A Measure to Detect Sleep Onset Using Statistical Analysis of Spike Rhythmicity

2015 ◽  
pp. 1567-1578
Author(s):  
B.R. Purnima ◽  
N. Sriraam ◽  
U. Krishnaswamy ◽  
K. Radhika

Electroencephalogram (EEG) signals derived from polysomnography recordings play an important role in assessing the physiological and behavioral changes during onset of sleep. This paper suggests a spike rhythmicity based feature for discriminating the wake and sleep state. The polysomnography recordings are segmented into 1 second EEG patterns to ensure stationarity of the signal and four windowing scheme overlaps (0%, 50%, 60% and 75%) of EEG pattern are introduced to study the influence of the pre-processing procedure. The application of spike rhythmicity feature helps to estimate the number of spikes from the given pattern with a threshold of 25%.Then non parametric statistical analysis using Wilcoxon signed rank test is introduced to evaluate the impact of statistical measures such as mean, standard deviation, p-value and box-plot analysis under various conditions .The statistical test shows significant difference between wake and sleep with p<0.005 for the applied feature, thus demonstrating the efficiency of simple thresholding in distinguishing sleep and wake stage .

2014 ◽  
Vol 3 (1) ◽  
pp. 27-41 ◽  
Author(s):  
B.R. Purnima ◽  
N. Sriraam ◽  
U. Krishnaswamy ◽  
K. Radhika

Electroencephalogram (EEG) signals derived from polysomnography recordings play an important role in assessing the physiological and behavioral changes during onset of sleep. This paper suggests a spike rhythmicity based feature for discriminating the wake and sleep state. The polysomnography recordings are segmented into 1 second EEG patterns to ensure stationarity of the signal and four windowing scheme overlaps (0%, 50%, 60% and 75%)of EEG pattern are introduced to study the influence of the pre-processing procedure. The application of spike rhythmicity feature helps to estimate the number of spikes from the given pattern with a threshold of 25%.Then non parametric statistical analysis using Wilcoxon signed rank test is introduced to evaluate the impact of statistical measures such as mean, standard deviation, p-value and box-plot analysis under various conditions .The statistical test shows significant difference between wake and sleep with p<0.005 for the applied feature, thus demonstrating the efficiency of simple thresholding in distinguishing sleep and wake stage .


2021 ◽  
Vol 6 (2) ◽  
Author(s):  
Dewi Nurlaela Sari

Online learning is one of the learning efforts developed during the COVID-19 pandemic. Online learning is felt to be effectiveat all levels of education. However, this is not the case with vocational education, especially in the health sector. Onlinelearning can also have an impact on the competencies that students must achieve because there is no direct interactionbetween students, lecturers, props/phantoms and place settings that can support the implementation of clinical skills. Thepurpose of this study was to determine the effect of online learning on the Practice Ability of Midwifery Students during theCovid-19 Pandemic . The type of research method used is pre eksperimental . Sampling was done by using purposivesampling totaling 30 respondents . The instrument used to measure students ' clinical practice skills is a checklist forchildbirth assistance, the statistical test carried out is through the normality test stages using Shapiro Wilk with the resultsof the data not being normally distributed so that an analysis test is carried out using the Wilcoxon Signed Rank Test. Theresults of the study obtained a p-value of 0.000 < from the alpha value (0.05). It can be concluded that there is asignificant influence between students ' ability to perform midwifery care related to the impact of online learning duringmidwifery clinical practice . It is hoped that the results of this study can be used as the basis for policies regarding thedevelopment of online learning methods that can support the achievement of competencies, especially clinical skills.


