Pub Date : 2023-06-01DOI: 10.29052/ijehsr.v11.i2.2023.97-103
Arsalan Shezad, Tanzeel Gazder, Syed Rabiullah, Mazahir Zulfiqar, Usman Qamar, Haris Jameel, Saeed Abidi, M. Hussain
Background: Buccal mucosal graft is commonly used in substitution urethroplasty for the treatment of anterior urethral strictures. However, the optimal management of the donor site remains a topic of debate. This prospective study aimed to compare the outcomes and morbidity associated with closure versus non-closure of the buccal mucosal graft harvesting site in urethroplasty. Methodology: A total of 60 patients with anterior urethral strictures underwent buccal mucosal urethroplasty. The patients were divided into two groups: group A (non-closure, n=30) and group B (closure, n=30). Post-operative pain, perioral numbness, early return to diet, and swelling of the cheek were assessed and compared between the two groups. Pain was measured using the Visual Analog Scale (VAS), and statistical analysis was performed using appropriate tests. Results: The mean age of the patients was 35.73 ± 13.42 years, and the mean length of the stricture was 58.45 ± 26.87 mm. Post-operative pain scores measured through VAS were comparable between the closure and non-closure groups at different time points. Perioral numbness was observed in 43.33% of the non-closure group and 30.0% of the closure group (p=0.284). Early return to diet was reported in 40.0% of the non-closure group and 70.0% of the closure group (p=0.019). Swelling of the cheek was noted in 53.33% of the non-closure group and 33.33% of the closure group (p=0.118). Conclusion: This study suggests that non-closure of the buccal mucosal graft harvesting site in urethroplasty results in less post-operative pain, early return to diet, and lower perioral numbness. However, it is associated with increased swelling of the cheek. These findings support the use of non-closure as a viable alternative to closure of the buccal mucosal graft harvesting site. Further research with larger sample sizes and longer-term follow-up is warranted to validate these findings and assess additional outcomes such as stricture recurrence and cosmetic outcomes.
{"title":"Comparison of Closure versus Non-closure of Buccal Mucosal Graft Harvesting Site in Urethroplasty.","authors":"Arsalan Shezad, Tanzeel Gazder, Syed Rabiullah, Mazahir Zulfiqar, Usman Qamar, Haris Jameel, Saeed Abidi, M. Hussain","doi":"10.29052/ijehsr.v11.i2.2023.97-103","DOIUrl":"https://doi.org/10.29052/ijehsr.v11.i2.2023.97-103","url":null,"abstract":"Background: Buccal mucosal graft is commonly used in substitution urethroplasty for the treatment of anterior urethral strictures. However, the optimal management of the donor site remains a topic of debate. This prospective study aimed to compare the outcomes and morbidity associated with closure versus non-closure of the buccal mucosal graft harvesting site in urethroplasty. \u0000Methodology: A total of 60 patients with anterior urethral strictures underwent buccal mucosal urethroplasty. The patients were divided into two groups: group A (non-closure, n=30) and group B (closure, n=30). Post-operative pain, perioral numbness, early return to diet, and swelling of the cheek were assessed and compared between the two groups. Pain was measured using the Visual Analog Scale (VAS), and statistical analysis was performed using appropriate tests. \u0000Results: The mean age of the patients was 35.73 ± 13.42 years, and the mean length of the stricture was 58.45 ± 26.87 mm. Post-operative pain scores measured through VAS were comparable between the closure and non-closure groups at different time points. Perioral numbness was observed in 43.33% of the non-closure group and 30.0% of the closure group (p=0.284). Early return to diet was reported in 40.0% of the non-closure group and 70.0% of the closure group (p=0.019). Swelling of the cheek was noted in 53.33% of the non-closure group and 33.33% of the closure group (p=0.118). \u0000Conclusion: This study suggests that non-closure of the buccal mucosal graft harvesting site in urethroplasty results in less post-operative pain, early return to diet, and lower perioral numbness. However, it is associated with increased swelling of the cheek. These findings support the use of non-closure as a viable alternative to closure of the buccal mucosal graft harvesting site. Further research with larger sample sizes and longer-term follow-up is warranted to validate these findings and assess additional outcomes such as stricture recurrence and cosmetic 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":"45460618","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}
