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The Risk of Falling in Elderly Increased with Age Growth and Unaffected by Gender Susilo, Wilson; Limyati, Yenni; Gunawan, Decky
Journal of Medicine and Health Vol 1, No 6 (2017)
Publisher : Maranatha Christian University

Show Abstract | Download Original | Original Source | Check in Google Scholar

Elderly people are a group of people with age of 60 and above. Studies in United States showed one-third of elderly people experienced fall in their houses and one-forty of them need bedrest in hospital. Falling can cause physical and mental injury. Physical injury manifests as fracture, hematoma, bruises, and dislocation, and mental injury manifests as lack of self esteem. This study aimed to examine the relation between age and gender on risk of fall on elderly people. This is a cross-sectional analytical study involving 23 elderly people from Tulus Kasih Elderly Home that met the inclusion criteria. Risk of fall were checked with Timed Up and Go Test. The data acquired were analyzed with chi-square with Î± = 0,05. As results, age significantly affected risk of fall (p=0.019) but gender did not (p=0.265). We concluded the risk of falling is increased with age and unaffected by gender.Keywords : age, gender, risk of fall, timed up and go test

The Risk of Falling in Elderly Increased with Age Growth and Unaffected by Gender Susilo, Wilson; Limyati, Yenni; Gunawan, Decky
Journal of Medicine and Health Vol. 1 No. 6 (2017)
Publisher : Universitas Kristen Maranatha

Elderly people are a group of people with age of 60 and above. Studies in United States showed one-third of elderly people experienced fall in their houses and one-forty of them need bedrest in hospital. Falling can cause physical and mental injury. Physical injury manifests as fracture, hematoma, bruises, and dislocation, and mental injury manifests as lack of self esteem. This study aimed to examine the relation between age and gender on risk of fall on elderly people. This is a cross-sectional analytical study involving 23 elderly people from Tulus Kasih Elderly Home that met the inclusion criteria. Risk of fall were checked with Timed Up and Go Test. The data acquired were analyzed with chi-square with Î± = 0,05. As results, age significantly affected risk of fall (p=0.019) but gender did not (p=0.265). We concluded the risk of falling is increased with age and unaffected by gender.Keywords : age, gender, risk of fall, timed up and go test

Faktor-Faktor yang Memengaruhi Keberhasilan Terapi Kompresi Terhadap Perbaikan Ulkus Vena Tungkai Kronik Miguna, Landry; Jason, Daniel; Gunadi, Julia Windi; Sanjaya, Ardo; Gunawan, Decky
Jurnal Ilmu Kedokteran dan Kesehatan Vol 11, No 6 (2024): Volume 11 Nomor 6
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jikk.v11i6.15106

Ulkus vena tungkai masih merupakan masalah kesehatan yang serius karena kondisi ini masih sulit disembuhkan, seringkali menjadi kronik, dan menurunkan kualitas hidup penderitanya. Meskipun mekanisme kerja pastinya belum jelas, saat ini terapi kompresi masih menjadi pilihan utama terapi karena terbukti menurunkan angka rekurensi. Terapi kompresi memiliki variasi dalam jenis, durasi, dan tekanan yang dihasilkan. Literature review ini bertujuan untuk mengevaluasi lebih dalam tentang faktor-faktor yang memengaruhi keberhasilan terapi kompresi terhadap perbaikan ulkus vena tungkai kronik. Metode dilakukan dengan pencarian artikel dari search engine Pubmed, Google Scholar dengan kata kunci 'venous ulcer', 'compression therapy', 'chronic leg ulcer', 'pressure of compression', 'stocking compression' dan kombinasinya yang dipublikasikan dalam 20 tahun terakhir. Faktor-faktor kompresi yang diteliti yaitu jenis kompresi, durasi kompresi, dan tekanan kompresi. Indikator perbaikan yang diteliti yaitu gejala dan kondisi klinis, angka rekurensi, dan perbaikan kualitas hidup. Hasil dari 7 artikel yang ditelaah menunjukan bahwa terapi kompresi aman dan efektif di dalam mencegah rekurensi ulkus tungkai, mengurangi keluhan, dan memperbaiki kualitas hidup. Tidak ada pengaruh dari jenis dan durasi terapi kompresi terhadap keberhasilan. Derajat tekanan kompresi memengaruhi angka rekurensi, khususnya pada pengguna stoking kompresi. Sebagai simpulan, keberhasilan terapi kompresi terhadap perbaikan ulkus vena tungkai kronik terutama dipengaruhi oleh tingkat kepatuhan pasien dalam menjalani terapi yang memerlukan waktu jangka panjang.

