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Variability Of Magnification On Digital Pelvic Radiographs From Patients With Fractures Of The Femoral Neck - A Retrospective Audit, Akbar Jaleel Zubairi, Tashfeen Ahmad

Department of Surgery Docs

Abstract

OBJECTIVE:

To determine the variability in magnification of radiographs in an emergency setting.

METHODS:

The retrospective study was conducted at Aga Khan University Hospital, Karachi, and comprised records of patients who underwent Austin Moore hemiarthroplasty over a two-year periodfrom 1st January 2006 to 31st December 2007. Magnification factor was determined using measurements obtained from preoperative and postoperative radiographs and comparing them with the actual size of implant used. Intra-observer and inter-observer reliability of measurements were calculated. SPSS 19 was used for data analysis.

RESULTS:

Of the 63 patients studied, 25(39.7%) were males and 38(60.3%) were females with an overall …

Use Of Fresh Parental Fibular Allograft For Reconstruction Of Skeletal Defects After Limb Salvage Surgery, Muhammad Masood Kadir, Raza Askari, Sher Baz

Department of Surgery Docs

Abstract

OBJECTIVE:

To share early experience with paediatric patients having undergone skeletal reconstruction after limb salvage surgery.

METHODS:

A reterorespective audit study was conducted at Aga Khan University Hospital, Karachi, from 1994 to 2011 An audit of the institutional tumour registry was done and relevant cases of paediatric patients having undergone skeletal reconstruction after limbsalvage surgery were tracked. Outcomes were objectively assessed through Musculoskeletal Tumour Society score. International Society of Limb Salvage grading was used to measure union of the graft to the host bone.

RESULTS:

Of the total 9 patients, 5(55.6%) were males and 4(44.4%) were females with an …

Our Experience With Van Nes Rotationplasty For Locally Advanced Lower Extremity Tumours, Raza Askari, Masood Umer, Mohsin-E-Azam, Haroon Rashid

Department of Surgery Docs

Abstract

OBJECTIVE:

To present an early experience with the time-tested technique of Van Ness Rotationplasty to save distal lmbs.

METHODS:

Van Nes Rotationplasty for locally advanced lower extremity tumours. A reterorespective audit was conducted at Aga Khan University Hospital, Karachi, and comprised cases of bone and soft tissue sarcoma who underwent Van Ness Rotationplasty over seven years from January 2005 to December 2011. Demographic data, family history, past history, co-morbids, date since diagnosis, duration of symptoms, type of tumour, metastasis, pre-op and post-op functional status, recurrence and survival were collected.

RESULTS:

Of the 351 cases of bone and soft tissue …

Malrotation After Reamed Intramedullary Nailing With And Without A Fracture Table For Closed Fractures Of The Femoral Shaft, Rizwan Haroon Rashid, Akbar Jaleel Zubairi, Masood Umer

Department of Surgery Docs

Abstract Introduction: To observe the effect of the choice of surgical table on the incidence of malrotation. Methods: The randomised trial was conducted from July 2012 to January 2013 at the Aga Khan University Hospital, Karachi, during which 74 patients were inducted. Randomisation was done via random allocation software version 1.0.0 and sealed envelopes were used to guide the choice of table. Malrotation was assessed by the operating surgeon using the lesser trochanteric shape signunder intra-operative fluoroscopy. SPSS 19 was used for statistical analysis. Results: The 74 patients in the study were divided into two groups of 37(50%) each using …

Repeated Transradial Catheterization: Feasibility, Efficacy, And Safety, Marinos A Charalambous, Savvas S Constantinides, Michael A Talias, Elpidoforos S Soteriades, Christos P Christou

The Texas Heart Institute Journal

Transradial access is an alternative to the transfemoral approach in coronary interventions. It results in less access-site bleeding, shorter hospital stays, lower costs, and less pain for the patient. However, some authors have suggested that the transradial approach might lead to radial artery occlusion, which precludes repeated same-artery catheterizations. Using data from our center, we evaluated the feasibility, safety, and efficacy of repeated transradial catheterization.

