A technique to reduce arms fatigue on intradialytic

Background: The hemodialysis process that takes 4 to 5 hours may lead to various problems, including arms' fatigue on the forearm with attached Cimino access. A technique is required to overcome this fatigue.Technique: By using a supportive hand pillow made by adjusting the position of the elbow and the length of the arm. The pillow is placed under the patient's forearm with Cimino access. Trial usage of this pillow was conducted on two persons for two cycles of hemodialysis. Both stated that arm fatigue was reduced and more comfortable.Conclusion: Using hand pillows for hemodialysis patients is favorably beneficial to reduce forearm fatigue during the Intradialytic phase.

The urgency of vaccination COVID-19 in children

The incidence of COVID-19 disease is much lower in children. Because the incidence and burden of COVID-19 disease are low in children, vaccination should not be done primarily for their self-protection but for communities, especially parents or high-risk individuals. Therefore, any vaccine should be thoroughly tested and proven safe before giving it to children to respect the risk-benefit balance.

In vivo study of Centella asiatica (L.) Urban as a drug gel for diabetes wounds

Background: Centella asiatica L. Urban is a tropical plant whose spread is quite broad as Indonesia. One of the ingredients of Centella asiatica L. Urban is asiaticoside which has excellent wound healing abilities. However, research on diabetic wound healing with Centella asiatica L. Urban extract formulation in the form of a gel has not been found. Therefore, it is necessary to look at the healing activity of diabetic wounds using Centella asiatica L. Urban extract in the form of a gel.Objective: This experimental study aims to explore the effect of gel extract derived from the Centella asiatica L. Urban on the length of time for wound healing.Methods: The subjects in this study were eight weeks old Balb-C mice conditioned to hyperglycemia and were divided into five groups. The Centella asiatica L. Urban extract is provided in three concentration levels, with 3%, 5%, and 7%. As a form of negative control, used gel without Centella asiatica L. Urban extract and positive control without gel, only hydrocolloid dressing.Results: Centella asiatica L. Urban at concentrations of 3% (with the value of Sig. > 0.05), 5%, and 7% showed the ability to heal wounds.Conclusions: Centella asiatica L. Urban gel extract with a concentration of 3% had a significant effect on wound healing compared to other preparations.

In vitro study of potential antibacterial pometia pinnata leaf extract in Neisseria gonorrhoeae

Background: Gonorrhea cases experiencing antibiotic resistance are increasing due to inadequate treatment or failure to contribute to an increase in antibiotic resistance cases; WHO suggests adding herbal therapy treatment methods is expected to minimize the occurrence of drug resistance as much as possible. Previous studies that have been carried out using other herbal plants have not shown any potential to inhibit the growth of Neisseria gonorrhoeae bacteria, seen from the amount of extract concentration and the dosage and content of the compounds in the contents monitoring the time.Objective: To analyze the difference in the effect of various concentrations of Matoa Leafs Extract (Pometia Pinnata) compared to 500mg Levofloxacin on the increase in the growth inhibition of Neisseria gonorrhoeae.Methods: This is true-experimental research with a post-test-only control group with a randomized design. The sample in this study was the microorganism Neisseria gonorrhoeae obtained through vaginal swabs in 2 females (FSW) positive for Gonorrhea by gram staining and microscopic examination and culture on Chocolate Agar Plant (CAP) media. The culture was then suspended in CAP media. Matoa Leaf extract concentration of 100%, 80%, 60%, 40%, 20%, positive control with Levofloxacin 500 mg and negative control with distilled water with four replications and monitoring in 24 hours, 48 hours, 72 hours, and 96 hours. Data analysis used Kruskal-Wallis, Mann-Whitney, and cohen's test. Result: Levofloxacin 500mg in inhibiting Neisseria Gonorrhoeae bacteria is very effective, and Matoa Leaf extracts 60% and 40% P=0,026 have a strong enough potential to inhibit the growth of Neisseria gonorrhoeae bacteria with the same potential strength. The cohen's test 1.4 effect the levofloxacin 500mg provides a significant influence inhibiting Neisseria Gonorrhoeae.Conclusion: Matoa Leaf extract 60%, and 40% have solid antibacterial potential, although not as strong as Levofloxacin 500mg.

