scholarly journals The Impact of the COVID-19 Pandemic on Medical Imaging Case Volumes in Aseer Region: A Retrospective Study

Medicines ◽  
2021 ◽  
Vol 8 (11) ◽  
pp. 70
Author(s):  
Magbool Alelyani ◽  
Ali Alghamdi ◽  
Nasser Shubayr ◽  
Yazeed Alashban ◽  
Hajar Almater ◽  
...  
Keyword(s):  
Nuclear Medicine ◽  
Emergency Departments ◽  
Imaging Modality ◽  
Significant Decline ◽  
P Value ◽  
Test Results ◽  
Outpatient Departments ◽  
The Mean ◽  
Substantial Decline ◽  
The Impact

COVID-19 has had a significant impact on global health systems. The aim of this study was to evaluate how imaging volumes and imaging types in radiology departments have been affected by the COVID-19 pandemic across different locations. Methods: Imaging volumes in the Aseer region (in the south of Saudi Arabia) across main hospitals were reviewed retrospectively including all cases referred from different locations (outpatient, inpatient and emergency departments). Data for years 2019 and 2020 were compared. The mean monthly cases were compared using a t-test. Results: The total imaging volumes in 2019 were 205,805 compared to 159,107 in 2020 with a 22.7% overall reduction. A substantial decline was observed in both the April to June and the July to September periods of approximately 42.9% and 44.4%, respectively. With respect to location, between April and June, the greatest decline was observed in outpatient departments (76% decline), followed by emergency departments (25% decline), and the least impact was observed in inpatient departments, with only 6.8% decline over the same period. According to modality type, the greatest decreases were reported in nuclear medicine, ultrasound, MRI, and mammography, by 100%, 76%, 74%, and 66%, respectively. Our results show a statistically significant (p-value ≤ 0.05) decrease of cases in 2020 compared to 2019, except for mammography procedures. Conclusion: There has been a significant decline in radiology volumes due to COVID-19. The overall reduction in radiology volumes was dependent on the stage/period of lockdown, location, and imaging modality.

The Effectiveness of Young Coconut Water and Watermelon Juice in Reducing Blood Pressure

2021 ◽  
Vol 15 (5) ◽  
pp. 1313-1322
Author(s):  
S. Fadlilah ◽  
A. Sucipto
Keyword(s):  
Blood Pressure ◽  
Nursing Students ◽  
Coconut Water ◽  
Control Group ◽  
P Value ◽  
Test Results ◽  
Watermelon Juice ◽  
Post Test ◽  
The Mean ◽  
Pressure Analysis

Background: Blood pressure is influenced by psychosocial (stress), genetic, age, gender, nutritional status, and lifestyle (diet, lack of fiber consumption, smoking, lack of physical activity). 30 ml of young coconut water contains 61 mg of potassium, 5.45 mg of sodium, and 1.3 mg of sugar, affecting blood pressure changes. Coconut water contains K minerals and is useful for lowering blood pressure. Whereaswatermelon contains anti-hypertensive content, namely sodium, beta carotene, and potassium. Watermelon is rich in water, amino acids, L-arginine, which can maintain healthy blood pressure. Aim: This study aims to determine the effect of young coconut water and watermelon juice on blood pressure in the 2013 nursing students of Respati University Yogyakarta. Methods: This type of research is a quasi-experimental design with a nonequivalent control group pre and post-test. The sample was taken by simple random sampling, namely the control group (18 respondents), the young coconut water group (18 respondents), and papaya juice (18 respondents). Data pre-posttest of each group was tested using Paired T-test. The comparison control-treatment group was tested using an independent-test. Results: The mean differences of systole and diastole pre-posttest blood pressure in the control group were -1.8 mmHg and -1.0 mmHg. The mean difference in systole blood pressure and the pre-posttest diastole of young coconut water groups were -3.1mmHg and -2.4 mmHg. The mean systole and diastole blood pressure in the pre-posttest watermelon juice group were -2.9 mmHg and -1.5 mmHg. The pre-posttest results of systole and diastole blood pressure analysis in the p-value control group were 0.100 and 0.450. The pre-post test results of systole and diastole blood pressure analysis of young coconut water groups gained p-value of 0.030 and 0.194. The pre-post test results of the juice watermelon group's systole and diastole blood pressure analysis gained p-value of 0.032 and 0.181. The posttest results of systole and diastole blood pressure analysis in the control group and young coconut water gained p-value of 0.014 and 0.157. The post-test results of the systole and diastole blood pressure analysis control group and juice watermelon gained p-value of 0.013 and 0.420. Conclusion: Consumption of young coconut water and watermelon juice affects systole blood pressure, but it does not affect diastole blood pressure in nursing students in 2013 in Respati University Yogyakarta. Keyword: Blood pressure, Coconut Water, Watermelon Juice

