scholarly journals EFFECT OF GIVING CUCUMBER (Cucumis sativus) TO DECREASE HEMOGLOBIN TROMBOSITE AND IMPROVEMEN IN PRE-ECLAMMED PATIENTS AT DEWI SARTIKA HOSPITAL

Author(s):  
Novia Sarmiati ◽  
Erwin Azizi Jaya Dipraja ◽  
La Banudi

Background:According to the World Health Organization (WHO) every day in 2015, around 830 women die from complications of pregnancy and child birth. Globally, maternal mortality in the world is 303,000. The maternal mortality rate (MMR) in Indonesia based on the Indonesian Health Demographic Survey (IDHS) in 2012 was around 359 / 100,000 live births, this figure increased compared to 2007, which was around 228 / 100,000 live births. Data from Dewi Sartika General Hospital with preeclampsia cases for the last three years. In 2017, the number of births in 1855 who experienced preeclampsia were 305 cases. In 2018 the number of births in 1822 who experienced preeclampsia was 334 cases. In 2019 the number of deliveries in 2007 who experienced preeclampsia was 377 cases. For 2020 January to June number of deliveries695 the incidence of preeclampsia was 164 cases. Methods:This study used a quasi-experimental type with a pre-test-post-test control group method design. The population in this study were all 164 preeclampsia patients from August to October 2020. Result:Test data analysis using testwilcoxon test (? = 0.05) in the cucumber group, it was found that p = 0.000 on decreased hemoglobin and increased platelets Conclusion:There is an effect of cucumber on decreasing hemoglobin and increasing platelets in preeclampsia patients at Dewi Sartika General Hospital.

Author(s):  
Efilona Setri ◽  
Mohd. Faisyal Reza

Background : According to the World Health Organization (WHO), maternal mortality is still quite high, every day around the world around 800 women die from complications during pregnancy, childbirth and the puerperium. In 2013, 289,000 women died during and after pregnancy, childbirth and the puerperium. Between 1990 and 2013, the global maternal mortality rate (i.e. the number of maternal deaths per 100,000 live births) decreased by only 2.6% per year. This figure is still far from the target of reducing the annual MMR (5.5%) needed to achieve the 5th MDG target (Andiani, and Retno, 2014). Method : The research objective was to determine the compliance of mothers in conducting postpartum visits. Result : Results of the Research on Maternal Compliance in Postpartum Visits Postpartum Visits in Pulau Buluh Village, Bulang District, Batam City It was found that maternal post-partum visits in Pulau Buluh Village consisted of 35 respondents, namely 19 respondents (54%) postnatal visits were obedient, and 16 respondents (46 %) postpartum visits are non-compliant Conclusion : It is known that 19 (54%) of the respondent's frequency distribution of Compliance Postpartum visits are complete and 16 (46%) respondents who are incomplete during postpartum visits


Author(s):  
Ayu Kurniati ◽  
Enny Fitriahadi

IN 2013, the World Health Organization, released data in the form of Maternal Mortality Rate (MMR) worldwide, and the number reached 289,000 per 100, 000 live births, which 99% of cases occurred in developing countries. Research aims to discover the relationship of antenatal class towards mothers’ knowledge of the dangerous sign during pregnancy. The result showed that there is a relationship of antenatal class towards mothers’ knowledge of dangerous sign during pregnancy, From this result, the researcher concludes that antenatal class could increase mothers’ knowledge of dangerous sign during pregnancy and may decrease the complication risk during the childbirth.


2017 ◽  
Vol 1 (1) ◽  
pp. 48
Author(s):  
Esti Hitatami ◽  
Bony Lestari ◽  
Herman Susanto ◽  
Dany Hilmanto ◽  
Tina Judistiani ◽  
...  

