Medicine and Health Sciences Commons^™

The Perioperative Maternal Outcomes Of Bilateral Internal Iliac Artery Ligation In Morbidly Adherent Placenta Previa, Ayman Abd-Elhakim Abd-Elghany, Ibrahim Shalaby, Nasser T. Elshamy

Journal of Medicine in Scientific Research

Objective The aim was to detect the effects of bilateral internal iliac artery ligation (IIAL) either before or after placental separation on the intraoperative and postoperative maternal outcomes. Background Morbidly adherent placenta (MAP) is abnormal adherence of the placenta to the underlying uterine wall. It can cause significant adverse maternal consequences including the risk of severe intrapartum and/or postpartum bleeding, cesarean hysterectomy, intensive care unit admission, and prolonged hospitalization days. Early diagnosis of MAP helps optimal management with decrease of maternal and neonatal compromise. Uterine sparing can be attempted for patients seeking for fertility preservation. For those patients, several surgical …

Laparoscopic Presentation In Unexplained Infertility: A Retrospective Study, Abd Elatif M. Elbalshy, Ashraf M. Kansouh

Journal of Medicine in Scientific Research

Objective Infertility is a growing challenge for all gynecologists worldwide. There is no definite answer as to what should be the best approach to the management of the couples with unexplained infertility (UI). This study aimed to evaluate laparoscopic diagnostic findings that were helpful in planning the protocol for management of cases of UI. Patients and methods This retrospective study was conducted in Shibeen El Kom Teaching Hospital, Egypt, from January 2012 to October 2017. Data of 250 infertile couples were collected from patient case records and subjected to laparoscopy or combined with hysteroscopy. Intraoperative findings such as endometriosis, pelvic …

Does An Undersized Modified Blalock–Taussig Shunt According To Weight Do Better In Tetralogy Of Fallot With Pulmonary Atresia?, Waleed El-Awady

Journal of Medicine in Scientific Research

Introduction The Blalock–Taussig shunt (BTS) is regarded as a safe and effective means of increasing pulmonary blood flow for cyanotic heart conditions. The evaluation of shunt size for postoperative hemodynamics and until second stage remains difficult. Our objective was to determine the outcome of an undersized M-BTS according to weight on immediate and after 12 months of follow-up in patients who had Tetralogy of Fallot with pulmonary atresia as a first step for total correction of biventricular repair. Patients and methods A total of 28 patients were recruited from January 2013 to December 2016. Clinical variables, such as age, sex, …

The Relationship Between Presbycusis And Vestibular Activity, Gehan M. S. Abd El-Salam

Journal of Medicine in Scientific Research

Introduction Presbycusis or age-related sensorineural hearing loss (SNHL) is a complex disorder that results in a slow deterioration in auditory function. A considerably high number of these patients with presbycusis or age-related SNHL also experience dizziness and related vestibular symptoms. Although auditory and vestibular systems are distinct, they work just alike. So, there is a great relation among their functions. Once one is stimulated, the other experiences changes as well. Participants and methods This study comprised 40 adult patients (50–75 years) without any vestibular symptoms or diagnosed vestibular diseases. Audiological status was measured with auditory brainstem response (ABR). The vestibular …

Prevalence Of Allergic Disorders Of Respiratory System In Children In Shebin Elkom, Ezzat Rizk, Khaled Elkelany, Mohamed F. Al Soda, Salama Elshenawy

Journal of Medicine in Scientific Research

Introduction Allergic rhinitis is a global health problem that causes significant illness and disability worldwide. Interactions between the lower and the upper airways are well known and have been studied since 1990. More than 80% of asthmatics have rhinitis, and 10–40% of patients with rhinitis have asthma. Indoor and outdoor allergens, as well as occupational agents, cause rhinitis and other allergic diseases. Aim A trial was done to determine or distinguish the causative agents, either one or multiple agents, in allergic patients. We hope this will help us in the management of allergic patients by avoiding this causative agent(s) if …

Association Of Matrix Metalloproteinase-9 And Tissue Inhibitor Of Metalloproteinase-1 Levels With Diabetic Foot Ulcer In Egyptians With Type 2 Diabetes Mellitus, Ayat I. Ghanem, Ghada H. Sayed, Ghada A. Omar, Mourad I. El-Kholy, Naglaa F. Mohamed

