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All Journal Saintika Medika: Jurnal Ilmu Kesehatan dan Kedokteran Keluarga. Jurnal Sistem Kesehatan Indonesian Journal of Medicine Journal of Maternal and Child Health Jurnal Kesehatan Islam : Islamic Health Journal

Didik Tamtomo, Didik

Bagian Anatomi, Fakultas Kedokteran, Universitas Sebelas Maret

Author-ID : 522390

Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Environmental Science Health Professions Medicine & Pharmacology Public Health

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Effects of Virtual Reality Therapy and Range of Motion Exercise on Range of Motion in Stroke Patients: Meta-Analysis Nugroho, Septyan Dwi; Tamtomo, Didik; Prasetya, Hanung
Indonesian Journal of Medicine Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Sebelas Maret University

Background: Stroke is a disease caused by interference with blood flow in the brain which is still a global problem today. Post-stroke care needs to be done to prevent the worsening of the condition. One of the right interventions that can be done is virtual reality therapy and range of motion exercise. This study aims to examine, analyze and estimate changes in the range of motion of stroke patients with virtual reality therapy and range of motion exercise.Subjects and Method: Metaanalysis was carried out according to the PRISMA flow chart and the PICO model (Population: stroke patients, Intervention: virtual reality therapy and range of motion exercise, Comparison: not performed virtual reality therapy and range of motion exercise Outcome: range of motion). The databases used are Google Scholar, PubMed, and Science Direct. The keywords used (“virtual reality” OR VR) AND (stroke OR CVD) AND (“range of motion exercise” OR ROM OR “motor exercise”) AND (stroke OR CVD) AND “Randomized Control Trial”. The inclusion criteria were full-text articles with RCT studies published in 2012-2022, articles in English, and bivariate and multivariate analysis. Analysis was performed using ReVman 5.3.Results: There were 20 articles with a randomized control trial design originating from Iran, Turkey, China, Egypt, Myanmar, South Korea, Spain, the Netherlands, Italy, Switzerland, and Canada involving 799 people. A meta-analysis of 10 RCT studies concluded that virtual reality therapy increased the range of motion of stroke patients by 2.77 units (SMD= 2.77; 95% CI = 1.29 to 4.24; p<0.001) compared to no virtual reality therapy. In addition, the range of motion exercise intervention can also increase the stroke patient's range of motion by 0.84 units (SMD= 0.84; 95% CI= 0.35 to 1.33; p<0.001) compared to not being given range of motion exercise.Conclusion: Virtual Reality Therapy and Range of Motion exercises can increase the range of motion of stroke patients.Keywords: virtual reality therapy, range of motion exercise, stroke, range of motion, meta-analysis.Correspondence: Septyan Dwi Nugroho. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir Sutami 36A, Surakarta 57126, Central Java. Email: septyandwin@gmail.com. Mobile: 081804418933.Indonesian Journal of Medicine (2023), 08(01): 23-36https://doi.org/10.26911/theijmed.2023.08.01.03

Effect of Acupressure on Blood Glucose Level in Diabetes Mellitus Patients: Meta-Analysis Rosyida, Muslihatin Khuril; Tamtomo, Didik; Prasetya, Hanung
Indonesian Journal of Medicine Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Sebelas Maret University

Background: Diabetes Mellitus (DM) is a group of metabolic diseases characterized by hyperglycemia resulting from abnormalities in insulin secretion that affect blood sugar levels. Chronic hyperglycemia in DM is associated with long-term damage to several organs of the body. One of the interventions that can be given to lower blood sugar levels is acupressure therapy. The purpose of this study was to determine the effect of acupressure therapy on blood sugar levels in patients with diabetes mellitus.Subjects and Method: This study is a systematic review and meta-analysis with PICO, P: Diabetes mellitus patients, I: Acupressure, C: No acupressure, O: Blood sugar levels. The process of searching for articles is done through a database of journals including: Pubmed, Google Scholar, Science Direct, Scopus, Spinger Link, CNKI and Hindawi. The keywords used in the literature search were: “acupressure” AND “diabetes” AND “blood sugar” AND “blood glucose” AND “standard controlled trial”, “acupressure for diabetes”, “diabetes standardized controlled trial”, “acupressure randomized controlled trial”. trial”, diabetes acupoint, “diabetes and placebo”, “acupressure” AND “diabetes”. The articles included in the study were full text articles with a randomized controlled trial study design and the results were reported with the effect size, mean standard deviations (SMD). Articles were collected using PRISMA flow diagrams and analyzed using the Review Manager 5.3 application.Results: A meta-analysis of 9 articles reviewed in this study came from Taiwan, China, Indonesia, Egypt and Iran with a sample size of 451. The study results showed that acupressure therapy was able to reduce blood sugar levels in diabetes mellitus patients with SMD blood sugar values. acupressure was 0.56 units lower than no acupressure and was statistically significant with a significance value of (SMD=-0.56; 95% CI= -0.76 to -0.37; p<0.001).Conclusion: Acupressure therapy has the effect of lowering blood sugar levels in diabetes mellitus patients.Keywords: acupressure, blood sugar, diabetes mellitus.Correspondence: Muslihatin Khuril Rosyida. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah, Indonesia. Email: khurilrosyida@gmail.com. Mobile: 08564713149.Indonesian Journal of Medicine (2023), 08(01): 68-78https://doi.org/10.26911/theijmed.2023.08.01.07