Does variation in prostate volume calculated with MRI versus TRUS lead to reclassification of men based on current PSA density threshold for active surveillance criteria? Result from a prospective cohort.

2016 ◽  
Vol 34 (2_suppl) ◽  
pp. 138-138
Author(s):  
Samarpit Rai ◽  
Amil Patel ◽  
Nicola Pavan ◽  
Nachiketh Soodana-Prakash ◽  
Raymond R Balise ◽  
...  
Keyword(s):  
Active Surveillance ◽  
Prospective Cohort ◽  
Prostate Volume ◽  
Imaging Modality ◽  
Strong Predictor ◽  
Selection Criterion ◽  
Treatment Decision ◽  
Psa Density ◽  
The Mean ◽  
The Impact

138 Background: PSA density (PSAD) is a strong predictor of aggressive prostate cancer (PCa) and is often used as a selection criterion for active surveillance. However, measurement of PSAD can vary depending on the modality used to estimate prostate volume (PV). We analyzed a prospective cohort of men undergoing MRI−US fusion biopsy to assess the variation in PV obtained with both imaging modalities, and investigate the impact of this variation on PSAD measurement in order to determine if it led to re-classification of patients above or below the current threshold of PSAD used in clinical practice (0.15 ng/mL/cc). Methods: All men were consecutively enrolled in this prospective study and had their PV measured on MRI prior to prostate biopsy (PB), and on Trans-Rectal Ultrasound (TRUS) at the time of PB. PSAD was calculated by dividing the last PSA prior to biopsy by the PV ascertained with each imaging modality. We used paired t-tests and Wilcoxon signed−rank tests to compare the difference in PV and PSAD obtained with TRUS and MRI. We also categorized PSAD measurements on each imaging modality above and below a cut-off of 0.15 ng/mL/cc. We used the McNemar’s test for paired proportions to estimate the significance of discordance in PSAD categorization based on each imaging modality. Results: Of the 124 men, the mean PV assessed with MRI (70 cc) was 7 cc more on average (SD: 11, median = 4 cc) than that obtained with TRUS (63 cc) (P < 0.0001). Furthermore, the mean PSAD obtained with MRI (0.17 ng/mL/cc), was 0.01 ng/mL/cc lower (SD: 0.07, median = 0.01) than that obtained with TRUS (0.18 ng/mL/cc) (P < 0.0001). 118 (95%) men had concordant PSAD values assessed with either imaging modality using the cut-off of 0.15 ng/mL/cc. All 6 (5%) men with discordant PSAD values who were above the cut-off with PV obtained via TRUS were reclassified as being below the cut-off with PV assessed via MRI (P < 0.01). Conclusions: MRI can overestimate PV compared to TRUS. This may translate to reclassification of men around the currently used PSAD threshold and have implications for treatment decision making and selection of patients for active surveillance.

scholarly journals Efektifitas Puerperal Gymnastic dan Kegel Exercises terhadap Involusi Uterus pada Ibu Postpartum Hari 1 - 3

2021 ◽  
Vol 8 (2) ◽  
pp. 92-99
Author(s):  
Kholisotin Kholisotin ◽  
Kholifatun Naziro ◽  
Zainal Munir ◽  
Ahmad Kholid
Keyword(s):  
Sampling Technique ◽  
T Test ◽  
P Value ◽  
Test Results ◽  
Paired Sample ◽  
Uterine Involution ◽  
Kegel Exercises ◽  
Significant Difference ◽  
The Mean ◽  
Postpartum Mothers

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.

