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THE SYNERGISTIC EFFECT OF HIGH BMI AND LOW PHYSICAL ACTIVITY ON GOUT ARTHRITIS RISK: A CASE -CONTROL STUDY IN WEST SUMATERA INDONESIA Widhiastuti, Erma; Huda, Mega Hasanul; Susanto, Herry; Kurniasari, Maria Dyah; Putra, Hasriza Eka
Menara Medika Vol 7, No 2 (2025): VOL 7 NO 2 MARET 2025
Publisher : Fakultas Kesehatan Universitas Muhammadiyah Sumatera Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31869/mm.v7i2.6555

Abstract

Background: A body mass index (BMI) of 24.9 kg/m² is a well-established risk factor for gout arthritis. However, the combined effect of obesity and decreased physical activity on the prevalence of gout arthritis in West Sumatra, Indonesia, remains unclear. This study aimed to investigate the relationship between obesity and its synergistic effect with decreased physical activity in increasing the risk of gout arthritis. Methods: A case-control study was conducted with 105 participants recruited from a health center in West Sumatra, Indonesia. Participants were divided into two groups: healthy controls (n=57) and gout arthritis patients (n=48). Physical activity levels were assessed using the modified Physical Activity Guidelines from the Advisory Committee for Americans and quantified as metabolic equivalent of task (MET)-hours per week over a 12-month period.  BMI was measured by weight in kilograms divided by the square of their height in meters. Logistic regression analysis was used to determine the associations. Results: Participants with a BMI ≥ 24.9 kg/m² were 4.78 times more likely to develop gout arthritis compared to those with a BMI 24.9 kg/m² (Adjusted Odds Ratio [AOR] = 4.78; 95% Confidence Interval [CI] = 1.73–13.23; p 0.01). Additionally, those engaging in lower physical activity ( 7.5 MET-hr/week) were 3.35 times more likely to develop gout arthritis compared to those with higher levels (AOR = 3.35; 95% CI = 1.06–10.53; p 0.05). Conclusions: In West Sumatra, Indonesia, obesity (BMI 24.9 kg/m²) and its synergistic interaction with decreased physical activity significantly contribute to the increased risk of gout arthritis. Public health interventions addressing both weight management and promotion of physical activity are essential for reducing the disease burden.
The Role of Nurses in Improving the Quality of Life of Neonates Through Pain Management: A Literature Review Dessirya, Endah; Widhiastuti, Erma
Indonesian Journal of Global Health Research Vol 6 No S4 (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.v6iS4.3910

Abstract

Pain in neonates is a problem that must be taken seriously. In addition to causing physiological disturbances, pain in neonates can have long-term consequences including behavioural changes, hypersensitivity to pain and neurodevelopmental disorders. Nurses have an important role in improving the quality of life of neonates through pain management. This study aims to provide alternatives in the prevention of pain in neonates non-pharmacologically and is expected to apply pain instruments (as a basis for pain assessment) and improve collaboration, education and supervision in the prevention of pain in neonates. The method used in this study was literature review. Searching academic articles through Online Database searches through ClinicalKey for Nursing, Proquest, Science Direct and Pubmed from 2020-2024 with the Prisma approach, then filtering with PICO (Population, Intervention, Comparative, Outcome) obtained 10 suitable articles. Based on several studies, the role of nurses in improving the quality of life of neonates is effective pain management through pain assessment, non-pharmacological interventions (skin to skin contact, breastfeeding, maternal voice, facilitated tucking positioning, massage, olfactive stimulation, sucrose administration, nesting positioning and Yakson touch therapy). In addition, education, supervision and a comprehensive approach and collaboration between teams are needed. Pain management in neonates is important in neonate care, it is recommended that there is a bundle of pain management in neonates which contains a structured plan, and integrated guidelines to prevent and manage pain in neonates.
Light‐emitting diode phototherapy for neonatal hyperbilirubinemia: A literature review Widhiastuti, Erma
Holistik Jurnal Kesehatan Vol 17, No 9 (2024)
Publisher : Program Studi Ilmu Keperawata Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v17i9.13064