Promosi kesehatan melalui media komunikasi, informasi dan edukasi (KIE) dapat menunjang proses pembelajaran dengan dukungan teknologi media yang ada, salah satunya dengan memanfaatkan media sosial whatsapp. Penelitian ini bertujuan untuk menganalisis efektivitas promosi kesehatan melalui media komunikasi, informasi dan edukasi (KIE) serta pendampingan whatsapp group terhadap pengetahuan dan sikap tentang anemia pada ibu hamil tahun 2022 di wilayah kerja Puskesmas Gunungtanjung Kabupaten Tasikmalaya. Penelitian ini adalah penelitian eksperimen semu (quasi experiment), menggunakan rancangan pre and post test with two group dengan menggunakan teknik cluster sampling maka didapatkan sampel masing-masing kelompok yang diteliti sebanyak 25 responden. Data dalam penelitian ini diolah dengan statistik uji T-test, pengujian hipotesis menggunakan nilai N gain. Hasil analisis bivariat didapatkan bahwa terdapat peningkatan nilai rata-rata pengetahuan (p-value =<0,00) dan sikap (p-value <0,000) Ibu hamil setelah dilakukan Promosi kesehatan melalui media KIE disertai pendampingan WhatsApp Group tentang Anemia. Terdapat peningkatan nilai rata-rata pengetahuan (p-value = 0,001) dan sikap (p-value = 0,003) ibu hamil setelah dilakukan Promosi kesehatan melalui media KIE. Promosi kesehatan melalui media KIE disertai pendampingan WhatsApp Group lebih efektif dibandingkan hanya media KIE saja dalam meningkatakan pengetahuan (p-value = 0,046) dan sikap (p-value <0,000) ibu hamil tentang anemia. Dari hasil penelitian ini dapat disimpulkan bahwa terdapat peningkatan nilai rata-rata pengetahuan dan sikap ibu hamil setelah dilakukan promosi kesehatan baik melalui media KIE saja dan didampingi whatsApp Group, serta lebih efektif dibandingkan hanya media KIE saja dalam meningkatakan pengetahuan dan sikap ibu hamil tentang anemia.
{"title":"EFEKTIVITAS PROMOSI KESEHATAN MELALUI MEDIA KOMUNIKASI, INFORMASI DAN EDUKASI (KIE) SERTA PENDAMPINGAN WHATSAPP GROUP TERHADAP PENGETAHUAN DAN SIKAP TENTANG ANEMIA PADA IBU HAMIL TAHUN 2022","authors":"Nurdewi Anggianti Rahayu, Mamlukah Mamlukah, Rossi Suparman, Dwi Nastiti Iswarawanti","doi":"10.34305/jhrs.v3i01.768","DOIUrl":"https://doi.org/10.34305/jhrs.v3i01.768","url":null,"abstract":"Promosi kesehatan melalui media komunikasi, informasi dan edukasi (KIE) dapat menunjang proses pembelajaran dengan dukungan teknologi media yang ada, salah satunya dengan memanfaatkan media sosial whatsapp. Penelitian ini bertujuan untuk menganalisis efektivitas promosi kesehatan melalui media komunikasi, informasi dan edukasi (KIE) serta pendampingan whatsapp group terhadap pengetahuan dan sikap tentang anemia pada ibu hamil tahun 2022 di wilayah kerja Puskesmas Gunungtanjung Kabupaten Tasikmalaya. Penelitian ini adalah penelitian eksperimen semu (quasi experiment), menggunakan rancangan pre and post test with two group dengan menggunakan teknik cluster sampling maka didapatkan sampel masing-masing kelompok yang diteliti sebanyak 25 responden. Data dalam penelitian ini diolah dengan statistik uji T-test, pengujian hipotesis menggunakan nilai N gain. Hasil analisis bivariat didapatkan bahwa terdapat peningkatan nilai rata-rata pengetahuan (p-value =<0,00) dan sikap (p-value <0,000) Ibu hamil setelah dilakukan Promosi kesehatan melalui media KIE disertai pendampingan WhatsApp Group tentang Anemia. Terdapat peningkatan nilai rata-rata pengetahuan (p-value = 0,001) dan sikap (p-value = 0,003) ibu hamil setelah dilakukan Promosi kesehatan melalui media KIE. Promosi kesehatan melalui media KIE disertai pendampingan WhatsApp Group lebih efektif dibandingkan hanya media KIE saja dalam meningkatakan pengetahuan (p-value = 0,046) dan sikap (p-value <0,000) ibu hamil tentang anemia. Dari hasil penelitian ini dapat disimpulkan bahwa terdapat peningkatan nilai rata-rata pengetahuan dan sikap ibu hamil setelah dilakukan promosi kesehatan baik melalui media KIE saja dan didampingi whatsApp Group, serta lebih efektif dibandingkan hanya media KIE saja dalam meningkatakan pengetahuan dan sikap ibu hamil tentang anemia.","PeriodicalId":34196,"journal":{"name":"International Journal of Endorsing Health Science Research","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87440359","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}
Uus Supangat, Dewi Laelatul Badriah, Mamlukah Mamlukah, Rossi Suparman
