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All Journal Bali Medical and Wellness Journal Jurnal Abdimas Kedokteran dan Kesehatan
Nugraha, Deity
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Acupuncture for Postoperative Neuropathic Pain: A Case Report Nugraha, Deity; Fitriani, Elies; Srilestari, Adiningsih
Bali Medical and Wellness Journal Vol. 1 No. 1 (2024): Bali Medical and Wellness Journal
Publisher : PT BMW Journal Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71341/bmwj.v1i1.6

Abstract

Introduction: Postoperative neuropathy can result from nerve transection, bruising, stretching, or inflammation. Chronic Post-Surgical Neuropathic Pain (CPSNP) refers to pain persisting for at least three months after surgery, distinct from preoperative pain and localized to the surgical site or referral area. Acupuncture, a therapeutic technique for acute and chronic pain, has shown promise in managing CPSNP. In this case report, we explore the use of acupuncture to alleviate chronic pain following hand surgery. CPSNP poses significant challenges for patients recovering from surgical procedures. Acupuncture, with its potential to modulate nerve activity and activate pain control systems in the brain, offers an alternative approach to pain management. Case Report: Patient Profile: A 37-year-old woman presented to the medical acupuncture polyclinic with complaints related to her left hand. Specifically, she experienced numbness, heat, and pain in the tips of fingers 2, 3, 4, and 5. Occasionally, the discomfort extended to her elbow. Medical History: The patient had undergone Carpal Tunnel Syndrome (CTS) surgery on her left hand approximately one year ago. The diagnosis of CTS was established in 2021, leading to open surgery on the wrist. Current Pain Assessment: The patient reported a Numeric Rating Scale (NRS) pain score of 5. Physical Examination: Examination revealed pain and limited range of motion (ROM) in her hand. Acupuncture Treatment: Manual acupuncture therapy was administered, targeting specific body acupuncture points and utilizing ear acupuncture. Outcome: After six therapy sessions, the patient experienced a reduction in pain intensity and an improvement in overall quality of life. Conclusion: Acupuncture shows promise as an adjunctive therapy for managing chronic post-surgical neuropathic pain. Further research is warranted to explore its efficacy and long-term effects in similar cases.
Physical Fitness Levels Based on the 12-Minute Running Test in Medical Undergraduate Cadets at the Republic of Indonesia Defense University, Cohort 4 of the Year 2023 Ardiansyah, Trevicko Mahottama; Handandari, Syahnadira Puspita; Suwarno, Adinda Ratulia; Azka, Salsabila; Mozart, Mozart; Pratama, Vireza; Nugraha, Deity; Fitriani, Elies
Bali Medical and Wellness Journal Vol. 1 No. 1 (2024): Bali Medical and Wellness Journal
Publisher : PT BMW Journal Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.1234/bmwj.v1i1.16

Abstract

Objective: Physical fitness plays a critical role in maintaining the health and performance of medical undergraduate students, particularly at the Republic of Indonesia Defense University (RIDU), where academic studies intersect with military training. This study aims to describe the physical fitness levels of medical undergraduate cadets based on the results of the 12-minute running test (Cooper Test) and their self-reported physical activity levels using the Global Physical Activity Questionnaire (GPAQ). Methods: We employed a descriptive survey research method. The study included 72 respondents from the 2023 cohort 4 student population. Results: Physical Activity Levels: The majority of respondents reported a heavy level of physical activity (87.5%). Physical Fitness Levels: Overall, respondents demonstrated a sufficient level of physical fitness (73.6%). Gender and Age: No significant differences were observed in the distribution of physical fitness levels based on gender or age. Conclusion: Most cadets enrolled in undergraduate medical study programs at RIDU exhibit an adequate level of physical fitness.
Assessing the Effectiveness of Hormonal Aromatase inhibitors (AI) Therapy in Hormone Receptor Positive Post-Menopausal Breast Cancer Patients: A Systematic Review Perdiyana , Angki; Lesmana , Agri; Sitompul , Dea Syafira Alamsyah; Wijayanti , Fakhira Ayu; Alrasyid , Miko Dharma; Wiguna , Naufal Yafi Rais; Sutomo , Tharisa Novianti Syabania; Nugraha, Deity; Fitriani, Elies
Bali Medical and Wellness Journal Vol. 1 No. 2 (2024): Bali Medical and Wellness Journal
Publisher : PT BMW Journal Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71341/bmwj.v1i2.7

