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TRANSCRIPT
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Yusuf Brilliant dan Sardjana Atmadja
Medical Faculty Health and Science
Islam Negeri Syarif Hidayatullah University Jakarta
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OBJECTIVES This study is to prove the existence of a significant
relationship between student absenteeism ,studentsattend activities at school ,on campus with primarydysmenorrhoea symptoms experienced duringmenstruation
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INTRODUCTION The use of a logistic regression model has grown rapidly
along with the advancement of medical science andtechnology .
This paper discusses the use of a logistic regression modelto predict the occurrence of endometriosis amongstudents. Dysmenorrhoea is the pain that is felt in thelower abdomen during menstruation
20% of students/student experiencing the unfortunatedisease endometriosis and can not be the school/college.10% of women experienced pain serious career caused bydysmenorrhoea and should not work.
52% of students in Yogyakarta is unable to perform dailyactivities well for experiencing menstruation.
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DESIGN AND METHOD Using logistic regression model
The study was done in Permata Hati Malang Hospital.
About 123 students were randomly selected in thisstudy.
The factors that observed are menarche,menstruation, period around menstruation, blood loss
volume and levels of CA 125.
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DISCUSS By using the method of logistic regression with
retrospective testing removal criteria ratio, linearregression models logistic is given as follows:
(x) =
x1= long of period, x2= production rate dan x3 = age of
menarche.
21 0,113,1916,0099,0exp11
xx
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Characteristics Dysmenorrea
n = 71
Not Dysmenorrhea
n = 52
chi-square value
Menarche
Age
Min
Standard deviation11-12
13
14-16
12,86
1,23
3224
15
12,98
1,20
2311
18
0,770
The prevalence of Normalmenstrual
58 44 0,400
Abnormal 13 7
30 days
> 30 days
57
9
35
14
0,048
Menstrual period
6 days
> 6 hari
42
28
26
24
0,383
Production rate
MuchLess 4822 466 0,010
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RESULT The test showed that the measurement model CA 125 levels
in endometriosis is suitable (Chi squar test value is 2.847with p-value = 0.416).
the contributors to dismenorhea are menstruation longperiode, menstrual spending levels and the onset ofmenarche
the ratio was achieved (odds) found that the risk ofstudents having dysmenorrhoea is (i) 2.5 times higher forthose whose menstrual period is longer (ii) 3.7 times highermultiple for those who have the spending levels of themenstrual a bit and (iii) three times higher for those whoget menarche more than 13 years.
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CA 125
(pg/ml)
Threshold (cut off values) 3700
Sensitivity 90.00
Specificity 60.00
Positive predictive
value (PPV)
69.23
Negative predictive
value (NPV)
85.71
Accuracy 75.00
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Conclusions
This s There were significant levels of CA 125 in the student who suffers
dismenorhea.
this study also found that the risk to get dysmenorrhoea increased if the
student have menstrual long period over than 35 dayslittle spending levels of blood menstruation and menarche onset more
than 13 years old.
We, indeed, recommend further studies to probe more markers on a larger
number of patients to verify and add to our results.
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REFERENCES Alkaf F ( 2006 ).Terapi Pilihan Endometriosis. Yogyakarta BP 19 : 9- 11
Cox, D.R. (2008). The Analysis Of Binary Data. London: Methuen andCo.
Hosmer, D.W. dan Lemeshow, S. (2000). Applied Logistic Regression,Second Edition. John Wiley & Sons.
Ng, T.R., Tan, T.C. dan Wansaicheong, G.K., (2009). A Prevalence StudyOf Dysmenorrhoea In Female Residents Aged 15-54 Years In ClementiTown, Singapore, Annals Acad. Med. Singapore, 21(3): 323-327.
Samsul H ( 2007 ). Terapi alternative Endometriosis.SBY,13 : 4- 5 Sardjana ( 1998 ) . Prevalensi Endometriosis pelajar dan mahasiswi di
Malang.PIT 2000,22: 23- 27
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Thank You