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All Journal Solo Journal of Anesthesi, Pain and Critical Care Jurnal Penyakit Dalam Indonesia Journal of Applied Health Sciences
Giani, Maia Thalia
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Chemical Engineering, Chemistry & Bioengineering Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Relationship between Quality of Life and Nutritional Status on Chronic Kidney Disease Patients with Dialysis Type Dewi, Ratih Tri Kusuma; Putranto, Wachid; Susanto, Agung; Suseno, Aryo; Purwanto, Bambang; Mangesti, Rini Dwi; Giani, Maia Thalia; Septian, Muhammad Raditia
Jurnal Penyakit Dalam Indonesia Vol. 7, No. 1
Publisher : UI Scholars Hub

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Factor Related to The Incidence of Ascites in Chronic Kidney Disease Patients Undergoing Hemodialysis at RSUD Dr Moewardi Surakarta: A Cross Sectional Study Yusman, Felizia Alika; Dewi, Ratih Tri Kusuma; Mashuri, Yusuf Ari; Nurhayatun, Evi; Giani, Maia Thalia
Jurnal Penyakit Dalam Indonesia Vol. 7, No. 3
Publisher : UI Scholars Hub

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Introduction. Chronic kidney disease (CKD) is a global health issue with continuously rising prevalence. Fluid overload is a frequent systemic complication which occurs in CKD patients undergoing hemodialysis (HD). One of clinical manifestation of fluid overload in HD patients is ascites. This study aimed to determine the factors related to the incidence of ascites in CKD patients undergoing hemodialysis. Methods. An observational analytic study with a cross-sectional approach was conducted at Dr. Moewardi Hospital, Surakarta from September until October 2019. The subjects were end-stage CKD patients undergoing HD. Subjects were selected by total sampling technique. Data were obtained from medical records tracking. Furthermore, each variable was analyzed using Chi Square and Independent T-test analysis. P value less than 0.05 is considered statistically significant. Results. A total of 116 subjects were recruited in this study. Incidence of ascites was documented in 24 (20.7%) patients. The comorbid of chronic heart failure (CHF) was found in 23 (19.8%) subjects, where this condition was associated with the incidence of ascites [p = 0.003; PR 2.888 (95% CI=1.476–5.650)]. In the subjects with hypoalbuminemia was also related to higher incidence of ascites [p < 0.001; PR 7.800 (95% CI=3.153 – 19.293)]. Meanwhile gender, age, diabetes mellitus, the levels of hemoglobin, ureum, creatinine serum, albumin, hematocrit, and leukocyte were not associated with ascites in CKD patients undergoing HD (p > 0.05). Conclusions. Factors related to the incidence of ascites in patients with chronic kidney disease who have undergone hemodialysis is chronic heart failure and hypoalbuminemia.
The Role of Erector Spinae Plane Block in Percutaneous Nephrolithotomy Pain Management Septian, Muhammad Raditia; Giani, Maia Thalia
Solo Journal of Anesthesi, Pain and Critical Care (SOJA) Vol 4, No 2 (2024): October 2024
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/soja.v4i2.62133

Abstract

Background: The erector spine plane block (ESPB) is a novel peripheral nerve block approach between the erector spinal muscle and the thoracic transverse processes. It blocks multiple dermatomal sensory nerves in the thoracic and abdominal walls. ESPB is widely used in thoracoabdominal surgery, including percutaneous nephrolithotomy (PCNL). This review aims to assess the role of ESPB in PCNL.Methods: A Literature search was performed systematically with the medical terms “erector spinae plane block” and “nephrolithotomy” in PubMed, ScienceDirect, Cochrane Library, and Google Scholar until April 30, 2022. Two independent reviewers screened the articles for inclusion based on relevancy to the subject and outcomes. Data extraction was conducted for the included studies. The result from these studies demonstrates the efficacy of ESPB in PCNL.Results: A total of 267 literatures according to the search strategy. Nineteen studies were included in this review after excluding the duplicated, non-English, and irrelevant studies based on the title or abstract. From the full article review, 11 studies were with 644 patients. ESPB group had a significantly superior outcome of decreasing pain score compared to the conventional analgesia, tramadol intravenously, and placebo. ESPB had no significantdifferences with intrathecal morphine on the pain scale and first analgesic request. The timing of the first rescue analgesia in the ESPB group was longer and the procedure also reduced opioid requirement in PCNL patients. Conclusion: ESPB is a potentially effective technique to provide post-PCNL analgesia. ESPB provides pain relief after surgery, prolongs time to take additional analgesic drugs including postoperative opioid consumption.
A Systematic Review of Walking-Based Rehabilitation to Improve Functional Mobility, Balance, and Motor Strength in Stroke Patients Giani, Maia Thalia; Hurriawati, Iceu Helmina; Asaduddin, Aiman Hilmi
Journal of Applied Health Sciences Vol. 2 No. 1 (2026): Journal of Applied Health Sciences, February 2026
Publisher : Lembaga Penelitian dan Pendidikan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70716/jahs.v2i1.179

Abstract

Stroke is a major cause of long-term disability, often impairing gait, balance, and motor strength, thus reducing independence and quality of life. Walking-based rehabilitation is essential in post-stroke recovery, yet the comparative effectiveness of different modalities remains unclear. This review compared conventional physical therapy (CPT) with technology-assisted walking rehabilitation in improving functional mobility, balance, and lower limb strength during acute and subacute stroke phases. A comprehensive search of Scopus, PubMed, and Epistemonikos identified randomized controlled trials (RCTs) from 2021–2025 involving adults (≥18 years) with acute or subacute stroke. Studies compared robotic-assisted gait training (RAGT) or other technology-based walking therapies with CPT. Outcomes included gait function, balance, and motor strength. Risk of bias was assessed using the Joanna Briggs Institute tool. Eighteen RCTs (from 245 screened) met inclusion criteria. RAGT showed superior improvements in gait speed (12 studies), 6-Minute Walk Test (9 studies), and balance (Berg Balance Scale, 3 studies). Lower limb motor strength improved by 8–15 points on the Fugl-Meyer Assessment (6 studies). A higher proportion of RAGT patients achieved independent walking (Functional Ambulation Category ≥4: 56–73% vs. 29–53%). Two studies reported enhanced quality of life and three showed positive neuroplasticity changes. Adverse events were minor and resolved with adjustments. Technology-assisted walking rehabilitation outperforms CPT in improving gait, balance, and strength after stroke, supporting its inclusion in standard care. Further studies should explore long-term outcomes and optimal protocols.
Co-Authors Asaduddin, Aiman Hilmi Bambang Purwanto Hurriawati, Iceu Helmina Mangesti, Rini Dwi Mashuri, Yusuf Ari Nurhayatun, Evi Putranto, Wachid Ratih Tri Kusuma Dewi, Ratih Tri Kusuma Septian, Muhammad Raditia Susanto, Agung Suseno, Aryo Yusman, Felizia Alika