scholarly journals Microbial contamination of hands with or without the use of bidet toilets (electric toilet seats with water spray) after defecation

Author(s):  
Shigeharu Oie ◽  
Shinya Kawai

Abstract Bidet toilets (electric toilet seats with water spray) are increasing in popularity worldwide. However, the extent of reduction of microbial contamination of the hands with the use of bidet toilets after defecation is unclear. Microbe contamination of the hands with and without the use of bidet toilets after defecation was examined in 32 nursing students. Double gloves were worn on the dominant hand and four layers of toilet paper were used to wipe the buttocks after defecation, and microbe contamination of the second glove (outer glove) of the double gloves was examined. The volunteers were free to select the flow volume, wash time of the bidet, and the type of bidet. Without the use of a bidet toilet, the average value ± standard deviation of the number of microbes attached to the gloves was 39,499.3 ± 77,768.3 colony forming units (cfu)/glove; however, it was 4,146.9 ± 11,427.7 cfu/glove when the bidet toilet was used. The number of microbes adhering to gloves was significantly reduced when a bidet toilet was used (p < 0.00001, Wilcoxon signed-rank test).

Author(s):  
Shigeharu Oie ◽  
Mai Suetomi

Objective: Electric toilet seats with water spray (bidets) are gaining in popularity all over the world. However, the extent of reduction in microbial contamination of hands with the use of bidets after defecation is not known. Methods: The microbe contamination of hands with and without the use of bidets after defecation with the participation of 32 nursing students was studied. Double gloves were worn on the dominant hand and four layers of toilet paper were used to wipe the buttocks after defecation and the microbe contamination of the second glove (outer glove) of the double gloves was examined. The volunteers were free to select flow volume, wash time of the bidet and even the type of bidet for use was left up the individual. Results: Without the use of a bidet, the average value ± standard deviation of the number of microbe attached to the gloves was 39,449.3 ± 77,768.3 colony forming units (cfu) / glove; however, it was 4,146.9 ± 11,427.7 cfu / glove when a bidet was used.The number of microbe adhering to gloves was significantly reduced when a bidet was used (p <0.0001, Wilcoxon singed-rank test). Conclusion: It was discovered that reduction of microbe contamination of hands was possible with the use of bidets after defecation.


2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Sefti Rompas ◽  
Lenny Gannika

Abstract : The Aromatherapy of orange (Citrus) is one of the relaxation measures to reduce dismenore, also improves mood and reduces anger. Limeone is one of the ingredients of The orange aromatherapy’s oil which can inhibit the prostaglandin so it can reduce dismenore. The purpose of this study is to know The Influence of Orange’s aromatherapy against dismenore in Sam Ratulangi University’s Nursing Students, Manado. Design of this study is using a pre-experimental one-group-pre-test-post-test-design. Sampel of this study consisted of 26 respondents with the sampling method using a non probability sampling with saturation sampling technique. The results of this study using the Wilcoxon Signed Rank Test at a significance level of 95%, obtained that the value ρ - 0,000, value is smaller than the significant value of 0.05. Conclution in this study there is influence of Orange’s aromatherapy (Citrus) on decrease dismenore in Sam Ratulangi University’s Nursing Students, ManadoKeywords: Aromatherapy,Lemon,DismenoreAbstrak : Aromaterapi lemon (Citrus) merupakan salah satu relaksasi untuk menurunkan nyeri menstruasi. Aromaterapi lemon juga meningkatkan mood dan mengurangi rasa marah. Limeone merupakan salah satu kandungan minyak aromaterapi lemon yang dapat menghambat sistem kerja prostaglandin sehingga dapat mengurangi nyeri. Tujuan penelitian ini adalah mengetahui pengaruh Aromaterapi Lemon (Citrus) terhadap Penurunan Nyeri Menstruasi pada mahasiswi Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Sam Ratulangi Manado. Rancangan Menggunakan pre eksperimen one-group-pre-test-post-test-design. Sampel terdiri dari 26 responden dengan metode pengambilan sampel menggunakan pendekatan non probability sampling dengan teknik saturation sampling. Hasil menggunakan uji Wilcoxon Signed Rank Test pada tingkat kemaknaan 95%, didapatkan nilai ρ – Value 0,000 lebih kecil dari nilai signifikan 0,05. Kesimpulan ada pengaruh aromaterapi lemon (Citrus) terhadap Penurunan nyeri menstruasi pada mahasiswi Ilmu Keperawatan Fakultas Kedokteran Universitas Sam Ratulangi Manado.Kata Kunci : Aromaterapi, lemon, Nyeri Menstruasi


