scholarly journals Effect of pterygium excision on mean corneal curvature.

2021 ◽  
Vol 28 (04) ◽  
pp. 568-571
Author(s):  
Saira Bano ◽  
Sumaya Khan ◽  
Mahnoor Waqar ◽  
Moniba Iqbal ◽  
Hamza Waqar Bhatti ◽  
...  

Objective: To determine the difference in mean corneal curvatures before and after pterygium excision. Study Design: Quasi-experimental study. Setting: Department of Ophthalmology, Holy Family Hospital, Rawalpindi. Period: 1st January 2015 to 1st July 2015. Material & Methods: 68 patients aged between 18 to 65 years were included in the study. Patients with history of ocular trauma, ocular surgery, glaucoma, anti-glaucoma treatment, allergy to steroids, pseudo pterygium, recurrent pterygium and presence of corneal abnormalities such as, scarring that might affect the astigmatic value were excluded. All patients underwent comprehensive ophthalmic examination by slit lamp and best corrected visual acuity and keratometric values were noted. Pterygium excision was done by a single surgeon. BCVA and keratometric readings were taken again after 2 weeks of pterygium excision. Results: Mean age was 37.60 ± 11.11 years. Out of these 68 patients, 44 (64.71%) were male and 24 (35.29%) were females. Mean pre-operative corneal curvature was 2.99 ± 0.69D and post-operative corneal curvature was 1.70 ± 0.40D with P-value of <0.0001 which is statistically significant. Conclusion: This study concluded that pterygium excision brings significant change in corneal curvature in patients of pterygium induced astigmatism.

2021 ◽  
Vol 21 (1) ◽  
pp. 215
Author(s):  
Indah Dewi Sari ◽  
Utary Dwi Listiarini

Half of the women in Indonesia experience menstrual pain / dysmenorrhoea, 54.89%, experience various disorders including abdominal pain, cramps and back pain. The purpose of this study was to determine the effectiveness of acupressure, ginger drink and the difference in giving acupressure and ginger drink to reducing the intensity of menstrual pain / dysmenorrhea in young women at SMK Swasta PAB 5 Klambir Lima 2020. The design of this study used a quasi-experimental pre and post test with a sample of 30 students who were divided into two groups. Each group was given acupressure and ginger drink in the morning and evening during menstruation from day one to day two. Respondents were assessed for pain before and after the intervention was given. The results of the Shapiro-Wilk normality test contained Sig data (p <0.05). The Wilcoxon test has a p-value of 0.002 (p <0.05), which means that acupressure is effective in reducing the intensity of menstrual pain / dysmenorrhea, there is a p-value of 0.001 (p <0.05) which means that ginger is effective against reducing pain intensity. menstruation / dysmenorrhea, there is a p-value of 0.034 (p <0.05), which means that there is a difference in the effectiveness of acupressure and ginger drink in reducing the intensity of menstrual pain / dysmenorrhea. There is an effectiveness of giving acupressure, ginger drink, and there is a difference in giving acupressure and ginger drink on the intensity of menstrual pain / dysmenorrhea on young women. It is hoped that the school will provide ginger drinks and acupressure measures to young women who experience menstrual pain / dysmenorrhea so that they can participate in learning activities at school.


2020 ◽  
Vol 9 (1) ◽  
pp. 25-30
Author(s):  
Dikchhya Sharma ◽  
Gunjan Prasai ◽  
Om Krishna Malla

Background: Pterygium induces a significant amount of astigmatism. Pterygium excision with conjunctival limbal autograft results in significant reduction in astigmatism by inducing a reversal of pterygium induced corneal flattening thereby improving the vision. Objectives: The aim of this study was to investigate the amount of corneal astigmatism in patients with pterygium before and one month (4 weeks) after surgery.  Methodology: The prospective observational study was conducted in 31 patients who underwent pterygium excision with limbal autograft in Kathmandu Medical College Teaching Hospital during the study period of 12 months duration. Patients with recurrent pterygium, pseudopterygium, history of ocular trauma, history of ocular surgery, corneal scarring were excluded from the study. After surgery, patients were followed for four weeks. Findings were recorded in the proforma and statistical analysis was done in SPSS version 19.   Results: Pterygium was seen in all age groups with majority being in the active age range of 41-50 yrs. Females were most commonly affected. Significant difference in corneal astigmatism was noted postoperatively with a p value being 0.01. Conclusion: The technique of pterygium excision with limbal conjunctival autograft not only reduces the chances of recurrence but also helps in reducing the induced corneal astigmatism which is responsible for decreased vision in patients with pterygium.


