Sciences","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136034460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Statins are lipid lowering medications, used for the prevention of cardiovascular diseases (CVD), but have shown to increase the risk of Type 2 diabetes mellitus. The aim of this study was to investigate the effects of high-potency statins, atorvastatin, and rosuvastatin on fasting glucose (FG) and hemoglobin A1c (HbA1c) in CVD patients. Methods: The case–control study included 123 patients from Tuzla Canton, Bosnia, and Herzegovina, with a diagnosis of CVD, treated in three health centers: Public Health Center Gračanica, Banovići, and Čelić. Of total patients, 84 were statin users (39 atorvastatin users and 45 rosuvastatin users) and 39 were not. Demographic data, diagnosis, and data of the therapy were taken from the medical records, as well as data of the FG and HbA1c, measured before or within 3 months of the statin therapy introduction. For the same patients, FG and HbA1c were also measured at least 3 months after the introduction of therapy. Results: Obtained results have shown a significant increase of FG in CVD patients on statin therapy in relation to control (p = 0.034). Comparing the diabetogenic effects of atrovastatin and rosuvastatin, it was found that the HbA1c in patients on atorvastatin therapy was significantly higher comparing to those on rosuvastatain therapy (p = 0.028). The FG was significantly increased (p = 0.027) after atrovastatin therapy. Similar results were obtained in diabetogenic CVD patients, where HbA1c on atorvastatin therapy was significantly higher comparing to HbA1c in those on rosuvastatain therapy (p = 0.039). A significant correlation was found between the increase in FG and HbA1c with the duration of atorvastatin therapy (p = 0.001 and p = 0.033), and between the increase in HbA1c and the duration of rosuvastatin therapy (p = 0.001). Conclusion: Long-term therapy with high-potency statins, atorvastatin, and rosuvastatin, may increase levels of FG and HbA1c in patients with CVD, where atorvastatin shows more significant effects.
{"title":"Comparative study of long-term effects of atorvastatin and rosuvastatin on fasting glucose and hemoglobin A1c in patients with cardiovascular diseases","authors":"Nahida Srabović, Monika Rustemović Čorbić, Esmeralda Dautović, Aida Smajlović, Adaleta Softić, Anida Delimehić, Jasmina Grapkić Aličić, Damir Terzić, Emina Hodžić, Arnela Šakušić Mujić, Ezaneta Merdanović, Zerina Sakić, Eldina Žunić, Mehmed Salkić, Aida Ždralić","doi":"10.17532/jhsci.2023.2146","DOIUrl":"https://doi.org/10.17532/jhsci.2023.2146","url":null,"abstract":"Introduction: Statins are lipid lowering medications, used for the prevention of cardiovascular diseases (CVD), but have shown to increase the risk of Type 2 diabetes mellitus. The aim of this study was to investigate the effects of high-potency statins, atorvastatin, and rosuvastatin on fasting glucose (FG) and hemoglobin A1c (HbA1c) in CVD patients. Methods: The case–control study included 123 patients from Tuzla Canton, Bosnia, and Herzegovina, with a diagnosis of CVD, treated in three health centers: Public Health Center Gračanica, Banovići, and Čelić. Of total patients, 84 were statin users (39 atorvastatin users and 45 rosuvastatin users) and 39 were not. Demographic data, diagnosis, and data of the therapy were taken from the medical records, as well as data of the FG and HbA1c, measured before or within 3 months of the statin therapy introduction. For the same patients, FG and HbA1c were also measured at least 3 months after the introduction of therapy. Results: Obtained results have shown a significant increase of FG in CVD patients on statin therapy in relation to control (p = 0.034). Comparing the diabetogenic effects of atrovastatin and rosuvastatin, it was found that the HbA1c in patients on atorvastatin therapy was significantly higher comparing to those on rosuvastatain therapy (p = 0.028). The FG was significantly increased (p = 0.027) after atrovastatin therapy. Similar results were obtained in diabetogenic CVD patients, where HbA1c on atorvastatin therapy was significantly higher comparing to HbA1c in those on rosuvastatain therapy (p = 0.039). A significant correlation was found between the increase in FG and HbA1c with the duration of atorvastatin therapy (p = 0.001 and p = 0.033), and between the increase in HbA1c and the duration of rosuvastatin therapy (p = 0.001). Conclusion: Long-term therapy with high-potency statins, atorvastatin, and rosuvastatin, may increase levels of FG and HbA1c in patients with CVD, where atorvastatin shows more significant effects.","PeriodicalId":15927,"journal":{"name":"Journal of Health Sciences","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135094809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-30DOI: 10.17532/jhsci.2023.2081