2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Himawan Yusuf

ABSTRACT: Modification of threshold exemption from import duties was tested whether changing consumer preferences in shopping from abroad. This study uses a paired test with the initial hypothesis that there is no difference in the daily average value of imports before and after the policy is applied. The research data is only from the Customs offices which have services for shipment items (32 offices) on October 1, 2019, to March 2, 2020. Descriptive statistical results show that the average was USD135,065, then dropped to USD127,430. Based on the results, both the Paired Sample T Test and The Wilcoxon Signed Rank Test obtained a p-value of 0,000, meaning that the initial hypothesis was rejected. The adoption of this policy has changed the preferences of consumers shopping from abroad. The Government's aim to reduce the trade balance deficit and protect domestic businesses appears to be successful, however, if there are no substitute goods available in the country, the import will only move from importing consignment goods to general imports. The novelty is the variable of import duty on shopping preferences is not widely used. The limitation of this study only measures changes in spending preferences, do not in state revenue.Keywords: shopping preference, consignment, tax exemption, difference test ABSTRAK:Perubahan kebijakan batas pembebasan terhadap bea masuk dan pajak atas impor barang kiriman diuji apakah merubah preferensi konsumen dalam berbelanja barang yang dikirim langsung dari luar negeri melalui mekanisme impor barang kiriman. Penelitian ini menggunakan metode kuantitatif melalui uji berpasangan dengan hipotesis awal tidak adanya perbedaan nilai rerata impor harian baik sebelum maupun setelah kebijakan berlaku. Data penelitian hanya kantor-kantor Bea Cukai yang memiliki pelayanan atas barang kiriman (32 kantor) pada 1 Oktober 2019 sampai dengan 2 Maret 2020. Hasil statistik deskriptif menunjukkan bahwa rerata harian impor sebelum kebijakan tersebut berlaku sebesar USD135.065, kemudian turun menjadi USD127.430. Berdasarkan pengujian, baik pada Paired Sampel T Test maupun pada Wilcoxon Signed Rank Test diperoleh nilai p sebesar 0.000 (hipotesis awal ditolak). Hal ini berarti penerapan kebijakan tersebut telah merubah preferensi belanja dari luar negeri melalui impor barang kiriman. Tujuan Pemerintah untuk mengurangi defisit neraca perdagangan dan melindungi usaha dalam negeri tampaknya berhasil, namun apabila belum tersedia barang subtitusi di dalam negeri, importasi tersebut hanya akan berpindah dari impor barang kiriman menjadi impor umum. Keterbaruan pada penelitian ini adalah variabel bea masuk pada preferensi belanja belum banyak digunakan. Keterbatasan penelitian ini hanya mengukur perubahan preferensi belanja, tidak mengukur perubahan penerimaan negara.Kata Kunci: preferensi belanja, impor barang kiriman, pembebasan pajak, uji beda


Author(s):  
A. M. Shashi Shardha Alahakoon ◽  
D. B. Mahinda Wickramarathne

Background: Dysmenorrhea or painful menstrual periods is one of the common health issues the female university students experience which intervenes with academic activities and quality of life. Objectives: We aimed to find the prevalence, intensity, extent of impairment in academic engagement, and efficacy of the management of dysmenorrhea among nursing students at Peradeniya University, Sri Lanka. Methodology: This cross sectional study comprised 86 female nursing students who represented all four academic years. A self-administered questionnaire was used. The intensity and level of dysmenorrhea were assessed. Association of the extent of working impairment with the level of pain determined by Pearson correlation. Duration of dysmenorrhea persisted before and after management was compared using paired sample t-test. The effectiveness of management was analyzed using Wilcoxon signed-rank test. Results: The prevalence of dysmenorrhea was 97.7%. The majority (54.7%) suffered moderate pain. Mean age of the participants was 24.02 (±1.503). During the period of dysmenorrhea, 32.6%, 33.7%, and 17.4% students experienced slight, moderate, and heavy impairment of overall academic engagement. A positive correlation was observed between level of pain and extent of academic impairment ( p < 0.05). The majority practiced pharmacological and non-pharmacological pain relieving methods together. Wilcoxon signed-rank test value revealed more negative ranks and statistically significant reduction in intensity in post-management period ( z = −7.793, p = 0). Post-management dysmenorrhea duration was significantly reduced than pre-management ( t76 = 8.984, p = 0). Conclusion: A substantial percent of undergraduates suffer from dysmenorrhea. It is associated impairment of overall academic engagement. The nursing students were able to manage dysmenorrhea successfully.