Indonesia sebagai negara yang memiliki kasus DBD tertinggi di Asia Tenggara (>57%) dengan hampir 70% kasus kematian akibat DBD di Asia Tenggara juga berada di Indonesia. Kematian akibat DBD di Kota Tasikmalaya merupakan kasus tertinggi di Provinsi Jawa Barat dengan angka CFR sebesar 1,56% per-Oktober 2022. Tujuan penelitiaan ini yaitu untuk menganalisis faktor-faktor yang berhubungan dengan kematian kasus demam berdarah di Kota Tasikmalaya 2022. Jenis penelitian ini yaitu analitik deskriptif dengan rancangan cross sectional. Populasi dalam penelitian ini yaitu keseluruhan kasus DBD yang dilaporkan di Kota Tasikmalaya. Pengambilan sampel dilakukan secara purposive sampling sebanyak 118 responden. Instrumen yang digunakan dalam penelitian ini adalah rekam medik dan laporan kasus pasien DBD dalam kurun waktu Januari-Oktober 2022. Analisis data dilakukan 3 tahap yaitu analisis univariat, analisis bivariat (uji Chi Square), dan analisis multivariate (uji Regresi Logistik. Hasil analisis bivariat menunjukan terdapat hubungan antara usia (p value = 0,010), keterlambatan pengobatan (p value = 0,058), dan kejadian DSS dengan kematian pasien DBD (p value = 0,001). Sementara itu tidak terdapat hubungan antara jeis kelamin dengan kematian pasien DBD (p value = 0,619). Usia merupakan faktor dominan yang berhubungan dengan kematian pasien DBD di Kota Tasikmalaya dengan nilai p = 0,016 (p<0,05) dan nilai OR = 1,873.
{"title":"FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEMATIAN KASUS DEMAM BERDARAH DI KOTA TASIKMALAYA 2022","authors":"Uus Supangat, Dewi Laelatul Badriah, Mamlukah Mamlukah, Rossi Suparman","doi":"10.34305/jhrs.v3i01.764","DOIUrl":"https://doi.org/10.34305/jhrs.v3i01.764","url":null,"abstract":"Indonesia sebagai negara yang memiliki kasus DBD tertinggi di Asia Tenggara (>57%) dengan hampir 70% kasus kematian akibat DBD di Asia Tenggara juga berada di Indonesia. Kematian akibat DBD di Kota Tasikmalaya merupakan kasus tertinggi di Provinsi Jawa Barat dengan angka CFR sebesar 1,56% per-Oktober 2022. Tujuan penelitiaan ini yaitu untuk menganalisis faktor-faktor yang berhubungan dengan kematian kasus demam berdarah di Kota Tasikmalaya 2022. Jenis penelitian ini yaitu analitik deskriptif dengan rancangan cross sectional. Populasi dalam penelitian ini yaitu keseluruhan kasus DBD yang dilaporkan di Kota Tasikmalaya. Pengambilan sampel dilakukan secara purposive sampling sebanyak 118 responden. Instrumen yang digunakan dalam penelitian ini adalah rekam medik dan laporan kasus pasien DBD dalam kurun waktu Januari-Oktober 2022. Analisis data dilakukan 3 tahap yaitu analisis univariat, analisis bivariat (uji Chi Square), dan analisis multivariate (uji Regresi Logistik. \u0000Hasil analisis bivariat menunjukan terdapat hubungan antara usia (p value = 0,010), keterlambatan pengobatan (p value = 0,058), dan kejadian DSS dengan kematian pasien DBD (p value = 0,001). Sementara itu tidak terdapat hubungan antara jeis kelamin dengan kematian pasien DBD (p value = 0,619). Usia merupakan faktor dominan yang berhubungan dengan kematian pasien DBD di Kota Tasikmalaya dengan nilai p = 0,016 (p<0,05) dan nilai OR = 1,873.","PeriodicalId":34196,"journal":{"name":"International Journal of Endorsing Health Science Research","volume":"84 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79451630","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}
Latar Belakang: Guru SMK memiliki peran penting dalam memperkenalkan kesehatan reproduksi kepada siswa di sekolah (Banerjee & Rao, 2022). Metode simulasi merupakan salah satu metode yang dapat digunakan dalam pendidikan kesehatan. Kajian terbatas telah dilakukan untuk mengkaji pengaruh pendidikan terhadap reproduksi remaja terhadap pengetahuan dan sikap guru SMK dengan menggunakan metode ini. Penelitian ini bertujuan untuk menganalisis dampak pendidikan terhadap reproduksi remaja dengan metode simulasi pada guru SMK di Kabupaten Brebes untuk meningkatkan pengetahuan dan sikap mereka. Metode: Jenis penelitian ini adalah penelitian eksperimen semu dengan rencana kelompok kontrol non ekuivalen. Sampel penelitian ini adalah total sampling guru SMK (n=30 orang tiap kelompok). Analisis data menggunakan bivariat (uji Chi square dan uji T berpasangan) dan analisis multivariat (regresi linier logistik) pada tingkat kepercayaan 95%. Hasil: penelitian menunjukkan bahwa guru memiliki pengetahuan (56,7%) dan sikap (56,7%) yang baik setelah dilakukan intervensi simulasi. Hasil uji t berpasangan menunjukkan bahwa ada perbedaan pengetahuan guru antara kelompok perlakuan dan kontrol dengan nilai p<0,001, dan sikap guru dengan nilai p<<0,001. Hasil analisis multivariat menunjukkan bahwa variabel usia (p =0,039) memiliki pengaruh yang signifikan antara pengetahuan dan sikap guru terhadap kesehatan reproduksi remaja. Kesimpulan: Ada pengaruh yang signifikan pendidikan kesehatan reproduksi remaja dengan metode simulasi terhadap pengetahuan dan sikap guru. Disarankan metode simulasi dalam pendidikan kesehatan pada guru dapat digunakan secara luas untuk meningkatkan kompetensi guru ,termasuk metode partisipatif, pemantauan langsung dan bimbingan kepada siswa.
