Efektifitas Baby SPA terhadap Kualitas Tidur Bayi Umur 5-12 Bulan

ABSTRACT : BABY SPA EFFECTIVENESS ON BABY SLEEP QUALITY AGE 5-12 MONTHS Background: According to WHO (2015), the global neonatal mortality rate is 19 per 1,000 live births. Meanwhile, according to the results of the Indonesian Demographic and Health Survey (IDHS) in 2017, the AKN was 15 per 1,000 live births. Sleep is a period characterized by marked changes in brain activity. However, inadequate sleep and poor sleep quality can result in several disorders in the wrong baby so that it can affect the baby's motor skills. One way or action to overcome or improve the quality of a baby's sleep is by massage, but it can also be combined with a baby spa.Objective: To analyze the effectiveness of sleep quality before and before baby spa treatment for infants aged 5-12.Method : uses a quasi-experimental research design using a one-group pretest-posttest design. The number of samples as many as 15 respondents were taken using purposive sampling technique. Data analysis using Wilcoxon statistical test.Result: The research shows that Baby Spa is Effective on Sleep Quality of Infants Age 6-12 Months, this is evidenced by the results of the Wilcoxon statistical test with a p-value of 0.001 <0.05.Conclusion: Baby Spa is Effective on Sleep Quality for Babies Age 6-12 Months Keywords: Kota Sorong, Massase, Sleep Quality INTISARI : Baby Spa Effectiveness On Baby Sleep Quality Age 5-12 Months Latar belakang : Menurut WHO (2015), angka kematian neonatal global adalah 19 per 1.000 kelahiran hidup. Sedangkan menurut hasil Survei Demografi dan Kesehatan Indonesia (SDKI) tahun 2017 menunjukkan AKN sebesar 15 per 1.000 kelahiran hidup. Tidur adalah periode yang ditandai dengan perubahan nyata dalam aktivitas otak. Namun, tidur yang tidak adekuat dan kualitas tidur yang buruk dapat mengakibatkan beberapa gangguan pada bayi salah satunya dapat mempengaruhi motorik bayi. Salah satu cara atau tindakan untuk megatasi atau memperbaiki kualitas tidur bayi yaitu dengan pijatan, selain itu juga dapat dikombinasikan dengan baby spa.Tujuan : Untuk menganalisis efektifitas kualitas tidur sebelum dan sesudah dilakukan baby spa pada bayi umur 5-12.Metode penelitian ini menggunakan quasi eksperimen dengan rancangan penelitian menggunakan one-group pretest-posttest design. Jumlah sampel sebanyak 15 responden yang diambil menggunakan teknik purposive sampling. Analisis data menggunakan uji statistik Wilcoxon.Hasil : penelitian menunjukkan bahwa Baby Spa Efektif Terhadap Kualitas Tidur Bayi Umur 6-12 Bulan, hal ini dibuktikan dengan hasil uji statistik Wilcoxondengan nilai p-value 0,001 < 0,05.Kesimpulan : Baby Spa Efektif Terhadap Kualitas Tidur Bayi Umur 6-12 Bulan Kata Kunci: Sorong City, Pijat, Kualitas Tidur

Significance of the cronobiological factors in a spa treatment of gynaecological patients

In the article the outcomes of the research of efficiency of complex SPA treatment of the patients with chronic inflammatory diseases of organs of the small pelvis in various seasons of the year in conditions of humid subtropics are indicated. The dynamics ofa psycho-emotional condition, vegetative reactivity, condition of the protective-adapting mechanisms of the gomeostasis are investigated, depending on a kind of applied SPA treatment (hydrogen sulfide or iodine bromide)? In cool and warm periods of a year. The recommendations for differentiated rehabilitation treatment of patients with valiants of clinical process of chronic inflammatory diseases of organs of the small pelvis and complications, accompanying them, in conditions of humid subtropics are represented.

KIDNEY STONE DISEASE AND OSTEOPOROSIS - TOPIC ISSUES OF COMORBIDITY

the prevalence of kidney stone disease (KSD) and osteoporosis (OP) increases every year. In the prevention of osteoporosis, it is important to consume a sufficient amount of calcium-rich foods in the daily diet, as well as the use of calcium. One of the important reasons for the insufficient use of calcium-containing products and medicines is the anxiety not only of patients, but, very importantly, of doctors as much as possible. This has serious justification, as nephrolithiasis occurs in approximately 5% of the population, and the risk of developing kidney stones during life is 8-10%. It is believed that secondary hyperparathyroidism, which is caused by hypocalcemia due to insufficient consumption of calcium-containing products and impaired renal function, leads to increased bone resorption, formation of kidney stone disease. It is important to consider that against the background of hypertensive, atherosclerotic kidney disease, tubulo-interstitial lesions of the kidneys with decreasing glomerular filtration rate decreases the synthesis of 1α-hydroxylase - an enzyme by which 25-hydroxycholecalciferol (25 (OH) active D3, calcium) form of vitamin D3–1.25 dihydroxycholecalciferol (1.25 (OH) 2D3, calcitriol - D-hormone) and secondary hyperparathyroidism develops. In this case, the purpose of correction along with the treatment of urolithiasis (spa treatment, given the attendance of the presence of KSD, to carry out the distance lithotripsy), intake of active metabolites of vitamin D (should be started with low doses, independent of the initial PTH concentration, and then titrated based on the PTH response) conducting X-ray densitometry.

