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Hemorrhoid Degrees of Pregnant Women in the Use of Suppository Phaleria macrocarpa
No full textIncreased progesterone levels during pregnancy can lead to haemorrhoids, which require proper management to minimize risks to both the mother and fetus. Since haemorrhoidectomy is not a suitable option for pregnant women, alternative treatments with minimal side effects are needed. This study aimed to evaluate the effectiveness of Phaleria macrocarpa suppositories in reducing the degree of haemorrhoids in pregnant women. This study employed a true experimental design with a cross-sectional approach. The study population consisted of pregnant women selected through purposive sampling. Data were collected using observation sheets and analyzed using the Wilcoxon test. The results study show that among pregnant women who used standard suppositories, 23 participants (71.8%) showed no change in the degree of haemorrhoids, while 9 participants (28.8%) experienced a reduction in severity. In contrast, all 32 participants (100%) who used Phaleria macrocarpa suppositories experienced a decrease in haemorrhoid severity. Statistical analysis showed a significant difference (p < 0.05) between the two groups, with a p-value of 0.0013, indicating that Phaleria macrocarpa suppositories were significantly more effective in reducing haemorrhoids compared to standard suppositories. The conclusion is Phaleria macrocarpa suppositories effectively reduce the severity of haemorrhoids in pregnant women and may serve as a safer alternative to conventional treatments. Further research with larger sample sizes and long-term follow-ups is recommended to validate these findings and explore the potential mechanisms of Phaleria macrocarpa in haemorrhoid treatment
Comparison of Lipid Profiles among Vegan Vegetarians, Lacto-Ovo Vegetarians and Non-Vegetarians
No full textThe lipid profile is a crucial indicator of cardiovascular disease risk, with elevated levels often influenced by dietary patterns. Nutrient intake and physical activity can help regulate cholesterol by reducing total cholesterol, HDL, LDL and triglyceride levels. This study aims to compare the lipid profiles among vegan vegetarians, lacto-ovo vegetarians, and non-vegetarians. This research uses a cross-sectional study design. The study population includes 60 participants from IVS and the Yogyakarta community, selected based on inclusion and exclusion criteria. The research examines diet type as the independent variable, lipid profile as the dependent variable, and physical activity as a confounding variable. Data collection involves respondent identity and a physical activity questionnaire using IPAQ. Statistical analyses include one-way ANOVA, Post Hoc tests and multivariate analysis with one-way MANCOVA. The research results show that the total cholesterol level for vegan (173.10±21.04), lacto-ovo (169.45±44.84), and non-vegetarians (194.55±31.40). HDL levels for vegan are (55.25±10.79), lacto-ovo (49.00±9.12), and non-vegetarians (45.49±9.11). LDL levels for vegan are (111.90±19.80), lacto-ovo (114.85±44.39), and non-vegetarians (134.90±30.37), showing no significant difference p>0.05. Triglyceride levels for vegan are (103.15±57.06), lacto-ovo (100.65±60.07), and non-vegetarians (154.15±88.63) with significant differences p-value <0.05. When controlling for physical activity, differences in total cholesterol, HDL, and triglycerides persist between diet groups. Notably, HDL levels differ significantly between vegans and lacto-ovo (p<0.05). The conclusion is that both vegan and lacto-ovo diets have lipid profiles within the normal range compared to non-vegetarian diets. A vegetarian diet and regular physical activity contribute to a healthier lipid profile
Correlation between Language Screening Test and Frenchay Aphasia Screening Test for Aphasia Screening in Ischemic Stroke
No full textAphasia is a communication disorder that occurs after brain damage. Delays in diagnosing aphasia can lead to depression, decrease quality of life, and raise hospital stays and costs. Ischemic stroke aphasia screening instruments have been widely developed but are still difficult to interpret. Nowadays, the Language Screening Test (LAST) is reportedly quick, easy to understand, straightforward, and suitable for use by nurses. However, the LAST subtests are different from the Frenchay Aphasia Screening Test (FAST), which has been used in the past to evaluate aphasia. This study aims to determine the relationship between LAST and FAST in ischemic stroke aphasic patients for aphasia screening. The study used an analytic observational method with a cross-sectional approach. The population in this study were stroke patients at Tugurejo Semarang Hospital who had their CT Scan checked. The sample was taken using a purposive sampling technique. Bivariate data analysis with Spearman Rank Correlation test. We obtained 50 samples 19 male patients and 31 female patients with the highest age range of 51-60 years as many as 26 patients. The highest Education and profession is primary school and housewife. Patients who experienced aphasia with LAST and FAST scored as many as 27 and 29 people, while the rest not have aphasia. The Spearman\u27s Rank test obtained p-values of 0,000 and < 0,05 respectively. Meanwhile, the correlation coefficients of LAST and FAST on aphasia were 0,678 and 0,678 respectively. There is a positive correlation between the LAST and FAST in ischemic stroke aphasic patients for aphasia screening. Nurses can use the LAST instrument to collect data and establish nursing diagnoses of verbal communication disorders
Comparison of Total Bacterial Count in Contact Lenses with Different Treatments of Contact Lens Solutions