We reviewed the 3,006 transradial catheterizations performed at our center from 2006 through 2009. Patients who had undergone at least one repeated transradial catheterization were identified, their cases monitored through 2012, and their baseline characteristics …

Anticoagulation With Bivalirudin During Deep Hypothermic Circulatory Arrest In A Patient With Heparin-Induced Thrombocytopenia, Agamemnon Pericleous, Mostafa Sadek, Mary Fitzmaurice, Constance Caldwell, Kris Natividad, Konstadinos A Plestis

The Texas Heart Institute Journal

Heparin-induced thrombocytopenia is a well-recognized complication of anticoagulation with heparin. We present the case of a patient with recent heparin-induced thrombocytopenia who subsequently needed surgery on an emergency basis for acute type A aortic dissection. This article reports the successful use of bivalirudin, a direct thrombin inhibitor, as an alternative to heparin throughout cardiopulmonary bypass and deep hypothermic circulatory arrest. We contend that bivalirudin is a safe alternative to heparin when performing surgery for aortic dissection and should be considered as an option for use in patients who present with heparin-induced thrombocytopenia.

Tigard-Tualatin School District Enrollment Forecast Update 2015-16 To 2024-25, Portland State University. Population Research Center, Charles Rynerson, Nicholas Chun

School District Enrollment Forecast Reports

This report presents the results of a demographic study conducted by the Portland State University Population Research Center (PRC) for the Tigard‐Tualatin School District (TTSD). The study includes analysis of population, housing and enrollment trends affecting the District in recent years, estimates of the impacts of housing development on TTSD enrollment, and forecasts of district‐wide and individual school enrollments for the 2015‐16 to 2024‐25 school years.

Psychometric Properties Of The Arabic Version Of The Perceived Physical Ability  Scale For Children In Oman, Sabry M. Abd-El-Fattah

Journal of Educational and Psychological Studies

This study aimed at examining the psychometric properties of the Perceived Physical Ability Scale for Children (PPASC) within an Omani context. A sample of 250 fourth graders (130 males and 120 females) from six public primary schools in four governorates in Oman responded to Arabic translated version of the PPASC. Data on students' in-class physical activity, social desirability, and teachers' nominations of students' physical ability were also collected. Confirmatory factor analysis revealed that the unidimensional model of the PPASC had adequate fit to the data. Multigroup CFA revealed gender invariance for PPASC unidimensional model when it was compared across male …

The Voice Of Low-Income Adolescent Mothers On Infant Feeding, Mildred A. Horodynski, Kristen J. Mills

Journal of Extension

Adolescent mothers' feeding practices impact infant weight gain. Infant obesity, especially in low-income families, is rapidly increasing. The aim of the exploratory study reported here was to identify factors affecting low-income African American and non-Hispanic White adolescent mothers' infant feeding practices and useful learning modalities. Two focus groups were conducted by a trained facilitator using a semi-structured topic guide. Three themes emerged: (1) feeding decisions related to introduction of solid foods; (2) feeding information/advice provided by others; and (3) useful learning strategies. These themes can be used by Extension professionals in designing nutrition education programs for adolescent mothers.

Bio-Security Proficiencies Project For Beginning Producers In 4-H, Martin H. Smith, Cheryl L. Meehan, John A. Borba

Journal of Extension

Improving bio-security practices among 4-H members who raise and show project animals is important. Bio-security measures can reduce the risk of disease spread and mitigate potential health and economic risks of disease outbreaks involving animal and zoonotic pathogens. Survey data provided statistical evidence that the Bio-Security Proficiencies Project for Beginning Producers in 4-H advanced youth participants' knowledge and skills related to bio-security and financial risk management. Furthermore, the project provided youth with opportunities to apply their understanding and abilities to authentic settings and extend their learning to their communities.

Sugar Free With Justin T.: Diabetes Education Through Community Partnerships, Justin B. Thomas, Joseph L. Donaldson

Journal of Extension

This article describes the design, development, and delivery of an Extension community cable television program, Sugar Free with Justin T., in Roane County, Tennessee. The program targets diabetics, pre-diabetics, and those who care for them, with practical information and demonstrations to improve dietary quality. In addition to television, program videos are posted to the county Extension Facebook page for greater exposure. This innovative approach is the result of extensive Extension and community partnerships, and the article highlights the roles of these varied partners, including the local community college that films, edits, and produces Sugar Free with Justin T.

