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    Characteristics of Postpartum Hemorrhage Patients in RSUD Raja Tombolotutu Kabupaten Parigi Moutong Sulawesi Tengah

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    AbstractObjective: This study aimed to identify the characteristics of postpartum hemorrhage patients in Raja Tombolotutu General Hospital, Parigi Moutong Sulawesi Tengah Indonesia.Method: A retrospective-descriptive study was conducted using a cross-sectional method and secondary data with total sampling technique from medical record of obstetric patients with postpartum hemorrhage in Raja Tombolotutu General Hospital, from May 2017 to April 2018.Result: From 72 cases of postpartum hemorrhage, patients’ characteristics were age 20−35 years old (56.95%), multipara (45.84%), gestational age 37−42 weeks (69.45%), underwent vaginal delivery (93.05%), junior high school graduated (41.67%), housewife (59.72%), delivered in Primary Health Care (59.72%) and covered by Universal Health Coverage (58.33%). About 54.17% patients of postpartum hemorrhage have done 1−4 times for antenatal care visits. Majority etiology of the postpartum hemorrhage was retained placenta (61.11%). Conclusion: The major characteristics of postpartum hemorrhage patients are 20−35 years old, multipara, at term pregnancy, underwent vaginal delivery, junior high school graduated, and housewife. Most of them delivered in Primary Health Care and covered by Universal Health Coverage. Retained placenta is the main cause of postpartum hemorrhage. More than half of postpartum hemorrhage patients have done 1−4 times antenatal care visits.  Karakteristik Pasien Perdarahan Postpartum di RSUD Raja Tombolotutu Kabupaten Parigi Moutong Sulawesi Tengah, IndonesiaAbstrakTujuan: Penelitian ini bertujuan untuk menggambarkan karakteristik pasien perdarahan postpartum di RSUD Raja Tombolotutu, Kabupaten Parigi Moutong Sulawesi Tengah Indonesia.Metode: Penelitian ini merupakan penelitian deskriptif retrospektif yang menggunakan metode potong lintang dan data sekunder dengan teknik total sampling dari rekam medis pasien dengan diagnosis perdarahan postpartum di RSUD Raja Tombolotutu, mulai Mei 2017 sampai April 2018.Hasil: Dari 72 kasus perdarahan postpartum, karakteristik pasien antara lain: usia 20-35 tahun (56,95%), multipara (45,84%), usia kehamilan 37-42 minggu (69,45%), persalinan pervaginam (93,05%), lulusan sekolah menengah pertama (41,67%), ibu rumah tangga (59,72%), bersalin di puskesmas (59,72%) dan pembiayaan ditanggung oleh Jaminan Kesehatan Nasional (58,33%). Etiologi perdarahan postpartum terbanyak adalah retensio plasenta (61,11%). Sebanyak 54,17% pasien perdarahan postpartum pernah melakukan 1-4 kali kunjungan antenatal. Kesimpulan: Karakteristik pasien perdarahan postpartum yang tertinggi adalah pasien dengan usia 20-35 tahun, multipara, kehamilan aterm, persalinan pervaginam, lulusan sekolah menengah pertama, dan ibu rumah tangga. Sebagian besar pasien bersalin di puskesmas dan pembiayaan ditanggung oleh Jaminan Kesehatan Nasional. Retensio plasenta merupakan penyebab utama perdarahan postpartum. Sebanyak lebih dari setengah pasien perdarahan postpartum pernah melakukan 1-4 kali kunjungan antenatal.Kata kunci: perdarahan postpartum, kematian ibu, retensio plasent

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed

    A Case Report: MRI versus Ultrasonography in Abdominal Pregnancy, Which One is Better?