Literature Review: Pengaruh Estrogen Terhadap Depresi Pasca Persalinan Gunawan, Decky; Camillo, Keyshia Valentine; Gunadi, Julia Windi; Sanjaya, Ardo
Health and Medical Journal Vol 7, No 1 (2025): HEME January 2025
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/heme.v7i1.1642

Depresi pasca persalinan merupakan kondisi mental yang ditunjukkan oleh perasaan yang konstan merasa rendah diri pada ibu yang baru melahirkan, dengan disertai perasaan sedih, penurunan harga diri, dan rasa putus asa. Estrogen memiliki efek indirek terhadap suasana hati melalui pengaruhnya pada fungsi endokrin, proses peradangan selama masa nifas, serta memodulasi aktivitas molekuler otak seperti brain-derived neurotrophic factor (BDNF) dan cyclic AMP response element binding protein (CREB). Perubahan hormonal yang signifikan pada ibu yang baru melahirkan memicu para peneliti untuk mengetahui pengaruh estrogen pada depresi pasca persalinan dan peluangnya dalam pengobatan. Tujuan dari telaah literatur ini adalah mengetahui pengaruh estrogen terhadap depresi pasca persalinan. Metode penelitian adalah telaah delapan artikel yang diperoleh dari PubMed dan BMJ journal dengan kata kunci “estrogen” dan “postpartum depression” dan dipilih berdasarkan kriteria inklusi seperti tahun terbit (2014-2024) dan isi artikel. Hasil telaah pada delapan artikel penelitian yang diperoleh menunjukan lima penelitian menunjukkan tidak ada pengaruh pemberian estrogen terhadap depresi pasca persalinan, sedangkan tiga penelitian menunjukan ada pengaruh. Depresi pasca persalinan bukan hanya karena faktor hormon estrogen, namun masih banyak faktor lain yang menjadi etiologinya. Kesimpulan telaah ini, sampai saat ini tidak ada bukti langsung pengaruh terapi estrogen untuk depresi pasca persalinan, namun masih memiliki potensi untuk dilakukan penelitian lebih lanjut sebagai terapi ajuvan.

Effects of dietary protein combined with high-intensity exercise in restoring skin health in male rats Gunadi, Julia Windi; Lesmana, Ronny; Kastella, Faysal; Tarawan, Vita Murniati; Goenawan, Hanna; Gunawan, Decky; Jasaputra, Diana Krisanti
Universa Medicina Vol. 44 No. 2 (2025)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2025.v44.152-161