Marijuana Legalization & Extension: A Growing Dilemma, Kathryn E. Dodge

Journal of Extension

The legalization of marijuana is gaining momentum. Twenty-three states and D.C. have legalized medical marijuana, and two are considering it. Four states have legalized recreational marijuana, and another 11 are considering following their lead. Extension brands itself as extending research to help families and small farmers grow crops. However, because Extension receives federal funding, Extension has decreed that we not help patients, caregivers, growers, processors, or retailers raise and harvest this finicky crop. We seek to be relevant. Do we need to find a way to help our urban and rural clients deal with this complicated, current, and controversial issue?

New Jersey 4-H Goat Extravaganza: Efficiently Meeting The Educational Needs Of 4-H Goat Project Members, Volunteers, And Parents, Chad Ripberger

Journal of Extension

The 4-H Goat Extravaganza maximizes limited resources to help youth and adults develop knowledge and skills in goat care and management. It capitalizes on the talents and interests of volunteers to efficiently combine a goat-themed art show, team presentation contest, quiz bowl, skillathon, and adult workshop into 1 day. This article outlines the Extravaganza and includes the results of a survey of participants from the program's first 9 years. While the Extravaganza has been effective in meeting most short-term objectives, organizers are exploring ways to increase youth awareness and understanding of career opportunities and current issues in the animal industry.

Psychological Help-Seeking Attitude And Locus Of Control Among College Student, Muna Al-Bahrani

Journal of Educational and Psychological Studies

This study investigated psychological help-seeking attitude and its relation to gender, year in college, accommodation, and locus of control among college students. A total of 152 students (55.3% female and 44.7% male) participated in this study. Self-report data on psychological help-seeking attitude and locus of control scale were assessed. Results showed participants held positive attitude towards help-seeking. Help-seeking attitude did not vary by gender, year in college, and accommodation. Significant contribution attributed to locus of control. Externally locus of control type participants indicated more positive help-seeking attitude than internally type.

Psychometric Properties Of Smartphone Addiction Questionnaire (Spaq) Among Sultan Qaboos University Undergraduate Students, Hafidha S. Al-Barashdi, Abdelmajid Bouazza, Abdullqawi Al Zubaidi

Journal of Educational and Psychological Studies

The aim of this study was to identify the psychometric properties of a smartphone addiction questionnaire. It explored the structure of the questionnaire: smartphone usage, the level of addiction to smartphones' different activities and applications, and the level of smartphones' addiction symptoms appearance. The dimensional structure of the questionnaire was investigated with a sample of 140 SQU undergraduates (37.1% males and 62.9% females). Based on the factor analysis results, the questionnaire consisted of five factors: disregard of harmful consequences, preoccupation, inability to control craving, productivity loss and feeling anxious and lost. The internal consistency and concurrent validity of SPAQ were …

The Effect Of A Group Counseling Program Based On A Cognitive – Behavioral  Therapy On The Treatment Of Type A Behavior, Bakkar S. Bakkar, Mohammad T. Abuel-Ealeh

Journal of Educational and Psychological Studies

The purpose of this study was to examine the effect of a group counseling program based on cognitive – behavioral therapy on reducing the Type A behavior pattern. The study attempted to test the following hypothesis: participants who receive group counseling based on cognitive – behavioral therapy will report significant reduction in the Type A behavior pattern compared to participants in the control group who don't receive any kind of treatment. A Type A Behavior Scale (TABS) was constructed to assess the extent to which the subjects have Type A behavior. The sample consisted of 24 students selected based on …

Gambaran Sistem Penyelenggaraan Makanan Di Pondok Pesantren Hubulo Gorontalo, Sitti Aisyah Taqhi

