Physical Fitness Profile of Wheelchair-Bound Soldier: A Preliminary Study to Propose a New Standard for Disabled Soldier

ABSTRACTIntroduction: The Regulation of the Ministry of Defense No. 106 of 2016 regulates the process of whether a disabled soldier should retire or continue their career. Some soldiers can continue after undergoing a rehabilitation program and fitness test called Uji Kesamaptaan. Unfortunately, the current scoring system in Uji Kesamaptaan only fits for normal soldiers. The purpose of this study was to describe the profile of normal and disabled soldiers who underwent physical fitness tests. The equality value “Kesamaptaan table” with the running test can be used to assess the ability for disabilities by using a wheelchair test?Methods: This preliminary study used a cross-sectional method and involved 46 soldiers who were divided into two groups, disabled (n=16) and normal (n=30). All participants underwent a 12-minuterun or wheel test in a 400-meter track, to record the distance covered according to their ability. VO2Max assessed using the Cardio-Pulmonary Exercise Test (CPET). Results were analyze using SPSS program;Independent T-test.Results: No significant difference was observed in the characteristics (age, body weight, height, and mass index) between the two groups. The VO2Max difference between normal soldiers and disabled soldiers was highly significant. The highest score among disabled and normal soldiers was 38 L/min/kg BW and 64 L/min/kg BW, respectively. Normal soldiers covered 465m farther in a 12-minute run test.Conclusion: Kesamaptaan, the current scoring system for soldiers, can be considered unfair for the disabled soldiers. The scoring system only includes for 12-minutes running test. Differences in the involvement of muscles and muscle type, affecting energy use and oxygen consumption between the 12-minute run test and wheelchair pedal test. Therefore, value conversion is required for disabled soldiers.Keywords: disabled persons, exercise test, physical fitness, VO2Max

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The Role of Maternal Progesterone and Estradiol Levels in Predicting the Success of Induction of Labour: A Preliminary Study

Indonesian Journal of Obstetrics and Gynecology ◽

10.32771/inajog.v7i2.867 ◽

2019 ◽

pp. 126-129

Author(s):

Kanadi Sumapraja ◽

Hilda R Badruddin

Keyword(s):

Cross Sectional Study ◽

Induction Of Labour ◽

Health Clinic ◽

Cross Sectional ◽

Induction Group ◽

Significant Difference ◽

Preliminary Study ◽

Larger Sample ◽

Estradiol Levels

Objective: to evaluate whether maternal progesterone and estradiol levels could be used to predictthe success ofinduction of labour (IOL) Methods:This cross-sectional study was conducted at the Women’s Health Clinic as well as delivery suite of Dr. Cipto Mangunkusumo Hospital during the period of May 2016 to April 2017. Blood samples of term pregnant women who were indicated for IOL wereobtainedbefore birth. Results:A total 44 subject were recruited in this study.Of these, 24 subjects had successful IOL while the other 20 subjects had IOL failure. There was no significant difference of progesterone among both groups (66,7% vs 75%, p=0,55). The estradiol levels in subjects who successfully performed induction had an average of 16,916.28 ± 2,574.75 pg/mL which did not differ significantly from the failed of induction group with estradiol levels of 14,832.24 ± 2374.47 pg/mL (p = 0,65). Conclusion:We found no significant association between both maternal progesterone and estradiol levels and the success rate of IOL. Further studies with larger sample sizes are required to confirm whether progesterone and estradiol play pivotal roles in the success of IOL. Keywords: progesterone, estradiol, induction of labour Tujuan: mengevaluasi kadar progesteron dan estradiol ibu sebagai prediktor kesuksesan induksi persalinan Metode: Penelitian ini menggunakan desain potong lintang yang berlangsung pada bulan Mei 2016 hingga April 2017 di Poliklinik dan IGD Kebidanan Rumah Sakit Umum Pusat Rujukan Nasional Cipto Mangunkusumo. Pasien hamil aterm yang dilakukan induksi persalinan dan memenuhi kriteria penelitian akan diambil sampel darah sebelum persalinan. Hasil: Dari 44 subjek yang mengikuti penelitian, 24 subjek berhasil dilakukan induksi persalinan dan 20 subjek gagal.Tidakterdapatperbedaanbermaknapadakadarprogesterone Antarakeduagrup(66,7% vs 75%, p=0,55). Kadar estradiol padapasien yang berhasildilakukaninduksimemiliki rata-rata 16.916,28 + 2.574,75pg/mL yang tidakberbedajauhdengankadar estradiol pasien yang gagalinduksiyaitu 14.832,24 + 2374,47pg/mL (p = 0,65). Kesimpulan: Tidakterdapat perbedaan bermakna antara kadar progesteron dan estradiol maternal terhadap keberhasilan induksi persalinan. Penelitian lebih lanjut dengan jumlah sampel yang lebih besar dibutuhkan untuk mengkonfirmasi hubungan ini dengan lebih baik. Kata kunci: progesteron, estradiol, induksi persalinan

