scholarly journals The Impact of an Android Application on Compliance With Iron Supplementations in Pregnant Women

2021 ◽  
Vol 7 (3) ◽  
pp. 237-244
Author(s):  
Enny Susilawati ◽  
◽  
Yuli Suryanti ◽  
Lia Artika Sar ◽  
Ika Murtiyarini ◽  
...  

Background: Monitoring the adherence of pregnant women to taking iron supplements indicates controlling the appropriateness of taking a certain number of supplements. This increases the odds of effective iron absorption; a process that occurs by consuming at least 30 iron pills a month to prevent gestational anemia. This study aimed to determine the effects of monitoring pregnant women’s compliance in taking up iron supplements through an Android application in Jambi City, Indonesia. Methods: This was a quasi-experimental single group study with a pre-test-post-test design. The study subjects included 50 pregnant women in their third trimester referring to 3 maternity Hospitals in Jambi City, Indonesia, in 2020. Initial data were obtained through Hemoglobin (Hb) measurements before being given a monitoring application and subsequent Hb level checks after giving the application. The obtained data were analyzed by t-test and Mann-Whitney U test in SPSS v. 16. A significance level of 5% was considered. Results: The results obtained in the initial examination indicated that the minimum Hb level was equal to 7.3 g/dL and the maximum level was measured as 11.2 g/dL. After the intervention, the Hb level increased to a minimum of 7.6 g/dL and a maximum of 12.2 g/dL. The Mann-Whitney U test data suggested a significant difference in the degree of compliance of pregnant women with iron supplementation (P=0.010). Conclusion: Monitoring through the Android application increased pregnant women’s compliance with taking iron supplements and presented a linear impact on increasing their Hb level.

2018 ◽  
Author(s):  
◽  
Marcie M. Cutsinger

[ACCESS RESTRICTED TO THE UNIVERSITY OF MISSOURI AT AUTHOR'S REQUEST.] The purpose of this study was to gain insight into the level of instructor presence in the predominately online versus the predominately not online course. The increase in both the number of students enrolling on online courses and the number of courses/programs offered magnifies the need to address instructor presence. This case study considers students' perception of instructor presence in a predominately online and predominately not online course. Instructor presence was examined using the Community of Inquiry framework. The Community of Inquiry is a framework used to examine social, teaching and cognitive presence and the impact of such. Data was gathered from two courses in the different learning modalities. Students were enrolled in the courses at the same time with the same instructor. Statistical analysis utilized in this study included the Mann Whitney U, Spearman's rho and Kendall tau. A significance level of P less than (.05) was used for all tests. This research found no statistically significant difference in the levels of instructor presence in a predominately online course when compared to a predominately not online course. The two significant results in relation to instructor presence and course satisfaction were mixed. Course outcome and instructor presence are addressed with discussion and recommendations for further research included. This study contributes to the research by providing further data regarding students' perception of and the significance of instructor presence.


Author(s):  
Abdul Latif Al-Zakri

This study aimed to examine the impact of the use of self-questioning in the understanding of fifth grade students in mathematics material. The researcher used the experimental methodology for independent groups to investigate the impact of the independent variable, which is a self-questioning strategy on the dependent variable, which is understanding. The study sample consisted of 42 students from the fifth grade students from Khubayb bin Udai School in Riyadh; equally divided into two groups of 21 students in each group (experimental and control), and after making sure from groups' equivalence by applying the tools of the study, having been taught the experimental group by using self-questioning strategy, while the control group has been studied the unit by using the traditional method. After the completion of the study of prescribed content study, study tools (achievement test) were applied then. The results indicated to the presence of a statistically significant difference (at the significance level <0. 05) between the mean scores of the two groups' students (experimental and control) in achievement test posttest for the experimental group. Since the results of the study were positive in increasing the achievement, the researcher recommended the need to use self-questioning to raise the level of achievement of learners in mathematics material


Author(s):  
Orji Urenna Okafor ◽  
Ademuyiwa Iyabo Yewande

Background: Facility-based delivery care is an essential component of maternity care. Overtime, its under-utilization despite improvement in antenatal attendance has become a public health concern in Nigeria. To assess the effect of antenatal education on the knowledge and utilization of facility-based delivery services among pregnant women in primary health facilities in Alimosho, Lagos.Methods: Quasi-experimental design of 2 groups pre- and post-intervention was adopted and through multi-staged sampling techniques, 128 participants were selected but 117 completed the study. Self-developed structured questionnaire with reliability index of 0.76 was used for data collection. The intervention package was antenatal education package on benefits and components of delivery services. Data were analyzed using Statistical Package for the Social Sciences (SPSS) version 23 statistical package.Results: The mean age of participants in control and experimental groups was 32.3±9.60 and 34.7±8.21 years respectively. Findings revealed moderate knowledge mean score (control- 54.97±10.52; experimental-52.14±11.09) and low pre-intervention utilization mean score (control 13.33±3.41; experimental-13.17±4.21). Findings also showed significant improvement on post-intervention mean knowledge score of 52.14±11.09 versus 104.75±5.56 and a significant difference in post-intervention utilization (p=0.000) and follow-up (p=0.013) on the experimental group.Conclusions: The study concluded that the antenatal education programme had positive effect on the pregnant women’s knowledge and utilization of health facility delivery services, therefore, there is need to strengthen and intensify antenatal education at all levels of healthcare using appropriate teaching techniques.