Journal of Medicine in Scientific Research

Background The imbalance between matrix metalloproteinase-9 (MMP-9) and tissue inhibitor of metalloproteinase-1 (TIMP-1) may play an important role in impaired healing of diabetic foot ulcer. Aim of the work This study was designed to investigate the association of MMP-9 and TIMP-1 levels in diabetic foot ulcer among Egyptian patients with type 2 diabetes mellitus attending the outpatient clinic of National institute of diabetes and endocrinology. Patients and methods This study was conducted on a total number of 90 participants comprising three groups: group I included 35 type 2 diabetic patients without foot ulcer. Group II included 35 type 2 diabetic …

Improvement Of Diastolic Dysfunction After Percutaneous Coronary Intervention In Patients With Ischemic Cardiomyopathy, Amir S. M. Melika

Journal of Medicine in Scientific Research

Introduction Impaired systolic cardiac function in patients with ischemic cardiac disease is well known. Diastolic cardiac dysfunction is also found in these patients, so we aimed to show whether percutaneous coronary intervention (PCI) could improve diastolic function. Patients and methods Twenty patients with chronic ischemic cardiomyopathy (with cardiac ejection fraction <45%) were examined at baseline and at 2 weeks after PCI diastolic function was evaluated by transmitral pulsed wave Doppler. Results Before PCI 60% of patients (12 patients) showed nonrestrictive filling pattern and 40% of patients (eight patients) showed restrictive filling pattern. Following PCI, diastolic function showed an improvement in most patients with only two patients still having an restrictive filling pattern. In addition, after revascularization, most parameters of pulsed …

Effects Of Iron-Deficiency Anemia On Auditory Function In School-Aged Children, Eman Soliman Abd El-Gaffar, Gehan M. S. Abd El-Salam, Hala M. Abd El-Samad

Journal of Medicine in Scientific Research

Introduction Iron is important for proper myelination of spinal cord and white matter of cerebellar folds in brain and is a cofactor for a number of enzymes involved in neurotransmitter synthesis. Auditory brainstem evoked response (ABR) represents the progressive activation of different levels of the auditory pathway from the acoustic nerve (wave I) to the lateral lemniscuses (wave V). Otoacoustic emissions (OAEs) are sounds measured in the external ear canal that reflect movement of the outer hair cells in the cochlea. Patients and methods A total of 40 children, of both sexes, with age ranging from 6–12 years old, were …

Auditory Brainstem-Evoked Response To Chirp And Click Stimuli In Children With Moderate And Severe Sensorineural Hearing Loss, Amal El-Attar, Enass Sayed, M Hoda Abu, Sanaa Mahran

Journal of Medicine in Scientific Research

Background Auditory brainstem response (ABR) using click stimuli enables global objective estimation of hearing threshold. The application of chirp stimuli aims to produce synchronized response from large portion of hair cells in the basilar membrane. The chirp was designed to produce simultaneous displacement maxima along the cochlear partition by compensating for frequency-dependent traveling-time differences. Objectives The study aimed to compare the response characteristic of both clicks and chirps stimuli in children. Accordingly, we compared latency and amplitude of wave V at different intensity levels and waves I and III at high levels. Moreover, we correlate between pure-tone audiometry (PTA) threshold …

Association Between The Metabolic Syndrome And C-Reactive Protein In The General Population, Amir S. M. Melika

Journal of Medicine in Scientific Research

Background In the last few years, metabolic syndrome (MS) has gained much attention. The definition of the MS was established in 2005. Some studies have shown that there is an association between MS and inflammation, proven by high-sensitivity C-reactive protein (hs-CRP), but in limited population-based studies. This study tried to show the association between MS and us-CRP in the general population. Patients and methods A total of 200 persons were included in this cross-sectional study. The guidelines from the National Heart, Lung, and Blood Institute and the American Heart Association were used in the diagnosis of MS. Any three of …

Maternal Outcomes After Different Surgical Techniques In Placenta Accreta: A Prospective Study, Ashraf M. Kansouh, Esmail M. Serag Eldin

