The Effect of Using Nutritional Guideline by Nurses on the Incidence and Severity of Malnutrition in Patients Admitted to the Intensive Care Units

Background: Malnutrition is still one of the most important and common problems in hospitals and increases the incidence, side effects, and mortality in hospitalized patients. In this regard, the Intensive Care Unit (ICU) patients are more at risk due to critical conditions. Objectives: The aim of this study was to determine the effect of nurses’ nutritional guidelines on the severity of malnutrition in ICU patients. Methods: This single-blind clinical trial was conducted on 70 patients hospitalized in the ICU of Golestan and Imam Khomeini hospitals in Ahwaz in 2012. Available patients were randomly divided into the control and intervention groups. The data collection tool was a checklist of demographic data and the Maastricht index for malnutrition assessment. Patients were evaluated based on the Maastricht index at baseline and 10 days after feeding. Results: There was no significant difference between the two groups in terms of demographic variables. Mean and standard deviation of albumin, pre-albumin, and lymphocyte parameters before the intervention were 3.13 ± 0.571, 1.28 ± 0.31, 1638.2 ± 489.59, whereas, after the intervention, they were 536 3.32 ± 3.88, 1.88 ± 0.36, 2195 ± 40.85, respectively. Also, the amount of malnutrition intensity by the Maastricht formula before and after the intervention was 4.89 ± 2.17 and 2.00 ± 2.10, at a significance level of 0.001. Regarding the normal distribution of data, using the T-test, two groups showed significant differences (P = 0.001). Conclusions: The prevalence of malnutrition is high in patients admitted to the ICUs, which is mainly due to inappropriate nutrition of patients in these sectors. Although nurses play a significant role in feeding patients, their knowledge in this field is less than needed. According to the results of this study, the use of the guideline by nurses reduced the severity of malnutrition. Therefore, it is essential to create the necessary backgrounds for increasing the knowledge of this group of treatment staff and to educate valid nutrition guides for them to improve the nutritional status, and subsequently accelerate the treatment process of the patients.

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The Effects of Massage on the Quality of Sleeping in Babies 3-4 Months Old at Gelatik and Nuri IHCs of Tanjung Unggat Village of Tanjungpinang in 2014

Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) ◽

10.26699/jnk.v1i3.art.p230-235 ◽

2014 ◽

Vol 1 (3) ◽

pp. 230-235

Author(s):

Utami Dewi ◽

Fidyah Aminin ◽

Harvensica Gunnara

Keyword(s):

Sleep Quality ◽

Health Professionals ◽

Sampling Technique ◽

Significance Level ◽

Body Development ◽

Significant Difference ◽

Before And After ◽

Waking Up ◽

Quasi Experiment Study

Sleep is an essential need that must be met, especially in the development phase since brain and body development will occur during sleep. Thus, sleep disturbance is a problem that will cause adverse effects on growth and development, especially for babies. Sleep quality for babies can be improved by providing baby massage on a regular basis. The purpose of this study was to prove whether there were differences in sleep quality before and after the massage in babies aged 3-4 months in Gelatik and Nuri IHC (Integrated Health Center) of Tanjungunggat Village of Tanjungpinang Municipality. Design: This was a Quasi Experiment study with a pretest-posttest method. The sample consisted of 17 respondents selected by purposive sampling technique. The statistical test used in this study was a dependent t-test with a significance level of 0.05.Result: The results showed that there was no significant difference between baby sleep duration before and after the massage (p = 0.414). However, there was significant difference between the frequency of waking up before and after the massage (p = 0.001) and there was a significant difference between the duration of waking up before and after the massage (p = 0.046. Discuss: Based on the results of this study, it is suggested that mothers should improve their knowledge on the importance of baby massage provided by health professionals and the health professionals should provide and demonstrate clear, complete and sustained information to the mothers and other related parties surrounding the IHC.

