Diabetic foot ulcers are a common complication that occurs in approximately 15 percent of patients with diabetes mellitus. Over 60% of diabetic foot ulcers are caused by underlying neuropathy. Former studies on diabetic animals with foot wounds found that vibration platforms significantly accelerate wound healing by catalyzing epithelization, promoting angiogenesis, and enhancing muscle bulk. This result suggests that there is evidence that vibrations may accelerate diabetic neuropathic ulcer healing in human patients. However, to the best of our knowledge, the effect of vibration on the enhancements of diabetic foot ulcer healing in human patients is rarely investigated. Hence, in this work, we conducted an experimental study with human subjects to investigate whether vibration therapy, as a complement to the standard wound treatment, can accelerate the wound healing rate of diabetic neuropathic foot ulcers. In this prospective experimental study, 80 participants diagnosed with Wagner grades I–III diabetic neuropathic foot ulcers were randomly distributed to experimental (n = 40) and control groups (n = 40). Patients in the intervention group received standard wound treatment and vibration wound therapy (VWT), whereas patients in the control group retrieved only standard wound treatment. The results (p = 0.024, α = 0.05) show notable differences in the median healing rate between the intervention group (25 days, 95% CI: 20.3–29.7) and control group (33 days, 95% CI: 25.6–40.4), with the effect-size r, Cohen’s d, Glass’s Δ, and Hedges’ g, respectively, being 0.810, 2.764, 2.311, and 2.772. Moreover, the nitric oxide (NO) level, wound closure area, and wound healing score after intervention significantly differed between the two groups (p < 0.05), putting the intervention group on a higher level than the control group. Furthermore, positive associations were found between the NO level and wound healing closure rates. These findings suggested that VWT enhances diabetic neuropathic foot ulcer healing in terms of healing rate, wound closure area, healing score, and elevated NO level. Considering that no clinically adverse effects were found in the patients induced with vibration intervention, VWT can be regarded as a complementary therapy to the existing ones to accelerate the healing of DFUs.
Carpal Tunnel Syndrome (CTS), the chronic trapping of the median nerve on the wrist, is the most common peripheral lesion in the nerve. Patients usually experience nocturnal discomfort, paraesthesia and admiration affecting the innervated digits of the median nerve. A Boston Carpal Syndrome Questionnaire was used in the study. The questionnaires were distributed to 373 undergraduate students, aged between 18 till 25 in one of the public university in Selangor. Findings indicate the respondent have mild symptoms and functional severity of CTS. The majority of the respondents reported that they have mild symptoms of CTS, such as numbness and tingling. Keywords: Risk; Carpal Tunnel Syndrome; mobile games eISSN: 2398-4287 © 2022. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians/Africans/Arabians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia. DOI: https://doi.org/10.21834/ebpj.v7i20.3479
Penderita tuberculosis mengalami perlakuan yang tidak menyenangkan baik dari lingkup masyarakat, lingkungan disekitar rumah, maupun lingkungan kerja seperti adanya sebuah penolakan, dikucilkan, diskriminasi, bahkan hingga pemecatan dari tempat kerja. Stigma negative ini disebabkan karena adanya pengetahuan masyarakat mengenai penyakit tuberculosis yang masih terbatas, sehingga masyarakat minimnya sebuah informasi sehingga masyarakat memiliki persepsi yang salah terhadap penderita tuberculosis. Tujuan dari penelitian ini merupakan untuk mengetahui adanya hubungan antara persepsi dengan stigma masyarakat terhadap penderita tuberkulosis paru di wilayah kerja Puskesmas Parongpong Kecamatan Parongpong Kabupaten Bandung Barat. Metode penelitian ini menggunakan desain penelitian deskriptif korelasi dengan pendekatan cross sctional terhadap 100 sampel dengan menggunakan sebar kuesioner secara online. Sampel pada penelitian ini adalah masyarakat di wilayah kerja Puskesmas Parongpong. Pengambilan sampel dilakukan secara purposiv sampling. Analisa data menggunakan distribusi frekuensi dan untuk mengetahui hubungan menggunakan uji statistik Perason Product Moment. Dari hasil penelitian ini menunjukan tidak ada hubungan yang signifikan (p value = 0,183 > 0,05; r= 0,134) antara persepsi dengan stigma masyarakat terhadap penderita tuberkulosis paru
