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"ABSTRACTThe aim of this study was to compare the immediate postoperative period of participants rehabilitated with dental implants placed with a conventional technique or with a minimally invasive technique, without a mucoperiosteal flap elevation (flapless). Participants who needed implant placement were divided into two groups: one group was operated using a mucoperiosteal flap elevation (GA), and the other with a flapless surgical technique (G B). Objective clinical parameters including oral hygiene, mouth opening, inflammation (facial perimeter), surgical time and analgesic consumption, as well as subjective parameters of pain and degree of satisfaction with the procedure, were evaluated. 48 implants were placed in 30 participants (15 participants per group). Oral hygiene index, maximum interincisal opening, pain and analgesic consumption values had a significant difference between groups favoring the flapless technique at 24 h and 7 days but at the 15 days follow-up the differences were only significant for oral hygiene and pain (P < 0.05); there were no statistically significant differences between groups in terms of facial perimeter values and surgical time (P > 0.05). Average on the degree of satisfaction was of 2.6 (SD 0.8) for G A and 3.6 (SD 1.02) for G B (P = 0.06). One implant placed in G A (2.0%) failed before prosthetic loading due to mobility and pain at 3 months follow-up. Participants operated for implant placement with flapless surgical technique go through less postoperative discomfort. Both techniques show high success rates, but to perform a flapless technique patients must be properly selected."

"A new cognitive therapy (CT) program was compared with an established behavioral treatment. Sixty-two patients meeting Diagnostic and Statistical Manual of Mental Disorders (4th ed.; American Psychiatric Association, 1994) criteria for social phobia were randomly assigned to CT, exposure plus applied relaxation (EXP = AR), or wait-list (WAIT). CT and EXP = AR were superior to WAIT on all measures. On measures of social phobia, CT led to greater improvement than did EXP = AR. Percentages of patients who no longer met diagnostic criteria for social phobia at posttreatment-wait were as follows: 84% in CT, 42% in EXP = AR, and 0% in WAIT. At the 1-year follow-up, differences in outcome persisted. In addition, patients in EXP = AR were more likely to have sought additional treatment. Therapist effects were small and nonsignificant. CT appears to be superior to EXP = AR in the treatment of social phobia."

"ABSTRACTPurposes This study compared the effectiveness of 1 day vs 3 days antibiotic regimen to prevent surgical site infection (SSI) in open liver resection.MethodWe performed a randomized controlled non inferiority trial in 480 patients at 39 hospitals across Japan (registered as UMIN000002852). Patients with hepatocellular carcinoma scheduled to undergo resection were randomly assigned to receive either a 1 day regimen for antimicrobial prophylaxis, or a 3 day regimen. The primary endpoint was the incidence of SSI.ResultsAmong 480 randomized patients, 232 assigned to the 1 day regimen and 235 to the 3 day regimen were included in the full analysis set. Baseline characteristics of the two groups were well balanced. SSI was diagnosed in 22 patients (9,5%) in the 1 day group vs 23 patients (9,8%) in the 3 day group (difference, -0,30; 90% CI -4,80 to 4,19% (95% CI -5,66% to 5,05%); one sided P = 0,001 for non inferiority), meeting the non inferiority hypothesis. In both groups, remote site infection (16 (6,9%) vs 22 (9,4%), P 0,001 for non inferiority) and drain-related infection (5 (2,2%) vs 4 (1,7%), P 0.001 for non inferiority) were comparable.ConclusionTo prevent SSI in liver cancer surgery, a 1 day regimen of flomoxef sodium is recommended for antimicrobial prophylaxis because of confirming the non-inferiority to longer usage."

"This study's aims were (a) to investigate the feasibility of a school-based motivational enhancement therapy (MET) intervention in voluntarily attracting adolescents who smoke marijuana regularly but who are not seeking formal treatment and (b) to evaluate the efficacy of the intervention in reducing marijuana use. Ninety-seven adolescents who had used marijuana at least 9 times in the past month were randomly assigned to either an immediate 2-session MET intervention or to a 3-month delay condition. Two thirds of the sample characterized themselves as in the precontemplation or contemplation stages of change regarding marijuana use. Participants' marijuana use and associated negative consequences were assessed at baseline and at a 3-month follow-up. Analyses revealed that both groups significantly reduced marijuana use at the 3-month follow-up ( p = .001); however, no between-group differences were observed. Despite the absence of a clear effect of MET, this study demonstrated that adolescents could be attracted to participate in a voluntary marijuana intervention that holds promise for reducing problematic levels of marijuana use."