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Shaping Ability of XP Endo Shaper File in Curved Root Canal Models

International Journal of Dentistry ◽

10.1155/2020/4687045 ◽

2020 ◽

Vol 2020 ◽

pp. 1-6 ◽

Cited By ~ 2

Author(s):

Abdulmohsen Alfadley ◽

Abdalrhman Alrajhi ◽

Hamad Alissa ◽

Faisal Alzeghaibi ◽

Lubna Hamadah ◽

...

Keyword(s):

Body Temperature ◽

File Systems ◽

Lower Number ◽

Significance Level ◽

Root Canals ◽

Shaping Time ◽

Significant Difference ◽

Before And After ◽

Canal Shaping ◽

Shaping Ability

The aim of this study was to assess the shaping ability of the XP Shaper (XPS) file in severely curved canal models under simulated body temperature and compare it with that of the WaveOne Gold (WOG) file. Ninety-six simulated root canals were equally distributed into XPS and WOG systems to be shaped by eight files each. Files were assessed under a stereomicroscope prior to canal shaping to detect deformation if any. The canals were shaped at 35 ± 1°C using the X-Smart Plus motor. Images of the canals were obtained before and after instrumentation using a stereomicroscope to measure the amount of removed resin from both the inner and outer curvature sides at apex (0 mm) and 3 mm and 6 mm from the apex. The shaping time was calculated. The data were statistically analyzed by the independent t-test at 5% significance level. The XPS and WOG systems shaped the canals in 37.0 ± 9.5 and 62.6 ± 11.3 seconds (P<0.05), respectively. At the apex level, the amount of resin removal in both sides did not show a significant difference between the tested groups (P>0.05). At 3 mm and 6 mm levels, the WOG removed more resin than XPS at both sides (P<0.05). In XPS, deformation was observed in four files: one file after the first use, one file after the fourth use, and two files after the sixth use. In WOG, two files were deformed: one file after the fifth use and one file after the sixth use. One XPS file was fractured after the sixth use. In short, XPS and WOG files can be used in shaping severely curved canals as they showed the ability to maintain the original shape with minimal transportation. Both file systems showed signs of deformation after use with a lower number of deformed files observed in WOG throughout the experiment.

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Anxiety and depression symptoms in family members of icu patients

Avances en Enfermería ◽

10.15446/av.enferm.v33n1.48670 ◽

2015 ◽

Vol 33 (1) ◽

pp. 47-54 ◽

Cited By ~ 5

Author(s):

Maria Kourti ◽

Efstathia Christofilou ◽

George Kallergis

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Demographic Data ◽

Family Members ◽

Depression Scale ◽

Self Report ◽

Anxiety And Depression ◽

Depression Symptoms ◽

Hospital Anxiety ◽

Icu Patients

Objective: This study investigated symptoms of anxiety and depression in relatives of patients admitted in the Intensive Care Unit and determined whether these symptoms were associated to the seriousness of the patients’ condition.Metodology: A total of 102 patients’ relatives were surveyed during the study. They were given a self-report questionnaire in order to assess demographic data, anxiety and depression symptoms. The symptoms of anxiety and depression were evaluated with the Hospital Anxiety and Depression Scale (hads). Patient’s condition was evaluated with a.p.a.ch.e ii Score.Results: More than 60% of patients’ relatives presented severe symptoms of anxiety and depression. No relation was found between symptoms of anxiety and depression of the relatives of patients and patients’ condition of health. On the contrary, these feelings used to exist regardless of the seriousness of patient’s condition.Conclusions: The assessment of these patients is recommended in order serious problems of anxiety and depression to be prevented.

