scholarly journals Plantar pressure sore formation during advanced phases of pregnancy and the effect of special footwear

2018 ◽  
Vol 12 (1) ◽  
pp. 25-29 ◽  
Author(s):  
Marta Gimunová ◽  
Ondřej Mikeska ◽  
Jitka Hanzlová ◽  
Martin Zvonař

Plantar pressure sore occurrence is an indicator of increased plantar pressures which may develop into subsequent foot problems and pain. Therefore, the aim of this study was to assess the effect of special footwear on plantar pressure sore distribution. 67 healthy pregnant women participated at all data collection session at their 27, 32 and 37 gestational weeks. At each data collection session, the plantar pressure sore distribution was assessed for both feet. During the first data collection session participants were randomly divided into a control and experimental group. Experimental group obtained the special footwear. For the control group, the results show an increased in pressure sores occurrence in the medial edge of thumb and first metatarso-phalangeal joint. The special footwear introduction in the experimental group increased the pressure sore occurrence at the edge of the heel, probably associated with the plantar pressure redistribution more to the heel area. The distribution of pressure sore areas of the control and experimental group is in accordance with our hypothesis that the special footwear redistributes the plantar pressures, however, the trend of these changes is not clear as there are many factors influencing the foot condition during advanced stages of pregnancy.

Author(s):  
Ide Pustaka Setiawan ◽  
Noviarina Kurniawati ◽  
Rr. Siti Rokhmah Projosasmito

Background: One of the factors influencing the validity and reliability of the assessment is the standardization of the observers in assessing students’ performance. A recent study by Setiawan (2011) found that there is differences in the standard of assessment used by general practitioners and specialized doctors in assessing students in OSCE.7 These differences are considered to be harmful for the students, therefore needs to be improved. Several training methods are developed to overcome the problem. This study aims to assess whether rubric and multi video can be used as a means of standardization of OSCE observers.Method: This was an experimental action research. The instruments used in this study were checklist, rubric, and video recording of students doing OSCE (n=5), which further be called multi-video. The subjects of the study were the OSCE observers in station Integrated Patient Management (IPM) who were divided into control and treatment group. The subjects assessed students’ performance from the multi-video in two data collection sessions. In the first session, both control and treatment group used checklist for assessing the multi-video. Furthermore in the second session, the control group did as the first data collection session, while the treatment group used checklist and rubric for assessing the multivideo. The result of which compared and tested using independent sample t-test.Results: As many as 33 observers, which consists of 23 general practitioners (GP) and 10 specialized doctors (SP), participated in the first data collection session. In the second data collection session, 28 observers consist of 20 GPs and 8 SPs participated. The result of the first data collection session, which used only checklist as an instrument, showed a significant difference in the standard of assessment used by the GPS and SPs (p<0.05), whereas the second data collection session, which used rubric as an additional instrument for the treatment group, showed no significant difference between GPs and SPs in the standard of assessment (p>0.05).Conclusion: Rubrics and multi video can be used as a means of standardization of OSCE observer in assessing students’ performance. 


Author(s):  
Maryam Hajikari ◽  
Soheila Mojdeh ◽  
Mohsen Shariari

Introduction The incidence of gastric ulcers in patients with abdominal stoma is high and affects the quality of patients’ life. Aim To evaluate the effect of Adib herbal ointment containing chamomile rose, black nightshade origin versus Comfeel and Conveen ointments on the skin of abdominal stoma. Material and methods This is a clinical study in which the volunteers were stoma patients. Study group consisted of 52 qualified subjects, 26 were included in the experimental group and 26 in the control group. A 2-part questionnaire was used for the data collection. The 1st part was demographic information. The 2nd part of the data collection was evaluated according to the pressure ulcer scale for healing (PUSH) tool, which used for examining skin ulcers around the stoma. P ≤ 0.05 was considered as a significant. Results and discussion The results of the Mann–Whitney test showed that between the mean score of the total score of the wound before intervention (P = 0.92) and on the 3rd day (P = 0.476), 6th (P = 0.222), 9th (P = 0.11) and 12th (P = 0.418), there was no significant difference between the control and test groups. Also, the Friedman test (intra-group) also showed that between the mean score of the total score of the wound before the intervention and the 3rd, 6th, 9th and 12th days in the control group (P = 0.0001) and in the experimental group (P = 0.0001) There was a significant statistical difference. Conclusions Based on the study, Adib herbal ointment could be recommended for the treatment of stoma to the skin as an herbal product as other common treatments.