{"title":"PENGARUH METODE SIMULASI TERHADAP PENGETAHUAN DAN SIKAP GURU TENTANG KESEHATAN REPRODUKSI REMAJA DI SMK KABUPATEN BREBES TAHUN 2022","authors":"Amin Susilo, Esty Febriani, Lely Wahyuniar, Dwi Nastiti Iswarawanti","doi":"10.34305/jhrs.v3i01.766","DOIUrl":"https://doi.org/10.34305/jhrs.v3i01.766","url":null,"abstract":"Latar Belakang: Guru SMK memiliki peran penting dalam memperkenalkan kesehatan reproduksi kepada siswa di sekolah (Banerjee & Rao, 2022). Metode simulasi merupakan salah satu metode yang dapat digunakan dalam pendidikan kesehatan. Kajian terbatas telah dilakukan untuk mengkaji pengaruh pendidikan terhadap reproduksi remaja terhadap pengetahuan dan sikap guru SMK dengan menggunakan metode ini. Penelitian ini bertujuan untuk menganalisis dampak pendidikan terhadap reproduksi remaja dengan metode simulasi pada guru SMK di Kabupaten Brebes untuk meningkatkan pengetahuan dan sikap mereka. \u0000Metode: Jenis penelitian ini adalah penelitian eksperimen semu dengan rencana kelompok kontrol non ekuivalen. Sampel penelitian ini adalah total sampling guru SMK (n=30 orang tiap kelompok). Analisis data menggunakan bivariat (uji Chi square dan uji T berpasangan) dan analisis multivariat (regresi linier logistik) pada tingkat kepercayaan 95%. \u0000Hasil: penelitian menunjukkan bahwa guru memiliki pengetahuan (56,7%) dan sikap (56,7%) yang baik setelah dilakukan intervensi simulasi. Hasil uji t berpasangan menunjukkan bahwa ada perbedaan pengetahuan guru antara kelompok perlakuan dan kontrol dengan nilai p<0,001, dan sikap guru dengan nilai p<<0,001. Hasil analisis multivariat menunjukkan bahwa variabel usia (p =0,039) memiliki pengaruh yang signifikan antara pengetahuan dan sikap guru terhadap kesehatan reproduksi remaja. \u0000Kesimpulan: Ada pengaruh yang signifikan pendidikan kesehatan reproduksi remaja dengan metode simulasi terhadap pengetahuan dan sikap guru. Disarankan metode simulasi dalam pendidikan kesehatan pada guru dapat digunakan secara luas untuk meningkatkan kompetensi guru ,termasuk metode partisipatif, pemantauan langsung dan bimbingan kepada siswa.","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":"73073499","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}
Low back pain termasuk kedalam jenis gangguan muskuloskeletal, yang dapat ditimbulkan salah satunya akibat penggunaan komputer mulai dari kelemahan otot, tendon, atau nyeri leher dan punggung sampai dengan trauma yang kumulatif. Kasus low back pain banyak dialami oleh pegawai kantor, dengan prevalensi mulai dari 23% sampai 38% setiap tahunnya. Tujuan penelitian ini adalah untuk mengetahui hubungan durasi kerja, masa kerja dan postur kerja terhadap keluhan low back pain pada bagian staff di kantor X, Jakarta Selatan. Jenis penelitian ini merupakan penelitian kuantitatif yang menggunakan data primer (kuesioner) dengan pendekatan cross sectional, dengan tujuan untuk mengetahui variabel sebab dan variabel akibat. Jumlah sampel sebanyak 133 staff di kantor X, Jakarta Selatan dan teknik pengambilan sampel menggunakan purposive sampling. Keluhan low back pain diukur menggunakan Oswestry Disability Index (ODI) dan postur kerja diukur menggunakan Rapid Office Strain Assessment (ROSA). Hasil penelitian menunjukkan bahwa sebanyak 88% staff mengalami keluhan low back pain dengan kategori disabilitas minimal. Hasil uji statistik menunjukkan bahwa ada hubungan antara durasi kerja (p-value=0,029 <0,05), masa kerja (p-value=0,016 <0,05) dan postur kerja (p-value=0,000 <0,05) dengan keluhan low back pain pada staff kantor X, Jakarta Selatan. Dari hasil penelitian ini diharapkan staff memanfaatkan waktu untuk melakukan peregangan otot disela-sela waktu bekerja dan juga memperhatikan postur kerja yang sesuai agar terhindar dari keluhan low back pain.