2020 ◽  
Vol 11 (1) ◽  
pp. 1386-1395
Author(s):  
Ani Susiani ◽  
Rizkiatun Magfiroh

ABSTRAKPeningkatan jumlah lansia yang pesat sebagai dampak keberhasilan pembangunan di Indonesia harus mendapat perhatian lebih dari seluruh masyarakat.  Hal ini disebabkan karena pada proses menua terjadi peningkatan insiden penyakit kronis diantaranya adalah hipertensi. Kegiatan prolanis yang dilakukan secara teratur dapat mencegah kekambuhan hipertensi. Penelitian ini bertujuan untuk mengetahui pengaruh pelaksanaan kegiatan prolanis dengan  kekambuhan penyakit hipertensi pada anggota Kelompok Prolanis Bunda Ceria Losarang. Metode peneltian menggunakan desain quasi eksperimen dengan bentuk pre and post test without control. Populasi penelitian berjumlah 94 orang dan sampel penelitain berjumlah 26 responden yang dipilih dengan teknik purposive sampling: mengikuti penyuluhan kesehatan tentang hipertensi dan senam prolanis selama 4 minggu berturut-turut. Analisa data menggunakan Wilcoxon Signed Rank Test. Hasil penelitian menunjukkan adanya pengaruh kegiatan prolanis dengan kekambuhan penyakit hipertensi (terdapat pengaruh senam prolanis terhadap tekanan darah sistolik responden dengan nilai p-value sebesar 0,000 dan terdapat pengaruh senam prolanis terhadap tekanan darah diastolik dengan nilai p-value 0,000). Disarankan kepada Puskesmas Losarang untuk melakukan pelatihan kader prolanis sehingga masyarakat dapat secara mandiri melakukan kegiatan prolanis secara teratur.Kata kunci: lansia, kekambuhan, hipertensi, prolanis    ABSTRACTThe increasing number of elderly people as the impact of development success in Indonesia has gained more attention from the whole community.  This is due to the aging process occurs increased incidence of chronic diseases including hypertension. Prolanis activities conducted regularly can prevent the recurrence of hypertension. This research aims to determine the influence of the implementation of prolanis activities with recurrence of hypertension disease in the members of the group Prolanis Bunda Ceria Losarang. The study was a quasi experimental with a pre and post test group without control. The research population amounted to 94 peoples and the samples was 26 respondents selected with the purposive sampling technique: following the health education on hypertension and prolanis gymnastics for 4 consecutive weeks. Data were analyzed with Wilcoxon Signed Rank Test. The results showed that there was an effect of prolanis activities with the recurrence of hypertension disease (there was an effect of prolanic exercise on respondent's systolic blood pressure with a p-value of 0,000 and there was an effect on prolanic exercise on diastolic blood pressure with a p-value of 0,000). The author suggests to Puskesmas Losarang to conduct prolanist cadre training so that the community can independently carry out prolanist activities on a regular basis..Keywords: elderly,  recurrence, hypertension, prolanis 


2021 ◽  
pp. 279
Author(s):  
Angelita Afina Arif Putri ◽  
Amirah Salwa ◽  
Utami Wahyuningsih