Journal of Medicine in Scientific Research

Background Placenta accreta (PA) is a potentially life-threatening obstetric condition that requires a multidisciplinary approach to management nowadays owing to increased incidence of PA in parallel with the increased cesarean section rates. With the age of the patients with PA getting younger and fertility preservation being required, until now, there is no unique approach to management of PA. Objective The purpose of this study was to describe the efficacy and safety of different surgical procedure in conservative treatment of PA to evaluate their role in minimizing major surgical intervention, especially hysterectomy with its comorbidities. Patients and methods This prospective, surgical …

Anti-Cyclic Citrullinated Peptide Antibodies In Ulcerative Colitis With And Without Joint Involvement, Aisha El-Shimy, El Saied E. Shabaan, Hala I. Mohamed, Mohamed A. Safy, Tarek A. Fouad, Wael Gomah

Journal of Medicine in Scientific Research

Background Joint affection is the most common extraintestinal manifestation of ulcerative colitis (UC). Despite the high specificity of anti-cyclic citrullinated peptide (CCP) antibodies for rheumatoid arthritis, their role in UC remains unclear. Aim The aims of this study were to assess the prevalence of anti-CCP antibodies in patients with UC and to investigate any association with joint affection. Patients and methods A total of 60 patients with UC were studied. Demographic data were collected, careful history was taken, and clinical examination including rheumatologic examination was done. A blood sample was collected for assessment of anti-CCP and other laboratory tests. Colonoscopy …

Screening And Identification Of Red Blood Cell Alloantibodies Among Hemodialysis Patients In National Institute Of Urology And Nephrology, Ahmed Hasan, Aisha M. A. Elshimy, Tarek A. Fouad

Journal of Medicine in Scientific Research

Background It is well known that alloimmunization to red blood cell antigens resulting from the genetic disparities between the donor and the recipient is one of the risks of blood transfusion. Alloimmunization can result in clinical hemolysis and difficulty in cross-matching blood. The risk of alloimmunization is higher in patients who have received multiple blood transfusions such as renal failure patients on dialysis who receive blood transfusions. The antibody-screening test (2–3 cells panel) used to detect unexpected antibodies is not a mandatory pretransfusion testing in our blood bank of National Institute of Urology and Nephrology (NIUN), and is performed routinely …

Value Of Preoperative Luteinizing Hormone Before Laparoscopic Ovarian Drilling In Polycystic Ovarian Syndrome With Clomiphene Resistance, Ayman Abd-Elhakim Abd-Elghany Ibrahim, Mahmoud Elsayed Abd-Elrazek Mohammed Donia, Wael M. Hosam El-Din

Journal of Medicine in Scientific Research

Background Polycystic ovary syndrome (PCOS) is considered the most common endocrine-metabolic disorder in women in reproductive age with decreased rates of ovulation and metabolic alterations, with resulting subfertility. Clomiphene citrate (CC) is a widely used first-line treatment for infertile women with PCOS, but approximately 20% of patients have been shown to be CC resistant. Laparoscopic ovarian drilling (LOD) is a treatment option for infertile women with CC resistant PCOS. The use of a clinical biomarker such as luteinizing hormone (LH) to identify the subgroup of patients who are sensitive to LOD may be an important and consistent way to increase …

Faktor Risiko Yang Berhubungan Dengan Infeksi Hiv Pada Pengguna Napza Suntik (Penasun) Dki Jakarta Tahun 2013–2014, Inggariwati Inggariwati, Sudarto Ronoatmodjo

Jurnal Epidemiologi Kesehatan Indonesia

Prevalensi HIV pada kelompok Penasun selalu menduduki peringkat tertinggi dibanding kelompok populasi kunci lainnya. Studi cross sec tional dilakukan untuk mengetahui faktor risiko yang berhubungan dengan infeksi HIV pada populasi Penasun DKI Jakarta. Penelitian ini menggunakan data sekunder dari pelaksanaan Sero Survei HIV/Sifilis yang terintegrasi dengan Survei Cepat Perilaku di DKI Jakarta pada tahun 2013 - 2014. Populasi penelitian ini adalah Penasun di DKI Jakarta, sampel 240, pemilihan sampel menggunakan metode RDS (Responden Driven Sampling). Model akhir analisis multivariate cox regression menunjukkan bahwa variabel yang paling berkontribusi terhadap infeksi HIV di kalangan Penasun adalah sikap sharing jarum suntik PR 2,42 …