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Cross-Cultural Adaptation and Quantitative Evaluation of Dysfunctional Voiding and Incontinence Scoring System in Pediatric Serbian Population

Medicina ◽

10.3390/medicina55040100 ◽

2019 ◽

Vol 55 (4) ◽

pp. 100

Author(s):

Dragana Cirovic ◽

Ivana Petronic ◽

Jasna Stojkovic ◽

Ivan Soldatovic ◽

Polina Pavicevic ◽

...

Keyword(s):

Scoring System ◽

Pediatric Population ◽

Scoring Systems ◽

Cross Sectional Study ◽

Repeated Measurements ◽

Receiver Operating Curve ◽

Dysfunctional Voiding ◽

Cross Sectional ◽

Significant Difference ◽

Test Retest Reliability

Background and objective: Dysfunctional voiding (DV) presents relatively frequent problem in pediatric urologist practice. The necessity for implementation of DV evaluation in the pediatric population is of particular importance, since there is no clear consensus on the clinical assessment of such condition. The aims of our study were to evaluate the test/retest reliability and reproducibility of dysfunctional voiding and incontinence scoring system: Serbian version (DVISSSR) in patients with voiding and incontinence dysfunctions without structural deformities, and to estimate cut-off value for DVISSSR. Methods: The cross-sectional study included 57 children with voiding and incontinence dysfunctions and 30 healthy pediatric controls. For the evaluation of voiding and incontinence dysfunction we used DVISS. The forward–backward method was applied for translation of the DVISS questionnaire from English into Serbian language. Reproducibility was analyzed by Interclass Correlation Coefficient (ICC). Sensitivity and specificity of DVISSSR scores was done by receiver operating curve (ROC) curve. Results: There was a significant difference in DVISSSR score between patients and controls (p < 0.001). For reliability and reproducibility of the questionnaire, there was no significant difference between repeated measurements (p = 0.141), and strong reliability (ICC = 0.957; p < 0.001). Conclusion: We have demonstrated successful translation and validation of the DVISSSR score. Moreover, a reliable scoring system of children with voiding dysfunctions should include evaluations of symptom scoring systems at the multicentric level.

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Impact of activities in self-esteem of patients in a pulmonary rehabilitation program

Einstein (São Paulo) ◽

10.1590/s1679-45082015ao3209 ◽

2015 ◽

Vol 13 (1) ◽

pp. 47-51 ◽

Cited By ~ 1

Author(s):

Juliana Nascimento de Oliveira ◽

Cecilia Melo Rosa Tavares ◽

Selma Denis Squassoni ◽

Nadine Cristina Machado ◽

Priscila Kessar Cordoni ◽

...

Keyword(s):

