scholarly journals CADRES COMPETENCE IN COMMUNITY-BASED MANAGEMENT OF CHILD ILLNESS IN BANYUMAS DISTRICT, CENTRAL JAVA, INDONESIA

2018 ◽  
Vol 4 (5) ◽  
pp. 492-501
Author(s):  
Umi Solikhah ◽  
Hari Kusnanto ◽  
Fitri Haryanti ◽  
Yayi Suryo Prabandari
Keyword(s):  
Randomized Controlled Trials ◽  
Health Center ◽  
Health Workers ◽  
Intervention Group ◽  
T Test ◽  
Control Group ◽  
P Value ◽  
Controlled Trials ◽  
Child Illness ◽  
Randomized Controlled

Background: One of the efforts in the health sector for programs to reduce infant and under-five mortality and morbidity rates is by the competence-based integrated management childhood illness (CB-IMCI) program. However, the program has been poorly implemented by health workers at the health center. Thus, the involvement of cadres is needed and their competency remains important to be improved.Objective: To quantitatively analyze cadre knowledge and competencies in the CB-IMCI program, and its relationship with the implementation of CB-IMCI, as well as to qualitatively explore and analyze the responses of cadres, health workers, and the community to the addition of cadre roles to the management of sick children.Methods: This was a mixed methods study with randomized controlled trials and qualitative method. For randomized controlled trials, 100 cadres were selected, which 50 randomly assigned in the intervention and control group. And for quantitative methods, informants included 10 cadres, 4 health workers, and 20 mothers. Paired t-test and independent t-test were employed for quantitative analysis, and triangulation was used for qualitative analysis.Results: The improvement of knowledge in the intervention group was better (I=14.42/C=4.44/p-value 0.00). The intervention group was more competent in the management of child illness (p-value 0.00). In addition, the cadres have additional competencies assisted by health workers to confidently detect cases earlier, and health center services reach a wider coverage in the community.Conclusion: The addition of cadres roles and competencies in the management of child illness in the community can be implemented in Banyumas Regency. It is suggested that the implementation of this program should be followed up in other health centers by the health department of Indonesia.

SUPPORTIVE EDUCATIVE SYSTEM DALAM MENINGKATKAN KEMANDIRIAN MERAWAT KAKI PADA PASIEN DIABETES MELLITUS TIPE II

2019 ◽  
Vol 9 (2) ◽  
pp. 63-72
Author(s):  
Nova Nurwinda Sari ◽  
Herlina Herlina
Keyword(s):  
Diabetes Mellitus ◽  
Health Center ◽  
Intervention Group ◽  
T Test ◽  
Control Group ◽  
P Value ◽  
Type Ii ◽  
Foot Care ◽  
Control Group Design ◽  
Patients With Diabetes

Diabetes mellitus dapat menyebabkan cukup banyak komplikasi seperti kelainan mata, kelainan ginjal, kelainan pembuluh darah dan kelainan pada kaki. Penderita diabetes mellitus yang mengalami komplikasi kronis perlu diberikan upaya preventif untuk mencegah komplikasi, salah satunya adalah kemampuan perawatan kaki. Penelitian ini dilakukan untuk menguji efektivitas supportive educative system dalam meningkatkan kemandirian perawatan kaki pada pasien dengan diabetes mellitus Tipe II di Puskesmas Permata Sukarame, Bandar Lampung. Penelitian ini menggunakan metode quasy eksperimen dengan desain pretest-posttest with control group dengan total masing-masing kelompok sebanyak 18 responden. Pengumpulan data dilakukan dengan menyebarkan kuesioner kepada responden yang memenuhi kriteria inklusi penelitian. Penelitian ini diuji menggunakan analisis univariat, bivariat dan uji T-test. Hasil penelitian menunjukkan bahwa terdapat perbedaan rata-rata dalam kemandirian perawatan kaki pada kelompok intervensi dan kelompok kontrol dengan p-value 0,000. Pendidikan dan praktik perawatan kaki harus diberikan sejak dini sebagai upaya pencegahan untuk komplikasi.   Kata kunci : Supportive educative system, kemandirian perawatan kaki   SUPPORTIVE EDUCATIVE SYSTEM IN IMPROVING INDEPENDENCE OF FOOT CARE IN PATIENTS WITH DIABETES MELLITUS TYPE II   ABSTRACT Diabetes mellitus can cause quite a lot of complications such as eye disorders, kidney disorders, vascular disorders and abnormalities in the legs. Patients with diabetes mellitus who have chronic complications need to be given a preventive effort to prevent complications, one of which is foot care ability. This research was conducted to examine the effectiveness of supportive educative systems in increasing the independence of foot care in patients with Type II diabetes mellitus in the Permata Sukarame Health Center Bandar Lampung Working Area. This study used a quasi-experimental method with pretest-posttest with control group design with a total of 18 respondents each. Data collection is done by distributing questionnaires to respondents who meet the research inclusion criteria. This study was tested using univariate, bivariate, T-Test analysis. The results showed that the mean differences in the independence of foot care in the intervention group and the control group in the Permata Sukarame Community Health Center work area with a p-value of 0,000. Education and practice of foot care should be given early as a preventative effort for complications.   Keywords: Supportive educative system, independence of foot care

