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Heating pad vs. infusion warmer to prevent hypothermia in intraopera-tive patients: which one is more effective? 加热垫与输液加热器预防术中患者体温过低:哪一种更有效?
Pub Date : 2021-09-06 DOI: 10.30595/medisains.v19i2.11034
I. G. E. Arinjaya, I. Suyasa, I. M. Rismawan, Agus Baratha Suyasa
Background: The use of heating pads and infusion warmers on intraoperative patients has been proven to prevent hypothermia. However, the differences in the effectiveness of the two methods have not been studied.Purpose: This study aims to compare the effectiveness of a heating pad and infusion warmer in preventing hypothermia (decreased body temperature and the incidence of shivering) in intraoperative patients.Methods: This research was a quasi-experimental design by a Posttest-Only Design with Nonequivalent Groups. The populations in this study were surgical patients with regional anesthesia, with a total sample of 64 respondents (32 respondents in the heating pad group and 32 respondents in the infusion warmer group) selected randomly. The incidence of hypothermia was perceived from two indicators: a decrease in body temperature and the prevalence of shivering, which was observed and recorded during the intraoperative period. The data were analyzed by discrimination tests (mean discrimination test and proportion discrimination test) to determine the difference in the effectiveness of the two groups.Results: The average decrease in body temperature during the intraoperative period (0-40 minutes of operation) in the group given the infusion warmer was greater than the group given the heating pad (p<0.001). The group given the infusion warmer was 8.750 times more likely to experience shivering than the group given the heating pad (p<0.001; OR=8.750).Conclusion: Using a heating pad is better in preventing hypothermia in intraoperative patients than using an infusion warmer.
背景:术中患者使用加热垫和输液加温器已被证明可以预防体温过低。然而,这两种方法的有效性差异尚未得到研究。目的:本研究旨在比较加热垫和输液加热器在预防术中患者体温过低(体温下降和颤抖发生率)方面的有效性。方法:本研究为准实验设计,采用非等价群的纯后验设计。本研究中的人群是区域麻醉的外科患者,共随机选择64名受访者(加热垫组32名受访者和输液加温器组32名参与者)。从两个指标可以看出体温过低的发生率:体温下降和颤抖的发生率,这两个指标在术中观察和记录。通过判别检验(平均判别检验和比例判别检验)对数据进行分析,以确定两组的有效性差异。结果:在术中期间(手术0-40分钟),给予输液加温器的组的体温平均下降幅度大于给予加热垫的组(p<0.001)。给予输液加温者发生颤抖的可能性是给予加热垫组的8.750倍(p<001;OR=8.750)与使用输液加温器相比,预防术中患者体温过低。
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引用次数: 0
Management of pemphigus vulgaris: case report 寻常型天疱疮的治疗1例报告
Pub Date : 2021-09-06 DOI: 10.30595/medisains.v19i2.11237
Widi Rahmaningsih, A. Santosa
Background: Pemphigus Vulgaris is an autoimmune disease attacking the skin and mucous membranes. This disease is considered a rare disease. Epidemiological data for Pemphigus Vulgaris in Indonesia remains limited, correspondingly, nursing management in this disease. This study aims to describe nursing management in patients with Pemphigus Vulgaris.Case presentation: a case of Pemphigus Vulgaris in a 28-year-old male was reported, with complaints of blisters all over his body appearing since 2019 and have not been completely recovered at the Banyumas General Hospital, Central Java, Indonesia.Conclusion: A combination of wound care, nutrition, vitamins, and pharmacology can accelerate the recovery of patients with Pemphigus Vulgaris
背景:寻常性天疱疮是一种侵袭皮肤和粘膜的自身免疫性疾病。这种病被认为是罕见病。印度尼西亚的寻常型天疱疮流行病学数据仍然有限,相应地,这种疾病的护理管理也有限。本研究旨在描述寻常天疱疮患者的护理管理。病例介绍:报告了一例28岁男性寻常天疱炎病例,自2019年以来,他全身出现水泡,但在印度尼西亚中爪哇的Banyumas综合医院尚未完全康复。结论:伤口护理、营养、维生素,药理学可以加速寻常天疱疮患者的康复
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引用次数: 0
