scholarly journals Efektivitas Makanan Berbasis Lokal Tawas Ut (Ampelocissus Rubuginosa L) Terhadap Status Kesehatan Ibu Post-Partum Di Kota Palangka Raya

2020 ◽  
Vol 6 (1) ◽  
pp. 143-156
Author(s):  
Christine Aden ◽  
Marselinus Heriteluna

Postpartum recovery of the reproductive organs, especially the uterus, should occur immediately. The uterus should return to its pre-pregnancy size. Treatment to restore maternal health during the postpartum period was carried out by the Dayak community by using the herbal concoction of Tawas Ut (Ampelocissus Rubuginosa L). This study aims to determine the health status of post-partum mothers by administering the Tawas Ut herb as a food product. paired t-test). It was found that there was a significant difference in the mean fundal height between the intervention and control groups (p-value 0.012) with a difference of 2.91, or there was a difference of 61.1%. The results of the Paired t-test showed that there was a significant difference in the mean uterine fundal height between before and after the intervention period (p-value 0.0005) with a difference in uterine fundal height of 10.45 cm or a change of 84%. This shows that the local-based food of Tawas Ut has effects on the health status of postpartum mothers, which can reduce leukocytes by 32% and reduce uterine fundal height by 84% to normal sizes as before pregnancy. The use of this product is recommended to be used as a companion to standard service programs for postpartum mothers to support government programs to reduce maternal morbidity and mortality due to postpartum problems.

2021 ◽  
Vol 8 (2) ◽  
pp. 92-99
Author(s):  
Kholisotin Kholisotin ◽  
Kholifatun Naziro ◽  
Zainal Munir ◽  
Ahmad Kholid

During labor, women experience many reproductive changes, one of which is uterine involution. If the uterine involution is late to return to normal, it will cause subinvolution, puerperal gymnastic techniques and kegel exercises are the easiest techniques to use and are very effective. The purpose of this study was to determine the effectiveness of puerperal gymnastic and kegel exercises on uterine involution in postpartum mothers day 1-3 at BPM Hj. Nengah Mardani Tenggarang Bondowoso. This type of research uses a pre-experimental research methodology using a two-group interpretation-posttest design, with a sample of 30 respondents. The sampling technique in this study used total sampling. Data analysis used paired sample t test and independent t test. The independent t test results showed that there was no significant difference between puerperal gymnastic and kegel exercises in overcoming uterine involution in postpartum mothers with a p value of 0.039 (p value> α 0.05). Of the two techniques, Kegel exercises were more effective in reducing involution. uterus with a mean difference of 6.7333> than the mean puerperal gymnastic of 5.8000.


2018 ◽  
Vol 4 (1) ◽  
pp. 104-111
Author(s):  
Chandra Irawan ◽  
Mardiyono Mardiyono ◽  
Suharto Suharto ◽  
Aris Santjaka

Background: Range of Motion (ROM) exercise has been identified in the literature that it has an effect in improving muscle strength, especially in patients with stroke. However, little is known about the effect of ROM exercise combined with hypnosis therapy.Objective: To determine the effect of combination of hypnosis therapy and ROM exercise on upper extremity muscle strength in patients with non-hemorrhagic.Methods: This study employed a quasy experiment with pretest-posttest control group design. Thirty-two samples were selected using simple random sampling, which 16 randomly assigned in the experiment and control group. Muscle strength was measured using Muscle Strength Scale. Hypnosis Deepening test was used to measure the level of hypnosis depth. Paired t-test and Independent t-test were used for data analysis.Results: The mean value of muscle strength in the experiment group was 3.50 and  the mean value in the control group  was 2.62. Independent sample t-test obtained p-value = 0.012, indicated that there was a statistically significant difference in the mean of muscle strength of upper extremity in the experiment and control group. Paired t-test obtained p-value = 0.000, which indicated that there was significant difference between the average of muscle strength value before and after treatmentConclusion: The combination of hypnosis therapy and ROM exercise has a significant effect in increasing muscle strength of upper extremity in patients with stroke non-haemorrhagic.