{"title":"HUBUNGAN DURASI KERJA, MASA KERJA DAN POSTUR KERJA TERHADAP KELUHAN LOW BACK PAIN PADA BAGIAN STAFF DI KANTOR X, JAKARTA SELATAN","authors":"A. Agustin, Lela Kania Rahsa Puji, Riris Andriati","doi":"10.34305/jhrs.v2i02.506","DOIUrl":"https://doi.org/10.34305/jhrs.v2i02.506","url":null,"abstract":"Low back pain termasuk kedalam jenis gangguan muskuloskeletal, yang dapat ditimbulkan salah satunya akibat penggunaan komputer mulai dari kelemahan otot, tendon, atau nyeri leher dan punggung sampai dengan trauma yang kumulatif. Kasus low back pain banyak dialami oleh pegawai kantor, dengan prevalensi mulai dari 23% sampai 38% setiap tahunnya. Tujuan penelitian ini adalah untuk mengetahui hubungan durasi kerja, masa kerja dan postur kerja terhadap keluhan low back pain pada bagian staff di kantor X, Jakarta Selatan. Jenis penelitian ini merupakan penelitian kuantitatif yang menggunakan data primer (kuesioner) dengan pendekatan cross sectional, dengan tujuan untuk mengetahui variabel sebab dan variabel akibat. Jumlah sampel sebanyak 133 staff di kantor X, Jakarta Selatan dan teknik pengambilan sampel menggunakan purposive sampling. Keluhan low back pain diukur menggunakan Oswestry Disability Index (ODI) dan postur kerja diukur menggunakan Rapid Office Strain Assessment (ROSA). Hasil penelitian menunjukkan bahwa sebanyak 88% staff mengalami keluhan low back pain dengan kategori disabilitas minimal. Hasil uji statistik menunjukkan bahwa ada hubungan antara durasi kerja (p-value=0,029 <0,05), masa kerja (p-value=0,016 <0,05) dan postur kerja (p-value=0,000 <0,05) dengan keluhan low back pain pada staff kantor X, Jakarta Selatan. Dari hasil penelitian ini diharapkan staff memanfaatkan waktu untuk melakukan peregangan otot disela-sela waktu bekerja dan juga memperhatikan postur kerja yang sesuai agar terhindar dari keluhan low back pain.","PeriodicalId":34196,"journal":{"name":"International Journal of Endorsing Health Science Research","volume":"os-44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87353526","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 : 2023-05-30DOI: 10.29052/ijehsr.v11.i2.2023.68-74
F. Ahmed, Sanobar Bughio, H. Rehman, Kashif Shazlee, Anum Sultan, Hina Pathan, Gulraiz Khanzada
Background: Lateral X-ray of the cervical spine (LCSX) is a common diagnostic tool to detect fractures in hospitalized patients. Its non-invasive nature and cost-effectiveness make it a preferred imaging technique for rapid identification of cervical spine fractures. However, its diagnostic accuracy is still a subject of debate and further research is needed to establish its reliability and validity. This study aimed to determine the diagnostic accuracy of LCSX in detecting fractures in hospitalized patients, using multi-detector computed tomography (MDCT) as the gold standard. Methodology: This cross-sectional retrospective study was conducted at a tertiary care hospital in Karachi. The study included 431 male and female patients aged between 18 to 60 years referred by the primary medical team to the Radiology Department for both LCSX and MDCT to detect cervical spine fractures. Patients with known cases of cervical spine fractures determined by history, examination, and previous radiological modalities like LCSX, MDCT, or MRI at the time of imaging were included. Results: LCSX identified 63 cases (14.6%) as having cervical spine fractures, while 368 cases (85.3%) were reported as not having cervical spine fractures. However, on MDCT, 116 cases (26.9%) out of the 431 cases were found to have cervical spine fractures, while 315 cases (73.08%) were reported as not having cervical spine fractures. The sensitivity, specificity, positive predictive value, negative predictive value, and diagnostic accuracy of LCSX were calculated. The sensitivity of LCSX was found to be 58.35%, specificity was 100%, positive predictive value was 100%, negative predictive value was 85.59%, and diagnostic accuracy was 87.70%. Conclusion: LCSX has low sensitivity as a diagnostic tool in detecting cervical spine fractures in trauma patients, resulting in missed diagnoses of critical cervical spine fractures and compromised patient care, which can lead to increased morbidity and mortality.