Combination pelvic rocking exercises with belly dance to reduce labor pain

Background: Labor pain will get more substantial along with the increase in cervical dilatation and can affect the mother's psychological condition and the welfare of the fetus. Pelvic rocking exercises help reduce pain during labor, but the combined pelvic rocking exercises with belly dance for birth have not been studied. In this study, combining pelvic rocking exercises with belly dance for birth as physical preparation and exercise, especially in the pelvic area, can reduce pain effectively and efficiently so that mothers can give birth vaginally.Purpose: Analyze the effect of intervention combination of pelvic rocking exercises with belly dance for birth to pain intensity of first stage the active phase in mother birth.Methods: This is Quasy experimental research with pretest and posttest with control group design. Respondents were primigravida mothers during the first stage of the active phase. Determination of respondents by accidental sampling obtained the treatment group (n=17) and control group (n=17). The intervention was given for 20 minutes every 1 hour during the first stage of the active phase.Result: The combined intervention of pelvic rocking exercises with belly dance for birth was effective in reducing pain intensity as seen from the average decrease in pain intensity every hour, at the 1st hour of 4.0, the 2nd hour of 3.0, the 3rd hour of 2.7, and the 4th hour of 2.6 (p<0.001)Conclusion: The combination of pelvic rocking exercises with belly dance for birth is effective to pain intensity of the first stage, the active phase in women giving birth.

E-Postpartum mobile application to increase postnatal knowledge care

Background: During this pandemic, maternal health services must still be considered because it is feared that there will be an increase in postpartum maternal morbidity and mortality. Postpartum care knowledge is vital for postpartum mothers to maintain their condition, so it is necessary to make an application that helps mothers through the E-Postpartum application.Objective: The study aims to develop and test the E-Postpartum mobile application to increase knowledge of postnatal care.Method: This study employed Research & Development consisting of 4 stages, namely Literature Study, Development Stage, Validity Expert, and Trial.Results: The E-Postpartum mobile application has six features, starting from education about postpartum care to consultation. The trial results showed that the application effectively increased the knowledge and action of postpartum mothers (p <0.001).Conclusion: The E-Postpartum application is beneficial for health workers in providing education, especially for postpartum mothers in carrying out care during the postpartum period. This postpartum application will make it easier for mothers to check their condition and make it easier for midwives to detect early and control the mother's condition even remotely.

Effectiveness of warm herbal compress on oxytocin hormone and breast milk production

Background: Breast milk is the best food for babies, needed for optimal growth and development. The lack of milk production influences the low coverage of exclusive breastfeeding. Increasing breast milk production could be done non-pharmacologically, using warm herbal compresses as breast care.Purpose: Analyze the effect of warm herbal compresses as breast care on oxytocin hormone and postpartum mother's milk production. Methods: Quasi-experimental design pretest-posttest with the control group, respondents were 36 normal mothers on the third day of postpartum; 18 respondents intervention group, and 18 respondents control group. Warm herbal compresses were provided once per day with 20 minutes on each breast for three days. The oxytocin hormone was measured pre and post three days of treatment, the volume of breast milk was measured pre, post 2, and 3 days of treatment.Results: The intervention group's average difference in oxytocin hormone was 24.65 pg/ml, the control group was 2.48 pg/ml (p<0.01). The average increase in milk production pre and post-three days of treatment in the intervention group was 32,250 ml. In the control group, 26,472 ml (p<0.01), there was a significant difference in the average milk production between the two groups.Conclusion: Warm herbal compresses as breast care affects the oxytocin hormone and postpartum mother's milk production.

Analysis of procalcitonin and urine nitrite to predictor sepsis patients

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

Mind-body training and progressive muscle relaxation therapy on nurse with burnout syndrome

Background: Nurse burnout could affect nurse's professional competence. Either physical or emotional burnout was related to an ineffective individual coping and emotional intelligence. The nurse burnout could be coped with a direct intervention on the individuals who practically focused on the mind and body system.Purposes: This research was aimed to identify the effects of mind and body-based therapies (MBT and PMR) for nurse burnout.Methods: This research was quasi-experimental with two groups pretest-posttest design. The sample of this study was 50 nurses in the medical-surgical wards who were divided into intervention MBT and PMR with a simple random sampling technique. Collecting data using burnout syndrome measurements on nurses applied pre and post-intervention, which was analyzed by Wilcoxon and Mann-Whitney test.Results: The mean value of the burnout subscale decreased significantly (emotional exhaustion and depersonalization) and increased (personal accomplishment) after the MBT and PMR programs (p<0.05). The comparison of effect between the two intervention groups on nurse burnout syndrome found no significant positive difference in the mean scores (p>0.05). Conclusions: Mind body-based therapies (MBT and PMR) could reduce burnout syndrome significantly.

In vivo study of the antihypertensive effect of bidara leaf (Ziziphus spina-christi) during pregnancy

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.