Faktor Risiko Kejadian Dehidrasi Pada Petani Garam Di Kecamatan Kaliori, Kabupaten Rembang, Nur Fitriah, Henry Setyawan S, Mateus Sakundarno Adi, Ari Udiyono

Jurnal Epidemiologi Kesehatan Indonesia

Dehidrasi merupakan salah satu tanda dari ketidakseimbangan cairan tubuh. Status hidrasi penduduk indonesia yaitu 49,2% penduduk tidak terhidrasi dengan baik. Salah satu kelompok yang berisiko tinggi terhadap dehidrasi adalah petani garam. Tujuan penelitian ini untuk menganalisis faktor-faktor risiko dehidrasi pada petani garam yaitu faktor pengetahuan, faktor aktivitas fisik, faktor asupan cairan, dan faktor alat pelindung diri terhadap kejadian dehidrasi. Jenis penelitian ini bersifat observasional analitik dengan desain studi cross sectional. Jumlah subjek pada penelitian ini sebanyak 100 yang dipilih dengan teknik simple random sampling. Hasil analisis menunjukan bahwa pengetahuan, dan aktivitas fisik bukan merupakan faktor risiko dehidrasi pada petani garam. …

Association Between Knowledge Of Condom Functions And Condom Use Among Sexually-Active Unmarried Male Adolescents In Indonesia, Lhuri Dwianti Rahmartani, Asri Adisasmita

Jurnal Epidemiologi Kesehatan Indonesia

Background: Premarital sex is culturally unacceptable in Indonesia and education on safe sex practice remains controversial. Meanwhile, Indonesia Demographic and Health Surveys (IDHS) show gradual increase in the prevalence of sexually-active adolescents nationwide, particularly among unmarried males. Unfortunately, condom use is low among this population and it is unclear whether it relates to inadequate knowledge on safe sex practice including condoms. Objective: to see whether there is an association between knowledge on condom functions and condom use among adolescents.Method: cross-sectional study of 913 Indonesian unmarried males aged 15 – 24 who have had sex (IDHS Adolescent Reproductive Health 2012 dataset). …

The Relationship Between Antenatal Care With Childbirth Complication In Indonesian’S Mothers (Data Analysis Of The Indonesia Demographic And Health Survey 2012), Krisnawati Bantas, Nurul Aryastuti, Dwi Gayatri

Jurnal Epidemiologi Kesehatan Indonesia

Labor complications often lead to maternal death. A good antenatal care can reduce maternal and infant mortality. The purpose of this study was to analyze the relationship between antenatal care and labor complica tion among Indonesian’s mothers. Data of the Indonesia Demographic and Health Survey (IDHS) 2012 from 33 Provinces were used in this study. Samples consisted of 11.803 women aged 15-49 years who deliv ered baby at sometimes during the last 5 years before survey. A cross sectional design was used. Variables in the study consisted of dependent variable (labor complication), main independent variable (antenatal care) and potential confounder …

Faktor-Faktor Yang Berhubungan Dengan Kesuksesan Kesembuhan Dari Pengobatan Regimen Pendek (Short Treatment Regiment) Pada Pasien Tuberkulosis Resistensi Obat Di Indonesia Tahun 2017, Rina Agustina, Rizka Maulida, Yovsyah Yovsyah

Jurnal Epidemiologi Kesehatan Indonesia

TB RO menyebabkan beban pengendalian penyakit TB menjadi bertambah. Adanya penurunan angka keberhasilan pengobatan dari tahun 2010 sebesar 67,9% menjadi 51,1% di tahun 2013 dan peningkatan kasus pasien putus berobat mendorong Indonesia menerapkan pengobatan jangka pendek untuk meningkatkan angka keberhasilan pengobatan TB RO dan menurunkan kasus pasien putus berobat. Penelitian ini bertujuan untuk melihat status kesuksesan kesembuhan dari pengobatan TB RO dan faktor-faktor yang berhubungan dengan status kesuksesan kesembuhan dari pengobatan regimen pendek di Indonesia tahun 2017 dengan menggunakan data pasien TB RO yang tercatat dalam e-TB manager dari pasien-pasien berusia e” 15 tahun yang telah ada status hasil pengobatan …

Determinan Sosial Ekonomi Kepemilikan Jaminan Kecelakaan Kerja Pada Tenaga Kerja Informal Di Indonesia: Analisis Data Susenas 2017, Sri Denti On Madya, Atik Nurwahyuni

