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Material and Method Design: A quasi-experimental one-group pretestposttest with three months follow-up design was used Setting: this study was conducted in three elderly homes in Amman acne off cheap isosuppra 40 mg mastercard, Jordan acne 5 days after ovulation buy isosuppra 10 mg cheap. Sampling: A purposive sample of 50 caregivers from elderly homes who fulfilled the inclusion criteria were included in the study. It consists of three parts: Part I: It includes Five questions related to demographic characteristics of caregivers of Alzheimer patients related to gender, age, education level, experience and previous training about Alzheimer. Caregivers who got< 50% were considered as having poor knowledge, while those who got from 50 to < 70%, were considered as having fair knowledge, and those who got >70% were considered as having good knowledge, the questionnaire used before, immediately, and three months after the implementation of the program. It includes 46 questions in six subscales: bathing, dressing,grooming, toileting, feeding, and communication. Caregivers who got < 50% were considered as having poor practice, while those who got from 50 to < 70% 2070Indian Journal of Public Health Research & Development, March 2020, Vol. Validity & Reliability: Five experts from the community health nursing department, Cairo university were asked to check the tools for content validity, including clarity, wording, format, and overall appearance of the tools. The time spent to fill the questionnaires ranged between 10-15minutes (pre and posttest). The study sample was divided into three groups based on the availability of the caregivers, with the mean of 6 caregivers in each group. Teaching method and media included weregroup discussions, videos, case scenarios, andpower point presentations. Knowledge items Disease definition & risk factors Disease stages Signs and symptoms Method of treatment and care Total score Pre-program Mean 8. Reported practice Items Bathing Dressing Grooming Toileting Feeding Communication Total score Pre-program Mean 8. The need for sufficient training for caregivers working with Alzheimer patients has been identified in the literature to understand the disease betterand improve practice among caregivers. Conclusion Based on the study results, it can be concludedthat knowledgeand reported practices of Alzheimer caregivers had been improved after program implementationwithstatically significance differences between pre, post, and three months later. Recommendation: According to the result, the following recommendations are suggested: -Conducting continuing education programsfor Alzheimer caregivers in the nursing homes to promote their knowledge and practicesand evaluate these programs to stand upon deficiencies and priorities that need improvements. Ethicalconsideration: the researcher emphasized that participation in the study was entirely voluntary, written informed consent was obtained from each participant, after explanation of the study objectives and procedures. Participants were assured that all data would not be reused in another research without taking the permission of the participants. Source of Support: Self Conflict of Interest: None Indian Journal of Public Health Research & Development, March 2020, Vol. Initial Evaluation of the Training Programme for Health Care Professionals on the use of Malaysian Clinical Practice Guidelines for Management of Dementia. Training of Formal Caregivers Dealing with Alzheimer Diseased Patients at Helwan City Cairo Egypt. Materials and Method: the present study was conducted on 185 students of both genders. Stature was measured as vertical distance from vertex to the floor in mid-sagittal plane. Foot width was measured from base of 1st to 5th metatarsal using standard vernier caliper. Conclusion: Authors found that there was positive correlation of stature with hand and foot width in subjects. Keywords: Hand, Foot, Stature Introduction Estimation of stature has a significant importance in the field of forensic anthropometry. Stature is one of the most important elements in the identification of an individual. This is due to the established strong correlation between stature and hand dimension. Amirsheybani, et al5 demonstrated hand length as good predictor of body surface area.