scholarly journals Liver-related safety assessment of green tea extracts in humans: a systematic review of randomized controlled trials

2016 ◽  
Vol 70 (11) ◽  
pp. 1221-1229 ◽  
Author(s):  
T Isomura ◽  
S Suzuki ◽  
H Origasa ◽  
A Hosono ◽  
M Suzuki ◽  
...  
Keyword(s):  
Systematic Review ◽  
Adverse Events ◽  
Randomized Controlled Trials ◽  
Green Tea ◽  
Case Reports ◽  
Intervention Group ◽  
Control Group ◽  
Controlled Trials ◽  
Cochrane Central Register ◽  
Randomized Controlled

Abstract There remain liver-related safety concerns, regarding potential hepatotoxicity in humans, induced by green tea intake, despite being supposedly beneficial. Although many randomized controlled trials (RCTs) of green tea extracts have been reported in the literature, the systematic reviews published to date were only based on subjective assessment of case reports. To more objectively examine the liver-related safety of green tea intake, we conducted a systematic review of published RCTs. A systematic literature search was conducted using three databases (PubMed, EMBASE and Cochrane Central Register of Controlled Trials) in December 2013 to identify RCTs of green tea extracts. Data on liver-related adverse events, including laboratory test abnormalities, were abstracted from the identified articles. Methodological quality of RCTs was assessed. After excluding duplicates, 561 titles and abstracts and 119 full-text articles were screened, and finally 34 trials were identified. Of these, liver-related adverse events were reported in four trials; these adverse events involved seven subjects (eight events) in the green tea intervention group and one subject (one event) in the control group. The summary odds ratio, estimated using a meta-analysis method for sparse event data, for intervention compared with placebo was 2.1 (95% confidence interval: 0.5–9.8). The few events reported in both groups were elevations of liver enzymes. Most were mild, and no serious liver-related adverse events were reported. Results of this review, although not conclusive, suggest that liver-related adverse events after intake of green tea extracts are expected to be rare.

scholarly journals Tai Chi as a Therapy of Traditional Chinese Medicine on Reducing Blood Pressure: A Systematic Review of Randomized Controlled Trials

2021 ◽  
Vol 2021 ◽  
pp. 1-13
Author(s):  
Xiandu Pan ◽  
Li Tian ◽  
Fan Yang ◽  
Jiahao Sun ◽  
Xinye Li ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Randomized Controlled Trials ◽  
Tai Chi ◽  
Meta Analysis ◽  
Bodily Pain ◽  
Intervention Group ◽  
Control Group ◽  
Controlled Trials ◽  
Randomized Controlled ◽  
Tai Chi Exercise