Angka Kematian Ibu (AKI) di Indonesia masih cukup tinggi, dibandingkan dengan negara ASEAN lainnya.  Kematian ibu  yang tinggi tersebut disebabkan oleh komplikasi saat kehamilan dan persalinan. World Health Organization (WHO) memperkirakan bahwa 15-20% ibu hamil baik di negara maju maupun berkembang akan mengalami risiko tinggi (risti) dan/atau komplikasi kehamilan. Salah satu penyebab terjadinya  kehamilan risiko tinggi  pada ibu hamil adalah kurangnya pengetahuan dan sikap positif  ibu  tentang kesehatan reproduksi. Hal ini dapat disebabkan oleh rendahnya  status sosial ekonomi,  pendidikan yang rendah, kesenjangan  keterpaparan informasi, faktor kepercayaan dan pengalaman. Untuk mengoptimalkan pengetahuan dan sikap ini perlu dilakukan pendidikan kesehatan melalui pemberian layanan pesan singkat lewat telepon seluler. Oleh karena itu penelitian ini bertujuan untuk mengukur pengaruh pendidikan kesehatan tentang kehamilan risiko tinggi melalui  layanan pesan singkat terhadap peningkatan pengetahuan dan sikap ibu hamil. Penelitian ini merupakan penelitian quasi experimental dengan rancangan pre test-post test control group design dengan jumlah sampel 114  orang ibu hamil. Pengambilan sampel ibu hamil dilakukan dengan cara randomisasi blok permutasi sehingga diperoleh  57 orang ibu hamil untuk kelompok intervensi dan 57 orang ibu hamil untuk kelompok kontrol. Variabel pengetahuan dan sikap tentang kehamilan risiko tinggi diukur dengan menggunakan kuesioner sebelum dan sesudah diberikan pendidikan kesehatan berupa layanan pesan singkat.   Perbedaan peningkatan pengetahuan dan sikap pada pada kelompok intervensi dan kontrol diuji secara statistik dengan uji t tidak berpasangan.Penelitian dilaksanakan dari bulan Desember 2013 sampai dengan  bulan Januari 2014. Hasil penelitian pada kelompok intervensi menunjukkan adanya  peningkatan skor rata-rata  pengetahuan dari 49,2±11,6 menjadi 60,6±12,6  (p<0,05). Selain itu terdapat peningkatan skor rata-rata  sikap dari 71,4±9,3 menjadi 76,3±5,7 (p<0,05). Sedangkan uji beda selisih peningkatan pengetahuan dan sikap antar kelompok intervensi dan kontrol menunjukkan perbedaan selisih pengetahuan bermakna dengan skor 11,4±12,5 dan 1,4±16,9  (p<0,05). Untuk variabel sikap, terdapat perbedaan selisih skor sikap yang bermakna pada kelompok intervensi sebesar 4,9±14,7 dan kelompok kontrol  sebesar – 5,9±9,6 (p<0,05). Berdasarkan hasil penelitian dapat disimpulkan  bahwa pendidikan kesehatan dengan  layanan pesan singkat dapat  meningkatkan pengetahuan dan sikap ibu hamil tentang kehamilan risiko tinggi.


Jurnal NERS ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. 111
Author(s):  
Dian Fitria ◽  
Jehan Puspasari ◽  
Puspita Hanggit Lestari

Introduction: Corona Virus Disease (Covid-19) was declared as a pandemic by the World Health Organization (WHO) resulting in changes in existing patterns of life. This impact also affects the world of education, including nursing vocational education. Nursing vocational education must be able to design online methods for the clinical competency with existing facilities and infrastructure. The online clinical method can describe the achievements achievable in clinical facilities so as to build students’ satisfaction and confidence.Methods: This research used quasi-experimental pre-posttest without control group method by providing clinical learning thinking like a nurse simulation. The research sample consists of 110 diploma students with purposive sampling method. Simulation focuses on clinical judgment, communication skills, and skill simulations by adopting clinical practice in hospitals. Assessment is measured using Simulation Design Scale (SDS) and Student Satisfaction and Self-Confidence in Learning Scale (SCLS). Pair t test with level of significance 0.05 is used to process data.Results: It is found that there is an increase in students’ satisfaction and confidence using the clinical simulation method of “thinking like a nurse” having an average 40.69%. Meanwhile, online clinical learning methods has an average increase of 114%. There is an effect of thinking like a nurse simulation method on students’ satisfaction and self-confidence (p < 0.05).Conclusion: This research is recommended to add to the reference for online nursing clinical learning methods during Covid-19. Determining the   ratio between students and lecturers in online clinic learning can be considered for further research.