Nina Čamdžić, Suada Kuskunović-Vlahovljak, Mirsad Dorić, Mirsad Babić, Edina Lazović Salčin, Haris Čampara, Asja Prohić
Introduction: Basal cell carcinoma (BCC) and squamous cell carcinoma (SCC) are the most common skin malignancies in the heterogeneous group of non-melanoma skin cancer (NMSC). Due to increasing incidence these tumours remain significant health problem worldwide. Methods: We conducted retrospective analysis to evaluate the incidence of primary BCCs and SCCs in our institution from 2003 to 2022, and to correlate it with available clinical data. Results: We noticed that the incidence of NMSC increased between 2018 and 2022 (p<0.01). Among 1570 patients diagnosed with NMSC, BCC represented 77.9% of cases. BCC was constantly more common type of NMSC with statistically significant difference in the period from 2003-2005 and in the period from 2017- 2022 (p<0.01). Nodular subtype of the BCC was the most common, affecting primarily face. Superficial BCC occurred most commonly on trunk (p<0.01), affecting younger patients than the other histological subtypes (mean age 61.29±13.47 years (p<0.01). High-risk BCCs in men were more common on face and scalp (p<0.05). BCCs were predominantly smaller tumours (<2 cm) in contrast to SCCs with highest incidence in pT2-pT4 group (p<0.01). SCC patients were older (mean age 72.89±9.7) than BCC patients (mean age 65.15±12.80) (p<0.01). Conclusion: In order to improve prevention strategies and prevent further increase in incidence, there is need to develop current and exact registries of these malignancies, especially separately BCC and SCC.
{"title":"Epidemiological data and clinico-pathological features of squamous and basal cell carcinoma: A 20-year single-institution experience","authors":"Nina Čamdžić, Suada Kuskunović-Vlahovljak, Mirsad Dorić, Mirsad Babić, Edina Lazović Salčin, Haris Čampara, Asja Prohić","doi":"10.17532/jhsci.2023.2081","DOIUrl":"https://doi.org/10.17532/jhsci.2023.2081","url":null,"abstract":"Introduction: Basal cell carcinoma (BCC) and squamous cell carcinoma (SCC) are the most common skin malignancies in the heterogeneous group of non-melanoma skin cancer (NMSC). Due to increasing incidence these tumours remain significant health problem worldwide. Methods: We conducted retrospective analysis to evaluate the incidence of primary BCCs and SCCs in our institution from 2003 to 2022, and to correlate it with available clinical data. Results: We noticed that the incidence of NMSC increased between 2018 and 2022 (p<0.01). Among 1570 patients diagnosed with NMSC, BCC represented 77.9% of cases. BCC was constantly more common type of NMSC with statistically significant difference in the period from 2003-2005 and in the period from 2017- 2022 (p<0.01). Nodular subtype of the BCC was the most common, affecting primarily face. Superficial BCC occurred most commonly on trunk (p<0.01), affecting younger patients than the other histological subtypes (mean age 61.29±13.47 years (p<0.01). High-risk BCCs in men were more common on face and scalp (p<0.05). BCCs were predominantly smaller tumours (<2 cm) in contrast to SCCs with highest incidence in pT2-pT4 group (p<0.01). SCC patients were older (mean age 72.89±9.7) than BCC patients (mean age 65.15±12.80) (p<0.01). Conclusion: In order to improve prevention strategies and prevent further increase in incidence, there is need to develop current and exact registries of these malignancies, especially separately BCC and SCC.","PeriodicalId":15927,"journal":{"name":"Journal of Health Sciences","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136344654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-30DOI: 10.17532/jhsci.2023.2178
Karina Karina, Anggara Mahardika, Grady Krisandi, Imam Rosadi, Ratna Purwoko, Sarah Listyo Astuti, Diani Nazma, Louis Martin Christoffel, Meliana Siswanto, Johannes Albert Biben, Krista Ekaputri, Kuswan Ambar Pamungkas, Tommy P. Sibuea, Azza Maryam
Introduction: Atopic dermatitis (AD) is a chronic relapsing inflammatory skin disorder which involves skin barrier and immune dysregulation. The management of AD involves the use of moisturizers and immunosuppressant which are only used for temporary symptom relief and may potentially harm the fetal growth. Autologous activated platelet-rich plasma (aaPRP) is a potential adjuvant treatment for symptom control in pregnant AD patient. This report examines a case of a pregnant patient with AD treated with aaPRP and the monitoring of fetal growth until birth. Case Report: A 37-year-old pregnant patient with a history of AD when in contact with latex or consumption of dairy products came to Hayandra Clinic. As she had been working as anesthesiologist continuously in contact with latex gloves, she underwent routine aaPRP therapy for 3 years and had 15 aaPRP treatments over the course of her pregnancy. The patient had lesser lesions when AD was induced, no exacerbation of symptoms during pregnancy, and the baby was healthy during pregnancy to birth. Conclusion: The use of aaPRP therapy for the management of AD may be indicated as it controls the symptoms yet is safe for the patient during pregnancy. There was also no harm effect showing on the fetal development. A larger study such as randomized controlled trial is required to evaluate our findings.
