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All Journal MNJ (Malang Neurology Journal) Jurnal Keperawatan dan Kesehatan (JKK)
Sonya, Marta
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Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health

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TWISTED OVARIAN CYSTS IN PREGNANCY: BALANCING CONSERVATIVE AND SURGICAL MANAGEMENT FOR OPTIMAL OUTCOMES Rumapea, Costan Tryono Parulian; Saputra, Dikki; Sonya, Marta; Irvan, Muhammad
Jurnal Keperawatan dan Kesehatan Vol 16 No 2 (2025): Jurnal Keperawatan dan Kesehatan
Publisher : Sekolah Tinggi Ilmu Keperawatan Muhammadiyah Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54630/jk2.v16i2.565

Abstract

Objective: Ovarian cysts are commonly detected in pregnancy due to routine prenatal ultrasonography. Most are benign and resolve spontaneously, but some may cause complications, risking both mother and fetus. Case Report: A 23-year-old primigravida at 30-31 weeks of gestation presented for routine antenatal care. She had a history of laparotomy and left salpingo-oophorectomy at 11 weeks 3 days pregnant due to ovarian torsion. A 9.16 × 6.32 cm left ovarian cyst with a depth of 5.13 cm was detected early in pregnancy and managed conservatively. However, due to worsening pain, surgical intervention was performed. At the current visit, she was asymptomatic, and ultrasound confirmed a viable singleton pregnancy with normal fetal parameters. Vaginal delivery was recommended. Conclusion: This case highlights the importance of timely diagnosis and appropriate management of ovarian cysts in pregnancy. A balance between conservative monitoring and surgical intervention is crucial to ensure optimal maternal and fetal outcomes.
MOBILISATION TIMING AND INTENSITY AFTER ACUTE ISCHEMIC STROKE: BAYESIAN NETWORK META-ANALYSIS Lunita, Angelina Ernestine Putri; Rumapea, Vivi Kristiani; Togatorop, Pascanus Lamsihar Parluhutan; Boy, Togu Deny; Sonya, Marta; Ekaputra, Anthony
MNJ (Malang Neurology Journal) Vol. 12 No. 2 (2026): July
Publisher : PERDOSSI (Perhimpunan Dokter Spesialis Saraf Indonesia Cabang Malang) - Indonesian Neurological Association Branch of Malang cooperated with Neurology Residency Program, Faculty of Medicine Brawijaya University, Malang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mnj.2026.012.02.16

Abstract

Background: Mobilisation after acute ischemic stroke is commonly practiced, yet the optimal timing and intensity remains uncertain. The AVERT trial (A Very Early Rehabilitation Trial) raised concerns regarding very-early and high-intensity mobilisation, but no prior synthesis has jointly compared timing–intensity strategies. Objective: To compare the effectiveness of mobilisation strategies classified by AVERT timing–intensity criteria and evaluate safety outcomes. Methods: We systematically searched through indexed search engines for randomised controlled trials. The primary outcome was favourable functional recovery at 90 days (modified Rankin Scale 0–2). Risk of bias was assessed using Cochrane RoB-2. A Bayesian random-effects network meta-analysis was performed with treatment ranking using surface under the cumulative ranking curve (SUCRA) and consistency assessed by node-splitting. Safety outcomes (complications and mortality) were summarised using direct comparisons with odds ratios (ORs) and forest plots. Results: Eight trials (n = 813) formed a connected network of six mobilisation strategies. Moderate-intensity mobilisation showed the highest probabilities of favourable outcomes across initiation timings. Also, early–moderate mobilisation was more favorable compared to delayed–moderate mobilisation (OR 2.14; 95% CrI 1.14–4.13). The Surface Under the Cumulative Ranking (SUCRA) curve placed moderate intensity strategies higher. Conclusion: Mobilisation delivered at a moderate intensity (3-6 sessions per day and 20-40 minutes/day) is associated with the highest probability of improved functional recovery at 90 days, when accompanied by careful monitoring and avoidance of very early and high-intensity mobility within the first 24-72 hours. Safety data were heterogeneous and needed standardised adverse-event reporting.
Co-Authors Boy, Togu Deny Dikki Saputra Ekaputra, Anthony Lunita, Angelina Ernestine Putri Muhammad Irvan Rumapea, Costan Tryono Parulian Rumapea, Vivi Kristiani Togatorop, Pascanus Lamsihar Parluhutan