scholarly journals Parturient perineal distensibility tolerance assessed by EPI-NO: an observational study

2014 ◽  
Vol 12 (1) ◽  
pp. 22-26 ◽  
Author(s):  
Mary Uchiyama Nakamura ◽  
Nelson Sass ◽  
Julio Elito Júnior ◽  
Carla Dellabarba Petricelli ◽  
Sandra Maria Alexandre ◽  
...  

Objective : To determine how parturient women tolerate the use of a perineal distensibility assessment technique using the EPI-NO device. Methods : An observational study with a total of 227 full-term parturient women was performed. During the evaluation with EPI-NO, parturient patients were asked about their sensation of discomfort. The degree of discomfort was measured using the Visual Analogue Scale, with a score from zero to 10. The Mann-Whitney test was applied to assess perineal distensibility measured by EPI-NO and the degree of discomfort caused by the test according to parity. The relation between perineal distensibility and discomfort was analyzed by using the Spearman correlation test (r). Results : The test with EPI-NO caused only slight discomfort (mean Visual Analogue Scale of 3.8), and primiparous women reported significantly greater discomfort (mean Visual Analogue Scale of 4.5) than did multiparous (mean Visual Analogue Scale=3.1), with p<0.001 women. A negative correlation was observed, in other words, the greater the perineal distensibility on the EPI-NO, the lower the pain reported by the patients (r=-0.424; p<0.001). Conclusion : The assessment of perineal distensibility with EPI-NO was well tolerated by the parturient women.

2021 ◽  
Vol 9 (2) ◽  
pp. 85-92
Author(s):  
Warsini Warsini

Latar belakang : Saat ini Negara Indonesia sedang dilanda pandemi Covid-19 yang mengakibatkan perubahan baik secara fisik maupun psikologi, baik pada usia muda maupun pada lanjut usia. Kondisi ini tidak hanya berdampak pada kesehatan fisik namun juga mempengaruhi kondisi mentalitas individu, termasuk pada golongan Lansia. Hasil penelitian menunjukkan bahwa mayoritas Lansia mengalami kecemasan di masa pandemi dengan mayoritas termasuk dalam kategori sedang (48,1%). Kondisi ini bukanlah hal yang dapat dianggap sederhana karena kecemasan dikhawatirkan dapat menimbulkan ketakutan hebat dan menetap pada Lansia sehingga dapat menimbulkan gangguan baik secara fisik maupun psikologis. Tujuan : Mengetahui hubungan tingkat kecemasan dengan pola tidur pada Lansia di Panti Wredha Widhi Asih. Subyek dan Metode : Jenis penelitian ini adalah analitik observasional dengan desain korelasional melalui pendekatan crossectional. Populasi penelitian adalah semua Lansia di Panti Wredha Widhi Asih. Teknik sampling yang digunakan adalah jenuh. Data dianalisis menggunakan uji korelasi Spearman. Hasil : Skor tingkat kecemasan lansia paling banyak 4 dengan kategori ringan yaitu 19%. Namun demikian ditemukan pula lansia yang mendapatkan skor tingkat kecemasan 20 yaitu 4,8%. Pola tidur responden bervariasi, dilihat dari kuantitas tidurnya yaitu antara 5-9 jam dengan mayoritas kuantitas tidur paling sedikit 5-5,5 jam (4,8%) dan paling banyak 8 jam (38,1%). Hasil analisis uji korelasi Spearman menunjukkan korelasi antara tingkat kecemasan dengan pola tidur adalah tidak bermakna. Nilai korelasi Spearman sebesar -0,313 menunjukkan arah korelasi negatif dengan kekuatan korelasi lemah. Kesimpulan : Hubungan antara tingkat kecemasan dengan pola tidur adalah tidak bermakna. Nilai korelasi Spearman sebesar -0,313 menunjukkan arah korelasi negatif dengan kekuatan korelasi lemah.   Kata Kunci : kecemasan, lansia, pola tidur     RELATIONSHIP BETWEEN ANXIETY LEVELS AND SLEEP PATTERNS IN THE ELDERLY   Background: Currently, the State of Indonesia is being hit by the Covid-19 pandemic which causes changes both physically and psychologically, both at a young age and in the elderly. This condition not only has an impact on physical health but also affects the mental condition of individuals, including the elderly. The results showed that the majority of the elderly experienced anxiety during the pandemic with the majority being in the moderate category (48.1%). This condition is not something that can be considered simple because it is feared that anxiety can cause severe and permanent fear in the elderly so that it can cause disturbances both physically and psychologically. Objective: To determine the relationship between anxiety levels and sleep patterns in the elderly at the Wredha Widhi Asih Home. Subjects and Methods: This type of research is analytic observational with a correlational design through a cross-sectional approach. The population of the study were all the elderly at the Wredha Widhi Asih Nursing Home. The sampling technique used is saturated. Data analysis using Spearman Correlation Test. Result: The highest score of anxiety level is 4 (19%) in the mild category. However, the elderly who got a level 20 score of 4.8% were found. The respondent's sleep pattern varies, seen from the quantity of sleep, which is between 5-9 hours, with a minimum sleep quantity of 5-5.5 hours (4.8%) and a maximum of 8 hours (38.1%). The results of the Spearman correlation test analysis showed that the correlation between anxiety levels and sleep patterns was not significant. Spearman correlation value of -0.313 indicates the direction of negative correlation with weak correlation strength. Conclusion: the correlation between anxiety levels and sleep patterns is not significant. Spearman correlation value of -0.313 indicates the direction of negative correlation with weak correlation strength. Keywords: anxiety, elderly, sleep pattern