{"title":"The efficacy and safety of autologous activated platelet-rich plasma therapy as adjuvant treatment of atopic dermatitis in pregnant woman","authors":"Karina Karina, Anggara Mahardika, Grady Krisandi, Imam Rosadi, Ratna Purwoko, Sarah Listyo Astuti, Diani Nazma, Louis Martin Christoffel, Meliana Siswanto, Johannes Albert Biben, Krista Ekaputri, Kuswan Ambar Pamungkas, Tommy P. Sibuea, Azza Maryam","doi":"10.17532/jhsci.2023.2178","DOIUrl":"https://doi.org/10.17532/jhsci.2023.2178","url":null,"abstract":"Introduction: Atopic dermatitis (AD) is a chronic relapsing inflammatory skin disorder which involves skin barrier and immune dysregulation. The management of AD involves the use of moisturizers and immunosuppressant which are only used for temporary symptom relief and may potentially harm the fetal growth. Autologous activated platelet-rich plasma (aaPRP) is a potential adjuvant treatment for symptom control in pregnant AD patient. This report examines a case of a pregnant patient with AD treated with aaPRP and the monitoring of fetal growth until birth. Case Report: A 37-year-old pregnant patient with a history of AD when in contact with latex or consumption of dairy products came to Hayandra Clinic. As she had been working as anesthesiologist continuously in contact with latex gloves, she underwent routine aaPRP therapy for 3 years and had 15 aaPRP treatments over the course of her pregnancy. The patient had lesser lesions when AD was induced, no exacerbation of symptoms during pregnancy, and the baby was healthy during pregnancy to birth. Conclusion: The use of aaPRP therapy for the management of AD may be indicated as it controls the symptoms yet is safe for the patient during pregnancy. There was also no harm effect showing on the fetal development. A larger study such as randomized controlled trial is required to evaluate our findings.","PeriodicalId":15927,"journal":{"name":"Journal of Health Sciences","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136247781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-26DOI: 10.17532/jhsci.2023.2128
Ilaz Miftari
Introduction: Surgical treatment of inguinal hernia is one of the most common procedures in surgery. Various techniques can be used to repair inguinal hernias, but the two most commonly used are the Shouldice surgical technique, modified by the Berliner Darn and Lichtenstein techniques, as a non-extension technique. However, despite the long tradition of surgical hernia treatment, there is still no consensus on the best or most appropriate surgical technique for elective inguinal hernia repair. Therefore, it remains a challenge for surgeons to choose the appropriate hernia repair method on a case-by-case basis that results in low complications and faster recovery. The aim of this study is to compare the efficiency of the Shouldice surgical technique modified by the Berliner Darn and Lichtenstein techniques in the treatment of hernias with respect to certain post-operative parameters. Methods: A prospective and cohort study was conducted at the Clinical Hospital in Tetovo. The study included 100 patients diagnosed with inguinal hernia and treated in hospital. The monitored patients were divided into two groups according to the technique used: 50 patients treated with Shouldice technique modified by Berliner Darn and 50 patients treated with Lichtenstein technique. In addition, we based the selection of the groups mainly on the reproductive age of the patients. Only male patients were treated in both groups, as there were very few female cases during the study period. Results: Patients operated on with the Lichtenstein technique were more mobile postoperatively, post-operative pain was less severe and return to daily and occupational activities and length of hospital stay were significantly shorter than with the Shouldice technique. Conclusion: The Lichtenstein tension-free surgical technique is more efficient and adequate than the modified Shouldice technique according to Berliner Darn in terms of post-operative pain intensity, length of hospital stay, return to daily activities, and return to work.