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Modified food ingredients or mixtures of various types of food ingredients that are specially made as complementary foods for breast milk so that these foods contain complete nutrients needed by babies because this period includes the period of growth acne prevention buy generic isosuppra 40 mg. This study is not in line with stating that the average food supplement studied cannot meet the needs of calcium b5 purchase isosuppra 10mg visa, iron and zinc every day as a nutritional source of complementary foods for infants in developing countries (14). Giving baby food is a modification factor that can reduce mortality and disability caused by preterm birth (16). The growth and development of premature babies is in accordance with types of food such as breast milk or fortified formula (17). Giving Frequency: Quantity of complementary food is very important for brain growth and intelligence development. The fulfillment of infant and family nutrition is closely related to the frequency of food provided. The frequency of breastfeeding must be adjusted to the age and ability to produce breast milk. Increasing age needs are also increasing and the ability 1436Indian Journal of Public Health Research & Development, March 2020, Vol. According to the theory, the proportion of adults more than children in the family can result in less food availability for children. Low-income communities increase the attention and focus on breastfeeding and supplementary food for babies (1). The results of this study are similar to research conducted in Krakow and Silesia (2014) stating that regular feeding is very important, adequate daily nutrient intake is useful for physical development and and it is necessary to introduce healthy eating patterns for health during the growth period (18). Perceptions about breast milk and feeding given complementary breast milk can be improved by health education (13). Qualitative studies of infant and young child feeding in lower-income countries: A systematic review and synthesis of dietary patterns. Delivery, immediate newborn and cord care practices in Pemba Tanzania: a qualitative study of community, hospital staff and community level care providers for knowledge, attitudes, belief systems and practices. Pola makanan pendamping air susu ibu dan status gizi bayi 0-12 bulan di Kecamatan Lhoknga Kabupaten Aceh Besar. Global trends and patterns of commercial milk-based formula sales: is an unprecedented infant and young child feeding transition underway? A study on infant and young child feeding practices among mothers attending an urban health center in East Delhi. Fortifier and cream improve fat delivery in continuous enteral infant feeding of breast milk. Conclusion Provision of complementary breast milk food is related to the nutritional status of the baby. The consistency of food types has a greater relationship with nutritional status compared to frequency. The age match for starting complementary foods performed by mothers starts at 6 months of age. Significant Statement: Results of this study found that babies need complementary food as they age to cover malnutrition from the intake of breast milk for growth and development. The practice of providing good complementary foods can be seen from the suitability and consistency in providing complementary foods caused by knowledge of maternal nutrition. Acknowledgments: the authors wish to thank all the Public Helath students who helped in the collection of the data. The Makassar City Government, the Health Office, the Head of the community health center which has given research permission. Factors Associated with the Early Introduction of Complementary Feeding in Saudi Arabia. Predictors for early introduction of solid food among Danish mothers and infants: an observational study. Complementary feeding practices among mothers of children aged six months to two years admitted in a tertiary care hospital. Perceptions and Practices regarding Breastfeeding among Postnatal Women at a District Tertiary Referral Government Hospital in Southern India.


  • Autonomic nervous system diseases
  • Chromosome 16, trisomy 16q
  • Distal myopathy, Nonaka type
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  • Dwarfism deafness retinitis pigmentosa
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  • Hyperglycinemia, isolated nonketotic type 1
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The sample population consists of income groups of different level and having different life styles acne 2004 order isosuppra 5mg online. A predesigned; pre-tested semi- structured questionnaire was used to skin care di bandung order 20 mg isosuppra visa collect data on demographic background and mosquito borne diseases. It was administered to the member of the household available at the time of the visit after obtaining an informed consent. Institutional ethical committee approval was obtained prior to the conduct of the study. Descriptive statistics were calculated for background variables and the prevalence of mosquito borne diseases. Results Socio-Demographic Details: this cross sectional study was conducted among 144 household of Thirumazhisai, Thiruvallur District, Tamil Nadu. Methodology A cross-sectional descriptive study was conducted in a suburban population at Thirumazhisai, Thiruvallur District, Tamilnadu from July 2016 to September 2016. Among the people who were aware of transmission of disease (142) by mosquito, dengue (69%) was the most common disease known to the population. This was because there had been an outbreak of dengue in nearby areas in the recent past. Attitude: When questioned about prevention of mosquito borne diseases, 134(93%) people felt that mosquito borne diseases could be