Physical Fitness ◽

Exploratory Study ◽

Pulmonary Rehabilitation ◽

Respiratory Diseases ◽

Self Esteem ◽

Rehabilitation Program ◽

Cross Sectional ◽

Self Image ◽

The Difference ◽

Pulmonary Rehabilitation Program

Objective To evaluate self-esteem and self-image of respiratory diseases patients in a Pulmonary Rehabilitation Program, who participated in socialization and physical fitness activities, and of patients who participated only in physical fitness sessions. Methods A descriptive cross-sectional exploratory study. Out of a total of 60 patients analyzed, all enrolled in the Pulmonary Rehabilitation Program, 42 participated in at least one of the proposed activities, 10 did not participate in any activity and 8 were excluded (7 were discharged and 1 died). Results When the two groups were compared, despite the fact that both demonstrated low self-esteem and self-image, the difference between them was relevant (p<0.05) regarding self-esteem, indicating that those who participated in the proposed socialization activities had better self-esteem than the individuals who only did the physical fitness sessions. Regarding self-image, the difference between the groups was not relevant (p>0.05). Conclusion The Pulmonary Rehabilitation Program patients evaluated presented low self-esteem and self-image; however, those carrying out some socialization activity proposed had better self-esteem as compared to the individuals who did only the physical fitness sessions.

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Improving Knowledge of Oral and Dental Health in Parents of Elementary School Children Through ‘Gigi Sehat’ Video Channel

Indonesian Journal of Dental Medicine ◽

10.20473/ijdm.v3i2.2020.41-43 ◽

2020 ◽

Vol 3 (2) ◽

pp. 41

Author(s):

Aulia Ramadhani ◽

Hillary Desiree Raharyani

Keyword(s):

Oral Health ◽

Dental Caries ◽

School Children ◽

Dental Health ◽

Cross Sectional Study ◽

Test Methods ◽

The Internet ◽

Cross Sectional ◽

Significant Difference ◽

Post Test

Background: Dental caries is one of the dental and oral health problems found the most in children. A previous study in Surabaya has revealed a high prevalence of dental caries in pre-school children (67.5%) resulting in a high severity level (def: 7.0). It occurred because of the poor mother’s knowledge of dental and oral health. It could be due to poor efforts to access information about oral and dental health which significantly affects child dental care. Studies show mothers in Surabaya mostly used Youtube as one of the media for accessing the information on the internet (46.2%). In Surabaya, the percentage of mothers having smartphones for accessing the internet was high (91.6%). Purpose: This study aimed to find out the effectiveness of the Youtube channel in improving parents’ knowledge about dental and oral health. Methods: This study was observational descriptive research using a cross-sectional study design. Thirty samples were selected through the total sampling of the population of parents in one of the elementary schools in Surabaya, Indonesia. This study employed pre-test and post-test methods to measure an increase in knowledge level. The participants’ knowledge was assessed before and after they were briefed and asked to watch Youtube videos regularly for 4 weeks. Data collected were then analyzed by the paired T-Test comparison test in SPSS. Results: In the pre-test, the participants’ knowledge about dental and oral health was at a 65% level. While the post-test showed an increase in their knowledge into 93%. There was a significant difference between the two results (p < 0.05). Conclusion: Educative video channels on dental and oral health can effectively improve parents’ knowledge about dental and oral health.

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Investigation of dyspnea using cardiopulmonary exercise test among patients resorting to the respiratory tests

European Journal of Translational Myology ◽

10.4081/ejtm.2018.7556 ◽

2018 ◽

Vol 28 (3) ◽

Author(s):

Seyedeh Zahra Fotook Kiaee ◽

Besharat Rahimi

Keyword(s):

Cardiovascular Diseases ◽

Exercise Test ◽

Cross Sectional Study ◽

Cardiopulmonary Exercise Test ◽

Pulmonary Diseases ◽

P Value ◽

Exertional Dyspnea ◽

Cross Sectional ◽

Cardiopulmonary Exercise ◽

Significant Difference

Exertional dyspnea is a common complaint among patients which may be the final result of many diseases. Few researches have been conducted concerning the role of cardiopulmonary exercise test (CPET) in assessing unexplained dyspnea. Therefore, the aim of this study was a research on unexplained dyspnea using CPET among patients resorting to respiratory test unit of hospitals. This is a cross-sectional study that performed on 100 patients. With the direct supervision of experts, CPET was conducted using ergaspirometery device. The exercise data was interpreted by a pulmonologist and the results were classified into pulmonary diseases, cardiovascular diseases, obesity, deconditioning, and undetermined groups. 100 patients including 57 men and 43 women with an average age of 42 years and an average BMI of 28 and smoking frequency of 12% took part in this research. The following frequencies were reported for each complication: 24% for pulmonary diseases, 23% for cardiovascular diseases, 23% for deconditioning group, 15% for obesity, and 16% for the undetermined group. No significant difference was observed between these five groups in terms of gender distribution and smoking cigarette (P-value>0.05). In the age group older than 42 years, more patients were diagnosed with cardiac diseases and obesity. CPET may be really useful in determining the cause of unexplained dyspnea among most patients. Furthermore, the CPET can determine the presence or absence of disease, and if present, the nature of the limitation.

