Background: Despite its historical significance, ESWL has witnessed changes in its role, necessitating refined technical approaches and stringent patient selection criteria for optimal outcomes. This study aims to assess the efficacy of extracorporeal shock wave lithotripsy (ESWL) for treating renal pelvis stones ranging from one to two centimeters in size.Methodology: A descriptive case series was conducted at the Department of Urology and Renal Transplantation, SIUT, Karachi. The study enrolled 81 patients aged 20 to 60, of both genders, with a single renal pelvis stone sized 1 2 cm. Patients with ureteral obstruction were excluded. Informed consent was obtained before performing extracorporeal shock wave lithotripsy (ESWL). Follow ups were carried out regularly, and final success was assessed one month post ESWL session.Results: The mean age of participants was 41.93 ± 9.67 years, with the majority (54.32%) falling within the 41 to 60 age range. Out of 81 patients, 49 (60.49%) were male and 32 (39.51%) were female, resulting in a male-to-female ratio of 1.5:1. The mean stone size was 14.22 ± 2.01 mm. In the study, the success rate of ESWL for renal pelvis stones sized 1-2 cm was 85.19%, with 69 patients showing successful outcomes.Conclusion: In conclusion, the success rate of ESWL for treating renal pelvis stones sized 1-2 cm is notably high. This finding underscores the effectiveness of this non-invasive procedure in managing such cases.
{"title":"Determing the success rate of extracorporeal shock wave lithotripsy in renal pelvis stone of 1-2 cm in size.","authors":"Nisar Ahmed, Tanzeel Gazder, Hafiz Saad, Ajmal Khan, Syed Rabiullah, Mazahir Zulfiqar, Usman Qamar, Munawar Khaliq, Saeed Abidi, Manzoor Hussain","doi":"10.29052/ijehsr.v11.i3.2023.143-147","DOIUrl":"https://doi.org/10.29052/ijehsr.v11.i3.2023.143-147","url":null,"abstract":"Background: Despite its historical significance, ESWL has witnessed changes in its role, necessitating refined technical approaches and stringent patient selection criteria for optimal outcomes. This study aims to assess the efficacy of extracorporeal shock wave lithotripsy (ESWL) for treating renal pelvis stones ranging from one to two centimeters in size.Methodology: A descriptive case series was conducted at the Department of Urology and Renal Transplantation, SIUT, Karachi. The study enrolled 81 patients aged 20 to 60, of both genders, with a single renal pelvis stone sized 1 2 cm. Patients with ureteral obstruction were excluded. Informed consent was obtained before performing extracorporeal shock wave lithotripsy (ESWL). Follow ups were carried out regularly, and final success was assessed one month post ESWL session.Results: The mean age of participants was 41.93 ± 9.67 years, with the majority (54.32%) falling within the 41 to 60 age range. Out of 81 patients, 49 (60.49%) were male and 32 (39.51%) were female, resulting in a male-to-female ratio of 1.5:1. The mean stone size was 14.22 ± 2.01 mm. In the study, the success rate of ESWL for renal pelvis stones sized 1-2 cm was 85.19%, with 69 patients showing successful outcomes.Conclusion: In conclusion, the success rate of ESWL for treating renal pelvis stones sized 1-2 cm is notably high. This finding underscores the effectiveness of this non-invasive procedure in managing such cases.","PeriodicalId":34196,"journal":{"name":"International Journal of Endorsing Health Science Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42428546","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 : 2023-08-24DOI: 10.29052/ijehsr.v11.i3.2023.136-142
T. Mukherjee, Purbasha Ghosh, Arindam Dasgupta, Soumi Nag, S. Zabin, Minakshi Das
Background: Healthcare-associated infections (HAIs) continue to pose significant challenges to patient safety and healthcare systems worldwide. Poor hand hygiene among healthcare professionals remains a major contributing factor to the spread of HAIs. Despite its importance, hand hygiene compliance among healthcare workers, including medical students, remains low. Training programs to improve hand hygiene knowledge and compliance have been implemented globally. This study aimed to assess the impact of a hand hygiene training program on medical students at Burdwan Medical College & Hospital in West Bengal. Methodology: A cross-sectional study was conducted involving 122 Professional MBBS students who were selected through purposive sampling. Written informed consent was obtained from each participant. The students' baseline hand hygiene knowledge was assessed using the WHO questionnaire before providing hand hygiene training. Post-training, the same questionnaire was used to evaluate the level of knowledge acquired. The data were analyzed using the student t-test to determine the statistical significance of the training program. Results: The mean pre-test score was 11.24±5.29, while the mean post-test score significantly increased to 17.34±5.4 (p<0.001, 95% CI). This finding indicates a substantial improvement in hand hygiene knowledge among medical students after undergoing the training program. Conclusion: Regular and frequent training programs on hand hygiene, accompanied by monitoring and timely feedback, are crucial for increasing awareness and compliance among medical students. It is essential for medical colleges to establish an Infection Prevention and Control Committee to organize and oversee such training initiatives, which play a pivotal role in mitigating the risk of HAIs.