{"title":"A comparison of post-operative parameters between the Shouldice methods modified according to Berliner darn and the Lichtenstein method in the repair of inguinal hernias","authors":"Ilaz Miftari","doi":"10.17532/jhsci.2023.2128","DOIUrl":"https://doi.org/10.17532/jhsci.2023.2128","url":null,"abstract":"Introduction: Surgical treatment of inguinal hernia is one of the most common procedures in surgery. Various techniques can be used to repair inguinal hernias, but the two most commonly used are the Shouldice surgical technique, modified by the Berliner Darn and Lichtenstein techniques, as a non-extension technique. However, despite the long tradition of surgical hernia treatment, there is still no consensus on the best or most appropriate surgical technique for elective inguinal hernia repair. Therefore, it remains a challenge for surgeons to choose the appropriate hernia repair method on a case-by-case basis that results in low complications and faster recovery. The aim of this study is to compare the efficiency of the Shouldice surgical technique modified by the Berliner Darn and Lichtenstein techniques in the treatment of hernias with respect to certain post-operative parameters. Methods: A prospective and cohort study was conducted at the Clinical Hospital in Tetovo. The study included 100 patients diagnosed with inguinal hernia and treated in hospital. The monitored patients were divided into two groups according to the technique used: 50 patients treated with Shouldice technique modified by Berliner Darn and 50 patients treated with Lichtenstein technique. In addition, we based the selection of the groups mainly on the reproductive age of the patients. Only male patients were treated in both groups, as there were very few female cases during the study period. Results: Patients operated on with the Lichtenstein technique were more mobile postoperatively, post-operative pain was less severe and return to daily and occupational activities and length of hospital stay were significantly shorter than with the Shouldice technique. Conclusion: The Lichtenstein tension-free surgical technique is more efficient and adequate than the modified Shouldice technique according to Berliner Darn in terms of post-operative pain intensity, length of hospital stay, return to daily activities, and return to work.","PeriodicalId":15927,"journal":{"name":"Journal of Health Sciences","volume":"331 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134957907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: The coronavirus disease 2019 (COVID-19) pandemic has caused a worldwide emergency. The disease is characterized primarily by symptoms of the respiratory system, but also by systemic inflammation. Since the onset of the disease, there has been a need for biomarkers to predict the severity of the clinical picture and the outcome of the disease. The aim of this study is to evaluate systemic inflammatory markers for predicting severity of COVID-19. Methods: The study was conducted at the Sarajevo Canton Health Center on a total of 170 adults suffering from COVID-19. 70 subjects had mild clinical picture, while the control group consisted of 100 subjects with moderate clinical picture. The results of complete and differential blood counts, C-reactive protein (CRP), and systemic inflammatory indexes (SII) (neutrophil/lymphocyte ratio [NLR], derived NLR [dNLR], platelet/lymphocyte ratio [PLR], and SII) were used to compare the groups. IBM SPSS Ver. 23 was used for statistical analysis and data processing. Results: The proportion of male patients in the group with a milder clinical picture was higher than the proportion of male patients with a moderate clinical picture, p = 0.016. The values of leukocytes and neutrophils were higher in patients with a moderate clinical picture (p = 0.006 and p < 0.001, respectively). The values of all inflammatory indexes (NLR, dNLR, PLR and SII) were higher in patients with a moderate clinical picture of COVID-19 than in patients with a mild clinical picture (p < 0.001 for NLR, dNLR, and SII; p = 0.023 for PLR). In the research, patient age showed no correlation and CRP showed no correlation with SII. Conclusion: SII show higher values in patients with a moderate compared with a mild clinical picture of COVID-19. These parameters can be cost-effective and useful indicators in patient classification, diagnosis, and probably in monitoring patients with COVID-19.
