scholarly journals The Effectiveness of Blood Loss Measuring Mattress in Maternity

2021 ◽  
Vol 8 (10) ◽  
pp. 429-439
Author(s):  
Elsa Noftalina ◽  
Intan Purnamasari ◽  
Firdha Kusuma Wulandari

Background: Maternal mortality rate (MMR) is an important indicator that describes the health status and welfare of the people in a nation. WHO estimates MMR in the world every day is at 817 people. Maternal mortality is mostly caused by complications during pregnancy, childbirth, and postpartum where these complications are direct obstetric complications. Postpartum hemorrhage is the main cause of maternal death. Factors causing postpartum hemorrhage are uterine atony, retained placenta, laceration of the birth canal, and blood disorders. The delay in diagnosis and treatment of postpartum hemorrhage is mostly caused by the estimated volume of blood loss in labor that is too low and the lack of equipment or clinical skills to solve the problem. Errors in calculating the volume of bleeding lost during delivery are too late to recognize bleeding that can lead to death due to lack of skills to prevent and treat postpartum hemorrhage. Research objective to determine the effectiveness of the product (mattress) in measuring blood loss in maternity. Research Method: The type of research used was experimental research, namely one shot case study. The study was conducted in two Independent Midwife Practices located in the city of Pontianak, West Kalimantan, Indonesia from May to September 2021. The subjects of the study were maternity mothers and birth attendant midwives with a consecutive sampling technique of 30 samples divided into 3 groups with 10 samples respectively of each product. The instrument used to collect data was a questionnaire with a Likert scale which was distributed to maternity mothers as direct users of the mattress and midwives who helped use the mattress. Statistical analysis used was one way ANOVA test. Research results Based on the one way ANOVA test, it was found that the average assessment given by patients and midwives on the three mattress models had a significant difference with a p value of 0.000. In the Post Hoc Turkey HSD test, it was found that there was no difference in the mean of patient assessments between model 1 and model 2 with p value = 0.239. The case was different between model 1 and model 3 and model 2 and model 3, namely, there was a significant difference. Model 1 and model 3 have a p value = 0.009 with an average difference of 2,700 while model 2 and model 3 have a p value = 0.000 with an average difference of 4,100. In the Post Hoc Turkey HSD test, there was a significant difference in the average of the midwives' assessments on the three mattress models. Model 1 and model 2 have a p value = 0.000 with an average difference of 5,800, model 1 and model 3 have a p value = 0.000 with an average difference of 6,900, while model 2 and model 3 have a p value = 0.000 with an average difference of 12,700. Keywords: [Maternity bleeding, Measuring mattress].

2022 ◽  
Vol 21 (1) ◽  
pp. 175-183
Author(s):  
- Pujiati ◽  
Dono Indarto ◽  
- Susilorini ◽  
Diani Retno Widyatuti ◽  
Haneda Ilzafira Damayanti ◽  
...  

Background: Asthma is a disease of the respiratory tract in the form of chronic inflammation. Chronic inflammation is one of them characterized by the remodeling of the airways mediated by the anti-inflammatory cytokine TGF-β. In addition there are also several immune cells that play a role such as macrophages, dendritic, neutrophils as producers of IL-12. The presence of the gut-lung axis allows the spread of inflammatory cytokines from the lungs to the intestines and vice versa. Lactobacillus brevis and Leuconostoc mesenteroides have the potential to modulate the immune system through its colonization of the gut. The study aimed to look at the effect of probiotics combined Lactobacillus brevis and Leuconostoc mesenteroides on the expression of TGF-β and IL-12 in the asthma model mouse ileum. Method: This experimental post-test only control group design study used 18 Sprague-Dawley mice. The mice were divided into 3 groups at random: control group (KI), asthma treatment (KII), asthma treatment with a combination of Lactobacillus brevis and Leuconostoc mesenteroides (KIII). Sensitization of asthma with OVA through intraperitoneal injection on days 0 and 14 and through inhalation on days 21 -63. Administration of combination probiotics per oral per day on days 21-63 after inhalation of OVA. The ileum network was taken on the 64th day and measured the expression of TGF-βand IL-12 with immunohistochemical methods and analyzed the percentage proportion of TGF-βand IL-12. Data analysis were conducted by One way ANOVA test and continued post hoc tests. Results: The percentage calculation of the proportion of TGF-βin thecontrol group (KI), asthma group (KII), and the combination group of L.brevis and L.mesenteroides (KIII) is 22.4 ± 15.27; 1.6 ± 2.12; 19.4 ± 6.65. While the percentage calculation of il-12 proportion in each group consecutively were 24.3 ± 19.67; 64.63 ± 9.90; 51 ± 16.62. One way ANOVA Test results on the percentage proportion of TGF-βhave a p value of 0.013 (p<0.05) which means there is a significant difference in the entire group. Furthermore, the Post Hoc Games-Howell test was conducted and obtained a p value of 0.003 (p<0.05) between the asthma group (KII) and the combination group of L.brevis and L.mesenteroides (KIII) which means there are significant differences between the two groups. One way ANOVA Test results on the percentage proportion of IL-12 have a p value of 0.011 (p<0.05) which means there is a significant difference in the entire group. Furthermore, the Post Hoc LSD test was conducted and obtained a p value of 0.001 (p<0.05) between the control group Post Hoc analyses was conducted and obtained a p value of 0.002 (p<0.05) with number of errors was 11.353 between the control group (KI) and asthma group (KII) which means there are significant differences between the two groups. Conclusion: The probiotic administration of lactobacillus brevis and Leuconostoc mesenteroides had no effect on the expression of TGF-β and had no effect on il-12 expression in the asthma model mouse ileum. It is necessary to do research on mice with asthma using combinations with other bacteria in order to get maximum effect. Bangladesh Journal of Medical Science Vol. 21(1) 2022 Page : 175-183