{"title":"Assessing the impact of hand hygiene training on medical students' knowledge: A study in a tertiary care hospital in West Bengal.","authors":"T. Mukherjee, Purbasha Ghosh, Arindam Dasgupta, Soumi Nag, S. Zabin, Minakshi Das","doi":"10.29052/ijehsr.v11.i3.2023.136-142","DOIUrl":"https://doi.org/10.29052/ijehsr.v11.i3.2023.136-142","url":null,"abstract":"Background: Healthcare-associated infections (HAIs) continue to pose significant challenges to patient safety and healthcare systems worldwide. Poor hand hygiene among healthcare professionals remains a major contributing factor to the spread of HAIs. Despite its importance, hand hygiene compliance among healthcare workers, including medical students, remains low. Training programs to improve hand hygiene knowledge and compliance have been implemented globally. This study aimed to assess the impact of a hand hygiene training program on medical students at Burdwan Medical College & Hospital in West Bengal. \u0000Methodology: A cross-sectional study was conducted involving 122 Professional MBBS students who were selected through purposive sampling. Written informed consent was obtained from each participant. The students' baseline hand hygiene knowledge was assessed using the WHO questionnaire before providing hand hygiene training. Post-training, the same questionnaire was used to evaluate the level of knowledge acquired. The data were analyzed using the student t-test to determine the statistical significance of the training program. \u0000Results: The mean pre-test score was 11.24±5.29, while the mean post-test score significantly increased to 17.34±5.4 (p<0.001, 95% CI). This finding indicates a substantial improvement in hand hygiene knowledge among medical students after undergoing the training program. \u0000Conclusion: Regular and frequent training programs on hand hygiene, accompanied by monitoring and timely feedback, are crucial for increasing awareness and compliance among medical students. It is essential for medical colleges to establish an Infection Prevention and Control Committee to organize and oversee such training initiatives, which play a pivotal role in mitigating the risk of HAIs.","PeriodicalId":34196,"journal":{"name":"International Journal of Endorsing Health Science Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42147320","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}
Background: Male urethral stricture has remained the major problem in urologic practice. Patients presenting with urethral stricture disease are commonly managed by dilatation, DVIU, and urethroplasty. Methodology: This is a descriptive study of male patients who underwent anterior urethroplasty at our setup from 5th August 2021 to 25th February 2022. We analyzed the age, duration, type, length, and location of the stricture and the surgical treatment outcome after urethroplasty. The post-operative catheter was removed after 3 weeks, and UFM is advised. Qmax (max flow rate) > 15 ml/sec was measured on UFM (uroflowmetry) on the 1st week, 6 weeks, and followed on 3 months. Final outcome in terms of success was assessed by uroflowmetry. A maximum urine flow greater than 15mL/s after 3 months’ treatment assessed by uroflowmetry was considered as success. Results: In our study, the blood loss in group A and group B patients, those patients who had DVIU or dilation in the past, had more bleeding during surgery than those who did not have a history of surgery. 66.67% of group B patients have bleeding from 200 ml to 500 ml, which is higher than group A patients. In our study, we found that if the patient had undergone surgery or no surgery had taken place before urethroplasty, the results in terms of UFM were quite similar, as in group A, 96.69% of patients had UFM more than 15 ml/sec, and in group B 87.88% had UFM more than 15 ml/sec. Conclusion: Urethral dilatation or DVIU delays definitive treatment and increases operative challenges by increasing the length of stricture, more adhesion, and more fibrosis but has minimal impact on the outcome of urethroplasty success.
{"title":"To assess the impact of prior urethral dilatation or DVIU on the outcome of anterior urethroplasty.","authors":"Tanzeel Gazder, Kanwal Naz, Vikram Seetlani, Syed Rabiullah, Usman Qamar, Mazahir Zulfiqar, Hamza Akhter, Saeed Abdi, Manzoor Hussain","doi":"10.29052/ijehsr.v11.i3.2023.129-135","DOIUrl":"https://doi.org/10.29052/ijehsr.v11.i3.2023.129-135","url":null,"abstract":"Background: Male urethral stricture has remained the major problem in urologic practice. Patients presenting with urethral stricture disease are commonly managed by dilatation, DVIU, and urethroplasty. \u0000Methodology: This is a descriptive study of male patients who underwent anterior urethroplasty at our setup from 5th August 2021 to 25th February 2022. We analyzed the age, duration, type, length, and location of the stricture and the surgical treatment outcome after urethroplasty. The post-operative catheter was removed after 3 weeks, and UFM is advised. Qmax (max flow rate) > 15 ml/sec was measured on UFM (uroflowmetry) on the 1st week, 6 weeks, and followed on 3 months. Final outcome in terms of success was assessed by uroflowmetry. A maximum urine flow greater than 15mL/s after 3 months’ treatment assessed by uroflowmetry was considered as success. \u0000Results: In our study, the blood loss in group A and group B patients, those patients who had DVIU or dilation in the past, had more bleeding during surgery than those who did not have a history of surgery. 