ABSTRACT
BACKGROUND: In primigravidas, childbirth, although physiological can be a frightening event. Two factors that accompany labor are anxiety and pain. This study aims to investigate the benefits of Iyengar yoga for anxiety and labor pain in primigravida women. MATERIAL AND METHODS: The study involved 59 female primigravida subjects, which were divided into 29 controls (without the provision of yoga exercises) and 30 people who received Iyengar yoga exercise. Anxiety and the degree of labor pain will be measured using the Hamilton Scale Rating for Anxiety (HSRA) and visual analog scale (VAS), respectively. RESULTS: Iyengar yoga significantly reduced VAS and HARS values compared to controls (p < 0.05). CONCLUSION: It was concluded that Iyengar yoga in primigravida women was beneficial in reducing labor pain and anxiety. Thus, the Iyengar yoga technique can be a method for supporting the success and safety of labor.
ABSTRACT
OBJECTIVE: To determine the association between fat and vitamin E intake with quality of life in patients with pulmonary MDR-TB. METHODS: This was a cross-sectional study conducted at Dr. M. Goenawan Partowidig do Hospital, Cisarua, Indonesia, from April to May 2019. Ninety-two patients were enrolled in this study. Fat intake was assessed using 24 hours food recall, vitamin E intake was assessed using a semi-quantitative food frequency questionnaire (FFQ), and quality of life was obtained by a short form 36 questionnaire (SF 36). Data were analyzed using Pearson and Spearman correlation test. RESULTS: Subjects' mean fat intake was 32.9 ± 11.1% of total calories per-day, which meant that most of the subjects consumed enough fat. Mean vitamin E intake was 4.6 ± 2.7 mg/day, which did not meet the recommended dietary allowance (RDA). The mean quality of life score was 47.22 ± 14.9. There was a significant association between fat intake and quality of life (r = 0.22; p = 0.032) and vitamin E intake with quality of life (r = 0.22, p = 0.035). CONCLUSIONS: There is a significant association between fat and vitamin E intake with quality of life among pulmonary MDR-TB patients. Further research is needed to evaluate the intervention by modifying food intake and giving vitamin E to MDR-TB patients.
Subject(s)
Quality of Life , Tuberculosis, Multidrug-Resistant , Cross-Sectional Studies , Humans , Indonesia/epidemiology , Surveys and Questionnaires , Vitamin EABSTRACT
BACKGROUND: The decrease in coverage of exclusive breastfeeding for mothers who work in Pontianak has an impact on the decline of the baby's immune system. Prevention efforts can be done by increasing knowledge about exclusive breastfeeding tips for mothers who work by providing health education. This study aims to examine the effectiveness of the use of health education media in increasing maternal knowledge about exclusive breastfeeding tips for working mothers. MATERIALS AND METHODS: This is a quasi-experiment study with a nonrandomized design pretest and posttest control group design. The population of nursing mothers who have children aged 0-6 months. The number of samples is 140, which is divided into four groups. Data collection use direct interviews. Respondents filled out the pretest questionnaire to measure knowledge before being given health education. Then, the first group was given treatment in the form of lectures, the second group using leaflets, and the third group was given lectures first then given leaflets. After that, his knowledge was measured again through a posttest. Data analysis were used to determine the increase in the score of knowledge about exclusive breastfeeding tips for mothers who worked on each media used repeated ANOVA and Kruskal-Wallis test, while one-way ANOVA continued with post hoc Bonferroni and Friedman followed by Mann-Whitney test used to compare score differences knowledge on all three media. RESULTS: there were significant differences in knowledge, before and after being given good health education without media, with leaflets, electronic media, and electronic leaflets before. statistical tests before and after used leaflets and electronic media without media 19.85 (P ≤ 0.001), leaflets without media 8.42 (P ≤ 0.001). Electronic without media at 8.14 (P ≤ 0.001). In the pre- and post-test study, the experimental study was pseudo, 140 individuals with each group 35 individuals. CONCLUSION: The most effective method in providing health education to increase the knowledge of breastfeeding mothers about tips on exclusive breastfeeding for working mothers is electronic leaflet media.
ABSTRACT
This study aims to investigate whether an ethanolic extract of Theobroma cacao bean is able to increase cell viability and decrease IL-6 and sVCAM-1 in endothelial cells induced by plasma from preeclamptic patients. Endothelial cells were obtained from human umbilical vascular endothelial cells. At confluency, endothelial cells were divided into six groups, which included control (untreated), endothelial cells exposed to plasma from normal pregnancy, endothelial cells exposed to 2% plasma from preeclamptic patients (PP), endothelial cells exposed to PP in the presence of ethanolic extract of T. cacao (PP+TC) at the following three doses: 25, 50, and 100 ppm. The analysis was performed in silico using the Hex 8.0, LigPlus and LigandScout 3.1 software. Analysis on IL-6 and sVCAM-1 levels were done by enzyme linked immunosorbent assay (ELISA). We found that seven of them could bind to the protein NFκB (catechin, leucoanthocyanidin, niacin, phenylethylamine, theobromine, theophylline, and thiamin). This increase in IL-6 was significantly (P<0.05) attenuated by both the 50 and 100 ppm treatments of T. cacao extract. Plasma from PP significantly increased sVCAM-1 levels compared to untreated cells. This increase in sVCAM-1 was significantly attenuated by all doses of the extract. In conclusion, T. cacao extract prohibits the increase in IL-6 and sVCAM-1 in endothelial cells induced by plasma from preeclamptic patients. Therefore this may provide a herbal therapy for attenuating the endothelial dysfunction found in preeclampsia.