Objective. This study systematically evaluated the effects of Tai Chi exercise on blood pressure, body mass index (BMI), and quality of life (QOL) in patients with hypertension. A meta-analysis was performed to provide a reliable reference for clinical practice. Methods. We searched for randomized controlled trials (RCTs) in five English databases and two Chinese databases, with the earliest data dated December 5, 2020. A quality assessment of the methods and a meta-analysis were also conducted. Results. The meta-analysis of 24 studies showed that the intervention group showed better outcomes in terms of systolic blood pressure (SBP) (SMD −1.05, 95% CI −1.44 to −0.67, P ≤ 0.001 ; I2 = 93.7%), diastolic blood pressure (DBP) (SMD −0.91, 95% CI −1.24 to −0.58, P ≤ 0.001 ; I2 = 91.9%), and QOL (physical functioning (SMD 0.86, 95% CI 0.36 to 1.37, P = 0.001 ; I2 = 91.3%), role-physical (SMD 0.86, 95% CI 0.61 to 1.11, P ≤ 0.001 ; I2 = 65%), general health (SMD 0.75, 95% CI 0.32 to 1.17, P = 0.001 ; I2 = 88.1%), bodily pain (SMD 0.65, 95% CI 0.29 to 1.00, P ≤ 0.001 ; I2 = 83.1%), vitality (SMD 0.71, 95% CI 0.34 to 1.07, P ≤ 0.001 ; I2 = 84.3%), social functioning (SMD 0.63, 95% CI 0.07 to 1.19, P = 0.027 ; I2 = 93.1%), role-emotional (SMD 0.64, 95% CI 0.22 to 1.06, P = 0.003 ; I2 = 88.1%), and mental health (SMD 0.73, 95% CI 0.31 to 1.16, P = 0.001 ; I2 = 88.2%)) compared to those of the control group. However, no significant improvements were seen in BMI of the intervention group (SMD −0.08, 95% CI −0.35 to −0.19, P = 0.554 ; I2 = 69.4%) compared to that of the control group. Conclusion. Tai Chi is an effective intervention to improve SBP and DBP in patients with essential hypertension.

scholarly journals Effects of the Small-Sided Soccer Games on Blood Pressure in Untrained Hypertensive Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Healthcare ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 345
Author(s):  
Filipe Manuel Clemente ◽  
Rodrigo Ramirez-Campillo ◽  
Hugo Sarmento
Keyword(s):  
Systematic Review ◽  
Blood Pressure ◽  
Randomized Controlled Trials ◽  
Diastolic Blood Pressure ◽  
Meta Analysis ◽  
Intervention Group ◽  
Control Group ◽  
Controlled Trials ◽  
Control Groups ◽  
Randomized Controlled

This systematic review with meta-analysis was conducted to assess the effects of small-sided games (SSGs)-based programs on the systolic and diastolic blood pressure of untrained hypertensive adults. The data sources utilized were Web of Science, Scopus, SPORTDiscus, and PubMed. The eligibility criteria were: (i) randomized controlled trials including a control group and an intervention group exclusively using soccer SSGs; (ii) intervention and control groups including an untrained hypertensive adult population; (iii) articles written in English; and (iv) only full-text and original articles. The database search initially identified 241 titles. From those, five articles were eligible for the systematic review and meta-analysis. The included randomized controlled studies involved five individual experimental groups and 88 participants, and 68 participants in the five control groups. The results showed a large and beneficial effect of SSG on systolic (ES = 1.69; 95% CI = 0.71 to 2.66; p = 0.001; I2 = 85.2%; Egger’s test p = 0.101) and diastolic blood pressure (ES = 2.25; 95% CI = 1.44 to 3.06; p < 0.001; I2 = 74.8%; Egger’s test p = 0.118) when compared to the control groups. The findings of the current systematic review and meta-analysis revealed consistent beneficial effects of recreational soccer SSGs on untrained men and women from the hypertensive population, although high levels of heterogeneity.

scholarly journals PENGARUH KONSUMSI BUAH KURMA (PHOENIX DACTYLIFERA)DAN TABLET FeTERHADAP KENAIKAN KADAR HEMOGLOBIN (Hb)PADA IBU HAMIL DENGAN ANEMIA

2021 ◽  
Vol 7 (3) ◽  
pp. 555-561
Author(s):  
Dessy Hermawan ◽  
Yohana Christine Simatupang ◽  
Susilawati Susilawati ◽  
Devi Kurniasari ◽  
Ledy Octaviani Iqmy
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Health Center ◽  
Health Workers ◽  
Hemoglobin Level ◽  
T Test ◽  
Control Group ◽  
P Value ◽  
Purposive Sampling ◽  
Average Hemoglobin

