Effectiveness of Flaps Controlling Inflammation for Severe Pressure Sores in Older Patients with Multiple Comorbidities

2020 ◽  
Vol 16 (2) ◽  
pp. 88-93
Author(s):  
Hye-Kyung Lee ◽  
Hii-Sun Jeong
Keyword(s):  
Older Patients ◽  
Statistical Significance ◽  
T Test ◽  
Rank Test ◽  
Control Group ◽  
Pressure Sores ◽  
Older Individuals ◽  
Flap Surgery ◽  
Flap Coverage ◽  
Paired T Test

Background: Older patients with pressure sores secondary to medical problems generally are not likely to become physically active again and are therefore rarely considered candidates for flap surgery. When surgeons decide whether to perform surgery in older individuals with multiple morbidities, they must weigh the risks of prolonged general anesthesia and the burdens of flap surgery against the benefits of the flap.Methods: This retrospective study included patients over 65 years of age who were treated at our clinic from May 2010 to August 2018 for grade III or IV pressure sores. They underwent either general wound care without flap coverage (debridement only) or complete flap coverage of the sore (debridement plus flap group). We compared changes in laboratory blood tests from pre-operation to post-operation.Results: A total of 63 patients were included, with 53 in the flap coverage group and 10 in the control group. Age, sex, and flap size were statistically similar between groups (P>0.05). The control group exhibited no significant laboratory changes after debridement. The flap coverage group exhibited statistically significant improvements in neutrophil percentage and C-reactive protein level postoperatively (P<0.05, paired t-test). Serum hemoglobin, albumin and electrolyte levels did not differ with statistical significance from pre-operation to post-operation in either group (P>0.05, Wilcoxon signed-rank test and paired t-test).Conclusion: As pressure sore coverage with flaps may have a positive effect on controlling inflammation, flap surgery could be a viable option for older patients with severe pressure sores.

scholarly journals On Mindfulness Training for Promoting Mental Toughness of Female College Students in Endurance Exercise

2021 ◽  
Vol 2021 ◽  
pp. 1-12
Author(s):  
Yi Wang ◽  
Jing Tian ◽  
Qingxuan Yang
Keyword(s):  
College Students ◽  
Statistical Significance ◽  
Training Group ◽  
Mindfulness Training ◽  
T Test ◽  
Mental Toughness ◽  
Female College Students ◽  
Control Group ◽  
Female College ◽  
Paired T Test

Objective. The aim of this study was to examine the promoting effects of mindfulness training on female college students’ mental toughness in endurance exercise. Methods. A cluster sampling method was used to select 60 female college students as subjects. Based on the body mass index (BMI), stratified randomization was used to divide them into the mindfulness-training group and the control group. Participants in mindfulness-training group had an 8-week mindfulness training, while participants in control group waited. Before and after training, Five Facet Mindfulness Questionnaire (FFMQ) and Connor–Davidson Resilience Scale (CD-RISC) were used for pretest and posttest, and paired t-test and covariance analysis were performed on pretest and posttest between-group data. Results. (1) Paired t-test results showed the posttest scores (26.67 ± 3.56; 20.97 ± 3.66; 126.53 ± 8.59) of the three dimensions of description, nonresponse and FFMQ total score of the mindfulness-training group were higher than the pretest scores (25.53 ± 3.74; 19.23 ± 3.59; 121.43 ± 6.78). Statistical significance was shown in their differences (t = −2.25; −2.70; −3.25, p < 0.05 ). However, there was no statistical significance in the pretest and posttest of control group. The covariance analyses showed the posttest scores of the mindfulness-training group in three dimensions of description, nonresponse, and FFMQ were higher than the posttest scores of the control group. Statistical significance was shown in their differences (F = 6.55; 6.08; 5.91; p < 0.05 ). (2) Paired t-test showed posttest scores (46.50 ± 5.93; 30.40 ± 3.75; 15.00 ± 2.34) were significantly higher than pretest scores (42.60 ± 7.68; 26.50 ± 4.32; 12.87 ± 2.51) in all dimensions of the mental toughness of the mindfulness-training group. Statistical significance was shown in their differences (t = −3.135, −4.765, −4.922, p < 0.01 ). However, there was no significant difference in the pretest and posttest scores in all dimensions of the mental toughness of the control group. The covariance analysis showed that the posttest scores of all dimensions of the mental toughness of the mindfulness-training group were higher than those of the control group, and the differences were statistically significant (F = 11.133, 12.101, 16.053, all p < 0.001 ). (3) Paired t-test showed that the posttest score of the mindfulness-training group on exercise intensity perception immediately after 800-meter endurance run (5.67 ± 2.61) was lower than the pretest score (7.03 ± 1.24) and the difference was statistically significant (t = 4.18, p < 0.001 ), while the difference was not statistically significant in the control group. The covariance analysis showed that the posttest score of the mindfulness-training group on exercise intensity perception was lower than that of the control group, and the difference was statistically significant (F = 15.81, p < 0.001 ). Conclusion. Mindfulness training improved the level of female college students’ mindfulness and mental toughness in their endurance sports, while reducing the fatigue feeling of female college students in endurance sports.