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Role of the nurse in preventing or reducing increase intracrani-al pressure following craniotomy

International Journal of Advanced Nursing Studies ◽

10.14419/ijans.v6i2.8293 ◽

2017 ◽

Vol 6 (2) ◽

pp. 92

Author(s):

Rasha Abdelmowla ◽

Abdelhakeem Essa ◽

Esmat Abdelmaged

Keyword(s):

Intracranial Pressure ◽

Educational Program ◽

Demographic Data ◽

Quality Care ◽

Adult Patients ◽

University Hospital ◽

Control Group ◽

Significant Difference ◽

Before And After ◽

Nurses Knowledge

Background: Increase intracranial pressure following craniotomy is common and different measures should be taken to prevent or treat it promptly. Aim: Preventing or reducing increase intracranial pressure following craniotomy. Research design: Quasi-experimental.Subjects and methods: All nurses (26) in neurosurgery department at Assiut Neurological, Psychiatric and Neurosurgery University Hospital, in addition to a sample of 124 patients after craniotomy. Control group (62 adult patients before implementing the nursing educational program) and study group (62 adult patients after implementing the nursing educational program). Nurses’ knowledge and practice were assessed before and after implementation of the nursing educational program. Tools: Structured questionnaire to assess nurses` demographic data and knowledge about intracranial pressure, observation checklist for nurses` practice, patients’ assessment sheet, and teaching booklet for nurses about postoperative increase intracranial pressure. Results: Highly significant differences were found as regarding nurses` knowledge and nurses` practice pre and post implementing the nursing educational program. Significant difference was found between study and control groups as regarding increase intracranial pressure following craniotomy. Conclusion: Nursing educational program had a significant effect on preventing or reducing postoperative increase intracranial pressure.Recommendation: Nurses should have continuous education through programs, workshops, seminars and/or training courses to maintain high quality care.

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2312. Mortality of Severe Dengue Patients Admitted to Intensive Care Units over 15 Years: Have We Improved?

Open Forum Infectious Diseases ◽

10.1093/ofid/ofz360.1990 ◽

2019 ◽

Vol 6 (Supplement_2) ◽

pp. S792-S792

Author(s):

Fernando Rosso ◽

Luis Gabriel Parra-Lara ◽

Ana M Sanz ◽

Gustavo A Ospina-Tascon ◽

Marcela Granados

Keyword(s):

Intensive Care ◽

Intensive Care Units ◽

Healthcare Management ◽

Severe Dengue ◽

Early Admission ◽

Early Access ◽

Monitoring Strategies ◽

Significant Difference ◽

Before And After ◽

Over Time

Abstract Background Dengue mortality can be preventable in endemic regions. However, access to intensive care units (ICU) and continuous monitoring strategies are limited in developing countries. In 2010, WHO dengue clinical practice guidelines (CPG) were implemented in the Americas region which strengthened hospital healthcare management and prioritized early ICU admission in severe dengue cases. We hypothesized that early access to the ICU might decrease the mortality of patients with dengue. This study aimed to describe trends in dengue cases and mortality in the ICU for 15 years in Cali, Colombia. Methods An observational retrospective study about dengue cases treated in adult ICU was conducted, in the Fundación Valle del Lili. We included cases between 2001 to 2015 years. Clinical data were collected from the ICU database and medical charts. A Cochran-Armitage test for trend was used to assess the presence of an association between fatal cases and total cases in dengue patients at ICU during the study period, and to evaluate differences in the mortality cases before and after the implementation of the dengue CPG. Results A total of 49,962 episodes of attention in ICU were analyzed, and 70 cases with severe dengue and dengue shock attended in ICU were included. The median age was 42 years (IQR = 24–60), eight cases were older than 65 years, and 54% were male. Five fatal cases were reported during this period. The fatal cases had a length of stay in ICU of 2 days (IQR = 1–4) vs. 2 days (IQR = 1–3) for nonfatal cases. Overall mortality for dengue cases in the ICU was 7.14%. The highest mortality was presented in 2007 with 33.33% (1/3), and after 2010 there were no fatal cases. Dengue mortality showed a decreasing linear variation over time in the ICU (p = 0.047); also there was a statistically significant difference over time in adults mortality before and after of implementation of dengue CPG (P = 0.029). Conclusion Dengue mortality cases in the ICU have decreased in the last 15 years, which is related to early admission to the ICU and continuous clinical monitoring. Disclosures All authors: No reported disclosures.