Do NSAIDs Take Us Away From Treatment Goals in Axial Spondyloarthritis: A Story About Dysbiosis or Just a Matter of Bias?

Non-steroidal anti-inflammatory drugs (NSAIDs) remain the mainstay of treatment for spondyloarthritides (SpA), a group of entities with common clinical and pathophysiological aspects, but also with differential features. Although NSAIDs provide significant symptomatic relief, especially for joint pain and morning stiffness, their role in achieving and maintaining the treatment goals advocated by the treat to target strategy in SpA is not entirely clear. These agents can induce changes in the composition of the intestinal microbiota, also favoring an alteration of the barrier function in the gut epithelium. All of this, favored by a pre-disposing genetic background, could activate a specific type of aberrant immune response in the gut lamina propria, also known as type-3 immunity. This article offers a perspective on how NSAIDs, despite their undeniable value in the short-term SpA treatment, could hinder the achievement of medium and long-term treatment goals by compromising the barrier function of the gut mucosa and potentially altering the composition of the gut microbiota.

Hydropinotherapy with Sulphurous Mineral Water as Complementary Treatment to Improve Glucose Metabolism, Oxidative Status, and Quality of Life

Hydropinotherapy is a salus per aquam (Spa) treatment suitable as a complementary approach to treat several diseases, which strongly affect the quality of life (QoL). Hydropinotherapy with sulphurous mineral water exerts benefits thanks to components, such as hydrogen sulphide, which is considered mainly responsible for antioxidant and hypoglycaemic effects. Such properties, linked from each other, could favour an improvement in patients’ QoL. However, data on humans are scarce. This study aimed to investigate whether a cycle of sulphurous hydropinotherapy was able to modify plasma levels of glucose and reactive oxygen metabolites (ROMs) and improve QoL in patients suffering from several chronic disorders. A prospective, observational study involved patients with gastrointestinal diseases who received a prescription of a cycle of sulphurous hydropinotherapy (S-HT). Age- and sex-matched control group was enrolled (No S-HT). Glycaemia and plasma concentration of ROMs were measured in all subjects. The impact of spa treatment on the QoL was assessed using the Short Form 36 Health Status Survey questionnaire (SF-36). All parameters were measured at baseline and at the end of a 2-week treatment. Between the groups, no differences were found in glycaemia and ROMs at baseline. In the S-HT group, a reduction in glycaemia and ROMs, both in respect to baseline (p = 0.005 and p = 0.031, respectively) and to control group, as shown by the delta value calculated, as the difference between the values at 2 weeks and baseline (p = 0.0009 and p = 0.0001, respectively). In the S-HT, delta ROMs was the best predictor of delta glycaemia with a direct linear correlation (beta = 0.559, 95% CI 0.471 to 0.647, p < 0.0001). In the S-HT, the SF-36 total score was improved both when compared with baseline (p = 0.002) and with No S-HT (p = 0.001). Sulphurous hydropinotherapy induces a decrease in glycaemia and ROM levels, also ameliorating the patients’ QoL. Therefore, it could be considered a useful complementary therapeutic approach.

Chromosome Aberrations in Lymphocytes of Patients Undergoing Radon Spa Therapy: An Explorative mFISH Study

In the present exploratory study, we aim to elucidate the action of radon in vivo and to assess the possible health risks. Chromosome aberrations were analyzed in lymphocytes of two patients (P1, P2) undergoing radon spa therapy in Bad Steben (Germany). Both patients, suffering from painful chronic degenerative disorders of the spine and joints, received nine baths (1.2 kBq/L at 34 °C) over a 3-week period. Chromosome aberrations were analyzed before and 6, 12 and 30 weeks after the start of therapy using the high-resolution multiplex fluorescence in situ hybridization (mFISH) technique. For comparison, the lymphocytes from two healthy donors (HD1, HD2) were examined. P1 had a higher baseline aberration frequency than P2 and both healthy donors (5.3 ± 1.3 vs. 2.0 ± 0.8, 1.4 ± 0.3 and 1.1 ± 0.1 aberrations/100 analyzed metaphases, respectively). Complex aberrations, biomarkers of densely ionizing radiation, were found in P1, P2 and HD1. Neither the aberration frequency nor the fraction of complex aberrations increased after radon spa treatment, i.e., based on biological dosimetry, no increased health risk was found. It is worth noting that a detailed breakpoint analysis revealed potentially clonal aberrations in both patients. Altogether, our data show pronounced inter-individual differences with respect to the number and types of aberrations, complicating the risk analysis of low doses such as those received during radon therapy.

