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Role of Optical Coherence Tomography (OCT) in Macular Oedema and Diabetic Retinopathy (DR) Update; Systematic Literature Review Isa Taufiq; Abdul Muhith; Chilyatiz Zahro; Siti Nur Hasina
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i6.4761

Abstract

Diabetic retinopathy (DR) and diabetic macular oedema (DME) are significant causes of blindness globally, resulting from diabetes-induced retinal damage. Early detection and timely intervention are critical to prevent irreversible vision loss in diabetic patients. Recent advances in imaging technology, particularly Optical Coherence Tomography (OCT), have provided a powerful tool for detailed visualisation of retinal structures, enabling the early identification of microvascular changes associated with DR and DME. This systematic review synthesises insights from 20 studies to explore the effectiveness of OCT in diagnosing, monitoring, and guiding treatment for these conditions. A comprehensive literature search was conducted across databases including Scopus, Scholar, and PubMed, using Boolean operators to combine keywords such as “OCT,” “OCTA,” “diabetic retinopathy,” and “deep learning.” Studies were selected based on criteria that included the use of OCT or OCTA in assessing DR or DME, providing statistical data on diagnostic accuracy and treatment response. The results indicate that OCT, particularly when paired with OCT Angiography (OCTA) and AI-driven analysis, significantly enhances the accuracy of detecting early microvascular changes in diabetic eyes. For instance, Zhang et al. (2021) found that OCTA could identify early retinal vascular alterations in diabetic patients with a sensitivity and specificity exceeding 90%. Additional findings reveal that OCT plays a crucial role in tracking disease progression and evaluating treatment efficacy, with improved visual outcomes observed in patients receiving anti-VEGF therapy monitored via OCTA. In conclusion, OCT has established itself as an invaluable tool in the management of DR and DME, enabling early diagnosis, precise monitoring, and tailored therapeutic interventions. Integrating artificial intelligence further augments OCT’s diagnostic capabilities, enhancing its potential to revolutionise diabetic eye care. However, accessibility and cost barriers remain challenges, emphasising the need for future research to focus on optimising AI models and expanding OCT accessibility in routine clinical settings.
Effectiveness of Motor Imagery Training on Improving Upper Extremity Functional Ability Post Stroke: A Systematic Review Isa Taufiq; Sri Sulistiyawati; Yurike Septianingrum; Siti Nur Hasina
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.6234

Abstract

Increasingly acknowledged for its ability to improve motor function and neuroplasticity in stroke therapy is motor imagery (MI) training. Variability in techniques and results, however, calls for a methodical assessment to combine the data. Objective: The goal of this study was to assess whether MI training will help stroke patients achieve better motor performance and other rehabilitation results. Method: After a thorough search across five databases using PubMed, Scopus, Google Scholar, Web of Science, and Cochrane Library in line with PRISMA criteria, we took ten works published between 2023 and 2025 under consideration. Resulting in 578 entries and Ultimately 10 studies were included in the review. methodological quality was assessed using JBI critical assessment techniques. Result:Ten research were examined and MI-based therapies clearly improved upper limb function, neuroplasticity, and attentional control. MI with BCI showed improved cortical activation, brain connection, and muscular strength. In severe cases especially, MI combined with TMS enhanced motor recovery. Furthermore, MI training enhanced with virtual reality or voice direction improved psychological well-being and daily life activities. Conclusion: MI-based treatments—especially in conjunction with cutting-edge technologies—effectively enhance motor and cognitive performance in stroke victims. To maximise clinical use, future studies should standardise procedures, investigate reasonably priced delivery strategies, and evaluate long-term advantages.
The Effectiveness of A Structured Phone Call Follow-Up Peer Group in Cataract Surgery Patients: A Quasi-Experimental Study Isa Taufiq; Eppy Setiyowati; Faridah Umamah
Indonesian Journal of Global Health Research Vol. 8 No. 5 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i5.2368

Abstract

Cataract surgery patients often experience limited knowledge, perioperative anxiety, and suboptimal satisfaction with care. Patients with limited knowledge about cataracts tend to imagine frightening scenarios, such as pain, surgical failure, or loss of vision. This condition can provoke anxiety, reduce patients' readiness to undergo surgery, and ultimately affect their satisfaction assessment regarding the quality of care received. The novelty of this study lies in the application of the Phone Call Follow-Up Peer Group (PCFPG), a structured intervention integrating therapeutic nurse communication, repeated education, and peer experiential support across three perioperative phases. To examine the effectiveness of PCFPG on knowledge, anxiety, and satisfaction among cataract surgery patients. A quasi-experimental pre-test-post-test control group study was conducted in 70 cataract patients recruited through purposive sampling. The intervention was delivered through WhatsApp video calls on day -1, day +1, and day +7 by nurses and peer group members. Data were collected using a cataract knowledge questionnaire, the Zung Self-Rating Anxiety Scale, and the KKP-2017, then analyzed using Wilcoxon and Mann–Whitney tests. After the intervention, 91.4% of patients in the intervention group reached the high-knowledge category, 80.0% were not anxious, and 40.0% were very satisfied. In contrast, the control group showed only limited improvement, with 37.1% in the high-knowledge category, 40.0% not anxious, and 22.9% still dissatisfied. PCFPG was effective for knowledge, anxiety, and satisfaction (all p<0.001), with large effect sizes across outcomes. PCFPG effectively shifted patients into more favorable clinical categories and may serve as a structured, replicable perioperative nursing model in cataract care.