2020 ◽  
Vol 13 (1) ◽  
pp. 27
Author(s):  
Gangsar Indah Lestari ◽  
Muhamad Ridwan ◽  
Firda Fibrila

<p><strong>Background</strong>: The management of the perineum wound is not good to cause infections that affect the prolonged healing of perineum wounds. <strong>Purpose</strong>: Research aims to determine the effect of giving propolis on the length of healing of perineum wounds in postpartum mothers. <strong>Method</strong>: This study used a quasi-experimental design. The subject of the study was the postpartum mother who suffered perineum wounds. Sample cases as much as 39 and control samples as much as 39, the total samples of 79 postpartum mothers. Samples taken in the Non-Random sample in the form of Accidental sampling initiated a sample group of cases then sample control group according to criteria of inclusion and exclusion of research. Data analysis using T-Test (Paired T-Test). <strong>Result</strong>: Research shows the average degree of wound perineum in mothers group given propolis of 1.82 whereas in mothers who are not given propolis of 1.85. The average length of wound healing of perineum in mothers group given Propolis is 3.38 day while on a mother who is not given propolis of 1.85 and obtained p-value = 0.000 (≤ alpha 0.05). <strong>Conclusion</strong>: Perineum wound in postpartum mothers given propolis will be healed faster than those who are not given propolis. Midwives while giving care to the mother postpartum with perineum wounds can utilize propolis to accelerate the healing process while observing nutrition, personal hygiene, and consider the economic and ethical aspects.</p><p><strong>Latar belakang</strong>: Penatalaksanaan luka perineum tidak baik menyebakan infeksi yang berpengaruh terhadap lama penyembuhan luka perineum. <strong>Tujuan</strong>: Penelitian bertujuan mengetahui pengaruh pemberian propolis terhadap lama penyembuhan luka perineum pada ibu postpartum. <strong>Metode</strong>: Penelitian menggunakan rancangan <em>quasi eksperimen</em>. Subyek penelitian adalah ibu post partum yang mengalami luka perineum. Sampel kasus sebanyak 39 dan sampel kontrol sebanyak 39, total sampel 79 ibu postpartum. Sampel diambil secara <em>n</em><em>on </em><em>r</em><em>andom </em><em>s</em><em>ample </em>berupa <em>a</em><em>cidental sampling </em>dimulai sampel kelompok kasus lalu sampel kelompok kontrol sesuai kriteria inklusi dan eksklusi penelitian. Analisis data mengunakan <em>T-</em><em>t</em><em>est</em> (<em>paired t-test</em>). <strong>Hasil</strong>: Penelitian menunjukkan rata-rata derajat luka perineum pada kelompok ibu yang diberi propolis sebesar 1,82 sedangkan pada ibu yang tidak diberi propolis sebesar 1,85. Rata-rata lama penyembuhan luka perineum pada kelompok ibu yang diberi propolis adalah 3,38 hari sedangkan pada ibu yang tidak diberi propolis sebesar 1,85 dan didapatkan p <em>value</em> = 0,000 (≤ alpha 0,05). <strong>Simpulan</strong>: Luka perineum pada ibu postpartum yang diberi propolis akan lebih cepat sembuh dibanding dengan yang tidak diberi propolis. Bidan saat memberikan asuhan pada ibu post partum dengan luka perineum bisa memanfaatkan propolis guna mempercepat proses penyembuhan dengan tetap memperhatikan  nutrisi, personal hygiene dan mempertimbangkan aspek ekonomis dan etika.</p>


BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Salma S. Al Sharhan ◽  
Mohammed H. Al Bar ◽  
Shahad Y. Assiri ◽  
Assayl R. AlOtiabi ◽  
Deemah M. Bin-Nooh ◽  
...  