scholarly journals The Impact of fodder on Bombyx Mori

2018 ◽  
Author(s):  
Victor Flores ◽  
Katherine Medina
Keyword(s):  
Bombyx Mori ◽  
Production Performance ◽  
P Value ◽  
Demographic Profiles ◽  
Silk Production ◽  
Incubation Periods ◽  
The Mean ◽  
The Impact ◽  
Cluster 2 ◽  
Production Characteristics

AbstractSilk production by the Chilean silkworm, although an important source of revenue, has not been extensively studied. In the current study, we research 564 Mountain Silkworm (Bombyx mori), analyzing their silk harvests, silk production incubation periods and demographic profiles. The mountain silkworms were randomly divided into two clusters (cluster#1, cluster#2), each of which had 56 mountain silkworms. Crumpled maize were replaced by steam-flaked maize 30%, 50%, 100%, then researched the effects of nourishing steam-flaked maize on production performance of silk production by silkworm. The outcomes showed that the cluster#2 had better median silk harvest than cluster#1, the mean of these increment silk harvests was 3.48pounds (P-value <0.05); the protein proportion and the sugar in silk of cluster#2 went up than cluster#1; for the urine nitrogen and somatic cell count of cluster#2 were lower than cluster#1 by 0.9% (P-value >0.05), 30,800 cells/ml (P-value<0.05), respectively. The current research confirmed that utilizing the JHO nutrition heightened silk harvest, improved silk production characteristics, and enhanced the performance of mountain silkworms; furthermore, it heightened resistance to the sickness due to strengthened resistance.

scholarly journals Role of training session in improving the knowledge of blood transfusion practices among undergraduates- a hospital based study.

2020 ◽  
Vol 10 (2) ◽  
pp. 1702-1705
Author(s):  
Perada Vasavi ◽  
Mahesh Kumar Usha ◽  
Anurag Yadav
Keyword(s):  
Blood Transfusion ◽  
Training Program ◽  
Training Session ◽  
Limited Resource ◽  
P Value ◽  
Undergraduate Medical Students ◽  
Post Test ◽  
Minimum Score ◽  
The Mean ◽  
The Impact

Background: Blood is a vital and limited resource with a lifesaving therapeutic benefit.  Knowledge of standard transfusion practices to be followed is important in delivering quality transfusion services. The present study aims at assessing the knowledge of transfusion practices among undergraduate medical students, train them, and to assess the impact of this type of training sessions in improving the outcome. Materials and methods:  82 undergraduate MBBS students participated in the study. The students were asked to attempt a pre-test and a post-test questionnaire before and after the training program. The training session comprised of audiovisual lecture and handout material given to the participants. The mean scores, percentage of both the tests, and percentage of improvement in scores from pre to post-test were analyzed. Results: The mean score in the pre-test was 8.3 with a minimum score of 3 and a maximum of 13 out of 15. The post-test mean score was 10.7 with a minimum score of 6 and a maximum score of 14 out of 15, which was significantly high. The training program helped in the overall improvement of the knowledge in various aspects of blood transfusion like indications, cross-matching, shelf life, transfusion practices, and management of adverse reactions. The p-value obtained was 0.003 (<0.05) which was significant. Conclusions: Knowledge of blood transfusion practices among the undergraduates was low. Training sessions helped improve the immediate knowledge and overall orientation toward the practices. Hence, blood transfusion syllabus should be included in the undergraduates' competency curriculum.

scholarly journals ADDITION OF RICE HUSK NANOCELLULOSE TO THE IMPACT STRENGTH OF RESIN BASE HEAT CURED

2021 ◽  
Vol 4 (3) ◽  
pp. 119
Author(s):  
Muhammad Aditya Ramadhan Hasran ◽  
Dian Noviyanti Agus Imam ◽  
Bambang Sunendar
Keyword(s):  
Impact Strength ◽  
Mechanical Strength ◽  
Rice Husk ◽  
Acrylic Resin ◽  
Control Group ◽  
P Value ◽  
Test Results ◽  
Nano Cellulose ◽  
Reinforcing Material ◽  
The Impact