2019冠状病毒病(COVID-19)大流行已引起全球紧急情况。该病的主要特征是呼吸系统症状,但也有全身性炎症。自该病发病以来,一直需要生物标志物来预测临床症状的严重程度和疾病的结果。本研究的目的是评估预测COVID-19严重程度的全身炎症标志物。方法:在萨拉热窝州卫生中心对170名成人COVID-19患者进行研究。70例为轻度临床表现,对照组100例为中度临床表现。采用全血细胞计数和差异血细胞计数、c反应蛋白(CRP)和全身炎症指数(SII)(中性粒细胞/淋巴细胞比值[NLR]、衍生性NLR [dNLR]、血小板/淋巴细胞比值[PLR]和SII)进行比较。采用IBM SPSS Ver. 23进行统计分析和数据处理。结果:临床表现较轻组男性患者所占比例高于临床表现较中度组男性患者所占比例,p = 0.016。临床表现中度的患者白细胞和中性粒细胞值较高(p = 0.006, p <分别为0.001)。所有炎症指标(NLR、dNLR、PLR和SII)在中度临床表现的患者中均高于轻度临床表现的患者(p <NLR、dNLR和SII为0.001;PLR p = 0.023)。研究中,患者年龄与SII无相关性,CRP与SII无相关性。结论:SII值在中度COVID-19患者中高于轻度临床表现。这些参数在患者分类、诊断以及可能监测COVID-19患者方面是具有成本效益和有用的指标。
{"title":"Systemic inflammatory indexes (NLR, DNLR, PLR and SII) role in predicting COVID-19 progression","authors":"Berina Hasanefendić, Emir Šeherčehajić, Armina Dedić, Suzana Tihić-Kapidžić, Ermin Begović, Sanela Hajro, Belma Gazibera, Ahmed Velić, Melina Drljo","doi":"10.17532/jhsci.2023.2155","DOIUrl":"https://doi.org/10.17532/jhsci.2023.2155","url":null,"abstract":"Introduction: The coronavirus disease 2019 (COVID-19) pandemic has caused a worldwide emergency. The disease is characterized primarily by symptoms of the respiratory system, but also by systemic inflammation. Since the onset of the disease, there has been a need for biomarkers to predict the severity of the clinical picture and the outcome of the disease. The aim of this study is to evaluate systemic inflammatory markers for predicting severity of COVID-19. Methods: The study was conducted at the Sarajevo Canton Health Center on a total of 170 adults suffering from COVID-19. 70 subjects had mild clinical picture, while the control group consisted of 100 subjects with moderate clinical picture. The results of complete and differential blood counts, C-reactive protein (CRP), and systemic inflammatory indexes (SII) (neutrophil/lymphocyte ratio [NLR], derived NLR [dNLR], platelet/lymphocyte ratio [PLR], and SII) were used to compare the groups. IBM SPSS Ver. 23 was used for statistical analysis and data processing. Results: The proportion of male patients in the group with a milder clinical picture was higher than the proportion of male patients with a moderate clinical picture, p = 0.016. The values of leukocytes and neutrophils were higher in patients with a moderate clinical picture (p = 0.006 and p < 0.001, respectively). The values of all inflammatory indexes (NLR, dNLR, PLR and SII) were higher in patients with a moderate clinical picture of COVID-19 than in patients with a mild clinical picture (p < 0.001 for NLR, dNLR, and SII; p = 0.023 for PLR). In the research, patient age showed no correlation and CRP showed no correlation with SII. Conclusion: SII show higher values in patients with a moderate compared with a mild clinical picture of COVID-19. These parameters can be cost-effective and useful indicators in patient classification, diagnosis, and probably in monitoring patients with COVID-19.","PeriodicalId":15927,"journal":{"name":"Journal of Health Sciences","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135885093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Leptospirosis is the most common reoccurring zoonosis worldwide. Climatic conditions in tropical and subtropical regions are optimal for Leptospira survival. The pathogen thrives in flood-prone slum settlements of underprivileged areas where waste, open sewers, and standing water are present. Methods: A descriptive cross-sectional study using universal sampling methodology was conducted to determine associationsbetween sociodemographic variables and knowledge, attitudes, and practices of leptospirosis-infected individuals compared with a control group from the South Andaman population. Results: Eight hundred and one (388 cases and 413 controls) subjects were included in the study. Overall, 61.5% of the participants were male, while the main occupation of 43.94% of the subjects was farming or agricultural work. Multilogistic regression assessing the likelihood of good knowledge about leptospirosis showed that leptospirosis-positive subjects were more likely to have good knowledge (adjusted odds ratio [AOR]: 3.5 [95% CI: 2.59–4.97], p < 