2021 ◽  
Vol 6 (2) ◽  
pp. 209
Author(s):  
Insan Suwanto

This study aims to describe the level of students' understanding of adolescent reproductive health and to examine how the influence of information on their level of understanding. The research used was <em>pre-experimental designs </em>with a <em>one-group pretest-posttest design w</em>ith a total sample of 41 people. The instruments used in this study were the Students' Reproductive Health Understanding Level Scale (α=0.328) and interviews. Data were analyzed using <em>descriptive percentage </em>formula and <em>Wilcoxon signed rank test. </em>The results showed that the level of understanding of students about adolescent reproductive health is in the low criteria with an average value of 55.75%. Based on the results of the <em>Wilcoxon signed rank test</em>, it shows that there is an effect of providing information helps on the level of understanding of adolescent reproductive health. With the provision of information helps, students can gain an understanding of the material presented, namely the understanding of women's reproductive health. In addition, there is a prevention function so that students are able to avoid irresponsible behavior towards their own reproductive health.


Author(s):  
Suriani Ginting

The family can be involved in the patient's stoma care, so the family is expected to be able to monitor and help the patient to achieve self-care. Stoma is a bowel hole that appears on the surface of the abdomen in the reddish mucosa form. One way to increase family knowledge is by providing education. Education is an intervention that can help patients and families to maintain stoma health with appropriate care. The purpose of this study was to determine the effect of education on the ability of families on the treatment of stomas in patients undergoing colostomy at the General Hospital H. Adam Malik Medan. This research is a quantitative analytic study with a quasi-experimental research design by the pre and post test treatment groups. The population in this study were 71 people. A sample of 42 respondents representing the families of patients who had a colostomy at the General Hospital H. Adam Malik Medan. In this study, the analysis used is the Willcoxon Signed Rank Test, with p value <0.05. The average value of ability of the family before being educated was 2.00 and a range of 2 to 3. This shows that the ability of familieswas less in caring for stoma while the ability after being educated was of 3.00 and a range of 3 to 3. Its means that the family was able to perform stoma care for his family who had a colostomy. From the differences in the median value and probability was p <0.05.  It can be concluded that education has an effect on increasing the ability of families in stoma care in patients undergoing colostomy.


2019 ◽  
Vol 9 (1) ◽  
pp. 50-54
Author(s):  
Priscila Costa ◽  
Talita Ermini ◽  
Cecilia Helena de Siqueira Sigaud

Background: To determine the effects of an educational playful intervention on nasal hygiene behaviors among preschool (3-4 years old) children. Methods: A quasi-experimental before-after study was conducted with 39 children attending public daycare center in Sao Paulo, Brazil. A group-based intervention consisted of two educational sessions to promote healthy behaviors for nasal hygiene. It was adopted playful strategies such as a story told by puppets, card games and simulation of nasal hygiene in front of the mirror. The outcome was evaluated by observing six healthy behaviors for nasal hygiene one week before and after the intervention. Differences in the outcome before and after the intervention were tested using Wilcoxon signed rank test and McNemar’s test. Results: The median of healthy nasal hygiene behaviors went from 3.0 to 4.0 after the intervention, with a significant statistical difference (P=0.0004) and a difference of behaviors. After the intervention, forcing the air out of one opened nostril increased from 5.1%to 30.8% (P=0.001, CI 95%: 0-0.440), forcing the air out of the other nostril increased from 5.1% to 28.2% (P=0.003/CI 95%: 0-0.50), throwing the piece of toilet paper in the garbage increased from 53.8% to 87.21% (P=0.04, CI 95%: 0.035-0.65), and sanitizing the hands with soap and water increased from 15.4% to 43.6% (P=0.039-0.76). Conclusion: the educational playful intervention improved the autonomy of preschoolers to adopt healthy nasal hygiene behaviors.


2019 ◽  
Vol 3 (1) ◽  
pp. 25
Author(s):  
Dewi Nurhanifah ◽  
Desy Noor Latifah Sari ◽  
Rahmawati Rahmawati

Salah satu masalah kesehatan yang sering dialami adalah penyakit gastritis. Gejala yang sering dikeluhkan oleh penderita gastritis adalah mual. Salah satu penatalaksanaan keperawatan yang dapat mengurangi rasa mual adalah tirah baring. Penelitian ini bertujuan untuk mengetahui pengaruh tirah baring terhadap penurunan rasa mual pada klien gastritis di Pelayanan Kesehatan. Metode penelitian menggunakan eksperimental dengan bentuk penelitian one group pretest-posttest design. Populasi dan sampel adalah klien yang mengalami mual di Wilayah Kerja Puskesmas  yang berjumlah 15 orang. Sampel diambil dengan teknik purposive sampling. Alat pengumpul data menggunakan observasi. Analisa data melalui uji Wilcoxon Signed Rank Test. Hasil penelitian menujukkan klien gastritis sebelum tirah baring mengalami mual ringan sebanyak 7 orang (46,7%), sesudah tirah baring mengalami tidak mual sebanyak 7 orang (46,7%). Ada pengaruh tirah baring terhadap penurunan rasa mual pada klien gastritis di Pelayanan Kesehatan (ρ value = 0,001).