Background: One of the materials for denture bases is heat-cured acrylic resin (PMMA). This material still lacks impact strength as a mechanical strength property. The addition of reinforcing material is known to increase the mechanical strength of PMMA. One of the reinforcing materials added to PMMA is nano cellulose from rice husks, one of the wastes from agricultural products. Purpose: This study aims to determine rice husk nano cellulose's addition to the PMMA denture base's impact strength. Method:  The research sample consisted of six groups, each group consisting of 8 samples selected by simple random. The PI, P2, P3, P4, P5, and K groups were PMMA with 1%, 2%, 3%, 4%, 5% nano cellulose, and without nano cellulose. Result: Mean impact strength test results were 41.50 x 10-3 ± 3.891 J / mm2 for P1, 44.13 x 10-3 ± 3,980 J / mm2 for P2, 45.63 x 10-3 ± 4,438 J / mm2 for P3, 46.87 x 10-3 ± 4,824 J / mm2 for P4, 49.12 x 10-3 ± 4.016 J / mm2 for P5 and 36.25 x 10-3 ± 1.982 J / mm2 for K. One way Anova test results with p-value of 0.000 indicates differences in the six groups (p<0.05). Conclusion: This study concludes that the impact strength value of PMMA with the addition of rice husk nano cellulose has increased compared to the control group without the addition of rice husk nano cellulose.

scholarly journals The Impact of Strengthening Exercise on Dynamic Balance in Patients with Knee Osteoarthritis

2021 ◽  
Vol 15 (10) ◽  
pp. 3429-3431
Author(s):  
Shenbaga Subramanian Sundaram ◽  
Makesh Babu Subramanian ◽  
Riziq Allah Mustafa Gaowgeh ◽  
Mikhled Falah Maayah ◽  
Ziyad Neamatallah ◽  
...  
Keyword(s):  
Knee Osteoarthritis ◽  
Dynamic Balance ◽  
Mean Value ◽  
Control Group ◽  
P Value ◽  
Strengthening Exercise ◽  
Significant Difference ◽  
The Mean ◽  
The Impact ◽  
Experimental Group

Background: Knee osteoarthritis is characterised clinically by usage-related pain and/or functional limitation. OA that is associated with physical dysfunction and decline in health-related quality of life caused the main disability worldwide and is expected to increase due to aging and obesity rates and further load on the population and health system. The strengthening exercises that normally used is knee flexion and extensions, isometric quadriceps exercise, isometric hamstring exercise, and sit to stand to improve the balance. Objectives: is to find out the impact of Strengthening exercise on Balance in patients with knee Osteoarthritis Study Design: Quasi experimental study Methods: Fifty-six (n=56) of knee OA patients were involved in this study by judgemental sampling design. Researcher will first demonstrate and explain the Y-balance tools testing procedure based on Plisky and colleagues study. Participants are given to practice six trials before the formal testing, stated that SEBT have a significant learning effect and found that the reaching distances reached the longest distance after six trials and then will be constant. Results: Independent t-test shows significant difference in only anterior direction. In the experimental group the mean value is 69.83 with a SD of 11.62 while in the control group the mean value is 63.51 with a SD of 11.36; p-value of .045 and t-value of 2.056. In postero-lateral directions result shows there is no significant difference, experimental group the mean value is 91.10 with a SD of 9.74 while in control group mean value is 90.88 with SD value of 12.68; p-value of .947 and t-value of .067. Result of postero-medial shows no significant difference too, in experimental group the mean value of 95.16 with SD of 10.92 while in control group the mean value is 93.40 with SD of 8.20; p=value of .501 and t-value of .678. Conclusion: This study has proven strengthening exercise using YBT improved only anterior direction of YBT but no significant difference in postero-lateral and postero-medial direction. Key Words: Knee Osteoarthritis, Strengthening exercise, Dynamic Balance, Star excursion test

scholarly journals The Relation of Allergic Rhinitis Classification with IL-5 on The Aller-gic Rhinitis

2019 ◽  
Vol 2 (3) ◽  
pp. 123-127
Author(s):  
Ismayani
Keyword(s):  
Quality Of Life ◽  
Clinical Symptoms ◽  
Mean Value ◽  
P Value ◽  
Significant Relation ◽  
Cross Sectional ◽  
The Mean ◽  
The Impact