Media Kesehatan Masyarakat Indonesia

Penyelenggaraan makanan adalah rangkaian kegiatan mulai dari perencanaan menu sampai dengan pendistribusian makanan kepada konsumen dalam rangka pencapaian status kesehatan yang optimal melalui pemberian makanan yang tepat dan termasuk kegiatan pencatatan, pelaporan, dan evaluasi. Penelitian ini bertujuan me-ngetahui gambaran sistem penyelenggaraan makanan di Pondok Pesantren Hubulo Gorontalo yang meliputi input, proses, dan output. Jenis penelitian yang digunakan adalah kualitatif dengan pendekatan deskriptif yang menggunakan data primer dan sekunder. Informan penelitian adalah pimpinan pondok pesantren, koordinator bagian keuangan, dan kepala dapur. Pengolahan dan analisis data menggunakan content analysis dan disajikan dalam bentuk teks naratif. Hasil penelitian diperoleh bahwa dari segi input …

Intensitas Getaran Dengan Keluhan Muskuloskeletal Disorders (Msds), Dimi Cindyastira, Syamsiar S Russeng, Andi Wahyuni

Media Kesehatan Masyarakat Indonesia

Getaran merupakan faktor fisik di tempat kerja yang berasal dari peralatan kerja yang digunakan. Getaran yang dihasilkan oleh mesin apabila terpapar oleh manusia atau pekerja dapat menimbulkan efek yang merugikan bagi kesehatan. MSDs merupakan sekumpulan gejala yang berkaitan dengan jaringan otot, kartilago, struktur tulang, dan pembuluh darah. Tujuan penelitian untuk mengetahui hubungan intensitas getaran, umur, masa kerja, lama kerja, kebiasaan olahraga dan sikap kerja dengan keluhan musculoskeletal disorders (MSDs) terhadap pekerja di pabrik paving block. Desain penelitian observasional dengan desain cross sectional study dengan teknik pengambilan sampel menggunakan total sampling sebanyak 40 pekerja. Analisis data adalah univariat dan bivariat. Hasil …

Perilaku Konsumen Terhadap Pemanfaatan Pelayanan Imunisasi, Millah Mutmainnah, Balqis Balqis, Darmawansyah Darmawansyah

Media Kesehatan Masyarakat Indonesia

Selain cakupan imunisasi, salah satu target keberhasilan kegiatan imunisasi adalah tercapainya Universal Child Immunization (UCI), yaitu cakupan imunisasi lengkap bayi, secara merata pada bayi di 100% desa/kelurahan pada tahun 2010. Pentingnya imunisasi didasarkan pada pemikiran paradigma sehat. Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara kelas sosial, keluarga, motivasi, serta pengetahuan dengan pemanfaatan pelayanan imunisasi. Dalam penelitian ini, jenis penelitian yang digunakan adalah penelitian kuantitatif dengan pendekatan survei analitik dengan desain cross sectional. Jumlah sampel 74 responden, yang menjadi responden dalam penelitian ini adalah ibu bayi. Hasil penelitian menunjukkan bahwa total 74 responden terdapat 67,6% dari kelas sosial tinggi …

Interaksi Sosial Pekerja Anak Terhadap Penggunaan Zat Adiktif, Musyarrafah Hamdani, Arsyad Rahman

Media Kesehatan Masyarakat Indonesia

Pekerja anak berisiko untuk menghadapi lingkungan kerja yang dapat memengaruhi perilaku mereka dalam interaksi sosial.Salah satunya adalah penggunaan zat adiktif. Penelitian ini bertujuan mengetahui gambaran interaksi sosial pekerja anak terhadap penggunaan zat adiktif di Pelabuhan Soekarno Hatta Makassar. Jenis penelitian kualitatif dengan rancangan fenomenologi. Informan penelitian adalah pekerja anak dan dewasa. Penentuan informan menggunakan metode purposive sampling diperoleh informan sebelas orang. Keabsahan data dilakukan dengan triangulasi sumber dan teknik. Analisis data menggunakan content analysis yang disajikan secara naratif. Hasil penelitian menunjukkan semua informan menggunakan zat adiktif dengan jenis dan jumlah yang berbeda,yakni rokok, alkohol, zat inhalan (lem Fox), dan Somadril. …

Pola Makan Dengan Kadar Gula Darah Pasien Dm Tipe 2, Andi Mardhiyah Idris, Nurhaedar Jafar, Rahayu Indriasari