Analysis of procalcitonin and urine nitrite to predictor sepsis patients 降钙素原和尿亚硝酸盐对败血症患者预后的预测分析
Pub Date : 2021-09-06 DOI: 10.30595/medisains.v19i2.11075
Andi Itha Maghfirah, R. Muhiddin, I. Handayani, Nursin Abdul Kadir
Background: Sepsis is a significant health problem worldwide. Various sepsis biomarkers have been studied before, but few data link PCT and urinary nitrite levels to culture result in septic patients.Purposes: This study compares PCT, Urine Nitrite on culture results against their sensitivity to determine variables that can be used to predict sepsis patients.Methods: This is a cross-sectional study by taking data on patients with sepsis aged ≥18 years in 207. Diagnostic tests were performed to determine sensitivity and specificity of PCT, Urine Nitrite, and Blood Culture of septic patients. A Chi-square test was carried out to see the relationship between two parameters and the outcome of sepsis.Results: PCT sensitivity was higher than Urine Nitrite: 74.5%. Specificity of Urine Nitrite was higher than PCT: 88.2%. Procalcitonin has a significant relationship with sepsis patient outcomes (p<0.005).Conclusion: PCT can predict septic patients because it has a higher sensitivity than urine nitrite
背景:脓毒症是一个全球性的重大健康问题。以前已经研究过各种败血症生物标志物,但很少有数据将PCT和尿亚硝酸盐水平与败血症患者的培养结果联系起来。目的:本研究比较PCT、尿亚硝酸盐培养结果及其敏感性,以确定可用于预测败血症患者的变量。方法:这是一项横断面研究,收集了207名年龄≥18岁的败血症患者的数据。进行诊断测试,以确定PCT、尿亚硝酸盐和败血症患者血液培养的敏感性和特异性。进行卡方检验以观察两个参数与败血症结果之间的关系。结果:PCT敏感性高于尿亚硝酸盐:74.5%。尿亚硝酸盐的特异性高于PCT:88.2%。降钙素原与败血症患者的预后有显著关系(p<0.005)。结论:PCT可预测败血症患者,因为它比尿亚硝酸盐具有更高的敏感性
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引用次数: 0
In vivo study of the antihypertensive effect of bidara leaf (Ziziphus spina-christi) during pregnancy 妊娠期bidara叶(Ziziphus spina-christi)抗高血压作用体内研究
Pub Date : 2021-09-06 DOI: 10.30595/medisains.v19i2.11431
Tasya Nurlaila Dilla, S. Hadisaputro, Aris Santjaka
Background: Bidara is drought tolerant and very easy to grow in tropical climates such as Indonesia. Bidara contains a combination of calcium, potassium, and magnesium, and active flavonoid compounds, and antioxidant activity that play a role in inhibiting free radical damage, improving endothelial function so that it can potentially lower blood pressure. Previous studies explained that a dose variant of no more than 300mg/kg BW is beneficial while minimizing pathological changes. However, there has been no research related to the effect of bidara leaf in lowering blood pressure, so it is necessary to do related research.Objective: Analyze the effect of bidara leaf extract at a 200 mg/kg BW dose and 300 mg/kg BW on systolic and diastolic blood pressure.Methods: 24 pregnant female Wistar rats induced hypertension, aged 6-8 weeks with a weight of 130-230 grams. The rats were randomized so that they consisted of 2 control groups and two experimental groups, which were given various doses of bidara leaf for nine days. Blood pressure was measured using non-invasive CODA.Results: The blood pressure of rats in the bidara leaf extract group at doses of 200mg/kg BW and 300mg/kg BW decreased systolic and diastolic compared to the control group (p<0.05). The 200mg/kg BW dose group experienced a decrease in blood pressure of 12.3% for systolic and 16.32% for diastolic; the 300mg/kg BW dose group experienced a decrease in blood pressure of 19.99% for systolic and 27.73% for diastolic.Conclusion: Bidara leaf extract can reduce the blood pressure of pregnant rats with hypertension.