Background AKI cases in Lampung continue to increase, based on information from the Lampung Provincial Health Office in 2015 there were 122 AKI in Lampung. That number increased to 144 cases in 2015 and in 2016 it reached 138 cases and in 2017 it reached 142 cases. While the incidence of anemia in pregnant women in Pesawaran Regency in 2016 was 14.4%, and in 2017 it was 15.4%.The purpose of this study was to determine the effect of consuming dates and Fe tablets on the increase in hemoglobin levels in pregnant women with anemia at the Hanura Health Center, Teluk Pandan District, Pesawaran Regency in 2019.Methods Types of Quantitative Research, the research design is a quasi-experimental method with a pretest-posttest approach with a control group. The population in this study were all pregnant women in the second and third trimesters with anemia who performed Antenatal Care (ANC) at the Hanura Health Center, Teluk Pandan District, Pesawaran Regency, namely 56 pregnant women who experienced anemia. With a sample of 30 people made into 2 groups, 15 people were treated with dates and Fe tablets, and 15 people were treated with Fe tablets, with the inclusion criteria of all pregnant women with mild anemia, Respondents with full awareness, Willing to be research subjects, Respondents taking FE tablets. By using purposive sampling technique. Analysis of univariate and bivariate data with independent T-test.The results showed the average hemoglobin level before consumption of dates and Fe tablets was 9.907 g/dl., the average hemoglobin level after consumption of dates and Fe tablets was 11.320 g/dl., the average hemoglobin level before consumption of Fe tablets was 9.867. gr/dl., the average hemoglobin level after consuming Fe tablets was 10,667 gr/dl.The conclusion is that there is an influence of the consumption of dates and Fe tablets on the increase in hemoglobin levels in pregnant women with anemia at the Hanura Health Center, Teluk Pandan District, Pesawaran Regency in 2019. The t test results obtained p value 0.000 < (0.05).Suggest for health workers, especially midwives, to recommend pregnant women to consume dates as a supplement for Fe because it can increase hemoglobin levels in pregnant women. Keywords: Dates, Fe tablets, hemoglobin levels ABSTRAK Latar Belakang Kasus AKI di Lampung terus meningkat, berdasarakan keterangan Dinas Kesehatan Provinsi Lampung pada 2015 terdapat 122 AKI di Lampung. Jumlah itu meningkat menjadi 144 kasus di tahun 2015 dan tahun 2016 mencapai 138 kasus dan pada tahun 2017 mencapai 142 kasus. Sedangkan angka kejadian anemia pada ibu hamil di Kabupaten Pesawaran pada tahun 2016 sebanyak 14,4%, dan pada tahun 2017 sebanyak 15,4%.Tujuan dari penelitian iUntuk mengetahui pengaruh konsumsi buah kurma  dan tablet fe terhadap kenaikan kadar hemoglobin pada ibu hamil dengan anemia di Puskesmas Hanura Kecamatan Teluk Pandan Kabupaten Pesawaran Tahun 2019.Metode Jenis Penelitian Kuantitatif, rancangan penelitian metode quasi eksperimen dengan pendekatan pretest-posttest with control group. Populasi dalam penelitian ini adalah seluruh ibu hamil trimester II dan trimester III dengan anemia yang melakukan Antenatal Care (ANC) di Puskesmas Hanura Kecamatan Teluk Pandan Kabupaten Pesawaran yaitu sebanyak 56 ibu hamil yang mengalami anemia. Dengan jumlah sampel 30 orang  di buat dalam 2 kelompok yaitu 15 orang diberikan perlakuan dengan kurma dan tablet fe, dan 15 orang diberikan perlakun dengan tablet fe, dengan kriteria inklusi seluruh ibu hamil dengan anemi ringan, Responden dengan kesadaran penuh, Bersedia menjadi subjekpenelitian, Responden mengkonsumsi tablet FE. Dengan teknik sampling purposive sampling. Analisa data univariat dan bivariate  dengan uji T-test independent.Hasil penelitian menunjukan rata-rata kadar hemoglobin sebelum konsumsi kurma dan tablet Fe sebesar 9,907 gr/dl.,rata-rata kadar hemoglobin setelah konsumsi kurma dan tablet Fe sebesar 11,320 gr/dl., rata-rata kadar hemoglobin sebelum konsumsi tablet Fe sebesar 9,867 gr/dl., rata-rata kadar hemoglobin setelah konsumsi tablet Fe sebesar 10,667 gr/dl.Kesimpulan diketahui ada perngaruh konsumsi buah kurma dan tablet Fe terhadap kenaikan kadar hemoglobin pada ibu hamil dengan anemia di Puskesmas Hanura Kecamatan Teluk Pandan Kabupaten Pesawaran Tahun 2019. Hasil uji t didapat p value 0,000 < α (0,05).Sarankan bagi tenaga kesehatan khususnya bidan agar menganjurkan kepada ibu hamil untuk mengkonsumsi kurma sebagai pendamping Fe karena dapat menaikan kadar hemoglobin pada ibu hamil. Kata Kunci : Kurma, Tablet Fe, Kadar hemoglobin 