{"title":"Diagnostic accuracy of Lateral X-Ray of Cervical Spine in detection of fracture in hospitalized patients.","authors":"F. Ahmed, Sanobar Bughio, H. Rehman, Kashif Shazlee, Anum Sultan, Hina Pathan, Gulraiz Khanzada","doi":"10.29052/ijehsr.v11.i2.2023.68-74","DOIUrl":"https://doi.org/10.29052/ijehsr.v11.i2.2023.68-74","url":null,"abstract":"Background: Lateral X-ray of the cervical spine (LCSX) is a common diagnostic tool to detect fractures in hospitalized patients. Its non-invasive nature and cost-effectiveness make it a preferred imaging technique for rapid identification of cervical spine fractures. However, its diagnostic accuracy is still a subject of debate and further research is needed to establish its reliability and validity. This study aimed to determine the diagnostic accuracy of LCSX in detecting fractures in hospitalized patients, using multi-detector computed tomography (MDCT) as the gold standard. \u0000Methodology: This cross-sectional retrospective study was conducted at a tertiary care hospital in Karachi. The study included 431 male and female patients aged between 18 to 60 years referred by the primary medical team to the Radiology Department for both LCSX and MDCT to detect cervical spine fractures. Patients with known cases of cervical spine fractures determined by history, examination, and previous radiological modalities like LCSX, MDCT, or MRI at the time of imaging were included. \u0000Results: LCSX identified 63 cases (14.6%) as having cervical spine fractures, while 368 cases (85.3%) were reported as not having cervical spine fractures. However, on MDCT, 116 cases (26.9%) out of the 431 cases were found to have cervical spine fractures, while 315 cases (73.08%) were reported as not having cervical spine fractures. The sensitivity, specificity, positive predictive value, negative predictive value, and diagnostic accuracy of LCSX were calculated. The sensitivity of LCSX was found to be 58.35%, specificity was 100%, positive predictive value was 100%, negative predictive value was 85.59%, and diagnostic accuracy was 87.70%. \u0000Conclusion: LCSX has low sensitivity as a diagnostic tool in detecting cervical spine fractures in trauma patients, resulting in missed diagnoses of critical cervical spine fractures and compromised patient care, which can lead to increased morbidity and mortality.","PeriodicalId":34196,"journal":{"name":"International Journal of Endorsing Health Science Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46149148","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: Medical students may be at a higher risk for developing CTS due to the repetitive nature of their work and prolonged use of computers. This survey investigated the severity of CTS symptoms and functional status among medical students. Methodology: Among medical students, a quantitative observational cross-sectional survey was carried out in Lahore, Pakistan. A total of 112 students of both gender, aged between 19 to 27 years, participated in this study. A demographic questionnaire and a Boston carpel tunnel syndrome questionnaire were used, and questions related to moderate and strenuous exercise were included in the survey. Results: The functional status of a medical student is categorized as 22.3% in the asymptomatic category, 40.2% in the mild category, 19.6% in the moderate category, and 17.9% fall in the severe category. An association was found between symptom severity and prolonged hand use & functional status. The study results provide insights into the risk factors and potential preventive measures for CTS in this population. Conclusion: The study has collected data on the prevalence of CTS among medical students, the severity of their symptoms, the impact of CTS on their academic performance, and the factors associated with the development and severity of CTS among medical students. Our survey results show that medical students of the study site have not been classified as high-risk.