背景:Bidara耐旱,在印度尼西亚等热带气候下很容易生长。Bidara含有钙、钾和镁的组合,以及活性类黄酮化合物和抗氧化活性,它们在抑制自由基损伤、改善内皮功能方面发挥作用,从而有可能降低血压。先前的研究解释说,不超过300mg/kg体重的剂量变化是有益的,同时最大限度地减少病理变化。然而,目前还没有关于比达拉叶降压作用的研究,因此有必要进行相关研究。目的:分析比达拉叶提取物在200mg/kg体重和300mg/kg体重下对收缩压和舒张压的影响。方法:24只妊娠雌性Wistar大鼠,年龄6-8周,体重130-230克,诱发高血压。将大鼠随机分为2个对照组和2个实验组,分别给予不同剂量的比达拉叶9天。结果:比达拉叶提取物200mg/kg和300mg/kg剂量组大鼠的收缩压和舒张压均较对照组下降(p<0.05),200mg/kg剂量组收缩压下降12.3%,舒张压下降16.32%;300mg/kg BW剂量组收缩压下降19.99%,舒张压下降27.73%。结论:鬼针草叶提取物能降低妊娠高血压大鼠的血压。
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引用次数: 0
The future of vaccination and herd immunity in the COVID-19 pandem-ic COVID-19大流行期间疫苗接种和群体免疫的未来
Pub Date : 2021-09-06 DOI: 10.30595/medisains.v19i2.11661
S. Supriyadi
Since a year ago, pandemic covid 19 has entered Indonesia, and efforts to reduce and control have been carried out several programs, one of which is vaccination. The ideal projection is two direct strategies: hybrid distribution that combines active outreach into priority groups with passive distribution to the general public and single-dose distribution to as many populations as possible. The previous plan was to save a second dose as a backup. The proper fulfillment of vaccination needs in each population required to achieve herd immunity to stop the spread of the virus will vary, depending on the variant of the virus in circulation and the heterogeneous level of that population, also depending on the density and mobility of the population. In addition, the duration of protection provided by natural immunity and vaccine-induced immunity is not well established, and different vaccines can provide different durations and degrees of humoral and cellular immunity.
自一年前以来,covid - 19大流行进入印度尼西亚,已经开展了几个项目,努力减少和控制,其中一个是疫苗接种。理想的方案是采用两种直接的策略:混合分配,将主动向优先群体推广与被动向一般公众分发相结合,以及向尽可能多的人口进行单剂分发。之前的计划是保留第二剂作为备用。为实现群体免疫以阻止病毒传播,在每个人群中适当满足疫苗接种需求的情况将有所不同,这取决于流行病毒的变体和该人群的异质程度,也取决于人口的密度和流动性。此外,天然免疫和疫苗诱导免疫提供保护的持续时间还没有很好地确定,不同的疫苗可以提供不同的体液和细胞免疫的持续时间和程度。
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引用次数: 1
The effect of e-counseling to reduce stress on nurses in special wards COVID-19 电子护理减轻新冠肺炎特殊病房护士压力的效果
Pub Date : 2021-06-07 DOI: 10.30595/MEDISAINS.V19I1.9706
Juli Widiyanto, Yeni Yarnita, Santoso Santoso, Mega Hasanul Huda
Background: Data on the incidence of COVID-19 is reported to be increasing day by day. It impacts the health of health workers both physically and mentally; several previous studies have found that counseling can help reduce anxiety. Other studies have also proven that remembrance therapy can reduce stress levels, but the effectiveness of e-counseling has not yet been tested.Objectives: This study was to determine the effect of e-counseling to reduce stress on nurses in special wards COVID-19.Method: The research design used was a quasi-experimental design with a total sample of 58 people, 29 intervention samples, and 29 control samples. Sampling using non-probability sampling and data collection using a questionnaire which was analyzed with the Independent Sample T-Test.Result: After e-counseling therapy was carried out, the stress level of nurses could decrease significantly from 7.448 to 6.311. There were significant differences in stress levels in the intervention and control groups (69.59±6.311 vs. 49.83±8.824; p<0.05).Conclusion:  E-Counseling has a very significant effect on reducing the stress level of nurses in special wards COVID-19.
背景:据报道,新冠肺炎发病率的数据日益增加。它影响卫生工作者的身心健康;之前的几项研究发现,咨询可以帮助减少焦虑。其他研究也证明,记忆疗法可以降低压力水平,但电子记忆的有效性尚未得到测试。目的:本研究旨在确定电子护理减轻COVID-19特殊病房护士压力的效果。方法:研究设计采用准实验设计,共有58人、29个干预样本和29个对照样本。采用非概率抽样法进行抽样,采用独立样本T检验法进行问卷调查。结果:实施电子咨询治疗后,护士的压力水平可从7.448显著下降到6.311。干预组与对照组压力水平比较有显著性差异(69.59±6.311与49.83±8.824,p<0.05)。
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引用次数: 1
Miscarriage in COVID-19 Infection: a case report 新冠肺炎感染中的流产1例报告
Pub Date : 2021-06-07 DOI: 10.30595/MEDISAINS.V19I1.10543
Linda Yanti, D. Susanti
Background: Data on miscarriage in pregnant women with COVID-19 are still limited, as well as the mechanism that causes miscarriage in women with COVID-19. This study aims to report the mechanism of miscarriage that occurs in patients with COVID-19 from various literature.Case presentation: We reported a case of miscarriage occurred in a woman aged 28 years, 11-week pregnancy with COVID-19 in Batin Mangunang Regional General Hospital, Lampung Province, Indonesia.Conclusion: Pregnant women infected with COVID-19 are at risk for miscarriage.
