Rotavirus diarrhea causing gastroenteritis in children under five years is an important issue that urgently needs to be addressed globally. Delay in management of rotavirus diarrhea can be fatal. Diagnostic tool for detecting rotavirus is, therefore, needed. However, until now the gold standard diagnostic tools are expensive, often not available and affordable in health care settings. The aim of the study was to compare the Vesikari clinical severity score of rotavirus-positive with rotavirus-negative in hospitalized children with acute gastroenteritis. Furthermore, the difference of the level of treatment between rotavirus-positive with rotavirus-negative was also evaluated. This was a cross sectional study that using secondary data from medical records of five general teaching hospital in Indonesia. Subjects were children aged <5 years with acute watery diarrhea admitted to the hospital. Statistical analysis used was chi square test, U-Mann Whitney, and Kruskal Wallis. The results showed that the patient with rotavirus positive have higher dehydration (80.2%) compared to rotavirus negative (70%). The severity level of clinical feature was higher in diarrhea due to rotavirus positive than non rotavirus (11.47± 2.89 vs 10.41 ± 2.70; p<0.000). The level of treatment was higher in rotavirus positive. The majority had treatment plan C (47.7%) higher than plan B and A (45.6% and 30.9%; p<0.050). This was opposite with patient with rotavirus negative that majority had treatment in plan A (69.1%) higher than plan B and C (54.4% and 52.3%) (p<0.001). In conclusion, the severity of gastroentrities in children under 5 years using vesikari score are higher in diarrhea due to rotavirus positive than non rotavirus. The treatment level plan C is higher than plan B and A in diarrhea due to rotavirus. This is opposite with non rotavirus majority have treatment in plan A higher than plan B and C.
As life expentancy improved, the incidence of femoral neck fracture, as one of the most common traumatic injuries in the elderly, has also increased. Risk for fracture is not only determined by age and sex but also by the degree of osteoporosis and certain lifestyles. The purpose of this study was to investigate lifestyle risk factors for femoral neck fracture in Dr. Sardjito General Hospital, Yogyakarta. In this case-control study, all patients with femoral neck fractures admitted to the Orthopedic Division and Traumatology, Department of Surgery in 2013-2014 was included as cases. Controls were subjects without fracture of similar age and sex. Data of corticosteroid use, habitual coffee consumption, visual acuity disorders, habitual use of slippers and engagement in routine sport activity were collected with questionnaires. We invited 63 patients (51 females and 12 males) and 63 controls. Corticosteroid use, habitual coffee consumption, visual acuity disorder and habitual use of slippers were risks factors for fractures, OR (95% CI) = 7.5 (2.9-21.6), p < 0.001; 7.5 (2.9-21.6), p < 0.001; 3.2 (1.6-6.8), p < 0.001 and 5.7 (2.7-12.6), p < 0.001, respectively. Engagement in routine sport activity was a protecting factor, OR (95% CI) = 0.10 (0.02-0.33), p < 0.001. In conclusion, corticosteroid use, habitual coffee consumption, visual acuity disorder and habitual use of slippers are risk for fractures, while engagement in routine sport is a protecting factor.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.