Objectives: To determine the dominant factors that affected uterine prolapse at Dr. Moewardi General Hospital Surakarta.Materials and Methods: This study was conducted to 259 cases of uterine prolapse at Dr. Moewardi Hospital, Surakarta, in the periods of January - December in the years 2013-2015. This was a correlational quantitative analytic study using chi-square test and regression analysis.Results: Factors affecting uterine prolapse were parity (p=0.024), age (p=0.036) and occupation (p=0.039). Parity had the highest regression analysis result of 0.145 with probability of uterine prolapse in those with parity >2 in this study was 2.753 times higher than in those with parity ≤2.Conclusion: Factors that had been proved to have significant effect on uterine prolapse were age, occupation, and parity. Parity was the predominant factor in affecting uterine prolapse in Dr. Moewardi Hospital, Surakarta.
<div class="WordSection1"><p align="center"><strong>ABSTRAK</strong></p></div><br clear="all" /><p><strong>Latar Belakang</strong><strong>: </strong>Pemahaman akseptor KB (Keluarga Berencana) tentang KB IUD dan implan masih rendah, hal ini dikarenakan minimnya pengetahuan dan adanya persepsi negatif mengenai kontrasepsi IUD dan implan di masyarakat. Perlu adanya upaya peningkatan pemahaman akseptor KB untuk meningkatkan kualitas dalam pelayanan KB untuk mencapai kesehatan individu yang optimal dan menurunkan angka fertilitas melalui peningkatan pemakaian alat kontrasepsi.</p><p><strong>Tujuan:</strong><strong> </strong>Mengetahui pengaruh perlakuan penyuluhan terhadap peningkatan pemahaman dan kesiapan akseptor KB terhadap efek samping alat kontrasepsi di Klinik Solo Peduli.</p><p><strong>Metode:</strong><strong> </strong>Pengabdi memberikan penyuluhan kepada akseptor KB mengenai KB IUD dan implan. Kemudian, Akseptor KB dibagikan kuesioner meliputi pertanyaan tentang efek samping yang dirasakan, serta langkah yang dapat dilakukan ketika efek samping timbul.</p><p><strong>Hasil:</strong> Dari 60 responden, didapatkan mayoritas tingkat pengetahuan efek samping alat kontrasepsi akseptor KB sebanyak 65% adalah “baik”, 35% adalah “kurang”, dan terdapat 18 (30%) orang yang mengalami efek samping minimal, diantaranya: nyeri, ketidaknyamanan hubungan seksual, kenaikan berat badan, jerawat, siklus mentruasi berubah setelah pemasangan alat kontrasepsi.</p><p><strong>Kesimpulan:</strong><strong> </strong>Terdapat peningkatan pengetahuan efek samping alat kontrasepsi setelah dilakukan penyuluhan dan efek samping yang relatif minimal.</p><p><strong>Kata Kunci:</strong> Akseptor KB, IUD, Implan, Pelayanan KB.</p><p> </p><p align="center"><strong>ABSTRACT</strong></p><p><strong>Background:</strong> The understanding of family planning acceptors about IUD and implant contraception is still low, this is due to the lack of knowledge and negative perceptions about IUD contraception and implants in the community. There needs to be an effort to increase understanding of family planning acceptors to improve the quality of family planning services to achieve optimal individual health and to reduce fertility rates through increased use of contraceptives.</p><p><strong>Objective:</strong> To determine the effect of counseling treatment on increasing understanding and readiness of family planning acceptors on the side effects of contraceptives at the Solo Peduli Clinic.</p><p><strong>Methods:</strong> The service provider provides counseling to family planning acceptors about IUD and implant family planning. Then, family planning acceptors were distributed questionnaires covering questions about side effects that were felt, as well as steps that could be taken when side effects arose.</p><p><strong>Results:</strong> Of the 60 respondents, it was found that the majority of the level of knowledge about the side effects of contraceptives acceptors of family planning as much as 65% were "good", 35% were "less", and there were 18 (30%) people who experienced minimal side effects, including: pain, discomfort of sexual intercourse, weight gain, acne, menstrual cycles changed after the insertion of contraceptives.</p><p><strong>Conclusion:</strong> There is an increase in knowledge of the side effects of contraceptives after counseling and the relatively minimal side effects.</p><p><strong>Keywords:</strong> family planning acceptors, IUD, implants, family planning services.</p>
