Characteristics of women with uterine prolapse at Dr. Soetomo Hospital, Surabaya, Indonesia

Objective: The aim of this study was to analyze the incidence, sociodemographic characteristic and risk factor patient with uterine prolaps in Dr. Soetomo Hospital period 2016.Materials and Methods: This study using observational descriptive study.Results: There were 41 subjects of this study with uterine prolaps. which is mostly on age 51-60 years old (37%). Uterine prolaps grade III was the frequent (29%). Uterine prolaps mostly happened in multiparity (93%) than primiparity (7%). All of the prolaps uterine patient giving birth by vaginal delivery. Uterine prolaps most commonly occures after menopause (80%). 28 patient (68%) with uterine prolaps underwent surgery.Conclusion: The incidence of uterine prolaps dramatically increase especially uterine prolaps grade III. Multiparity, vaginal delivery, and post menopausal were the main risk factor. This could be reduce the quality of life.

Are efforts to attract graduate applicants to UK medical schools effective in increasing the participation of under-represented socioeconomic groups? A national cohort study

IntroductionAttracting graduates was recommended as a means of diversifying the UK medical student population. Graduates now make up nearly a quarter of the total medical student population. Research to date has focused on comparing the sociodemographic characteristics of applicants to and/or students on traditional and graduate entry programmes (GEMs), yet GEMs account for only 40% of the graduate medical student population. Thus, we aimed to compare the sociodemographic characteristic and outcomes of graduates and non-graduate applicants across a range of programmes.MethodsThis was an observational study of 117 214 applicants to medicine who took the UK Clinical Aptitude Test (UKCAT) from 2006 to 2014 and who applied to medical school through Universities and Colleges Admissions Service (UCAS). We included applicant demographics, UKCAT total score and offers in our analysis. Applicants were assigned as graduates or non-graduates on the basis of their highest qualification. Multiple logistic regression was used to predict the odds of receiving an offer, after adjusting for confounders.ResultsIrrespective of graduate or non-graduate status, most applicants were from the highest socioeconomic groups and were from a white ethnic background. Receiving an offer was related to gender and ethnicity in both graduates and non-graduates. After adjusting for UKCAT score, the OR of an offer for graduates versus non-graduates was approximately 0.5 (OR=0.48, 95% CI 0.46 to 0.49).DiscussionOur findings indicate that the aim of diversifying the medical student population on socioeconomic grounds by attracting graduates has been only marginally successful. Graduate applicants from widening access backgrounds are less likely than others to be offered a place at medical school. Different approaches must be considered if medicine is to attract and select more socially diverse applicants.

Sociodemographic Characteristic and Health Related Quality of Life in Outpatients of Type 2 Diabetes Mellitus under JKN

Penelitian dilakukan untuk mengetahui perbedaan Health Related Quality of Life (HRQoL) terhadap karakteristik sosiodemografi antara pasien diabetes mellitus tipe 2 pada salah satu rumah sakit pemerintah di Jakarta. Penelitian dilaksanakan secara cross-sectional dari Februari sampai April 2015. Total sampel 83 pasien. Laki-laki 31(37,4%) dan perempuan 52 (62,6%). Terdapat perbedaan yang signifikan (P<0,05) nilai HRQoL terhadap tingkat pendidikan. Berdasarkan nilai domain HRQoL, perempuan memiliki nilai lebih tinggi (69.82 ± 3.14) dibandingkan dengan laki-laki (67.32 ± 4.50) pada domain frekuensi gejala (P<0,05). Pasien dengan usia yang lebih lanjut memiliki nilai tertinggi pada domain kepuasan (P<0,05). Sebaliknya, pasien dengan usia lebih lanjut memiliki nilai terendah (64,14 ± 4,03) pada domain frekuensi gejala (P<0,05). Pasien dengan tingkat pendikan SMA memiliki nilai lebih rendah (60,17 ± 24,65) pada domain kepuasan pengobatan dibandingkan dengan pasien dengan pendidikan diploma/sarjana (78,78 ± 21,98). Nilai domain frekuensi gejala lebih tinggi pada pasien bekerja dibandingkan dengan tidak bekerja (P<0,05). Jumlah pendapatan tidak mempengaruhi secara signifikan terhadap nilai semua domain (P>0,05) HRQoL. Selanjutnya, lama menderita diabetes mempengaruhi nilai domain kepuasan (P=0,05) dan frekuensi gejala (P=0,00). Sehingga dapat disimpulkan, karakteristik sosiodemografi meliputi tingkat pendidikan memiliki perbedaan secara signifikan terhadap kualitas hidup antara pasien rawat jalan diabetes mellitus tipe 2.

Sociodemographic and clinical characteristics of depressive disorder in Kirkuk county

BackgroundDepression has been recognized as a major public health evidenced by its ranking of fourth position among the global burden of diseases. Many believe it will occupy second position by the year 2020. Studies have been done in Iraq and neighboring countries in the Arabic area. This is the first study in Kirkuk.Aims of the studyTo determine the clinical and sociodemographic characteristic of depressive disorders in Kirkuk county. To compare it with previous studies in Iraq and other countries. To try to draw some inferences from the study, in order to develop psychiatric services to meet the demand of this challenging disorder.Methods231 depressed patients were included, 78 men, 153 women. Outpatients attendees were included after they consented to participate. DSM IV TR criteria were used to identify cases.ResultsWomen outnumbered men (66%), unemployed were a majority (61%), rural areas were over represented (61.5%). Widowed came at the top (30%) followed by divorced (28%). The lowest rate was in Married (17%). Major depression was the most common subtype (61%) followed by dysthymia(15%), while the lowest subtype is bipolar depression 14(6%). Loss of energy or fatigue was the most frequent symptom (77%), while the lowest was suicidal idea (25%). The highest comorbidity was anxiety disorders (male14%, female46%). Alcohol and drug abuse were nonexistent in women and very low in men (3%, 5%).ConclusionThe frequency of depression subtypes among patients were as follows, major depression 61%, dysthymia 15%, psychotic depression 9.5%, postpartum depression 8.6%, bipolar depression 6%. The sociodemographic characteristic factors are consistent with some previous findings. The high comorbidity of anxiety disorders among depressed patients may be due to situational factors nowadays.