Author(s):  
Somaya Mohammed Al- Bardini

The purpose of this study was inquiring The Impact of the reciprocal Teaching Strategy on the Development of Achievement in Islamic Education in Seventh Grade Students in Jordan. To achieve goals of this study, a test has been developed to observe the Development of Achievement. The researcher adopted a quasi- experimental approach in which the experimental group consisting of (30) students was taught in accordance with reciprocal Teaching Strategy. At the same time, the controlled group consisting of (30 students) was taught in the traditional way. The tests and the motive measuring was applied prior and post- teaching on both groups. The Analysis of Covariance results (Test- t) indicated a significant difference at (α≤0.05) between the two groups, which is attributed to the reciprocal Teaching Strategy, in developing the Acquiring Concepts in Islamic , of Learning Islamic Education Course for the experimental group. The results also indicated variation in the performance of (the experimental group) students in the posttest of the reciprocal Teaching Strategy (in developing the Academic achievement The study recommended introducing the reciprocal Teaching Strategy in the teaching of Islamic Education Course, and conducting other similar studies in different educational stages.


2017 ◽  
Vol 4 (2) ◽  
pp. 239 ◽  
Author(s):  
Ratna Sariningsih ◽  
Indri Herdiman

Penelitian ini bertujuan menelaah peranan pembelajaran open-ended dan tingkat kemampuan awal statistik matematis mahasiswa terhadap pencapaian kemampuan penalaran statistik dan kemampuan berpikir kreatif matematis ditinjau secara keseluruhan dan pada tingkat kemampuan awal statistik matematik siswa (Tinggi, Sedang, Rendah). Berdasarkan hasil temuan dicari asosiasi kemampuan penalaran statistik matematis dan kemampuan berpikir kreatif matematis mahasiswa jurusan matematika di kota Cimahi. Penelitian ini merupakan penelitian eksperimen dengan desain kelompok kontrol dan postes. Populasi dalam penelitian ini adalah  seluruh  mahasiswa  jurusan  matematika di Kota Cimahi, sampelnya adalah mahasiswa semester dua dari salah  satu  perguruan tinggi di  Kota  Cimahi dan dipilih  dua kelas mahasiswa semester dua secara acak kelas yang ada. Tes kemampuan penalaran statistik, berpikir kreatif dan reflektif matematis mahasiswa masing-masing disusun mengacu pada kemampuan penalaran statistik matematis dan berpikir kreatif matematis serta  pedoman  penyususunan  tes  yang  baik.  Hasil penelitian menunjukkan bahwa (1) Kemampuan   penalaran   statistik   matematis  m a h a siswa    yang    memperoleh   pendekatan pembelajaran  open-ended  lebih  baik  daripada  yang  memperoleh  pembelajaran biasa. (2) Terdapat perbedaan yang signifikan kemampuan penalaran statistik matematis mahasiswa pada ketiga kategori TKASM (baik, sedang dan kurang) pada taraf signifikansi 5%. (3) Kemampuan berpikir kreatif matematis m a h a siswa yang memperoleh pendekatan pembelajaran open-ended  lebih  baik  daripada  yang  memperoleh  pembelajaran biasa. (4) Terdapat perbedaan yang signifikan antara kemampuan berpikir kreatif matematis mahasiswa pada TKASM Tinggi terhadap TKASM Sedang pada taraf signifikansi 5%. A Comparison of Statistics Learning Through CTL and Problem-Posing Approach in Terms of Learning Achievement and Interest in Learning Mathematics AbstractThis research aim s to describe the effectiveness of statistics learning through the CTL approach and problem posing approach in terms of learning achievement and interest in learning mathematics and to investigate which approach is more effective in learning mathematics for Vocational School students. This research is a quasi-experimental research using the pretest-posttest non-equivalent group design. The research population comprised all year XI students of SMK Negeri 5 Yogyakarta. From the population, two classes were randomly selected as the research sample. To test the effectiveness of statistics learning through the CTL and problem-posing approach, one sample t-test was used in the aspect of learning achievement and a proportion test on the aspect of interest in learning. The data were analyzed using the T2Hotelling’s test to compare the effectiveness of the CTL approach and problem-posing approach. If differences in effectiveness were found, then further study of t-univariate was done to determine certain variables that contributed to the overall difference. The results show that: (1) statistics learning through the CTL approach is effective in terms of learning achievement; (2) There is a significant difference of students' mathematical statistical reasoning ability in the three categories of TKASM (good, medium and low) at significance level of 5%. (3) The ability of students' mathematical creative thinking to get an open-ended learning approach is better than those who get regular learning. (4) There is a significant difference between students' mathematical creative thinking ability in TKASM Tinggi to TKASM Sedang at the level of significance of 5%.