2020 ◽  
Vol 43 (1) ◽  
pp. 8
Author(s):  
Rinjani Alam Pratiwi ◽  
Suwarto Suwarto ◽  
Arip Wijianto

This research aims at studying organic rice cultivation, the role of kontak tani in organic rice cultivation, the relationship between the role of kontak tani and organic rice cultivation, and whether there is a difference among the role of kontak tani according to farmers that is based on farming education, the expanse of farming field and farming environment. The role of kontak tani covers the role as a leader, a model, a preceptor, an activator and an instructor colleague. This research is conducted using quantitative method. The technique of sampling is sensus method with total number of 60 sample respondents from two farming groups under research. The data of the research is analysed using Rank Spearman correlation test dan U Mann Whitney test.The result of the correlation test shows that the relationship between the role of kontak tani as a leader and as a preceptor towards organic rice cultivation is very significant, and the relationship between the role of kontak tani as an activator towards organic rice cultivation is significant, while the role of kontak tani as a model and an instructor colleague towards organic rice cultivation is insignificant. According to U Mann Whitney test, there is no significant differences regarding the role of kontak taniaccording to farmers based on farming education, the expanse of farming field and farming environment.


2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Hendry J.R. Tandra ◽  
Widhi Bodhi ◽  
Billy J. Kepel

