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Global Motor, Oral and Deglutition Characteristics in Children with Cerebral Palsy 脑瘫患儿的整体运动、口腔和吞咽特征
Pub Date : 2021-03-18 DOI: 10.17921/2447-8938.2021V23N1P56-61
Moisés A. S. Queiroz, P. Barbosa, A. C. L. Porto, Izabella dos Santos Nogueira de Andrade
AbstractCerebral palsy (CP) is a disorder in postural and movement tone resulting from involvement in the motor centers of the immature brain. Thus, this work sought to expose the global motor, oral, and deglutition characteristics in children with CP. To this end, it performed a cross-sectional study of 100 children with CP. The data collection consisted in the detection of the main global motor and oral alterations, their repercussions on the deglutition process, and the main manifestations of dysphagia according to different consistencies of food and types of cerebral palsy. All children exhibited global motor and oral alterations. There were significant differences between age and global motor alterations. Alterations in the tongue mobility were more present in spastics (p=<0.031). The main manifestations of dysphagia, in decreasing order of occurrence were: premature liquids spillage (70%), cough (60%), decreased bolus formation in solids (57,9%), presence of food residues in the oral cavity (47,4%), increased pasty oral transit (47,1%) and presence of wet voice after the liquids swallowing (30%). Therefore, the influence of pelvic instability and compensatory patterns was observed in the presence of clinical signs of tracheal aspiration. Regardless the type of CP, the global and oral motor alterations lead to deglutition disorders. Keywords: Cerebral Palsy. Child. Deglutition Disorders. Posture ResumoA paralisia cerebral (PC) e uma desordem no tonus postural e de movimento decorrentes de um acometimento nos centros motores do cerebro imaturo. Com isso buscou apresentar as caracteristicas motoras globais, orais e de degluticao em criancas com PC. Assim, realizou um estudo transversal com amostra de 100 criancas com PC. A coleta de dados consistiu na deteccao das principais alteracoes motoras globais e orais, a repercussao na dinâmica da degluticao e as principais manifestacoes disfagicas em diferentes consistencias alimentares. Todas as criancas apresentaram comprometimentos motores globais e orais. Houve diferenca significante entre a idade e as alteracoes globais. Alteracao na mobilidade da lingua esteve mais presente em espasticos (p=<0,031). As principais manifestacoes disfagicas, em ordem decrescente de ocorrencia, foram: escape anterior de liquidos (70%), tosse (60%), diminuicao da formacao do bolo alimentar no solido (57,9%), presenca de residuos alimentares na cavidade oral apos a degluticao de solidos (47,4%), aumento do trânsito oral de pastoso (47,1%) e presenca da voz molhada apos a degluticao de liquidos (30%). Entao, observou-se a influencia das alteracoes tonicas e posturais na presenca de sinais clinicos de aspiracao traqueal. Alteracoes tonicas e posturais com comprometimentos motores orais acarretam transtornos da degluticao em criancas com PC. Palavras-chave: Paralisia Cerebral. Crianca. Transtornos da Degluticao. Postura
摘要脑瘫(CP)是一种由未成熟大脑运动中枢受累引起的体位和运动张力紊乱。因此,本研究试图揭示脑瘫儿童的整体运动、口腔和吞咽特征。为此,对100名脑瘫儿童进行了横断面研究。数据收集包括检测主要的整体运动和口腔改变,它们对吞咽过程的影响,以及根据不同的食物浓度和脑瘫类型的吞咽困难的主要表现。所有儿童均表现出整体运动和口腔改变。年龄和整体运动改变之间存在显著差异。舌头活动能力的改变在痉挛中更为明显(p=<0.031)。吞咽困难的主要表现,发生率由高到低依次为:液体过早溢出(70%)、咳嗽(60%)、固体颗粒形成减少(57.9%)、口腔内存在食物残留物(47.4%)、糊状口腔转运增加(47.1%)和吞咽液体后出现湿音(30%)。因此,盆腔不稳定和代偿模式的影响被观察到存在气管误吸的临床症状。无论何种类型的CP,全身和口腔运动的改变都会导致吞咽障碍。关键词:脑瘫;的孩子。吞咽障碍。姿势恢复脑麻痹症(PC)是一种无张力体位运动障碍的疾病,其主要表现为神经中枢运动功能的恢复。Com的问题通常表现为全球电机的特点,或者是PC的特点。在此基础上,实现了一种基于PC机的横向连接方式。A coleta de dados consistu na deteccao das principais alteracoes motoras globais, A repercusate na dinmica da degluticao as principais manifestaces disdisicices差异一致性和食性。今天的标准是对全球汽车市场的妥协。在全球范围内,有几个不同的显著中心。结果表明:大鼠、大鼠、大鼠、大鼠、大鼠、大鼠、大鼠、大鼠均存在显著差异(p=< 0.031)。作为principais manifestacoes disfagicas, em解密decrescente de ocorrencia有孔虫:逃离前de liquidos(70%)、tosse(60%)、diminuicao da formacao做大刀alimentar没有solido(57岁的9%),presenca de residuos alimentares na cavidade口服apo degluticao de solidos(47岁的4%),aumento transito做口头de pastoso(47岁,1%)e presenca da voz molhada apo degluticao de liquidos(30%)。因此,观察性的、影响性的、互换性的、体位性的、临床的、临床的、可观察性的、可观察性的、可观察性的、可观察性的。alteracacoes的优点在于,它可以降低电机的性能,也可以降低变压器的性能,从而降低PC的性能。Palavras-chave:脑瘫。Crianca。Degluticao的变形金刚。Postura