2020 ◽  
Vol 20 (1) ◽  
pp. 59-64
Author(s):  
Eva Fitriana ◽  
Surahma Asti Mulasari

Latar Belakang: Lalat merupakan salah satu serangga yang memiliki populasi tinggi di lingkungan masyarakat. Lalat berperan dalam penularan penyakit pada manusia seperti disentri, tifoid, kolera infeksi cacing, conjungtivitis, trachoma kusta, mikosis, dan difteri kutaneus. Fly trap digunakan untuk pengendalian lalat dewasa dalam jumlah besar dan padat. Penerapan Fly trap dilakukan diluar rumah pada udara terbuka dan tidak terhindar dari pepohonan. Penggunaan alat ini berpasangan dengan umpan yang digunakan untuk menarik lalat dengan bau dan kandungan pada umpan. Penelitian ini dilakukan untuk mengetahui efektifitas variasi umpan pada Fly trap dalam pengendalian lalat di tempat pembuangan sementara (TPS) Jalan Andong Yogyakarta.Metode: Penelitian ini merupakan penelitian eksperimen dengan variasi umpan ikan, udang, buah nangka, terasi, dan buah mangga. Pengukuran dilakukan pada radius ± 1 Meter dari tumpukan sampah dan dibiarkan selama 2 jam selanjutnya lalat yang terperangkap dihitung menggunakan handcounter. Data yang diperoleh dianalisis menggunakan uji One Way Anova dengan derajat kesalahan α 0.05 dan dilanjutkan uji Post hoc Tamhanne.Hasil: Hasil penelitian menunjukan terdapat hasil yang signifikan rata-rata lalat yang terperangkap pada Fly trap dengan umpan terasi dan umpan udang diperoleh nilai p=0,042 (p<α). Terdapat perbedaan bermakna antara umpan terasi dan umpan udang. Lalat yang terperangkap pada Fly trap umpan terasi sebanyak 69 ekor lalat, dan lalat yang terperanfkap pada Fly trap umpan udang sebanyak 1123 ekor lalat.Simpulan: Ada perbedaan rata-rata lalat yang terperangkap pada Fly trap umpan ikan, udang, buah nangka, terasi dan buah mangga. Terdapat perbedaan bermakna rata-rata lalat yang terperangkap antara Fly trap umpan terasi dan umpan udang. ABSTRACT Title: The Effectivennes of various feed variations in the fly trap as a control of fly density at the Andong street Yogyakarta.Background: Flies are one of the insects that have a high population in the community. Flies play a role in transmitting disease to humans such a dysentery, typoid, cholera, worm infection, conjungtivitis, leprosy trachoma, mycosis and cutaneus diphteria. Fly traps are used fpr the control of large and dense adult flies. The application on fly traps is carried out outside the house in the open air and is not spared from trees. The use of this tool is paired with the bait used the attract flies to get closer to the smell and content of the bait, this research was conducted to determine the effectiveness of bait varians in the fly trap in controlling flies at the temporary disposal site (TPS) at the Andong street Yogyakarta.Method: This research was a experimental study with a variety of bait fish, shrimp, jackfruit, shrimp paste, and mango. Measurements were made at radius of ± 1 meter from the garbage pile. The data obtained were analyzed using the One Way Anova tesy with an error degree of α=0,05 and continued with the Post hoc Tamhanne test.Result: The result showed that there were significant result on the average of flies trapped in the fly trap with the shrimp paste bait and shrimp bait obtained p value = 0.042 (p<α). That there was a significant difference between shrimp paste bait and shrimp bait.Conclusions: There was a difference in the average number of flies trapped in fly traps for fish, shrimp, jackfruit, shrimp paste, mango. There was a significant difference of flies trapped between shrimp paste bait and shrimp bait. Fly trap shrimp bait is the most preferred bait by flies shrimp paste bait is the least preferred bait by flies.  