Abstract: Obesity might cause dyslipidemia, marked by increased cholesterol, triglycerides, and LDL levels, as well as reduced HDL level. Dyslipidemia is related to atherosclerosis that can result in cardiovascular diseases. This study was aimed to identify differences of lipid profiles in obese and non-obese teenagers at West Bolangitang, North Bolaang Mongondow. This was an observational analytical study with a cross sectional design conducted from October to November 2016. Subjects were 60 teenagers obtained by using consecutive sampling method and were divided into two groups: obese (29 teenagers) and non-obese (31 teenagers). Lipid profile examinations were performed on all of them. Statistical analysis of total cholesterol level of the two groups used independent t test (p=0.002) dan Pearson correlation test (p=0.028). The normality test of triglyseride level showed that data were not normally distributed, therefore, the analysis was continued with Mann-Whitney test (p=0.328) and Spearman correlation test (p=0.542). The normality test of LDL level showed that data were not normally distributed, therefore, the analysis was continued with Mann-Whitney test (p=0.004) and Spearman correlation test (p=0.032). The normality test of HDL level showed that data were not normally distributed, therefore, the analysis was continued with Mann-Whitney test (p=0.063) and Spearman correlation test (p=0.054). Conclusion: There were significant differences of total cholesterol and LDL levels but there were no significant differences of triglyceride and HDL levels between obese teenagers and non-obese teenagers.Keywords: lipid profile, adolescents, obesity. Abstrak: Obesitas dapat menyebabkan peningkatan lipid kolesterol, trigliserida, maupun LDL dan penurunan lipid HDL yang disebut dislipidemia. Dislipidemia berhubungan erat dengan terjadinya aterosklerosis yang dapat menimbulkan penyakit kardiovaskular. Penelitian ini bertujuan untuk mengetahui perbedaan profil lipid pada remaja obes dan remaja tidak obes di Kecamatan Bolangitang Barat, Kabupaten Bolaang Mongondow Utara. Jenis penelitian ialah observasional analitik dengan desain potong lintang. Penelitian dilaksanakan pada bulan Oktober dan November 2016 dengan sampel penelitian berjumlah 60 remaja terdiri dari kelompok remaja obes (29 orang) dan kelompok remaja tidak obes (31 orang) yang diperoleh dengan metode consecutive sampling. Pemeriksaan profil lipid dilakukan pada semua remaja. Uji statistik terhadap kadar kolesterol total antara kedua kelompok menggunakan uji independent t test (p=0,002) dan uji Pearson correlation (p=0,028). Uji normalitas terhadap kadar trigliserida mendapatkan data tidak terdistribusi normal sehingga dilanjutkan dengan uji Mann-Whitney (p=0,328) dan uji korelasi Spearman (p=0,542). Uji normalitas terhadap kadar LDL mendapatkan data tidak terdistribusi normal sehingga dilanjutkan dengan uji Mann-Whitney (p=0,004) dan uji korelasi Spearman (p=0,032). Uji normalitas terhadap kadar HDL mendapatkan data tidak terdistribusi normal sehingga dilanjutkan dengan uji Mann-Whitney (p=0,063) dan uji korelasi Spearman (p=0,054). Simpulan: Terdapat perbedaan bermakna dalam hal kadar kolesterol total dan LDL, tetapi tidak terdapat perbedaan bermakna dalam hal kadar trigliserida dan HDL antara remaja obes dan tidak obes. Kata kunci: profil lipid, remaja, obesitas


Author(s):  
Anita Aminoshariae ◽  
Mohammed Bakkar ◽  
Tracey Bonfield ◽  
Santosh Ghosh ◽  
Thomas A Montagnese ◽  
...  

Objective: The aim of this study was to investigate the levels of Human Beta Defensin (hBD) 2 and 3, chemokine and cytokine expressions between teeth endodontically diagnosed with symptomatic irreversible pulpitis (SIP), asymptomatic irreversible pulpitis (ASIP) and normal pulps. We hypothesized that there would be a correlation between hBD’s and the immunoregulatory response. Design: Pulpal samples were collected with paper points. Six samples were obtained from normal teeth, 21 from SIP, 18 from ASIP. Levels of cytokines and betadefensins were measured by Luminex technology and ELISA, respectively. Data were statistically analyzed using Kruskal-Wallis, Wilcoxon Mann-Whitney test and Spearman correlation test. Differences were considered significant at p<0.05. Results: hBD-2 levels correlated with samples obtained from patients in the ASIP group, but not in the samples obtained from patients with SIP or the control group. HBD-3 concentrations associated with all of the cytokines and chemokines in both SIP and ASIP groups. However, in the normal group, hBD-3 correlated with only TNFα, IL-8, MCP-1, IL-1β, MIP-1a, RANTES, IL-17 in normal group. When comparing control levels of hBD-2 and hBD-3 with patients samples from either the ASIP or the SIP groups, hBD-2 and hBD-3 concentrations were highest in the ASIP group. Conclusions: The hBD-2 and-3 were highly associated with the levels of the chemokines and cytokines in ASIP group. HBD-3 concentrations correlate with the levels of the chemokines and the cytokines in the SIP and ASIP groups.