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引用次数: 0
Interdisciplinary Approach of Amelogenesis Imperfecta: 10 Years of Clinical Follow-Up 无胚性发育不全的跨学科治疗方法:10年临床随访
Pub Date : 2021-03-18 DOI: 10.17921/2447-8938.2021V23N1P18-24
M. Toma, Jéssica-Rico Bocato, C. M. Goshi, Thaís Teixeira Borsato, A. Conti, T. Fernandes, P. Oltramari
AbstractAmelogenesis imperfecta (AI) is an inherited disease that expresses a disorder in the development of enamel structure. In its mildest form, it promotes tooth color change; and in more severe cases, it presents a loss of enamel structure initiated during the eruption phase. Different AI manifestations can coexist in the same patient or in the same tooth, both in the primary and permanent dentures. In addition, several subtypes are described, characterized according to the variety of phenotype and genotype. Successful treatment requires early diagnosis and therapeutic solutions involving different dental specialties. Although some professionals prefer to postpone permanent rehabilitation until the development of complete permanent dentures, the aesthetic and functional impact of this disease in childhood and adolescence requires that restorative treatment be started as soon as possible. The proposed therapies demonstrate numerous challenges such as extreme dentinal sensitivity, difficulties installing and maintaining the orthodontic appliance and the need for restorative and prosthetic intervention in malformed teeth. This work aims to demonstrate the interaction between Orthodontics, Restorative Dentistry and Prosthesis in the treatment of a patient with AI, reporting the success of treatment involving aesthetics, function and well-being and the long-term benefit of this interdisciplinary approach for patients with this disease. Keywords: Orthodontics. Amelogenesis Imperfecta. Mouth Rehabilitation. ResumoA amelogenese imperfeita (AI) e uma doenca hereditaria que expressa uma desordem no desenvolvimento da estrutura do esmalte. Na sua forma mais branda, promove alteracao na cor dos dentes; e em casos mais severos, apresenta perda de estrutura do esmalte iniciada durante a fase de irrupcao. Diferentes manifestacoes da AI podem coexistir no mesmo paciente ou no mesmo dente, tanto na dentadura decidua quanto na permanente. Alem disso, sao descritos diversos subtipos, caracterizados de acordo com a variedade do fenotipo e genotipo. O sucesso do tratamento requer diagnostico precoce e solucoes terapeuticas que envolvam diversas especialidades odontologicas. Embora alguns profissionais prefiram adiar a reabilitacao definitiva ate o desenvolvimento da dentadura permanente completa, o impacto estetico e funcional desta doenca na infância e adolescencia exige que o tratamento restaurador seja iniciado o mais cedo possivel. As terapias propostas demonstram inumeros desafios como a sensibilidade dentinaria extrema, as dificuldades para instalacao e manutencao do aparelho ortodontico e a necessidade de intervencao restauradora e protetica em dentes com ma formacao. O presente trabalho tem como finalidade demonstrar a interacao entre a Ortodontia, a Dentistica Restauradora e a Protese no tratamento de um paciente com AI, relatando o sucesso do tratamento envolvendo estetica, funcao, bem estar e o beneficio em longo prazo desta abordagem interdisciplin