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Analisis Reaksi Investor di Bursa Efek Indonesia pada Pelantikan Joko Widodo

Jurnal Pendidikan Ekonomi Undiksha ◽

10.23887/jjpe.v12i1.21514 ◽

2020 ◽

Vol 12 (1) ◽

pp. 50

Author(s):

Komang Lia Karina ◽

I Nyoman Sujana ◽

M. Rudi Irwansyah

Keyword(s):

Trading Volume ◽

Stock Exchange ◽

Abnormal Returns ◽

Secondary Data ◽

Wilcoxon Test ◽

Stock Index ◽

Stock Trading ◽

Significance Level ◽

Significant Difference ◽

Before And After

This study aimed to analyze the reaction of investors on Indonesia Stock Exchange to the inauguration of the 8th President by observing whether there were any significant differences in abnormal returns and stock trading volume activities before and after the event. The observation period used in this study was 10 days, with details of each 5 days before and after the President's inauguration event that occurred on 20 October 2019. This research was quantitative research and used daily transaction data on the market capital as a secondary data source. The samples used were companies that were included in the LQ45 stock index for the period August 2019 - January 2020. A non-parametric test in the form of Wilcoxon test was used to test the hypothesis. The results of this study showed that there were no significant difference in abnormal return and stock trading volume activity in the period before and after the event. This was evidenced by the probability value above the significance level of 5%. Thus, the results of this study were stated that there was no reaction from the investor related to the event of the inauguration of the 8th President in Indonesia.

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A study to assess the knowledge on weaning practice among postnatal mothers

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v11i3.2519 ◽

2020 ◽

Vol 11 (3) ◽

pp. 3601-3605

Author(s):

Beautily V

Keyword(s):

Demographic Data ◽

Sampling Technique ◽

Demographic Variables ◽

Family Status ◽

Chi Square ◽

Number Of Children ◽

Adequate Knowledge ◽

Significant Difference ◽

Level Of Knowledge ◽

Female Baby

The purpose of the study was to assess the knowledge regarding weaning among the working mothers and to find the association between the level of knowledge regarding weaning among mothers of infant with their selected demographic variables. Descriptive approach will be used to conduct the study. Non experimental descriptive design will be adopted for the study. Study was conducted in selected area at kuthambakkam. The mothers who are having infants and residing in kuthambakkam. The mother who has only one baby, whose age is less than one year, was the study samples. The sample size was 30 mothers of infant. The sampling technique adopted for the study was non probability purposive sampling. Regarding demographic data 25 (83.33%) women are between the age of 24-30 years, most of them are having 1-2 (86.66%) number of children. Family status in that 27 (90%) of the women they are in middle class family and the religious 20(66.66%) of the women they are in Hindu. Out of 30 women in that 21 (70) of the women they are having female baby. Regarding the level of knowledge 22 (73.33%) women’s are having adequate knowledge, 5(16.66%) women’s are having moderate knowledge and then 3(10%) women’s are having inadequate knowledge. The association was done by using chi-square test there is significant association between knowledge with variable education and occupation at p = (0.05) significant levels. There is no significant difference with other demographic variables.

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Prevalence of Anxiety in Pregnancy during COVID 19 pandemic in Shree Birendra Hospital, Chhauni

Nepal Journal of Obstetrics and Gynaecology ◽

10.3126/njog.v16i1.37507 ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Shailaja Khadka ◽

Sumana Thapa ◽

Ratna Khatri ◽

Rosy Malla ◽

Sumana Thapa ◽

...