Audiovisual Educational Intervention for Children and Adolescent with Cancer: A Systematic Review

2020 ◽  
Author(s):  
Noyuri Yamaji ◽  
Daichi Suzuki ◽  
Maiko Suto ◽  
Erika Ota
Keyword(s):  
Randomized Controlled Trials ◽  
Educational Intervention ◽  
Self Efficacy ◽  
Cancer Education ◽  
Intervention Group ◽  
Educational Interventions ◽  
Control Group ◽  
Controlled Trials ◽  
Children And Adolescent ◽  
Randomized Controlled

Abstract Background : Audiovisual materials for children have been widely used for cancer education; however, the effects of the materials remain unclear. The purpose of this study was to clarify the effects of audiovisual educational interventions for children.Methods : We searched PubMed, EMBASE, CENTRAL, PsycINFO, and CINAHL on 3 September 2018. Randomized controlled trials and quasi-randomized controlled trials that evaluated the audiovisual materials for children with cancer were included to identify the effects of the audiovisual interventions. The results of the analysis were evaluated using the Grade of Recommendation, Assessment, Development and Evaluation to assess the certainty of evidence.Results: From the identified 5,367 studies, we included four reports based on two trials that included 388 children under 18 years old. One trial found that audiovisual educational intervention increased knowledge and self-efficacy (very low certainty of the evidence). The other trial reported that there were no clear differences in perceived stress and health locus of control (very low certainty of the evidence). The result of the meta-analysis indicated that there was no clear difference between the intervention group and the control group for the quality of life (very low certainty of the evidence).Conclusion: Audiovisual interventions might increase knowledge and self-efficacy, but there were no meaningful overall conclusions. Further trials are needed to assess educational interventions used in pediatric cancer treatment. Healthcare professionals should consider whether the materials they are currently using to communicate cancer-related information are sufficient and understandable for children with cancer.Systematic review registration: We registered the protocol to the PROSPERO (Registration: CRD42018110562)

scholarly journals Effect of A Feedback Intervention on Antibiotic Prescription Control: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

2020 ◽  
Author(s):  
Yue Chang ◽  
Zhezhe Cui ◽  
Guanghong Yang ◽  
Xin Zhang ◽  
Lei Tang
Keyword(s):  
Systematic Review ◽  
Randomized Controlled Trials ◽  
Antibiotic Prescription ◽  
Meta Analysis ◽  
Intervention Group ◽  
Control Group ◽  
Controlled Trials ◽  
Feedback Intervention ◽  
Randomized Controlled ◽  
Feedback Interventions

Abstract Background The global health system is improperly using antibiotics. We aimed to examine the effectiveness of implementing a feedback intervention for the unreasonable control of antibiotic prescriptions. Methods Relevant literature published in the databases of Pubmed, Google Scholar, Cochrane Central Register of Controlled Trials (CENTRAL), Chinese Journal Full-text (CNKI), Science Direct, Proquest and Wanfang was searched. Data were independently filtered and extracted based on the pre-designed inclusion and exclusion criteria by two reviewers. The Cochrane collaborative bias risk tool was used to evaluate the quality of the included study. RevMan 5.3 software was used for meta-analysis. Results Nine relevant randomized controlled trials were included in this study, of which 1 was written in Chinese and 8 in English. Tabulation resulted in a total of 238,196 prescriptions (103,370 in the intervention group and 134,826 in the control group) from seven countries: China, the United States, England, Spain, Norway, Germany, and France. The meta-analysis showed that the antibiotic prescription rate in the intervention group was significantly lower than that in the control group after the feedback intervention, and the difference was statistically significant (risk difference = -0.12, 95% CI = -0.16, -0.07, P <0.01). Due to the large heterogeneity of the results, subgroup analysis was performed according to the study area, whether prescription recommendations were given to doctors by peer experts, and the intervention mode. Conclusion Implementing feedback interventions in hospitals can effectively reduce antibiotic prescription rates. Adding multiple feedback interventions to educational interventions may be a more reasonable control method.Registrations: This systematic review was registered in PROSPERO, registration number: CRD42020192560.