66.67% of group B patients have bleeding from 200 ml to 500 ml, which is higher than group A patients. In our study, we found that if the patient had undergone surgery or no surgery had taken place before urethroplasty, the results in terms of UFM were quite similar, as in group A, 96.69% of patients had UFM more than 15 ml/sec, and in group B 87.88% had UFM more than 15 ml/sec. \u0000Conclusion: Urethral dilatation or DVIU delays definitive treatment and increases operative challenges by increasing the length of stricture, more adhesion, and more fibrosis but has minimal impact on the outcome of urethroplasty success.","PeriodicalId":34196,"journal":{"name":"International Journal of Endorsing Health Science Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45754704","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 : 2023-06-01DOI: 10.29052/ijehsr.v11.i2.2023.119-124
Zeeshan Ahsan, Ammar Ali Khalid, Hafiz Abdul Rehman, Bismah Mir, Wasif Askari
Dental extraction often leads to bone loss, posing challenges for oral rehabilitation. This narrative review aimed to evaluate the effect of leukocyte-rich platelet-rich fibrin (L-PRF) on bone loss following dental extraction in healthy patients. A systematic search of the PubMed database was conducted, resulting in the inclusion of six randomized controlled studies. The review found evidence suggestive of less bone loss and improved healing after extraction when L-PRF was utilized. L-PRF, derived from the patient's blood, offers a promising approach with its growth potential and ability to provide a scaffold and matrix for wound healing and bone regeneration. While numerous studies have demonstrated the benefits of L-PRF in alveolar ridge preservation, more randomized controlled studies with larger sample sizes are warranted to fully understand its application in different clinical conditions and enhance oral health outcomes.
{"title":"Effect of Leukocyte-Platelet-Rich Fibrin on Bone Loss Following Dental Extraction.","authors":"Zeeshan Ahsan, Ammar Ali Khalid, Hafiz Abdul Rehman, Bismah Mir, Wasif Askari","doi":"10.29052/ijehsr.v11.i2.2023.119-124","DOIUrl":"https://doi.org/10.29052/ijehsr.v11.i2.2023.119-124","url":null,"abstract":"Dental extraction often leads to bone loss, posing challenges for oral rehabilitation. This narrative review aimed to evaluate the effect of leukocyte-rich platelet-rich fibrin (L-PRF) on bone loss following dental extraction in healthy patients. A systematic search of the PubMed database was conducted, resulting in the inclusion of six randomized controlled studies. The review found evidence suggestive of less bone loss and improved healing after extraction when L-PRF was utilized. L-PRF, derived from the patient's blood, offers a promising approach with its growth potential and ability to provide a scaffold and matrix for wound healing and bone regeneration. While numerous studies have demonstrated the benefits of L-PRF in alveolar ridge preservation, more randomized controlled studies with larger sample sizes are warranted to fully understand its application in different clinical conditions and enhance oral health outcomes.","PeriodicalId":34196,"journal":{"name":"International Journal of Endorsing Health Science Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49183772","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}
H. Handayani, Mamlukah Mamlukah, Rossi Suparman, Dwi Nastiti Iswarawanti
Latar Belakang : Prevalensi stunting mengalami peningkatan dari tahun 2019 yaitu 27,5% menjadi 29,6% tahun 2020. Kabupaten Tasikmalaya merupakan peringkat ke 10 tertinggi di Jawa Barat yaitu mencapai angka 24,2%. Kecamatan Sukarame memiliki prevalensi stuntingnya tertinggi yaitu sebesar 14% atau 166 orang. Tujuan: Untuk menganalisis pengaruh promosi kesehatan melalui media terhaap pengetahuan dan sikap kader dalam pencegahan stunting di Kecamatan Sukarame. Metode: Penelitian ini merupakan metode eksperimen dengan desain penelitian eksperimen semu (quasi-experimental). Populasi penelitian 124 anggota, dan pengambilan sampel menggunakan metode Purposive Sampling dengan jumlah sampel 95. Analisis dilakukan dengan univariat dan bivariate. Hasil: Sebagian besar responden merupakan kader perempuan (61,1%) dan berusia 18 tahun (61,1%). Intervensi paling banyak yang diberikan menggunakan media video sebanyak 37,9%, leaflet 31,6% dan kombinasi antara video dan leaflet sebesar 30,5%. Untuk hasil analisis bivariat kelompok kombinasi baik pada variabel pengetahuan (75±12,05) dan sikap (7,28±1,03), yaitu masing-masing memiliki kenaikan sebesar 75 dan 7,28. Kesimpulan: Terdapat pengaruh pemberian promosi kesehatan melalui media video, leaflet dan kombinasi video dan leaflet. Intervensi berupa kombinasi antara video dan leaflet memberikan pengaruh yang paling baik.