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    Abdominal pregnancy is a rare potentially life-threatening form of ectopic pregnancy. First trimester sonography is very useful to identify an abdominal pregnancy earlier. However, cases of undiagnosed abdominal pregnancy at second and third trimesters are still reported in obstetric practice. Abdominal pregnancy is often missed during routine ultrasound examination that has classical findings such as the absence of myometrial tissue between the maternal bladder and the pregnancy, an empty uterus, poor visualization of the placenta, oligohydramnios, and abnormality of fetal lie. Magnetic Resonance Imaging (MRI) has been reported as the best abdominal pregnancy detection modality in a later gestational age due to its ability in detailing vascular and placental organ invasion.The reporting of a case of a patient with an abdominal pregnancy involves a diagnosis using abdominal ultrasound in the second trimester.  A 38-year-old woman was admitted to RSUP Dr. Hasan Sadikin Bandung with suspected abdominal pregnancy at gestational age of 28 weeks. Due to unclear clinical manifestation, the diagnosis of abdominal pregnancy was not detected and there was a plan for vaginal termination of pregnancy by misoprostol induction in the hospital before. The patient complained about progressive abdominal pain and difficult of defecation for 2 months before and this condition worsened in the last 4 days. Ultrasound examination in RSHS revealed that there were one living fetus, extra-uterine pregnancy with estimated fetal weight of 664 grams, fetal heart rate (+), and transverse breech presentation. Congenital abnormality was difficult to assess due to oligohydramnios. MRI was performed and showed intra-abdomen pregnancy with one living fetus, breech presentation, and intact amniotic membrane with oligohydramnios which was superior to the uterus and attached along the anterior aspect of uterus. The placenta had the size os 11.52 x 7.02 x 13.07 cm, was diffusely heterogenous in shape, on the right superoanterolateral wall of the gestational sac, and seemed to be attached to the right anterior abdominal wall and part of the intestine in the superior part while no placental adherence was seen. The patient was successfully treated with exploratory laparotomy with complete removal of the fetus and placenta. This case was reported to compare the advantage of MRI and ultrasound examination in detecting abdominal pregnancy, especially in late gestational age.Laporan Kasus: MRI dan Ultrasonografi pada Kehamilan Abdomen, Manakah yang Lebih Baik?AbstrakKehamilan abdomen adalah bentuk kehamilan ektopik yang jarang terjadi dan memiliki potensi mengancam jiwa. Pemeriksaan ultrasonografi (USG) pada trimester pertama berguna untuk mengidentifikasi kehamilan abdominal lebih awal. Namun, kehamilan abdomen yang tidak terdiagnosis masih sering dijumpai pada trimester kedua dan ketiga. Tanda klasik kehamilan abdomen sering terlewatkan oleh operator pada saat pemeriksaan USG rutin. Magnetic Resonance Imaging (MRI) merupakan modalitas terbaik untuk mendeteksi kehamilan abdomen pada usia kehamilan yang lebih tua karena mampu melihat invasi pembuluh darah dan organ plasenta secara lebih detail.Kami melaporkan sebuah kasus mengenai seorang wanita 38 tahun yang terdeteksi memiliki kehamilan abdominal pada usia kehamilan 28 minggu pada pemeriksaan USG saat perawatan di RSHS. Manifestasi klinis pada pasien tidak spesifik sehingga diagnosis kehamilan abdominal terlewati dan sempat diberikan rencana terminasi kehamilan pervaginam di rumah sakit sebelumnya. Pemeriksaan USG menunjukkan terdapat satu janin hidup dan terletak luar rahim. Kemudian pasien diputuskan menjalani pemeriksaan MRI, ditemukan adanya kehamilan intra abdomen dengan satu janin hidup, presentasi bokong, dan plasenta berbentuk heterogen difus, di dinding superoanterolateral kanan kantung kehamilan, melekat pada dinding abdomen anterior kanan dan bagian usus di bagian superior, dan tanpa adanya perlengketan plasenta. Pasien ditangani dengan laparotomi eksplorasi dengan pengangkatan janin dan plasenta secara lengkap. Kasus ini bertujuan membandingkan keunggulan pemeriksaan MRI dan USG dalam mendeteksi kehamilan abdominal, terutama pada usia kehamilan lanjut.Kata kunci: ultrasonografi, MRI, kehamilan abdomina

    Variations on the Author

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    “Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship

    Appropriate Similarity Measures for Author Cocitation Analysis

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    We provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis

    Dispelling the Myths Behind First-author Citation Counts

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    We conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more sophisticated methods

    Author Index

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    koamabayili/VECTRON-author-checklist: VECTRON author checklist

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    We have done our best to complete the author checklist relating to the use of animals in the hut study. Note that the objective for the hut study was to evaluate the IRS treatment applications for residual efficacy against Anopheles mosquitoes, including the local An. coluzzii mosquito population. Cows were only used to attract mosquitoes into the huts and no tests were carried out directly on the cows. The author checklist is intended for use with studies where experiments are carried out on animals, which is why we have had such difficulty in completing this for the hut study, as many of the questions do not relate to how the cows were used
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