Background Protein is essential for skin integrity, while exercise modulates cellular and molecular processes that regulate autophagy, mitochondrial biogenesis, and collagen synthesis. This study evaluates the combined effects of dietary protein restriction and varying exercise intensities on epidermal thickness, autophagy markers (LC3, p62), mitochondrial biogenesis (PGC1α), and collagen synthesis (Col1a1, Col3a1) in male Wistar rats. Methods An experimental laboratory study was conducted involving 32 male Wistar rats. They were randomized into 8 groups: control, low protein, low intensity, group IV, moderate intensity, moderate intensity low protein, high intensity, and high intensity low protein. Low protein diet (5%) compared to the control (24%) was given for 60 days, while the exercise regimen was eight weeks of treadmill exercise (low/10 m per minute, moderate/20 m per minute, and high intensity/30 m per minute) for 30 minutes a day, five days a week. Epidermal thickness, LC3, p62, PGC1α, Col1a1, and Col3a1 mRNA expression were measured at the end of the study. One-way ANOVA/Kruskal-Wallis followed by Tukey HSD/Mann–Whitney test was used to analyze the data. Results A low-protein diet significantly reduced epidermal thickness (p=0.048), increased LC3 (p=0.043) and p62 (p=0.011), indicating impaired skin regeneration and autophagy. However, exercise, especially at high intensities with low protein, mitigated this effect by increasing both LC3 (p=0.011) and PGC1α (p=0.011). Conclusions These findings highlight the compensatory role of exercise in maintaining tissue integrity under protein-deprived conditions in male rats. High-intensity exercise potentially enhances autophagy and mitochondrial biogenesis.

Classification of Electroencephalogram Signal Sleeping Condition Output EEG Digital Tools Laboratory Clinical Neurophysiology Immanuel Hospital with Support Vector Machine Ratnadewi, Ratnadewi; Supantini, Dedeh; Gunawan, Decky; Harnandi, Dennis; Chandrasasmita, Diana
International Journal of Artificial Intelligence Research Vol 6, No 2 (2022): Desember 2022
Publisher : Universitas Dharma Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29099/ijair.v6i2.447

Sleep Disorders like insomnia is one of the main health problems. Sleep deficiencies can increase the risk of diabetes, hypertension and cognitive disorders and behavior. The brain produces electrical signals, when someone is doing any activity such as moving, waking up, sleeping, etc. This electrical signal can be recorded using an electroencephalogram (EEG). In this study, brain signals are read with EEG Digital Laboratory of Clinical Neurophysiology Imanuel Hospital. The EEG signal results will be classified using Machine Learning Support Vector Machine (SVM). EEG signal data was obtained from Immanuel Hospital in Bandung. Conditions to be classified are the condition of waking, drowsiness (stage-1), and sleep (stage-2). Extraction of features using discrete wavelet transform Daubechies DB4. The decomposition level used in this study is Level-1 and Level-2. Based on the tests that have been carried out, the best parameter values obtained are C 10, Gamma 1, and Kernel Poly. Based on these parameters, the accuracy value was 78.8% for level-1, and 76.6% for level-2.

Effect Of Nutmeg (Myristica fragrans) Aromatherapy On Electroencephalographic Sleep Parameter Of Adults Supantini, Dedeh; Gunawan, Decky; Ratnadewi, Ratnadewi; Chandrasasmita, Diana
Journal of Medicine and Health Vol 6 No 2 (2024)
Publisher : Universitas Kristen Maranatha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.28932/jmh.v6i2.8854

Tidur sangat penting bagi kesehatan fisik dan mental. Gangguan tidur banyak dijumpai pada masyarakat masa kini. Penatalaksanaan gangguan tidur dengan obat-obatan memiliki masalah terkait efek samping. Salah satu terapi komplementer yang banyak dilaporkan adalah dengan aromaterapi. Minyak esensial pala (Myristica fragrans) mengandung senyawa aktif yang berpotensi meningkatkan kualitas tidur. Penelitian ini bertujuan untuk menganalisis efektivitas aromaterapi pala dalam menginduksi tidur, dinilai berdasarkan gelombang elektroensefalografi. Parameter yang diukur adalah latensi tidur, durasi tidur stadium I, durasi tidur stadium II, durasi tidur keseluruhan, efisiensi tidur, dan durasi wake after sleep onset. Metode penelitian adalah kuasi-eksperimental dengan desain pre-test dan post-test dilakukan pada delapan subjek penelitian dewasa. Aromaterapi diberikan dengan cara inhalasi. Data yang diperoleh dianalisis dengan uji t berpasangan pada tingkat signifikasi 95%. Hasil penelitian menunjukkan terdapat perbedaan sangat signifikan antara pre-test dan post-test pada parameter latensi tidur, durasi tidur keseluruhan, dan efisiensi tidur (p<0,001). Sebagai kesimpulan, pemberian aromaterapi pala efektif meningkatkan kualitas tidur dengan cara mempersingkat latensi tidur, meningkatkan durasi tidur, dan meningkatkan efisiensi tidur.

