Claim Missing Document
Check
Articles

Found 5 Documents
Search

Teknologi Imersif Virtual Reality untuk Neurorestorasi Anggota Gerak Atas Stroke Gunawan, Hendry; Gunawan, Irene
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 40 No 1 (2023): Vol 40 No 1 (2023)
Publisher : PERDOSNI

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

Abstract

ABSTRACT Stroke is leading cause of disability in Indonesia. Approximately 80% of stroke patients experience disabilities in their upper extremities. In recent years, immersive Virtual Reality (VR) technology has been used as a promising modality for neurorestoration. VR-based neurorestoration can induce neuroplasticity, Mirror-Neuron System (MNS) and Brain Reward System, leading to contrasted improvements in the upper extremity after stroke. This review prompts systematic understanding of the mechanisms of VR-based stroke neurorestoration and summarizes the emerging evidence for ongoing innovation of VR systems and application in stroke neurorestoration. Keywords: Virtual Reality, Neurorestoration, Stroke, Upper Extremity
PROFIL ESTIMASI LAJU FILTRASI GLOMERULUS MENURUT FORMULA MODIFICATION OF DIET IN RENAL DISEASE PADA PENDERITA DM TIPE 2 DI RSUD ARJAWINANGUN Hendrawan, Fahrizky Nugraha; Indriyati, Rose; Gunawan, Irene; Amaliyah, Nihayatul; Silvia, Indriani; Oktavrisa, Friska
Tunas Medika Jurnal Kedokteran & Kesehatan Vol 11 No 1 (2025): TUNAS MEDIKA JURNAL KEDOKTERAN & KESEHATAN
Publisher : Fakultas Kedokteran UGJ Cirebon

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33603/tumed.v11i1.10297

Abstract

ABSTRAK Nefropati Diabetik (ND) merupakan salah satu komplikasi mikrovaskular yang menyerang ginjal menyebabkan gagal ginjal kronis. Salah satu parameter yang digunakan untuk mengetahui terjadi kerusakan ginjal adalah dengan melihat nilai estimasi Laju Filtrasi Glomerulus (eLFG), dimana parameter yang digunakan adalah formula Modification of Diet in Renal Disease (MDRD), yang dapat mempertimbangkan luas permukaan tubuh, ras, jenis kelamin, dan usia. Untuk mendapatkan gambaran eLFG pada penderita DM tipe 2 di RSUD Arjawinangun. Penelitian ini merupakan penelitian deskriptif. Sampel penelitian sejumlah 393 orang menggunakan teknik total sampling. Data penelitian menggunakan data sekunder. Hasil Univariat didapatkan gambaran usia hasil penelitian ini yaitu penurunan eLFG MDRD banyak terjadi pada usia antara 44 + 64 tahun, jenis kelamin hasil terbanyak yang diperoleh adalah perempuan sebanyak 255 (65%), tingkat pendidikan terbanyak pada Sekolah Dasar sebanyak 286 (72,8%), tidak merokok sebanyak 273 (69,5%), IMT terbanyak terjadi pada kategori normal sebanyak 283 (72%), tanpa riwayat hipertensi sebanyak 242 (61,6%), tanpa riwayat dislipidemia sebanyak 331 (84,2%), nilai eLFG MDRD Grade 1 sebanyak 121 (30,8%), Grade 2 sebanyak 103 (26,2%), Grade 3a sebanyak 58 (14,8%), Grade 3b sebanyak 48 (12,2%), Grade 4 sebanyak 41 (10,4%), Grade 5 sebanyak 22 (5,6%). Kasus DM tipe 2 pada pasien perempuan lebih banyak 65%, Usia rerata dengan penurunan fungsi ginjal terjadi antara usia 45 – 64 tahun, Riwayat hipertensi pada pasien DM tipe 2 tanpa hipertensi 61,6%, Riwayat dislipidemia pada pasien DM tipe 2 tanpa dislipidemia 61,6%. Rata – rata eLFG MDRD pada penelitian ini antara 69,8 + 78,5ml/min/1,73m2. Kata kunci : diabetes melitus tipe 2, eLFG modification of diet in renal disease, penyakit ginjal kronis. ABSTRACT Diabetic Nephropathy (ND) is a microvascular complication that attacks the kidneys causing chronic kidney failure. One of the parameters used to determine kidney damage is by looking at the estimated value of the Glomerular Filtration Rate (eGFR), where the parameter used is the Modification of Diet in Renal Disease (MDRD) formula, which can take into account body surface area, race, sex, and age. To get an overview of eGFR in type 2 DM patients at Arjawinangun Hospital. This research is a descriptive research. The research sample was 393 people using total sampling technique. The research data uses secondary data. Univariate analysis test. Univariate results showed that the age picture of the results of this study was that the decline in MDRD eLFG mostly occurred between the ages of 44 + 64 years, the gender with the highest results obtained was female at 255 (65%), the highest level of education was at elementary school at 286 (72.8%). ), did not smoke as many as 273 (69.5%), most BMI occurred in the normal category as many as 283 (72%), without a history of hypertension as many as 242 (61.6%), without a history of dyslipidemia as many as 331 (84.2%), Grade 1 MDRD eLFG value was 121 (30.8%), Grade 2 was 103 (26.2%), Grade 3a was 58 (14.8%), Grade 3b was 48 (12.2%), Grade 4 was 41 (10.4%), Grade 5 was 22 (5.6%). Cases of type 2 DM in female patients were 65% more, The mean age with decreased kidney function occurred between the ages of 45-64 years, History of hypertension in DM patients without hypertension 61.6%, history of dyslipidemia in type 2 DM patients without dyslipidemia 61.6%. The average MDRD eGFR in this study was between 69.8 + 78.5ml/min/1.73m2.
Effectiveness of Virtual Reality on Fatigue and Life Quality in Geriatric Patients at Kasih Nursing Home Cirebon, Indonesia Gani, Hadrian; Gunawan, Hendry; Gunawan, Irene
GHMJ (Global Health Management Journal) Vol. 7 No. 3s (2024)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-741009