{"title":"Assessment of Carpal Tunnel Syndrome Symptoms and Functional Status among Medical Students: A Cross-Sectional Survey in Lahore, Pakistan.","authors":"Gohar Afroz, Ashfaq Ahmad, Imran Shoukat, M. Yasmin, Khadija Shoukat, Hafiz Kiakhur Sarkhail","doi":"10.29052/ijehsr.v11.i2.2023.63-67","DOIUrl":"https://doi.org/10.29052/ijehsr.v11.i2.2023.63-67","url":null,"abstract":"Background: Medical students may be at a higher risk for developing CTS due to the repetitive nature of their work and prolonged use of computers. This survey investigated the severity of CTS symptoms and functional status among medical students. \u0000Methodology: Among medical students, a quantitative observational cross-sectional survey was carried out in Lahore, Pakistan. A total of 112 students of both gender, aged between 19 to 27 years, participated in this study. A demographic questionnaire and a Boston carpel tunnel syndrome questionnaire were used, and questions related to moderate and strenuous exercise were included in the survey. \u0000Results: The functional status of a medical student is categorized as 22.3% in the asymptomatic category, 40.2% in the mild category, 19.6% in the moderate category, and 17.9% fall in the severe category. An association was found between symptom severity and prolonged hand use & functional status. The study results provide insights into the risk factors and potential preventive measures for CTS in this population. \u0000Conclusion: The study has collected data on the prevalence of CTS among medical students, the severity of their symptoms, the impact of CTS on their academic performance, and the factors associated with the development and severity of CTS among medical students. Our survey results show that medical students of the study site have not been classified as high-risk.","PeriodicalId":34196,"journal":{"name":"International Journal of Endorsing Health Science Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45323402","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 : 2023-04-24DOI: 10.29052/ijehsr.v11.i2.2023.110-118
Qaiser Shahzad Chishty, Shashikant Bhasme
The role and recognition of advanced clinical practitioners (ACPs) have been subject to debate in various healthcare settings. Therefore, this review aims to critically analyze the role of ACPs in leading change within primary care services. By referring to current clinical research, the review aims to evaluate the efficacy of this role in creating a sustainable future for the National Health Service (NHS) by reducing the gap between primary and secondary care, as highlighted in the NHS Five Year Forward View. From the authors' perspective, the role of ACPs in leading change in primary care settings has never been more crucial than it is today. Understanding the changes that ACPs can introduce is essential to accelerate progress and achieve the most optimistic scenario for the future. However, the emergence of the ACP role faces three challenges: defining their domain, their training package, and determining the necessary adjustments in NHS organizations.
{"title":"Role of the Advanced Practitioner in Leading Change in Primary Care.","authors":"Qaiser Shahzad Chishty, Shashikant Bhasme","doi":"10.29052/ijehsr.v11.i2.2023.110-118","DOIUrl":"https://doi.org/10.29052/ijehsr.v11.i2.2023.110-118","url":null,"abstract":"The role and recognition of advanced clinical practitioners (ACPs) have been subject to debate in various healthcare settings. Therefore, this review aims to critically analyze the role of ACPs in leading change within primary care services. By referring to current clinical research, the review aims to evaluate the efficacy of this role in creating a sustainable future for the National Health Service (NHS) by reducing the gap between primary and secondary care, as highlighted in the NHS Five Year Forward View. From the authors' perspective, the role of ACPs in leading change in primary care settings has never been more crucial than it is today. Understanding the changes that ACPs can introduce is essential to accelerate progress and achieve the most optimistic scenario for the future. However, the emergence of the ACP role faces three challenges: defining their domain, their training package, and determining the necessary adjustments in NHS organizations.","PeriodicalId":34196,"journal":{"name":"International Journal of Endorsing Health Science Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46573675","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 : 2023-03-28DOI: 10.29052/ijehsr.v11.i2.2023.75-83
N. Chaudhury, T. Biswas, Raston Mondal, S. Chattopadhyay, Deblakshmi Mandal, Nivedita Mukherjee, Arghya Nath, Soumyendranath Das
Background: Candidemia is a life-threatening bloodstream infection caused by Candida species and is a major concern in pediatric patients, particularly in developing countries like India. Therefore, the goals of the current study are to isolate and identify several Candida species from blood samples, link various risk factors with candidemia, and ascertain the antifungal sensitivity pattern of each species. Methodology: This study is an observational, cross-sectional study conducted to determine the prevalence, distribution, and antifungal susceptibility of Candida species among pediatric patients with candidemia. The current study collected blood samples in BACT/ALERT 3D Pediatric bottles for fungal blood culture. After positive growth was obtained from Blood agar and Sabouraud's dextrose agar (SDA), a range of biochemical reactions, including Gram staining, Germ tube test, CHROM agar Candida Medium, and Sugar fermentation, were carried out. The Kirby-Bauer disc diffusion method was used for conducting the antifungal susceptibility test. Results: Among the total of 156 different species of Candida, the maximum isolates were Candida albicans (CA) (42.9%), followed by Candida tropicalis (23.1%) and Candida parapsilosis (14.7%). The Pediatric Intensive Care Unit (PICU) had the most Candida isolates, and catheterization was a leading risk factor. Susceptibility to Amphotericin B, Caspofungin, and Voriconazole was 84.6%, 81.4%, and 76.9%, respectively. Our study observed that the azole group of antifungals revealed pretty high resistance to Non-Candida albicans (NCA). Conclusion: The prevalence of candidemia was higher in the pediatric ICU and neonatal ICU, and the incidence rate was highest among neonates and infants. The study concludes that NCA species are gradually replacing C. albicans as an important pathogen, and clinicians need to be aware of the antifungal resistance patterns of the different Candida species.