0.001), better attitude (AOR: 97.30 [95% CI: 41.72–226.9], p < 0.001] than leptospirosis-negative subjects, male population groups were also more likely to have a good attitude (AOR: 3.03 [95% CI: 1.94–4.73], p < 0.001), and those whose main occupation is farming were more likely to have a good attitude (AOR: 3.59 [95% CI: 2.31–5.56], p < 0.001). The leptospirosis seropositive group was more likely to have good practices (AOR: 5.80 [95% CI: 3.58–8.73], p < 0.001), rural residents were 88% less likely to have good practice levels than urban residents (AR: 0.12 [95% CI: 0.07–0.20], p < 0.01). Conclusion: The infected group had better knowledge than the control group. The integration of knowledge and attitudes to maintain good practices, along with the provision of an adequate sanitation system, waste disposal system, and availability of essential personal protective equipment is necessary for disease control in these islands.
钩端螺旋体病是世界上最常见的复发性人畜共患病。热带和亚热带地区的气候条件是钩端螺旋体生存的最佳条件。这种病原体在贫困地区易受洪水侵袭的贫民窟中繁殖,那里存在废物、露天下水道和死水。方法:采用通用抽样方法进行了一项描述性横断面研究,以确定社会人口学变量与南安达曼人群中钩端螺旋体感染个体的知识、态度和行为之间的关系。结果:共纳入8101例(病例388例,对照组413例)。总体而言,61.5%的参与者为男性,43.94%的受试者主要职业为务农或农业工作。多因素回归评估钩端螺旋体病良好知识的可能性显示,钩端螺旋体病阳性受试者更有可能拥有良好知识(调整优势比[AOR]: 3.5 [95% CI: 2.59-4.97], p <0.001),态度较好(AOR: 97.30 [95% CI: 41.72 ~ 226.9], p <0.001]与钩端螺旋体阴性受试者相比,男性人群也更有可能有良好的态度(AOR: 3.03 [95% CI: 1.94 ~ 4.73], p <0.001),以农业为主要职业的人更有可能拥有良好的态度(AOR: 3.59 [95% CI: 2.31-5.56], p <0.001)。钩端螺旋体病血清阳性组更有可能采取良好的做法(AOR: 5.80 [95% CI: 3.58-8.73], p <0.001),农村居民良好实践水平的可能性比城市居民低88% (AR: 0.12 [95% CI: 0.07-0.20], p <0.01)。结论:感染组的知识水平高于对照组。整合知识和态度以保持良好做法,同时提供适当的卫生系统、废物处理系统和提供基本的个人防护设备,对于这些岛屿的疾病控制是必要的。
{"title":"Knowledge, attitude, and preventive practices of leptospirosis affected populations in South Andaman, India: A cross-sectional study","authors":"Ambreen Fatema, Manjunatha Ramu, Kannan Thiruvengadam, Ittoop Pulikkottil Sunish, Paluru Vijayachari","doi":"10.17532/jhsci.2023.2145","DOIUrl":"https://doi.org/10.17532/jhsci.2023.2145","url":null,"abstract":"Introduction: Leptospirosis is the most common reoccurring zoonosis worldwide. Climatic conditions in tropical and subtropical regions are optimal for Leptospira survival. The pathogen thrives in flood-prone slum settlements of underprivileged areas where waste, open sewers, and standing water are present. Methods: A descriptive cross-sectional study using universal sampling methodology was conducted to determine associationsbetween sociodemographic variables and knowledge, attitudes, and practices of leptospirosis-infected individuals compared with a control group from the South Andaman population. Results: Eight hundred and one (388 cases and 413 controls) subjects were included in the study. Overall, 61.5% of the participants were male, while the main occupation of 43.94% of the subjects was farming or agricultural work. Multilogistic regression assessing the likelihood of good knowledge about leptospirosis showed that leptospirosis-positive subjects were more likely to have good knowledge (adjusted odds ratio [AOR]: 3.5 [95% CI: 2.59–4.97], p < 0.001), better attitude (AOR: 97.30 [95% CI: 41.72–226.9], p < 0.001] than leptospirosis-negative subjects, male population groups were also more likely to have a good attitude (AOR: 3.03 [95% CI: 1.94–4.73], p < 0.001), and those whose main occupation is farming were more likely to have a good attitude (AOR: 3.59 [95% CI: 2.31–5.56], p < 0.001). The leptospirosis seropositive group was more likely to have good practices (AOR: 5.80 [95% CI: 3.58–8.73], p < 0.001), rural residents were 88% less likely to have good practice levels than urban residents (AR: 0.12 [95% CI: 0.07–0.20], p < 0.01). Conclusion: The infected group had better knowledge than the control group. The integration of knowledge and attitudes to maintain good practices, along with the provision of an adequate sanitation system, waste disposal system, and availability of essential personal protective equipment is necessary for disease control in these islands.","PeriodicalId":15927,"journal":{"name":"Journal of Health Sciences","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135884512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-30DOI: 10.33086/jhs.v16i03.3993