2018 ◽  
Vol 6 (9) ◽  
pp. 136
Author(s):  
Sezen Çimen Polat

This study aims to investigate the effect of technical competence in certain balance elements, an important parameter in rhythmic gymnastics, on sportive success in taekwondo poomsae athletes and the relationship between them. The study was conducted on 12 female taekwondo athletes (age: 17.6±1.2; height: 159.26±3.1 cm; weight: 50.79±1.82 kg; BMI: 20.88±0.98 kg/m2). The participants were selected from successful athletes who were in the top 6 in their own category in the national taekwondo competition held this year. The athletes performed 6 balance elements in rhythmic gymnastics, i.e. side passé (SP), 90° forward (90°F), side split with hand support (SSWHS), Arabesque with trunk forward (A), Cossack (C) and free leg to the side (FLS), and the Y balance test. The relationship between these balances that were assessed by 3 international judges and success rating was identified using the Spearman correlation test. The level of significance was accepted as p<0.05. As result, a statistically significant difference was found between side passé and split with hand support, balances used in rhythmic gymnastics, and success ratings (p<0.05). While no statistically significant difference was found between other balances, i.e. 90° forward, arabesque with trunk forward, cossack and free leg to the side and sportive success, there was a high relationship between them. In addition, there was no statistically significant difference between sportive success and right and left anterior (RAB, LAB) posteromedial (RPMB, LPMB) and posterolateral (RPLB, LPLB) reach distances. In conclusion, since the study found a high relationship between sportive success and technical competence of poomsae athletes in the two technical side balances, it is suggested that basic gymnastics training can be effective in improving the balancing skills of taekwondo poomsae athletes.


2018 ◽  
Vol 12 (2) ◽  
pp. 98
Author(s):  
Novira Kusumayanti ◽  
Triska Susila Nindya

Exclusive breastfeeding could decrease infant mortality. Exclusive breastfeeding coverage in Indonesia is still low. Many factors affect exclusive breastfeeding including husband support. Husband support contribute to maternal emotion that affect the smooth refl exes of breast milk production. This study aimed to determine the relationship of husband support and exclusive breastfeeding in the Kademangan district, Blitar. This is cross sectional study. Interview was done to 66 breastfeed mothers with infants aged 6–12 months. The sample was taken by simple random sampling. Location of this study was six villages in Kademangan district, Blitar and conducted in October 2016. Bivariate analysis was performed by Spearman correlation test. The prevalence of exclusive breastfeeding was 21.2%. Most of husband support exclusive breastfeeding. Based on cross tabulation, mother who gave breastfeeding to their children was higher when they are supported by their husband. Eventhough Spearman correlation test showed no signifi cant relationship between husband support and exclusive breastfeeding. Mothers who had support from their husband had a higher proportion of giving exclusive breastfeeding than had not supported by their husband, eventhough not statistically signifi cant correlated.


2014 ◽  
Vol 2 (3) ◽  
pp. 380
Author(s):  
Faradiba Hikmarida

ABSTRACTIncreasing number of diphteria cases in Sidoarjo Regency, with occurrence of cases in those who had received DPT immunization shows the existence of problem concerning to immunization. The efficacy itself, depends on the quality of vaccines given. Insufficiency in cold chain may lower the quality of DPT vaccines. The purpose of this study was to analyze relationship between DPT vaccine storage and recording for DPT vaccines cold chain with quality of DPT vaccine cold chain in puskesmas Sidoarjo Regency. This research is a descriptive research with cross sectional design. Sample used were total population, which includes all 26 puskesmas within Sidoarjo. The variables were DPT vaccine storage, recording for DPT vaccines cold chain and quality of DPT vaccine cold chain. The result of this study showed that DPT vaccine storage was good (58%), recording for DPT vaccines cold chain were insufficient (77%), and quality of DPT vaccine cold chain in puskesmas was also good (62%). Spearman correlation test showed relationship between DPT vaccine storage and quality of DPT vaccine cold chain in Puskesmas was strong and positive (r = 0,561). Relationship between recording for DPT vaccines cold chain and quality of DPT vaccine cold chain in puskesmas was moderate and positive (r = 0,421). the better the storage for DPT vaccines and recording for DPT vaccines cold chain in puskesmas, the better its cold chain quality in puskesmas. Improvement in officers’ obedience in storing DPT vaccine and its recording concerning to the cold chain which appropriate according to procedures, were really needed.Keywords: storage, recording, quality, cold chain, DPT vaccine