Background: Preeclampsia was thought to be caused by oxidative stress. Where there was an increased in lipoperoxidation products and nitric oxide synthase (NOS) and decreased antioxidants. L-Arginine through the nitric oxide line inhibit nitrite oxide synthase inhibitor causing vascular vasodilation. This study aimed to analyze the effect L-Arginine to repair endothelial damage: thickness and diameter of the coronary arteries in the heart of the mice preeclampsia model. Methods: Experimental, 30 pregnant mice were randomly divided into three groups, in normal 10 (N), preeclampsia 10 (PE) and preeclampsia with L-Arginine 10 (PE-L) . Preeclampsia mice were made by injecting anti-Qa2 10 ng ip on day 1 to 4th day of pregnancy. L-Arginine was administered at a dose of 200 mg / kgbw from day 7 to day 15. Termination in 16th day, observation the histologic changes of the thickness and diameter coronary arteries. Statistics were used Kruskall Wallis test, followed by Mann Whitney's test. Results: Mean coronary artery diameter of normal group was 1098,12 μm, preeclampsia 821,58 μm with p=0,004 and preeclampsia with L-Arginine 991,27 μm with p=0,01 9 . Mean coronary artery diameter was normal 1098,12 μm compared to coronary artery diameter of preeclampsia with L- Arginine 991,27 μm with p=0,326 . Mean coronary artery thickness of normal group 178,13 μm, preeclampsia 235,29 μm with p=0,009. Mean thickness of the coronary arteries of normal 178,13 μm, compared to coronary artery thickness of preeclampsia with L-Arginine 169,96 μm with p=0,669. Mean coronary artery thickness was 235,29 μm preeclampsia compared to coronary artery thickness of preeclampsia with L-Arginine 169,96 μm with p=0,002 (p <0,05). Conclusions: L-Arginine effects of reducing coronary artery wall thickness and expanding diameter of heart coronary artery of preeclampsia mice model .
Objective: To examine the relationship between muscle strength and muscle thickness of levator ani with stress urinary incontinence (SUI) in women.Methods: This study uses a comparative cross-sectional study design. We collected 82 women who visiting the Obstetrics and Gynecology clinic of RSUPN Dr. Cipto Mangunkusumo with the study group were subjects with positive cough tests while the control group were subjects with negative cough tests. The data obtained in the form of history taking, Questionnaire for Urinary Incontinence Diagnosis (QUID), physical examination (POPQ), cough test. perineometer, and ultrasound.Results: We found no significant difference between the levator ani muscle thickness to the incidence of SUI with the median levator ani muscle thickness 0.63 cm (range 0.31-1.02 and p = 0.897). While levator ani muscle strength against SUI has a median of 19.5 (range 4.6-88.6 and p = 0.001). In multivariate analysis it was found that purely SUI, prolapse and age had no significant effect on the strength of levator ani muscles with a p-value of 0.243; 0.844; 0.903.Conclusions: There is no significant difference in levator ani muscle thickness between women who experience SUI compared to those who do not. Women with SUI have weaker levator ani muscle strength than those who do not experience but are not statistically significant. And there is no correlation between muscle strength and levator ani muscle thickness in women with SUI.Keywords: muscle strength, muscle thickness, perineometer, stress urinary incontinence, ultrasound. Abstrak Tujuan : Untuk mengkaji hubungan antara kekuatan otot dan ketebalan otot levator ani dengan keluhan IU-T pada perempuan.Metode : Penelitian ini menggunakan desain perbandingan potong lintang dengan melibatkan 82 wanita yang berkunjung di poliklinik Obstetri dan Ginekologi RSUPN Dr. Cipto Mangunkusumo dengan kelompok studi adalah subyek dengan tes batuk positif sedangkan kelompok kontrol adalah subyek dengan tes batuk negative. Data yang diperoleh berupa hasil anamnesis, Questionnaire for Urinary Incontinence Diagnosis (QUID), pemeriksaan fisik (POPQ), tes batuk. perineometer , dan USG.Hasil: Hasil penelitian ini didapatkan tidak ada perbedaan bermakna antara ketebalan otot levator ani terhadap kejadian IUT dengan median ketebalan otot levator ani 0,63 cm (jarak 0,31-1,02 dan p=0,897). Sedangkan kekuatan otot levator ani terhadap IUT memiliki median 19,5 (jarak 4,6-88,6 dan p=0,001). Pada analisis multivariat didapatkan bukti bahwa secara murni IUT, prolap dan usia tidak mempunyai pengaruh bermakna terhadap kekuatan otot levator ani dengan nilai p masing-masing 0,243; 0,844; 0,903.Kesimpulan : Tidak terdapat perbedaan yang bermakna pada ketebalan otot levator ani antara perempuan yang mengalami IU-T dibanding yang tidak mengalami. Perempuan IU-T mempunyai kekuatan otot levator ani yang lebih lemah dibanding yang tidak mengalami, namun tidak bermakna secara statistik. Tidak terdapat hubungan korelasi antara kekuatan otot dan ketebalan otot levator ani pada perempuan yang mengalami IU-T. Kata kunci : inkontinensia urin jenis tekanan, ketebalan otot, kekuatan otot, perineometer, USG
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