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(P2-25) Evaluation of the Apache III Grading System in Predicting the Prognosis and Mortality of Patients Admitted to Emergency Room, in Need of Intensive Care Unit Admission

Prehospital and Disaster Medicine ◽

10.1017/s1049023x11004699 ◽

2011 ◽

Vol 26 (S1) ◽

pp. s143-s144

Author(s):

H. Hatamabadi ◽

P. Darbandsar ◽

A. Abdalvand ◽

H. Kariman ◽

A. Arhamidolatabadi

Keyword(s):

Mortality Rate ◽

Scoring System ◽

Mortality Rates ◽

Cross Sectional ◽

Lengths Of Stay ◽

Apache Iii ◽

Study Results ◽

Significant Difference ◽

Critical Patients ◽

One Year

ObjectivesMany of critically ill patients are being cared for prolonged periods in ED just because of limited number of ICU beds and utilize of ED as the entry point to the health care system. The aim of this study is evaluation efficiency of APACHE III scoring system in predicting mortality rate of the mentioned patients.Materials and MethodsThis cross-sectional, observational, analytic study was performed in one year period. A hundred patients remaining in ED and necessitating ICU hospitalizing were enrolled by the convenience type of non-probability sampling. Then, the APACHE III scores, predicted and observed mortality rates were calculated using of information obtained from patients' files, interview with the patients' family and performing required physical exams and lab tests.ResultsIn the assessment of 100 patients, men group were 56% (56) and women group 44% (44). The age of patients and the ED lengths of stay were 66.07 ± 19.92 years and 5.11 ± 3.79 days respectively. The average (± SD) of APACHE III score of the enrolled patients was 58.89 ± 18.24 and the predicted mortality rate calculated 32.73%; while, the total of observed mortality rate was 55%. The average (± SD) of APACHE III score of survivors and non-survivors were 48.63 ± 16.35 and 67.63 ± 14.84 respectively. So, there was a significant deference (p < 0.001). Also, there was a significant deference in the ED lengths of stay between survivors and non-survivors (3.20 ± 1.34 and 6.57 ± 4.40 respectively, p < 0.001).ConclusionIn our study, APACHE III score and ED lengths of stay were higher versus other studies in Iran and other countries; which show more critical patients presenting to our hospital and limited ICU beds versus patients. This study results nevertheless there was significant difference between predicted and observed mortality rates, the APACHE III scoring system is applicable to evaluating care, treatment and prognosis of ED patients, as is used in ICU.

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Investigating the Relationship between Childbirth Type and Breastfeeding Pattern Based on the LATCH Scoring System in Breastfeeding Mothers

Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics ◽

10.1055/s-0041-1735985 ◽

2021 ◽

Vol 43 (10) ◽

pp. 728-735

Author(s):

Tayebeh Mokhtari Sorkhani ◽

Elahe Namazian ◽

Samaneh Komsari ◽

Shima Arab

Keyword(s):

