International journal of health & medical sciences
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The choice of surgical tactics for the treatment of children with destructive pathological dislocation of the hip after hematogenous osteomyelitis
Get PDFA surgical approach to the treatment of destructive pathological dislocation of the hip in children has been substantiated, depending on age, the severity of destruction of the proximal femur and acetabulum. Reconstructive - restorative operations in most patients ensure the stability of the hip joint and thereby improve the patient's gait and statics, reduce the pelvic misalignment and eliminate the Trendelenburg symptom. The experience of surgical treatment of patients with pathological hip dislocations has shown that the most favorable outcomes are achieved with the use of open reduction of the stump of the head or neck of the femur with intertrochanteric detorsion shortening and varizing osteotomy with rotational pelvic osteotomy according to Salter and acetabular plasty according to Pemberton
Nutrition education with android-based application media to increase knowledge, attitudes, and behaviors of pregnant women about chronic energy deficiency (KEK)
Get PDFPregnant women are a very vulnerable group to nutritional problems. The lack of knowledge, attitude, and behavior towards nutrition is the main cause of KEK (chronic energy deficiency) in pregnant women. The purpose of this study was to design an android-based application based on a needs analysis to improve nutritional knowledge and attitudes of pregnant women about KEK. The research method was qualitative research, while the design used a combined method between Research and Development (R&D) and Pre-Experiment methods with one group pre-test and post-test designs. The results of the data analysis showed that the knowledge, attitudes, and behavior of pregnant women increased by 72%, 78%, and 39%, respectively. The p-value of the McNemar test results for the variables of knowledge, attitude, and behavior was 0.000 <? (0.05), indicating there were differences in the knowledge, attitude, and behavior of pregnant women before and after using the application (p <?). It was concluded that nutrition education with Android-based application media influenced the knowledge, attitudes, and behavior of pregnant women, that is, to increase the knowledge, attitudes, and behavior of pregnant women about KEK in Meo – Meo Public Health center, Baubau City
Local awareness based midwifery care in basic level service in the digital era
Get PDFThe development of technology and knowledge possessed by humans so that midwifery care and birth care for a woman has also experienced a shift, in which medical midwives have replaced village midwives. This research is a theoretical study by taking several studies on midwifery care and local wisdom and analyzing the theory related to the facts in the field and the author's experience. The results of the studies that have been carried out there are several findings study, including; First, midwifery care that has forgotten the local wisdom of elders, proverbs, pamali and abstinence from traditional healers, smart people, and village midwives so that when a woman becomes pregnant and gives birth, it results in a cesarean section than average. Second, for a woman who has given birth and left local wisdom to inform the irrational world, the baby often cries when it is midnight
The effectiveness testing of l-carnitine on the quality of spermatozoa and testosterone hormone in white rats (Rattus norvegicus) feeding with high fat
Get PDFThis study aims to determine the increase in the quality of spermatozoa and testosterone after giving L-carnitine to white rats (Rattus norvegicus). This study was conducted by giving L-carnitine as a treatment for 42 days in white rats with a dose variation of 100 mg/kg bw, 150 mg/kg bw, and 200 mg/kg bw and user controls as a comparison. The variables observed in this study were the quality of spermatozoa, namely: morphology, motility, viability, membrane integrity, and seeing the levels of the hormone testosterone. The research data were processed using a computer statistical program (SPSS 22.0 for Windows) using the One Way Anova test. The results showed that giving high doses of L-carnitine supplements for a long time could cause decreased spermatozoa quality, namely: morphology, motility, viability, membrane integrity and decreased levels of the hormone testosterone
The effect of personal coaching on increasing knowledge, attitudes, and actions about lactation nutrition, uterial involution, and lochea in public mothers
Get PDFDuring the puerperium, the mother will experience many changes both physically and physiologically. Suppose this physiological process does not run usually. In that case, it can cause complications during the puerperium such as uterine sub involution, breast swelling to mastitis, prolongation of the period of lochia discharge, which, if not handled quickly and easily. Can lead to the death of the mother. This study used a quasi-experiment with a pre-post-test with a control design, which involved two postpartum mothers, namely 43 respondents in the intervention and control groups. The sample selection was based on purposive sampling. The research was carried out in RSIA Bahagia Makassar City and RSIA Ananda Makassar City from March to April 2020. Data were analyzed using the Wilcoxon test, Mann Whitney test, and Chi-Square. There was a significant difference between the intervention group and the control group with a p-value = 0.036. There is an increase in knowledge, attitudes, and actions, namely the act of consuming protein, VITA, and VIT C in postpartum mothers