Abstract Background Chronic rhinosinusitis (CRS) is a common inflammation of the nose and the paranasal sinuses. Intractable CRS cases are generally treated with endoscopic sinus surgery (ESS). Although the effect of ESS on CRS symptoms has been studied, the pattern of symptom improvement after ESS for CRS is yet to be investigated. The aim of this study was to determine the magnitude and sequence of symptom improvement after ESS for CRS, and to assess the possible preoperative factors that predict surgical outcomes in CRS patients. Methods This was a longitudinal prospective study of 68 patients who had CRS (with or without nasal polyps). The patients underwent ESS at King Fahd Hospital of the University, Al Khobar, Saudi Arabia. The Sino-nasal Outcome Test-22 (SNOT-22) questionnaire was used for assessment at four time points during the study: pre-ESS, 1-week post-ESS, 4 weeks post-ESS, and 6 months post-ESS. Results The difference between the mean scores recorded for the five SNOT-22 domains pre-ESS and 6 months post-ESS were as follows: rhinologic symptoms (t-test = 7.22, p-value =  < 0.001); extra-nasal rhinologic symptoms (t-test = 4.87, p-value =  < 0.001); ear/facial symptoms (t-test = 6.34, p-value =  < 0.001); psychological dysfunction (t-test = 1.99, p-value = 0.049); and sleep dysfunction (t-test = 5.58, p-value =  < 0.001). There was a significant difference between the mean scores recorded for the five domains pre-ESS and 6 months post-ESS. Rhinologic symptoms had the largest effect size (d = 1.12), whereas psychological dysfunction had the least effect size (d = 0.24). The only statistically significant difference in the SNOT-22 mean scores recorded 4 weeks post-ESS was observed between allergic and non-allergic patients (t = − 2.16, df = 66, p = 0.035). Conclusion Understanding the pattern of symptom improvement following ESS for CRS will facilitate patient counselling and aid the optimization of the current treatment protocols to maximize surgical outcomes and quality of life. Level of evidence Prospective observational.


Circulation ◽  
2008 ◽  
Vol 118 (suppl_18) ◽  
Author(s):  
Sharda Udassi ◽  
Jai P Udassi ◽  
Melissa Lamb ◽  
Doug Theriaque ◽  
Arno L Zaritsky ◽  
...  

Introduction: In animals Active Compression-Decompression(ACD)-CPR improves hemodynamics compared with standard CPR (S-CPR). We evaluated the feasibility of achieving ACD-CPR with a novel, simple and inexpensive Adhesive Glove Device (AGD) in an infant manikin model using two thumb (TT) chest compression. Hypothesis: AGD-ACD CPR provides better chest decompression compared to S-CPR in an infant manikin model without excessive rescuer fatigue. Methods: Laerdal ™ Baby ALS Trainer manikin was modified to digitally record compression pressure (CP), compression depth (CD) and decompression depth (DD). The thumb portion of two oven mitts were sewn together and a Velcro adhesive patch was stitched on the underside with an encircling adjustable strap for proper fit to create the AGD. An interlocking Velcro patch was glued to the manikin chest wall. Sixteen BLS or PALS certified healthcare providers were prospectively randomized to perform either two-thumb S-CPR or AGD-ACD-CPR for 5 minutes with a 30:2 compression:ventilation ratio using a crossover design. During AGD-ACD-CPR subjects were asked to pull up during chest decompression. Rescuer heart rate (HR), respiratory rate (RR), recovery time (RT) for HR/RR to return to baseline and actual compressions delivered per minute were recorded. Subjects were blinded to data recordings. Data (mean±SEM) was analyzed using 2 sided paired t-test; p-value ≤0.05 was considered significant. Results: Chest decompression was greater with AGD-ACD-CPR; the mean DD difference was 0.11±0.02 inches, p=<0.001. Compressions given per minute were 102±21 in S-CPR group vs. 96±16 in AGD-ACD-CPR group, p=0.04. In AGD-CPR 75% and in S-CPR only 12% of subjects achieved complete recoil to or beyond baseline. There was no significant difference in CD, CP, HR, RR and RT between the groups. Conclusions: Active decompression and improved recoil was achievable with the use of our simple, inexpensive AGD in this infant CPR model. Use of our device did not result in excessive rescuer fatigue compared to S-CPR. The clinical significance of 6 less compressions/minute in the AGD-CPR group needs to be determined.