2017 ◽  
Vol 5 (1) ◽  
Author(s):  
Ferawato Ferawati

ABSTRAKReumatoid Artritis (RA) merupakan penyakit muscoloskelektal yang sering terjadi pada usia lanjut. Gangguan pada system muscoloskelektal yang ditandai dengan munculnya nyeri sendi dan kekakuan yang mengakibatkan penurunan kemampuan fisiologis atau kualitas hidup lansia. Dampak dari Reumatoid Artritis dapat menimbulkan beberapa keluhan dan dapat menyebabkan kelumpuhan. Untuk menganalisis efektifitas kompres jahe merah hangat dan kompres serai hangat terhadap penurunan intensitas nyeri artitris remauthoid pada lanjut usia.Metode Penelitian: Jenis penelitian adalah quasy experimental dengan two group pre – post test design. Subjek adalah sebagian lansia yang penderita Arthritis Remathoid di Desa Sumberagung Kecamatan Dander Kabupaten Bojonegoro. Subjek dibagi menjadi dua kelompok yaitu kelompok I (n=15) diberi perlakuan kompres jahe hangat dan II (n=15) diberi perlakuan kompres serai hangat. Analisis yang digunakan uji Mann Whitney U Test dan Wilcoxon Signed Ranks Test dengan ingkat kemaknaan α = 0,05.Hasil uji Wilcoxon Signed Rank Test, didapat keduanya mempunyai nilai kemaknaan yaitu ρ value = 0,000. Nilai ρ = 0,031 pada kelompok kompres serai hangat dan kelompok kompres jahe merah ρ value = 0,165. Hasil uji Mann Withney U Test pada Post perlakuan kedua terapi diperoleh selisih nilai nyeri pada kompres jahe ρ= 0,003 dan selisih nilai nyeri kompres serai ρ value = 0,001.Penggunaan kompres jahe merah lebih efektif dibandingkan dengan kompres serai terhadap penurunan intensitas nyeri arthritis remathoid. Kata Kunci: usia lanjut, Reumatoid Artritis (RA), jahe merah, serai, perbedaan efektifitas.    ABSTRACTReumatoid Artritis (RA) is a musculoskeletal which frequently occurs in the elderly. The disorders in the musculoskeletal system are noted by the occurrence of pain in the joints and stiffness which reduces the physiological abilities or life quality of the elderly. The disease causes many such complaints and  consequences of the disease rheumatoid arthritis may experience paralysis. The aims of this study is to analyze the effect of warm red ginger compress therapy and warm lemongrass compress therapy against of  Decreased pain intensity in  the elderly  with  artitris remauthoid. The study was Queasy experimental with two group pre – post test design. Subjects were some elderly people with Arthritis Remathoid in Sumberagung Village, Dander Sub District, Bojonegoro District. Subjects were divided into two groups: group I (n-15) with warm ginger compress therapy, and II (n=15) with warm lemongrass compress therapy. The analyses used in this study were the Mann Whitney U Test and Wilcoxon Signed Ranks Test with α of 0.05. Results of Wilcoxon Signed Rank Test obtained Both have meaning p value of  0.000. ρ value = 0,031 in a warm lemongrass compress therapy group and obtained of warm ginger compress therapy group ρ value = 0,165. The results of Mann Withney U Test on Post treatment second therapy, obtained difference of warm ginger compress therapy with ρ value= 0,003 and difference of warm lemongrass compress therapy with ρ value = 0,001.The use of warm ginger compresses therapy are more effective than a warm lemongrass compress therapy against decreased pain intensity in  the elderly  with  artitris remauthoid.  Keywords: elderly, artitris remauthoid, red ginger, lemongrass, differences in effectiveness


Author(s):  
I Ketut Widana

The working practice of the engineering students is part of the learning process that is irreducible and indispensable. The composition of  lecturing between theoretical and practical one is 40% to 60%. With this condition, the students spend more time at the laboratory. Generally, the students perform in the laboratory work by standing position. The design of research is observational cross-sectional. The method applied is observation, interview and measuring. The subjects of research are practicing students amounting to 21 students. Referring to the analysis of statistical test or Wilcoxon signed ranks test, the difference of effect of work position is significant, namely p < 0.05 towards musculoskeletal disorders (MSDs) before and after working. The quantity of the average complaint after working is score 44.62 ± 9.47. The result of Wilcoxon signed rank test shows that there is significant different effects of standing work position, namely p < 0.05 towards fatigue generally before and after working. The degree of the working pulse is on the average of 110.78  ± 17.80 bpm (beats per minutes) which can be categorized into the medium workload. Using paired t-test, the result is p < 0.05.


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