Amin Husni
Department Of Neurology, Faculty Of Medicine, Universitas Diponegoro Semarang, Indonesia

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HUBUNGAN UKURAN ANTROPOMETRI DENGAN DERAJAT OBSTRUCTIVE SLEEP APNEA Tori, Marthin; Suryawati, Herlina; Husni, Amin
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 35 No 2 (2018)
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v35i2.107

Abstract

CORRELATION BETWEEN ANTHROPOMETRIC MEASUREMENTS AND STAGE OF OBSTRUCTIVE SLEEP APNEAABSTRACKIntroduction: Obstructive sleep apnea (OSA) is estimated to occur 2-10% worldwide and associated with various diseases. OSA severity can be assessed by apnea hypopnea index (AHI). Increased anthropometric measurements indicate increased thickness of fatty tissue in the neck, as well as fatty deposits of the abdomen which can cause constriction of the airways. Other variables suspected to have an effect on AHI are age, sex, smoking habit, and Mallampati score.Aims: To analyze the correlation between anthropometric measurements and OSA severity.Methods: Descriptive analytic studies on OSA patients treated at Dr. Kariadi Hospital, Semarang, January- August 2017. Subjects were included in the study if STOPBANG score was >2. Anthropometric measurements (body mass index, neck circumference, abdominal circumference) was performed on the basis of the International Organization for Standardization (ISO) method while AHI was measured with polysomnography.Results: Bivariate correlation test on 23 subjects showed significant correlation between OSA severity with body mass index (BMI) and neck circumference but no significant correlation with abdominal circumference. Multivariate test showed the most influential variable was BMI.Discussion:  There were significant correlations between anthropometric measurements  (BMI  and neck circumference) with OSA severity.Keywords: Abdominal circumference, apnea hypopnea index, body mass index, neck circumference, obstructive sleep apneaABSTRAKPendahuluan: Obstructive sleep apnea (OSA) diperkirakan terjadi 2-10% di seluruh dunia yang berkaitan dengan berbagai macam penyakit. Derajat OSA dinilai dengan indeks apnea-hypopnea (apnea hypopnea index/AHI). Tingginya nilai antropometri tubuh menandakan tebalnya jaringan lemak pada leher, demikian pula deposit lemak pada abdomen dapat menyebabkan penyempitan pada saluran napas. Variabel lain yang diduga berpengaruh terhadap AHI adalah usia, jenis kelamin, kebiasaan merokok, dan skor Mallampati.Tujuan: Menganalisis hubungan ukuran antropometri dengan derajat OSA.Metode: Studi deskriptif analitik secara potong lintang dilakukan terhadap pasien dengan OSA di RSUP Dr. Kariadi, Semarang, pada bulan Januari-Agustus 2017. Kriteria inklusi adalah pasien yang dicurigai OSA berdasarkan skor STOPBANG >2. Pemeriksaan antropometri (indeks massa tubuh/IMT, lingkar leher, dan lingkar perut) berdasarkan metode dari ISO (the International Organization for Standardization), sedangkan pemeriksaan AHI menggunakan polisomnografi.Hasil: Uji korelasi bivariat terhadap 23 subjek menunjukkan hubungan bermakna antara derajat OSA dengan IMT dan lingkar leher, namun tidak berhubungan dengan lingkar perut. Uji multivariat menunjukkan variabel yang paling berhubungan dengan derajat OSA adalah IMT.Diskusi: Terdapat hubungan bermakna antara ukuran antropometri (IMT dan lingkar leher) dengan derajat OSA.Kata kunci: Apnea hypopnea index, indeks massa tubuh, lingkar leher, lingkar perut, obstructive sleep apnea
Combination Intervention Cognitive Behavior Therapy and Consultation Liaison Psychiatry Nursing on Adolescents to Decrease Anxiety Problem Pandeirot, Nancye; Husni, Amin; Ratna Sawitri, Dian
Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa) Vol. 5 No. 2 (2023): September 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pnj.v5i2.48007

