scholarly journals Hematological variability analysis after road marathon vs ultratrail

Kinesiology ◽  
2020 ◽  
Vol 52 (2) ◽  
pp. 178-186
Author(s):  
María Desamparados Bernat-Adell ◽  
Rania Achouak Hafsi ◽  
Pablo-Salas Medina ◽  
Ana Folch-Ayora ◽  
Carlos Hernando-Domingo ◽  
...  

The practice of long- and medium-distance races has exponentially increased the number of participants in recent years. They are carried out under extreme conditions that cause both biochemical and anthropometric changes in athletes and, in addition, have serious risks associated, such as dehydration, thermal disorders, or hypoglycemia. Knowledge regarding alterations at hematological level after this type of effort is limited. The objectives of this pre-post analytical descriptive observational study were: to describe and compare hematological values in amateur runners pre and post road marathon and ultratrail races, and to compare the hematological parameters between the groups in the two times analyzed by means of univariate descriptive statistical analyses, intra-group pre-post comparisons (Wilcoxon Signed-Rank Test), and comparisons between the groups (Mann-Whitney U Test). Effect size was calculated using Cohen’s D. An explanatory model (Multiple Logistic Regression) was created. Statistical significance was set at p<.05. The Wilcoxon test for marathon runners observed significant differences (p≤.001) in the white series. In ultratrail runners, the results were similar, with significant differences (p≤.001) in the platelet series. The Mann-Whitney U test showed the same pre-race hematological conditions for both groups, except for hematocrit and corpuscular values (p≤.001). Significant differences (p≤.001) were also found in the post-race leukocyte and neutrophil values. Significant differences in hematological parameters have been observed both between and within the groups. The differences with greater significance corresponded to the leukocyte series.

2020 ◽  
Vol 5 (2) ◽  
pp. 96
Author(s):  
Marice Oktavia Hutagalung ◽  
Joni Haryanto ◽  
Rista Fauziningtyas

Pendahuluan: Disabilitas merupakan masalah yang paling umum dihadapi oleh lansia. Hal tersebut dapat mempengaruhi kualitas hidup lansia, sehingga dibutuhkan perawatan dari keluarga. Tujuan penelitian ini adalah untuk mengetahui pengaruh pemberdayaan keluarga terhadap self-efficacy dan kualitas hidup lansia.Metode: Rancangan penelitian ini adalah penelitian Quasy Experimental dengan menggunakan data kuantitatif. Sampel sejumlah 39 responden yang berkunjung di Puskesmas Oebobo Kota Kupang Nusa Tenggara Timur dengan menggunakan teknik purposive sampling. Data diperoleh dari kuesioner General self efficacy scale (GSES) dan kualitas hidup lansia menggunakan WHOQOL – BREF. Analisis dengan menggunakan uji statistik wilcoxon test dan mann- whitney.Hasil: Hasil uji wilcoxon signed rank test menunjukkan adanya pengaruh pemberdayaan keluarga terhadap kualitas hidup lansia sebelum dan sesudah intervensi dengan nilai p = 0,034 atau ≤ 0,05. Uji mann whitney post-test kelompok perlakuan dan kelompok kontrol menunjukka terdapat perbedaan yang bermakna antara nilai post-test kecemasan kelompok perlakuan dibandingkan kelompok kontrol dengan nilai p = 0,000 atau p ≤ 0,05.Kesimpulan: Terdapat hubungan yang positif pada pemberdayaan keluarga dalam meningkatkan self efficacy dan kualitas hidup lansia. Semakin baik pola peran keluarga maka semakin baik tingkat self efficacy dan kualitas hidup lansia. Perawat komunitas dapat memberikan edukasi atau penyuluhan tentang pemberdayaan keluarga dalam ikutserta perawatan pada lansia untuk meningkatkan kualitas hidup lansia.


Author(s):  
Catur Prasastia lukita Dewi ◽  
Husnul Hatimah

Menstruation is one factor that can reduce hemoglobin levels in young women. Hemoglobin is a protein in the form of an iron-rich oxygen-carrying pigment. Pharmacological therapy that can increase hemoglobin levels include the consumption of honey. This study aims to determine the effect of honey consumption on changes in hemoglobin levels during menstruation in adolescent girls at Ma'had Aly Pondok Boarding School Salafiyah Syafi'iyah Sukorejo Situbondo Year 2017 This research design using pre-experiment design. A sample of 15 respondents who confirm the inclusion criteria. Sampling technique is by proportional stratified random sampling . From the 15 respondents , all of them in the given consumption of honey . The data obtained were processed with SPSS 16 software. The Analysis of the data used is the Wilcoxon signed rank test trials . The results showed that the effect of honey on changes in Haemoglobin levels during menstruation in adolescent girls, performed by statistical test using Wilcoxon test with the help of SPSS for 16.0 windows obtained result p = 0,001 <α = 0,05. Thus Ho is rejected and H1 accepted which means there is influence of giving honey to changes of hemoglobin level during menstruation in adolescent daughter. Honey is able to increase hemoglobin levels because the iron content contained in honey is very effective in raising the levels of hemoglobin in the blood, especially during menstruation. Therefore, it is expected that honey still needs to be continued so that the risk of anemia in adolescent menstruation can be minimized