2020 ◽  
Vol 65 (2) ◽  
pp. 46-51
Author(s):  
Marina Yiasemidou ◽  
Daniel Glassman ◽  
Khalid Khan ◽  
Justine Downing ◽  
Rangasamy Sivakumar ◽  
...  

Background Appendicitis is a commonly occurring condition worldwide. The gold standard treatment is appendicectomy. Although training models are commercially available for this procedure, they are often associated with high cost. Here we present a cost-effective model. Aim To establish construct validity of a cost-effective laparoscopic appendicectomy simulation model. Methods Three groups of surgeons were recruited; novices ( n = 31), of intermediate expertise ( n = 13) and experts ( n = 5) and asked to perform a simulated laparoscopic appendicectomy using the new model. Their performance was assessed by a faculty member and compared between the three groups using a validated scoring system (Global Operative Assessment of Laparoscopic Skills [GOALS] score). Results One-way ANOVA test showed a significant difference in task performance between groups ( p < 0.0001). Post-hoc comparisons after the application of Bonferroni correction (statistically significant p value <0.017) demonstrate a significant difference in performance between all groups for all GOALS categories as well as the total score. Effect size calculations showed that experience level had moderate (Eta-squared >0.5 and <0.8) and significant (>0.8) impact on the performance of the simulated procedure. Conclusion The model described in this study is cost-effective, valid and can adequately simulate appendicectomy. The authors recommend inclusion of this model to postgraduate surgical training.


2020 ◽  
Vol 33 (2) ◽  
pp. 245-251 ◽  
Author(s):  
Erick M. Westbroek ◽  
Zach Pennington ◽  
A. Karim Ahmed ◽  
Yuanxuan Xia ◽  
Christine Boone ◽  
...  

OBJECTIVEPreoperative endovascular embolization of hypervascular spine tumors can reduce intraoperative blood loss. The extent to which subtotal embolization reduces blood loss has not been clearly established. This study aimed to elucidate a relationship between the extent of preoperative embolization and intraoperative blood loss.METHODSSixty-six patients undergoing preoperative endovascular embolization and subsequent resection of hypervascular spine tumors were retrospectively reviewed. Patients were divided into 3 groups: complete embolization (n = 22), near-complete embolization (≥ 90% but < 100%; n = 22), and partial embolization (< 90%; n = 22). Intraoperative blood loss was compared between groups using one-way ANOVA with post hoc comparisons between groups.RESULTSThe average blood loss in the complete embolization group was 1625 mL. The near-complete embolization group had an average blood loss of 2021 mL in surgery. Partial embolization was associated with a mean blood loss of 4009 mL. On one-way ANOVA, significant differences were seen across groups (F-ratio = 6.81, p = 0.002). Significant differences in intraoperative blood loss were also seen between patients undergoing complete and partial embolization (p = 0.001) and those undergoing near-complete and partial embolization (p = 0.006). Pairwise testing showed no significant difference between complete and near-complete embolization (p = 0.57). Analysis of a combined group of complete and near-complete embolization also showed a significantly decreased blood loss compared with partial embolization (p < 0.001). Patient age, tumor size, preoperative coagulation parameters, and preoperative platelet count were not significantly associated with blood loss.CONCLUSIONSPreoperative endovascular embolization is associated with decreased intraoperative blood loss. In this series, blood loss was significantly less in surgeries for tumors in which preoperative complete or near-complete embolization was achieved than in tumors in which preoperative embolization resulted in less than 90% reduction of tumor vascular blush. These findings suggest that there may be a critical threshold of efficacy that should be the goal of preoperative embolization.