{"title":"Candidemia in Pediatric Patients: Changing Pattern of Isolated Candida Species and Risk Factors in Eastern India.","authors":"N. Chaudhury, T. Biswas, Raston Mondal, S. Chattopadhyay, Deblakshmi Mandal, Nivedita Mukherjee, Arghya Nath, Soumyendranath Das","doi":"10.29052/ijehsr.v11.i2.2023.75-83","DOIUrl":"https://doi.org/10.29052/ijehsr.v11.i2.2023.75-83","url":null,"abstract":"Background: Candidemia is a life-threatening bloodstream infection caused by Candida species and is a major concern in pediatric patients, particularly in developing countries like India. Therefore, the goals of the current study are to isolate and identify several Candida species from blood samples, link various risk factors with candidemia, and ascertain the antifungal sensitivity pattern of each species. \u0000Methodology: This study is an observational, cross-sectional study conducted to determine the prevalence, distribution, and antifungal susceptibility of Candida species among pediatric patients with candidemia. The current study collected blood samples in BACT/ALERT 3D Pediatric bottles for fungal blood culture. After positive growth was obtained from Blood agar and Sabouraud's dextrose agar (SDA), a range of biochemical reactions, including Gram staining, Germ tube test, CHROM agar Candida Medium, and Sugar fermentation, were carried out. The Kirby-Bauer disc diffusion method was used for conducting the antifungal susceptibility test. \u0000Results: Among the total of 156 different species of Candida, the maximum isolates were Candida albicans (CA) (42.9%), followed by Candida tropicalis (23.1%) and Candida parapsilosis (14.7%). The Pediatric Intensive Care Unit (PICU) had the most Candida isolates, and catheterization was a leading risk factor. Susceptibility to Amphotericin B, Caspofungin, and Voriconazole was 84.6%, 81.4%, and 76.9%, respectively. Our study observed that the azole group of antifungals revealed pretty high resistance to Non-Candida albicans (NCA). \u0000Conclusion: The prevalence of candidemia was higher in the pediatric ICU and neonatal ICU, and the incidence rate was highest among neonates and infants. The study concludes that NCA species are gradually replacing C. albicans as an important pathogen, and clinicians need to be aware of the antifungal resistance patterns of the different Candida species.","PeriodicalId":34196,"journal":{"name":"International Journal of Endorsing Health Science Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47691854","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 : 2023-03-28DOI: 10.29052/ijehsr.v11.i2.2023.104-109
Koulshan Jameel, Gul-e-rana Abdul Mannan, Durr-e-shahwar Hayat, Rabiya Niaz, Anum Sultan
Background: The uterocutaneous fistula is an abnormal connection or passageway between the uterus and the skin. The most common causes include infections, trauma, or surgery, a severe medical condition requiring prompt medical attention and treatment. Case Presentation: Here, we describe the case of a 36-year-old female who developed a uterocutaneous fistula after cesarean delivery. Her post-cesarean recovery was complicated by wound infection, and after healing the wound, she presented with cyclical bloody discharge from a pinpoint opening in the healed wound scar. Management: On ultrasound and MRI, she was diagnosed as having a uterocutaneous fistula. She opted for non-surgical management and underwent successful medical management with GnRH agonists. She remained symptom-free after the resumption of her menstrual cycle. Conclusion: In younger populations hoping to avoid surgery, pharmacological care with GnRH agonist therapy can be a reasonable alternative to surgical resection of the fistulous tract. Healthcare professionals should have a high index of suspicion to diagnose this condition.
{"title":"Uterocutaneous fistula managed medically: A case report.","authors":"Koulshan Jameel, Gul-e-rana Abdul Mannan, Durr-e-shahwar Hayat, Rabiya Niaz, Anum Sultan","doi":"10.29052/ijehsr.v11.i2.2023.104-109","DOIUrl":"https://doi.org/10.29052/ijehsr.v11.i2.2023.104-109","url":null,"abstract":"Background: The uterocutaneous fistula is an abnormal connection or passageway between the uterus and the skin. The most common causes include infections, trauma, or surgery, a severe medical condition requiring prompt medical attention and treatment. \u0000Case Presentation: Here, we describe the case of a 36-year-old female who developed a uterocutaneous fistula after cesarean delivery. Her post-cesarean recovery was complicated by wound infection, and after healing the wound, she presented with cyclical bloody discharge from a pinpoint opening in the healed wound scar. \u0000Management: On ultrasound and MRI, she was diagnosed as having a uterocutaneous fistula. She opted for non-surgical management and underwent successful medical management with GnRH agonists. She remained symptom-free after the resumption of her menstrual cycle. \u0000Conclusion: In younger populations hoping to avoid surgery, pharmacological care with GnRH agonist therapy can be a reasonable alternative to surgical resection of the fistulous tract. Healthcare professionals should have a high index of suspicion to diagnose this condition.","PeriodicalId":34196,"journal":{"name":"International Journal of Endorsing Health Science Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44518392","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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