PENGARUH PRACTICE BASED SIMULATION MODEL TERHADAP CRITICAL THINKING DI NURSING SKILL LABORATORY

2018 ◽  
Vol 4 (1) ◽  
Author(s):  
Retno Issroviatiningrum ◽  
Shanti Wardaningsih ◽  
Novita Kurnia Sari
Keyword(s):  
Critical Thinking ◽  
Simulation Model ◽  
Random Sampling ◽  
Simple Random Sampling ◽  
T Test ◽  
Control Group ◽  
Control Group Design ◽  
Group Design ◽  
Skill Laboratory ◽  
Paired T Test

ABSTRAK Upaya untuk meningkatkan mutu pendidikan keperawatan khususnya untuk mendukung peserta didik menjadi perawat profesional memerlukan proses pembelajaran dengan menggunakan fasilitas keterampilan klinis. Practice based simulation model didasarkan pada teori belajar konstruktif yang menegaskan bahwa pengetahuan tidak pasif ditransfer dari pendidik kepada peserta didik, tetapi dibangun oleh peserta didik melalui pengolahan pengalaman dan interaksi dengan lingkungan mereka. Dengan metode simulasi di laboratorium dapat mendorong mahasiswa untuk menggunakan critical thinking dalam mengambil keputusan dalam mengatasi masalah tanpa merugikan pasien yang sebenarnya. Penelitian ini bertujuan untuk menganalisis pengaruh practice based simulation model terhadap critical thinking pada mahasiswa semester VI di FIK Unissula Semarang. Penelitian ini menggunakan metode Quasy – Experiment dengan pendekatan pretest-posttest with control group design. Pengambilan sampel dengan teknik  simple random sampling dengan jumlah 21 responden baik kelompok intervensi maupun kelompok kontrol. Analisis data menggunakan uji Paired T-Test dan Independent Samples T-Test. Hasil penelitian selisih peningkatan critical thinking pada kelompok intervensi sebanyak 11.95 poin dan pada kelompok kontrol 2.05. Practice based simulation model berpengaruh terhadap critical thinking dengan nilai p=0.00<0.05. Disimpulkan bahwa practice based simulation model mempengaruhi critical thinking pada mahasiswa semester VI FIK Unissula Semarang. Kata kunci: Practice based simulation model, critical thinking

Pengaruh media teka-teki silang terhadap pengetahuan gizi seimbang pada anak sekolah dasar

2019 ◽  
Vol 2 (2) ◽  
pp. 107
Author(s):  
Umi Mahmudah
Keyword(s):  
T Test ◽  
Control Group ◽  
Paired T Test ◽  
Quasi Experiment