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Nur Indri Rahayu ◽  
Aini Dewi Monica ◽  
Jajat Jajat ◽  
Kuston Sultoni

Tujuan penelitian ini adalah menguji hubungan antara physical activity dengan fine motor skills pada anak usia 4 tahun. Metode yang digunakan adalah metode penelitian kuantitatif dengan pendekatan korelasional. Populasi dalam penelitian ini yaitu anak usia 4 tahun yang sedang menempuh pendidikan anak usia dini di PAUD, TK, dan KB di Kota Bandung. Jumlah sampel sebanyak 53 anak dengan teknik pengambilan sampel menggunakan purposive sampling. Instrumen yang digunakan berupa Accelerometer Actigraph dan 9-Hole Peg Test. Accelerometer Actigraph digunakan untuk mengukur tingkat physical activity atau aktivitas fisik dengan hasil yang menunjukan bahwa anak – anak paling banyak menghabiskan waktu di skor light daripada sedentary, moderate-to-vigorous dan vigorous. 9-Hole Peg Test digunakan untuk mengukur tingkat kemampuan motorik halus atau fine motor skills anak dengan hasil menunjukan bahwa anak lebih terampil dalam menggunakan tangan yang dominan. Data kemudian dianalisis dengan menggunakan Spearman Correlation Test. Hasil analisis data menunjukan tidak terdapat korelasi antara physical activity dengan fine motor skills baik pada tangan dominan (p=0,678>0,05) maupun dengan tangan non dominan (p=0,167>0,05) yang berarti tidak terdapat hubungan yang signifikan antara physical activity dengan fine motor skills pada anak usia 4 tahun. The relationship between physical activity and fine motor skills in 4-year-old children Abstract:The purpose of this study was to examine the relationship between physical activity and fine motor skills in 4-year-old children. The method used is a quantitative research method with the correlation research approach. The population in this study were 4-year-old children who were taking early education in PAUD, TK, and KB in Bandung City. A total of 53 4-year-old children participated in this study by using a purposive sampling technique. The instrumen used were Accelerometer Actograph and 9-Hole Peg Test. The accelerometer actigraph is used to measure the level of physical activity and the results show that children spend the most time on the light score rather than sedentary, moderate-to-vigorous and vigorous score. 9-Hole Peg Test is used to measure the level of fine motor skills of children and the results showing that children are more skilled in using the dominant hand. Data were analyzed using the Spearman Correlation Test. The results of data analysis showed there is no correlation between physical activity and fine motor skills both in dominant hand (p=0.678>0,05) and with the non-dominant hand (p=0,167>0,05) which meant there are no significant relationship between physical activity and fine motor skills in 4-year-old children.


2019 ◽  
Vol 11 (1) ◽  
pp. 61
Author(s):  
Ristyna Choirunisa

Aviation is the most significant part of Indonesian Air Force duty. Air Force’s aircraft takes a role not only as Indonesian army agency transportation vehicle but also crucial for Indonesian air territory security protection. However the level of noises resulted from Air Force aviation operation activity such as take off of aircraft reached 130 dBA, so the operation can causes auditory and non auditory adverse effects such as communication, physiological disorder, and psycological disorder. The aim of this study  is to analyze factors induced to the hearing loss and analyze the effects of aircraft noises to technician health complaints. This research using case control approach and it was conducted by recruiting subject respondents group randomly of 20 officers includes of 10 technician as study group and 10 non technician as control group. The measurement of aircraft noise level was performed 4 times during 8 hours used Sound Level Meter. The results of aircraft noise measurement in flightline area was exceeding the threshold value of 95,56 dBA. The results of the study shows that aircraft noise significantly associated with to technician hearing loss p-value=0,026 (Spearman correlation test, p<0,05). Other factors that are associated significantly with technician hearing loss include aged p-value=0,023 (Pearson correlation test,  p<0,05). Insignificant association is showed for work period with p-value=0,038 (spearman correlation test, p<0,05). In addition, the aircraft noise is associated to health complaint as psychological disorder p-value=0,033 (simple logistic regression test, p-value <0,05). The conclusion of research is that aircraft activities affected hearing loss and technician psychological disorder.


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