2019 ◽  
Vol 147 (3-4) ◽  
pp. 199-204
Author(s):  
Maja Davidovic ◽  
Jadranka Otasevic ◽  
Nada Dobrota-Davidovic ◽  
Ivana Petronic ◽  
Dragomir Davidovic ◽  
...  

Introduction/Objective. The development of speech is the result of interaction of different systems of the cortex, which gradually acquires the ability of phonological presentation and motor control, in the presence of a series of physical and physiological changes in the morphology of the articulation system. The objective of the study was to examine the impact of laterality and cortical responses on the development of speech in children. Methods. Research is a quasi-experimental design with two groups. The sample covered 60 children from Belgrade, of both sexes, ages 5.5?7 years, divided into two groups, experimental (30) and control (30). We used the following instruments: test for assessing laterality and ascertaining evoked potentials. Results. On the visual lateralization subtest there was a statistically significant difference (?2 = 7.56, p < 0.05) between the observed groups. The visual evoked potentials on all measured parameters gave a statistically significant difference between the groups: waveform cortical responses ? left (?2 = 30.00, df = 1, p < 0.05); cortical responses ? right (?2 = 6.667, df = 1 , p < 0.05); waveform amplitude ? left (?2 = 13.469, df = 1, p < 0.05); amplitude ? right (?2 = 40.00, df = 1, p < 0.05), somatosensory potentials (?2 = 18.261, df = 1, p <0.05); waveform amplitude (?2 = 12.000, df = 1, p < 0.05); waveform latency (?2 = 5.455, df = 1, p < 0.05). Conclusion. Visual laterality, as well as visual and somatosensory cortical responses to stimuli is better in children without the present articulation disorder, which could be used for timely prevention planning.


Author(s):  
Sara Catherine Pearson ◽  
Kristin O’Connor ◽  
Kimberly Keller ◽  
T J Hodge ◽  
Ross Nesbit

Abstract Disclaimer In an effort to expedite the publication of articles related to the COVID-19 pandemic, AJHP is posting these manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time. Purpose Hyperkalemia more commonly affects patients with a glomerular filtration rate of less than 60 mL/min. Using intravenous (IV) insulin to shift potassium intracellularly may cause hypoglycemia, requiring additional treatment or longer hospitalization. Literature on insulin dosing in this context is limited, with one previous study indicating that 5 units of IV insulin might be as effective and result in less hypoglycemia than the standard dose of 10 units of IV insulin. The hyperkalemia treatment pathway at our institution was revised in May 2018 to include a reduced-dose option (5 units of insulin) for patients with end-stage renal disease. This study aimed to compare the prevalence of hypoglycemia between patients who received standard-dose vs reduced-dose IV insulin. Methods This single-center, retrospective, quasi-experimental study evaluated the impact of revision of the hyperkalemia treatment pathway by assessing rates of hypoglycemia during the 6 months before and after implementation of the revised pathway. The primary endpoint was prevalence of hypoglycemia, defined as a blood glucose level of less than or equal to 70 mg/dL. Results There was no statistically significant difference in the occurrence of hypoglycemia when comparing the pre- and postimplementation groups (36 [17.7%] patients vs 34 [18.7%] patients; P = 0.7924). The postimplementation group had a statistically significant lower reduction in potassium levels after treatment than the preimplementation group (mean [interquartile range], –0.9 [–1.3, –0.5] mEq/L vs –0.6 [–1.2, –0.2] mEq/L; P = 0.0095). Baseline potassium levels were similar between the groups. Conclusion Administration of reduced-dose IV insulin for treatment of hyperkalemia was significantly less effective in lowering serum potassium levels and did not decrease prevalence of hypoglycemia. When accounting for potential confounders, the only variable that was associated with hypoglycemia was pretreatment glucose level.


2021 ◽  
Vol 15 (5) ◽  
pp. 1774-1779
Author(s):  
Sanaz Nehbandani ◽  
Hajar Salehi ◽  
Khadije Rezaie Keikhaie ◽  
Hossein Rashki Ghalenow ◽  
Fatemeh Mirzaie ◽  
...  