Cesarean Section ◽

Scoring System ◽

Maternal Employment ◽

Study Groups ◽

Influential Factors ◽

Physical And Mental Health ◽

Cross Sectional ◽

Natural Childbirth ◽

Significant Difference ◽

Type Of Delivery

Abstract Objective The role of breast milk in the physical and mental health of infants and in the prevention of infant death is widely known. The benefits of breastfeeding for mothers and infants have been proven, but several factors can affect breastfeeding. Childbirth is one of the most influential factors. The present study aimed to investigate the effect of the type of delivery (natural childbirth and cesarean section) on breastfeeding based on the latch, audible swallowing, type of nipple, comfort, hold (LATCH) scoring system. Methods The present cross-sectional observational study was performed using the census method among women who referred to Afzalipour Hospital for delivery in May 2020; the breastfeeding pattern was completed by observation and the in-case information, by LATCH checklist. Data were analyzed using the Statistical Package for the Social Sciences (IBM SPSS Statistics for Windows, IBM Corp., Armonk, NY, United States) software, version 19.0, analysis of variance (ANOVA), and the Chi-squared statistical test. Results Out of a total of 254 deliveries (127 natural childbirths and 127 cesarean deliveries), there was no statistically significant difference between the 2 study groups in terms of age, maternal employment status, and infant weight, but there was a statistically significant relationship between the type of delivery, the maternal level of schooling, and the appearance, pulse, grimace, activity, and respiration (Apgar) score in the first minute. The mean score of breastfeeding patterns among the natural childbirth group (9.33) was higher than that of the cesarean section group (7.21). Conclusion The type of delivery affects the mother's performance during breastfeeding, and mothers submitted to cesarean sections need more support and help in breastfeeding.

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Comparison of Two Different Cut-Off Values of Scoring System for Diagnosis of Hirschsprung-Associated Enterocolitis After Transanal Endorectal Pull-Through

Frontiers in Pediatrics ◽

10.3389/fped.2021.705663 ◽

2021 ◽

Vol 9 ◽

Author(s):

Gunadi ◽

Raedi Ardlo Luzman ◽

Sagita Mega Sekar Kencana ◽

Bhagas Dwi Arthana ◽

Fauzan Ahmad ◽

...

Keyword(s):

Scoring System ◽

Maternal Education ◽

Hirschsprung Disease ◽

Final Analysis ◽

Hemoglobin Level ◽

Deficiency Anemia ◽

Cross Sectional ◽

Definitive Therapy ◽

Significant Difference ◽

Pull Through

Background: Hirschsprung-associated enterocolitis (HAEC) is a major contributor in the mortality of Hirschsprung disease (HSCR) patients that can occur both preoperatively and post-operatively. Several cut-off values of HAEC score have been used, i.e., ≥10 and ≥4. Here, we compared the HAEC frequency after transanal endorectal pull-through (TEPT) using two cut-offs of scoring system and associated them with the risk factors.Methods: Cross-sectional analysis was conducted using medical records of HSCR patients who were aged ≤18 years old and underwent TEPT at our institution, Indonesia between 2009 and 2016. HAEC was determined using the scoring system with cut-off values of ≥10 and ≥4.Results: Seventy subjects were used in the final analysis, consisting of 44 males and 26 females. There was a significant difference in one HAEC finding between the ≥10 and ≥4 cut-off groups; diarrhea with explosive stools (p = 0.002). The HAEC frequency was 5/70 (7.1%) and 49/70 (70%) patients using cut-off values of ≥10 and ≥4 (p < 0.0001), respectively. We found that patients with anemia (i.e., iron deficiency anemia) had a higher risk of HAEC after TEPT than patients with normal hemoglobin level with OR of 3.77 (95% CI = 1.28–11.1; p = 0.027), while no associations were found between other variables, including sex, age at diagnosis, age at definitive therapy, albumin level, and nutritional status and HAEC following TEPT (p = 0.87, 0.15, 0.33, 0.26, and 0.60, respectively). Also, no associations were observed between maternal education level, mother's age at pregnancy and gestational age and HAEC after definitive surgery (p = 0.10, 0.46, and 0.86, respectively).Conclusions: This report is the first study comparing two different cut-off values of scoring system to evaluate the HAEC frequency after TEPT and results suggest further using cut-off of ≥4 to expand the diagnosis of HAEC. Moreover, we also show for the first time that hemoglobin level is a strong risk factor for the HAEC development after TEPT.

