School-age is a golden period to instill the values of clean and healthy life behavior (PHBS), so it has the potential as an agent of change to promote within the school, family and community. The function of the school is also a place of learning that can be a threat of disease transmission if not managed properly. Besides, school-age for children is also a vulnerable period for various diseases. The aim of this study was to determine the association between knowledge, attitude and role of teacher with the implementation of PHBS in the school. This study used observational quantitative research by using a cross-sectional approach. The research subjects were 58 students in fourth and fifth grade from elementary school number 1 East Kuripan West Lombok which selected by using total sampling. That school was selected because it has the lowest scope in terms of implementation of PHBS. The instrument used was a questionnaire in the checklist form which consisted of 19 questions about knowledge, 15 questions about attitude, 13 questions about the role of teacher, and 11 questions about the implementation of PHBS. Each variable was categorized into good category if the correct answers was covered >70 % out of total score, and vice versa. Data analysis performed by Chi-square. The results of the bivariate analysis revealed that knowledge and attitude were significantly associated with implementation of PHBS behavior. The role of the teacher did not have any association with implementation of PHBS among fourth and fifth grade elementary school students’ number 1 East Kuripan. It can be concluded that the implementation of PHBS in Elementary School Number 1 was influenced by student’s knowledge and attitude.
Propolis memiliki aktivitas antioksidan dan antiinflamasi yang kuat dengan menetralisir berbagai radikal bebas dalam tubuh seperti seperti ROS dan reactive nitrogen species (RNS) dan menurunkan ekspresi dari nitric oxide synthase (NOS) dan mencegah kerusakan DNA, sehingga propolis memiliki potensi sebagai alternatif terapi dalam menurunkan ekspresi iNOS dan menurunkan radikal bebas yang diukur melalui kadar MDA pada cedera otak traumatik. Penelitian ini bertujuan untuk menguji pengaruh pemberian propolis dalam berbagai dosis pada ekspresi iNOS dan MDA di otak tikus Rattus norvegicus model traumatik. Sampel dibagi menjadi 5 kelompok, yaitu: kontrol negatif, kontrol positif, kelompok model trauma dan diberi perlakuan propolis masing-masing dosis 50mg, 100mg, dan 200mg per kgBB/hari. Pada akhir penelitian, tikus dikorbankan dan dibuat preparat otak untuk menilai ekspresi iNOS dan kadar MDA. Berdasarkan hasil analisa statistik, didapatkan hubungan yang signifikan antara ekspresi iNOS dan kadar MDA otak tikus model traumatik dengan berbagai dosis propolis (secara berurutan, Kruskal Wallis p=0,001; ANOVA p=0,000 (p<0,05)). Penelitian ini membuktikan bahwa propolis berpengaruh dalam penurunan ekspresi iNOS dan kadar MDA di otak tikus model traumatik.
Dandy Walker Syndrome (DWS) and its Variants (DWV) is a congenital disorder that has prevalence of 1 in 25,000 to 30,000 births with the highest incidence occurs at age <1 year. However, patients may be diagnosed with DWS/DWV for the first time in adolescence and even old age. We reported the 70-year-old woman with a chief complaint of central type vertigo accompanied by disequilbrium. From history taking we obtained disequilibrium with gradual onset started in nine months and become settled since the last 6 months before she came to the neurology clinic. The patient also complained vertigo that have emerged since the last 3 month. A history of head trauma, stroke, dementia was denied. Physical examinaton show central nystagmus while other cranial nerve within normal range. Motor, sensory and autonomic status within normal range. Romberg test, tandem walking, disdiadokokinesia, and dismetria examination shows abnormal respons. MMSE results for patients within normal range (score:26). Head MRI shows Dandy Walker Variant in the accompanied by cerebral atrophy and degeneration serebelli Fazekas grade I. Patients receive symptomatic therapy betahistine mesylate 3x6 mg if necessary. Surgery management is not indicated because there is no sign of hydrocephalus or signs of increased intracranial pressure.
Catamenial epilepsy refers to a seizure pattern that coincides with the menstrual period. Patients with catamenial epilepsy often leads to intractable epilepsy and may have an adverse impact on quality of life. Several medications are the therapeutic options, however, there is uncertainty regarding the best treatment, and these medications often fail to control the seizure. This makes catamenial epilepsy categorized as pharmaco-resistant epilepsy. This paper reported a case of perimenstrual catamenial epilepsy with an uncontrolled seizure problem. Seizures still occur with optimal management, and thereby clinicians must continue to re-evaluate clinical conditions and treatment selection to achieve optimal management. Personalized-based treatment should be considered in catamenial epilepsy management. This report discusses the challenges of catamenial epilepsy, understanding the catamenial process, and dealing with the problem with a practical personalized approach.
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