prevented while 4 of them had no opinion. It is also found half of them are bothered by mosquitoes and have altered their behaviour. Practice: Among the interviewed, 4 of them were affected in the past one year and 2 relatives/friends were also affected. With respect to place of treatment, 5 of them had received care from government hospitals while 1 of them in a private hospital. When residents were questioned about protecting themselves from mosquito bites, majority (69. The present study was focused on the awareness and practices of mosquito borne diseases and its prevention. In the present study, 99% were aware that mosquitoes transmit a disease which was found to be higher than study conducted in Puducherry7 and Mangalore5 which reported 76. Majority of people in the present study were aware of Dengue (69%) which was similar to study conducted in Delhi(62. Study conducted by Pallavi V Tenglikar et al in Karnataka9 and study in Mangalore5 reported higher awareness of 85% and 74% regarding mosquito breeding in sewage water. In the present study, 93% people felt that mosquito borne diseases could be prevented while 4 of them had no opinion. Each house where the residents have been interviewed was checked for breeding sites inside and also outside the house. Only 8% of residents practice any method for protecting themselves from mosquito bite. Among them, 47% practice it during rainy season and 44% practice the method always, whereas 9% of them practice only during an outbreak Each house where the residents had been interviewed was checked for breeding sites inside and also outside the house. There were no potential breeding sites inside 70 of the households and outside 57 households. Discussion In the present study, majority of the residents interviewed were males (63. Similar findings were obtained from a study conducted in Belagavi city6 which reported 56. Other studies conducted in Puducherry7, Mangalore5 and Delhi8 reported majority of participants being female. Predictors of knowledge of selected mosquito-borne diseases among adults of selected peri- urban areas of Puducherry. Awareness, practices and expenditure towards mosquito bite prevention method in urban and semi-urban areas of South India.

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Subjective effects of a drug may be markedly influenced by the setup in which it is taken skin care equipment suppliers order 30mg isosuppra free shipping. Hypnotics taken at night and in quiet skin care institute generic 10mg isosuppra with visa, familiar surroundings may work more easily. It has been shown that corticosteroids taken as a single morning dose cause less pituitary-adrenal suppression. It works by psychodynamic rather than pharmacodynamic means and often produces responses equivalent to the active drug. To treat a patient who, in the opinion of the physician, does not require an active drug. A patient responds to the whole therapeutic setting; placebo-effect largely depends on the physicianpatient relationship. When an active drug is administered, it produces effects both due to its pharmacodynamic action as well as the psychodynamic effect of the act of medication. Substances commonly used as placebo are lactose tablets/capsules and distilled water injection. Nocebo It is the converse of placebo, and refers to negative psychodynamic effect evoked by the pessimistic attitude of the patient, or by loss of faith in the medication and/or the physician. Pathological states Not only drugs modify disease processes, several diseases can influence drug disposition and drug action: Gastrointestinal (g. Gastric stasis occurring during migraine attack retards the absorption of ingested drugs. The changes are complex and there is no simple test (like creatinine clearance for renal disease) to guide the extent of alteration in drug disposition; kinetics of different drugs is affected to different extents. Not only disposition, but action as well of certain drugs may be altered in liver disease. Kidney disease It markedly affects pharmacokinetics of many drugs as well as alters the effects of some drugs. Loading dose of such a drug is not altered (unless edema is present), but maintenance doses should be reduced or dose interval prolonged proportionately. Plasma proteins, especially albumin, are often low or altered in structure in patients with renal disease-binding of acidic drugs is reduced, but that of basic drugs is not much affected. The permeability of blood-brain barrier is increased in renal failure; opiates, barbiturates, phenothiazines, benzodiazepines, etc. Pethidine should be avoided because its metabolite nor-pethidine can accumulate on repeated dosing and cause seizures. Antihypertensive drugs produce more postural hypotension in patients with renal insufficiency. Other drugs Drugs can modify the response to each other by pharmacokinetic or pharmacodynamic interaction between them. Cumulation Any drug will cumulate in the body if rate of administration is more than the rate of elimination. However, slowly eliminated drugs are particularly liable to cause cumulative toxicity. They are ineffective in renal failure and can worsen uraemia; furosemide should be used. Potassium sparing diuretics are contraindicated; can cause hyperkalemia cardiac depression. Repeated doses of pethidine are likely to cause muscle twitching and seizures due to accumulation of its excitatory metabolite norpethidine. Urinary antiseptics like nalidixic acid, nitrofurantoin and methenamine mandelate fail to achieve high concentration in urine and are likely to produce systemic toxicity. Congestive heart failure It can alter drug kinetics by- (i) Decreasing drug absorption from g. A definite reduction in procainamide and hydrochlorothiazide absorption has been documented.