"Irigasi luka merupakan langkah penting dalam perawatan ulkus untuk menghindari perluasan infeksi. Studi sebelumnya menyebutkan irigasi luka dengan artrihpi efektif untuk penyembuhan ulkus diabetikum ditinjau dari skor penyembuhan ulkus. Penelitian ini bertujuan untuk mengetahui efektivitas artrihpi ditinjau dari jumlah kuman. Metode yang digunakan yaitu randomized controlled trial (RCT) dengan double blind menggunakan desain paralel. Dua puluh dua responden ulkus diabetikum yang masih telah berpartisipasi. Responden dilakukan randomisasi kemudian mendapatkan perlakuan dengan alat irigasi artrihpi (tekanan 10-15psi) atau spuit 12 cc jarum nomor 22 (tekanan 13 psi). Swab ulkus untuk mengetahui jumlah kuman dilakukan sebelum dan sesudah pencucian luka. Analisa untuk melihat perbedaan jumlah kuman dilakukan uji Wilcoxon dan Mann-Whitney. Hasil penelitian menunjukkan ada perbedaan yang bermakna jumlah kuman sebelum dan sesudah perlakuan pada kelompok intervensi (p-value: 0,041) maupun kelompok kontrol (p-value:0,006). Tidak ada perbedaan yang bermakna jumlah kuman sesudah perlakuan pada kelompok intervensi dan kelompok kontrol (p-value: 0,25) serta tidak ada perbedaan selisih jumlah kuman yang bermakna sebelum dan sesudah perlakuan pada kelompok kontrol dan intervensi (p-value:0,25). Rekomendasi penelitian ini adalah irigasi luka dengan artrihpi dapat dijadikan sebagai salah satu intervensi keperawatan dalam perawatan ulkus diabetikum.

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Irrigation is an important step management of diabetic foot ulcer to avoid the expansion of the infection. Previous studies have suggested irrigation the wound with artrihpi (pressure 10-15psi) effective for healing diabetic ulcers. This study aims to determine the effectiveness artrihpi based on the number of bacteri. The method used is the randomized controlled trial (RCT) by using a double-blind and parallel design. Twenty-two respondents diabetic ulcers are still infectious have participated. Respondents randomization then get treated with artrihpi (pressure 10-15psi) or 12 cc syringe needle number 22 (pressure 13 psi). Ulcer swab to determine the number of bacteria before and after cleansing the wound. Analysis to see the difference in the number of bacteri use Wilcoxon and Mann-Whitney test. The results showed significant difference bacteria count before and after treatment in the intervention group (p-value: 0.041) or the control group (p-value: 0.006). However, there was no significant difference in the number of bacteria after treatment intervention group and the control group (p-value: 0.25), and no differences were significant difference in the number of bacteria before and after treatment in the control and intervention group (p-value: 0.25). Recommendations in this study was cleansing the wound with artrihpi can be used as a nursing interventions used to clean wounds in the treatment of diabetic ulcers."

"ABSTRAKPeriode postpartum menuntut ibu beradaptasi terhadap perubahan fisik secara dramatis, sehingga dapat memengaruhi psikologis ibu, salah satunya terjadi kecemasan. Kecemasan postpartum yang berkelanjutan berdampak negatif bagi ibu dan bayinya. Penelitian ini bertujuan untuk mengidentifikasi efektifitas deep breathing dan dzikir untuk menurunkan kecemasan postpartum. Desain penelitian berupa eksperimen dengan pendekatan RCT Randomized Controlled Trial pada 60 ibu postpartum di RSUD Dr. R. Soedjati Soemodiardjo Purwodadi Kabupaten Grobogan pada bulan Juni 2018. Instrument yang digunakan Postpartum Specific Anxiety Scale PSAS dan Pittsburgh Sleep Quality Index PSQI . Hasil penelitian menunjukkan bahwa terapi deep breathing dan dzikir efektif menurunkan kecemasan ibu postpartum, ditunjukkan dengan hasil uji statistik MD 95 CI = -12,167 dan p=0,003. Berdasarkan hasil uji statistik pada alpha 0,05 terdapat perbedaan kecemasan ibu postpartum yang siginifikan pada kelompok intervensi sebelum dan setelah diberikan deep breathing dan dzikir p=0,002 , dan menunjukkan bahwa deep breathing dan dzikir menurunkan kecemasan ibu postpartum sebesar 10,333. Perawat maternitas di klinis maupun komunitas direkomendasikan untuk menerapkan terapi komplementer seperti terapi deep breathing dan dzikir untuk menurunkan kecemasan ibu postpartum.