Latar Belakang: Anak-anak sekolah dasar merupakan salah satu kelompok rawan masalah gizi, baik pada gizi kurang maupun gizi lebih. Pendidikan gizi seimbang perlu diterapkan untuk mengatasi masalah gizi tersebut. Metode pendidikan mendorong peran serta dan keterlibatan anak untuk memberikan motivasi dalam belajar. Berbagai metode pendidikan yang menarik bagi anak antara lain permainan, tebak-tebakan, diskusi kelompok, serta peragaan. Tujuan: Untuk mengetahui pengaruh pendidikan gizi menggunakan media teka-teki silang (TTS) terhadap pengetahuan gizi seimbang pada anak sekolah dasar. Metode: Penelitian ini merupakan penelitian quasi experiment dengan rancangan pre-posttest with control group. Penelitian dilakukan pada anak Sekolah Dasar Negeri Donohudan I. Pengukuran pengetahuan gizi seimbang dilakukan sebanyak dua kali, yaitu pretest dan posttest. Penelitian ini dibagi menjadi dua kelompok, yaitu kelompok intervensi yang diberikan pendidikan gizi menggunakan teka-teki silang dan kelompok kontrol yang diberikan pendidikan gizi menggunakan ceramah. Pengukuran pengetahuan pretest dilakukan sebelum diberikan pendidikan gizi dan pengukuran pengetahuan posttest diberikan setelah dilakukan pendidikan gizi. Data dianalisis menggunakan Paired T-test dan Independent Sample T-test. Hasil: Terdapat perbedaan pengetahuan sebelum dan setelah dilakukan pendidikan gizi menggunakan media TTS dan media ceramah (p=0,010). Rerata peningkatan pengetahuan gizi menggunakan media TTS lebih tinggi dibandingkan dengan menggunakan metode ceramah pada anak sekolah dasar. Kesimpulan: Ada pengaruh pengetahuan gizi seimbang sebelum dan setelah diberikan pendidikan gizi, baik menggunakan media teka-teki silang maupun menggunakan media ceramah.

PENGARUH MEDIA GAMBAR TERHADAP KEMAMPUAN MENULIS PUISI SISWA

2018 ◽  
Vol 2 (1) ◽  
Author(s):  
Sinta Maria Dewi
Keyword(s):  
Design Method ◽  
Writing Skills ◽  
Class Action ◽  
T Test ◽  
Control Group ◽  
Control Group Design ◽  
Media Image ◽  
Group Design ◽  
Random Method ◽  
Paired T Test

Abstract: This research aims to know the Influence of Media Image on the ability of Writing Poetry students. The method used in this study is a random method that does not use posttes control group design method. The findings of this study show the average way of writing poetry on students by using the image media (experimental class) higher average poetry writing skills on students who were taught with conventional learning (control class). The average of pretest experiments obtained by experiment class is 63,75. The average pretest class of control class is 61,05. After the second class action, the average posttest of the experimental class is 79.45 and the control class is 74.95. Hypothesis calculation using t paired t test test and significance of 0.05 significant level indicates probability (significance) is 0,033. Because of the significance of 0.033

Examining of the Effects of Target-Oriented Circular Training on Biomotor Features by using Tennis Ball Throwing Machine at 12-14 Age Tennis Performance Sportsmen for 10 weeks

2021 ◽  
Vol 15 (11) ◽  
pp. 3174-3180
Author(s):  
Turgut Çamlibel ◽  
Mehmet Özal
Keyword(s):  
Statistical Significance ◽  
Vertical Jump ◽  
Repeated Measurements ◽  
T Test ◽  
Training Data ◽  
Control Group ◽  
Tennis Ball ◽  
Package Program ◽  
Visual Reaction ◽  
Experimental Group