2014 ◽  
Vol 26 (3) ◽  
Author(s):  
Soo Ling Fu ◽  
Silvi Kintawati ◽  
Sri Tjahajawati

There has been a long history of the use of plants to improve dental health and oral hygiene. The purpose of this research was to find out the difference of salivary pH before and after toothbrushing with toothpaste containing betel leaf (Piper betel). The type of research used was quasi-experimental. Data collected were analyzed by using a paired t-test. The result shows that there is an increase of salivary pH by an average of 0.48 after toothbrushing with toothpaste containing betel leaf (Piper betel). In conclusion, there is the difference between the salivary pH before and after toothbrushing with toothpaste containing betel leaf (Piper betel).


2017 ◽  
Vol 1 (1) ◽  
pp. 20
Author(s):  
Tri Ramadhani ◽  
Bondan Fajar Wahyudi

<p><em>Dengue vector control has been done in various ways, however, has not been able to obtain optimal </em><em>results. Ovirap use to determine the presence of Aedes sp in a region is often done, but the application </em><em>of lethal ovitrap for population control Aedes sp still rarely done. This study was aimed to assess the </em><em>effect of LO applications on populations of Aedes sp. </em></p><p><em></em><em>This research includes quasi experimental design with a pretest-posttest control group without </em><em>randomization. Research sites in dengue in endemic areas in Banyumas district, with a total sample of </em><em>100 homes in each treatment and control areas. Insecticides used on ovistrip is cypermethrin at a dose </em><em>of 12.5 mg ai/strip. Populations of Aedes sp measured each week for three weeks prior to the </em><em>intervention and twelve weeks during the intervention. The mean density of Aedes sp compared before </em><em>and after intervention and between treatment and control areas.</em><br /><em>The study showed the difference of mosquito densities before and after the intervention in the </em><em>experimental group was 0,07 ( p-value 0.044), whereas the control group was 0.037 (p-value 0.341). </em><em>LO use with the addition of insecticide active ingredient cypermetrin on ovistrip impact on the decline </em><em>density of Aedes sp.</em></p>


2021 ◽  
Vol 7 (3) ◽  
pp. 576-583
Author(s):  
Dinni Randayani Lubis ◽  
Legina Anggraeni

Background. Breast milk is the best food given to babies especially when the baby is 0-6 months old. Many of the benefits felt by one of them is getting the nutrients needed by the baby in his golden period. In nutrition status monitoring shows that the coverage of exclusive breastfeeding during the first 6 months by mothers is still very low, one of the reasons is the inadequacy of breast milk production. Oxytocin massage is a useful therapy in increasing the hormone prolactin so that the production of breast milk in mothers will also increase.Purpose. To find out the effect of oxytocin massage on the increase in the production of breast milk in nursing mothers who have babies aged 0-6 months.Method.This study uses a quasi-experimental design using one group pre-post test. The number of samples was 33 people, with the inclusion criteria being that the mother did not use drugs to increase the production of breast milk/milk booster and was willing to follow the treatment in the study, while the exclusion criteria were that the mother did not exclusively breastfeed her baby, had an areola inverter breast anatomy structure, had a history of open wounds in the back area. Prior to the oxytocin massage, respondents were measured for signs of breast milk adequacy through questionnaires filled out before and after the intervention, then the baby's weight was measured before and after the intervention using a baby's weight measurement after 4 weeks of oxytocin massage.Results. Oxytocin massage intervention can increase the production of breast milk by 0.52 which from before the intervention by 1.12 to 1.64 after intervention. Based on the results of dependent T Test obtained P-value 0.0001 which means there is a meaningful relationship between the administration of oxytocin massage to the increase in the production of breast milk in nursing mothers.Conclusion. There is an influence of occult massage on the increase of breast milk production in nursing mothers who have babies aged 0-6 months.Suggestion. Researchers are then expected to use more samples and longer periods of intervention Keywords: Oxytocin massage, Breast Milk, Breastfeeding ABSTRAK Latar belakang. Air Susu Ibu (ASI) merupakan makanan yang terbaik diberikan kepada bayi terlebih saat bayi tersebut berusia 0-6 bulan. Banyak manfaat yang dirasakan salah satunya adalah mendapatkan zat gizi yang dibutuhkan oleh bayi di periode keemasannya. Pada pemantauan status gizi menunjukan bahwa cakupan pemberian ASI Ekslusif selama 6 bulan pertama oleh ibu masih sangat rendah, salah satu alasannya adalah ketidakcukupan produksi ASI. Pijat oksitosin merupakan terapi yang bermanfaat dalam meningkatkan hormone prolaktin sehingga produksi ASI pada ibu juga akan meningkat.Tujuan Penelitian Untuk mengetahui pengaruh pemberian pijat oksitosin terhadap peningkatan produksi ASI pada ibu menyusui yang memiliki bayi berusia 0-6 bulan.Metode. Penelitian ini menggunakan desain kuasi eksperimen dengan menggunakan one group pre-post test. Jumlah sampel sebanyak 33 orang, dengan kriteria inklusi adalah Ibu tidak menggunakan obat untuk meningkatkan produksi ASI/booster ASI dan bersedia mengikuti treatmen pada penelitian, sedangkan kriteria eklusi adalah ibu tidak menyusui bayinya secara eksklusif, memiliki struktur anatomi payudara aerola inverter, memiliki riwayat luka terbuka di area punggung. Sebelum dilakukan pijat oksitosin, responden diukur tanda-tanda kecukupan ASI melalui kuesioner yang diisi sebelum dan sesudah intervensi, selanjutnya pada bayinya akan diukur berat badan sebelum dan sesudah intervensi menggunakan penimbangan berat badan bayi setelah 4 minggu pemberian pijat oksitosin.Hasil. Intervensi pijat oksitosin dapat meningkatkan produksi ASI sebesar 0,52 yang dari sebelum intervensi sebesar 1,12 menjadi 1,64 setelah dilakukannya intervensi.Berdasarkan hasil Uji T dependen didapatkan hasil P-value 0,0001 yang artinya terdapat hubungan yang bermakna antara pemberian pijat oksitosin terhadap peningkatan produksi ASI pada ibu yang menyusui.Kesimpulan. Terdapat pengaruh pemberian pijat oksitosin terhadap peningkatan produksi ASI pada ibu  menyusui yang memiliki bayi berusia 0-6 bulan.Saran. Peneliti selanjutnya diharapkan dapat menggunakan sampel yang lebih banyak dan jangka waktu pemberian Intervensi yang lebih lama. Kata kunci: Pijat oksitosin, ASI, Menyusui 