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ABSTRACT Periode postpartum menuntut ibu beradaptasi terhadap perubahan fisik secara dramatis, sehingga dapat memengaruhi psikologis ibu, salah satunya terjadi kecemasan. Kecemasan postpartum yang berkelanjutan berdampak negatif bagi ibu dan bayinya. Penelitian ini bertujuan untuk mengidentifikasi efektifitas deep breathing dan dzikir untuk menurunkan kecemasan postpartum. Desain penelitian berupa eksperimen dengan pendekatan RCT Randomized Controlled Trial pada 60 ibu postpartum di RSUD Dr. R. Soedjati Soemodiardjo Purwodadi Kabupaten Grobogan pada bulan Juni 2018. Instrument yang digunakan Postpartum Specific Anxiety Scale PSAS dan Pittsburgh Sleep Quality Index PSQI . Hasil penelitian menunjukkan bahwa terapi deep breathing dan dzikir efektif menurunkan kecemasan ibu postpartum, ditunjukkan dengan hasil uji statistik MD 95 CI 12,167 dan p 0,003. Berdasarkan hasil uji statistik pada alpha 0,05 terdapat perbedaan kecemasan ibu postpartum yang siginifikan pada kelompok intervensi sebelum dan setelah diberikan deep breathing dan dzikir p 0,002 , dan menunjukkan bahwa deep breathing dan dzikir menurunkan kecemasan ibu postpartum sebesar 10,333. Perawat maternitas di klinis maupun komunitas direkomendasikan untuk menerapkan terapi komplementer seperti terapi deep breathing dan dzikir untuk menurunkan kecemasan ibu postpartum."

"Penelitian ini bertujuan untuk mengetahui efektifitas penekanan mekanikal bantal pasir 2,3 kg antara 2, 4, 6 jam terhadap komplikasi. Metode penelitian randomized controlled trial, dengan jumlah sampel sebanyak 90 orang. Kelompok intervensi I menggunakan bantal pasir 2,3 kg 2 jam, intervensi II 4 jam, kelompok kontrol 6 jam, pengukuran dilakukan setiap 2 jam. Hasil penelitian tidak ada mengalami perdarahan pada semua kelompok, tidak ada perbedaan insiden haematom diantara kelompok (p= 0,866; α= 0,05). Ada perbedaan rasa nyaman diantara kelompok pada observasi 4 jam (p= 0,003; α= 0,05) dan observasi 6 jam (p= 0,0005; α= 0,05). Rekomendasi penelitian ini adalah perlunya modifikasi Standar Prosedur Operasional penggunaan bantal pasir 2,3 kg sebagai penekan mekanikal dari 6 jam menjadi 2 jam, sebab tidak meningkatkan komplikasi, akan tetapi meningkatkan rasa nyaman klien."

"This study was to determine the effectiveness of the mechanical suppression of sandbag 2.3 kg between the 2, 4, 6 hoursagainst complications. The research design was randomized controlled trial study, where 90 patients as sample. A 2.3 kgsandbag was applied for two hours for the first group, four hours for the second groups, and six hours for the control groups,measurements were taken every 2 hours. The results showed that no patient has any bleeding, not difference the incidence ofhematoma between groups (p= 0.866; α= 0.05). That the differences of discomfort between groups were found after 4 hours(p= 0.003; α= 0.05), and after 6 hours (p= 0.0005; α=0.05). It is recommended that Standard Operational Proceduremodification required from six hours into two hours in using a 2.3 kg sandbag as a mechanical pressure, because there is noincrease of incidence of complications, on the otherhand an improvement of comfort level is detected."

"Couples expecting their first child were randomly assigned to intervention (n=28) and comparison groups (n=38) to assess the efficacy of a couples intervention and examine marital satisfaction trajectories across the transition to parenthood. The primarily European American sample (M age=30 years) completed assessments of marital satisfaction at 5 points from the final trimester of pregnancy to 66 months postpartum. Growth curve analyses indicated a normative linear decline in marital satisfaction. Intervention participants experienced significantly less decline than comparison participants, providing support for the efficacy of the intervention. Comparable childless couples (n=13) did not show a decline in marital satisfaction. The results suggest that early family transitions that strain couple relationships provide critical opportunities for preventive interventions to strengthen marriage."

"In this study, the authors investigated the efficacy of the Youth-Nominated Support Team-Version 1 (YST-1), a psychoeducational social network intervention, with 289 suicidal, psychiatrically hospitalized adolescents (197 girls, 92 boys). Adolescents were randomly assigned to treatment-as-usual plus YST-1 or treatment-as-usual only. Assessments were completed pre- and postintervention (6 months). There were no main effects for YST-1 on suicide ideation or attempts, internalizing symptoms, or related functional impairment. Relative to other girls, however, those who received YST-1 reported greater decreases in self-reported suicidal ideation (actually treated analytic strategy) and significantly greater decreases in mood-related functional impairment reported by their parents (intent to treat and actually treated analytic strategies). This is the first randomized controlled clinical trial to investigate the efficacy of a social network intervention with suicidal youths."