Aim: In this work, it is aimed that examining the effects of target-oriented circular training on biomotoric features by using a tennis ball throwing machine at 12-14 age tennis performance sportsmen for ten weeks. Method: This research was implemented on sixteen active licensed athletes who played tennis for at least four years in Ankara. The athletes were randomly divided into two separate groups as the experimental group (n=8) and the control group (n=8). After measuring the height, weight, and fat rate of the athletes, biometric tests were started. Flamingo balance, sit-reach, reaction time, five meters and twenty meters sprints, T-test, and standing long jump tests were performed, respectively. Athletes were get heated for ten minutes before the tests and they were given a trying chance. The best scores were recorded by repeating each test twice. In the statistical analysis of the collected data, IBM SPSS 19 package program was used. In repeated measurements, the results were compared by two-way ANOVA with intergroup, intragroup and post-training data. Results: As a result, between the experimental group and control group data; on averages of T-Test (p<0.139), visual reaction (p<0.001), Flexibility (p<0.024), Vertical Jump (p<0.022), Flamingo Balance right foot (p<0.046) and left foot (p<0.045) statistical significance was confirmed. Keywords: Biomotoric features, ITN test, Tennis, Tennis ball machine

scholarly journals PENGARUH PEMBERIAN INFUSA DAUN LABU SIAM (Sechium edule) TERHADAP PENURUNAN KADAR KOLETEROL DARAH TOTAL TIKUS PUTIH JANTAN (Rattus norvegicus)

PHARMACON ◽  
2020 ◽  
Vol 9 (1) ◽  
pp. 151
Author(s):  
Ausich Singal ◽  
Edwin De Queljoe ◽  
Paulina Yamlean
Keyword(s):  
Rattus Norvegicus ◽  
Dose Group ◽  
T Test ◽  
Blood Cholesterol ◽  
Control Group ◽  
Cholesterol Levels ◽  
White Rats ◽  
Sechium Edule ◽  
One Way Anova ◽  
Paired T Test

ABSTRACT This study aims to determine the effect of infusion of conjoined pumpkin leaves (Sechium edule) on reducing total blood cholesterol of male white rats (Rattus norvegicus). The subjects of this study were 15 male white rats with an average body weight of 200 grams which were divided into 5 groups, each group consisted of 3 mice. The method used is a laboratory experiment with a completely randomized design. The results were obtained from 2 measurements of blood cholesterol levels, namely measurements before and after treatment. The treatment begins with the provision of high-fat foods for 48 days. On the 49th day a blood cholesterol level was measured before treatment. Furthermore, treatment was given to each group, namely aquades in the negative control group, simvastatin in the positive control group, and squash leaves infusion with their respective doses in the dose group I (40%), the dose group II (20%), and the dose group III (10%). Measurement of cholesterol levels after treatment was carried out on day 54. Data were analyzed by Paired t-test and One Way ANOVA. The analysis showed that there were no significant differences between treatment groups. Judging from the change in average and percentage, 40% infusion dose of siamese pumpkin leaves gives the best reduction in cholesterol levels. Keywords: Cholesterol, pumpkin leaves, male white mouse infusion. ABSTRAK Penelitian ini bertujuan untuk mengetahui pengaruh pemberian infusa daun labu siam (Sechium edule ) terhadap penuruan kolesterol darah total tikus putih jantan (Rattus norvegicus). Subjek penelitian ini berupa tikus putih jantan berjumlah 15 ekor dengan berat badan rata-rata 200 gram yang dibagi dalam 5 kelompok, masing-masing kelompok sebanyak 3 ekor. Metode yang digunakan yaitu eksperimen laboratorium dengan rancangan acak lengkap. Hasil penelitian diperoleh dari 2 kali pengukuran kadar koleterol darah yaitu pengukuran sebelum dan sesudah perlakuan. Perlakuan dimulai dengan pemberian makanan tinggi lemak selama 48 hari. Pada hari ke49 dilakukan pengukuran kadar kolesterol darah sebelum perlakuan. Selanjutnya diberikan perlakuan pada tiap kelompok yaitu aquades pada kelompok kontrol negatif, simvastatin pada kelompok kontrol positif, dan infusa daun labu siam dengan dosis masing-masing pada kelompok dosis I (40 %), kelompok dosis II (20 %), dan kelompok dosis III (10%). Pengukuran kadar kolesterol sesudah perlakuan dilakukan pada hari 54. Data diananlisis dengan Paired t-test dan One Way ANOVA. Hasil analisa menunjukan tidak terdapat perbedaan yang bermakna antar kelompok perlakuan. Dilihat dari perubahan rerataan dan presentase, dosis infusa  40% daun labu siam memberikan penurunan kadar koleterol terbaik. Kata kunci : Infusa daun Labu siam, kolesterol, tikus putih jantan.

