Experience in a comprehensive pre-test risk assessment of thromboembolic complications in surgical patients with a high risk of congenital thrombophilia.

Введение. Каждый год около трети летальных исходов от венозных тромбоэмболических осложнений (ВТЭО) в мире приходится на долю пациентов, перенесших хирургические вмешательства. Традиционные подходы в оценке рисков не всегда подходят пациентам хирургического профиля в связи с широкой разрозненностью возрастных групп, наличием пациентов с различными тромбофилическими состояниями, высокими рисками предстоящих вмешательств и низкой настороженностью персонала. Выходом из этой ситуации является поиск лучших инструментов для проведения предтестовой диагностики. Цель исследования: анализ результатов комплексной предтестовой оценки риска развития ВТЭО у пациентов хирургического профиля с высоким риском наличия врожденных тромбофилий. Материалы и методы. Обследовано 35 пациентов с одним из проявлений ВТЭО (основная группа) и 55 пациентов, указавшие на наличие ВТЭО у себя в прошлом или у родственников первой кровной линии в возрасте до 50 лет (контрольная группа). Проведено тестирование по шкалам Geneva, Wells, Caprini с последующим анализом. Для выявления нарушений в системе протеина С применяли «Парус-тест». Результаты. Предтестовая оценка с применением шкалы Caprini и нормализованного отношения (НО) «Парус-теста» показала высокий риск развития ВТЭО у пациентов обеих групп. Заключение. Тестирование с помощью шкалы Caprini и НО «Парус-теста» показало хорошие результаты для оценки рисков развития ВТЭО и качественного подбора метода профилактики ВТЭО у пациентов хирургического профиля. Background. Every year, about a third of deaths from venous thromboembolic complications (VTEC) in the world occur among surgical patients. Traditional risk assessment is not always suitable for surgical patients due to the wide disparity of age groups, the presence of patients with various thrombophilic conditions, high risks of forthcoming interventions, and low medical staff alertness. The solution is to find the best tools for pre-test diagnostics. Objectives: to analyze the results of a comprehensive pre-test assessment of VTEC risk in surgical patients with a high risk of congenital thrombophilia. Patients/Methods. We examined 35 patients with one of VTEC manifestations (main group) and 55 patients who had a history of VTEC or VTEC episode in first blood line relatives under the age of 50 (control group). Testing was carried out according to Geneva, Wells, and Caprini scales with subsequent analysis. Parus-test was used to detect the disturbances in protein C system. Results. The pre-test assessment using the Caprini scale and the normalized ratio (NR) of Parus-test showed a high risk of VTEC in patients of both groups. Conclusions. Testing with the Caprini scale and NR of Parus-test showed good results for assessment of VTEC risks and for a qualitative selection of VTEC prevention method in surgical patients.

Effect of Movement Control Spinal Exercise Programme on Pain and Mobility in Individual with Non-Specific Low Back Pain

Background: Low back pain is the most common condition that affects the majority of the population with up to 84% lifetime prevalence. A specific diagnosis of low back pain is only possible in 15% of patients and the majority of cases the pain is non – specific low back pain (NSLBP). The main objectives were to assess the effect of movement control spinal exercises (MVCSE) on NSLBP and to examine the effect of MCSE on mobility. Methods: The study was conducted in the physiotherapy out-patient department. After screening of the inclusion and exclusion criteria, 35 individuals with NSLBP were selected. A pre-test assessment was done, the protocol included warmup sessions, exercise protocol and cool down sessions. Exercises were demonstrated to the patients according to the spinal movements control impairment, the total duration of the protocol was of 6 weeks with one session of 1 hour per day. Later the post- test assessment was done and further statistical analysis was done. Results: After 6 weeks post evaluation, patients with flexion movement control impairment (MVCI) had improvement in their movement control; extension, lateral and rotational movement control impairments were the same as before. Conclusion: The patient- specific functional complaints and disabilities improved significantly after implementation of the individual based specific exercise programme, along with the regular physiotherapeutic interventions. Movement Control Spinal Exercise treatment has shown results in improving mobility and disability in the short term and long term for individuals with NSLBP and MVCI to than other interventions.

The effects of physiotherapy using proprioceptive neuromuscular facilitation techniques on the gait of patients after hip and knee arthroplasty: a case report.