Author(s):  
Şule Çelik Korkmaz ◽  
Çiğdem Karatepe

This study aims to investigate the effects of multisensory vocabulary teaching (MSVT) on 4th-grade learners' English vocabulary knowledge. Accordingly, the experimental group was taught through MSVT while the control group was given mainstream coursebook-based instruction. Both quantitative and qualitative data collection instruments were used. The non-parametric Wilcoxon tests yielded statistically significant differences regarding pupils' vocabulary achievement in favor of the experimental group both in the immediate post-vocabulary test and in the delayed post-vocabulary test. Furthermore, content analysis of the learners' diaries, teachers' blogs, and interviews revealed mostly positive views about learning words through MSVT compared to coursebook-based learning.


Pain Medicine ◽  
2019 ◽  
Vol 21 (2) ◽  
pp. e172-e181 ◽  
Author(s):  
María Benito-de-Pedro ◽  
Ricardo Becerro-de-Bengoa-Vallejo ◽  
Marta Elena Losa-Iglesias ◽  
David Rodríguez-Sanz ◽  
Daniel López-López ◽  
...  

Abstract Objective To determine the immediate efficacy of a single session of deep dry needling (DDN) vs ischemic compression (ICT) in a latent myofascial trigger point (MTrP) of the shortened triceps surae from triathletes for ankle dorsiflexion and redistribution of plantar pressures and stability. Design A randomized simple blind clinical trial (NCT03273985). Setting An outpatient clinic. Subjects Thirty-four triathletes with a latent MTrP in the shortened gastrocnemius. Methods Triathletes were randomized to receive a single session of DDN (N = 17) or ICT (N = 17) in a latent MTrP of the shortened triceps surae. The primary outcome was ankle dorsiflexion range of motion (ROM) by a universal goniometer. Secondary objectives were distribution of dynamic and static plantar pressures by T-Plate platform pressure, with measurements both before and after five, 10, 15, 20, and 25 minutes of treatment. Results There were no statistically significant differences (P &gt; 0.05) for ankle dorsiflexion ROM or dynamic and static plantar pressures between the experimental group treated with DDN and the control group treated with ICT before and after treatment. Conclusions DDN vs ICT carried out in latent MTrPs of the shortened gastrocnemius of triathletes did not present differences in terms of dorsiflexion ROM of the tibiofibular-talar joint or in static and dynamic plantar pressure changes before and immediately after treatment.


Lupus ◽  
2020 ◽  
Vol 29 (8) ◽  
pp. 884-891
Author(s):  
Hülya Kankaya ◽  
Ayfer Karadakovan

Objective The aim of this study was to determine the effect of web-based education and counselling for patients with systemic lupus erythematosus on self-efficacy, fatigue and assessment of care. Methods The study was conducted as a randomized controlled trial. The study sample consisted of 80 patients divided into two groups: the experimental group ( n = 40) and a control group ( n = 40). Randomization was performed by simple random sampling. At the beginning of the study (month 0), data-collection forms were administered to both groups. Web-based education was carried out for the first three months, and counselling and information updates were given for the next three months for the experimental group. In the intervention process, the control group just received standard care. After six months, data-collection forms were administered to both groups again. Results The mean age of the participants in the experimental and control groups was 35.58 ± 8.40 years and 39.00 ± 12.71 years, respectively. In both groups, 95% of patients were women. Wilcoxon’s test was used for within-group comparisons before and after the study. The Mann–Whitney U-test was used to evaluate the difference between the two groups before the intervention and between the two groups after the intervention. We found that there was a significant improvement in fatigue, self-efficacy and assessment of chronic illness care in the experimental group at the end of the study ( p < 0.05). Conclusions The intervention had a positive effect on self-efficacy, fatigue and satisfaction with chronic illness. In accordance with the results, similar studies should be conducted for different patient groups in order to strengthen the results.