2020 ◽  
Vol 5 (1) ◽  
pp. 1
Author(s):  
Yane S. Herliany ◽  
Siti R. Wahyuningsih

Hypertension is a major problem in the world. World Health Organization (WHO) reported that 1.13 billion people in the world suffer from hypertension. This study aimed to determine antihypertensive prescription profile and drug interaction in outpatient installation at PINDAD General Hospital, Bandung in January 2019. This study was non-experimental observational studies with retrospective data collection. There were 381 patients with hypertension (50,13% female and 49,87% male). The most widely used antihypertensive drug is Amlodipine (33,28%) and Calcium Channel Blocker drug (34,20%). Moreover, we found 74,07% was moderate drug-drug interaction (DDI) with Amlodipine and Lisinopril as the most common cases (21,08%). We concluded that 15,7% prescription contain antihypertensive drugs and moderate DDI occurred in the use of amlodipine and lisinopril. DDI should get more attention due to the clinical manifestations that may occur in patients.


2017 ◽  
Vol 15 (1) ◽  
Author(s):  
Rizka Ilmawati ◽  
Sri Mardoyo ◽  
Suroso Bambang Eko Warno

ABSTRACTMalaria is a contagious disease that still becomes wide health problem in the world, including Indonesia.In 2014, API of Pacitan was the highest in East Java with 75 patients suffered from malaria. One of the endemicvillage in Pacitan is Ngreco village. Malaria vector control effort undertaken in the village is the use of insecticidetreatedbed nets, as recommended by the World Health Organization (WHO). The use of insecticide-treated netseffectively prevent transmission of malaria when supported with good care to insecticide-treated nets.This study aims to determine the effectiveness of insecticide-treated nets used by Ngreco Villagecommunity as malaria vector control to the decline in malaria cases. This is a quasi-experimental research. Thedata were collected through interview and sampling. The research sample was 29 homes for interviews and 4insecticide-treated nets used by the community for Bio-assay Test.The results of this study shows a decrease in new case of malaria in 2007-2010 from 23 new cases into2 new cases in 2011 to 2015. The results of efficacy test conducted on four samples of net used by thecommunity showed that net with 30 months of use (effectiveness <80%) are no longer effective to be used as avector control of malaria, while net with 12 months of use (effectiveness> 80%) is still effective to be used asmalaria vector control.The society should pay more attention on how to laundry the net that it is durable as malaria vectorcontrol. The health center needs to conduct controlling of mosquito nets routinely to find out whether the netsare still effective that replacement or dyeing of the of net can be performed.Keywords: Insecticidal mosquito net, effectiveness, malaria


PEDIATRICS ◽  
1986 ◽  
Vol 78 (5) ◽  
pp. 850-854
Author(s):  
Ann L. Wilson ◽  
Lawrence J. Fenton ◽  
David P. Munson

The National Center for Health Statistics reports that in 1983 65% of all infant deaths in the United States occurred in the neonatal period. Of these reported neonatal deaths, 17% were of infants weighing less than 500 g at birth. There was, however, variation in state-reported incidence of live births of newborns in this weight cohort (0.2 to 2.2 per 1,000 live births). Thé states with the lowest neonatal mortality rate have the lowest incidence of birth weights less than 500 g (ρ = .77). If it is assumed that mortality for this weight category is nearly 100%, there is marked variation (5% to 32%) in the contribution of this weight cohort to a state's total neonatal mortality rate. Contributing to this variation may be definitions of live birth used by states. The World Health Organization defines a live birth as the product of conception showing signs of life "irrespective of the duration of pregnancy" and this definition is used by 33 states. Only one state (Ohio) includes the gestational criteria of "at least 20 weeks" in its definition of live birth. There is evidence to suggest that definitions are not uniformly used within individual states. For example, in 1983, 20 states did not report any live births with weights less than 500 g among their "other" populations of nonwhite, nonblack residents. Half of these states, however, use the World Health Organization definition of live birth. Despite the exclusionary wording in Ohio's definition of live birth, 16% of newborns who died in that state had birth weights less than 500 g. Inconsistency in state definitions and possible variations in reporting live births less than 500 g affect state comparisons of infant and neonatal mortality rates.