2016 ◽  
Vol 65 (3-4) ◽  
pp. 39-43
Author(s):  
Marko R. Cincović ◽  
Jože Starič ◽  
Branislava Belić ◽  
Jožica Ježek ◽  
Ivana Lakić

SummaryThe aim of this study is to investigate the influence of hemolysis degrees on the values of hematological and biochemical parameters in the blood samples of cows in early lactation. The study included a total of 45 blood samples of cows in early lactation. Out of the total number of samples analyzed, 15 indicated no signs of hemolysis, whereas 15 indicated moderate hemolysis and 15 severe hemolysis. The influence of hemolysis was examined by determining the bias (%) and by means of the Wilcoxon signed-rank test. The results showed that the hemolyzed samples had decreased values of the HCT, RBC, MCV, and increased values of the MCH, MCHC, and PLT. The total number of LEU showed a declining trend with increasing degrees of hemolysis. The changes in the HGB values were not detected despite the visual identification. The hemolysis degrees showed a significant influence on the values of biochemical parameters. The variations in biochemical parameters were less significant in the samples with moderate hemolysis compared to the samples with severe hemolysis. The most hemolysis-sensitive biochemical parameters were the AST, TBIL, TGC, and NEFA as great variations of their values were found even in moderate hemolysis. A slight deviation was noted in the BHB and total protein values. With respect to all the parameters examined, the Wilcoxon test showed significant differences in the samples with moderate and severe hemolysis in comparison with the control group. In conclusion, hemolysis significantly influenced the values of hematological and biochemical parameters in the blood samples analyzed.


Author(s):  
Catur Prasastia lukita Dewi ◽  
Husnul Hatimah

Menstruation is one factor that can reduce hemoglobin levels in young women. Hemoglobin is a protein in the form of an iron-rich oxygen-carrying pigment. Pharmacological therapy that can increase hemoglobin levels include the consumption of honey. This study aims to determine the effect of honey consumption on changes in hemoglobin levels during menstruation in adolescent girls at Ma'had Aly Pondok Boarding School Salafiyah Syafi'iyah Sukorejo Situbondo Year 2017 This research design using pre-experiment design. A sample of 15 respondents who confirm the inclusion criteria. Sampling technique is by proportional stratified random sampling . From the 15 respondents , all of them in the given consumption of honey . The data obtained were processed with SPSS 16 software. The Analysis of the data used is the Wilcoxon signed rank test trials . The results showed that the effect of honey on changes in Haemoglobin levels during menstruation in adolescent girls, performed by statistical test using Wilcoxon test with the help of SPSS for 16.0 windows obtained result p = 0,001 <α = 0,05. Thus Ho is rejected and H1 accepted which means there is influence of giving honey to changes of hemoglobin level during menstruation in adolescent daughter. Honey is able to increase hemoglobin levels because the iron content contained in honey is very effective in raising the levels of hemoglobin in the blood, especially during menstruation. Therefore, it is expected that honey still needs to be continued so that the risk of anemia in adolescent menstruation can be minimized


2020 ◽  
Author(s):  
Torao Ishida ◽  
Ken Takagi ◽  
Gui-feng Wang ◽  
Nobuyuki Tanahashi ◽  
Jun Kawanokuchi ◽  
...  

Abstract PD-1 has a role in regulating the response of the immune system to the cells of the human body. Paris et al. reported that combination antiretroviral therapy did not change % CD4+ of PD-1highCTLA-4lowCD127high early/intermediated T cells of human immunodeficiency virus infected patients but increased the percent of the marker limited to initial CD4 counts <200 with Wilcoxon signed-rank test. We hypothesized that the treatment increased the marker value in patients whose initial marker value is less than a particular value and decreased the marker value in other patients and that the test misleadingly concluded that the treatment did not change the marker value. General subgroup analyses correctly estimate the statistical significance of such a reaction or difference between such reactions only when the reaction of both of subgroups or both difference between such subgroups is statistically significant. We propose Ishida’ t-test for paired samples that can correctly judge the probability without division of the group into subgroups, and Ishida’ t-test for unpaired samples that can correctly judge the statistical significance of the difference between such reactions. We also showed that many treatments cause such increase and decrease of marker values relating PD-1 of subjects.