scholarly journals PENGARUH MENYIKAT GIGI DENGAN SIWAK (Salvadora persica) TERHADAP pH SALIVA

2016 ◽  
Vol 4 (1) ◽  
pp. 45-54
Author(s):  
Yossy Juliarni ◽  
Gunawan Gunawan2
Keyword(s):  
T Test ◽  
Control Group ◽  
Case Group ◽  
Salvadora Persica ◽  
Control Group Design ◽  
Whitney Test ◽  
Mann Whitney Test ◽  
Significant Difference ◽  
Salivary Ph ◽  
Paired T Test

Background: Salivary pH is one of factor which involved in caries development. Decreasing of salivary pH will cause enamel demineralization. Miswak (Salvadora persica) as a toothbrush because it has mechanical and chemical effects such as essential oil and bicarbonate which can stimulate salivary secretion. Thus, it will increase the buffer capacity and salivary pH lead to enamel remineralization. Objective: This study aimed to know the effect of toothbrushing with miswak (Salvadora persica) on salivary pH. Methods: The clinical experiment study with pre-test and post-test control group design. The sample of this study is the students of Faculty of Dentistry, Andalas University, Padang. There are 34 students that divided into two groups randomly that is case and control group. Case group used miswak while control group used conventional toothbrush, respectively brushing horizontally for 2 minutes. Salivary pH was measured using digital pH meter in scale of 0.0 to 14.0 with 0.1 sensitivity from pen type pH meter. The data analyzed by Shapiro-Wilk test continued by paired t-test and Mann-Whitney test. Results: paired t-test produced significant value p=0,001 in case group and p=0,000 in control group. Mann-Whitney test produced significant value p=0.317. There was no significant difference in statistic among these groups. Conclusion: Toothbrushing with miswak has effect on salivary pH. Miswak as effective as toothbrush on salivary pH Keywords:Toothbrushing, miswak (Salvadora persica), Salivar

scholarly journals JALAN KAKI DAPAT MENURUNKAN TEKANAN DARAH PADA LANSIA

2022 ◽  
Vol 4 (1) ◽  
pp. 157-167
Author(s):  
Siti Rohimah ◽  
Novia Puspita Dewi
Keyword(s):  
T Test ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
Purposive Sampling ◽  
Group Design ◽  
Post Test ◽  
Paired T Test ◽  
Test Control

Hipertensi merupakan faktor penyebab utama kematian akibat stroke dan jantung coroner. Salah satu faktor yang mempengaruhi tekanan darah adalah aktivitas fisik. Penelitian ini bertujuan untuk mengetahui pengaruh aktivitas fisik jalan kaki terhadap tekanan darah pada lansia hipertensi di Desa Sindangkasih Kecamatan Sindangkasih Kabupaten Ciamis. Penelitian ini menggunakan metode quasi eksperimen pre-test post-test control group design. Pengambilan sampel dengan teknik purposive sampling lansia  hipertensi derajat 1 dan diperoleh 30 responden yang terbagi menjadi 2 kelompok. Instrumen dalam penelitian ini menggunakan tensimeter. Analisis data menggunakan  paired t-test. Hasil penelitian menunjukan adanya penurunan rata-rata tekanan darah sistolik pada responden kelompok intervensi sebesar 15 mmHg, sedangkan untuk penurunan rata-rata tekanan darah diastolic sebesar 13 mmHg. Pada kelompok kontrol terjadi penurunan rata-rata tekanan darah sistolik sebesar 4,3 mmHg dan penurunan rata-rata tekanan darah diastolik sebesar 4 mmHg. Hasil analisa data  menggunakan uji Independen Sample T-test didapatkan nilai signifikan p-value kelompok intervensi = 0,000 dengan ? = 0,05 .Karena p-value < 0,05 maka ada pengaruh aktivitas fisik jalan kaki terhadap tekanan darah pada lansia hipertensi di Desa Sindangkasih Kecamatan Sindangkasih Kabupaten Ciamis Tahun 2021. Kesimpulan penelitian ini adanya pengaruh aktivitas jalan kaki selama 30 menit terhadap tekanan darah sistolik dan diastolik pada lansia hipertensi.

