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All Journal Paediatrica Indonesiana Innovative: Journal Of Social Science Research
Farishal, Ahmad
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Shared medical appointments and quality of life for children with HIV-AIDS Perdani, Roro Rukmi Windi; Farishal, Ahmad; Wardani, Amanda Saphira
Paediatrica Indonesiana Vol. 64 No. 1 (2024): January 2024
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi64.1.2024.59-64

Abstract

Background The human immunodeficiency virus (HIV) infects immune cells and weakens the immune system. There are 36.9 million HIV sufferers worldwide, with 1.8 million of them being children. Children with HIV and their parents may benefit from focus group discussions, also known as shared medical appointments (SMAs). SMAs represent an educational method capable of enhancing the quality of healthcare services. However, this method remains relatively under-researched in HIV/AIDS patients. Objective To assess the impact of SMA on the quality of life of children with HIV-AIDS. Methods This quasi-experimental study with a cross-sectional approach was carried out for 2 months. Subjects participated in SMAs, accompanied by a pediatrician as facilitator. Subjects filled three Pediatric Quality of Life (PedsQL) questionnaires (Inventory 4.0, General Well-Being Scale 3.0, and Healthcare Satisfaction 3.0), before and after attending SMAs. We compared the results. Results There were 12 respondents, with the majority aged 5-10 years (50%), and a higher proportion of male than female (33.3%). The majority of boys had stage 3 HIV, while most girls had stage 2 HIV. According to the PedsQL Inventory module, the average quality of life for the physical aspect was the highest (83), while the lowest was observed in the school aspect (45). In the General Well-being module, the average emotional health scores were 84 before and 93 after SMAs, which were higher than the overall health scores (68 and 77 before and after SMAs, respectively). In the Healthcare Satisfaction module, the lowest average scores were in family satisfaction (52 before and 64 after SMAs), whereas the highest were in satisfaction with healthcare provider treatment (87 and 81 before and after SMAs, respectively). There was a significant increase before and after the SMAs in emotional health (P=0.009). Conclusion An improvement in emotional health was observed based on the General Well-being module of the PedsQL before and after SMAs intervention. Thus, SMAs may potentially improve the quality of life for children with HIV-AIDS.
Comparative Outcomes Of Laparoscopy-Assisted Vs. Open Distal Gastrectomy For Gastric Cancer In The Elderly: A Systematic Review Yanita, Bella; Wintoko, Rizal; Farishal, Ahmad
Innovative: Journal Of Social Science Research Vol. 4 No. 5 (2024): Innovative: Journal Of Social Science Research
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/innovative.v4i5.15309

Abstract

Abstract Background: Gastric cancer, prevalent among the elderly, presents considerable health challenges due to the age-related decline in immune function. Surgical management options include laparoscopic-assisted gastrectomy (LDG) and open gastrectomy (ODG). Methods: This systematic review followed PRISMA guidelines, using PubMed, Scopus, and Cochrane Library to identify cohort and case-control studies published between 2014–2024. Studies comparing LDG and ODG in patients aged 70 and older, reporting on outcomes such as recovery time, postoperative complications, and survival rates, were included. Data extraction and bias assessment were conducted, and a qualitative synthesis of results was performed. Results: LDG was associated with longer operating times compared to ODG in three out of five studies (p < 0.01). However, LDG consistently resulted in significantly lower intraoperative blood loss (p < 0.01) and faster recovery, evidenced by shorter time to first flatus and oral intake (p < 0.01) and reduced hospital stays across all studies (p < 0.05). LDG was associated with fewer postoperative complications in two studies (p < 0.05), although other studies showed no significant difference in complication rates. Discussion: Five retrospective cohort studies with a total of 317 LDG and 256 ODG were included in the qualitative analysis. LDG was associated with significantly reduced intraoperative blood loss, faster recovery times, and shorter hospital stays, making it a favorable option for elderly patients. While LDG generally involved longer operating times, it did not lead to increased postoperative complications. Conclusion: LDG offers several short-term advantages compared to ODG, suggesting it may be a safer and more effective approach for elderly gastric cancer patients. However, further studies are needed to assess long-term outcomes and confirm the overall efficacy of LDG in this population. Keywords: Gastric Cancer, Eldery Patients, Comparative, Systematic Review, Survival Rates
Co-Authors Roro Rukmi Windi Perdani, Roro Rukmi Wardani, Amanda Saphira Wintoko, Rizal Yanita, Bella