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All Journal Journal of Agromedicine and Medical Sciences Indonesian Journal of Cancer Jurnal Kreativitas PKM Bali Medical and Wellness Journal Jurnal Abdimas Kedokteran dan Kesehatan
Adiningsih Srilestari
Departemen Medik Akupunktur Fakultas Kedokteran Universitas Indonesia/Rumah Sakit Cipto Mangunkusumo
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Efek Laserpunktur pada Titik MA-TF1 Shenmen dan MA-AT Kelenjar Parotis terhadap Gejala Xerostomia Pasien Kanker Nasofaring Pasca-radioterapi SRILESTARI, ADININGSIH
Indonesian Journal of Cancer Vol 9, No 1 (2015): Jan - Mar 2015
Publisher : "Dharmais" Cancer Center Hospital

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (555.859 KB)

Abstract

ABSTRACTXerostomia (dry mouth) is a chronic & acute effect on a cancer patient who receives radiation therapy on the areas ofhead and neck. Earlier studies state that acupuncture helps to relieve the symptoms concerning cancer and xerostomiais one. Laserpuncture is an acupuncture therapy technique that uses the benefit of low energy laser beam that does notgenerate pain and is not an invasive procedure which is more comfortable for patients. This research involved 44xerostomia patients who have underwent complete radiotherapy on the minimum course of 3 months up to amaximum of 1.5 years before going through with the research; the research is clustered into ear laserpuncture and shamlaserpuncture groups. The result shows a mean Xerostomia Inventory (XI) score between two states of pre against postlaserpuncture of 3 and 6 times of treatment that were tested on case group and control group; there’s a mean score oflife quality of pre treatment compared to post treatment of laserpucture on those who underwent 3 times and 6 timeslaserpucture treatment on case group and control group on every variable of life quality, except financial difficulties (FI);and there is a mean pH score on the saliva of those undergoing treatment between the states of pre and post 6 timeslaserpuncture treatment on case group and control group. From this study, we can conclude that laserpuncture on earacupoints MA-TF1 Shenmen and MA-AT parotis gland might increase saliva pH and reduce XI score, and we canconsidered as an adjuvant treatment in xerostomia on cancer patients post radiotherapy.Keyword: ear laserpuncture; xerostomia Inventory; pH saliva; life quality.ABSTRAKXerostomia (mulut kering) merupakan efek akut dan kronik pada pasien kanker yang mendapat terapi radiasi padadaerah kepala dan leher. Beberapa studi pendahuluan mengemukakan bahwa akupunktur meringankan gejala ataukeluhan yang berhubungan dengan kanker, di antaranya xerostomia. Laserpunktur merupakan teknik terapi akupunkturyang memanfaatkan sinar laser energi rendah yang tidak menimbulkan rasa nyeri serta tidak invasif sehingga lebihnyaman bagi pasien. Penelitian ini melibatkan 44 pasien xerostomia yang telah menjalani radioterapi lengkap minimal3 bulan dan maksimal 1,5 tahun sebelum mengikuti penelitian. Pasien dibagi menjadi kelompok laserpunktur telingadan kelompok laserpunktur sham. Hasil penelitian menunjukkan terdapat rerata selisih skor Xerostomia Inventory (XI)antara sebelum tindakan laserpunktur dengan setelah memperoleh tindakan laserpunktur 3 kali dan 6 kali padakelompok kasus dan kontrol. Terdapat rerata selisih skor kualitas hidup antara sebelum tindakan laserpunktur dengansetelah memperoleh tindakan laserpunktur 3 kali dan 6 kali pada kelompok kasus dan kontrol pada semua variabelkualitas hidup, kecuali variabel financial difficulties (FI). Terdapat rerata selisih pH saliva antara sebelum tindakanlaserpunktur dengan setelah memperoleh tindakan laserpunktur 6 kali pada kelompok kasus dan kontrol.Dari hasil penelitian ini dapat disimpulkan bahwa laserpunktur pada titik akupunktur telinga MA-TF1 Shenmen danMA-AT kelenjar parotis dapat meningkatkan pH saliva dan menurunkan skor XI sehingga dapat dipertimbangkansebagai salah satu penunjang pengobatan xerostomia pada pasien kanker nasofaring pasca-radioterapi.Kata Kunci: laserpunktur telinga; xerostomia Inventory; pH saliva; kualitas hidup.
The Effect of Electroacupunture on the Percentage of Lymphocyte Count on the Peripheral Blood Smear of C3H Mice Breast Adenocarcinoma Model Kamalia, Rizki; Mihardja, Hasan; Srilestari, Adiningsih; Barasila, Atikah C; Thamrin Akib, Husniah Rubiana
Indonesian Journal of Cancer Vol 12, No 1 (2018): Jan - Mar
Publisher : National Cancer Center - Dharmais Cancer Hospital