【摘要】釉质发育不全症(amelogenesis imperfecta, AI)是釉质结构发育异常的一种遗传性疾病。在最温和的情况下,它会促进牙齿颜色的改变;在更严重的情况下,它会出现牙釉质结构的丧失,这是在爆发阶段开始的。不同的AI表现可以在同一患者或同一颗牙齿上共存,无论是在初级假牙还是永久假牙中。此外,根据表型和基因型的变化,还描述了几种亚型。成功的治疗需要早期诊断和涉及不同牙科专业的治疗方案。虽然一些专业人员倾向于推迟永久性康复,直到发育完整的永久假牙,但这种疾病对儿童和青少年的审美和功能影响要求尽快开始修复治疗。提出的治疗方法显示了许多挑战,如极端的牙本质敏感性,安装和维护正畸矫治器的困难,以及对畸形牙齿的修复和假体干预的需要。这项工作旨在展示正畸、修复牙科和修复体在治疗AI患者中的相互作用,报告治疗的成功,包括美学、功能和福祉,以及这种跨学科方法对该疾病患者的长期益处。关键词:口腔正畸学。釉质发生天空”。嘴康复。摘要发育不完善(AI)是一种遗传不完善,表达不完善,结构不完善的现象。以品牌为导向,以品牌为导向,以品牌为导向;在大多数情况下,目前的结构特征是在断裂过程中发生的较小的初始化。不同的宣言表明,人类是可以共存的,既不能容忍,也不能容忍,更不能容忍,也不能容忍。他说:“我是说,我描述了各种各样的subtipos,描述了各种各样的subtipos。”成功的治疗需要提前诊断,因为治疗方法涉及多种因素,特别是齿科。Embora algal专业人员对原发性牙周炎的治疗方法进行了初步研究,确定了牙周炎的治疗方法,对牙周炎的永久性修复,对牙周炎的功能性修复,对牙周炎的影响,对牙周炎的治疗方法,对牙周炎的治疗方法进行了初步研究。由于治疗方案显示了多种牙本质极端的敏感性,因此,由于安装和制造牙本质极端的困难,有必要进行干预,以保护牙本质极端的敏感性。我提出了一项关于牙科中心、牙科餐厅、牙科治疗的最终研究成果,这与成功的治疗有关,包括美学、功能、健康和健康,以及长期的临床治疗和跨学科的临床治疗,以及牙科医生的临床治疗。Palavras-chave: Ortodontia。Amelogenese Imperfeita。Reabilitacao Bucal。
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引用次数: 1
Salivary Flow Analysis of Head and Neck Irradiated Patients 头颈部放疗患者唾液流量分析
Pub Date : 2021-03-18 DOI: 10.17921/2447-8938.2021V23N1P44-46
Vitória Teixeira Baldo, Gabriela Schmidt de Freitas, Karine Lima Kido de Carvalho, Elâine Patrícia Alves de Araújo Gomes, L. Volpato
AbstractThis study aimed to analyze the salivary flow of irradiated patients for the head and neck cancer treatment after the conclusion of their treatment, and to compare it to the salivary flow of a group of non-irradiated patients. The salivary flow measurement was performed using the stimulated saliva analysis technique by masticatory action. The data collected were organized in planning using the Microsoft Excel program and then analyzed through the program IBM SPSS 20.0. The independent T-test was used to compare the median values between the groups that had normal distribution. 54 patients were evaluated, 18 from Group 1, of irradiated patients with an average time of ending radiotherapy of 11 months; and 36 patients from Group 2, with non-cancerous and non-irradiated patients. The mean salivary flow of Group 1 patients was 0.39 (± 0.85) and 100% of the patients expelled less than 3.5mL of saliva after stimulation for five minutes. Among the patients from Group 2, the mean salivary flow was 3.22 (± 2.65), and 77.78% of the patients had a salivary stimulation of less than 3.5 mL. This difference was statistically significant (p = 0.004). Through the methodology used, a high prevalence of hyposalivation was observed in patients irradiated in head and neck for cancer treatment even after months of the treatment conclusion and among patients without cancer and not submitted to radiotherapy. However, a deficiency in saliva production was statistically higher among patients irradiated in the head and neck. Keywords: Neoplasms. Radiotherapy. Saliva. Xerostomia. ResumoEste estudo teve como objetivo analisar o fluxo salivar de pacientes irradiados no tratamento do câncer de cabeca e pescoco apos a conclusao de seu tratamento, e compara-lo com o fluxo salivar de um grupo de pacientes nao irradiados. A medicao do fluxo salivar foi realizada utilizando a tecnica de analise de saliva estimulada por acao masticatoria. Os dados coletados foram organizados no planejamento utilizando o programa Microsoft Excel e, em seguida, analisados atraves do programa IBM SPSS 20.0. O teste T independente foi utilizado para comparar os valores medianos entre os grupos que apresentaram distribuicao normal. Foram avaliados 54 pacientes, 18 do Grupo 1, de pacientes irradiados com tempo medio de termino da radioterapia de 11 meses; e 36 pacientes do Grupo 2, com pacientes nao cancerosos e nao irradiados. O fluxo salivar medio dos pacientes do Grupo 1 foi de 0,39 (± 0,85) e 100% dos pacientes expeliram menos de 3,5 mL de saliva apos estimulacao por cinco minutos. Entre os pacientes do Grupo 2, o fluxo salivar medio foi de 3,22 (± 2,65), e 77,78% dos pacientes apresentaram estimulacao salivar inferior a 3,5 mL. Essa diferenca foi estatisticamente significante (p = 0,004). Por meio da metodologia utilizada, observou-se alta prevalencia de hiposalivacao em pacientes irradiados na cabeca e pescoco para tratamento de câncer mesmo apos meses da conclusao do tratamento e entre p