IL-5 is an important role cytokine on the RA. IL-5 has an important role on eosinophils. ARIA-WHO made classification of RA based on how long the clinical symptoms and the impact on quality of life. The aim of this study was to know the classification of RA with IL-5 on RA study. This study used a cross-sectional method with 39 samples. The examination of IL-5 used ELISA. The highest classification of RA was medium-severe persistent of 43.58% with the mean value IL-5 was 56.25 pg/ml. Based on the test of Kruskal Wallis, it was obtained p-value = 0.664. Conclusion: There was no significant relation between classification RA and IL-5.  

scholarly journals THE FUTSAL DEFENSE SYSTEM MODEL FOR 14-16 YEARS OLD

2021 ◽  
Vol 12 (05) ◽  
pp. 339-351
Author(s):  
Lesmana Lesmanaumar ◽  
Iman Sulaiman ◽  
Hernawan
Keyword(s):  
System Model ◽  
Control Group ◽  
P Value ◽  
Test Results ◽  
Defense System ◽  
Development Data ◽  
The Mean ◽  
Defense Model ◽  
Product Effectiveness ◽  
Experimental Group

The purpose of this research is to produce a futsal defense system model for 14-16 years olds and to test the effectiveness of the futsal defense model for 14-16 years olds. The method used in this research is research and development. Data collection techniques used, interviews, tests, and field observations. The results of the product effectiveness test by comparing the two groups. the treatment group using the product development, and the control group using the pretest and posttest designs. The mean score of each group based on the test is that the effectiveness of the experimental group is higher than that of the control group. The improvement of the futsal defense system for ages 14-16 years at the time of the pre-test showed t-count = 22, 219,> t-table = 1.70329, df = 27 and p-value = 0.00 <0.005. Based on the comparison of the test results. the increase in test results for the experimental group increased significantly than that of the control group. The subjects in this study were MC Utama athletes aged 14-16 years. It is hoped that this research can provide benefits for sports practitioners, especially in the sport of futsal. Key words : Futsal, a futsal defense system model  

scholarly journals Comparative evaluation of levetiracetam and valproic acid as monotherapy on cognitive impairment in patients of epilepsy

2019 ◽  
Vol 8 (4) ◽  
pp. 674
Author(s):  
Shreshth Khanna ◽  
Suman Bala ◽  
Yashpal Singh ◽  
Taruna Sharma ◽  
Juhi Kalra ◽  
...  
Keyword(s):  
Valproic Acid ◽  
Cognitive Impairment ◽  
Cognitive Decline ◽  
P Value ◽  
Cognitive Improvement ◽  
Institutional Ethics ◽  
Group A ◽  
The Mean ◽  
Group B ◽  
The Impact

Background: Cognitive decline with AEDs (Anti-epileptic drugs) is associated with learning and memory deficits especially in the younger age group. The data regarding the impact of levetiracetam and valproic acid as monotherapy on cognition in epileptic patients is scarce. The present study was done for evaluation of cognitive decline associated with the use of AEDs.Methods: Present study was a prospective study on 60 patients on AEDs for a period of 12 weeks. Patients were enrolled from the Department of Neurology, Swami Rama Himalayan University, Dehradun, Uttarakhand, India and divided into group A (levetiracetam) and group B (valproic acid) with 30 patients in each group. Permission from the institutional ethics committee and written informed consent was taken from all the patients. They were analyzed for cognitive impairment using MMSE and MoCA scales at baseline and 12 weeks.Results: The mean duration of disease was 2.13±1.1 years and 2.08±1.1 years and mean age of the patients was 14.67±1.9 years in group A and 16.20±1.6 years in group B. GTCS was present in 31 patients (52%) followed by partial seizures in 29 patients (48%). The mean change in the MMSE scores from baseline to 12 weeks was significant in group A 1.30±1.1 (p value <0.05) and change group B was -0.20±1.4 not statistically significant. The mean change was observed in MoCA scores from baseline to 12 weeks was significant in both groups A and B by 1.17±1.1 and -0.70±1.1 respectively (P value <0.05).Conclusions: Patients on levetiracetam showed cognitive improvement, whereas patients on valproic acid showed a decline in the MMSE and MoCA scores.

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