One of the nutritional problems that often occurs among adolescents is iron deficiency anemia. Especially for adolescent girls who have a higher risk of anemia than adolescent boys. Based on data from Riskesdas 2018, the prevalence of anemia in adolescents aged 15-24 years is 32%, meaning that there are still anemia problems in Indonesia that have not been resolved. The purpose of this community dedication activity is to provide education about iron deficiency anemia for adolescent girls using leaflet media. The target of this community dedication activity is adolescent girls aged 12-19 years in the JABODETABEK area. The community dedication activity is carried out online through the WhatsApp group due to the COVID-19 pandemic. There are 31 adolescent girls who participated in this community dedication activity. This community dedication activity consists of three stages including pretest, education with leaflets, and posttest. The amount and types of pretest and posttest questions are the same. The amount of questions given is 15 questions. The correct answer is given a score of 10 and the wrong one is given a score of 0. The level of knowledge of adolescent girls is categorized as 3 groups, which is less if the correct answer is <60%, sufficient if the correct answer is 60-80%, and good if the correct answer is >80%. Most of the adolescent girls are in the age range of 17-19 years (54.8%). The results showed that there was an increase in knowledge about iron deficiency anemia in adolescent girls. The results of the Wilcoxon signed rank test showed significantly different pretest and posttest results (p-value = 0.000), so it can be concluded that providing education using leaflets can help increase knowledge of iron deficiency anemia for adolescent girls.Salah satu masalah gizi yang sering terjadi pada kalangan remaja yaitu anemia defisiensi besi. Khususnya bagi remaja putri yang memiliki risiko lebih tinggi mengalami anemia dibandingkan remaja putra. Berdasarkan data Riskesdas 2018, prevalensi anemia pada remaja berusia 15-24 tahun sebesar 32%, artinya masih terdapat permasalahan anemia di Indonesia yang belum teratasi. Tujuan dari pengabdian masyarakat ini adalah untuk memberikan edukasi mengenai anemia defisiensi besi bagi remaja putri dengan media leaflet. Sasaran dari kegiatan pengabdian masyarakat ini adalah remaja putri berusia 12-19 tahun di wilayah JABODETABEK. Kegiatan pengabdian masyarakat dilakukan secara online melalui grup whatsappkarena kondisi pandemi covid-19. Total remaja putri yang mengikuti kegiatan pengabdian masyarakat berjumlah 31 orang. Kegiatan pengabdian masyarakat ini terdiri dari tiga tahapan diantaranya pretest, edukasi dengan leaflet, dan posttest.  Jumlah dan jenis pertanyaan pretest dan posttest sama. Jumlah pertanyaan yang diberikan adalah 15 soal. Jawaban yang benar diberikan nilai 10 dan yang salah diberikan nilai 0. Tingkat pengetahuan remaja putri dikelompokkan menjadi 3 diantaranya kurang jika jawaban yang benar < 60%, cukup jika jawaban yang benar 60-80%, dan baik jika jawaban yang benar > 80%. Sebagian besar remaja putri berada pada rentang usia 17-19 tahun (54,8%). Hasil menunjukkan bahwa terdapat peningkatan pengetahuan mengenai anemia defisiensi besi pada remaja putri. Hasil uji Wilcoxon signed rank test menunjukkan hasil pretest dan posttest yang berbeda nyata (p-value = 0,000), sehingga dapat disimpulkan bahwa pemberian edukasi menggunakan leaflet dapat membantu meningkatkan pengetahuan anemia defisiensi besi bagi remaja putri.


2021 ◽  
Vol 2 (1) ◽  
pp. 64-69
Author(s):  
HIJRA HIDAYANA ◽  
Suswati Suswati

Hemoglobin is the red pigment-protein contained in red blood cells. The function of hemoglobin is to transport oxygen from the lungs and in the bloodstream to be carried to the tissues. Hemoglobin can increase by increasing the intake of iron in the body. One way to increase hemoglobin can be done by giving method Infused Water Dates. Infused water is a drink consisting of plain water with fresh fruit added and soaking or settling together for a certain time. The making of infused water is carried out by soaking for a period of 0 to 12 hours, so that the infused water becomes a liquid medium that carries more nutrients than ordinary water and will be more easily absorbed by cells and distributed throughout the body (Sidauruk, 2018 ). In several studies, it is stated that dates can increase hemoglobin levels in the blood. Where dates contain iron, vitamin A, vitamin C, protein to form red blood cells. With the method, Infused Water the date palm water becomes alkaline so that it can accelerate the absorption process in the body. The purpose of this study was to determine the effectiveness of dates infused water provision to increase hemoglobin levels of midwifery adolescent girls at Medan Health Polytechnic in 2020. This research was quasi-experimental study using the One Group Pretest-Posttest Without Control Design approach. The sample in this study were 20 respondents of midwifery adolescent girls from Medan Health Polytechnic, using the technique of purposive sampling. The statistical test used wa the Wilcoxon Signed Rank Test because the data was not normal. The results of the Wilcoxon Signed Rank Test obtained the value of P-Value = 0.001. So it can be concluded that the date infused water  is effective in increasing hemoglobin levels of midwifery adolescent girls at Medan Health Polytechnic in 2020.   Keywords: Dates Infused Water, Increased Hemoglobin Levels, Girls Adolescent