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Effectiveness of Planned Teaching Programme on Knowledge Regarding Prevention of Child Abuse and Neglect Among Primary School Teachers acne removal buy cheap isosuppra 20mg online. Effectiveness of Planned Teaching Program on knowledge of "Child Abuse and its Prevention" among mothers of school aged children skin care 5 steps generic 5 mg isosuppra amex. Objectives: To find any association, if present between cardiovascular risk factors and dental caries. Over twelve months and keeping the case: control ratio as 1:1, the study recruited 100 patients. Patients aged 20 years and above and consenting to participate were included in the study while those suffering from any systemic disease were excluded. Three examiners were duly standardized according to currents norms (inter examiner kappa, value = 0. Collection of blood sample: On the next day after oral screening, the patients were instructed to fast overnight for 12 hoursand report to the attached hospital. Participants were given refreshments and were advised to have a proper meal before commencing their daily duties. Before recruitment, a signed informed consent was 750Indian Journal of Public Health Research & Development, March 2020, Vol. Patients with any of these risk factors, or having a history of smoking (in combination to the above factors or alone), were considered as the cases (Figure 1). After application of descriptive statistics, students paired samples t-test and multiple logistic regression were applied for statistical analysis. Analysis revealed a statistical difference in the t-values of both the groups, respectively (p=. Table 3 depicts the analysis of the multivariate logistic regression between the cardiovascular risk factors and dental caries among the study population. It was revealed that the odds of the cases having elevated Diastolic Blood Pressure (1. Among cases, there were an equal number of males and females (25 each), while the control group consisted of 27 males and 23 females. Multiple logistic regression analysis among the cases and controls *: Significant (p<0. Barring three cases (who could not be contacted), the remaining were advised to undergo further medical screening and/or adopt healthy lifestyle practices and this is the strength of the study as it promotes an early intervention leading to a reduction in burden of disease among cases. In future studies of the same kind but with a bigger magnitude, we hope that the cases of the present study could be included as controls. Modelling Childhood Caries Using Parametric Competing Risks Survival Analysis Method for Clustered Data. Oral and Dental diseases: Causes, prevention and treatment strategies: Burden of disease, National Commission on Macroeconomics and Health; 2005:275-98. Conclusion the results of the present study provides an avenue for future research to further furnish evidence on the effect of cardiovascular risk factors on dental caries. We advise both dentists and medical practitioners to be aware of such an association and provide anticipatory guidance to potential patients. The need for interdisciplinary co-ordination with dieticians, nutritionists and other departments can lead to adoption of healthy lifestyles among patients and is strongly advised. Prevalence of dental caries among adults and elderly in an urban resettlement colony of New Delhi. Association of cardiometabolic risk factors and dental caries in a population-based sample of youths. Larsson B, Johansson I, Hallmans G, Ericson T: Relationship between dental caries and risk factors for atherosclerosis in Swedish adolescents? Dextran sulfate-magnesium precipitation procedure for quantitation of high-density lipoprotein cholesterol. Severity of dental caries and risk of coronary heart disease in middle-aged men References 1. Global burden of cardiovascular diseases: part I: general considerations, the epidemiologic transition, risk factors and impact of urbanization.


  • The implant may be placed through a cut under your arm. The surgeon may perform this surgery using an endoscope. This is a tool with a camera and surgical instruments at the end. The endoscope is inserted through the cut. There will be no scar around your breast. But you may have a visible scar on the underside of your arm.