2017 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Akhtiar Sigit Samseno

<p>The research problem is there are students with low learning skills. Research purposes, (1) describe the implementation of group guidance in schools, (2) describe the skill level of student learning, (3) knowing the effectiveness of group guidance with mind maps and self-reward to learning skills. Experimental research methods, types of design randomized pretest-posttest control group design. Samples totaling 20 students of class VII were randomly selected low level of learning skills. The data collection instruments using a scale of learning skills. Analysis using Independent Sample T-test. The results of research (1) group guidance in schools has been done is not yet complete, (2) there is a category of students learning skills are low, (3) group guidance and with a mind map self-reward effectively increase the learning skills of students based on the significance of 0.000 &lt;0.05 and an increase in the experimental group was 24.58%, 1.04% control group. Conclusions of this research, (1) the guidance group has done and has not been not maximal, (2) there is a category of students learning skills are low, (3) group guidance with a mind map and self-reward effectively increase students' learning skills.</p>


2020 ◽  
Author(s):  
JunNa Zhai ◽  
YuSheng Qiu ◽  
Lina Shao

Abstract Background: It is still controversial that if juveniles with flexible flatfeet need to be treated. Some believed they did not need the treatment unless they felt pain after exercise. However, as living standards rise, the amount of exercise among teenagers is declining. The juveniles with flexible flatfeet don’t feel pain not because they don’t have symptoms, but because they rarely walk. This study recruited juveniles with flexible flatfoot to find out if there was other determinant of treatment. Methods: We recruited an experimental group with 20 severe flexible flatfeet and a control group with 20 severe flexible flatfeet. The contact area and load rate were measured separately. Then the subjects of experimental group were treated by exercise therapy for 8 weeks, and the plantar pressure data were measured again. The repeated measure was used to analyze the data. Results: The contact area and load rate of mid foot decreased significantly in experimental group after 8-week treatment. All the subjects of experimental group did not feel any uncomfortable during the treatment. While the two kinds of data in control group were not changed much between pre-after measurements. Conclusion: Exercise therapy could effectively improve the severe flexible flatfoot. If the juveniles with flexible flatfoot need the treatment should not depend on the symptoms only, but also on the severity. The juveniles with severe flexible flatfoot should be treated as soon as diagnosed.


2015 ◽  
Vol 5 (4) ◽  
pp. 361-374 ◽  
Author(s):  
Gülcan Uyar ◽  
Ayten Pınar Bal

This study has conducted to reveal the effect of the problem based learning on academic success in the 6th grade math lesson. The working group of the study consists of 79 students who are 6th grade at Ismetpasa Secondary School in Düzce. The study has been designed in the model of pretest-posttest control group. "Mathematics success test" and "Semi-constructed interview form on the problem based learning" have been applied as data collection tool. Data has been tested with the analysis of both covariance and content. There is an important difference between pretest results and posttest results when the pretest points have been controlled. When the opinions of experimental group related to these learning methods have been examined these opinions provide the permanent learning, improve the success and develop the skills on problem solving.


2018 ◽  
Vol 17 (2) ◽  
pp. 67-81
Author(s):  
Musyawir Musyawir ◽  
Saiful Ma’lul

AbstractThis study aims to determine whether or not there is any impact of the activity of red cross youth organization to the effective speaking ability of the students of class XI SMA Negeri 2 Panca Rijang Sidenreng Rappang Regency. This research uses two variables, namely the activity of the red cross youth organization as independent variabel (experimental group) and the ability to speak effective as a dependent variabel (control group). The population in this study is all students of class XI SMA Negeri 2 Panca Rijang Sidenreng Rappang Regency as many as 193 students, while the sample is 15% of the total population, which is 30 students. Data collection technique in this studi, ie documentation techniques then the results obtained from these techniques are further analyzed and processed through descriptive statistical techniques in the form of mean.The results showed that the value Mx = 68,3 and My = 63 so it can be seen that the value of Mx greater than My, ie 68,3 >63. Based on the result of data analysis, it can be concluded that there is impact of activity of organization of red cross yout organization to ability of effective speaking of student of class XI Negeri 2 Panca Rijang Sidenreng Rappang Regency.Keywords: Activity, Youth Red Cross organization, Speak effectively


2021 ◽  
Vol 8 (4) ◽  
pp. 125-135
Author(s):  
Gülşah TURA ◽  
Osman KANAT

This study examined the effect of fathers’ perceptions of fatherhood through online meetings with fathers who have preschool children between 3-6 years of age. A total of 42 fathers (21 fathers in the experimental group and 21 fathers in the control group) took part in the study. The research design with a pretest and posttest control group was used in the research. The “Fatherhood Role Perception Scale” developed by Kuzucu (1999) was used for data collection. Within the scope of the research, online fathers meet-up training was held for the experimental group once a week throughout 11 weeks. The data were analysed using the Mann Whitney U and Wilcoxon Signed Ranks Test (nonparametric tests). According to the data obtained in the research, it was concluded that the online fathers’ meet-up training was significantly effective on fathers’ perceptions of the fatherhood role. The study’s findings were discussed, and suggestions were listed for future studies in the relevant literature.


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