Author(s):  
Pooja A Mulchandani ◽  
Trupti Warude ◽  
Amrutkuvar Pawar

Objectives: To compare the effect of gluteal muscle strengthening along with conventional exercises versus conventional exercises alone on flat foot.Method: An experimental study conducted at Physiotherapy Department of Krishna Institute of Medical Sciences, Karad. A total of 52 subjects were equally divided into two groups using convenient sampling with random allocation (Groups A and B). Baseline treatment was given to both groups (intrinsic muscle strengthening). Group A was given intrinsic muscle strengthening alone while Group B was given gluteal muscle strengthening along with intrinsic muscle strengthening.Result: Statistical analysis was performed using paired t-test and unpaired t-test. In pre-intervention there was no statistically significant difference seen with p values for the navicular drop was 0.3563 and for Ink test was 0.7342. While on comparing the post-interventional values, the results between the two groups using paired t-test revealed that there was extremely significant difference seen with p-value for the navicular drop was <0.0001 and for Ink test was <0.0001.Conclusion: From the study, it can be concluded that there was a significant effect of gluteal muscle strengthening on the flat foot.


2020 ◽  
Vol 8 (4) ◽  
pp. 416
Author(s):  
Anita Liliana ◽  
Melania Wahyuningsih

Abstract Adequacy of milk production in the newborns will affect the success of exclusive breastfeeding. Not all postpartum mothers are able to increase milk production in the postpartum period. Acupressure at the meridian points is one way to increase milk production in postpartum mothers. This study aims to determine the effect of acupressure therapy on increasing breast milk production in postpartum mothers at PKU Muhamadiyah Bantul. This study was a quantitative study  a quasi-experimental research design with pre-test and post-test nonequivalent control group. The number of respondents in each group was 17 people. The treatment given was acupressure at the meridian points for 5 minutes on days 2 and 3of poatpartum. Breastfeeding adequacy was assessed before treatment and on day 4 postpartum. Data were analyzed by Mc Nemar analysis. The results showed that there was a significant difference in breast milk production before and after acupressure with p value of 0.000 (p value <0.05). There was a significant difference in breast milk production in the control group before and after being given the breastfeeding technique leaflet p value 0.001 (p value <0.05). Conclusion: There is no significant difference in breast milk production after being given acupressure and after being given leaflets about breastfeeding techniques at PKU Muhamadiyah Bantul p value 0.100 (p value> 0.05).  Keywords: acupressure, breast milk production, postpartum


2018 ◽  
Vol 51 (4) ◽  
pp. 173
Author(s):  
Vita Previa Indirayana ◽  
Gita Gayatri ◽  
N. R. Yuliawati Zenab

Background: Model analysis constitutes an essential aspect of orthodontic diagnostic practice. Pavan has developed an application to simplify the mathematical calculations employed in orthodontic model analysis. Purpose: This study was conducted to obtain the differences in results and time periods of model analysis using conventional means and iModelAnalysis. Methods: The research represented a comparative analytic study. The populations comprised dental casts dating from 2014 in the Orthodontics Laboratory of Padjadjaran University. The samples comprised 31 dental casts which were subjected to a total sampling method consisting of two treatments; a conventional method calculation and one using iModelAnalysis. A normality test was conducted and processed using a paired t-test with α=0.05. Results: The means of arch length discrepancies were 1.64±2.63 mm and 1.37±3.07 mm for the conventional methods and 1.65±2.43mm and 1.42±3.04mm for iModelAnalysis. The results of a Bolton analysis for conventional methods were 78.05±2.69% and 91.93±1.29%, while those for iModelAnalysis were 77.91±2.70% and 91.96±2.13%. A Howes analysis of conventional methods produced a result of 45.56±2.83%, while for an iModelAnalysis one of 45.56±2.85%. Pont analysis for conventional methods was 39.35±0.04 mm and 49.17±2.55 mm, while for iModelAnalysis it was 39.35±0.07 mm and 49.19±2.57mm. The mean of the duration of analysis using conventional methods was 1703.81±56.46 seconds, while for iModelAnalysis it was 990.06±34.87 seconds. A normality test confirmed that the data was normally distributed (p>0.05). The results of a paired sample t-test with p>0.05 showed that there was no significant difference between the results of each analysis, while there was significant difference in the time period of analysis. Conclusion: There was no difference in the analysis results. However, there was difference in the time period of analysis between conventional methods and that of iModelAnalysis.