Jurnal Ekonomi Kesehatan Indonesia

The number of informal workers is higher than the formal workforce in Indonesia. The coverage of working accident protection is still very low while the work accident rate still tends to be high. This study aims to determine the socio-economic determinants of employ ment accident insurance ownership in informal workers in Indonesia. This study used a cross sectional study design with bivariate analysis using the estimation method of maximum likelihood. The Susenas Data (National Socio-Economic Survey) in 2017 is ana lyzed using logistic/logit regression. The variables observed were age, sex, marital status, health, education, regional complaints, and socio-economic/informal labor income. …

Increasing Cigarette Excise Tax Prevents Smoking Initiation In Children And Finances National Health Insurance In Indonesia, Ayu Tyas Purnamasari, Pujiyanto Pujiyanto, Hasbullah Thabrany, Renny Nurhasana, Aryana Satrya, Teguh Dartanto

Jurnal Ekonomi Kesehatan Indonesia

Indonesia has ranked third among countries with the highest number of smokers in Asia because the price of cigarettes in those countries is still affordable. The strategy to make the price of cigarettes is not affordable is increasing cigarette excise tax. This instrument is considered the most effective way to control cigarette consumption. The purpose of this study was to find out how the public perceive the increase of the cigarette excise tax to cover the National Health Insurance (NHI) deficit and to identify the factors which affect such perception. This study used mobile phone survey and the sample were …

Evaluasi Ekonomi Penggunaan Antibiotika Profilaksis Cefotaxime Dan Ceftriaxone Pada Pasien Operasi Seksio Sesarea Di Rumah Sakit X, Echa Aisyah, Mardiati Nadjib

Jurnal Ekonomi Kesehatan Indonesia

A prophylactic antibiotic for patients with cesarean section surgery is highly recommended in the clinical guideline. The use of antibiotics is selected by using criteria safety and cost-effectiveness. This partial economic evaluation in the form of cost and outcome analysis was using alongside observational study method, prospective data were collected from April to May 2017 covering 60 patients with cesarean section surgery who received prophylaxis antibiotics, comparing cost-effectiveness between Cefotaxime and Ceftriaxone. The statistical test showed that there were no differences of characteristics in the 60 patients. The analysis based on the hospital perspective carried out in a public hospital …

Determinan Sosial Ekonomi Rumah Tangga Dari Balita Stunting Di Indonesia: Analisis Data Indonesia Family Life Survey (Ifls) 2014, Dini Indrastuty, Pujiyanto Pujiyanto

Jurnal Ekonomi Kesehatan Indonesia

Stunting is a chronic nutritional problem in infants characterized by shorter stature compared to their age. Stunting in toddlers has risk at the level of intelligence, vulnerability to disease, lowering productivity which in the long run can hamper economic growth. When adults, children who suffer from stunting are prone to non-communicable diseases. This causes government spending in terms of financing national health insurance to continue to increase. This study aims to analyze the determinants of household socioeconomic factors of stunting toddlers. It used the secondary data of the Indonesian Family Life Survey (IFLS) in 2014 with cross-sectional study design and …

Health Workforce Assessment In Jakarta For Effective Hiv Policy Implementation: Challenges And Opportunities Toward Epidemic Control, Rachel Hoy Deussom

Jurnal Ekonomi Kesehatan Indonesia

Strategic efforts are needed in Indonesia to implement the recently released human immunodeficiency virus (HIV) Test and Treat policy which promotes increased treatment uptake, known to have important economic benefits. Of Indonesia’s estimated 631,635 people living with HIV (PLHIV) in 2018, only 12% are on treatment. The USAID- and PEPFAR-funded Human Resources for Health in 2030 (HRH2030) Program undertook policy analysis and assessed the available health workforce and service delivery at select sites in Jakarta to identify and anticipate Test and Treat implementation gaps. A mixed methods concurrent triangulation design was used, including policy analysis, key informant interviews, and site-level …

Immersive Virtual Reality For The Management Of Pain In Community-Dwelling Older Adults., Sara Benham, Minhee Kang, Namrata Grampurohit