Keyword(s):

Pregnant Women ◽

Demographic Data ◽

Cross Sectional Study ◽

Demographic Variables ◽

Low Grade ◽

Cross Sectional ◽

Significant Difference ◽

Ethical Approval ◽

Almost All ◽

In Pregnancy

Aim: To determine the prevalence of anxiety in pregnancy during COVID19 pandemic in Shree Birendra Hospital, Chhauni Method: It is a cross sectional study conducted at Shree Birendra Hospital Chhauni from July to October 2020 following the ethical approval from IRC. All the pregnant women from first to last trimester attending outdoor visit were included; they were asked to fill up Beck Anxiety Index form. The level of anxiety was compared with demographic data like age, race, parity, and period of gestation, education and occupation. Data were analyzed by using SPSS 20 software. Results: A total of 385 presumably uninfected pregnant women were surveyed in 20-40 (28.45±3.95) years age group from 4 to 41 (27.15±9.4) weeks of pregnancy and 55.6% were multipara. Low-grade anxiety was found 99.5% (BAI= 3.06±3.66). Conclusions: Low-grade anxiety was found in almost all pregnant women during covid pandemic and there was no significant difference by demographic variables.

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Peningkatan Kreativitas Siswa SMP Wisata Sanur Melalui Penerapan Model Pembelajaran Group Investigation (GI) Berbasis Media Mind Mapping

BIODIK ◽

10.22437/bio.v5i2.6416 ◽

2019 ◽

Vol 5 (2) ◽

pp. 150-163

Author(s):

Dewa Ayu Sri Ratnani

Keyword(s):

High School Students ◽

Junior High School ◽

Learning Model ◽

School Students ◽

Mind Mapping ◽

Significance Level ◽

Creativity Assessment ◽

Significant Difference ◽

Before And After ◽

Research Type

This study aims to analyze whether the application of Group Investigation (GI) learning model Based on Mind Mapping media can improve creativities of the student of SMP Wisata Sanur. The research type is Pre-Exprimental Design with One-group Pretest-Postest Designs research design conducted at SMP Wisata Sanur from April to May. Data collection using creativity assessment rubrics with 7 aspects. The result showed that there was an increase of creativity score from 75,3 to 169,2 with significance level of each aspect of creativity, ie Design aspect (p = 0,017), Color (p = 0,017), Idea and Context (p = 0,017), Kata Key (p = 0.018), Combining ideas (p = 0.018), Hierarchy Level (p = 0.017), Presentation Concept (p = 0.017). Based on the data obtained after being tested with Wilcoxon Match Pairs there was a significant difference (p = 0,018> 0,05) on student creativity in making Mind Mapping before and after apply the learning model. The conclusion of this research is the application of cooperative learning model of Group Investigation based on Mind Mapping has an effect on to the creativity of junior high school students of Sanur Tourism. Keywords: Group Investigation, Creativity, Mind Mapping Abstrak. Penelitian ini bertujuan untuk menganalisis apakah penerapan model pembelajaran Group Investigation (GI) Berbasis media Mind Mapping dapat meningkatkan kreativitas siswa SMP Kerta Wisata Sanur. Jenis penelitian adalah Pre-Exprimental Design dengan rancangan penelitian One-group Pretest-Postest Designs yang dilaksanakan di SMP Wisata Sanur . Data didapatkan menggunakan rubrik penilaian kreativitas dengan 7 aspek. Hasil penelitian menunjukkan terdapat peningkatan jumlah skor kreativitas dari 75,3 menjadi 169,2 dengan taraf signifikansi masing-masing aspek kreativitas yaitu aspek Rancangan (p=0,017), Warna (p=0,017), Ide dan Konteks (p=0,017), Kata Kunci (p=0,018), Menggabungkan ide-ide (p=0,018), Tingkat Hirarki (p=0,017), Konsep Presentasi (p=0,017). Hasil uji dengan Wilcoxon Match Pairs terdapat perbedaan yang signifikan (p= 0,018 > 0,05) pada kreativitas siswa dalam membuat Mind Mapping sebelum dan sesudah menerapkan model pembelajaran kooperatif tipe Group Investigation. Kesimpulan dari penelitian ini adalah penerapan model pembelajaran kooperatif tipe Group Investigation berbasis Mind Mapping mampu meningkatkan kreativitas siswa SMP Wisata Sanur. Kata kunci : Group Investigation, Kreativitas, Mind Mapping