Significance of transient ischemic attacks (TIA) in the development and course of ischemic strokes
Get PDFThe present paper discusses the significance of transient ischemic attacks (TIA) in the development and course of ischemic strokes. Furthermore, it provides the analytical diagnosis and treatment of this disease in the Uzbekistan. Thus, the most effective treatment method for primary prevention of TIA and IS are hospitalization of patients with this TIA and standard treatment of stroke, carotid endarterectomy is performed if necessary. The use of antiplatelet drugs leads to an improvement in blood rheological parameters, but does not affect the indicators of cerebral hemodynamics
The effect of electronic discharge planning with SBAR approach to optimize the implementation of patient discharge
Get PDFDischarge Planning (DP) is a form of nursing service for continuity of care. Implementation of DP requires effective communication, structured implementation, and complete documentation. For this reason, it is necessary to optimize the implementation of DP by utilizing information technology. This study aims to determine the effect of Electronic Discharge Planning (EDP) with the SBAR approach for optimizing the implementation of DP. The design of this study was a pre-experimental one-group pre-posttest design. The research subjects were primary and associate nurses at the Sanjiwani Hospital, Gianyar, with 35 subjects. The sampling technique used purposive sampling. Data were collected using questionnaires and reviewing medical record documentation. Data analysis used the Wilcoxon test for the implementation of the DP and the McNemar test for the completeness of the DP documentation. The results showed that there was a significant effect of implementing EDP with the SBAR approach on the implementation of DP (p < 0.001) and completeness of documentation (p < 0.001). There is an effect of implementing EDP with the SBAR approach on the implementation of DP and completeness of DP documentation at the Sanjiwani Hospital, Gianyar. The application of EDP also affects the acceptance of EDP with the SBAR approach
Clinical and pathogenetic approaches to early rehabilitation of ischaemic stroke patients
Get PDFStroke is the most important medical and social problem, both worldwide and in Uzbekistan, owing to its high morbidity, mortality and disability rates. Uzbekistan's official statistical authorities consider cerebrovascular disease (CVD) to be a single nosological form, without distinguishing it from stroke. Given that the structure of CVDs includes both acute cerebrovascular disorders (ACS) (various types and subtypes of ischemic and hemorrhagic stroke) and chronic CVDs (various forms of so-called dyscirculatory encephalopathy), reliable epidemiological data on stroke prevalence in Uzbekistan are not available. According to the Ministry of Health of the Republic of Uzbekistan, there were 62876 cases of stroke in Uzbekistan in 2019. 15% were fatal, 10-15% relapsed and 55-70% became disabled
Web-based competency test model for midwifery students
Get PDFThis study aims to find out (1) the feasibility of the web-based competency test model, and (2) the effectiveness of the web-based competency test model towards increasing the confidence of midwifery students in facing the competency test. Research method using Research and Development (R &D) and Pre-Experiment One Group Pretest-Posttest with Purposive Sampling Technique which is as many as 45 samples. This research was conducted in the Polytechnic of Health Ministry of Makassar and Megarezky University in November 2020. The data is analyzed using statistical analysis by Wilcoxon Test. Validation test results from media experts averaged 87.9% and validation results from material experts averaged 94% which showed that web competency test model applications are very feasible to use. User validation average feasibility score of 87% of the data showed that the application of web-based competency test model is very feasible to use. The results of the effective use of web-based competency test models found that the Wilcoxon Test obtained a p-value of 0.00 < 0.05. So it can be concluded that the Web-based competency test model is feasible and effective in increasing student confidence facing the competency test
Factors related to behavior the community in disposing of garbage
Get PDFBased on data from the Department of Environment Bantul Regency Year Of 2018 Producing the biggest waste there is in the District of Banguntapan Yogyakarta by 264,49 m3/day while the lowest was 77,64 m3/day are in the District of Kretek Yogyakarta. The results of the interviews in the community, it was found that as much as 45% of citizens have yet to separate or distinguish organic and inorganic waste. The purpose of this study was to determine the factors associated with the behavior of the community in disposing of garbage the Village. This research uses descriptive quantitative with cross sectional approach. Total sample of 76 respondents. The analysis used is the analysis of univariate and bivariate with Chi Square statistical test. The results of this research is on the analysis of the chi square showed no relationship between the factors with the behavior of the community in disposing of garbage as follows education with behavior sig. 0,002 (p<0,05), the income with the behavior of the sig. 0,037 (p < 0.05), availability of infrastructure gis. 0.000 (p<0.05). The conclusion obtained that there is significant relationship between education, income, availability of infrastructure to the behavior of the community in disposing of garbage