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Narcotic infusion appears useful for controlling postoperative pain and intractable pain in patients with terminal malignancy acne popping buy isosuppra 40 mg otc. Alternatively a percutaneous radiofrequency heat lesion applied to acne icd 10 code isosuppra 10 mg amex the posterior ramus of the spinal nerves exiting from the intervertebral foramen, denervates the facet joints. This technique relieves facet joint pains in the majority of patients, but as the nerve regenerates, pain returns unless preventative measures are adopted. The mechanism of relief remains uncertain; this is not merely due to tumour regression. It is usually applicable in malignant states where simple methods of pain control have failed. Conditions with loss of pain perception exemplify this, resulting in frequent injuries, burns and subsequent mutilations. Touching the limb aggravates the pain, and the patient resents any interference or attempt at limb mobilisation. Clinical features: Hemianaesthesia at onset contralateral to the lesion precedes the development of pain. This is burning and diffuse, Caudate nucleus and exacerbated by the touch of clothing. Paradoxically the thalamic syndrome may occur Globus following a thalamic stereotactic procedure for pallidus Putamen movement disorders. The basis of referred pain the visceral afferents converge upon the same cells in the posterior horns as the somatic efferents. A knowledge of the source of referred pain is important in diagnosis and treatment. An intolerable tingling, burning sensation or pain in both legs, occurring only when sitting or lying down and relieved by walking; no associated neurological abnormality. Often responds to dopamine agonists (ropinerole and pramipexole), L-dopa and gabapentin. There are many causes and clinical evaluation and appropriate investigation is often difficult. Inflammatory pain results from disruption of muscle fibres, inflammatory exudate and fibre swelling. Ischaemic pain results from metabolic change, usually in response to exercise and is deep and aching. Fibromyalgia A common condition of uncertain pathology in which generalised muscle pain with localised tender areas occurs without objective clinical or laboratory abnormalities. Malignant hyperpyrexia Characterised by a sudden rise in body temperature whilst undergoing general anaesthesia, usually with halothane or succinylcholine. Muscle abscess Commonly Staphylococcal due to local trauma or blood-borne in debilitated persons. Polymyalgia rheumatica Proximal muscle pain encountered in the elderly and often associated with giant cell arteritis. No clear underlying pathology has been found and diagnosis is based on symptoms and exclusion of other pathology.

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Relationship between glycated hemoglobin A1c and cognitive function in nondemented elderly patients with type 2 diabetes skin care korea terbaik order 5 mg isosuppra with mastercard. Aim: evaluate the effect of acupressure on pain and fatigue among patients with multiple sclerosis skin care products cheap isosuppra 5 mg otc. Sample: 60 adult male and female patients were randomly selected and divided equally into study and controls groups study was conducted at Multiple Sclerosis Research Unit affiliated with one of the biggest teaching hospital in Cairo, Egypt. Tools: Semi-Structured Interview Questionnaire, Pain Quality Assessment Scale, and Fatigue Severity Scale. Results: There was statistical significant decrease of pain and fatigue mean scores among the study group who received acupressure when compared to control group who received routine hospital care. Conclusion: Applying acupressure could be effective in reducing severity of pain and fatigue among patients with multiple sclerosis. Therefore it is recommended to endorse acupressure as a nursing practice for patients with multiple sclerosis in the early course of the disease. Multiple sclerosis resulting from a complex interaction between genetic, lifestyle and environmental risk factors2. Multiple sclerosis patients suffer from various symptoms; among these symptoms pain and fatigue are the most significant symptoms5. The use of these method not only reduces the overall side effects of drugs due to less consumption, but also prevents the conversion of acute pain to chronic pain9. Acupressure therapy works on the principle of stimulating specific reflex points located along the lines of energy which run through the body, called meridians. There are 14 meridian lines, each of which corresponds to an individual organ of the body. When the vital energies are able to flow through the meridians in a balanced and even way, the result is good health. When you experience pain or illness, it is an indication that there is a block or leak in the bio magnetic energy or vital life force Energy or Chi energy flow within the body10. Acupressure is a type of touch therapy by using fingers, palms, elbows, or special bands to apply pressure to exact points on the body that provides the energy circulation and balance in the body, applying pressure to these points creates a slightly painful muscle spasm. Acupressure therapy aims to maintain homeostasis by increasing the blood and oxygen flow in the affected body area, resulting in relief and suppression of various symptoms by reducing pain11. Patients are turning to complementary therapy due to dissatisfaction with conventional treatments12 there is growing interest regarding using acupressure for such patients as it is safe, suitable for almost all people, no side effects, noninvasive treatment, reduce dependence on medications and selfadministered. As well, such data might have an impact on the provided care in a cost effective way and decrease the load upon personal and hospital resources. Setting: this study was conducted at Multiple Sclerosis Research Unit affiliated with one of the biggest teaching hospitalin Cairo, Egypt. Demographic and medical related data sheet: demographic data covering questions related to age, gender, level of education, occupation, marital status. Medical related data which includes questions related to duration of illness, duration of hospitalization. Research Hypotheses: 1964Indian Journal of Public Health Research & Development, March 2020, Vol. Implementation Phase: the researchers applied acupressure technique for the study group through three sessions/week for two weeks. Acupressure was applied by pressing in circular movements on the acupoint with the thumb finger first in clock wise and then anti-clock wise direction. The finger must remain at the same point on the skin and be moved in small circles. There were no statistically significant differences between the two groups regarding demographic variables. Figure (1): Percentage distribution of duration of illness among the studied sample (N=60).

