Pengaruh Penggunaan Aplikasi Wellingbom 2.0 terhadap Kemampuan Suami Mendeteksi Dini Kehamilan Risiko Tinggi

Background: The COVID-19 pandemic has a significant impact on the health sector. In Kediri, pregnant women have limited access to checking their conditions. Many high-risk pregnancies are happening, especially in the Sukorame area. It makes the family, especially the husband, should pay more attention to his wife’s pregnancy. However, husbands often have no idea about pregnancy, including how to detect early high-risk pregnancy conditions. It often leads to delays in handling this problem. This study aimed to determine the effect of using The Wellingbom 2.0 Application on husbands' ability to detect early high-risk pregnancies.Method: This study used a research and development design with a descriptive and quasi-experiment approach. The population was 100 people. Samples were 80 people using incidental sampling techniques with the inclusion criteria were husbands of pregnant women who live in the working area of Sukorame Health Center and have an android-based smartphone, also they must be able to operate it. The data that have been collected were conducted normality test and then tested using Wilcoxon match pair statistic test by SPSS 16.00. Respondents pretested and were given an application for one week, after which the posttest was done.Results: The result of the normality test showed p-values of 0.004 for pretest and 0.000 for posttest, this indicates abnormally distributed data. Further analyzed using non-parametric sample Wilcoxon 2-paired test showed p-value 0.000, which means Ha accepted. It showed a significant change in respondents' ability to perform early detection to high-risk pregnancy after using the wellingbom 2.0 application. It would be better if husbands were also being educated about high-risk pregnancies to increase their awareness of their wives’ pregnancies.

Cruciate retaining and posterior stabilized total knee arthroplasty in severe varus osteoarthritis knee: A match-pair comparative study in an Asian population

Background Posterior stabilized (PS) total knee arthroplasty (TKA) is advocated in severe varus osteoarthritic (OA) knees as the posterior cruciate ligament posed challenges in gap balancing. However, there is scarcity in the literature to illustrate the superiority of PS TKA over cruciate retaining (CR) TKA. Our study aims to compare the outcomes between CR and PS TKAs in patients with severe varus OA knees. Methods: A retrospective review was conducted on patients who underwent primary TKA for OA knee from 2003 to 2013. Patients with OA knees of varus tibiofemoral angle ≥15 were matched into two groups (Group CR and PS) according to age, gender, and body mass index and compared in terms of clinical (tibiofemoral alignment, range of motion, and revision rate) and functional outcome (Knee Society Scoring, Oxford Knee Score, Short Form-36 Health Survey). Results: Both Group CR ( n = 56) and PS ( n = 56) had similar pre-operative scores. Both groups achieved correction of tibiofemoral alignment from median pre-operative varus of 17.6/17.0 (CR/PS) ( p = .279) to median post-operative valgus of 4.9/4.0 (CR/PS) ( p = .408). Over 24 months, both groups were comparable in achieving significant improvement in clinical and functional outcomes. No case of revision surgery was reported (median follow-up months; CR: 65, PS: 74, p = .549). Conclusion: Both CR and PS TKAs perform similarly well in severe varus OA knee up to 2 years post-operation. Further studies are warranted to assess the long-term outcome between the two implant designs.

The impact of prehospital tranexamic acid on mortality and transfusion requirements: match-pair analysis from the nationwide German TraumaRegister DGU®

Background Outcome data about the use of tranexamic acid (TXA) in civilian patients in mature trauma systems are scarce. The aim of this study was to determine how severely injured patients are affected by the widespread prehospital use of TXA in Germany. Methods The international TraumaRegister DGU® was retrospectively analyzed for severely injured patients with risk of bleeding (2015 until 2019) treated with at least one dose of TXA in the prehospital phase (TXA group). These were matched with patients who had not received prehospital TXA (control group), applying propensity score-based matching. Adult patients (≥ 16) admitted to a trauma center in Germany with an Injury Severity Score (ISS) ≥ 9 points were included. Results The matching yielded two comparable cohorts (n = 2275 in each group), and the mean ISS was 32.4 ± 14.7 in TXA group vs. 32.0 ± 14.5 in control group (p = 0.378). Around a third in both groups received one dose of TXA after hospital admission. TXA patients were significantly more transfused (p = 0.022), but needed significantly less packed red blood cells (p ≤ 0.001) and fresh frozen plasma (p = 0.023), when transfused. Massive transfusion rate was significantly lower in the TXA group (5.5% versus 7.2%, p = 0.015). Mortality was similar except for early mortality after 6 h (p = 0.004) and 12 h (p = 0.045). Among non-survivors hemorrhage as leading cause of death was less in the TXA group (3.0% vs. 4.3%, p = 0.021). Thromboembolic events were not significantly different between both groups (TXA 6.1%, control 4.9%, p = 0.080). Conclusion This is the largest civilian study in which the effect of prehospital TXA use in a mature trauma system has been examined. TXA use in severely injured patients was associated with a significantly lower risk of massive transfusion and lower mortality in the early in-hospital treatment period. Due to repetitive administration, a dose-dependent effect of TXA must be discussed.