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (726.552 KB) | DOI: 10.33371/ijoc.v12i1.551

Abstract

Background: Breast cancer patients often experience decreased the immune system such as a decreased of lymphocytes, which can increase mortality. Acupuncture is expected to be a therapeutic option to increase lymphocyte because current pharmacological therapy is very expensive with the risk of adverse event. This study aims to prove the action of Electroacupuncture (EA) as an immunomodulator for cellular immunity by increasing the percentage of lymphocytes of Peripheral Blood Smear (PBS) in C3H mice of breast adenocarcinoma model. Methods:Laboratory experimental study with post test only controls group design involving twenty PBS preparations taken from 20 C3H mice of breast adenocarcinoma models divided into 4 groups. Group K with no EA treatment, group P1 was given 1 time EA treatment, group P2 was given 2 times EA treatment and P3 was given 3 times EA treatments (with seven days interval). EA stimulation was performed at ST36 Zusanli, BL18 Ganshu, BL20 Pishu with frequency of 2 Hz for 15 minutes. Result:The mean weight of mice was 23.90 ± 3.03 gr in control group, 25.40 ± 1.54 gr in P1 group, 27.00 ± 3.87 gr in P2 group and 25.90 ± 5.83 gr in P3 group, with most of them were female mice. The mean volume tumor in mice of control group was 14.49 ± 2.75 mm3, 16.72 ± 6,40 mm3 in P1 group, 20.18 ± 5.94 mm3 in P2 group and 22.07 ± 6.51 mm3 in P3 group. The mean percentage of lymphocyte was 44.20 ± 15.72 in control group, 43.00 ± 11.70 in P1 group, 49.60 ± 7.02 in P2 group and 43.20 ± 13.10 in P3 group. The correlation between the number of electro­acupuncture treatments on the number of lymphocytes in the treatment group were compared to the control group with p = 0.811. Conclusions: Research acupuncture on cancer management has been done and provided good result. Acupuncture in particular EA has benefits in improving immunity by affecting lymphocyte enhancement. Acupuncture can be considered as adjuvant therapy in cancer patients breast. ABSTRAKLatar Belakang: Pada pasien kanker payudara sering terjadi penurunan sistemimun antara lain menurunnya limfosit, yang dapatm eningkatkan angka kematian. Akupunktur diharapkan dapat menjadi pilihan terapi untuk meningkatkan limfosit karena terapi farmakologi saat ini harganya sangat mahal dengan resiko efek samping. Penelitian ini bertujuan untuk membuktikan bahwa tindakan elektroakupunktur (EA) dapat berefek sebagaii mmunomodulator terhadap imunitas seluler dengan meningkatkan persentase limfosit sediaan apus darah tepi (SADT) pada mencit C3H model adenokarsinoma payudara. Metode: Penelitian eksperimental ini dilakukan dengan post test only control group design terhadap dua puluh sediaan apus darah tepi yang diambil dari 20 mencit C3H model adenokarsinoma payudara. Kelompok studi dibagi menjadi 4 kelompok yaitu Kelompok K tidak diberi perlakuan EA, kelompok P1 dilakukan EA 1 kali, kelompok P2 dilakukan EA 2 kali dan P3 dilakukan EA 3 kali. Tindakan EA dilakukan pada titik ST36 Zusanli, BL18 Ganshu, BL20 Pishu dengan frekuensi 2 Hz selama 15 menit. The
Combination of Body Acupuncture with Scalp and Ear Microacupuncture in Treating Alzheimer's Dementia in Elderly, A Case Report fitriani, Elies; Roosheroe, Arya Govinda; Nareswari, Irma; Viventius, Yoshua; Srilestari, Adiningsih
Journal of Agromedicine and Medical Sciences Vol 10 No 3 (2024)
Publisher : Faculty of Medicine, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v10i3.48503