Background: Gait disturbances are a major problem for patients after arthroplasty. After the surgery, walking speed, the rhythm of locomotion, and the length of the steps are significantly reduced. One of the therapeutic methods used in gait re-education is proprioceptive neuromuscular facilitation (PNF). Aim of the study: This study aimed to evaluate the effects of physiotherapy using PNF techniques on the gait of patients after hip and knee arthroplasty. Case report: A 60-year-old woman with advanced osteoarthritis that received bilateral hip and right knee arthroplasties was examined. Before and after the therapy, the following tests were performed: measurement of the range of motion (ROM) of hip and knees joints in the sagittal plane using a goniometer, assessment of the symmetry of the lower limbs loading using the two scales test, assessment of the risk of falls using the “Timed Up and Go” test, assessment of balance and gait using the Tinetti test, and assessment of pain intensity using the visual analogue scale (VAS). Rehabilitation was comprised of 15 PNF therapies, including scapular and pelvic PNF patterns. The stabilization of the upper and lower trunk, lifting, shifting of the body’s weight from one foot to another, gait cycle (the stance phase and the swing phase), walking forward, backward, and sideways, and walking up/down the stairs were also used. After the therapy, the flexion ROM in both hip and knees joints was improved. The lower limb symmetry index decreased from 1.167 to 1.121, and the sum of the points obtained in the Tinetti test increased from 22 to 26. Pain in the joints also decreased from 6 on the VAS scale to 4. However, the result obtained in the “Timed Up and Go” test after the therapy was increased by 0.5 s compared to before the therapy. Conclusions: After hip and knee arthroplasties, physiotherapy using PNF techniques improved the gait and functional status of the patient. Continuation of this research using a larger number of patients is needed.

PENGARUH PENGGUNAAN SARI BUAH STRAWBERRY TERHADAP PENAMPILAN, TEKSTUR, AROMA, WARNA DAN RASA SEBAGAI PENGGANTI AIR MINERAL DALAM PEMBUATAN CHURROS

Desserts usually have a sweet and refreshing taste, sometimes some are salty or a combination thereof. Churros are an example of a dessert. Churros are Spanish and Portuguese pastries. Churros are cooked by frying. This research was conducted to determine the effect of using strawberry juice on the appearance, texture, aroma, color and taste as a substitute for mineral water in making Churros. The method used in this research is descriptive type, while the data collection technique is in the form of organoleptic test assessment. Data analysis and discussion used in this study is quantitative data analysis, with a total of 120 respondents. While the conclusion of this research is the effect of using strawberry juice on the appearance, texture, aroma, color and taste as a substitute for mineral water in making Churros

The effects of physiotherapy using proprioceptive neuromuscular facilitation techniques on the gait of patients after hip and knee arthroplasty: a case report

Background Gait disturbances are a major problem for patients after arthroplasty. After the surgery, walking speed, the rhythm of locomotion, and the length of the steps are significantly reduced. One of the therapeutic methods used in gait re-education is proprioceptive neuromuscular facilitation (PNF). Aim of the study This study aimed to evaluate the effects of physiotherapy using PNF techniques on the gait of patients after hip and knee arthroplasty. Case report A 60-year-old woman with advanced osteoarthritis that received bilateral hip and right knee arthroplasties was examined. Before and after the therapy, the following tests were performed: measurement of the range of motion (ROM) of hip and knees joints in the sagittal plane using a goniometer, assessment of the symmetry of the lower limbs loading using the two scales test, assessment of the risk of falls using the “Timed Up and Go” test, assessment of balance and gait using the Tinetti test, and assessment of pain intensity using the visual analogue scale (VAS). Rehabilitation was comprised of 15 PNF therapies, including scapular and pelvic PNF patterns. The stabilization of the upper and lower trunk, lifting, shifting of the body’s weight from one foot to another, gait cycle (the stance phase and the swing phase), walking forward, backward, and sideways, and walking up/down the stairs were also used. After the therapy, the flexion ROM in both hip and knees joints was improved. The lower limb symmetry index decreased from 1.167 to 1.121, and the sum of the points obtained in the Tinetti test increased from 22 to 26. Pain in the joints also decreased from 6 on the VAS scale to 4. However, the result obtained in the “Timed Up and Go” test after the therapy was increased by 0.5 s compared to before the therapy. Conclusions After hip and knee arthroplasties, physiotherapy using PNF techniques improved the gait and functional status of the patient. Continuation of this research using a larger number of patients is needed.