{"title":"PENGARUH PROMOSI KESEHATAN MELALUI MEDIA BERBASIS VIDEO DAN LEAFLET TERHADAP PENGETAHUAN DAN SIKAP KADER SAKA BAKTI HUSADA DALAM PENCEGAHAN STUNTING DI KECAMATAN SUKARAME PADA MASA PANDEMI COVID-19 TAHUN 2022","authors":"H. Handayani, Mamlukah Mamlukah, Rossi Suparman, Dwi Nastiti Iswarawanti","doi":"10.34305/jhrs.v3i01.765","DOIUrl":"https://doi.org/10.34305/jhrs.v3i01.765","url":null,"abstract":"Latar Belakang : Prevalensi stunting mengalami peningkatan dari tahun 2019 yaitu 27,5% menjadi 29,6% tahun 2020. Kabupaten Tasikmalaya merupakan peringkat ke 10 tertinggi di Jawa Barat yaitu mencapai angka 24,2%. Kecamatan Sukarame memiliki prevalensi stuntingnya tertinggi yaitu sebesar 14% atau 166 orang. Tujuan: Untuk menganalisis pengaruh promosi kesehatan melalui media terhaap pengetahuan dan sikap kader dalam pencegahan stunting di Kecamatan Sukarame. Metode: Penelitian ini merupakan metode eksperimen dengan desain penelitian eksperimen semu (quasi-experimental). Populasi penelitian 124 anggota, dan pengambilan sampel menggunakan metode Purposive Sampling dengan jumlah sampel 95. Analisis dilakukan dengan univariat dan bivariate. \u0000Hasil: Sebagian besar responden merupakan kader perempuan (61,1%) dan berusia 18 tahun (61,1%). Intervensi paling banyak yang diberikan menggunakan media video sebanyak 37,9%, leaflet 31,6% dan kombinasi antara video dan leaflet sebesar 30,5%. Untuk hasil analisis bivariat kelompok kombinasi baik pada variabel pengetahuan (75±12,05) dan sikap (7,28±1,03), yaitu masing-masing memiliki kenaikan sebesar 75 dan 7,28. Kesimpulan: Terdapat pengaruh pemberian promosi kesehatan melalui media video, leaflet dan kombinasi video dan leaflet. Intervensi berupa kombinasi antara video dan leaflet memberikan pengaruh yang paling baik.","PeriodicalId":34196,"journal":{"name":"International Journal of Endorsing Health Science Research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87888914","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}
Tuberculosis menjadi penyakit menular ancaman global bagi kesehatan dunia. Indonesia berada pada posisi ke 3 beban TB tertinggi di dunia dengan jumlah kasus TB sebanyak 842.000. Tahun 2021 data TB Anak di Indonesia mencapai 33.366 orang. Penentu keberhasilan penanggulangan penyakit TB yaitu kepatuhan pasien dalam melakukan pengobatan. Penelitian bertujuan menganalisis faktor-faktor yang berhubungan dengan kepatuhan melakukan pengobatan secara teratur pada anak penderita Tuberkulosis di Kota Tasikmalaya tahun 2022. Jenis penelitian adalah penelitian Kuantitatif. Rancangan penelitian ini adalah cross sectional. Pengambilan sampel menggunakan total sampling sebanyak 157 ibu. Analisis data dengan univariat, bivariat dan multivariat regresi logistik. Hasil analisis multivariat terdapat beberapa variabel yang tidak hubungan dengan kepatuhan pengobatan yaitu usia (0.827), penghasilan (0.900), dukungan keluarga (0.101) dan peran tenaga Kesehatan (0.066). Variable yang berhubungan yaitu pengetahuan (0.000), Pendidikan (0.002), dan jarak ke fasilitas pelayanan kesehatan (0.001). Pengetahuan (OR = 37.077) merupakan variabel yang paling dominan menyebabkan kepatuhan pengobatan secara teratur pada anak penderita Tuberkulosis. Dinas kesehatan berperan meningkatkan intensitas penjangkauan ke masyarakat (Reaching Out) untuk menemukan pasien tuberkulosis dan memastikannya masuk ke dalam sistem pengobatan tuberkulosis melalui layanan kesehatan yang tersedia.