Author(s):  
Aleksandra Polic ◽  
Tierra L. Curry ◽  
Judette M. Louis

Objective The study aimed to evaluate the impact of obesity on the management and outcomes of postpartum hemorrhage. Study Design We conducted a retrospective cohort study of women who delivered at a tertiary care center between February 1, 2013 and January 31, 2014 and experienced a postpartum hemorrhage. Charts were reviewed for clinical and sociodemographic data, and women were excluded if the medical record was incomplete. Hemorrhage-related severe morbidity indicators included blood transfusion, shock, renal failure, transfusion-related lung injury, cardiac arrest, and use of interventional radiology procedures. Obese (body mass index [BMI] ≥ 30 kg/m2) and nonobese women were compared. Data were analyzed using Chi-square, Student's t-test, Mann–Whitney U test, and linear regression where appropriate. The p-value <0.05 was significant. Results Of 9,890 deliveries, 2.6% (n = 262) were complicated by hemorrhage. Obese women were more likely to deliver by cesarean section (55.5 vs. 39.8%, p = 0.016), undergo a cesarean after labor (31.1 vs. 12.2%, p = 0.001), and have a higher quantitative blood loss (1,313 vs. 1,056 mL, p = 0.003). Both groups were equally likely to receive carboprost, methylergonovine, and misoprostol, but obese women were more likely to receive any uterotonic agent (95.7 vs. 88.9%, p = 0.007) and be moved to the operating room (32.3 vs. 20.4, p = 0.04). There was no difference in the use of intrauterine pressure balloon tamponade, interventional radiology, or decision to proceed with hysterectomy. The two groups were similar in time to stabilization. There was no difference in the need for blood transfusion. Obese women required more units of blood transfused (2.2 ± 2 vs. 2 ± 5 units, p = 0.023), were more likely to have any hemorrhage-related severe morbidity (34.1 vs. 25%, p = 0.016), and more than one hemorrhage related morbidity (17.1 vs. 7.9, p = 0.02). After controlling for confounding variables, quantitative blood loss, and not BMI was predictive of the need for transfusion. Conclusion Despite similar management, obese women were more likely to have severe morbidity and need more units of blood transfused. Key Points


2021 ◽  
Vol 8 (5) ◽  
pp. 1507
Author(s):  
Amit Yadav ◽  
Lakshman Agarwal ◽  
Sumit A. Jain ◽  
Sanjay Kumawat ◽  
Sandeep Sharma

Background: Fear of poor wound healing have curtailed the use of diathermy for making skin incision. Scalpel produces little damage to surrounding tissue but causing more blood loss. Our aim of study was to compare electrocautery incision with scalpel incision in terms of incision time, blood loss, postoperative pain and wound infection.Methods: Total of 104 patients were included in the study undergoing midline abdominal surgery. Patients were randomized into electrocautery (group A) and scalpel (group B). The incision dimension, incision time and blood loss were noted intraoperatively. Postoperative pain was noted on postoperative day 2 using visual analog scale. Wound complications were recorded on every postoperative day till the patient was discharged.Results: 52 patients in each of the two groups were analyzed. There was significant difference found between group A and group B in terms of mean incision time per unit wound area, 8.16±1.59 s\cm2 and 11.02±1.72 s\cm2 respectively (p value=0.0001). The mean blood loss per unit wound area was found to be significantly lower in group A (0.31±0.04 ml\cm2) as compared to group B (1.21±0.21), p value=0.0001. There was no significant difference noted in terms of postoperative pain and wound infection between both groups.Conclusions: Electrocautery can be considered safe in making skin incision in midline laparotomy compared to scalpel incision with comparable postoperative pain and wound infection with less intraoperative blood loss and less time consuming.


2019 ◽  
Vol 5 (10) ◽  
pp. 835
Author(s):  
Adyagunita Karini ◽  
Dian Filianti

Comparing the financial performance of banks with other countries would show if the different standards and regulations affect their performance. This research aims to know if there is a significant difference in financial performance of sharia banks between Indonesia, Malaysia, Brunei and Thailand during 2011-2016. The samples used in this research consist of one sharia bank from each country: Bank Syariah Mandiri, Maybank Islamic Berhad, Bank Islam Brunei Darussalam and Islamic Bank of Thailand. This research uses a comparative quantitativeapproach using Non Performing Financing (NPF), Financing to Deposit Ratio (FDR), Return on Asset (ROA), and Capital Adequacy Ratio (CAR) as variables to indicate financial performance. One-Way ANOVA is used as the analysis technique. Results of the ANOVA test show there is a significant difference in NPF, FDR, ROA and CAR between sharia banks in Indonesia, Malaysia, Brunei and Thaiand as indicated by a significance value of 0,000 and 0,002.