Abstract

Background: Neonatal hyperbilirubinemia is a problem that often occurs in newborns who must be separated between mother and baby due to phototherapy. Clinically, jaundice or symptoms of changes in the sclera, mucous membranes and skin becoming yellow can be seen if there is an increase in the bilirubin concentration of more than 5 mg/dl. In most infants, the development of unconjugated hyperbilirubinemia is a normal transition. However, in some babies plasma levels can increase excessively, this can be a concern because bilirubin is not conjugated so it is neurotoxic and can cross the blood brain barrier, causing brain damage.Purpose: To provide an overview of the results of a literature review regarding the effectiveness of light emitting diode (LED) phototherapy in reducing total serum bilirubin (TSB) levels.Method: The literature review study used the preferred reporting items for systematic reviews and meta-analyses (PRISMA) to conduct systematic observations, a prospective comparative study, a randomized controlled trial, a retrospective chart review, and two prospective studies. Based on article searches, 1.270 articles were successfully extracted, resulting in 12 full text articles that were relevant to the topic of discussion.Results: Various research results show that LED lights have better effectiveness in reducing TSB levels. All phototherapy methods are effective in reducing TB within safe limits. Mounting evidence suggests that dual LED phototherapy is effective for the management of hyperbilirubinemia in neonates.Conclusion: Phototherapy using LED lights in the form of bags or blankets is more effective in reducing bilirubin levels more quickly compared to compact fluorescent lights or conventional phototherapy. Keywords: Hyperbilirubin; Newborn; Phototherapy Light Emitting Diodes. Pendahuluan: Hiperbilirubinemia neonatal merupakan masalah yang sering terjadi pada bayi yang baru lahir, yang terpaksa memisahkan  ibu dan bayi karena dilakukan fototerapi. Secara klinis, ikterik atau suatu gejala perubahan sklera, membran mukosa, dan kulit menjadi kuning dapat dilihat ketika terjadi kenaikan konsentrasi bilirubin lebih dari 5 mg/dl. Pada sebagian besar bayi, kejadian hiperbilirubinemia tidak terkonjugasi merupakan transisi normal. Namun, pada beberapa bayi kadar plasma mungkin meningkat berlebihan, hal ini dapat menjadi perhatian karena bilirubin tidak terkonjugasi sehingga bersifat neurotoksik dan dapat melewati sawar darah ke otak yang menyebabkan kerusakan otak.Tujuan: Untuk memberikan gambaran dari hasil review literatur tentang efektifitas fototerapi light emitting diode (LED) dalam mengurangi kadar total serum bilirubin (TSB).Metode: Penelitian literature review menggunakan preferred reporting items for systematic reviews and meta-analysis (PRISMA) untuk melakukan tinjauan sistematis, prospective comparative study, randomized controlled trial, retrospective chart review, dan two prospective study. Berdasarkan pencarian artikel didapatkan sebanyak 1.270 artikel yang diekstraksi hingga mendapatkan 12 artikel full text yang relevan dengan topik pembahasan.Hasil: Berbagai hasil penelitian menunjukkan sinar LED memiliki efektivitas lebih baik untuk menurunkan kadar TSB. Semua metode fototerapi efektif menurunkan TSB dalam batas aman. Banyak bukti menunjukkan bahwa fototerapi LED ganda adalah efektif untuk penatalaksanaan hyperbilirubinemia pada neonates.Simpulan: Fototerapi yang menggunakan sinar LED dan berbentuk kantong atau selimut lebih efektif lebih cepat dalam menurunkan kadar bilirubin dibandingkan dengan fototerapi compact fluorescent light atau konvensional. Kata Kunci : Bayi Baru Lahir; Fototerapi Light Emitting Diode; Hiperbilirubin.