Abstract

Dementia refers to impairment in more than one domain of cognitive function. The most common cause of dementia is Alzheimer's dementia (AD). AD is associated with the influence of amyloid, oxidative stress, as well as abnormal phosphorylation of the protein Tau which forms neurofibrillary plaques in neurons. Clinical symptoms include progressive memory impairment for current events, cognitive impairment, general confusion, agitation, delusions, social disinhibition, and paranoia. A 68 year old man complained of rapid forgetfulness and decreased cognitive function accompanied by insomnia. Acupuncture manual therapy was performed at points GB20, LI4, HT7, KI3 bilaterally and EX-HN1, EX-HN3, GV20, CV9, CV4, CV3. Combine with scalp acupuncture Zhu Scalp Head and Face, as well as bilateral anterior hypothalamus and master cerebral ear points. Electroacupuncture 2 Hz continuous wave electroacupuncture at points ST25-ST28, CV12-CV6, and ST36-SP6. Therapy is carried out 2 times a week. Evaluation using MMSE ad PSQI. After 10 treatments, there was improvement in clinical symptoms, MMSE and PSQI scores. Manual acupuncture and electroacupuncture, a combination of body points, scalp and ear microcupuncture are useful in the management of Alzheimer's dementia accompanied by insomnia as non-pharmacological adjuvant therapy with positive results. Keywords: Manual acupuncture, electroacupuncture, scalp microacupuncture, ear microacupuncture, Alzheimer's dementia
Acupuncture for Postoperative Neuropathic Pain: A Case Report Nugraha, Deity; Fitriani, Elies; Srilestari, Adiningsih
Bali Medical and Wellness Journal Vol. 1 No. 1 (2024): Bali Medical and Wellness Journal
Publisher : PT BMW Journal Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71341/bmwj.v1i1.6