Abstract

Introduction: The existence of demands that occur simultaneously causes some adolescents to be unable to adapt properly, especially the condition of adolescents who experience changeable emotions, are unstable, easily stressed, feel anxious, depressed, and feel helpless. Combination Intervention Cognitive Behavior Therapy And Consultation Liaison Psychiatry Nursing (CICBTnCLPN) is a form of psychotherapy that can be used for adolescent emotional problems. The purpose of this study is to provide that a combination of CBT and CLPN interventions can further reduce adolescent anxiety levels, compared to only CBT interventions. Method: The research type of quasi-experimental research, with a pretest-posttest control group design. The research sample was 64  adolescents with anxiety problems at Surabaya with techniques systematic sampling. The independent variable was combination of CBT and CLPN interventions (CICBTnCLPN), the dependent variable was the level of anxiety. Data collection used an instrument in the form of a TIMAS. The data have been analyzed by Independent T Test.                Result: There was a significant difference in the decrease in adolescent anxiety levels between group that received the combination of CBT and CLPN intervention and  group that only received CBT intervention. The statistical test results showed a significant value or p-value of 0.002 or P <0.05. It can be concluded that the combination intervention of CBT and CPLN is better at reducing anxiety levels than using only the CBT method. Conclusion: CICBTnCLPN can further reduce adolescent anxiety levels. By changing the form of thought and the resulting consequences, the intensity of the subject's anxiety decreases.
Tera Gymnastic to Decrease Anxiety of Elderly M Nancye, Pandeirot; Darmawan, Taufan Citra; Husni, Amin; Ratna Sawitri, Dian
Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa) Vol. 4 No. 1 (2022): March, 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pnj.v4i1.33985

Abstract

Introduction: The most common mental problem in the elderly is anxiety. The elderly is anxious due to lack of activity and rest. Elderly need activities that diverse, interesting, and easy to practice. Tera gymnastics therapy is type of exercise, easy to apply and does not require a lot of time. Tera gymnastics can be applied to the elderly as an interesting and easy alternative to exercise. The purpose of this study was to explain the effect of tera exercise on reducing anxiety in the elderly. Method: This study uses pre-experimental design with one group pre-post-test model. The study population was 43 elderly people who were in "‹"‹Boladangko Village, Central Sulawesi. The sample was 40 respondents with purposive sampling technique. The inclusions are 1) the elderly do not experience physical limitations 2) aged more than 60 years. Data collection using Depression Anxiety Stress Scale (DASS). The data analyzed by Wilcoxon test. Result: The results showed that most of the 37(92.5%) respondents stated that their anxiety was reduced. The results showed that 29(78.37%) respondents decreased 1 level of anxiety level, while the rest decreased 2 levels of anxiety level. The results of Wilcoxon test obtained Pvalue=0.009 indicating significant effect of giving tera exercise to the anxiety of the elderly. Conclusion: There is an influence between tera gymnastics and elderly anxiety, indicating that tera gymnastics can be applied to elderly as alternative to increasing elderly activities. Future research is expected to increase duration and combined with other methods to support better training.
The Effect of Vitamin D Supplementation on Changes in TNF-? Levels and Exciting Frequency in Epilepsy Patients Daynuri, Riri; Kustiowati, Endang; Husni, Amin; Retnaningsih, Retnaningsih; Suryawati, Herlina; Ardhini, Rahmi
Diponegoro International Medical Journal Vol 6, No 1 (2025): July 2025
Publisher : Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dimj.v6i1.26585

Abstract

Background: Epilepsy, a neurological disorder, is a global public health problem. The active form of vitamin-D is 5000IU/day for 42 days, able to push inflammation and change the balance between inhibitory cytokine and excitatory cytokine, to suppress recurrent seizuresObjective: Analyze the effect of vitamin-D 5000 supplementations on changes in TNF-α levels pre-and-post-vitamin-D supplementation and changes in the frequency of seizures pre-and post-vitamin-D supplementation in epilepsy patients.Methods: This research is a quasi-experimental analytic observational study with a pre-and-post-tests approach without control. Subjects were patients diagnosed with epilepsy who had met the inclusion criteria. Previous research subjects were checked for TNF-α levels, then given vitamin-D supplementation of 5000IU/day for 42 days, then rechecked TNF-α levels. Then performed a bivariate analysis.Results:  There was a significant difference between changes in TNF-α pre-and-post-levels of vitamin-D supplementation of 5000IU/day for 42 days (p<0.001). There was a significant difference in the frequency of seizures pre-and-post-levels of vitamin D supplementation 5000IU/day for 42 days (p=0.002). There is a significant relationship between (d)TNF-α on (d)the frequency of seizures pre-and-post-vitamin-D supplementation 5000IU/day, strongly and positively related (p<0.001; r=0.661). There is no relationship between risk factors with (d)TNF-α. There is no relationship between risk factors with (d)seizure frequency.Conclusion: There is a significant difference in the levels of TNF-α pre-and-post-vitamin-D supplementation. There is a significant difference between the frequency of seizures pre-and-post-vitamin-D supplementation. There is a relationship between (d)TNF-α and (d)the frequency of seizures pre-and-post-vitamin-D supplementation.