Pengaruh Dongeng Digital Terhadap Kemampuan Kosakata Bahasa Jawa Krama Anak Usia 5-6 Tahun di Tk Dharma Wanita Ngimbang Lamongan

Latar Belakang: Anak usia dini adalah anak yang belum dewasa yang usianya nol sampai sampai enam tahun yang dalam tahap pertumbuhan dan perkembangan yang sangat pesat. Pada tahap anak usia dini ini perkembangan otak anak sangatlah penting Tujuan: Untuk mengetahui pengaruh dongeng digital terhadap kemampuan kosakata bahasa Jawa Krama anak usia 5-6 tahun di TK Dharma Wanita Lamongan. Metode: Menggunakan penelitian kuantitatif, dengan jenis penelitian Pre Eksperimental Design dan desain penelitiannya One Group Pretestt-Posttest. Subjek yang digunakan dalam penelitian ini yaitu anak yang berusia 5-6 tahun di kelompok B di TK Dharma Wanita Ngimbang Lamongan yang berjumlah 20 anak. Teknik pengumpulan data menggunakan observasi dan dokumentasi. Teknik analisis data menggunakan statistik non parametrik dengan menggunakan uji jenjang yang bertanda Wilcoxon Match pair Test dengan tabel penolong. Penelitian ini dilaksanakan dalam 3 tahap, yaitu pretestt, treatmentt dan posttest. Hasil: Hasil analisis dengan menggunakan uji jenjang bertanda Wilcoxon Match pair Test menunjukkan bahwa nilai T hitung berjumlah 0 sedangkan Ttabel dengan taraf signifikansi 5 % dengan nilai N= 20 jadi diperoleh 52. Maka T hitung < T tabel sebesar 0 < 52, sehingga Ha diterima dan Ho ditolak. Kesimpulan: Bahwa dongeng digital dapat memberikan pengaruh yang signifikan terhadap kemampuan kosakata bahasa Jawa Krama anak di TK Dharma Wanita Ngimbang Lamongan.

Field Massage Improves The Life Quality Of Infant With Hyperbilirubinemia And Under Phototherapy

Life Quality of an infant is a multidimensional concept that involves physical, emotional, mental, social and other behavioural elements and their function, One of the efforts to maintain the quality of the infant is by field massage. Baby massage is one of the stimulus touches which is also a safe and comfortable form of communication with an infant. The objective of this research to analyze the influence of field massage on the life quality of infants with hyperbilirubinemia and under phototherapy. This research was a quasi-experimental research with one group pre-test-posttest design. with 35 respondents taken as the sample. The data was collected through direct observation on infants life quality before and after the field massage treatment with the assistant of the observation sheet. Life Quality observed include body weight, temperature, pulse, sleep duration, crying time, nighttime awakening intensity. This field massage is done 2x / day (morning and night) within 10 minutes for 2 days in certain areas namely the face chest, stomach, back. The results showed the average infant weight before the massage was 3056.74 after the massage field 3097.14, the baby's temperature before field massage was 36,640 after field massage 36,974, for infant pulse before field massage the average was 142.57 after field massage 141.66, the length of the infant sleep/day before average field massage 14.252 after field massage 16.765, the average intensity of getting up at night/day before the massage field 4.14 after massage field 3.0, the average length of crying of infant/day before the massage field 2,085 after the massage field 1,464. The results of the research showed that the Wilcoxon match pair test for the life quality of infant variable obtained p-value = 0,000 (α = 0.05) meaning that there was a significant effect of field massage on the life quality of infant with hyperbilirubinemia under phototherapy.