Pengaruh Teknik Relaksasi Benson Terhadap Tekanan Darah Pada Penderita Hipertensi

2019 ◽  
Vol 4 (3) ◽  
pp. 641
Author(s):  
Tiurmaida Simandalahi ◽  
Weni Sartiwi ◽  
Elisabeth Novita Angriani L.Toruan
Keyword(s):  
Blood Pressure ◽  
Health Center ◽  
Alternative Therapy ◽  
Intervention Group ◽  
Control Design ◽  
Sampling Technique ◽  
T Test ◽  
Relaxation Technique ◽  
Control Group ◽  
P Value

<p>Kasus Hipertensi meningkat setiap tahunnya, dan menempati urutan pertama 10 penyakit terbanyak di Kota Sungai Penuh. Kasus yang ditandai dengan peningkatan tekanan darah abnormal ini, dapat mengakibatkan beban kerja jantung meningkat, dan menimbulkan kerusakan jantung serta pembuluh darah, sehingga sering menyebabkan kematian. Penelitian bertujuan untuk mengetahui Pengaruh Teknik Relaksasi Benson terhadap Tekanan Darah pada Penderita Hipertensi<em>.</em><em> </em>Jenis penelitian <em>Quasy Exsperiment</em>, dengan <em>Two Group Pretest Posttest With Control Design</em>. Populasi: seluruh penderita hipertensi di Wilayah Kerja Puskesmas Sungai Penuh berjumlah 412 orang, dengan teknik <em>accidental sampling </em>sebanyak 16 responden. Analisa data menggunakan univariat dan bivariat dengan <em>t-test Independent</em>. Hasil didapatkan rerata tekanan darah kelompok kontrol: pretest sistolik 162.13 dan diastolik 112.88, sedangkan <em>posttest</em> sistolik 140.50 dan diastolik 87.00. Kelompok intervensi: pre test sistolik 163.50 dan diastolik 113.50, sedangkan post test sistolik 131.50 dan diastolik 78.63. Terdapat pengaruh teknik relaksasi benson terhadap tekanan darah penderita Hipertensi dengan p <em>value</em> kelompok kontrol 0.026 dan kelompok intervensi 0.023. Disimpulkan terdapat perbedaan tekan darah baik sebelum dan sesudah pemberian terapi,<em> </em>sehingga dapat dilanjutkan secara mandiri oleh penderita Hipertensi. Disarankan melalui kepala puskesmas untuk dapat menjadikan terapi ini sebagai terapi alternatif utama dalam menurunkan tekanan darah.  <strong></strong></p><p> </p><p><em>Hypertension cases increase every year and ranks first 10 most diseases in Sungai Penuh City.</em><em> </em><em>Hypertension is marked by an increase in abnormal blood pressure, thereby increasing the workload of the heart, and potentially causing damage to the heart and blood vessels. </em><em>The aim of the study was to determine the effect of Benson Relaxation Technique on blood pressure in Hypertension Patients. </em><em>This research uses Quasy Exsperiment design with Two Group </em><em>Pretest</em><em> Posttest With Control Design</em><em>. The study population was all hypertensive patients in the Sungai Penuh Community Health Center with a total of 412 people. The sampling technique was purposive sampling arround 16 respondents. Data analysis using univariate and bivariate with Independent t-test statistical test.</em><em> </em><em>The results showed the mean blood pressure in the control group: pretest systolic 162.13 and diastolic 112.88, posttest systolic 140.50 and diastolic 87.00. In the intervention group, pretest systolic 163.50 and diastolic 113.50, posttest systolic 131.50 and diastolic 78.63, and there was an effect of the benson relaxation technique on blood pressure in control group (p-value 0.026) and intervention group (p-value 0.023)</em><em>.</em><em> </em><em>It was concluded that there were differences in blood pressure both before and after the administration of therapy, so that it could be continued independently by hypertension sufferers. </em><em>It is recommended through the head of the health center to be able to make this therapy as the main alternative therapy in reducing blood pressure.</em></p><p> </p>

scholarly journals Effect of Phonophoresis On Patients With Knee Osteoarthritis: A Systematic Review And Meta-Analysis of Randomized Controlled Trials