背景:关于新冠肺炎孕妇流产的数据以及导致新冠肺炎孕妇流产的机制仍然有限。本研究旨在从各种文献中报道新冠肺炎患者流产的机制。病例介绍:我们报告了一例流产病例,该病例发生在印度尼西亚楠榜省Batin Mangunang地区综合医院,年龄28岁,妊娠11周,患有新冠肺炎。结论:感染新冠肺炎的孕妇有流产的危险。
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引用次数: 1
Vitamin D supplementation for COVID-19: is it necessary? COVID-19需要补充维生素D吗?
Pub Date : 2020-12-30 DOI: 10.30595/medisains.v18i3.9332
A. Santosa
The development of the COVID-19 vaccine is currently quite encouraging amid increasing mortality and transmission of the COVID-19 virus in various countries. Apart from vaccination, the government also needs to consider vitamin D supplementation policies because it has a significant role in boosting the immune system.
目前,在各国COVID-19病毒死亡率和传播率不断上升的背景下,COVID-19疫苗的研发工作相当令人鼓舞。除了疫苗接种,政府还需要考虑维生素D的补充政策,因为它在增强免疫系统方面具有重要作用。
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引用次数: 0
Family-centered maternity care mobile application to increase the readiness of pregnant women in facing a high-risk childbirth 以家庭为中心的产妇护理移动应用程序,以提高孕妇面对高风险分娩的准备
Pub Date : 2020-12-30 DOI: 10.30595/medisains.v18i3.8419
S. Mayasari, Nicky Danur Jayanti
Background: Pregnant women with high risk need education and information along with the pregnancy. Information support helps them to feel ready and confident to go through the delivery. Sources of Information that can be accessed during pregnancy include websites regarding pregnancy, smartphone applications, magazines, and books. One of the efforts to increase pregnant women's readiness to face childbirth is by providing Family Centered Maternity Care (FCMC) education through Mobile Applications.Objective: This study aims to develop and test the FCMC mobile application's effectiveness to help pregnant women's readiness with a high risk of childbirth.Method: This study employed Research & Development consisting of 4 stages, namely Literature Study, Development Stage, Validity Expert, and Trial.Results: FCMC Mobile application has been created with nine features, starting from pregnancy features to delivery preparation. The trial results showed that the application effectively increased pregnant women's readiness to face childbirth (p <0.001).Conclusion: The FCMC is a form of midwifery technology that makes it easier for health workers to educate pregnant mothers, especially mothers with high-risk pregnancies. By applying the apps, pregnant women can prepare for the process before childbirth in physical preparation, psychological preparation, financial preparation, cultural preparation, home preparation, and delivery preparation.
背景:高危孕妇在怀孕期间需要教育和信息。信息支持可以帮助他们做好准备并有信心完成交付。怀孕期间可以访问的信息来源包括有关怀孕的网站、智能手机应用程序、杂志和书籍。通过移动应用程序提供以家庭为中心的产妇护理(FCMC)教育是提高孕妇面对分娩的准备程度的努力之一。目的:本研究旨在开发和测试FCMC移动应用程序帮助高危孕妇做好分娩准备的有效性。方法:本研究采用研究与开发的方法,分为文献研究、开发阶段、有效性专家和试验四个阶段。试验结果表明,该应用程序有效地提高了孕妇面对分娩的准备程度(p<0.001)。结论:FCMC是一种助产技术,使卫生工作者更容易教育孕妇,尤其是高危妊娠的母亲。通过应用这些应用程序,孕妇可以在分娩前做好身体准备、心理准备、财务准备、文化准备、家庭准备和分娩准备。
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引用次数: 0
The invisible killer 隐形杀手
Pub Date : 2020-04-30 DOI: 10.30595/medisains.v18i1.7194
Agus Santosa
Viruses have been around for billions of years ago. They are everywhere, with varieties of shapes and sizes. They are microparasites with the ability to evolve and mutate. Some viruses can be so malignant and cause an outbreak that kills hundreds, and even millions, of people. What the world recently faces is one of those malignant viruses.
病毒在几十亿年前就已经存在了。它们无处不在,形状和大小各不相同。它们是具有进化和变异能力的微寄生虫。有些病毒非常恶性,会导致数百人甚至数百万人死亡。世界最近面临的是其中一种恶性病毒。
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引用次数: 0
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Medisains
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