摘要本研究旨在分析头颈癌放疗患者治疗结束后的唾液流量,并与未放疗组患者的唾液流量进行比较。唾液流量测量采用咀嚼作用刺激唾液分析技术。收集到的数据使用Microsoft Excel程序进行整理规划,然后使用IBM SPSS 20.0程序进行分析。采用独立t检验比较正态分布组间的中位数。评估54例患者,其中18例为1组,平均放疗结束时间为11个月;第二组36例,包括未发生癌变和未接受放疗的患者。1组患者平均唾液流量为0.39(±0.85),刺激5分钟后100%患者唾液排出量小于3.5mL。2组患者平均唾液流量为3.22(±2.65),77.78%患者唾液刺激小于3.5 mL,差异有统计学意义(p = 0.004)。通过使用的方法,在头颈部接受癌症治疗的患者中,即使在治疗结束几个月后,以及在没有癌症且未接受放疗的患者中,也观察到高发生率的低盐度。然而,在头部和颈部受辐射的患者中,唾液分泌不足的情况在统计上更高。关键词:肿瘤。放射治疗。唾液。口腔干燥。目的:比较无放射治疗组和无放射治疗组在放射治疗组的临床疗效。本文介绍了一种利用口腔唾液刺激口腔咀嚼功能的医学方法。使用Microsoft Excel e软件对数据进行分析,使用IBM SPSS 20.0软件对数据进行分析。6 .在不同的组间比较,不同的组间比较,不同的组间比较,不同的组间比较,不同的组间比较,不同的组间比较。有孔虫病54例,第1组18例,有孔虫病1例,有孔虫病1例,有孔虫病1例,有孔虫病1例;第2组36例患者中,2例患者无肿瘤,2例无放射治疗。1组患者在0.39(±0.85)分钟的时间内使用唾液介质,100%患者在5分钟的时间内使用3.5 mL唾液介质刺激。2组患者中有3,22例(±2,65例),77,78%患者中有3,5 mL的唾液刺激,差异有统计学意义(p = 0,004)。目的:探讨放射治疗对放射治疗后患者放射治疗效果的影响,探讨放射治疗后患者放射治疗效果的影响。毫无疑问,唾液分泌不足是统计数据中主要的研究对象。Palavras-chave:肿瘤。Radioterapia。唾液。口腔干燥。
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引用次数: 0
Clinical Evaluation of Composite Resin Restorations in Posterior Teeth 复合树脂修复后牙的临床评价
Pub Date : 2021-03-18 DOI: 10.17921/2447-8938.2021V23N1P39-43
Matheus Bruno Costa, Erika Terumi Tomisaki, Daiane Cristina Mendonça dos Santos, M. G. Hoeppner, S. A. Cardoso
AbstractFactors such as aesthetics and adhesion to dental substrates have consolidated composite resin as a restorative material for posterior teeth, however, the performance is unsatisfactory regarding the longevity of these restorations. The purpose of this retrospective cross-sectional observational study was to evaluate the reasons that resulted in failure of class I and II Black composite resin restorations, performed by undergraduate dental students at the State University of Londrina. The patients were selected from the research of the medical charts filed at the University Dental Clinic's Screening Department. The restorations were evaluated by two calibrated dentists. The data collected were tabulated and analyzed using descriptive statistics, function Cont IF. Of the 261 class I and II restorations evaluated, 150 (57.5%) were in need of replacement. The main causes of failure of class I and II restorations were secondary caries (46.7%), followed by fracture (19.3%) and loss of marginal adaptation (16.7%). Of all the restorations made by the 3rd grade students, 68.4% failed, 57.4% performed by the 4th grade students and 53.9% of the 5th grade students. Based on the results, it is concluded that the main reasons for restorations failure were secondary caries, fracture and loss of marginal adaptation according to the evaluation criteria. Restorations performed by students in the 3rd grade showed a higher percentage of failures compared to those performed by students in the 4th and 5th grades. Keywords: Permanent Dental Restoration. Composite Resins. Dental Restoration Failure. Resumo Fatores como estetica e adesao aos substratos dentarios tem consolidado a resina composta como material restaurador para dentes posteriores, entretanto, o desempenho mostra-se insatisfatorio em relacao a longevidade destas restauracoes. O objetivo desse estudo observacional transversal retrospectivo foi avaliar as razoes que resultaram em falhas das restauracoes de resina composta de classe I e II de Black, realizadas por alunos de graduacao em Odontologia da Universidade Estadual de Londrina. Os pacientes foram selecionados a partir da pesquisa dos prontuarios arquivados no Setor de Triagem da Clinica Odontologica Universitaria. As restauracoes foram avaliadas por dois avaliadores, cirurgioes-dentistas, calibrados. Os dados coletados foram tabulados e analisados por meio de estatistica descritiva, funcao Cont SE. Das 261 restauracoes classes I e II avaliadas, 150 (57,5%) apresentavam-se com necessidade de substituicao. As principais causas de falhas das restauracoes classes I e II foram: carie secundaria (46,7%), seguido de fratura (19,3%) e perda de integridade marginal (16,7%). Dentre as restauracoes realizadas por alunos da 3a serie e avaliadas, 68,4% falharam, da 4a serie 57,4% e da 5a serie 53,9%. Com base nos resultados, conclui-se que as principais razoes de falha das restauracoes foram carie secundaria, fratura e perda de integridade marginal, de ac
