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All Journal Medical Journal of Indonesia Cermin Dunia Kedokteran
Tirza Z. Tamin
Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia
Health Professions Medicine & Pharmacology Public Health

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Prevalence and determinants of obesity in students with intellectual disability in Jakarta Tamin, Tirza Z.; Idris, Ferial H.; Mansyur, Muchtaruddin; Syarif, Damajanti R.
Medical Journal of Indonesia Vol 23, No 2 (2014): May
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (372.31 KB) | DOI: 10.13181/mji.v23i2.688

Abstract

Background: The group of people with health problems and has not received a proper attention is those with intellectual disability (ID) with obesity. The study aimed to get the prevalence of obesity in ID students in Jakarta, and to assess its relationship with age, sex, and parental education.Methods: This is a cross sectional study. The subjects are students of special schools for the disabled type C/C1 in DKI Jakarta area aged 10-30 year old. The definition of obesity for subjects aged 10-20 year old utilized the ≥ 95th percentile of BMI according to the appropriate sex and age group. Meanwhile, the definition of obesity for those aged 21-30 year old is the BMI according to WHO for Asia Pacific, which is ≥ 25.0. The analysis to test the determinant factors was performed using chi-square test.Results: The prevalence of obesity for ID students of special schools type C/C1 in DKI Jakarta area is 282 people or 16% of the total of 1,760 subjects, and there are statistically significant difference between the prevalence of obesity among the age groups (p < 0.001), sex (p = 0.039) and parental education (p < 0.006 for father’s education and p < 0.001 for mother’s education level).Conclusion: The prevalence of obesity among ID students in special schools for the disabled type C/C1 in Jakarta is 16%, with the age, sex, and parental education level as determinant factors associated with obesity.
Aquatic versus land-based exercise for cardiorespiratory endurance and quality of life in obese patients with knee osteoarthritis: a randomized controlled trial Tamin, Tirza Z.; Loekito, Natalia
Medical Journal of Indonesia Vol 27, No 4 (2018): December
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (331.53 KB) | DOI: 10.13181/mji.v27i4.2107

Abstract

Background: Obesity with knee osteoarthritis (OA) is related to chronic pain causing physical inactivity that leads to decreased cardiorespiratory endurance and quality of life. Aquatic and land-based exercises are effective in improving physical activity. The aim of this study is to compare between aquatic and land-based exercise to improve cardiorespiratory endurance and quality of life in obese patients with knee osteoarthritis.Methods: A single-blind, randomized, controlled trial was conducted on thirty three obese patients with knee OA who visited Obesity Clinic of Medical Rehabilitation Cipto Mangunkusumo Hospital, from October 2016 to January 2017, subjects were divided into aquatic or land-based exercise group. Aerobic and knee-strengthening exercises were given. Cardiorespiratory endurance was assessed using the Borg Scale, whereas both the BORG CR-10 and SF-36 questionnaires were used to assess quality of life.Results: After intervention, there were significant improvements in the land-based exercise group in the rating of perceived exertion (p=0.02), role limitations due to physical health (p=0.024), role limitations due to emotional problems (p=0.041), energy/fatigue (p=0.016), and the decline in pain (p=0.049) parameters. While in the aquatic exercise, there were significant improvements in leg fatigue (p=0.016), energy/fatigue (p=0.025), emotional well-being (p<0.001), and general health (p=0.045) parameters. Despite this, there were no significant differences between two groups regarding cardiorespiratory endurance and quality of life.Conclusion: This study found that patients could start aquatic exercise to reduce leg fatigue and enhanced general health and energy. After that, exercise could be continued in land-based settings to improve cardiorespiratory endurance and quality of life.
Peranan USG Muskuloskeletal di Bidang Rehabilitasi Medik pada Pasien Diduga Cedera Anterior Cruciate Ligament: An Evidence – Based Case Report Tamin, Tirza Z.; Ricky, Andreas; Wreksoatmodjo, Edbert S.; Mulya Santausa, Febrian; Maharani, Intan Sari; Ramadhany, Mellisya; Widyaningrum, Satyanaya; Takwarif, Tesa; -, Tiffany; Sabansya, Tsaqyla
Cermin Dunia Kedokteran Vol 46, No 1 (2019): Obstetri - Ginekologi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (195.909 KB) | DOI: 10.55175/cdk.v46i1.538

Abstract

Latar Belakang. Anterior cruciate ligament (ACL) sering mengalami cedera. Cedera ACL dapat mengganggu aktivitas fungsional sehari-hari. Di bidang rehabilitasi medik, modalitas USG muskuloskeletal merupakan salah satu pilihan untuk penegakan diagnosis cedera ACL. Studi ini bertujuan untuk mengetahui peranan USG muskuloskeletal dalam penegakan diagnosis pasien diduga cedera ACL dan sebagai panduan; dilakukan melalui telusur Pubmed®, Cochrane®, EBSCO®, SCOPUS®, ProQuest®, dan Springerlink®. Artikel terpilih akan ditelaah kritis melalui lembar kerja diagnostik dan systematic review berdasarkan Oxford Centre for Evidence-based Medicine Levels of Evidence. Hasil. Didapatkan empat studi terpilih yang membandingkan akurasi penggunaan USG dengan MRI. Studi pertama mendapatkan sensitivitas dan spesifisitas diagnostik 91% dan 100%. Studi kedua mendapatkan sensitivitas, spesifisitas, LR +, LR –, PPV, dan NPV sebesar 91,9%, 95,6%, 20,9, 0,1, 94,4%, dan 93,9%. Studi ketiga mendapatkan sensitivitas, spesifisitas, LR +, LR –, PPV, dan NPV sebesar 96,9%, 87,5%; 7,75, 0,035, 26,9%, dan 12,5%. Studi keempat berupa systematic review-meta analysis dengan hasil kombinasi sensitivitas dan spesifisitas, LR +, LR -, dan heterogenitas sebesar 90% dan 97%, dan 31,08 dan 0.11 63.69 (24.27 hingga 100.00). Simpulan. Pemeriksaan USG muskuloskeletal merupakan pemeriksaan non-invasif yang akurat untuk mendiagnosis cedera ACL.Background: Anterior cruciate ligament (ACL) is a knee ligament that often injured. ACL injury can cause limitation of daily activities. In physical medicine and rehabilitation, musculoskeletal ultrasonography (USG) is a promising diagnostic tool for musculoskeletal injury. This study assess the role of musculoskeletal USG in the diagnosis of ACL injury and as a guide to perform intraarticular injection. Article search was performed using Pubmed®, Cochrane®, EBSCO®, SCOPUS®, ProQuest®, and Springerlink®. Four selected articles were reviewed using appraisal sheet from Oxford Centre for Evidence-based Medicine Levels of Evidence. Result: Three primary studies showed excellent sensitivity (0.91-0.97) and specificity (0.88-1.00), as well as positive predictive value (0.97-1.00). One systematic review also showed excellent sensitivity (0.90) and specificity (0.97) but with high heterogeneity (I2=63.69). Conclusion: Musculoskeletal USG is an accurate, non-invasive diagnostic tool for ACL injury. 
Co-Authors -, Tiffany Damajanti R. Syarif Ferial H. Idris Loekito, Natalia Maharani, Intan Sari Muchtaruddin Mansyur Mulya Santausa, Febrian Ramadhany, Mellisya Ricky, Andreas Sabansya, Tsaqyla Takwarif, Tesa Widyaningrum, Satyanaya Wreksoatmodjo, Edbert S.