scholarly journals Buzz Group Technique to Promote Students Reading Comprehension

2019 ◽  
Vol 10 (2) ◽  
Author(s):  
Nurul Afifah
Keyword(s):  
Reading Comprehension ◽  
T Test ◽  
Eighth Grade ◽  
Control Group ◽  
Eighth Grade Students ◽  
The Mean ◽  
And Control ◽  
Academic Year ◽  
Paired T Test ◽  
Group Technique

This present study was quasi experiment research. This study aimed to find out whether or not there is any the improvement of the students’ reading comprehension by using buzz group technique. The population of the study was all the eighth grade students of SMP SENTOSA BAKTI BATURAJA in Academic Year 2019/ 2020. The sample was taken by using cluster random sampling. The sample is divided by two experimental class and control group. The try-out was done at VIII. C with 22 respondents. The data was collected by using test. The reliability of the data was taken through Alpha Cronbach. The data were analyzed by using paired T-test of control class and paired t-test of experimental class and independent t-test too. The result showed that from the mean score was 71 improved to be 84, 6 and based on independent T-test the value of T obtained was 8,122 as significant level of 0.05 for 2 tailed testing and degree of freedom (df) was 48 the critical value of T table 3, 425. The value was higher than T table (8,122>3,425) and the value sig, (2 tailed)= 0.000 less than the value of significant level (0.05).  It mean that there was significant improvement the students who was taught by using buzz group technique and those who was not at SMP SENTOSA BAKTI Baturaja. It concluded that Buzz group technique was effective to promote students’ reading comprehension at the Eighth Grade students of SMP SENTOSA BAKTI BATURAJA.

scholarly journals EFFECT OF HYPNO-PRESSURE ON ANXIETY IN PATIENTS WITH CARDIOVASCULAR DISORDER

2018 ◽  
Vol 4 (1) ◽  
pp. 39-44
Author(s):  
Dwi Antara Nugraha ◽  
Sri Endang Pujiastuti ◽  
Budi Widiyanto ◽  
Choiroel Anwar
Keyword(s):  
Cardiovascular Disorder ◽  
T Test ◽  
Control Group ◽  
P Value ◽  
State Trait Anxiety Inventory ◽  
Control Group Design ◽  
Group Design ◽  
Anxiety Levels ◽  
And Control ◽  
Paired T Test

Objective: This study aimed to determine the effectiveness of the combination of hypnotherapy and acupressure (hypno-pressure) on anxiety levels in patients with cardiovascular disorders.Methods: A quasy-experimental research with pretest-posttest with control group design was used. Fifty-six respondents were selected using purposive sampling in this study, which 28 respondents were randomly assigned in the experiment and control group. The Spielberger State-Trait Anxiety Inventory (STAI) Form Y was used to measure anxiety. Paired t-test and Independent t-test were used for data analysis.Results: There was a significant effect of hypno-pressure on the decrease of anxiety levels in patients with cardiovascular disorder with p-value 0.000 (<0.05), t = 7.217, and effect size of 1.96.Conclusion: Hypno-pressure could reduce anxiety levels in patients with cardiovascular disorder.

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