摘要复合树脂作为后牙的修复材料,由于美观性和与牙基质的粘附性等因素的影响,其使用寿命并不理想。这项回顾性横断面观察性研究的目的是评估导致I类和II类黑色复合树脂修复失败的原因,这些修复是由伦敦州立大学的牙科本科生进行的。这些患者是从大学牙科诊所筛查部存档的病历中挑选出来的。修复体由两名校准的牙医评估。将收集到的数据制成表格,并使用描述性统计进行分析。261个I、II级修复体中,有150个(57.5%)需要修复。I类和II类修复体失败的主要原因是继发性龋齿(46.7%),其次是骨折(19.3%)和边缘适应丧失(16.7%)。在所有三年级学生做的修复中,68.4%不成功,57.4%为四年级学生,53.9%为五年级学生。结果表明,根据评价标准,牙体修复失败的主要原因是继发性龋病、骨折和边缘适应性丧失。与四年级和五年级的学生相比,三年级的学生进行修复的失败率更高。关键词:恒牙修复;复合树脂。牙齿修复失败。resume: resume: resume: resume: resume: resume: resume: resume: resume:复合材料resume: resume:复合材料resume: resume:复合材料resume: resume:复合材料resume: resume: resume: resume: resume: resume: resume: resume: resume: resume: resume:简历目的:通过观察性的横向回顾性研究,对伦敦大学牙科学学院牙科学专业毕业生的牙科学水平进行研究。临床牙科学大学临床牙科学大学临床牙科学大学临床牙科学学院。就像餐馆里有牙医,餐馆里有牙医,餐馆里有牙医。在统计描述方面,数据分析是一项非常重要的工作。在261家1 - 2类餐厅中,有150家(57.5%)表示需要进行替代。作为造成这些疾病的主要原因,第一类和第二类有:继发性龋齿(46.7%)、自然性龋齿(19.3%)和综合边缘龋齿(16.7%)。Dentre作为餐馆实现了穷人的目标,其中3a级e级餐馆占68.4%,4a级57,4%,5a级53,9%。Com base no resultados, condise que as principais razoes de falha, restauracaces forforcarsecondaria,自然的perda de integridade边际,de acdo Com os criteria de aliacao。由于餐馆实现的利润较低,因此3a系列是主要的百分比损失,而相比而言,3a系列的利润较低,3a系列的利润较高。Palavras-chave: Restauracao Dentaria Permanente。Resinas Compostas。Falha de Restauracao Dentaria。
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引用次数: 1
Work Caused Musculoskeletal Disorders in Health Professionals 卫生专业人员工作引起的肌肉骨骼疾病
Pub Date : 2021-03-05 DOI: 10.17532/JHSCI.2021.1209
Dženan Pleho, Amra Mačak Hadžiomerović, Kenan Pleho, Jasmina Pleho, Dinko Remić, Davor Arslanagić, Milojko Lazić, Aldina Alibegović
Introduction: Work-related musculoskeletal disorders (WRMSDs) are the most common work-related diseases and describe a wide range of degenerative and inflammatory conditions affecting blood vessels, peripheral nerves, joints, ligaments, tendons, and muscles. WRMSDs are becoming an increasing problem in modern society. They are the second biggest cause of short-term or temporary incapacity for work just following a cold. At the workplace, health professionals represent a very vulnerable category in terms of musculoskeletal disorders (MSDs) development. It is estimated that almost one-third of all cases of absence from work among health care professionals are related to MSDs. Studies also show that a large number of health professionals report the occurrence of MSDs in one or more regions of the body, with a problem with the lower back being one of the most common.Methods: This article presents a non-experimental (qualitative) research, or a scientific review of the published literaturewhere the databases were reviewed in which the keywords for the review were: MSDs, work, health, intervention program,and ergonomics. Various databases were used in the preparation of this article, including PubMed, Google Scholar, Medline, Hrcak, Dabar, Science Direct, and Science Citation.Results: The results include a review and analysis of eighteen published scientific articles in the period 2001-2020. The studies published in these articles has been conducted in the United States, Australia, Switzerland, Portugal, Slovenia, Turkey, China, Nigeria, Israel, Tunisia, Iran, Croatia, Taiwan, Bangladesh, Serbia, Macedonia, and Greece.Conclusion: This article should indicate the magnitude of the problems of WRMSDs in health professionals and that this topic is an inexhaustible and very interesting basis for further studies by current and future researchers to create strategies for the prevention and treatment of this disorder and to eliminate its causes.