No full textThe use of contact lenses continues to increase, raising attention to aspects of eye health because of their hygienic factors. The hygiene of contact lenses comes not only from the way they are treated but also from the soaking fluid. This study aimed to determine the total bacterial count on contact lenses with and without the use of immersion solutions. The research method used is a comparative descriptive research method that compares the two pairs of contact lenses with two different contact lens solutions. The total bacterial count was calculated using the total plate count (TPC) method. The number of bacterial colonies for contact lenses before being immersed in liquid A was found in dilution 10-2 with an amount of 4.4×103 CFU/mL, and after soaking, it was in dilution 10-1 with an amount of 8.5×102 CFU/mL. The number of bacterial colonies on contact lenses before being immersed in B liquid was found in 10-1 dilution with an amount of 1.3×103 CFU/mL, and after being soaked, the average colony was 3.9×104 CFU/mL. From these results, it can be seen that in contact lenses and liquid A, there is a decrease in the number of bacterial colonies, while on the other hand, in liquid B, there is an increase in the number of bacterial colonies. The causal factor is thought to originate from the composition of the solutions. However, do not rule out contamination from bottles and contact lens care. Therefore, this research can be used as a basis for hygiene education in contact lenses
The Relationship of Dietary Pattern and Sarcopenia in Type II Diabetes Mellitus Patients
No full textDiet plays an important role in managing mass, and muscle strength and preventing diseases related to malnutrition. A dietary pattern that contains several nutrients has a role in improving muscle performance and reducing the incidence of sarcopenia. This study aims to determine the relationship between dietary patterns and the incidence of sarcopenia in subjects with type 2 diabetes mellitus. This study was a cross-sectional study conducted on 150 subjects with type 2 diabetes mellitus aged 40 years or older. Multivariate logistic regression tests were conducted to measure the effect of adherence to each dietary pattern on the possibility of sarcopenia. Three dietary patterns were identified through analysis of major components. After adjusting for confounding variables, subjects with healthy dietary patterns on the highest tertile had a lower odds ratio for developing sarcopenia (OR 0.584; 95% CI 0.070-4.865; p=0.000). In contrast, adherence to unhealthy dietary patterns was not associated with sarcopenia (OR 1.508; 95% CI 0.305-7.452; p=0.612). Similarly, adherence to a mixed dietary pattern did not affect the likelihood of sarcopenia (OR 1.297; 95% Cl 0.341-4.931; P=0.704). This study shows that adherence to a healthy dietary pattern is associated with a lower chance of developing sarcopenia in people with type II diabetes mellitus.
Husband Support and Coping Stress on Exclusive Breastfeeding in Primipara
No full textBreastfeeding is the best strategy to ensure optimal growth and development for infants. Social support, fatigue, and stress are the main factors that hinder breastfeeding for primiparous mothers. This cross-sectional study analyzes husband support and coping stress of exclusive breastfeeding for primiparous mothers with a quantitative approach. The samples were 70 respondents taken with a total sampling technique. The research instruments were the husband support questionnaire and coping strategies inventory. The researchers analyzed the data with chi-square and multiple logistic regression. The results found 48 (68.5%) mothers with excellent husband support and exclusive breastfeeding. Meanwhile, mothers with excellent husband support but without exclusive breastfeeding were 18 respondents (25.71%). The results of statistical tests with a significance level of 5% obtained a sig value (p-value) of husband support (p=0.002) and coping stress p=0.000. The result indicates a correlation between husband support and coping stress on exclusive breastfeeding with OR value = (3.667). On the other hand, mothers with excellent husband support could provide exclusive breastfeeding 4 times higher than those with poor husband support. Husband support and coping stress affect exclusive breastfeeding of primiparous mothers in the employed area of Puskesmas Dinoyo Malang City. Coping stress is the dominant factor influencing exclusive breastfeeding in primiparous mothers in the employing area of Puskesmas Dinoyo Malang City. The research recommends public health centers improve programs that support maternal care in helping to improve skills in managing stress, on exclusive breastfeeding both at the public health center, the integrated public health service, and the auxiliary health center.
The Relationship between Physical Environment (Temperature and Noise) and Work Fatigue in Gas Station Operators in Pontianak City
No full textWork fatigue is a condition that decreases a person\u27s efficiency and endurance at work. It is caused by many individual and external factors, such as the physical work environment, namely temperature and noise. This study aims to analyze the relationship between the physical environment (temperature and noise) and work fatigue among gas station operator workers in Pontianak City. This research is an analytical observational research with a cross-sectional approach. The population in this study was 147 gas station operator workers in Pontianak City, and the total sample was 60 respondents. The data analysis techniques used are univariate and bivariate analysis, and the Chi-Square statistical test was used for bivariate analysis. The research results show the relationship between temperature and work fatigue in gas station operator workers, with a value of p=0.003 and OR=10.286 (CI=1.940-54.527). There is also a relationship between noise and work fatigue in gas station operator workers, with a value of p=0.042 and OR=6.750 (CI=1.227-37.142). The conclusion is a relationship exists between temperature and noise and work fatigue among gas station operator workers in Pontianak City. This research advises that gas station operator workers are expected to consume sufficient drinking water while working, at least one glass of 250ml every 20-30 minutes or 2.8 liters/day, and can add a little salt to drinking water to avoid harmful effects such as dehydration. To reduce noise, you should use ear PPE, such as earplugs.