Effect of Date Palm (Phoenix dactylifera) Fruits Consumption on Birth Delivery Outcome: Meta-Analysis Siwi, Ratna Purwani; Murti, Bhisma; Tamtomo, Didik
Indonesian Journal of Medicine Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Sebelas Maret University

Background: The choice of cesarean section continues to increase in the world and is expected to continue to increase over the coming decades, which is almost a third of all deliveries in 2030. The benefits of dates for improving labor processes are considered to increase vaginal deliveries and also reduce the frequency of cesarean sections with the aim of reducing bigger complications. This study aims to analyze and estimate the influence of the consumption of dates on labor outcomes.Subjects and Method: This study is a systematic review and meta-analysis with PICO, P: Pregnant women, I: consumption of dates, C: No consumption dates, O: Bishop's score, length of labor, and postpartum hemorrhage. Data collection was obtained from databases, namely: PubMed, Science Direct, Springer Link, and Google Scholar. Keywords used “date fruit” OR “date palm” OR “phoenix dactylifera” AND “labor” AND “delivery”, AND “oxytocin” AND “hemorrhage”. The inclusion criteria used were full papers in English with the design of randomized controlled trials in 20002022. This study was analyzed using RevMan 5.3 software.Results: Meta-analysis was conducted on 4 primary studies from several countries such as Iran, Malaysia, and Saudi Arabia with a sample size of 603 pregnant women. The meta-analysis concluded that there was an effect of date consumption on cervical dilatation upon admission to the hospital (SMD= 0.73; CI 95%= 0.09 to 1.38; p=0.030). Consumption of dates also has an effect on the duration of active 1st stage labor (SMD= 0.46; CI 95%= 0.82 to 0.09; p= 0.010). Consumption of dates has a weak effect on the length of stage II labor (SMD= 0.05; 95% CI= 0.88 to 0.78; p= 0.910). In addition, the consumption of dates also has a weak effect on the length of stage III labor (SMD=0.16; CI95%=0.46 to 0.79; p=0.610).Conclusion: Consumption of dates has an influence on labor outcomes.Keywords: phoenix dactylifera, dates, labor, postpartum hemorrhage, Bishop scoreCorrespondence: Ratna Purwani Siwi. Masters Program in Public Health, Universitas Sebelas Maret. Jalan Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: ratnapsiwi@yahoo.com. Mobile: 085602389598.Indonesian Journal of Medicine (2023), 08(01): 79-91https://doi.org/10.26911/theijmed.2023.08.01.08

Effect of Gluten Free Casein Free Diet on Maladaptive Behavior in Autistic Children: Meta-Analysis Nurul Hakim, Ruliany Yuni; Tamtomo, Didik; Murti, Bhisma
Indonesian Journal of Medicine Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2023.8.3.647

Background: Children with Autism tend to experience gastrointestinal disorders more often. Interactions between the gut and brain microbiome influence mood and behavior in health and disease. Diet therapy, specifically the gluten and case-free diet (GFCF) is an elimination diet that involves removing certain proteins from the normal diet, such as gluten and casein. The right intervention can change behavior for the better and through the right handling. This study aims to estimate the effect of a case-free gluten-free diet on maladaptive behavior in autistic children, through a meta-analysis of primary studies conducted by previous authors. Subjects and Method: This study is a systematic review and meta-analysis with the following PICO, population: Autism children, intervention: gluten-free case-free diet, comparison: no case-free gluten-free diet, outcome: maladaptive behavior. The articles used in this study were obtained from three databases, namely PubMed, Google Scholar, and Science Direct, using the search key “Diet Gluten Free Casein Free” OR “NonDiet Gluten Free Casein Free” OR “GFCF” AND “Autism” OR “Autism” AND “Maladaptive” AND “Randomize Controlled Trial” OR “RCT”. The included article is a full-text Randomized Controlled Trial study designed from 2002 to 2022 and reports the mean and SD in multivariate analysis. The selection of articles is done using PRISMA flow diagrams. Articles were analyzed using the Review Manager 5.4 application. Results: A total of 7 randomized controlled trial studies conducted in the Americas, Europe, and Asia were selected for meta-analysis. Autistic children who received casein-free gluten-free had an average score of 0.11 units of maladaptive behavior lower than those who were not given a diet (SMD= 0.11 95% CI= .035 to 0.13; p= 0.360). Conclusion: The casein-free gluten-free diet has an effect on reducing the risk of maladaptive behavior in children with autism. Keywords: casein free gluten-free diet, gfcf, maladaptive behavior, autism Correspondence: Ruliany Yuni Nurul Hakim. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A Surakarta 57126, Central Java, Indonesia. Email: Ruliany27@gmail.com. Ponsel +6282124886320. Indonesian Journal of Medicine (2023), 08(03): 286294