Author(s):  
Maria E. Alves ◽  
Daniel A. Marinho ◽  
Duarte N. Carneiro ◽  
Jorge Alves ◽  
Pedro Forte ◽  
...  

The aim of this study was to compare the X-ray diagnosis with a non-invasive method for spine alignment assessment adopting a visual scan analysis with a plumb line and simetograph in middle-school students. The sample of this study was composed of 31 males and 50 females with an average age of 14.23 (± 3.11) years. The visual scan analysis was assessed at a school; whereas, the X-ray was performed in a hospital. The Wilcoxon signed-rank test was used to assess the differences between methods and scoliosis classifications (non-accentuated <10º and scoliosis >10º), and the Kappa was used to assess the agreement between methods. The comparisons between the methods revealed non-significant differences (z = −0.577; p = 0.564), with almost perfect agreement between tests (K = 0.821; p < 0.001). Moreover, no statistical significance was observed between methods by the scoliosis classification (z = −1.000; p = 0.317), with almost perfect agreement between tests (K = 0.888; p < 0.001). This research supports the conclusion that there are no significant differences between the two methods. Therefore, it should be highlighted that this field test should be used by physical education teachers in their classes, or in a school context, in order to determine misalignments or scoliosis prevalence among middle-school students.


2020 ◽  
Vol 11 (37) ◽  
pp. 15-28
Author(s):  
Bartosz Kurek ◽  
Ireneusz Górowski

RESEARCH OBJECTIVE: The aim of the paper is to identify and quantify selected salary expectations determinants (including gender) of Accounting and Controlling students at Cracow University of Economics. THE RESEARCH PROBLEM AND METHODS: We conduct a survey of expected salaries among students . We use Shapiro-Wilk W test and Wilcoxon signed-rank test for initial analysis. We then build econometric linear models in which salary expectations are dependent variables, whereas GPA, holding a foreign language certificate, gender and age are independent variables. We estimate these models by OLS. We use Huber/White robust standard errors to assess statistical significance of each parameter. THE PROCESS OF ARGUMENTATION: Graduates of accounting pro­grammes are sought at the labour market. For cognitive purposes and edu­cational policy implications it is of utmost importance to understand which observable factors differentiate students in their salaries’ expectations. RESEARCH RESULTS: We find a number of variables that are statistically significant and associated with the expected salary. Higher salaries for graduates of Accounting and Controlling major are expected by: students with lower GPA, holders of a foreign language certificate, male students, younger students. On the contrary, lower salaries are expected by students with higher GPA, students who do not hold a foreign language certificate, female students, older students. CONCLUSIONS, INNOVATIONS, AND RECOMMENDATIONS: Students differ among themselves – thus we observe various salary expectations. Nonetheless, some of the obtained results are puzzling. We find that female stu­dents demand lower salaries. Similarly it is surprising that students with lower GPA expect higher salaries. As a result, we recommend to further investigate determinants of salary expectations.