简介:与工作相关的肌肉骨骼疾病(WRMSDs)是最常见的与工作相关的疾病,描述了影响血管、周围神经、关节、韧带、肌腱和肌肉的各种退行性和炎症性疾病。wrmsd在现代社会日益成为一个问题。这是导致短期或暂时丧失工作能力的第二大原因,仅次于感冒。在工作场所,就肌肉骨骼疾病(MSDs)的发展而言,卫生专业人员是一个非常脆弱的类别。据估计,卫生保健专业人员中几乎三分之一的缺勤病例与msd有关。研究还表明,大量卫生专业人员报告说,msd出现在身体的一个或多个部位,其中最常见的是下背部的问题。方法:本文提出了一项非实验(定性)研究,或对已发表的文献进行科学综述,其中对数据库进行了综述,其中综述的关键词为:MSDs,工作,健康,干预计划和人体工程学。本文使用了PubMed、谷歌Scholar、Medline、Hrcak、Dabar、Science Direct和Science Citation等数据库。结果:结果包括对2001-2020年期间发表的18篇科学论文的回顾和分析。这些文章中发表的研究已经在美国、澳大利亚、瑞士、葡萄牙、斯洛文尼亚、土耳其、中国、尼日利亚、以色列、突尼斯、伊朗、克罗地亚、台湾、孟加拉国、塞尔维亚、马其顿和希腊进行。结论:这篇文章应该表明卫生专业人员中wrmsd问题的严重性,这一主题是当前和未来研究人员进一步研究的一个取之不竭和非常有趣的基础,以制定预防和治疗这种疾病的策略,并消除其原因。
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引用次数: 4
Factors Affecting Toddlers'Development In Pamekasan Regency 影响帕梅卡桑县幼儿发展的因素
Pub Date : 2021-02-26 DOI: 10.33086/JHS.V14I1.1176
Nur Jayanti, Uliyatul Laili, Rohemah Rohemah
Received: July, 16, 2020 Revised: November, 15, 2020 Available online: February, 2021 Toddlers require basic needs – stimulation, love, and care – in the process of growth and development. Parents, especially mothers, are the most important factors in performing these three tasks: honing, loving, and fostering. The mother's physical and psychological conditions, including the mother's age at marriage, education, and stimulation, will impact children's development. This study aims to determine the factors that influence toddlers' development in the Pamekasan Regency. The research method used was descriptive-analytic, with a retrospective design. This study consisted of 110 mothers with toddlers by fixed exposure sampling in Waru, Batu Marmar, and Pasen Public Health Center. The dependent variable was the toddlers' development. The independent variables were the mother's age at marriage, family income, stimulation, mother's LILA during pregnancy, and birth weight. The analysis used the path analysis method. The results showed that the toddlers' development was influenced by the mother's age at marriage (b = 0.07, SE = 0.02, p = 0.001), family stimulation (b = 0.02, SE = 0.01, p = <0.001) and birth weight (b = 0.00, SE = 0.00, p = 0.373). This study concludes that maternal marriage age, family stimulation, and birth weight affect toddlers' development.
收稿日期:2020年7月16日修稿日期:2020年11月15日在线发布日期:2021年2月幼儿在成长和发展的过程中需要基本的需求——刺激、爱和照顾。父母,尤其是母亲,是完成这三项任务中最重要的因素:磨练、爱和培养。母亲的身体和心理状况,包括母亲的结婚年龄、受教育程度和受到的刺激,都会影响孩子的发展。本研究旨在探讨影响帕梅卡桑县幼儿发展的因素。使用的研究方法是描述性分析,具有回顾性设计。本研究通过固定暴露抽样在Waru, Batu Marmar和Pasen公共卫生中心对110名有幼儿的母亲进行了研究。因变量是幼儿的发展。自变量为母亲的结婚年龄、家庭收入、刺激、母亲怀孕期间的LILA和出生体重。分析采用通径分析法。结果表明,幼儿发育受母亲结婚年龄(b = 0.07, SE = 0.02, p = 0.001)、家庭刺激(b = 0.02, SE = 0.01, p = <0.001)和出生体重(b = 0.00, SE = 0.00, p = 0.373)的影响。本研究的结论是,母亲的结婚年龄、家庭的刺激和出生体重影响幼儿的发展。
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引用次数: 0
Effect Of Water Clover (Marsilea Crenata) Leaf Extract On Estrogen Receptors-Β In Skin Aging 水三叶草叶提取物对皮肤衰老中雌激素受体-Β的影响
Pub Date : 2021-02-26 DOI: 10.33086/JHS.V14I1.1811
W. wina, Maria Maria
Received: November, 1, 2020 Revised: December, 13, 2020 Available online: February, 2021 Extrinsic and intrinsic factors influence skin aging. Hormonal changes, especially estrogen, significantly affect intrinsic skin aging. Decreased circulating estrogen levels reduce skin collagen content and skin elasticity. Isoflavones in Marsilea crenata (MC) leaf are active substances containing compounds that mimic estrogen. This study aims to analyze MC leaf extract against the estrogen receptor (ER)-β. The sample for this research was female Wistar Rats (Rattus norwegicus). All of them were 12 months old, with their weight was between 350 to 550 grams divided into five groups. P1 P2 and P3 were grouping with MC leaf extract administration in sequential doses 20 mg/kg BW, 30 mg/kg BW, and 40 mg/kg BW. At the same time, P4 was a positive control group, and P5 was a negative control group. The independent variable was M.crenata leaf extract. The dependent variables were (ER)-β expression and dermal thickness. The data analysis utilized the one-way analysis of variance (ANOVA) showed significant differences (p< 0.05). Each group showed significant results, and group P2 showed the highest expression of (ER)-β and dermal thickness. The result showed that there were significant correlations between both variables (P<0.05). This research has proved that water clover extract could become an alternative treatment in the future for skin aging. However, further research should find a proper dose for human consumption.