2019 ◽  
Vol 10 (3) ◽  
pp. 382
Author(s):  
Sulastri Sulastri ◽  
Ade Ira Cahyanti ◽  
El Rahmayati

<p>Invasive actions are closely related to psychological problems, special feelings of anxiety. Uncertain health conditions during and after procedures that can occur during surgery are decided for the patient's recovery. Need special methods from nurses to help patients cope with anxiety, such as caring nurses caring. The purpose of this study is to know the effect of the caring behavior of nurses on preoperative patient's anxiety levels. This research uses a quasi-experimental approach l design with a pretest-posttest one group design. This study was conducted in June 2018 in the Surgical Inpatient Room RSUD Dr.H Abdul Moeloek Lampung Province. The technique of sampling using nonprobability by purposive sampling, got a sample counted 38 respondents. Bivariate analysis using paired sample t-test. The result showed that the average score of the respondent anxiety index before caring behavior of nurse was 40,50 and the score after caring behavior was 34,63. The difference in the mean score of anxiety index score before and after caring behavior was 5.87 with the p-value of 0.000. Based on the conclusion of the research, the writer suggests that the interaction of nurses to the patient is improved and the Standard Operating Procedure of the frequency and duration of the nurse contact to the patient especially the preoperative patient can develop the use of the <em>Caring Dimensions Inventory</em> which covers biological, psychological, social and spiritual aspects.</p>


2020 ◽  
Vol 4 (5) ◽  
pp. 148-152
Author(s):  
Niken Sukesi

The 3rd trimester of pregnancy is the time for one to prepare both physiologically and psychologically for baby birth and nursing. The pregnancy during this final trimester causes incovenience due to fetus and uterus enlargements. The pain during pregnancy and approaching the labor in pregnant mothers might increase their anxiety. One of attempts to reduce this anxiety resulting from pain in pregnant mothers employs nonpharmacologic method in the form of endorphin massage. This research was quasi experimental with one group pretest posttest design. It used analytical comparative research method since the researcher tried to study the existence of endorphin massage influence on anxiety in pregnant mothers. The results revealed that there was some mean differences before and after the therapy was given. The mean score before the therapy was given was 1.6 and after the therapy was given was 1.2. The difference between these two mean score was 0.4. From the analysis, it was found that the p-value was 0.037, meaning that there was a significant difference of anxiety level between before and after the provision of endorphin massage. Keywords: endorphin; pregnancy; anxiety