MEDIKORA ◽  
2015 ◽  
Author(s):  
Kunto Prastowo dan Novita Intan Arovah

Penelitian ini bertujuan mengetahui perbandingan efektivitas circulo massage dansport massage dalam mengatasi kelelahan kerja karyawan Gadjah Mada Medical Center.Penelitian ini merupakan penelitian pra eksperimen dengan desain treatment bysubjects. Subjek penelitian ini adalah 15 karyawan laki-laki GMC yang direkrut denganteknik purposive sampling. Subjek diberi dua perlakuan yakni circulo massage dan sportmassage dengan selang waktu + 1 minggu. Sebelum dan sesudah perlakuan massagedilakukan pengukuran tingkat kelelahan kerja dengan menggunakan kuisioner kelelahankerja yang telah diujicoba dan dinyatakan valid dan koefisien reliabilitas sebesar 0,779.Teknik analisis data yang digunakan dalam penelitian ini adalah analisis deskriptif,analisis efektivitas (nilai posttest-pretest)/ pretest) dan uji beda dengan menggunakan ujiwilcoxon signed rank test dengan taraf signifikansi 5 %.Hasil penelitian menunjukkan bahwa nilai rata-rata pretest dan posttest kelelahankerja pada perlakuan circulo massage adalah 29 dan 20,53, uji efektivitas menunjukkanpenurunan 29,20 % (p value: 0,0012). Pada penelitian dengan perlakuan sport massagemenunjukkan bahwa nilai rata-rata pretest dan posttest kelelahan kerja adalah 29,9 dan17,5, uji efektivitas menunjukkan penurunan 41,47 % (p value : 0.0006). Perbandinganantara kelelahan kerja pada perlakuan efektivitas circulo massage dan sport massagemenghasilkan p value: 0,0287. Dapat disimpulkan sport massage lebih efektifdibandingkan circulo massage dalam mengatasi kelelahan kerja pada karyawan laki-lakiGadjah Mada Medical Center.Kata kunci : Circulo massage, sport massage, kelelahan kerja


2019 ◽  
Vol 9 (4) ◽  
pp. 191-195
Author(s):  
S. C. Meribe ◽  
E. Harausz ◽  
I. Lawal ◽  
A. Ogundeji ◽  
C. Mbanefo ◽  
...  

Background: To improve rates of human immunodeficiency virus (HIV) case detection and treatment, the Nigerian Ministry of Defense Health Implementation Program and the US Army Medical Research Directorate-Africa/Nigeria introduced a HIV standard of care (SOC) package. Given the integration of tuberculosis (TB) and HIV programs and evolving policies, we evaluated the impact of this strategy on TB program indicators.Methods: Routine, de-identified program data from 27 Nigerian military hospitals were analyzed. Using Wilcoxon signed-rank test, bivariate analyses were performed to compare data from 12 months before and after implementation of the SOC package.Results: Our data showed improvements post-implementation as follows: the number of individuals receiving antiretroviral therapy (ART) screened for TB increased from 14 530 to 29 467 (P < 0.001); the number of individuals with presumptive TB identified increased from 803 to 1800 (P < 0.001); the number of ART clients bacteriologically tested for TB increased from 746 to 1717 (P < 0.001); and the number of ART clients treated for TB increased from 152 to 282 (P < 0.001). Newly registered or relapsed TB cases increased from 436 to 906 (P < 0.001), the number of TB cases with known HIV status increased from 437 to 837 (P < 0.001), the number of TB-HIV co-infected cases increased from 182 to 301 (P = 0.006), and the number of TB-HIV co-infected clients who started ART increased from 101 to 176 (P = 0.003).Conclusion: The implementation of the updated HIV SOC package led to the improvement in key TB diagnosis and treatment indicators. When emulated, this could help improve the performance of other TB programs in countries other than Nigeria.


2019 ◽  
Vol 2 (5) ◽  
pp. 118
Author(s):  
Endang Yuswatiningsih ◽  
Dyah Elvi Meiedietik ◽  
Nining Mustika Ningrum