{"title":"FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEPATUHAN MELAKUKAN PENGOBATAN SECARA TERATUR PADA ANAK PENDERITA TUBERKULOSIS DI KOTA TASIKMALAYA TAHUN 2022","authors":"Abdulah Mubarok Dadang, Esty Febriani, Mamlukah Mamlukah","doi":"10.34305/jhrs.v2i02.565","DOIUrl":"https://doi.org/10.34305/jhrs.v2i02.565","url":null,"abstract":"Tuberculosis menjadi penyakit menular ancaman global bagi kesehatan dunia. Indonesia berada pada posisi ke 3 beban TB tertinggi di dunia dengan jumlah kasus TB sebanyak 842.000. Tahun 2021 data TB Anak di Indonesia mencapai 33.366 orang. Penentu keberhasilan penanggulangan penyakit TB yaitu kepatuhan pasien dalam melakukan pengobatan. Penelitian bertujuan menganalisis faktor-faktor yang berhubungan dengan kepatuhan melakukan pengobatan secara teratur pada anak penderita Tuberkulosis di Kota Tasikmalaya tahun 2022.\u0000Jenis penelitian adalah penelitian Kuantitatif. Rancangan penelitian ini adalah cross sectional. Pengambilan sampel menggunakan total sampling sebanyak 157 ibu. Analisis data dengan univariat, bivariat dan multivariat regresi logistik.\u0000Hasil analisis multivariat terdapat beberapa variabel yang tidak hubungan dengan kepatuhan pengobatan yaitu usia (0.827), penghasilan (0.900), dukungan keluarga (0.101) dan peran tenaga Kesehatan (0.066). Variable yang berhubungan yaitu pengetahuan (0.000), Pendidikan (0.002), dan jarak ke fasilitas pelayanan kesehatan (0.001). Pengetahuan (OR = 37.077) merupakan variabel yang paling dominan menyebabkan kepatuhan pengobatan secara teratur pada anak penderita Tuberkulosis.\u0000Dinas kesehatan berperan meningkatkan intensitas penjangkauan ke masyarakat (Reaching Out) untuk menemukan pasien tuberkulosis dan memastikannya masuk ke dalam sistem pengobatan tuberkulosis melalui layanan kesehatan yang tersedia.","PeriodicalId":34196,"journal":{"name":"International Journal of Endorsing Health Science Research","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88308369","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 : 2023-06-01DOI: 10.29052/ijehsr.v11.i2.2023.90-96
Aurangzeb Kalhoro, A. Hashim
Background: Spinal anesthesia has emerged as a safe and effective alternative for patients with lumbar spine degenerative disease, particularly those with comorbidities. The aim of this study was to investigate the role of spinal anesthesia in the management of lumbar disc degeneration at the Neurospinal and Cancer Care Institute in Karachi. Methodology: This prospective cohort study was conducted at the Neurospinal and Cancer Care Institute's Department of Neurosurgery. The study included patients with a mean age of 53.43 ± 8.11 years and was carried out from February 2019 to August 2022, following approval from the Institutional Review Board. Results: The study comprised predominantly high-risk patients, with 32 individuals (78%) having associated comorbidities. The American Society of Anesthesiologists (ASA) classification was used to assess the patients' risk level, with 3 patients (7.31%) classified as ASA grade I, 21 patients (51.21%) as ASA grade II, 16 patients (39.02%) as ASA grade III, and 2 patients (4.87%) as ASA grade IV. The most commonly affected level of disc degeneration was L4-L5 (63.41%), followed by L5-S1 (36.58%), with the majority of stenosis occurring at L4-S1. No complications such as urinary retention, vomiting, or dural tear were observed. Pain relief was assessed using the visual analogue scale (VAS), with 23 patients having a preoperative VAS score of 7, 14 patients with a score of 8, and 4 patients with a score of 9. Postoperatively, 18 patients (43.9%) had a VAS score of 2, 23 patients (56%) had a score of 1, and 5 patients (12%) had a score of 0. Conclusion: Based on the findings of this study, spinal anesthesia can be considered a suitable alternative to general anesthesia for patients with comorbidities or those classified as ASA grade I/II. This technique offers several advantages, including cost-effectiveness, shorter anesthesia duration, and fewer complications. These findings support the use of spinal anesthesia in patients with limited spinal pathology in the lumbar spine.