2017 ◽  
Vol 13 (2) ◽  
Author(s):  
Esti Oktaviani Purwasih ◽  
Iman Permana ◽  
Yanuar Primanda

Uncontrolled diabetes might generate the physical and psychological complication. The objective of this study was to analyze the effect of Benson’s relaxation and murottal “Ar-Rahmaan” to the fasting blood glucose (FBG) and stress score. This research was quasi experimental study with two group pre test-post test control group design. The research has been done  in the Health Care Center of Maos and “Graha Amanah” Clinic of Maos. Sample technique used total sampling, with 60 according to the inclusion criteria. The respondents were divided into control group and intervention group. Every group had 30 respondents. The intervention group was given Benson’s relaxation and murottal, menwhile the control group was given the Benson’s relaxation only. This intervention was done twice a day, in the morning and in the afternoon, for 7 days.The results showed the difference of the FBG level before and after intervention between groups (p value=0,000; Z score=- 4,097;Mean+SD intervention group= -66,300+45,672;Mean+SD control group= -23,766+13,438). Benson’s relaxation and murottal therapy could decrease FBG  significantly.


2020 ◽  
Vol 36 (3) ◽  
Author(s):  
Jawad Humayun ◽  
Mubashir - Rehman ◽  
Mohammad Farhan ◽  
Muhammad Kashif Kamran ◽  
Shahid Abdur Rauf Khan

Purpose: To compare recurrence rate of primary pterygium following excision with mitomycin c verses excisionwith amniotic membrane transplant.Study Design: Quasi experimental study.Place and Duration of Study: Qazi Hussain Ahmad Medical Complex, Nowshera, from January 2019 to June2019.Material and Methods: One hundred and two patients presenting for the first time with pterygium were includedin the study and were divided into two groups. Patients having conjunctivitis, blephritis, keratitis or any otherocular inflammatory condition and patients having history of chemical burns and symblepharon were excludedfrom the study. Group A underwent surgical excision with 0.02% mitomycin–C application for 3 minutes andGroup B was surgically treated with application of amniotic membrane. Patients of both groups were followed upfor six months to detect recurrence of pterygium. Data was analyzed using SPSS version 20. Frequency andpercentages were calculated for categorical data like age, gender and recurrence rate. Recurrence rate wasstratified among age and sex to see the effect modifiers.Results: Mean age in both groups was 39.98 ± 9.11 years. In group A, 64.70% patients were males and in groupB, 62.74% patients were male. Recurrence of Pterygium was seen in 21.5% patients in group A and 7.84% ingroup B. The difference was statistically significant with a p value of 0.05.Conclusion: Recurrence rate of primary pterygium following excision with mitomycin C is higher than excisionwith amniotic membrane transplant


2020 ◽  
Vol 3 (1) ◽  
pp. 87-95
Author(s):  
Sabirin Berampu ◽  
Isidorus Jehaman ◽  
Raynald Ignasius Ginting ◽  
Miftahul Zannah ◽  
Sri Dayanti

Chronic Obstructive Pulmonary Disease (COPD) is a chronic lung disease characterized by limited air flow in the respiratory tract that is not completely reversible and is progressive. Patients with COPD tend to experience inactivity that occurs due to reduced oxygen in the tissues, resulting in decreased fitness in helping to improve fitness given Pursed lips breathing treatment and limb training. This study was to determine the difference between pursed lips breathing with pursed lips breathing and exercise extremity on fitness in patients with COPD. Method is a quantitative research with quasi experimental type using the design of two groups pre-test and post-test, has a sample of 18 respondents divided into 2 groups, the control group (Pursed Lips Breathing) and the intervention group (Pursed Lips Breathing And Extremity Exercise) with purposive sampling technique that is adjusted to the inclusion and exclusion criteria. Analysis of the data obtained using the independent sample t test showed a p-value of 0,000 which means that there are differences in Pursed Lips Breathing with Pursed Lips Breathing and Extremity Exercises Against Fitness in Patients with COPD. With a mean of 17.22 with SD 11.487 and p-value α <(0.002 <0.05) in the control group (Pursed Lips Breathing) and mean 65,000 with SD 11.990 and p-value α <(0,000 <0.05) in the group interventions (Pursed Lips Breathing and limb training). Result showed that the average difference in fitness before and after (Pursed Lips Breathing and Extremity Exercises) was greater than in the control group (Pursed Lips Breathing). Conclusion is the difference between Pursed Lips Breathing and Pursed Lips Breathing and Extremity Exercise Against Fitness in Patients with COPD


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