Perancangan dan Pembuatan Aplikasi Media Pembelajaran Berbasis Android pada Mata Pelajaran Produk Kreatif dan Kewirausahaan

This study aims to determine the validity, practicality and effectiveness of designing and making Android-based learning media applications in the subject of Creative Products and Entrepreneurship for Class XII TKJ 2 at SMK Negeri 8 Padang Odd Semester, Academic Year 2020/2021. This study uses a research development method (research & Development). The research subjects were 35 people. The research model used is the development research model (ADDIE model), with the design of the development steps as follows. (1) Analyze, (2) Design, (3) Development, (4) Implementation and (5) Evaluate. The results of the validity test by the experts as a whole validator test assessment of Android-Based Learning Media Applications in the subject of Creative Products and Entrepreneurship Class XII TKJ 2 SMKN 8 Padang amounting to Odd Semester 82.20%, so that the level of validity can be interpreted as valid to use. The results of the overall practicality test assessment of the practicality of Android-Based Learning Media Applications in the subject of Creative Products and Entrepreneurship Class XII TKJ 2 SMKN 8 Padang Odd Semester is 90.79%, so that the level of practicality can be interpreted as Very Practical to use. The results of the overall effectiveness test assessment of the effectiveness of the Android-Based Learning Media Application in the subject of Creative Products and Entrepreneurship Class XII TKJ 2 SMKN 8 Padang Odd Semester is 84.91%, so that the level of effectivenesscan be interpreted Effectively used. In conclusion, based on the assessment and expert input and the results of the field trial of the Android-Based Learning Media Application as a learning medium, it has been tested for feasibility, excellence, and can be used in the learning process in Creative Products and Entrepreneurship subjects in class XII TKJ 2 SMKN 8 Padang.

DEVELOPMENT WRITTEN TEST ASSESSMENT BASED ON INTEGRATED THEMATIC LEARNING FOR V GRADE STUDENTS OF ELEMENTARY SCHOOL

Development Written Test Assessment Based on Integrated Thematic Learning for V Grade Students of Elementary School. This was an integrated learning method for elementary school and to know the difficulty level, differentiation, distract, validity and reliability. The research populations were V grade students of Elementary School, Pringsewu District, Lampung Province, Indonesia. This research used research and development methods adapted with the steps according to Borg & Gall. The data collection tool used questionnaires and tests. Data analysis techniques by expert validation and test instruments were analyzed with validity, reliability, difficulty, differentiation, and distract. The validation assessment results, material and linguistic experts on question instruments were developed very well, and were worthy of use. The results of large-scale test of product development and the results of the instrument Keywords: assessment, integrated thematic learning, written test.

Zalacca fruit consumption to reduce nausea and vomiting in trimester I pregnant women in Banjarnegara District

<p><strong><em>Introduction</em></strong><em> </em><em>: Nausea and vomiting occur in 80-85% of pregnancies during the first trimester with annoying vomiting symptoms in 52%. The way to deal with nausea and vomiting is pharmacochemical by consuming fresh fruit, namely zalacca. In 100 mg of </em><em>zalacca fruit contains B6 0.2 mg which can reduce nausea. </em></p><p><strong><em>Objectives</em></strong><em> : </em><em>To find out that </em><em>zalacca fruit can reduce nausea and vomiting in pregnant women in the 1st trimester. </em></p><p><strong><em>Methods</em></strong><em> :</em><em> The research used was a quasy experimental design with a pretest posttest control group design. The variables in this study were zalacca</em><em> fruit, nausea and vomiting. The number of samples is 30 respondents. The treatment group received 100 mg of zalacca</em><em> fruit and B6 3 x 10 mg per day for 10 days while the control group received anti-nausea therapy, namely B6 3 x 10 mg / day for 10 days, before the intervention, the control group and the treatment group would get pre-test (assessment of nausea and vomiting) and then continued with the intervention for 10 days and ended with a post test (assessment of nausea and vomiting). Data analysis was univariate, bivariate using the Repeated Measure Anova (Test of Between-Subjects Effect) test. </em></p><p><strong><em>Result :</em></strong><em> Showed that there was an effect of consuming zalacca</em><em> fruit to reduce nausea (p = 0.000) and vomiting with a value of p = 0.012</em><em>. </em></p><p><strong><em>Conclusion :</em></strong><em> Consumption of 100mg zalacca can reduce nausea and vomiting in 1st trimester pregnant women.</em></p>