Abstract

Introduction: Postoperative neuropathy can result from nerve transection, bruising, stretching, or inflammation. Chronic Post-Surgical Neuropathic Pain (CPSNP) refers to pain persisting for at least three months after surgery, distinct from preoperative pain and localized to the surgical site or referral area. Acupuncture, a therapeutic technique for acute and chronic pain, has shown promise in managing CPSNP. In this case report, we explore the use of acupuncture to alleviate chronic pain following hand surgery. CPSNP poses significant challenges for patients recovering from surgical procedures. Acupuncture, with its potential to modulate nerve activity and activate pain control systems in the brain, offers an alternative approach to pain management. Case Report: Patient Profile: A 37-year-old woman presented to the medical acupuncture polyclinic with complaints related to her left hand. Specifically, she experienced numbness, heat, and pain in the tips of fingers 2, 3, 4, and 5. Occasionally, the discomfort extended to her elbow. Medical History: The patient had undergone Carpal Tunnel Syndrome (CTS) surgery on her left hand approximately one year ago. The diagnosis of CTS was established in 2021, leading to open surgery on the wrist. Current Pain Assessment: The patient reported a Numeric Rating Scale (NRS) pain score of 5. Physical Examination: Examination revealed pain and limited range of motion (ROM) in her hand. Acupuncture Treatment: Manual acupuncture therapy was administered, targeting specific body acupuncture points and utilizing ear acupuncture. Outcome: After six therapy sessions, the patient experienced a reduction in pain intensity and an improvement in overall quality of life. Conclusion: Acupuncture shows promise as an adjunctive therapy for managing chronic post-surgical neuropathic pain. Further research is warranted to explore its efficacy and long-term effects in similar cases.
PEMBERDAYAAN MASYARAKAT DENGAN ASUHAN MANDIRI AKUPRESUR UNTUK MENINGKATKAN NAFSU MAKAN PADA BALITA STUNTING Viventius, Yoshua; Mihardja, Hasan; Lazuardi, Didi; Srilestari, Adiningsih; Nareswari, Irma; Djaali, Wahyuningsih; Nugraha, Deity; Setiawan, Natasha; Konda, Yuanti Yunus; Syailindra, Firza; Fitriani, Elies
Jurnal Abdimas Kedokteran & Kesehatan Vol 2, No 1 (2024): Volume 2 Nomor 1
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jakk.v2i1.14450

Abstract

Masalah stunting masih belum bisa dikendalikan di Indonesia, dengan prevalensi mencapai lebih dari 20% yang termasuk kategori tinggi dari Badan Kesehatan Dunia (WHO). Stunting tidak hanya menyebabkan perlambatan pertambahan berat badan, namun juga gangguan perkembangan kognitif dan mental, gangguan pertahanan tubuh, serta peningkatan risiko terjadinya penyakit degeneratif. Berbagai upaya telah dilakukan untuk mencegah dan menangani stunting, namun penanganan stunting yang efektif mencakup kolaborasi berbagai pihak, termasuk kader kesehatan dan orang tua balita. Salah satu penanganan stunting yang dapat dilakukan adalah akupresur. Akupresur yang merupakan bagian dari akupunktur, memanfaatkan penekanan pada titik-titik akupunktur. Akupresur merupakan terapi yang sederhana, murah, non invasif, mudah dilakukan, serta dapat dilakukan secara mandiri oleh siapa saja dan kapan saja, termasuk oleh kader kesehatan dan terutama orang tua balita. Namun masih banyak orang tua dan kader kesehatan yang belum mengetahui terapi akupresur, terutama pemanfaatannya pada kondisi stunting. Penyuluhan dengan seminar awam dilakukan untuk membuka wawasan masyarakat luas terhadap pemanfaatan akupresur untuk stunting. Seminar awam diikuti dengan workshop dilakukan secara hibrida luring di Kabupaten Tangerang dan daring melalui platform Zoom. Kegiatan ini diikuti oleh 60 peserta luring dan 941 peserta daring. Pada evaluasi, ditemukan peningkatan skor posttest dibandingkan dengan pretest yang menunjukkan peningkatan pengetahuan peserta mengenai pemberian gizi pada balita, stunting, akupresur, dan manfaat akupresur pada stunting. Terdapat peningkatan pengetahuan kader, dan ibu balita stunting setelah pemberian penyuluhan dan workshop akupresur. Diharapkan kader dan ibu balita stunting dapat mempraktekan akupresur mandiri untuk meningkatkan nafsu makan balita stunting.
Asuhan Mandiri Akupresur untuk Meningkatkan Produksi ASI pada Ibu Balita Stunting di Kampung Lio, Kecamatan Pancoran Mas, Kota Depok Jusuf, Ahmad Aulia; Mihardja, Hasan; Srilestari, Adiningsih; Simadibrata, Christina Lanny; Viventius, Yoshua; Chandra, Inria; Widyaprastuti, Hermin; Natalia, Zellah Fransisca; Fitriani, Elies
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 12 (2025): Volume 8 No 12 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i12.23037