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Depression, Recurrence, and Perceptions of Physical Fitness among CHD Patients: A Comparison based on Participation in Phase II Cardiac Rehabilitation Program

Jurnal Keperawatan Padjadjaran ◽

10.24198/jkp.v8i3.1471 ◽

2020 ◽

Vol 8 (3) ◽

Author(s):

Aan Nuraeni ◽

Atlastieka Praptiwi ◽

Ikeu Nurhidayah

Keyword(s):

Chest Pain ◽

Physical Fitness ◽

Cardiac Rehabilitation ◽

Phase Ii ◽

Comparative Method ◽

Psychosocial Interventions ◽

Rehabilitation Program ◽

Significant Difference ◽

Depression Level ◽

Fitness Levels

Coronary heart disease (CHD) patients experience various physical and psychological changes after an acute attack. Depression has been identified as a substantive psychological problem in CHD patients. Cardiac rehabilitation (CR) intends to restore optimal physical and psychological condition of the patients. However, less attention is bestowed towards the psychological aspect of CR. Research on the effects of CR on patient psychological problems has not been discussed in many studies in Indonesia. This study aimed to compare depression, recurrence, and fitness levels among CHD patients based on participation in Phase II CR Program. This research used a quantitative comparative method involving 66 CHD patients recruited by a purposive sampling technique. After applying the selection criteria for this study, the patients were assigned to the CR group (nCR=29) and the non-CR group (nNCR=37). Data were collected using the Beck Depression Inventory-II (BDI II) and instruments developed by researchers to measure recurrence and fitness levels. Data were analyzed using frequency distribution, chi-squared, and Mann-Whitney tests. Depression experienced by CHD patients in both groups with mean in non-CR and CR groups of 11.11 (± 7.8) and 8.59 (± 6.5), respectively. There was no significant difference in depression level among the groups (p>0.05)). Meanwhile, as many as 45% of the patients in the CR group and 22% in the non-CR group had never experienced chest pain (recurrence) within the past month. In addition, the physical fitness was perceived increased by 90% of the patients in the CR group and 0% in the non-CR group. It was also found that there were significant differences in the recurrence and physical fitness among the two groups (p <0.05). Patients participating in Phase II CR program had a better perception of physical fitness and a lower frequency of chest pain than patients in the non-CR group. Although the depression level in patients in the two groups did not differ significantly, patients in the non-CR group scored higher in depression. Accordingly, assessment and psychosocial interventions need to be improved to optimize CR program services.

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Olfactory Identification among Various Subtypes of Parkinson Disease

European Neurology ◽

10.1159/000501551 ◽

2019 ◽

Vol 81 (3-4) ◽

pp. 167-173 ◽

Cited By ~ 2

Author(s):

Mir Mohammad Jalali ◽

Seyed Ali Roudbary ◽

Hooshang Gerami ◽

Robabeh Soleimani ◽

Seyed Matin Ebrahimi

Keyword(s):

Parkinson Disease ◽

Test Methods ◽

Repeated Measurements ◽

Olfactory Function ◽

Analysis Of Covariance ◽

Cross Sectional ◽

Significant Difference ◽

Identification Test ◽

The Impact ◽

Smell Identification

Introduction: This study is aimed at investigating the olfactory function among different subtypes of Parkinson disease (PD) and the impact of sex on smell identification test. Methods: In this cross-sectional study, we used Iran-smell identification test (Iran-SIT). PD severity was determined using a Hoehn and Yahr (H&Y) scale. We used analysis of covariance (ANCOVA) to compare the olfactory function among different PD subtypes. All analyses were performed using SPSS software version 16.0. Results: In total, 66 males and 38 females participated in this study. The most common PD subtype was postural instability and gait difficulty (38.5%). Severe hyposmia and anosmia were found in 44.6 and 19.6% of participants, respectively. Women had a higher score in olfactory function than men (p = 0.44). The score of subjects with stage 1 in the H&Y scale was about 3 points higher than the score with stage 4. The ANCOVA showed a statistically significant effect of subtypes PD on Iran-SIT score after controlling for the effects of covariates (p = 0.03). There is a significant difference between tremor-dominant Parkinson disease (TDPD) and other subtypes of PD (p < 0.05). However, Iran-SIT scores failed to show a significant difference between men and women (p = 0.13). Discussion/Conclusion: Our results confirmed that PD is heterogeneous and there is significant variability in odor identification ability in these patients. We observed more olfactory impairment in TDPD, and subjects with higher H&Y stage. We recommended future studies with repeated measurements of different aspects of smell function to characterize the temporal relationship of olfactory dysfunction with PD.

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