Low back pain is one of health problems that distrub a daily comfort and activities. Low back pain increasing along with the increase of age and bent forward position which was applied in daily working by elderly farmers. The aim of this study was to analyze the effect of tai chi gymnastic on decreasing low back pain of elderly farmers. The research design of this study was one group of pre test-post test design. The population objects in this study were all of elderly farmers with low back pain complaints which were recorder in the elderly medical center, which contained of 32 samples in total and were determined using simple random sampling technique. The independent variable in this study was Tai Chi gymnastic and low back pain of elderly farmers as dependent variable. Verbal descriptor scale was used as the data collection method. This study was using editing, coding, scoring and tabulating as data processing techniques, and Wilcoxon signed rank test on testing the statistics. The result of this study showed the percentages of each low back pain phases, which contained of 41% mild low back pain, 50% moderate low back pain and 9% hard low back pain before tai chi gymnastics. Besides, the percentages of low back pain phases after tai chi gymnastic were 69% for mild low back pain, 31% moderate low back pain and 0% hard low back pain. The result of Wilcoxon signed rank test showed that the p-value = 0.001 < 0.05, so that H0 was rejected. The conclusion there was an effect of Tai chi gymnastic on decreasing low back pain of elderly farmers. Keywords: low back pain; elderly farmers; Tai chi gymnastic


Author(s):  
Dr Subrat Panda ◽  
Dr Ananya Das ◽  
Dr Surajit Ray Baruah ◽  
Lina Baruah

Introduction: The interactive teaching system is one such tool which aims at improving the conventional lecture. In this study we had compared three types of interactive teaching viz., flipped class room, MCQ (Multiple Choice Question) based interactive teaching and confusion technique by kircpatrics level 1 evaluation. Methodology: It was an academic study conducted for a period of 1year for final year M.B.B.S students’ batch of 50 in Obstetrics and Gynaecology department of NEIGRIHMS from March 2018 to March 2019. Out of a total of 12 topics selected for interactive teaching technique, 4 topics were taught in flipped classroom technique, another 4 taught with putting MCQ in the class and remaining 4 topics were taught using confusion technique. Immediate feedback was obtained from students using likert chart. All the data were collected and analysed by Wilcoxon Signed rank test by using SPS Software 22. Observation: Flipped classroom technique of teaching was found preferable to MCQ technique (p value<0.01). Also flipped class room technique was preferred by student to confusion technique (p value<0.01). On comparision between MCQ and Confusion technique, MCQ was preferred by the students (p value <0.01). Conclusion: Interactive techniques and strategies make the students actively involved in the learning process, retaining more information and hence leaving them satisfied. In our study, flipped classroom method was the most preferred method by the students as a modality of interactive teaching when compared to MCQ based teaching and Confusion technique.


Author(s):  
Iin Setiawati

                        During pregnancy, the need for increasedcalcium intake. Adequate calcium intake can reducethe risk of preeclampsia. the survey results ofpreliminary studies in Polindes Asemjaran Banyuates over the pastthree months, Found that three pregnant womendetected preeclampsia from a total of 57 pregnantwomen (5.26%). The purpose of the study to analyzethe effectiveness of calcium in pregnant women topreventing preeclampsia in the working area ofPolindes Asemjaran Banyuates. The research design used was QuasiEksperimen with Non Equivalent Control Groupapproach. The independent variable is CalciumSupplementation and dependence is the Occurrenceof Preeclampsi on Trimester 2 Pregnant Woman. Thesample of this study is trimester 2 pregnant womenwho are at risk of experiencing preeclampsia thatmeet the criteria. The instrument was used theobservation sheet, and analyzed using ParametricTest if qualified and non-parameteric test if notqualified with a 0.05. The result of statistical test in both dose group500 mg and 1000 mg with Paired T-Test wasobtained p value (0,941)> α (0,05) in 500 mg dosegroup and Wilcoxon Signed Rank Test result p value(0,105) > a ( 0.05) at a dose of 1000 mg the meanings H1 and H2 are rejected, there is no differencebefore and after given calcium supplement dose 500mg or 1000 mg to prevent preeclampsi. While in theposttest test with Mann Whitney Test in both groupsobtained results p Value (0.105)> α (0.05), it can beconcluded that supplementation of calcium dose 500mg and 1000 mg not effective to preventpreeclampsia. Calcium supplementation of 1000 mg and 500mg doses has not been proven statistically effectiven preventing preeclampsia. Further research isrecommended to increase the number of samples, sothat the research results will be visible and can begeneralized to all pregnant women.  


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