2021 ◽  
Author(s):  
Fu-An Yang ◽  
Hung-Lun Chen ◽  
Chih-Wei Peng ◽  
Tsan-Hon Liou ◽  
Reuben Escorpizo ◽  
...  
Keyword(s):  
Systematic Review ◽  
Knee Osteoarthritis ◽  
Randomized Controlled Trials ◽  
Large Scale ◽  
Meta Analysis ◽  
Intervention Group ◽  
Cochrane Library ◽  
Control Group ◽  
Controlled Trials ◽  
Randomized Controlled

Abstract Phonophoresis is an alternative treatment for knee osteoarthritis. However, evidence supporting the advantages of phonophoresis remains inconsistent. This systematic review and meta-analysis was conducted to illustrate the effect of phonophoresis. The PubMed, Cochrane Library, and Embase databases were searched for relevant studies from the date of their inception to 28 June, 2021. The eligibility criteria were: (1) randomized controlled trials (RCTs); (2) patients diagnosed as having knee osteoarthritis; (3) treatment with either phonophoresis or therapeutic ultrasound with placebo gels; and (4) reporting clinical and functional outcomes. Continuous variables are expressed as standardized mean differences (SMDs) with 95% confidence intervals (CIs). Analysis was performed using RevMan 5.3 software. The analysis included nine RCTs covering a total of 423 patients. The intervention group significantly outperformed the control group in visual analog scale score [SMD = −0.65, 95% CI (−1.04, −0.25), P = 0.001], Western Ontario and McMaster Universities Arthritis Index (WOMAC) score [SMD = −0.71, 95% CI (−1.26, −0.16), P = 0.01], and walk test score [SMD = −0.67, 95% CI (−1.21, −0.13), P = 0.02]. As a result, phonophoresis might alleviate pain and improve function in the short term. Further high-quality, large-scale RCTs are required to confirm the benefits.

Interventions for enhancing return to work in individuals with a common mental illness: systematic review and meta-analysis of randomized controlled trials

2016 ◽  
Vol 46 (16) ◽  
pp. 3263-3274 ◽  
Author(s):  
Y. T. Nigatu ◽  
Y. Liu ◽  
M. Uppal ◽  
S. McKinney ◽  
S. Rao ◽  
...  
Keyword(s):  
Systematic Review ◽  
Sick Leave ◽  
Return To Work ◽  
Randomized Controlled Trials ◽  
Common Mental Disorders ◽  
Meta Analysis ◽  
Intervention Group ◽  
Control Group ◽  
Controlled Trials ◽  
Randomized Controlled

Common mental disorders (CMDs) are highly prevalent in the working population, and are associated with long-term sickness absence and disability. Workers on sick leave with CMDs would benefit from interventions that enable them to successfully return to work (RTW). However, the effectiveness of RTW interventions for workers with a CMD is not well studied. The objective of this review is to assess the effectiveness of existing workplace and clinical interventions that were aimed at enhancing RTW. A systematic review of studies of interventions for improving RTW in workers with a CMD was conducted. The main outcomes were proportion of RTW and sick-leave duration until RTW. Randomized controlled trials (RCTs) were identified from Medline/PubMed, PsycINFO, EMBASE, SocINDEX, and Human resource and management databases from January 1995 to 2016. Two authors independently selected studies, assessed risk of bias and extracted data. We pooled studies that we deemed sufficiently homogeneous in different comparison groups and assessed the overall quality of the evidence. We reviewed 2347 abstracts from which 136 full-text articles were reviewed and 16 RCTs were included in the analysis. Combined results from these studies suggested that the available interventions did not lead to improved RTW rates over the control group [pooled risk ratio 1.05, 95% confidence interval (CI) 0.97–1.12], but reduced the number of sick-leave days in the intervention group compared to the control group, with a mean difference of −13.38 days (95% CI −24.07 to −2.69).

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