Author(s):  
Waluyo Waluyo ◽  
Kusnanto Kusnanto ◽  
Yanis Kartini

Catheter associated urinary tractus infection is a urinary tract infection due to urinary catheter placement that lasts more than two days. Catheter associated urinary tractus infection can be prevented by applying infection prevention practices based on proven evidence. Catheter maintenance are some of the measures to prevent the infection. Nurse compliance with catheter care and catheter maintenance is very important in preventing catheter associated urinary tractus infection. The aims of this study was to determine the increase in prevention of catheter associated urinary tractus infection by training catheter maintenance. This research was an experimental using a one-group pre-post test design. The study population consisted of inpatient nurses by 51 nurses and 116 patients with permanent urinary catheters. The technique of sampling used total sampling. Data analysis performed with a Wilcoxon signed rank test test. The result of wilcoxon test showed the p value of signature of 0.00 so that there was an influence between training on catheter maintenance on increasing the prevention of catheter associated urinary tractus infection. The result of training catheter maintenance was to increase nurse compliance in preventing catheter associated urinary tractus infection. Keywords: catheter maintenance; urinary tractus infection ABSTRAK Catheter Associated Urinary Tractus Infection merupakan infeksi saluran kemih akibat pemasangan kateter urin yang menetap lebih dari dua hari. Catheter associated urinary tractus infection dapat dicegah dengan cara menerapkan praktik pencegahan infeksi berdasarkan bukti yang sudah teruji. Catheter maintenance merupakan sebagian dari beberapa tindakan untuk mencegah infeksi tersebut. Kepatuhan perawat terhadap pelaksanaan catheter maintenance sangat penting dalam mencegah catheter associated urinary tractus infection ini. Tujuan penelitian ini adalah untuk mengetahui peningkatan pencegahan catheter associated urinary tractus infection dengan pelatihan catheter maintenance. Penelitian ini merupakan quasi eksperiment dengan menggunakan rancangan one-group pre-post test design. Populasi penelitian ini perawat ruang rawat inap sebesar 51 perawat dan 116 pasien yang terpasang kateter urin menetap. Tehnik sampling yang digunakan adalah total sampling. Analisis data dilakukan dengan uji statistik Wilcoxon signed rank test dengan hasil p value signifikansi 0,00 sehingga ada ada pengaruh antara pelatihan tentang catheter maintenance terhadap peningkatan pencegahan catheter associated urinary tractus infection. Hasil dalam penelitian ini adalah pelatihan catheter maintenance meningkatkan kepatuhan perawat dalam pencegahan catheter associated urinary tractus infection. Kata kunci: catheter maintenance; urinary tractus infection


2001 ◽  
Vol 94 (5) ◽  
pp. 729-731 ◽  
Author(s):  
J. Ruari Greer ◽  
Sharon P. Smith ◽  
Tim Strang

Background The design of an endotracheal tube has been shown to influence the passage of the tube through the glottis during fiberoptic intubation. Difficulty in passing the endotracheal tube can occur if the aryepiglottic folds obstruct the passage of the bevel. The relevant aspects of endotracheal tube design include the shape of the bevel, the material used by the manufacturer, and the ability of the tube to conform to the shape of the fiberscope. The aim of the current study was to compare the ease of passage through the glottis of two different tubes. One tube was a wire reinforced polyvinyl chloride tube with a standard bevel and the other was a newly designed tube with a bevel of different shape and made of silicone rubber. The new design is for use with the a commerical intubating laryngeal mask. Methods The authors studied a population of 30 patients who received a standard anesthetic. In all cases, oral fiberoptic intubation was attempted. Anesthetic was administered to each patient using both tubes, and before the study the order of the tubes was randomized. The difficulty in passing the tube was assessed by a blinded observer and graded using a three-point scale (grade 1: no difficulty passing the tube; grade 2: obstruction to passing the tube relieved by withdrawal and a 90 degrees anticlockwise rotation; grade 3: obstruction necessitating more than one manipulation or external laryngeal manipulation). Results In 27 patients, no difficulty was shown by use of the silicone-tipped tube. In only three patients was there difficulty that necessitated a 90 degrees anticlockwise twist. With the wire-reinforced tube, no difficulty was experienced on 14 occasions. Grade 1 difficulty was experienced eight times and difficulty necessitating more than one maneuver, head movement, or external laryngeal manipulation was seen on eight occasions. Statistical significance was achieved at P = 0.0002 (Wilcoxon signed rank test). Conclusions The authors conclude that the use of the silicone-tipped tube with the new bevel design may provide an advantage in the clinical situation of fiberoptic intubation.


2014 ◽  
Vol 128 (S2) ◽  
pp. S48-S54 ◽  
Author(s):  
M A Bitar ◽  
A A Kanaan ◽  
S Sinno

AbstractObjective:To assess the effectiveness and safety of coblation in relieving inferior turbinate hypertrophy in children.Methods:An observational cohort study was undertaken. The severity of allergic rhinitis and the severity and degree of nasal obstruction were assessed using subjective and clinical symptom grading tools, a visual analogue scale, and endoscopy. Any post-operative complications were noted at 1 week, and at 1, 3, 6 and 12 months post-operatively. Data from extended follow-up periods were included when available. The statistical significance of changes in parameter values was assessed using the Wilcoxon signed-rank test.Results:Thirty-two patients were recruited (mean age, 11.28 years; range, 6–17 years). Significant post-operative improvement (p < 0.001) was noted in the severity and degree of nasal obstruction. This improvement was maintained after a mean follow-up period of 10.5 months (range, 1 month to 4 years). No mucosal ulceration or adhesion was encountered. Minimal crusting was noted in 8.57 per cent of patients at 1-week follow up. Allergic rhinitis symptoms improved significantly.Conclusion:Inferior turbinate reduction by coblation is an effective and safe procedure in children aged six years and older. The positive outcomes seem to be long-lasting.


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