{"title":"Advancing Lumbar Surgery: Exploring the Efficacy and Outcomes of Spinal Anesthesia in 41 Cases.","authors":"Aurangzeb Kalhoro, A. Hashim","doi":"10.29052/ijehsr.v11.i2.2023.90-96","DOIUrl":"https://doi.org/10.29052/ijehsr.v11.i2.2023.90-96","url":null,"abstract":"Background: Spinal anesthesia has emerged as a safe and effective alternative for patients with lumbar spine degenerative disease, particularly those with comorbidities. The aim of this study was to investigate the role of spinal anesthesia in the management of lumbar disc degeneration at the Neurospinal and Cancer Care Institute in Karachi. \u0000Methodology: This prospective cohort study was conducted at the Neurospinal and Cancer Care Institute's Department of Neurosurgery. The study included patients with a mean age of 53.43 ± 8.11 years and was carried out from February 2019 to August 2022, following approval from the Institutional Review Board. \u0000Results: The study comprised predominantly high-risk patients, with 32 individuals (78%) having associated comorbidities. The American Society of Anesthesiologists (ASA) classification was used to assess the patients' risk level, with 3 patients (7.31%) classified as ASA grade I, 21 patients (51.21%) as ASA grade II, 16 patients (39.02%) as ASA grade III, and 2 patients (4.87%) as ASA grade IV. The most commonly affected level of disc degeneration was L4-L5 (63.41%), followed by L5-S1 (36.58%), with the majority of stenosis occurring at L4-S1. No complications such as urinary retention, vomiting, or dural tear were observed. Pain relief was assessed using the visual analogue scale (VAS), with 23 patients having a preoperative VAS score of 7, 14 patients with a score of 8, and 4 patients with a score of 9. Postoperatively, 18 patients (43.9%) had a VAS score of 2, 23 patients (56%) had a score of 1, and 5 patients (12%) had a score of 0. \u0000Conclusion: Based on the findings of this study, spinal anesthesia can be considered a suitable alternative to general anesthesia for patients with comorbidities or those classified as ASA grade I/II. This technique offers several advantages, including cost-effectiveness, shorter anesthesia duration, and fewer complications. These findings support the use of spinal anesthesia in patients with limited spinal pathology in the lumbar spine.","PeriodicalId":34196,"journal":{"name":"International Journal of Endorsing Health Science Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45999010","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}
Ari Harri Kusmara, Dewi Laelatul Badriah, Lely Wahyuniar, Mamlukah Mamlukah
Penelitian ini bertujuan untuk menganalisis pengaruh pendidikan kesehatan terhadap pengetahuan, sikap dan perilaku donor darah pada peserta didik kelas XII di Pondok Pesantren Condong Tasikmalaya. Populasi dalam penelitian ini adalah seluruh siswa kelas XII yang berjumlah 358 siswa. Jumlah sampel dalam penellitian ini adalah 60 siswa, Teknik pengambilan sampel dalam penelitian ini adalah menggunakan teknik simple random sampling. Analisis yang digunakan dalam penelitian ini adalah analisis univariat menggunakan distribusi frekuensi, dan analisis bivariat menggunakan uji-T. Hasil penelitian menunjukkan bahwa sebelum dan sesudah diberikan pendidikan kesehatan, pengetahuan donor darah peserta didik kelas XII di Pondok Pesantren Condong Tasikmalaya 2022 termasuk kategori cukup, sikap donor darah peserta didik kelas XII di Pondok Pesantren Condong Tasikmalaya 2022 sebelum diberikan pendidikan kesehatan termasuk kategori tidak mendukung sedangkan setelah diberikan pendidikan kesehatan sebagian besar termasuk kategori mendukung dan perilaku donor darah peserta didik kelas XII di Pondok Pesantren Condong Tasikmalaya 2022 sebelum diberikan pendidikan kesehatan termasuk kategori tidak bersedia sedangkan setelah diberikan pendidikan kesehatan sebagian besar termasuk kategori bersedia. Dengan demikian hasil penelitian ini dapat dijadikan sebagai bahan pembelajaran atau aplikasi manusia yang terbaik adalah manusia yang memberi manfaat bagi manusia yang lainnya serta tenaga kesehatan agar lebih pro aktif dalam memberikan informasi kepada masyarakat tentang pentingnya mendonor darah bagi kesehatan, melalui penyuluhan, penyebaran brosur, dan multi media lainnya.
{"title":"PENGARUH PENDIDIKAN KESEHATAN TERHADAP PENGETAHUAN, SIKAP DAN PERILAKU DONOR DARAH PADA PESERTA DIDIK KELAS XII DI PONDOK PESANTREN CONDONG TASIKMALAYA 2022","authors":"Ari Harri Kusmara, Dewi Laelatul Badriah, Lely Wahyuniar, Mamlukah Mamlukah","doi":"10.34305/jhrs.v3i01.729","DOIUrl":"https://doi.org/10.34305/jhrs.v3i01.729","url":null,"abstract":"Penelitian ini bertujuan untuk menganalisis pengaruh pendidikan kesehatan terhadap pengetahuan, sikap dan perilaku donor darah pada peserta didik kelas XII di Pondok Pesantren Condong Tasikmalaya. Populasi dalam penelitian ini adalah seluruh siswa kelas XII yang berjumlah 358 siswa. Jumlah sampel dalam penellitian ini adalah 60 siswa, Teknik pengambilan sampel dalam penelitian ini adalah menggunakan teknik simple random sampling. Analisis yang digunakan dalam penelitian ini adalah analisis univariat menggunakan distribusi frekuensi, dan analisis bivariat menggunakan uji-T. Hasil penelitian menunjukkan bahwa sebelum dan sesudah diberikan pendidikan kesehatan, pengetahuan donor darah peserta didik kelas XII di Pondok Pesantren Condong Tasikmalaya 2022 termasuk kategori cukup, sikap donor darah peserta didik kelas XII di Pondok Pesantren Condong Tasikmalaya 2022 sebelum diberikan pendidikan kesehatan termasuk kategori tidak mendukung sedangkan setelah