Abstract

ABSTRAK Stunting merupakan kondisi gagal tumbuh yang ditandai dengan rasio TB/U atau PB/U kurang dari -2 SD. Penyebab stunting multifaktorial. Selain faktor fasilitas kesehatan, kesehatan ibu dan bayi, juga faktor sosial ekonomi dan tingkat pendidikan. Selain penyebab di atas, faktor penyebab stunting lainnya yaitu tidak diberikannya ASI eksklusif pada bayi. Pengendalian stunting memerlukan kolaborasi berbagai pihak baik dari stakeholder pemerintah setempat, praktisi medis dan kesehatan, kader yang terjun secara langsung ke masyarakat, bahkan orang tua Balita terdampak stunting. Akupresur adalah teknik penekanan mekanik berdasarkan titik akupunktur. Teknik ini mempunyai keunggulan sederhana, murah, non invasif, mudah dilakukan, serta telah terbukti efektif pada banyak kondisi medis berdasarkan studi literatur beberapa penelitian yang telah dilakukan sebelumnya. Beberapa studi telah membuktikan efek akupresur dalam meningkatkan produksi ASI pada Ibu menyusui. Akupresur diharapkan dapat menjadi solusi dalam mengatasi masalah stunting di Kota Depok, khususnya lokus stunting di Kampung Lio, Kecamatan Pancoran Mas. Penyuluhan dan workshop akupresur mandiri bagi ibu menyusui Balita stunting diadakan secara hybrid online melalui zoom dan offline di Aula Kantor Kelurahan Depok, dengan jumlah peserta 35 orang offline dan online sebanyak 160 peserta. Dilakukan pretest dan postest untuk mengukur peningkatan pengetahuan sebelum dan sesudah diberikan penyuluhan. Kata Kunci: Akupresur, Balita, Produksi ASI, Stunting  ABSTRACT Stunting is a condition of growth failure characterized by a ratio of height/age or height/age of less than -2 SD. The causes of stunting are multifactorial. In addition to health facilities, maternal and infant health, there are also socioeconomic factors and education levels. Another factor causing stunting is the lack of exclusive breastfeeding for infants. Controlling stunting requires collaboration between various parties, including local government stakeholders, medical and health practitioners, community cadres, and even parents of toddlers affected by stunting. Acupressure is a mechanical pressure technique based on acupuncture points. This technique has the advantages simple, affordable, non-invasive, yet easy to perform, and has been proven effective in many medical conditions based on several previous studies. Several studies have proven the effect of acupressure in increasing breast milk production in breastfeeding mothers. Acupressure is expected to be a solution to overcome the problem of stunting in Depok City, especially the stunting locus in Kampung Lio, Pancoran Mas District. Counseling and a self-directed acupressure workshop for breastfeeding mothers of stunted toddlers were held as a hybrid online (via Zoom) and offline (via Zoom) session at the Depok Village Office Hall. There were 35 participants (via offline) and 160 participants (via online). A pre- and post-test were conducted to measure knowledge gains before and after the counseling session. Keywords: Acupressure, Toddlers, Breast Milk Production, Stunting
Co-Authors Ahmad Aulia Arya Govinda Roosheroe, Arya Govinda Barasila, Atikah C Chandra, Inria Christina Simadibrata Dwi R Helianthi, Dwi R Edy R Wahyudi, Edy R Fitriani, Elies Hasan Mihardja Kamalia, Rizki Konda, Yuanti Yunus Lazuardi, Didi Murdani Abdullah Nareswari, Irma Nareswari, Irma Natalia, Zellah Fransisca Nugraha, Deity Rudy Hidayat Setiawan, Natasha Simadibrata, Christina Lanny Sri Wahdini Syailindra, Firza Thamrin Akib, Husniah Rubiana Tri J.E. Tarigan Viventius, Yoshua Wahyuningsih Djaali Widyaprastuti, Hermin