Therapeutic-resort rehabilitation of children with gallbladder pathology living in ecologically unfavorable territories of the Krasnodar Region

Objective: To study the eff ectiveness of medical and preventive schemes of spa rehabilitation of children with biliary tract diseases living in ecologically unfavorable areas of the Krasnodar region.Materials and Methods: The study was conducted among children aged 7 to 14 years old burdened with gallbladder pathology (dysfunctional disorders of the biliary tract (DRBT)). In 2017-2020, the eff ectiveness of the therapeutic-resort stage of rehabilitation was studied in 127 children. The children permanently resided in Krasnodar and were admitted to the therapeutic spa-resort center of mother and child “Diluch” in the resort city of Anapa. The authors selected 93 (73.2%) children with hypofunctional gallbladder disorder (GI) and 34 (26.8%) children with hyperfunctional GI disorder for spa treatment. The control group included children with the 1st group of health. The eff ectiveness of the applied methods of rehabilitation was evaluated based on laboratory and instrumental studies, as well as periodic dynamic medical examinations, which included the collection of complaints, physical examination, and palpation of the abdominal cavity.Results: Therapeutic spa-rehabilitation of children with DRBT included balneotherapy, physiotherapy, and aerophytotherapy without the use of pharmacological drugs. At the same time, there was an improvement in the condition of both children with DRBT of the hypertensive type (94.1%) and among the subjects with DRBT of the hypotonic type (90.1). There were no cases of the condition worsening in the observed children with DRBT that permanently resided in unfavorable conditions of the Krasnodar Region.Conclusions: Based on the obtained results, it can be suggested that diff erentiated comprehensive rehabilitation in the conditions of the balneological complex of the resort city of Anapa performed aft er the main treatment of gastrointestinal pathology is feasible for children and adolescents experiencing adverse environmental impacts at a permanent place of residence in the Krasnodar region.

Nadzór nad lecznictwem uzdrowiskowym ze szczególnym uwzględnieniem czynności kontrolno-nadzorczych nad zakładami lecznictwa uzdrowiskowego

Spa treatment, which constitutes an integral part of health care, is an organized activity consisting in providing health care services in the field of spa treatment or spa rehabilitation carried out in a spa by spa treatment facilities. In order to ensure the proper and efficient operation of this form of treatment in specially adapted facilities that are medical entities, this treatment is subject to professional supervision. Supervision over health resort treatment entails the control and evaluation of health resort treatment carried out in health resort treatment establishments. This issue is regulated primarily in the Act of 28 July 2005 on spa treatment, health resorts and health resort protection areas and in health resort communes, as well as in the Act of 15 April 2011 on medical activity. The study contains an analysis and evaluation of the legal regulations concerning the supervision of spa treatment. It discusses the basic terms related to spa issues and presents some concepts of control and supervision in terms of the doctrine. Spa supervision is characterized by specific regulations and the degree of complexity. This applies to individual issues that allow the reconstruction of the essence of supervision. These are the supervisory authorities, subject of supervision, the supervised entities, criteria and scope of supervision exercised and legal means of supervision. The authorities supervising the health resort treatment include the Minister of Health, the Voivode, the Minister of National Defense and the Minister of the Interior. In this article, in the analysis of the scope of his competences and control and supervisory powers great attention is paid to the Minister of Health as the central body of government administration in the field of matters belonging to the department of health administration managed by him. Due to the specific nature of supervision of this treatment carried out in the voivodeship, the legal position of the chief physician of the health resort, with whose help the voivode exercises this supervision, was analyzed. Since spa treatment is carried out in spa facilities in a health resort, the study contains the problem of separate control procedurescarried out in this area, within which special attention is paid to internal, management and ad hoc control.

Current Problems and Prospects of Development of the Khmelnytskyi Region Tourist Industry

The article is devoted to deepening the theoretical foundations and developing practical recommendations for the tourism sector of Khmelnytskyi region as one of the components of the national economy. Thus, the problems and obstacles to tourism development in Khmelnytskyi region are considered and a number of areas are identified to address the relevant shortcomings, as well as recommendations for improving existing places for tourism and opening new ones for greater promotion among the population. The tourist potential of the region is characterized. The information on the number of tourists served by tour operators and travel agents for a certain period is analyzed. They noted that due to the tourist tax, the community budget is better filled, so this industry should be actively developed. The program of tourism and resorts development, the way it is applied into practice of Khmelnytskyi region is studied. It is pointed out that among the tourist centers of Khmelnytskyi region a special place is devoted to the city of Kamianets-Podilskyi, its local authorities pursue a very active tourism policy, setting goals to be achieved in a short period of time. It is noted that the main tasks of tourism development in the Khmelnytskyi region are the formation of a tourist and recreational complex that would meet the needs of the population in spa treatment, recreation and tourism. Recommendations are given for the application of a number of marketing measures that would help expand knowledge about Khmelnytskyi region far beyond its borders. It is determined that Khmelnytskyi region is one of the most promising tourist regions of Ukraine. We claim that the priority for Khmelnytskyi region is health tourism, ecological tourism, cognitive, as well as weekend tours. It should be noted that a tourist information center is being built in Khmelnytskyi, which will provide free information services on tourist facilities. The problems currently facing Khmelnytskyi region in the field of tourism are identified, the most acute problem is the financial support of the tourism industry, and proposals are given to eliminate them. A number of recommendations for effective popularization of tourist and recreational potential of Khmelnytskyi region are proposed.