diberikan pendidikan kesehatan sebagian besar termasuk kategori mendukung dan perilaku donor darah peserta didik kelas XII di Pondok Pesantren Condong Tasikmalaya 2022 sebelum diberikan pendidikan kesehatan termasuk kategori tidak bersedia sedangkan setelah diberikan pendidikan kesehatan sebagian besar termasuk kategori bersedia. Dengan demikian hasil penelitian ini dapat dijadikan sebagai bahan pembelajaran atau aplikasi manusia yang terbaik adalah manusia yang memberi manfaat bagi manusia yang lainnya serta tenaga kesehatan agar lebih pro aktif dalam memberikan informasi kepada masyarakat tentang pentingnya mendonor darah bagi kesehatan, melalui penyuluhan, penyebaran brosur, dan multi media lainnya.","PeriodicalId":34196,"journal":{"name":"International Journal of Endorsing Health Science Research","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76159892","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}
Nurul Aulia A. D., Inda Purwasih, Windi Defiani, F. Rahim, Bibit Nasrokhatun Diniah
Latar Belakang : Berdasarkan laporan dari The Global E-Waste Monitor 2020 dirilis pada Juni menunjukkan limbah elektronik, atau e-waste, global pada 2019 mencapai 53,6 metrik ton, rata-rata per kapita 7,3 kilogram. Dikrektorat Jenderal Pengelolaan Sampah, Limbah dan Bahan Beracun Berbahaya (Ditjen PSLB3), Kementrian Lingkungan Hidup dan Kehutanan (KLHK), diperkirakan timbulan sampah elektronik pada tahun 2021 telah mencapai 2 juta ton. Sumber E-Waste di Indonesia berasal dari komsumsi domestik, yaitu banyaknya penggunaan alat elektronik di skala rumah tangga. Metode : Penelitian menggunakan desian studi cross sectional dengan teknik penugmpulan data menggunakan kusioner dan wawancara. Penelitian dilakukan diseluruh wilayah Kabupaten Kuningan. Waktu pelaksanaan penelitian dilakukan selama 5 hari dimulai pada tanggal 27-31 Oktober 2022. Adapun analisis data yang digunakan dalam penelitian ini adalah analisis univariat yaitu untuk mengetahui gambaran umum masyarakat terhadap pengolahan sampah elektronik (E-Waste). Hasil : jumlah unit sampah elektronik yang paling banyak dihasilkan adalah baterai (780) dan lampu (572). Metode Pengolahan sampah eletronik di Kabupaten Kuningan dengan cara memilah (51,6%), mengumpulkan (68,8%), mengolah (5,3%) dan membuang (31,8%). Untuk metode pengurangan yaitu reduce (12,4%), reuse (27,4%), recycle/resell (14,7%). Untuk kategori pengetahuan, sebagian besar masyarakat tidak mengetahui dampak lingkungan akibat membuang sampah elektronik sembarangan sebesar 343 (90,3%), begitupun untuk dampak kesehatan sebagian besar masyarakat tidak mengetahuinya yaitu sebesar 244 (64,2%). Kesimpulan : Masyarakat di Kabupaten Kuningan yang menangani sampah elektronik dengan cara mereduce sebanyak 12,4%, lalu dengan cara mereuse sebanyak 27,4%, untuk masyarakat rata2 tidak melakukan cara merecycle dan yang melakukan pengurangan dengan cara menjual atau meresell sebanyak 14,7%.
{"title":"GAMBARAN PENGELOLAAN SAMPAH ELEKTRONIK (E-WASTE) RUMAH TANGGA DI KABUPATEN KUNINGAN TAHUN 2022","authors":"Nurul Aulia A. D., Inda Purwasih, Windi Defiani, F. Rahim, Bibit Nasrokhatun Diniah","doi":"10.34305/jhrs.v3i01.658","DOIUrl":"https://doi.org/10.34305/jhrs.v3i01.658","url":null,"abstract":"Latar Belakang : Berdasarkan laporan dari The Global E-Waste Monitor 2020 dirilis pada Juni menunjukkan limbah elektronik, atau e-waste, global pada 2019 mencapai 53,6 metrik ton, rata-rata per kapita 7,3 kilogram. Dikrektorat Jenderal Pengelolaan Sampah, Limbah dan Bahan Beracun Berbahaya (Ditjen PSLB3), Kementrian Lingkungan Hidup dan Kehutanan (KLHK), diperkirakan timbulan sampah elektronik pada tahun 2021 telah mencapai 2 juta ton. Sumber E-Waste di Indonesia berasal dari komsumsi domestik, yaitu banyaknya penggunaan alat elektronik di skala rumah tangga.\u0000Metode : Penelitian menggunakan desian studi cross sectional dengan teknik penugmpulan data menggunakan kusioner dan wawancara. Penelitian dilakukan diseluruh wilayah Kabupaten Kuningan. Waktu pelaksanaan penelitian dilakukan selama 5 hari dimulai pada tanggal 27-31 Oktober 2022. Adapun analisis data yang digunakan dalam penelitian ini adalah analisis univariat yaitu untuk mengetahui gambaran umum masyarakat terhadap pengolahan sampah elektronik (E-Waste).\u0000Hasil : jumlah unit sampah elektronik yang paling banyak dihasilkan adalah baterai (780) dan lampu (572). Metode Pengolahan sampah eletronik di Kabupaten Kuningan dengan cara memilah (51,6%), mengumpulkan (68,8%), mengolah (5,3%) dan membuang (31,8%). Untuk metode pengurangan yaitu reduce (12,4%), reuse (27,4%), recycle/resell (14,7%). Untuk kategori pengetahuan, sebagian besar masyarakat tidak mengetahui dampak lingkungan akibat membuang sampah elektronik sembarangan sebesar 343 (90,3%), begitupun untuk dampak kesehatan sebagian besar masyarakat tidak mengetahuinya yaitu sebesar 244 (64,2%).\u0000Kesimpulan : Masyarakat di Kabupaten Kuningan yang menangani sampah elektronik dengan cara mereduce sebanyak 12,4%, lalu dengan cara mereuse sebanyak 27,4%, untuk masyarakat rata2 tidak melakukan cara merecycle dan yang melakukan pengurangan dengan cara menjual atau meresell sebanyak 14,7%.","PeriodicalId":34196,"journal":{"name":"International Journal of Endorsing Health Science Research","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83553057","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}