2002 ◽  
Vol 26 (10) ◽  
pp. 380-382 ◽  
Author(s):  
Rex Haigh

In 1953 the World Health Organization produced a report dealing with ‘essential mental hospital provisions'. The report emphasised the importance of the atmosphere of the hospital:‘The most important single factor in the efficacy of the treatment given in a mental hospital appears to the Committee to be an intangible element which can only be described as its atmosphere, and in attempting to describe some of the influences which go to the creation of this atmosphere, it must be said at the outset that the more the psychiatric hospital imitates the general hospital as it at present exists, the less successful it will be in creating the atmosphere it needs. Too many psychiatric hospitals give the impression of being an uneasy compromise between a general hospital and a prison. Whereas, in fact, the role they have to play is different from either; it is that of a therapeutic community’ (World Health Organization, 1953)


2007 ◽  
Vol 1 (4) ◽  
pp. 347-355 ◽  
Author(s):  
Vilma Regina Martins ◽  
Hélio Rodrigues Gomes ◽  
Leila Chimelli ◽  
Sergio Rosemberg ◽  
Michele Christine Landemberger

Abstract The emergence of the new variant of Creutzfeldt-Jakob disease (vCJD) in the United Kingdom has raised concerns over the risks of this prion disease in other parts of the world. Since 2005, human prion diseases have been under compulsory notification in Brazil. It is well known that some polymorphisms within the cellular prion gene (PRNP) have been associated to a higher susceptibility to sporadic CJD (sCJD) and vCJD. Objectives: To describe the first notified cases and to evaluate the presence of mutations and polymorphisms of the PRNP in these cases. Methods: Thirty-five notified cases were evaluated by clinical, auxiliary exams and biochemical and/or genetic tests and classified according to the World Health Organization criteria for CJD. A control group (N=202) was included for the purpose of comparing the genetic analyses. Results: Twenty seven cases (74%) were classified as possible sCJD while 51% fulfilled the criteria for probable sCJD. Brain tissue analysis was available in three cases, where two were classified as definite sCJD and one as unconfirmed sCJD. Mutation of the PRNP was not found, and regarding the codon 129 polymorphism, valine in both alleles (Val129Val) was more frequent in patients than in the control group (OR=4.98; 1.55-15.96; p=0.007) when all possible cases were included, but not when only probable cases were considered. Conclusions: Our data did not show correlation of PRNP polymorphisms with probable sCJD cases. It is necessary to work toward notification of all cases of possible CJD in Brazil and to increase the rate of definitive diagnoses.


Blood ◽  
2006 ◽  
Vol 109 (5) ◽  
pp. 2250-2255 ◽  
Author(s):  
Héliton Spíndola Antunes ◽  
Alexandre Mello de Azevedo ◽  
Luiz Fernando da Silva Bouzas ◽  
Carlos Alberto Esteves Adão ◽  
Claudia Tereza Pinheiro ◽  
...  

Abstract We investigated the clinical effects of low-power laser therapy (LPLT) on prevention and reduction of severity of conditioning-induced oral mucositis (OM) for hematopoietic stem cell transplantation (HSCT). We randomized 38 patients who underwent autologous (AT) or allogeneic (AL) HSCT. A diode InGaAlP was used, emitting light at 660 nm, 50 mW, and 4 J/cm2, measured at the fiberoptic end with 0.196 cm2 of section area. The evaluation of OM was done using the Oral Mucositis Assessment Scale (OMAS) and the World Health Organization (WHO) scale. In the LPLT group, 94.7% of patients had an OM grade (WHO) lower than or equal to grade 2, including 63.2% with grade 0 and 1, whereas in the controls group, 31.5% of patients had an OM grade lower than or equal to grade 2 (P < .001). Remarkably, the hazard ratio (HR) for grades 2, 3, and 4 OM was 0.41 (range, 0.22-0.75; P = .002) and for grades 3 and 4 it was 0.07 (range, 0.11-0.53; P < .001). Using OMAS by the calculation of ulcerous area, 5.3% of the laser group presented with ulcers of 9.1 cm2 to 18 cm2, whereas 73.6% of the control group presented with ulcers from 9.1 cm2 to 18 cm2 (P = .003). Our results indicate that the use of upfront LPLT in patients who have undergone HSCT is a powerful instrument in reducing the incidence of OM and is now standard in our center.


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