Media Kesehatan Masyarakat Indonesia

Pola makan yang salah dapat menyebabkan kenaikan kadar gula darah pada pasien diabetes mellitus tipe 2. Penelitian ini bertujuan mengetahui hubungan pola makan dengan kadar gula darah pasien diabetes mellitus tipe 2 di wilayah kerja puskesmas Kota Makassar. Desain penelitian yang digunakan adalah survei analitik dengan pendekatan studi cross-sectional, dilaksanakan pada bulan April-Mei 2014 di wilayah kerja Puskesmas Batua Raya dan Bara-barayya. Populasi penelitian, yaitu rata-rata jumlah pasien yang berkunjung perbulan di Puskesmas Batua Raya dan Bara-barayya, yaitu 67 orang. Pengambilan sampel dilakukan dengan menggunakan purposive sampling dengan jumlah sampel 46 orang. Instrumen penelitian adalah kuesioner identitas diri, food recall …

Penemuan Dini Kusta Pada Anak Sekolah Dasar, Tati Masliah

Media Kesehatan Masyarakat Indonesia

Penyakit kusta merupakan salah satu penyakit menular. Kurangnya pengetahuan sehingga adanya pemahaman yang salah terhadap penyakit kusta di masyarakat. Penelitian ini bertujuan mengeksplorasi perilaku guru terhadap upaya penemuan dini kusta pada anak sekolah dasar terkait pengetahuan, sikap dan tindakan guru terhadap kusta. Penelitian ini adalah penelitian kualitatif dengan pendekatan fenomenologi. Pemilihan informan menggunakan metode purposive sampling dengan jumlah informan 8 orang. Pengumpulan data dengan melakukanwawancara mendalam dan observasi, keabsahan data dilakukan dengan teknik triangulasi metode. Pengolahan dan analisis data menggunakan analisis interaktif dan disajikan dalam bentuk naratif. Hasil penelitian mengungkapkan perilaku informan pada pengetahuan dan sikap tentang penyakit kusta adalah …

Hubungan Pengetahuan Dan Sikap Ibu Hamil Terhadap Perilaku Anc, Sumarni Sumarni

Media Kesehatan Masyarakat Indonesia

Tanda bahaya kehamilan, persalinan dan nifas harus ditangani dan dideteksi sejak dini dengan benar karena setiap tanda bahaya kehamilan, persalinan dan nifas bisa mengakibatkan komplikasi pada masa hamil, persalinan dan masa nifas. Penelitian ini bertujuan mengetahui hubungan pengetahuan dan sikap ibu hamil tentang tanda-tanda bahaya kehamilan, persalinan dan nifas terhadap perilaku ANC. Jenis penelitian yang digunakan dalah survei analitik dengan menggunakan pendekatan cross sectional. Populasi adalah seluruh ibu hamil dengan umur kehamilan trimester tiga pada bulan Maret yang bertempat tinggal di wilayah kerja Puskesmas Latambaga yang berjumlah 59 orang. Sampel diambil dengan menggunakan metode total sampling yaitu teknik pengambilan jika …

Evaluasi Pla (Participatory Learning And Action) Malaria, Nurwati Nurwati

Media Kesehatan Masyarakat Indonesia

Salah satu upaya yang dilakukan oleh Pemerintah Kabupaten Halmahera Selatan untuk mengendalikan malaria dengan melibatkan partisipasi masyarakat dengan pendekatan PLA (Participatory Learning and Action) yang merupakan kegiatan pembelajaran ke masyarakat untuk dapat mengambil tindakan dalam pengendalian malaria. Penelitian ini bertujuan mendapatkan informasi dalam mengevaluasi pelaksanaan Participatory Learning and Action malaria di Desa Bori Kecamatan Bacan Timur Kabupaten Halmahera Selatan. Penelitian ini adalah penelitian kualitatif dengan pendekatan fenomenologi. Informan penelitian terdiri dari 6 orang, yaitu pengelola malaria, kepala desa, kader malaria desa, petugas polindes dan tokoh masyarakat.Pengumpulan data dilakukan dengan cara wawancara mendalam dan observasi. Hasil penelitian ini menunjukkan bahwa fasilitasi …

Obesitas, Asupan Natrium Dan Kalium Terhadap Tekanan Darah, Fatimah Kautsar, Aminuddin Syam, Abdul Salam