Nurses Experience of Prone Position in The Absence of Positioning Tool, and Suggestion of Prone Position Tool: A Phenomenology Study
No full textDuring the COVID-19 pandemic which is a non-natural disaster, the ARDS cases (Acute Respiratory Disease Syndrome) rocketed. Despite the advantages of prone positioning for ARDS care, ICU staff seldom use it due to the unavailability of positioning tools, making it a challenging task for nurses. This study aims to investigate nurses\u27 experiences with manual prone positioning and propose ICU-friendly prone position tools. This research method used a qualitative phenomenology theory study to 15 ICU nurses who were experienced in prone positioning at least 10 times to intubated patients and had complaints about the intervention. The experience was gathered using structured questions and recorded. The data was analyzed following Colaizzi’s thematic method, and all the emerged themes were collected and reported. The research results show that fifteen interviewed nurses noted that prone positioning is physically demanding and requires a coordinated team with a minimum of three staffs, 2 handles patient positioning, 1 leader securing the intubation tube. Before starting, the team assesses the difficulty level. Recommended tools include a slide sheet with handles, a modified Vollman prone positioner, and a crane-like prone harness. The conclusion is nurses find tools highly beneficial for prone positioning but will improvise with available resources like underpads as a ring-shaped pillow if tools are unavailable.
The Effect Flavonoids Phaleria macrocarpa Fruit Extract on Thickness of Trabeculae, Cortex Ratio Femoral Bone and Aortic Intima-Media in Mice Menopause Model
No full textA deficiency of the hormone estrogen at menopause can lead to an increased rate of the destruction of the bone tissue that leads to bone loss, which can lead to osteoporosis and impaired fat metabolism, which increases the risk of atherosclerosis. Phytoestrogens from flavonoid extract P. Macrocarpa, having effects similar to endogenous estrogens themselves, prevent osteoporosis and atherosclerosis in menopausal women. The purpose of this research is to assess the influence of flavonoids from P. Macrocarpa fruit extract on trabeculae cortex thickness, ratio of femoral bone, and aortic IMT (A-IMT) in a menopausal mouse model. The study was conducted in a true experimental-posttest-only control group design. Using 32 mice; namely KN (normal mice with no treatment), KP (OVX with no treatment), P1(OVX and given flavonoid 3.75 mg/mice/day), P2 (OVX and given flavonoid 7.5 mg/mice/day), P3(OVX and given flavonoid 11.25 mg/mice/day), P4 (OVX and given flavonoid 15 mg/mice/day), the treatment given within 14 days. Then the thickness of the trabeculae, cortex, and intima-media aorta with Hematoxylin-Eosin (HE) staining. In the trabeculae, cortex thickness ratio obtained KN results meaningfully dissimilar to the KP group and the P3 and P4 groups were meaningfully dissimilar from the KP. The A-BMI in KP is meaningfully dissimilar to P1, P2, P3 and P4. The conclusion of the study is flavonoid fruit extract P. Macrocarpa can increase the thickness ratio of trabeculae, and cortex femoral bone of mice menopausal model in groups P3, P4 and can decrease A-IMT starting in groups P1 to P4.
Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) in Victims of Sexual Violence Who Experience Trauma: A Systematic Review
No full textIncidents of sexual violence are like an iceberg phenomenon and continue to increase every year. However, this increase is inversely proportional to the rehabilitative efforts provided for victims of sexual violence. The impact of sexual violence is trauma that makes the victim feel helpless. Trauma-Focused Cognitive Behavior Therapy (TF-CBT) is the therapy of choice to treat these impacts. This systematic review aims to determine the implementation and benefits of TF-CBT for trauma victims of sexual violence. The search used seven databases: Scopus, Sage Journals, ScienceDirect, ProQuest, PubMed, Clinical Key, and EBSCOhost. The research design used in the selected articles was three with RCTs, 5 with Quasy experiments, and 2 with cohorts. Selection is based on the criteria of article publication time in the last ten years, providing full text in English. The symptoms measured in trauma cases are PTSD, post-traumatic symptoms, mental problems such as depression, suicide attempts, and behavioral problems. The results showed that TF-CBT positively influenced all of these symptoms. Implementing TF-CBT also involves the role of parents and modifications with culturally sensitive principles. TF-CBT can reduce trauma symptoms. It is hoped that TF-CBT can be used in other trauma cases and apply modification principles that previous researchers have carried out by being culturally sensitive and involving the role of parents