2017 ◽  
Vol 3 (6) ◽  
pp. 693-696
Author(s):  
Muhaji Muhaji ◽  
Bedjo Santoso ◽  
Putrono Putrono

Background: Endotracheal suctioning is one of the common supportive measures in intensive care units (ICU), which may be related to complications such as hypoxia. However, a questionable efficacy is still identified to choose suctioning pressure between 130 mmHg and 140 mmHg that is effective for patients with endotracheal tube.Objective: To compare the effectiveness of 130 mmHg and 140 mmHg suctioning pressure on oxygen saturation in patients with endotracheal tube.Methods: This research used a quasy experimental design with pretest and posttest group. The study was conducted from 31 January to 1 March 2017 in the Hospital of Panti Wilasa Citarum and Hospital of Roemani Muhammadiyah Semarang. There were 30 samples recruited using consecutive sampling, with 15 assigned in the 130 mmHg and 140 mmHg suctioning pressure group. Pulse oximetry was used to measure oxygen saturation. Paired t-test and Independent t-test were used for data analysis.Results: Findings showed that there was a statistically significant effect of 130 and 140 mmHg suctioning pressure on oxygen saturation in patients with ETT with p-value <0.05. There was a significant mean difference of oxygen saturation between 130 mmHg and 140 mmHg suctioning pressure group with p-value 0.004 (<0.05). The mean difference of oxygen saturation between both groups was 13.157.Conclusion: The 140 mmHg suctioning pressure is more effective compared with 130 mmHg suctioning pressure in increasing oxygen saturation in patients with ETT.


2013 ◽  
Vol 16 (3) ◽  
pp. 154-160 ◽  
Author(s):  
Rahmadevita S.A.M ◽  
Yeni Rustina ◽  
Elfi Syahreni

AbstrakNeonatus yang menggunakan ventilasi mekanik akibat gangguan pernapasan mengalami masalah oksigenisasi dan frekuensi denyut jantung. Berbagai upaya perlu dilakukan agar neonates tenang sehingga kebutuhan oksigen dapat diminimalkan, salah satu upaya tersebut adalah terapi musik. Penelitian ini bertujuan untuk menguji pengaruh terapi musik terhadap saturasi oksigen, frekuensi denyut jantung dan frekuensi pernafasan neonatus yang menggunakan ventilasi mekanik. Penelitian kuasi eksperimen dengan rancangan pretest-posttest without control meibatkan 13 neonatus yang dipilih secara konsekutif. Intervensi yang diberikan adalah terapi musik dengan Brahm’s Lullaby selama 30 menit dengan headphone. Pengumpulan data menggunakan observasi dan dianalisis dengan Paired t test. Hasil penelitian menunjukkan adanya perbedaan bermakna antara rerata saturasi oksigen, frekuensi denyut jantung dan frekuensi pernafasan sebelum dan setelah pemberian terapi musik. Pada saturasi oksigen terjadi peningkatan, sedangkan pada frekuensi denyut jantung dan pernapasan mengalami penurunan. Terapi musik dapat digunakan sebagai pendamping terapi medis untuk memperbaiki oksigenisasi pada neonatus yang menggunakan ventilasi mekanik.Kata kunci: denyut jantung neonatus, pernapasan, saturasi oksigen, terapi musik, ventilasi mekanikAbstractImproving Oxygen Saturation, Heart Rate, and Respiratory Rate of Neonates Using Mechanical Ventilation with Music Therapy. Neonates using mechanical ventilation cause of respiratory disorder experience oxygenation and heart rate problems. Interventions should be made in order to calm neonates so that the need of oxygen can be minimized, one of these interventions is music therapy. This study aimed to identify the effect of music therapy on oxygen saturation, heart rate and respiratory rate of neonates using mechanical ventilation. This quasi experiment study with a pretest-posttest design without control involved 13 neonates selected by consecutive sampling. Data collected through observation and analyzed by paired t test. There was a significant difference on the average of oxygen saturation, heart rate and respiratory rate of infants using mechanical ventilation before and after music therapy (p value <0,05). Music therapy can be used as a complementary medical therapies to improve oxygenation in neonates using mechanical ventilation.Key words: heart rate, mechanical ventilation, music therapy, neonate, oxygen saturation, respiratory rate


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