2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Armelia Sari Widyarman ◽  
Stephani Sumadi ◽  
Tri Putriany Agustin

  Introduction: Clitoria ternatea flower contains flavonoid such as anthocyanin that gives the blue color to its flower and has antimicrobial activity.   Objectives: The aim of this study was to examine the effect of flower juice of Clitoria ternatea against Porphyromonas gingivalis biofilm viability in vitro.   Methods: This study was experimental laboratory research using biofilm assay method. P. gingivalis was cultured in BHI broth in 37°C for 24h under anaerobic condition. Fresh flowers of Clitoria ternatea were extracted using mortar and pestle and diluted into 6 different concentrations: 100%, 50%, 25%, 12.5%, 6.25%, and 3.125% with phosphate buffer saline (PBS). Chlorhexidine (0.2%) was used as positive control and biofilm without treatment as negative control. The flower juice was distributed into 96 well-plates that contained biofilm of P. gingivalis and incubated for 1h, 3h, 6h, and 24h in 37°C, anaerobic atmosphere. Biofilm was measured using crystal violet dye with microplate reader (490 nm). Data were statistically analysed using one-way ANOVA test and Post Hoc test with p<0.05 was set as significant different.   Result: Result showed that Clitoria ternatea flower juice significantly reduced the Porphyromonas gingivalis biofilm viability in all concentration and all incubation time. The most effective concentration to inhibit Porphyromonas gingivalis biofilm was 100% in 1h incubation time which biofilm was diminished (Optical Density=0.00). One way ANOVA test and Post Hoc test showed a significant biofilm reduction in all concentration and all incubation time after treatment with the flower juice compared to control (p<0.05).   Conclusion: Clitoria ternatea flower juice has antibiofilm effect against Porphyromonas gingivalis. This result showed this flower juice may be useful for combating periodontal pathogens. However, further studies using other bacteria are still needed to confirm this result.


2017 ◽  
Vol 11 (1) ◽  
pp. 57-64 ◽  
Author(s):  
Saja Ali Muhsin

Background: Although bonding to denture teeth after surface treatment with chemical agents is desirable, there is little information on the use of Visible Light Cure composite resin (VLC) as bonding denture materials. Objectives: To determine the effect of various surface treatments on shear bond strength between Visible Light Cure composite resin and the acrylic denture teeth interface. Methods: Forty cylindrical sticks of acrylic resin with denture teeth mounted atop were prepared. Various treatments were implemented upon the acrylic resin teeth surfaces. The samples were divided into four groups (n = 10). Light-cured composite resin (LC) was applied over all treated and untreated surfaces of tested groups. The shear bond was tested using a universal tensile testing apparatus with the knife-edge of a 0.8mm shear tester. Data were statistically analyzed using one-way ANOVA performed at a confidence level of 95% and significant P-value of (P ≤ 0.05). Results: Analysis of variance (ANOVA) showed statistically significant difference (P < 0.05) between treated and untreated teeth surfaces. The treated surfaces exhibited various levels of bond strength depending on the type of treatment. Conclusion: Application of VLC bonding agent with prior treatment of methylmethacrylate (MMA) on the acrylic resin denture teeth resulted in maximum bond strength with composite resin.


2020 ◽  
Vol 19 (03) ◽  
pp. 126-133
Author(s):  
Siska Toloan Toloan ◽  
Harimat Hendarwan

Masa nifas adalah hal sangat penting untuk diperhatikan guna untuk menurunkan angka kematian ibu dan bayi di Indonesia. Penelitian ini bertujuan untuk Mengetahui Pengaruh Senam Nifas Terhadap Penurunan Tinggi Fundus Uteri Dan Lochea Pada Ibu Pasca Bersalin Yang Mendapatkan Inisiasi Menyusu Dini Dan Mobilisasi Dini Di Praktek Bidan Mandiri Kota Depok Tahun 2019. Penelitian ini menggunakan penelitian kuantitatif yang menggunakan desain penelitian Quasy Exsperimental dengan pendekatan post test only control group design. Populasi yang diambil yaitu 65 ibu pasca bersalin. Sampel diambil dengan metode consecutive sampling besar sampel ditentukan dengan menggunakan rumus Federer setiap variabel bebas terdiri atas 3 kelompok dan setiap kelompok sebanyak 9 sampel sehingga jumlah total sampel 27 ibu pasca bersalin. Pengumpulan data berupa data primer dan uji yang digunakan yaitu uji One Way Anova. Dapat dilihat dari nilai signifikan uji One Way Anova pada penurunan tinggi fundus uteri hari pertama sampai hari kesepuluh dengan nilai signifikan yaitu p-value < 0,05 yang artinya H0 ditolak atau ada perbedaan secara signifikan dan dilihat. Hasil post hoc test tidak terdapat perbedaan signifikan pada kelompok inisiasi menyusu dini, inisiasi menyusu dini dan mobilisasi dini dan kelompok inisiasi menyusu dini, mobilisasi dini dan senam nifas terhadap penurunan tinggi fundus uteri.


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