Department of Occupational Therapy Faculty Papers

Immersive virtual reality (VR) can provide a high level of engagement and distraction analgesia to address pain. However, community-based applications of this technology for older adults have not been studied. The objective of this study was to examine the applicability and effectiveness of an immersive VR intervention for pain, depression, and quality of life (QOL) in older adults. This pretest–posttest, mixed-methods design included senior center members (n = 12) with pain that interfered with daily functioning. The outcomes included the Numeric Pain Rating Scale, Patient-Reported Outcomes Measurement Information System (PROMIS^®) depression scale, World Health Organization Quality of Life …

The Relative Financial Cost And Benefit Of An Ophthalmology Resident Compared To An Advanced Practice Provider, Optometrist, Or Faculty Ophthalmologist, Daniel B. Moore, William Barr

Ophthalmology and Visual Science Faculty Publications

Objective The main objective of the article is to determine the relative direct financial cost and benefit of an advanced practice provider (APP), optometrist, and faculty ophthalmologist compared with an ophthalmology resident.

Design Single center cost–benefit financial analysis.

Methods The direct total expenses, including mean salary and benefits; the cost/week, based upon calculated hours worked; and net revenue, based upon technical collections subtracted from total expenses were collected for all APPs, optometrists, faculty ophthalmologists, and ophthalmology residents at the University of Kentucky for the 2016 to 2017 academic year. Optometry and ophthalmology faculty collections were adjusted for clinical full-time equivalents. …

Conceptualizing Youth Participation In Children’S Health Research: Insights From A Youth-Driven Process For Developing A Youth Advisory Council, Mohammad El-Bagdady, Krishna Arunkumar, Drew Bowman, Stephanie Coen, Christina Ergler, Jason Gilliland, Ahad Mahmood, Suraj Paul

Geography & Environment Publications

Given the power asymmetries between adults and young people, youth involvement in research is often at risk of tokenism. While many disciplines have seen a shift from conducting research on youth to conducting research with and for youth, engaging children and teens in research remains fraught with conceptual, methodological, and practical challenges. Arnstein’s foundational Ladder of Participation has been adapted in novel ways in youth research, but in this paper, we present a new rendering: a ‘rope ladder.’ This concept came out of our youth-driven planning process to develop a Youth Advisory Council for the Human Environments Analysis Laboratory, an …

Implantable Biomaterials To Provide Local Immunotherapy Following Surgical Resection., Michael J Gough, Jason R Baird, R Bryan Bell

Articles, Abstracts, and Reports

No abstract provided.

Assessment Of Inequalities In Coverage Of Essential Reproductive, Maternal, Newborn, Child, And Adolescent Health Interventions In Kenya, Emily Catherine Keats, Nadia Akseer, Zaid Bhatt, William Macharia, Anthony Ngugi, Arjumand Rizvi, Zulfiqar Ahmed Bhutta

Paediatrics and Child Health, East Africa

Importance: Previous work has underscored subnational inequalities that could impede additional health gains in Kenya.

Objective: To provide a comprehensive assessment of the burden, distribution, and change in inequalities in reproductive, maternal, newborn, child, and adolescent health (RMNCAH) interventions in Kenya from 2003 to 2014.

Design, Setting, and Participants: This population-based cross-sectional study used data from the 2003, 2008, and 2014 Kenya Demographic and Health Surveys. The study included women of reproductive age (ages 15-49 years) and children younger than years, with national, regional, county, and subcounty level representation. Data analysis was conducted from April 2018 to November 2018.

Exposures: …

Identitas Sosial Remaja Suku Mandar Dalam Pappasang: Implikasi Bagi Penyusunan Bahan Bimbingan, Andy Wahyu Irawan, Andi Mappiare-At, Muslihati Muslihati

Jurnal Kajian Bimbingan dan Konseling

Pappasang is a Mandar Tribe cultural product which contains advice. This advice has a characteristic describes the tribe identity of Mandar Tribe. This study aimed to examine the social identity of the Mandar Tribe adolescents in Pappasang as well as the foundation of guidance material. The qualitative study of gadamerian hermeneutics interpreted the social identity of Mandar Tribe adolescents in Pappasang. The findings showed the social identity are: empathy; remind each other; mutual help; solidarity; keep the disgrace on a secret; obedient; generous; democratic. Then, the social identity in Pappasang constructed to be material for guidance and counseling.