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A Comparison of the Accuracy of Two Method used by Pre-doctoral Students Measure Vertical Dimension acne free reviews 10mg isosuppra amex, J Prost Dent 2004; 91(1):59-66 20 skin care during pregnancy effective isosuppra 40mg. There were 40 subjects was divided to be four groups include 10 lost two quadrants of posterior teeth for 18 months, 10 lost one quadrant of posterior teeth for 18 months, 10 lost two quadrants of posterior teeth for 12 months and 10 lost one quadrant of posterior teeth for 12 months. The temporomandibular joint sound wasobserved by special prototype of electrosonography and processed withMatlab software to acquire the data. Introduction the joint of the human body that is having the most complicated work mechanism is the temporomandibular joint. There are two actions that can be performed by this joint, rotation and translation movement (sliding). This joint can provide a very large chewing force causing Corresponding Author: Prof. Some of the components of the temporomandibular joints including skeletal components (temporal and mandibular muscles), articular discs, various ligaments and muscles. According to Effat5, movement occurs due to changes in the, frequency, direction, andsurface of the 2420Indian Journal of Public Health Research & Development, March 2020, Vol. The pressure absorbed by the tooth can resulted into a biomechanical change of the mandible. Dijkstra7 compared four measurement method include the measurement of mouth opening angle, linear opening width measurement, condylar mobility measurement and radiographic examinations of the temporomandibular joint mobility. In addition, special instrument such as cephalogram, mandibular bone goniometer, mandible excursiometer is not necessary, resulted in measurement that is easier and less expensive. Thinning of the posterior boundary of the intervertebral disc can cause the disc to displace to a more posterior position. If the condyle rests on the posterior side of the intervertebral disc or posterior disc tissue, abnormal translational movement of the condyle to the trailing edge of the intervertebral disc can occur during the opening. Clicks are associated with abnormal condylar movements, which may felt a single click while opening for the first time, but later felt during opening and closing of the mouth. All subjects received sufficient information on the research procedure and signed an informed consent. Forty subjects were divided to be 4 group include 10 were losing the two quadrants of posterior teeth in 18 months. However, the exclusion criteria included the patients are wearing a denture andthey had previous orthodontic treatment and patients have a habit of bruxism. Passive and active openings were measured by a digital caliper (electronic Digital Caliper, Hong Kong). Opening width measurement: Measurement of oral opening width was carried out with method like patients were asked to sit upright with a comfortable posture. To obtain the active mouth opening width, the patient was instructed to maximally open the mouth without operator assistance. Using the digital caliper, the active mouth opening width (mm) was measured from the mesioincisaledge of the mandibular central incision in the margin of the cusp center. Active mouth opening width (mm) was measured from mesioincisal edge of maxillar central incisive to mesioincisal edge of mandibular central incisive using digital caliper. To get the passive opening width, the patient was instructed to open the mouth to its maximum. Thereafter, the thumb of the operator was placed in the upper incisive, the index finger was placed Indian Journal of Public Health Research & Development, March 2020, Vol. Passive mouth opening widthwas measured from mesioincisal edge of maxillar central incisive to mesioincisal edge of mandibular central incisive using digital caliper. Recording of temporomandibular joint sound: Joint sound was measured when opening and closing the mouth from the right left Temporomandibular joint, the sound will be recorded in frequency and amplitude. Joint sounds can be obtained with a special instrument ordered in electronic instrumentation study program in mathematics and science faculty at Universitas Gadjah Mada. First, a stethoscope was used to determine the presence or absence of joint sounds and then an electrosonographic prototype was delivered to listen and ensure the presence of joint sounds. Examination of joint sounds was performed on both sides of the temporomandibular joint. Subjects were asked to attach an electrosonographic prototype earpiece to the external acoustic meatus to feel like using an ear plug. Subjects were instructed to open and close the mouth following the movement of the metronome of 5 times.