Inventarisasi penyakit pada warga di sekitar SMA Santa Maria 2 Bandung berbasis praktik kolaborasi interprofesional Niman, Susanti; Mercya, Yovita; Parulian, Tina Shinta; Sampurno, Lanang Eko; Maharina, Florentina Dian; Katarina, Yovita Tri; Sinaga, Friska; Witsqa Firmansyah, Yura; Gunawan, Decky; Ivone, July; Wati, Wenny
SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Vol 8, No 1 (2024): March
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jpmb.v8i1.22026

AbstrakPemeriksaan kesehatan dalam upaya preventif merupakan hal utama untuk dilakukan pada masyarakat. Permasalahan yang terjadi pada mitra (SMA Santa Maria 2 dan Kecamatan Kiaracondong) adalah belum adanya praktik kolaborasi interprofesional dalam menginventerisasi penyakit pada warga. Kegiatan pengabdian masyarakat ini bertujuan menginventarisasi penyakit pada warga di sekitar SMA Santa Maria 2 Bandung berbasis praktik kolaborasi interprofesional. Metode pemberdayaan dilakukan menggunakan demonstrasi. Pelayanan kesehatan diikuti 86 warga masyarakat di wilayah sekitar SMA Santa Maria 2 Bandung pada Sabtu, 2 September 2023. Praktik kolaborasi interprofesional dilakukan oleh profesi dengan latar belakang keilmuan keperawatan, farmasi, rekam medis dan kedokteran. Hasil kegiatan pelayanan kesehatan pada masyarakat didapatkan data demografik (rata-rata usia 49 tahun dan masyarakat berjenis kelamin perempuan 57%), tanda vital dan riwayat kesehatan, diagnosa medis dan obat (pre-hipertensi 38.4%; gula darah tidak normal 4,5%; asam urat 10%; dan kolestrol 45%). Praktik kolaborasi interprofesional berjalan dengan baik dapat terlihat dari perilaku kolaboratif berdasarkan hasil self reported tim. Penyakit terbanyak berdasarkan hasil pemeriksaan kesehatan adalah hipertensi. Praktik kolaborasi interprofesional dapat dilakukan melalui kegiatan pengabdian masyarakat seperti pelayanan kesehatan masyarakat. Kata kunci: asam urat; hipertensi; kolestrol; praktik kolaborasi interprofesional AbstractThe practice of interprofessional collaboration through the cooperation of health professionals can have a positive impact on health services. Effective interprofessional collaboration practices will provide safe and high-quality health care to patients. This community service activity aims to provide health services to the community through free health checks and medication based on interprofessional collaboration practices. The empowerment method was carried out using demonstrations. Health services were attended by 86 community members in the area around Santa Maria 2 Bandung High School on Saturday, September 2, 2023. Interprofessional collaboration practices are carried out by professionals with scientific backgrounds in nursing, pharmacy, medical records, and medicine. The results of health service activities in the community obtained demographic data (average age of 49 years and 57% female), vital signs and medical history, medical diagnoses, and drugs (pre-hypertension 38.4%; abnormal blood sugar 4.5%; uric acid 10%; and cholesterol 45%). The practice of interprofessional collaboration goes well can be seen from collaborative behavior based on the results of the self-reported team. The most common disease based on the results of the health examination is hypertension. Interprofessional collaboration practices can be carried out through community service activities such as community health services. Keywords: cholesterol; hypertension; the practice of interprofessional; urin acid

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