Introduction: An alteration of cognitive function in geriatrics often occurred after a surgery procedure. To do a surgery, patients would go through the process with anesthesia, whether it is general or regional anesthesia. We aimed to identify the effect of general and regional anesthesia in increasing the risk of alteration in cognitive function from geriatrics who underwent elective surgery followed by other risks. Material and Method: This observational analytic study has a total sample of 60 patients who aged 60 years or more, and half of the total sample underwent an elective surgery with general anesthesia, whereas the other half with regional anesthesia at Gedung Bedah Pusat Terpadu Dr. Soetomo General Hospital in a range of October – November 2016. The cognitive function of patients was assessed with MMSE which is done in approximately 10 – 15 minutes. Result and Discussion: There was a statistically significant correlation between age and both preoperative MMSE score also the alteration of MMSE score after 3 days in patients with regional anesthesia (P-value = 0.032; 0.044). Also, the correlation between educational status and preoperative MMSE score (P-value = 0.001). There was also a statistically significant difference in alteration of the MMSE score after 3 days between patients with general and regional anesthesia which went through the hypotension phase (P-value = 0.022; 0.003). We identified that both general and regional anesthesia could lead to alteration of MMSE score (P-value = 0.001; 0.02) and there was a statistically significant difference between both of them (P-value = 0.001). Conclusion: Both general and regional anesthesia could lower the cognitive function of geriatrics, especially general anesthesia which happened to have a higher risk to occur. Other factors such as age, educational status, and hemodynamic condition during surgery, had their impacts toward lowering cognitive function in geriatrics.
A B S T R A C TIntroduction: This research is to determine the profile of parenting style with tendency of hedonism lifestyle in university students of Medicine Program Faculty Of Medicine Airlangga University Batch 2015.Methods: This study is a observational analytic research with cross-sectional time and used questionnare as research instrument given to 200 respondentsResults: : 16 university students raised with authoritarian parenting style (8.30%), 169 students raised with authoritative parenting style (87.56%), and 8 students raised with permissive parenting style (4.14%). Students with tendency of hedonism lifestyle in category low is 45 students (23.32%), in category intermediate is 146 students (75.64%), and in category high is 2 students (1.04%). Tendency of hedonism lifestyle is low in 2 students raised with authoritarian parenting style (1.04%), 42 students raised with authoritative parenting style (21.76%), and 1 students raised with permissive parenting style (0.52%). Tendency of hedonism lifestyle in category intermediate has 12 students raised with authoritarian parenting style (6.22%), 127 students raised with authoritative parenting style (65.80%), and 7 students raised with permissive parenting style (3.62%). In category high tendency of hedonism lifestyle is 2 students raised with authoritarian parenting style (1.04%). Using Kruskal-Willis test, it was found that p = 0.123 .Conclusion: Most parenting style used in the students is authoritative. Category of tendency of hedonism lifestyle in most students is category intermediate. Tendency of hedonism lifestyle in category low has most students raised with authoritative parenting style. Tendency of hedonism lifestyle in category intermediate has most students raised with authoritative parenting style. Tendency of hedonism lifestyle category high has most students raised with authoritarian parenting style. And it was found that there is no significant difference in proportion in parenting style with the tendency of hedonism lifestyle with value of p = 0.123 with α = 0.05 (p>α)
Although Bipolar Disorder (BD) is a common mental illness worldwide (1-3%), there was no data about the prevalence of BD or bipolar spectrum disorder in Indonesia. This study aimed to screen bipolar disorders in various communities Surabaya and its variations of symptoms characteristics. Through a cross-sectional design and non-random sampling survey (N = 1,104) was conducted using the Mood Disorder Questionnaire (MDQ), a screening tool for BDs, and validated self-report instrument. The SPSS 17.0 and chi square was used for analysis. Results showed the lifetime proportion of MDQ positive was 10.7% (n = 118). The proportions of MDQ positive by gender were 4.8% males and 5.9% females, no gender (p = .444) and educational background differences (p = .470). The highest proportions of MDQ positive were 4.4% in the 25-60 year group, 4% having an education level of senior high school and 6.7% having unmarried status. Among participants who had MDQ positive, 22% had an awareness of having psychological problems, unfortunately only 5.9% had visited a medical professional. Overall, the lifetime proportion of suspected bipolar disorder spectrum in Surabaya was higher than that reported in other studies. Conducting a periodic research regarding other psychosocial-cultural backgrounds will help clinicians and government identify the exact prevalence of bipolar disorder in the society and their risk factors. Furthermore, it will help to prevent the increased rate of bipolar disorders.
One of the most common cardiovascular diseases is congenital heart disease (CHD) and adult congenital heart disease (ACHD) or CHD in adult patients. The chronic effects of illness, surgery, and hospitalization in certain stages of life can have significant impacts on a patient's psychology and quality of life. This study aims to discover the relationship between CHD and psychological disorders in ACHD patients at the Integrated Heart Service Center, Dr. Soetomo General Academic Hospital. This research is a cross-sectional observational analytic study. A consecutive sampling technique was used with the correlation coefficient formula to determine the number of the minimum sample, which resulted in the minimum of 36 patients. The data was then analyzed using the Chi-square test and Fisher's Exact. The demographic data of the study were obtained from the Congenital Polyclinic Medical Records of the Integrated Heart Service Center, Dr. Soetomo General Academic Hospital and patients who fulfilled the inclusion and exclusion criteria were interviewed using the Mini International Neuropsychiatric Interview (MINI ICD-10). This study included 38 patients in total. Based on the results of interviews, it was found that 32 patients (84.2%) did not experience any psychological disorders, and 6 patients (15.8%) experienced one or more types of psychological disorders, including generalized anxiety disorder, recurrent depressive disorder, agoraphobia, obsessive compulsive disorder (OCD), and panic disorder. The results of the statistical analysis of the CHD types and psychological disorders obtained a significance value (p) of 0,228 (>0,050). With the significance value (p), it can be concluded that ACHD patients with various types of CHD do not have a significant relationship with psychological disorders at the
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