Katarak adalah proses degeneratif berupa kekeruhan di lensa bola mata sehingga menyebabkan menurunnya kemampuan penglihatan sampai kebutaan. Data kasus katarak di Kabupaten Indramayu pada tahun 2021 sebesar 37%. Banyak faktor yang berhubungan dengan kualitas hidup penderita katarak diantaranya umur, jenis kelamin, pendidikan dan dukungan keluarga. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang berhubungan dengan kualitas hidup penderita katarak. Jenis penelitian ini adalah analitik observasi dengan desain cross sectional, sedangkan populasi pada penelitian ini adalah penderita katarak yang telah menjalani operasi katarak sebanyak 200 orang. Sampel penelitian adalah total sampling. Analisis data dilakukan dengan menggunakan univariate, bivariat (uji Chi square) dan multivariat (uji regressi logistik). Hasil dari analisis univariate responden memiliki umur sebagian besar terdapat pada umur antara 51-70 tahun (63.5%), jenis kelamin sebagian besar terdapat pada responden jenis kelamin laki-laki (52.5%), pendidikan responden sebagian besar terdapat pada pendidikan kategori rendah. Hasil analisis bivariate yang berhubungan dengan kualitas hidup penderita katarak adalah dukungan keluarga (p value = 0.001), umur (p value = 0.001), jenis kelamin (p value = 0.885), pendidikan (p value = 0.001). Hasil analisis multivariate (regresi logistik) menunjukan bahwa pendidikan yang paling berhubungan dengan kualitas hidup penderita katarak (Exp(B) ) =3.136; CI 95% 1.683-5.841. Terdapat hubungan antara variabel pendidikan, umur dan dukungan keluarga dengan kualitas hidup penderita katarak. Tidak ada hubungan jenis kelamin dengan kualitas hidup penderita katarak. Faktor yang paling dominan berhubungan dengan kualitas hidup penderita katarak adalah pendidikan. Masyarakat disarankan untuk meningkatkan pendidikan demi kualitas hidup yang lebih baik pasca operasi katarak.
{"title":"ANALISIS FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KUALITAS HIDUP PENDERITA KATARAK DI KABUPATEN INDRAMAYU 2022","authors":"Lusi Fitriah Sari, Dewi Laelatul Badriah, Esty Febriani, Dwi Nastiti Iswarawanti","doi":"10.34305/jhrs.v3i01.728","DOIUrl":"https://doi.org/10.34305/jhrs.v3i01.728","url":null,"abstract":"Katarak adalah proses degeneratif berupa kekeruhan di lensa bola mata sehingga menyebabkan menurunnya kemampuan penglihatan sampai kebutaan. Data kasus katarak di Kabupaten Indramayu pada tahun 2021 sebesar 37%. Banyak faktor yang berhubungan dengan kualitas hidup penderita katarak diantaranya umur, jenis kelamin, pendidikan dan dukungan keluarga. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang berhubungan dengan kualitas hidup penderita katarak. Jenis penelitian ini adalah analitik observasi dengan desain cross sectional, sedangkan populasi pada penelitian ini adalah penderita katarak yang telah menjalani operasi katarak sebanyak 200 orang. Sampel penelitian adalah total sampling. Analisis data dilakukan dengan menggunakan univariate, bivariat (uji Chi square) dan multivariat (uji regressi logistik). Hasil dari analisis univariate responden memiliki umur sebagian besar terdapat pada umur antara 51-70 tahun (63.5%), jenis kelamin sebagian besar terdapat pada responden jenis kelamin laki-laki (52.5%), pendidikan responden sebagian besar terdapat pada pendidikan kategori rendah. Hasil analisis bivariate yang berhubungan dengan kualitas hidup penderita katarak adalah dukungan keluarga (p value = 0.001), umur (p value = 0.001), jenis kelamin (p value = 0.885), pendidikan (p value = 0.001). Hasil analisis multivariate (regresi logistik) menunjukan bahwa pendidikan yang paling berhubungan dengan kualitas hidup penderita katarak (Exp(B) ) =3.136; CI 95% 1.683-5.841. Terdapat hubungan antara variabel pendidikan, umur dan dukungan keluarga dengan kualitas hidup penderita katarak. Tidak ada hubungan jenis kelamin dengan kualitas hidup penderita katarak. Faktor yang paling dominan berhubungan dengan kualitas hidup penderita katarak adalah pendidikan. Masyarakat disarankan untuk meningkatkan pendidikan demi kualitas hidup yang lebih baik pasca operasi katarak.","PeriodicalId":34196,"journal":{"name":"International Journal of Endorsing Health Science Research","volume":"39 6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77725811","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}
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