收稿日期:2020年11月1日修稿日期:2020年12月13日上线日期:2021年2月影响皮肤老化的外在因素和内在因素。荷尔蒙的变化,尤其是雌激素,会显著影响皮肤的内在老化。循环雌激素水平降低会降低皮肤胶原蛋白含量和皮肤弹性。马鞍苋(Marsilea crenata, MC)叶片中的异黄酮是一种含有类似雌激素的活性物质。本研究的目的是分析枸杞叶提取物对雌激素受体(ER)-β的抑制作用。本研究的样本为雌性挪威大鼠(Rattus norgicus)。它们都是12个月大,体重在350到550克之间,分为五组。P1、P2、P3组分别按20 mg/kg BW、30 mg/kg BW、40 mg/kg BW顺序给药。同时,P4为阳性对照组,P5为阴性对照组。自变量为牛皮叶提取物。因变量为(ER)-β表达和真皮厚度。数据分析采用单因素方差分析(ANOVA),差异有统计学意义(p< 0.05)。各组结果均有统计学意义,其中P2组(ER)-β表达和真皮厚度最高。结果表明,两个变量之间存在显著相关(P<0.05)。该研究证明,水三叶草提取物可以成为未来皮肤老化的替代治疗方法。然而,进一步的研究应该找到适合人类食用的剂量。
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引用次数: 1
Implementation Of Diabetic Foot Spa And Sauna Bathing On Quality Of Sleep And Blood Glucose Levels In Individuals With Type 2 Diabetes 糖尿病足浴和桑拿浴对2型糖尿病患者睡眠质量和血糖水平的影响
Pub Date : 2021-02-26 DOI: 10.33086/JHS.V14I1.1750
N. Ainiyah, Erika Martining Wardani
Received: September, 1, 2020 Revised: November, 6, 2020 Available online: February, 2021 Diabetes is a chronic disease of glucose metabolism, which causes blood circulation obstruction such as tingling and leg pain, and itching. This study aims to determine the effect of diabetic foot spa and sauna bathing on sleep quality and blood glucose levels in individuals with type 2 diabetes. The design used a quasi-experimental. This study's population was all individuals with type 2 diabetes, applied simple random sampling, and a sample size of 60 respondents. The inclusion criteria were individuals with type 2 diabetes who did not have complications. The independent variables were sleep quality and blood glucose levels. The dependent variables were diabetic foot spa and sauna bathing. The instrument used a Pittsburgh Sleep Quality Index (PQSI) and a glucometer. The data analysis test utilized the paired t-test and independent t-test with a p-value of 0.000 (p <0.005). The results of this study showed that 60 respondents, mostly (70%) women, 58.3% were aged 4560 years, almost half of the respondents (48.3%) had diabetes for less than one year up to five years and from the results t-test obtained p=0.000 (p <0.05). There was an effect of diabetic foot spa and sauna bathing on sleep quality and blood glucose levels.