Introduction & Objective: Nausea and vomiting during pregnancy is one of the most common gastrointestinal disorders that more than 85% of pregnant women experience. However, controlling and treating this complication is still one of the most important issues in antenatal care. Therefore, the aim of this study was to investigate the effect of ear acupressure at Shen Men point on relieving nausea, vomiting and retching during pregnancy. Materials and Methods: In this quasi-experimental study, 100 pregnant women with a gestational age of less than 16 weeks attending the health clinics of Zabol city during 2019-2020 were studied in two control and intervention groups (n = 50 in each group). The samples in the intervention group were trained to apply pressure on their ears’ Shen Men point with the thumb for three minutes three times a day (morning, noon, and night), for a duration of one month. At the end of second and fourth weeks, the data were collected using the Rhodes index form and then, were analyzed by SPSS software version 22. Results: According to the results, there was no significant difference between the two groups in terms of age, gestational age, occupation and education. The difference in the mean scores of nausea, vomiting and retching was not statistically significant between the control and intervention groups before the study. But four weeks after the study, a significant difference was observed in the mean scores of vomiting, nausea and retching between the two groups, so that the mean scores of vomiting, nausea and retching were significantly lower in the intervention group than in the control group. Conclusion: The ear acupressure medicine at the Shen men point can be used as a non-invasive, safe and inexpensive method to relieve nausea, vomiting and retching during pregnancy. Keywords: Acupressure medicine, Shen Men, Vomiting, Pregnancy, Nausea, Retching, Rhodosis


2019 ◽  
Vol 10 (4) ◽  
pp. 11
Author(s):  
Eman Abdel Fattah Hassan ◽  
Hoda Wahid Amer

Objective: To evaluate the impact of regular chest percussion on outcome measures for infants with pneumonia.Methods: A two-group pre-post quasi-experimental design was conducted in the Pediatrics Medical Unit at Abu Elrish Children’s Hospital, Cairo University. The experiment involved 100 infants fifty (control group) followed the hospital routine care and other fifty applied regular chest percussion (intervention group). Chest condition was assessed subjectively and objectively throughout five days before and after the regular chest percussion using Pediatrics Respiratory Severity Scales. Physiological measurements of infant’s respiratory rate, heart rate, and temperature and oxygen saturation were assessed. All research ethics were applied.Results: The mean of Pediatric Respiratory Severity Score (PRSS), temperature, respiration, heart rate and oxygen saturation among infants was statistically improved throughout the intervention days than the control group 1st, 2nd, 3rd and 4th days post the regular chest percussion at a significance level as p < .05.Conclusions: The regular chest percussion had a significant improvement in the respiratory health conditions for infants with bacterial pneumonia. This study recommends regular chest percussion that should be applied in medicine and intensive care units. Further researches must be done to add more evidence -based practices regarding the effect of chest percussion for children with pneumonia.


2019 ◽  
Vol 4 (6) ◽  
pp. e001200 ◽  
Author(s):  
Cesaire T Ouedraogo ◽  
K Ryan Wessells ◽  
Rebecca R Young ◽  
Ibrahim Foungotin Bamba ◽  
M Thierno Faye ◽  
...  

BackgroundAnaemia is prevalent among pregnant women in rural Niger and antenatal care (ANC) attendance is suboptimal. We designed a programmatic intervention including community-based behaviour change communication, provision of essential drugs (including iron folic acid (IFA) supplements) and quality improvement activities at selected integrated health centres (IHCs).ObjectiveTo assess the impact of the programmatic intervention on: (1) utilisation of ANC, (2) adherence to daily IFA supplementation and (3) prevalence of adequate gestational weight gain (GWG) and anaemia among pregnant women in Zinder, Niger.MethodsUsing a quasi-experimental study design comparing a cohort of women at baseline to another cohort of women at endline, 18 IHCs and surrounding villages were randomly assigned to time of enrolment over 1 year. A baseline survey was implemented among randomly selected pregnant women in 68 village clusters. Subsequently, the intervention was rolled out and an endline survey was implemented 6 months later in the same villages.ResultsMean age in the baseline (n=1385) and endline (n=922) surveys was 25.8±6.4 years. The percentage of pregnant women who reported attending any number of ANC and an adequate number of ANC for their gestational age, respectively, was not significantly different between the endline and the baseline surveys. Pregnant women in the endline survey were more likely to have received IFA (60.0% vs 45.8%, OR: 2.7 (1.2, 6.1)); and the proportion of pregnant women who reportedly consumed IFA daily in the previous 7 days was significantly higher in the endline than in the baseline survey (46.4% vs 32.8%, OR: 2.8 (1.2, 6.5)). There was no impact on the prevalence of adequate GWG or anaemia.ConclusionsThe programmatic intervention resulted in a modest increase in the number of pregnant women who reported receiving and consuming IFA supplements as recommended, but did not affect ANC attendance and nutritional status.


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