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Intervenção para o controle do peso corporal de adolescentes, utilizando videogames ativos: um estudo piloto

Caderno de Educação Física e Esporte ◽

10.36453/2318-5104.2018.v16.n2.p51 ◽

2018 ◽

Vol 16 (2) ◽

pp. 51-55

Author(s):

Catiana Leila Possamai Romanzini ◽

Beatriz Lara Leile Pavanello ◽

Kessi Cassiane Iarosz ◽

Vinícius Zandonadi Pires

Keyword(s):

Body Weight ◽

Pilot Study ◽

Waist Circumference ◽

Video Games ◽

Anthropometric Measures ◽

Significance Level ◽

Active Video Games ◽

Significant Difference ◽

Active Video ◽

Before And After

Estratégias de intervenção que utilizam exergames que visam o estímulo à prática de atividade física, bem como à redução do tempo em comportamento sedentário, parecem ser caminhos promissores para lidar com o aumento das taxas de obesidade. Este foi o intuito do Projeto de Extensão “Exergaming para a saúde: intervenção para o controle do peso corporal em adolescentes utilizando videogames ativos”, contemplado com fomento do MEC/PROEXT no ano de 2013. O objetivo do estudo foi verificar o efeito de uma intervenção de oito semanas com videogames ativos sobre variáveis relacionadas ao peso corporal de adolescentes. Foi realizado um estudo piloto de intervenção de oito semanas com duração de 60 minutos por sessão, com uso dos exergames. Participaram do estudo oito escolares, com média de idade de 11,5±0,5 anos. Medidas antropométricas antes e após a intervenção foram realizadas. Utilizou-se a estatística descritiva e o teste t pareado, no SPSS 20.0 com nível de significância de p0,05. Observou-se que houve diferença estatisticamente significativa somente na circunferência de cintura (cm) com redução de 2,8 cm (p = 0,028). As demais variáveis analisadas não foram diferentes. O estudo piloto de uma intervenção de oito semanas com videogames ativos demonstrou possibilidade de redução de medidas antropométricas, tais como a circunferência de cintura dos adolescentes. Sugere-se que novos estudos com exergames tenham enfoque neste desfecho em um período mais longo de intervenção e/ou com maior número de sessões durante a semana.ABSTRACT. Intervention for the control of body weight in adolescents using active video games: a pilot study. Intervention strategies that use exergames that aim to stimulate the practice of physical activity, as well as the reduction of the time in sedentary behavior, through promising ways to deal with the increase of obesity rates. This is the way of Extension Project “Exergaming for health: intervention for the control of body weight in adolescents using active video games”, with fomentation of MEC/PROEXT in 2013. The aim of this study was to verify the effect of an eight-week intervention with active video games on variables related to adolescent body weight. An eight-week intervention study with a duration of 60 minutes per session, with use of exergames was performed. Eight schoolchildren participated, with mean age of 11.5±0.5 years. Anthropometric measures before and after the intervention were performed. Descriptive statistics and the non-parametric equivalent of paired t-test were used in SPSS 20.0 with significance level of p0.05. It was observed that there was a significant difference only in waist circumference (cm) with a reduction of 2.8 cm (p = 0.028). The other variables analyzed were not different. The pilot study of an eight-week intervention with active videogames demonstrated the possibility of reducing anthropometric measures, such as the waist circumference of adolescents. We suggested that new studies with exergames focus on this outcome over a longer period of intervention and/or with a larger number of sessions during the week.

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