Repidawati Sinaga, Yuni Susilowati, Meynur Rohmah, Bernardo Oliber, A. Arde
The Global Burden of Cancer Study (Globocan) stated that nasopharyngeal cancer is the fifth most common cancer in Indonesia, with an incidence of 19,943 cases. One of the therapies for patients with nasopharyngeal cancer is a tracheostomy. Post-tracheostomy care is critical because blockage in the cannula due to accumulation of secretions impact decreasing oxygen saturation and result in death. This study analyzes the correlation between sputum retention and oxygen saturation in nasopharyngeal cancer patients with tracheostomy at the Emergency Department of Dharmais Cancer Hospital in 2022. It was correlational quantitative research with a cross-sectional approach. The study population was all nasopharyngeal cancer patients with tracheostomy at the Emergency Department, Dharmais Cancer Hospital, from August to November 2022, totaling 65 respondents. There were 65 respondents with a total sampling technique. The data collection used secondary data, namely the level of sputum retention and oxygen saturation in nasopharyngeal cancer patients with tracheostomy. Data analysis was univariate analysis and bivariate analysis through chi-square test. The result showed that most respondents experienced poor sputum retention (61.5%) and moderate hypoxemia (63.1%). The chi-square test obtained a p=0.000 (p<0.05). Thus, there was a correlation between sputum retention and oxygen saturation in respondents. In conclusion, sputum retention correlates with oxygen saturation in nasopharyngeal cancer patients with tracheostomy at the Emergency Department of Dharmais Cancer Hospital. The hospital should continue improving the ability of nurses to manage airway blockage through regular training.
{"title":"The Correlation between Sputum Retention and Oxygen Saturation in Nasopharyngeal Cancer Patients with Tracheostomy at The Emergency Department of Dharmais Cancer Hospital in 2022","authors":"Repidawati Sinaga, Yuni Susilowati, Meynur Rohmah, Bernardo Oliber, A. Arde","doi":"10.33086/jhs.v16i03.3993","DOIUrl":"https://doi.org/10.33086/jhs.v16i03.3993","url":null,"abstract":"The Global Burden of Cancer Study (Globocan) stated that nasopharyngeal cancer is the fifth most common cancer in Indonesia, with an incidence of 19,943 cases. One of the therapies for patients with nasopharyngeal cancer is a tracheostomy. Post-tracheostomy care is critical because blockage in the cannula due to accumulation of secretions impact decreasing oxygen saturation and result in death. This study analyzes the correlation between sputum retention and oxygen saturation in nasopharyngeal cancer patients with tracheostomy at the Emergency Department of Dharmais Cancer Hospital in 2022. It was correlational quantitative research with a cross-sectional approach. The study population was all nasopharyngeal cancer patients with tracheostomy at the Emergency Department, Dharmais Cancer Hospital, from August to November 2022, totaling 65 respondents. There were 65 respondents with a total sampling technique. The data collection used secondary data, namely the level of sputum retention and oxygen saturation in nasopharyngeal cancer patients with tracheostomy. Data analysis was univariate analysis and bivariate analysis through chi-square test. The result showed that most respondents experienced poor sputum retention (61.5%) and moderate hypoxemia (63.1%). The chi-square test obtained a p=0.000 (p<0.05). Thus, there was a correlation between sputum retention and oxygen saturation in respondents. In conclusion, sputum retention correlates with oxygen saturation in nasopharyngeal cancer patients with tracheostomy at the Emergency Department of Dharmais Cancer Hospital. The hospital should continue improving the ability of nurses to manage airway blockage through regular training.","PeriodicalId":15927,"journal":{"name":"Journal of Health Sciences","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139348172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-30DOI: 10.33086/jhs.v16i03.4081