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Implementation of Eldercare Servicesoutside Puskesmas: Eldercare service outside puskesmas is one form of eldercare services consisting of services at the posyandu skin care games generic isosuppra 10 mg online, community association skin care during winter buy isosuppra 30mg online, elder association and home care health services. Eldercare Services in Posyandu/Community Association/Elder Association: Health services at the elderly posyandu must be visited by health workers from Indian Journal of Public Health Research & Development, March 2020, Vol. The following table shows the distribution of the attendance of puskesmas health workers in posyandu activities: Table 5: Number of health workers attendance in elderly posyanduin 25 puskesmas in Surabaya the presence of healthcare staff Yes No Total Frequency of Puskesmas 16 9 25 Percentage (%) 64 36 100,0 health services to the elderly. The following table is the distribution of puskesmas that conduct home care services: Table 6:Number of puskesmas that carry out home care service programs from 25 puskesmas in Surabaya Home Care Services Yes No Total Frequency of Puskesmas 16 9 25 Percentage (%) 64 36 100,0 Table 5 shows that the majority of elderly posyandu activities had been accompanied by health workers from puskesmas. Sixteen puskesmasdelegated their health workers to assist the elderly posyandu activities, while the other nine puskesmasoccasionally delegated their health workers to assist the posyandu. Health workers are an important factor in influencing changes onpeople behaviour, for exampleby carrying out health promotion so that people can be more motivated to make behavioural changes. Health promotion itself can be done by conducting training for the community, transforming knowledge and providing support to the community (Aryantiningsih, 2014). Health workers also can act as facilitators and empower communities throughposyandu activities. Posyandu activities can be said to be well-developedwhenthe community involvement is also higher, so that the target of the health program can be materialized1 In addition to the problems related to health workers, there were other problems during the implementation of the elderly posyandu activities. Aryantiningsih (2014) stated that the low visits of elderly to elderly posyandu can be influenced by several factors including knowledge, distance between their house and posyandu location, family support, posyandu infrastructure, elderly attitudes and behaviour, economic income, and health workerssupport. The person in charge of the elderly health program, who carried out home care services, stated that the home care service was combined with the implementation of Community Health Care activities. Puskesmaswhich do not provide home care services stated that it was due tothe constraints of limited human resource in their puskesmas. Home care services are not only provided by health workers but also through friends, neighbours and cadres. The role of the environment such as friends, neighbours, and cadres is very important to reduce morbidity in the elderly. Conclusion Primary eldercare services have beenbeing carried out in puskesmas in Surabaya City. The services are divided into two types, namely inside and outside puskesmas services. Eldercare services insidepuskesmas consist of pre-elderly health services, elderly services, medical rehabilitation, as well as physical activity and exercises. Eldercare services outside puskesmas consist of health services at posyandu and home care services. The implementation of the majority of pre-elderly service activities has been carried out by all puskesmas, in line with Minister of Health Regulation No. Eldercare service outside 1702Indian Journal of Public Health Research & Development, March 2020, Vol. Ethical Clearance: Taken from Universitas A irlangga Faculty of Dental Medicine Health Research Ethical Clearance Commission. The Policy of Ministry of Health of Republic Indonesia concerning the Guideline Services for Rehabilitation in Hospital. Factors Relating to Elderly Visits to Posbindu in PuskesmasBintara Area Bekasi City in 2017. Journal of Indonesian Health Policy; 2018, pp 158The Regulation of the Ministry of Health Number 67 of 2015 concerning the Implementation of Elderly Health Services in Puskesmas. Material and Method: this article combines qualitative method with phenomenology approach. Thirtyeight respondents participated in this study have met the inclusion criteria. The intrinsic factors include: (a) individual factor (compulsion, skill and ability, ineffective training, and concurrent position of the cadres), (b) Posbindu internal factor (ineffective schedule, lack of infrastructure, active cadres, supporting investigation), and (c) psychological factor (shame, doubt, and lack of confidence). Meanwhile, the extrinsic factors include: (a) social factors (less support from the family and the society), (b) political factors (less support from the regional government apparatus, lack of assistance from the Public Health Center), and (c) economics factor (low budget). Ottawa Charter can be used as a strategy for the promotion of non-communicable disease treatment which include healthy public policy, optimizing personal skill, and public movement.