Co-Authors -, Mardhatillah A.A. Ketut Agung Cahyawan W Abdiani, Baiq Tuhu Abdiani, Baiq Tuhu Agung Kurniawan Akhmad Azmiardi Alfiasari, Fadila Ali Djamhuri Ambar Mudigdo Anak Agung Istri Sri Wiadnyani Andreza Anggraini, Yeni Aprilia, Nafi?ah Argyo Demartoto, Argyo Ari Natalia Prabandari, Ari Natalia Ari Natalia Probandari Ari Probandari Arief Suryono Ariwati, Valentina Dili Ariwati, Valentina Dili Aryoseto, Lukman Aulia Siti Nur Rahmah Aulia, Yusrin Bhisma Murti Burhannudin Ichsan Cahyandaru, Zella Cahyaningrum, Hapsari Cahyono Widodo, Cahyono Ch Novita Indriani, Ch Novita Damayanti, Ana Delimasari, Trisakti Halimah Dewi Martha Indria Dian Rahmawati Diana, Tutut Okta Doloh, Nureesa Dono Indarto Dyanneza, Frieska Endang Sutisna Sulaeman Eskawati, Maria Yeny Fahrezi, Chattrin Feny Tunjungsari Fuad, Lu’luatul Ghufroni, Afif Gusti, Titis Eka Hapsari, Fara Rizky Punjung Harinto Nur Seha Harsono Salimo Hastuti, Heni Hendra Dwi Kurniawan, Hendra Dwi Hermanu Joebagyo Hery Widijanto I Gusti Agung Ngurah Putra Pradnyantara Imtichan, Septian Najib Ismiana, Baiq Holisatul Jayanti, Nicky Danur Kartikasari, Mayriyana Kristiani, Yunita Kusumaningtiyas, Zonna Aditiya Kusumaningtyas, Mei Kusumasari, Rizka Agnes Kusumastuti, Nurry Ayuningtyas Kusumawardana, Iin Kusumawardani, Dyah Ayu Laksono Trisnantoro Lestari, Dinta Lilik Anggar Sri Rahayuningsih Linda Widyaningrum, Linda Mahendra Wijaya Mardiah, Adriana Maulana, Moh Mirshanti, Farahdila Nagaring, Sulaiman Putra Ni'mah, Siti Luluk Khamidahtun Ningtyas, Ayunda Prisilia Kusuma Nugroho, Septyan Dwi Nunuk Suryani Nurjanah, Ahmitta Laila Nurlaili, Helmi Nurul Hakim, Ruliany Yuni Nurul Jannah Pranoto, Hosea Puspitasari Prasetya, Hanung Pratama, Tegar Wahyu Yudha Pratiwi, Dinda Ika Purwati - Puspita, Rumeyda Chitra Putri, Farahdilla Aribowo Rahayuningrum, Indriyati Oktaviano Rahmawati, Leny Ratna Dewi Permatasari Rita Adriani Benya Adriani Rosyida, Muslihatin Khuril Sapja Anantanyu, Sapja Saraspuri, Niken Putri Eka Selvia Febrianti Setiyaningsih, Ratna Setiyaningsih, Ratna Silfia Angela N Halu Simarmata, Imelda Dearni Simarmata, Imelda Dearni Sitepu, Fransiska Siti Marfuah, Siti Siwi, Ratna Purwani Soemanto, RB SUGIARTO - Sukma, Sukma Sulistyo, Anita Sri Sulistyo, Siwi Anggraini Tia Martha Pundati, Tia Martha Uki Retno Budihastuti Untari, Niken Yuliani Veftisia, Vistra Wardhani, Anindyah Tri Lhaksmi Kusuma Wardhani, Yeni Wibawa, Purwa Adrianta Widayati, Mulia Yuli Wigati, Dhiyan Nany Wijanto, Chrise Wijayanto, Masromi Hendria Winasandis, Brillia Firsti Wulandari, Ayu Novita Wulansari, Galuh Yeni Tri Utami yulia lanti retno dewi Yulia Lanti Retno Dewi Yuni Fitriani, Yuni Zaen, Nurussyifa Afiana Zulaikah, Rahayu

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