收稿日期:2020年9月1日修稿日期:2020年11月6日上线日期:2021年2月糖尿病是一种慢性糖代谢疾病,引起血液循环阻塞,如刺痛、腿痛、瘙痒等。本研究旨在确定糖尿病足浴和桑拿浴对2型糖尿病患者睡眠质量和血糖水平的影响。本设计采用准实验设计。本研究的人群均为2型糖尿病患者,采用简单随机抽样,样本量为60人。纳入标准为无并发症的2型糖尿病患者。独立变量是睡眠质量和血糖水平。因变量为糖尿病足浴和桑拿浴。该仪器使用匹兹堡睡眠质量指数(PQSI)和血糖仪。资料分析检验采用配对t检验和独立t检验,p值为0.000 (p <0.005)。本研究结果显示,60名被调查者中,女性居多(70%),58.3%的人年龄在4560岁,几乎一半的被调查者(48.3%)患有糖尿病的时间在1年到5年之间,从结果t检验得到p=0.000 (p <0.05)。糖尿病足部水疗和桑拿浴对睡眠质量和血糖水平有影响。
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引用次数: 2
Description Of Mothers' Motivation In Developmental Stimulation Of Children Aged 1 - 3 Years Old In 母亲对1 ~ 3岁儿童发育刺激动机的描述
Pub Date : 2021-02-26 DOI: 10.33086/JHS.V14I1.1534
R. Anggraini, Wahyu Anjas Sari
Children will grow faster when their mother stimulate their development. But in fact, parents' awareness is still low due to parents' reluctance. They believe that stimulation is for children with developmental delay. This research aims to describe the mothers' motivation in the developmental stimulation of children aged 1-3 years old in Sambungrejo Village District Sidoarjo. This study used a descriptive design. The population was mothers with children age 1–3 years in Sambungrejo Village Sukodono Sidoarjo. There were 50 respondents with simple random sampling. The research variable was mothers' motivation in the developmental stimulation of children aged 1-3 years. The instrument utilized a questionnaire. The data analysis was frequency distribution. The results showed that 62,5% of respondents had low motivation, while 37,5% of respondents had a high motive to perform stimulation in developing children aged 1–3. The study concludes that most mothers have low motivation in developmental stimulation. Health workers should give health education about the developmental stimulation of children to mothers.
当母亲刺激孩子们的发育时,他们会长得更快。但事实上,由于家长的不情愿,家长的意识仍然很低。他们认为刺激是为发育迟缓的儿童准备的。本研究旨在探讨Sidoarjo村三本格列乔村1-3岁儿童发育刺激的母亲动机。本研究采用描述性设计。人口是Sambungrejo村Sukodono Sidoarjo带着1-3岁孩子的母亲。调查对象为50人,采用简单随机抽样法。研究变量为母亲在1-3岁儿童发育刺激中的动机。该仪器采用问卷调查。数据分析采用频率分布。结果显示,在1-3岁的发展中儿童中,62.5%的被调查者表现出低动机,37.5%的被调查者表现出高动机。该研究的结论是,大多数母亲对发育刺激的积极性较低。卫生工作者应向母亲提供有关促进儿童发育的健康教育。
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引用次数: 0
The Effect of Ankle Strategy Exercises on Static Balance in The Elderly 踝关节策略运动对老年人静态平衡的影响
Pub Date : 2021-02-26 DOI: 10.33086/JHS.V14I1.1521
Dwi Yuniar Ramadhani, Putri Arivia
Received: April, 8, 2020 Revised: October, 26, 2020 Available online: February, 2021 Decreased muscle strength is a musculoskeletal disorder in the elderly, resulting in slow movements and impaired physical mobility. Physical changes that occur in the elderly cause the risk of falling. This study analyzes the ankle strategy exercise's effect on static balance in the elderly at Regional Technical Implementation Unit (UPTD) Griya Werdha Surabaya. This study was Pre-Experimental with One Group Pre-Post Test Design. From the population, there were thirty-five respondents by simple random sampling. This study's independent variable was ankle strategy exercises with frequency three times a week within a month. The dependent variable was a static balance with the instrument Time Up Go (TUG) test. The authors analyzed the data with the Wilcoxon test. The study results showed a significant effect of the ankle strategy exercise on static balance in the elderly (p=0,000). The result showed a decrease in the number of elderly who have the high-risk of falling before the ankle strategy exercise (60% of elderly have a high risk of falling) and after the intervention (34% of elderly have a decreased risk of falling). The elderly should do the ankle strategy exercise independently or with assistant three times a week to improve their static balance and decrease their high-risk of falls.
收稿日期:2020年4月8日修稿日期:2020年10月26日在线发布日期:2021年2月肌力下降是老年人的一种肌肉骨骼疾病,导致运动缓慢和身体活动能力受损。老年人的身体变化会导致跌倒的风险。本研究分析了区域技术实施单位(UPTD) Griya Werdha Surabaya的踝关节策略运动对老年人静态平衡的影响。本研究采用一组前-后测试设计。从人群中,通过简单随机抽样得到35名回答者。这项研究的自变量是脚踝策略运动,频率为一个月内每周三次。因变量为静平衡,采用仪器Time Up Go (TUG)检验。作者用Wilcoxon检验分析了数据。研究结果显示踝关节策略运动对老年人静态平衡有显著影响(p= 0000)。结果显示,踝关节策略运动前(60%的老年人有较高的跌倒风险)和干预后(34%的老年人跌倒风险降低)的老年人数量有所减少。老年人应独立或在辅助下每周进行3次踝关节策略运动,以提高其静态平衡能力,降低跌倒的风险。
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引用次数: 0
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Journal of Health Science
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