OTAGO HOME EXERCISE PROGRAMME DAPAT MENINGKATKAN KESEIMBANGAN DINAMIS PADA LANSIA

Latar belakang: Keseimbangan merupakan kemampuan tubuh untuk tetap berada dalam keadaan stimbang dan menyesuaikan diri terhadap gravitasi, permukaan tanah dan objek dalam lingkungannya ketika melakukan aktivitas sehari-hari. Gangguan keseimbangan pada lansia tersebut dapat berdampak pada meningkatnya resiko jatuh pada lansia yang dapat menyebabkan berbagai macam cidera pada lansia seperti patah tulang maupun luka berat bahkan kematian. Tujuan: Tujuan dari penelitian ini adalah untuk mengetahui otago home exercise programme dapat meningkatkan keseimbangan dinamis pada lansia. Metode: Penelitian ini bersifat eksperimental dengan rancangan one group pre dan post test design. Sampel penelitian berjumlah 14 orang yang diberikan intervensi otago home exercise programme. Pengukuran keseimbangan dinamis dilakukan dengan menggunakan timed up and go test (TUGT) yang diukur sebelum dan sesudah pemberian intervensi. Hasil: Hasil pengujian hipotesis menggunakan wilcoxon match pair test diperoleh rerata sebelum perlakuan sebesar 16,68 dan setelah perlakuan sebesar 12,09 dengan nilai p=0,001. Kesimpulan: Dari hasil penelitian tersebut dapat disimpulkan otago home exercise programme dapat meningkatkan keseimbangan pada lansia.Kata Kunci: Otago Home Exercise Programme, Keseimbangan Dinamis, Timed Up and Go Test, Lansia

Leberresektionen können bei vorsichtiger Patientenselektion auch in Zirrhose sicher durchgeführt werden

Zusammenfassung Hintergrund Das hepatozelluläre Karzinom (HCC) ist der häufigste maligne Lebertumor in einer Leberzirrhose. Neben der Lebertransplantation stellt die Leberresektion in kompensierter Zirrhose eine kurative Therapieoption dar, die jedoch mit einer höheren postoperativen Morbidität und Mortalität einhergeht. Patienten Es wurden 108 Patienten identifiziert, die mit einer Leberzirrhose im Zeitraum von Januar 2008 bis Dezember 2019 an der Universitätsmedizin Mainz eine Leberresektion erhalten haben. Im gleichen Zeitraum wurden 185 Resektionen wegen eines HCC in nicht zirrhotischer Leber durchgeführt. Als weitere Kontrollgruppe dienten 167 Resektionen wegen kolorektaler Lebermetastasen (CRLM), die dem Ausmaß der Resektionen in Leberzirrhose entsprachen. Neben den generellen Patientencharakteristika wurde bei allen Patienten präoperativ der Charlson Comorbidity Index (CCI) erhoben und der MELD-/Child-Score bestimmt. Die perioperative Morbidität wurde nach der Clavien-Dindo-Klassifikation erfasst. Resektionen eines HCC in Zirrhose und kolorektaler Lebermetastasen wurden zudem in einer Match-Pair-Analyse verglichen. Ergebnisse Die 3 Gruppen waren hinsichtlich des Alters zum Operationszeitpunkt vergleichbar. Die präoperative Leberfunktion war bei Patienten mit CRLM signifikant besser (p < 0,001). Patienten mit einem HCC in einer nicht zirrhotischen Leber hatten ausgedehntere Resektionen (p < 0,001) als Patienten mit HCC in zirrhotischer Leber. Die Gesamtmorbidität (Clavien/Dindo Grad III – IV) war bei Patienten mit einem HCC in Zirrhose höher als bei Patienten mit kolorektalen Lebermetastasen (p = 0,026). Dies bestätigte sich auch in der Match-Pair-Analyse. Die Mortalität war im gesamten Kollektiv vergleichbar niedrig (2,2%). Weder MELD- noch Child-Score ließen eine Aussage über die postoperative Morbidität und Mortalität zu (Area under the Curve: AUC jeweils < 0,6). Der CCI erreichte mit einer AUC von 0,78 eine hinreichende Vorhersage auf die postoperative Mortalität. Schlussfolgerung Resektionen in einer Leberzirrhose sind bei einer Begrenzung des Resektionsausmaßes und entsprechender Patientenselektion mit einem vertretbaren Risiko möglich. Komorbiditäten erhöhen zusätzlich zu einer Einschränkung der Leberfunktion die postoperative Mortalität, weshalb diese unbedingt in die Patientenselektion integriert werden sollten.