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Women in developing countries have a risk of dying from preeclampsia 300 times greater than developed countries(2)(3) acne wash with benzoyl peroxide order 5 mg isosuppra visa. Hypoxia causes tissue or cell damage and endothelial dysfunction due to acne 40 years old generic isosuppra 40mg on-line the presence of free radicals that cause lipid peroxidase. Lipid peroxidase is most common in cell membranes because unsaturated fatty acids and proteins are constituent components of cell membranes. All of these conditions lead to the clinical manifestation of preeclampsia(11)(12). Extra virgin olive oil is one type of oil that comes from the first juice of olives(12). Extra virgin olive oil is more than just monounsaturated fat because it contains high amounts of antioxidants(13). Material and Method the research design used in this study was post test only control group design. This research was conducted in vivo using experimental animals rats (Rattusnorvegicus) wistar strain. Pregnant rat were randoccy placed in 5 groups consisting of negative control group, positive control group and three treatment groups. This research has been approved by ethics committee Faculty Of Medicine Brawijaya University No. In conditions of oxidative stress an increase in superoxide and peroxynitrite production. The presence of oxidative stress can damage cell membranes where Indian Journal of Public Health Research & Development, March 2020, Vol. The combination of carotenoids with other antioxidants (Vitamin E) can increase their activity against free radicals(19). Compprative Study of Oxidative Stress in Pregnancy Induced Hypertension Preeclampsia and Eclampsia. Peran F2-Isoprostan dan Nitrik Oksida Sebagai Penanda Stres Oksidatif dan Disfungsi Endotel Pada Penderita Preeklamsi. Conflict of Interest: None Source of Funding: None Ethical Clearence: this research has been approved by ethics committee Faculty Of Medicine Brawijaya University No. Recomendation: the study may be used as a be a reference in supporting therapy in preeclampsia in humans. Roles of nitric oxide and asymmetric dimethylarginine in pregnancy and fetal programming. Servili Maurizio, Sordini Beatrice, Esposto Sonia, Urbani Stefania, Veneziani Gianluca, Maio Ilona Di, et al. Fito Montserrat, Torre Rafael de la, FarreAlbaladejo Magi, Khymenetz Olha, Marrugat Jaime, Covas Maria-Isabel. Bioavailability and antioxidant effects of olive oil phenolic compounds in humans. Extra virgin olive oil menurunkan kadar mda (Malondialdehyde) pada tikus (Rattus References 1. Yu Yunxian, Shanchun Z, Mallow Eric B, Wang Guoying, Hong Xiumei, Walker Sheila O, et al. The Combined Association of Psychosocial Stress and Chronic Hypertension with Preeclampsia. Evaluation of blood vessel injury, oxidative stress and circulating inflammatory factors in an l-name-induced preeclampsia-like rat model. Free Radical Biology & Medicine Lipid peroxidation; Physiological levels and dual biological effects. The smoke which enters the respiratory tract enhance the free radical inside the body, either in blood or lung tissue. The exceeding amount of free radical could trigger the oxidative stress which causes cell damage. The increase of cell damage within lung tissue is accompanied by the enhancement of malondialdehyde content. Therefore, this study aimed to know the malondialdehyde content alteration on blood and lung tissue against the exposure of electric cigarette smoke. This study used experimental methodology with posttest control group design using male Wistar rats as the sample. Wester rats were divided into groups and examined the cell damage through malondialdehyde content within the blood and the malondialdehyde expression within the lung tissue.


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