Hendrika Octavia Nugraheni Kitu, Yendris Krisno Syamruth
Stunting or short stature is a term used for children whose height is below average (<-2 SD) of the same sex, chronological age and ideally from the same racial-ethnic group. Stunting can cause children to experience health problems during their growth and development, even irreversible. In the short term, stunting causes a slowdown in the process of growth and development and in the long term it will have an impact on cognitive aspects and the possibility of non-communicable diseases. Therefore, the incidence of stunting is an indicator of child welfare in a country. This study aims to analyze the factors associated with the incidence of stunting in toddlers in the Working Area of the Bakunase Health Center, Kupang City. This type of research is an analytical survey, with a case control design. The number of samples was 136 people which were divided into 68 case groups and 68 control groups. The data analysis technique used the chi-square statistical test. The results showed that there was a relationship between mother's knowledge (p value = 0.000, OR = 6.667), mother's attitude (p value = 0.000, OR = 5.808), mother's parenting style (p value = 0.000, OR = 5.093), living environment ( p value = 0.000, OR = 7.538), and the incidence of diarrhea (p value = 0.002, OR = .3.175) with the incidence of stunting in toddlers in the Working Area of the Bakunase Health Center, Kupang City. It was concluded that there was a relationship between mother's knowledge, mother's attitude, mother's upbringing, living environment and the incidence of diarrhea with the incidence of stunting in toddlers in the Working Area of the Bakunase Health Center, Kupang City. Therefore, health promotion and cross-sector cooperation are needed to overcome the problem of stunting.
{"title":"Factors Associated with Stunting in Toddlers in the Region Bakunase Health Center in Kupang City","authors":"Hendrika Octavia Nugraheni Kitu, Yendris Krisno Syamruth","doi":"10.33086/jhs.v16i03.4081","DOIUrl":"https://doi.org/10.33086/jhs.v16i03.4081","url":null,"abstract":"Stunting or short stature is a term used for children whose height is below average (<-2 SD) of the same sex, chronological age and ideally from the same racial-ethnic group. Stunting can cause children to experience health problems during their growth and development, even irreversible. In the short term, stunting causes a slowdown in the process of growth and development and in the long term it will have an impact on cognitive aspects and the possibility of non-communicable diseases. Therefore, the incidence of stunting is an indicator of child welfare in a country. This study aims to analyze the factors associated with the incidence of stunting in toddlers in the Working Area of the Bakunase Health Center, Kupang City. This type of research is an analytical survey, with a case control design. The number of samples was 136 people which were divided into 68 case groups and 68 control groups. The data analysis technique used the chi-square statistical test. The results showed that there was a relationship between mother's knowledge (p value = 0.000, OR = 6.667), mother's attitude (p value = 0.000, OR = 5.808), mother's parenting style (p value = 0.000, OR = 5.093), living environment ( p value = 0.000, OR = 7.538), and the incidence of diarrhea (p value = 0.002, OR = .3.175) with the incidence of stunting in toddlers in the Working Area of the Bakunase Health Center, Kupang City. It was concluded that there was a relationship between mother's knowledge, mother's attitude, mother's upbringing, living environment and the incidence of diarrhea with the incidence of stunting in toddlers in the Working Area of the Bakunase Health Center, Kupang City. Therefore, health promotion and cross-sector cooperation are needed to overcome the problem of stunting.","PeriodicalId":15927,"journal":{"name":"Journal of Health Sciences","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139348233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}