Media Kesehatan Masyarakat Indonesia

Hipertensi adalah penyakit yang terjadi akibat peningkatan tekanan darah yang bisa menyebabkan berbagai komplikasi terhadap beberapa penyakit lain, bahkan penyebab timbulnya penyakit jantung, stroke, dan ginjal. Tujuan penelitian ini adalah mengetahui hubungan obesitas asupan natrium dan kalium dengan tekanan darah pada mahasiswa Universitas Hasanuddin angkatan 2013 dengan menggunakan desain cross sectional. Populasi dalam penelitian ini, yaitu mahasiswa Unhas dengan berat badan berlebih yang berjumlah 411 orang. Teknik pengambilan sampel menggunakan teknik purposive sampling. Hasil penelitian diperoleh 46,5% responden menderita hipertensi (tekanan darah tinggi). Hasil penelitian yang dilakukan terhadap obesitas (berdasarkan IMT) dengan tekanan darah diperoleh p=0,030. Hal ini menunjukkan ada …

Serving Those Who Served: How Can Extension Reach U.S. Military Veterans?, Amy Rowe

Journal of Extension

U.S. military veterans are often overlooked as an audience for Extension education despite a number of programs targeting military youth and families. This may be due to the difficulty in reaching a diverse and widespread veteran population. The Veterans Affairs (VA) Health Care System is a network of facilities across the country that can provide access to veterans, as a group. The VA's resources can be leveraged for Extension programming through unique partnerships that meet the institutional goals of both Extension and the Department of Veterans Affairs.

Using Survey Responses To Determine The Value-Added Features Of A Webinar Portal System For Adoption By Natural Resource Professionals, Laurie Gharis, Robert E. Bardon, William Hubbard, Eric Taylor, Grizel Gonzalez-Jeuck

Journal of Extension

This article presents the findings of a recent survey of natural resource webinar providers. Respondents were asked a range of questions regarding their webinar services. Findings showed that respondents most commonly marketed their webinars through email or websites and targeted an audience of professionals. Respondents noted that the greatest challenge in offering webinars was the time commitment, whereas access to high-quality speakers added the most value to a webinar portal. Although the majority of responding webinar providers do not currently charge for their webinars, over one third noted that they would be willing to pay a fee per participant.

Risk And Emergency Communications: How To Be Heard When The Message Counts Most, Heather N. Kolich

Journal of Extension

To cope with disasters and emergencies, agricultural producers need specific information addressing livestock care, disease containment, secure storage of volatile chemicals, and other unique concerns. Effective risk and emergency communications result from a time- and resource-intensive process that begins well before emergencies occur. To influence our agricultural clients to engage in risk-mitigation and emergency-preparedness behaviors, Extension agents must build trust with the community, provide information through a variety of channels, and convey an image of professional emergency response competency.

Feed Efficiency: An Assessment Of Current Knowledge From A Voluntary Subsample Of The Swine Industry, Josh R. Flohr, Mike D. Tokach, Joel M. Derouchey, Robert D. Goodband, Steve S. Dritz, Jim L. Nelssen, John F. Patience

Journal of Extension

A voluntary sample of pork producers and advisers to the swine industry were surveyed about feed efficiency. The questionnaire was designed to accomplish three objectives: (a) determine the level of knowledge related to feed efficiency topics, (b) identify production practices used that influence feed efficiency, and (c) identify information gaps requiring additional knowledge to further improve feed efficiency. Results suggest that many practices that improve feed efficiency are used in production, but gaps in information and knowledge exist across demographics of respondents. Extension education should be expanded to provide more information in an easy-to-access format for the swine industry.

Personal Food System Mapping, David Wilsey, Sally Dover

Journal of Extension

Personal food system mapping is a practical means to engage community participants and educators in individualized and shared learning about food systems, decisions, and behaviors. Moreover, it is a useful approach for introducing the food system concept, which is somewhat abstract. We developed the approach to capture diversity of personal food systems within a community food system and to better understand how it might inform program development. We found mapping to be a useful tool with beneficial applications outside our intended domain. Aggregated map data also provided a useful approximation of the community food system.