Majelis ta’lim memiliki fungsi strategis di masyarakat yaitu meningkatkan peran pemberdayaan masyarakat melalui pengembangan potensi ekonomi dan sosial. Majelis Ta’lim pada pengabdian masyarakat ini berada di area hijau untuk pandemic Covid-19, kondisi wilayah kecamatan ini dikelilingi oleh area kuning dan orange untuk pandemic Covid-19, sehingga wilayah ini menjadi rentan terhadap penyebaran Covid-19. wilayah ini beresiko untuk penyebaran Covid-19 jika dilihat dari kebiasaan masyarakat yang masih kurang peduli dengan menjaga jarak, kebiasaan cuci tangan masih rendah, serta minimnya penggunaan masker dan jika menggunakan masker tetapi cara pengunaannya tidak benar, serta keikutsertaan masyarakat untuk vaksinasi masih rendah. Hasil wawancara beberapa anggota majelis ta’lim menyebutkan bahwa merasa tidak perlu untuk vaksinasi karena menurutnya hal tersebut obat yang haram, serta berpendapat bahwa mati dan hidup seseorang karena Allah, dan merasa takut akibat yang ditimbulkan setelah vaksin.Solusi untuk permasalahan mitra disini adalah memberikan pendidikan dan pelatihan tentang vaksin, perubahan pola pikir tentang vaksin melalui pendekatan Qur’anic bibliotherapy, dengan melibatkan tokoh masyarakat majelis ta’lim. Pelatihan ini tidak hanya bersifat teoritis, namun diikuti praktik dan dilakukan follow up selama satu bulan, setelah selesai mengikuti pelatihan, pelaksanaan vaksin berjalan lancar dan sesuai harapan dengan cakupan 2000 peserta masyarakat desa Cinta Garut dan sekitarnya, melibatkan apparat (polisi), tenaga kesehatan dari dinas kesehatan setempat, UNISA Bandung serta puskesmas setempat.
Background: There are around 33 million stroke patients around the world. More than 12 million people experience moderate to severe moderate disabilities. Complications caused by stroke are the occurrence of decubitus/pressure ulcer due to immobilization that often occurs in the hips, buttocks, leg joints and heels. Patients who are left in an immobilized state will adversely affect the body's organs. More frequent monitoring needs to be done in patients who are immobilized to minimize the risk of pressure ulcers. Observation results coming from several hospitals yet to show particular/specific intervention towards assisted mobilization for stroke patients. This research is the beginning in the establishment of nursing care model for stroke patient in the intensive care unit for a longterm care that tends to have pressure ulcer complication. Objective: To find out about the description of the implementation of assisted stroke patient mobilization in several Pontianak hospitals in predicting the incidence of pressure ulcer. Methodology: The design of this study is descriptive with a cross sectional approach. Sampling with consecutive sampling. The total nurse respondents in this study were 68 people. The total number of stroke patients in this study were 59 people. The assessment for the observation of assisted mobilization in stroke patients by nurses use Branden Scale for predictive pressure ulcer. The results of the study were analyzed using descriptive statistical data processing. Results: The implementation of assisted mobilization in stroke patients by nurses in several Pontianak hospitals was 100% well implemented. The predictive value of pressure ulcer in stroke patients using Braden Scale treated in ICU room RSUD Dr. Soedarso most (86.7%) were at high risk, room L and HCU RSUD Dr. Soedarso was more than half (53.6%) at moderate risk, and the ICU room at Sultan Syarif Mohamad Alkadrie Hospital, half (50%) were at serious risk. Conclusion: The implementation of assisted mobilization in stroke patients by nurses was carried out well in several hospitals in Pontianak. Even though the implementation has not completely carried out according to the procedure. The standard operating procedure also needs a review because of the assisted mobilization model implemented without further assessment towards the occurrence of ulcer pressure.
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