Abstract

Background: Fatigue is a significant challenge for geriatric patients, often leading to vulnerability and a poor quality of life. Virtual reality can potentially serve as a therapeutic intervention for fatigue and quality of life by positively influencing geriatric patients' motor and cognitive functions. Aims: To analyze the effectiveness of virtual reality training on fatigue and quality of life in geriatric patients at Kasih Nursing Home Cirebon, Indonesia. Methods: The research type was a quasi-experimental design with a pre-test, post-test, and nonequivalent group design. Sampling utilized non-probability sampling techniques, specifically total sampling divided into two groups. The intervention group received five treatment sessions over five weeks, each session lasting 15 minutes and conducted on the same days apart. Data was collected using the Fatigue Severity Scale and the World Health Organization Quality of Life-BREF. Data analysis employed paired t-tests, independent t-tests, and N-Gain scores. Results: The results of the paired t-test for the control group showed a non-significant difference in fatigue (p = 0.363 > 0.05). In contrast, the intervention group showed significant improvements in fatigue (p < 0.001) and quality of life (p = 0.049). The independent t-test revealed no significant differences between groups in pre-test scores. However, post-test scores showed significant differences between groups for fatigue (p = 0.048) and quality of life (p = 0.004). The N-Gain Score test indicated that the virtual reality motor cognitive intervention was effective in reducing fatigue (83.96%) but had a limited impact on quality of life (28.32%). Conclusion: Virtual reality training is effective against fatigue, however, while there was a significant increase in quality of life after the virtual reality intervention; virtual reality was not significantly effective in improving the overall quality of life of geriatric patients. Received: 24 September 2024  |  Reviewed: 16 October 2024  |  Revised: 30 November 2024  |  Accepted: 11 December 2024.
Hubungan Kualitas Hidup Pengasuh Terhadap Kemandirian Dan Loneliness Geriatri Di Rsud Waled Permatasari, Shinta Dwi; Gunawan, Irene; Suwarno, Hermansyah
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v10i10.61943

Abstract

Latar Belakang: Peningkatan jumlah lansia setiap tahun menimbulkan tantangan fisik dan psikologis, seperti menurunnya fungsi tubuh, kemandirian, dan meningkatnya risiko kesepian. Caregiver berperan penting dalam mendukung lansia, namun kualitas hidup mereka turut memengaruhi efektivitas perawatan. Kualitas hidup pengasuh yang rendah dapat berdampak pada menurunnya kemandirian dan meningkatnya kesepian pada lansia. Tujuan: Mengetahui hubungan antara kualitas hidup pengasuh dengan kemandirian dan loneliness geriatri di RSUD Waled. Metode: Penelitian ini merupakan studi kuantitatif observasional analitik dengan pendekatan cross-sectional. Subjek penelitian terdiri dari 66 pasangan pengasuh dan geriatri yang memenuhi kriteria inklusi. Data dikumpulkan menggunakan kuesioner WHOQOL-BREF, ADL (Barthel Index), dan UCLA Loneliness Scale Version 3. Analisis dilakukan dengan uji korelasi Spearman. Hasil: Sebagian besar pengasuh memiliki kualitas hidup cukup baik (78,8%). Sebagian besar geriatri termasuk kategori mandiri (66,7%) dan mengalami kesepian rendah (97%). Terdapat hubungan signifikan antara kualitas hidup pengasuh dengan kemandirian geriatri (r = 0,579; p = 0,000), serta hubungan signifikan antara kualitas hidup pengasuh dengan loneliness geriatri (r = 0,341; p = 0,005). Kesimpulan: Kualitas hidup pengasuh berhubungan positif dengan tingkat kemandirian geriatri dan negatif terhadap tingkat loneliness geriatri. Intervensi terhadap kesejahteraan pengasuh dapat menjadi strategi penting dalam meningkatkan kualitas hidup lansia.
Environmental, Social, and Governance (ESG) Performance Evaluation to Reduce Potential Greenwashing Based on Sustainable Fitch Index Gunawan, Juniati; Gunawan, Irene; Liu, Ying Chieh
International Journal of Entrepreneurship and Sustainability Studies Vol. 3 No. 2 (2023): December 2023
Publisher : Research Synergy Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31098/ijeass.v3i2.1773

Abstract

Increasing company awareness of environment, social, and governance (ESG) issues is getting more important in relation to financial performances. Investors and other stakeholders require ESG-related information to help them making decisions, in particular investment decisions. This study employed the Sustainable Fitch index to assess the ESG performance, by examining Company G as a case study as this company is considered the first company in Indonesia which went through Sustainable Fitch index evaluation. Sustainable Fitch index was chosen as this index is considered the most related ESG index for companies who would like to publish sustainability bonds and it has a unique methodology. The findings suggest that any companies conducting a Sustainable Fitch ESG assessment should calculate scope 3 emissions and clarify the emission reduction target timeline, including target verification with respect to the United Nations' Science-Based Target (SBT) or net zero targets. These measurements are considered as part of environmental accounting, an emerging accounting issues, related to sustainability. Besides, social performances are also crucial, and one of them is improving the number of women in management positions at all levels.