Abstract

Background: Endocrine therapy is a cornerstone in the treatment of breast cancer for patients who are hormone receptor-positive (HR+). Aromatase Inhibitors are a key option for managing HR+ breast cancer in postmenopausal women. Objective: This study investigates the efficacy of Aromatase Inhibitors in postmenopausal women with HR+ breast cancer, focusing on their therapeutic benefits and associated risks. Methods: A comprehensive literature review was conducted using the Cochrane, Google Scholar, PubMed, Science Direct, ClinicalTrials.gov, and Scopus databases, adhering to PRISMA guidelines. Study quality was evaluated using the Risk of Bias for Randomized Trials (RoB 2.0) tool. Results: Aromatase Inhibitors function by inhibiting the aromatase enzyme, effectively reducing estrogen production. While they can be used with other therapies such as metformin or saracatinib, these combinations are not significantly more effective. Aromatase Inhibitors have been shown to enhance cognitive function and alleviate some depressive symptoms, although they may increase the risk of depression and anxiety in some patients. Conclusion: Aromatase Inhibitors are an effective treatment for HR+ breast cancer in postmenopausal women. However, the potential psychological side effects, such as depression and anxiety, require careful management during therapy.
PEMBERDAYAAN MASYARAKAT DENGAN ASUHAN MANDIRI AKUPRESUR UNTUK MENINGKATKAN NAFSU MAKAN PADA BALITA STUNTING Viventius, Yoshua; Mihardja, Hasan; Lazuardi, Didi; Srilestari, Adiningsih; Nareswari, Irma; Djaali, Wahyuningsih; Nugraha, Deity; Setiawan, Natasha; Konda, Yuanti Yunus; Syailindra, Firza; Fitriani, Elies
Jurnal Abdimas Kedokteran & Kesehatan Vol 2, No 1 (2024): Volume 2 Nomor 1
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jakk.v2i1.14450

Abstract

Masalah stunting masih belum bisa dikendalikan di Indonesia, dengan prevalensi mencapai lebih dari 20% yang termasuk kategori tinggi dari Badan Kesehatan Dunia (WHO). Stunting tidak hanya menyebabkan perlambatan pertambahan berat badan, namun juga gangguan perkembangan kognitif dan mental, gangguan pertahanan tubuh, serta peningkatan risiko terjadinya penyakit degeneratif. Berbagai upaya telah dilakukan untuk mencegah dan menangani stunting, namun penanganan stunting yang efektif mencakup kolaborasi berbagai pihak, termasuk kader kesehatan dan orang tua balita. Salah satu penanganan stunting yang dapat dilakukan adalah akupresur. Akupresur yang merupakan bagian dari akupunktur, memanfaatkan penekanan pada titik-titik akupunktur. Akupresur merupakan terapi yang sederhana, murah, non invasif, mudah dilakukan, serta dapat dilakukan secara mandiri oleh siapa saja dan kapan saja, termasuk oleh kader kesehatan dan terutama orang tua balita. Namun masih banyak orang tua dan kader kesehatan yang belum mengetahui terapi akupresur, terutama pemanfaatannya pada kondisi stunting. Penyuluhan dengan seminar awam dilakukan untuk membuka wawasan masyarakat luas terhadap pemanfaatan akupresur untuk stunting. Seminar awam diikuti dengan workshop dilakukan secara hibrida luring di Kabupaten Tangerang dan daring melalui platform Zoom. Kegiatan ini diikuti oleh 60 peserta luring dan 941 peserta daring. Pada evaluasi, ditemukan peningkatan skor posttest dibandingkan dengan pretest yang menunjukkan peningkatan pengetahuan peserta mengenai pemberian gizi pada balita, stunting, akupresur, dan manfaat akupresur pada stunting. Terdapat peningkatan pengetahuan kader, dan ibu balita stunting setelah pemberian penyuluhan dan workshop akupresur. Diharapkan kader dan ibu balita stunting dapat mempraktekan akupresur mandiri untuk meningkatkan nafsu makan balita stunting.
Co-Authors Adiningsih Srilestari Alrasyid , Miko Dharma Ardiansyah, Trevicko Mahottama Azka, Salsabila Fitriani, Elies Handandari, Syahnadira Puspita Hasan Mihardja Konda, Yuanti Yunus Lazuardi, Didi Lesmana , Agri Mozart, Mozart Nareswari, Irma Perdiyana , Angki Pratama, Vireza Setiawan, Natasha Sitompul , Dea Syafira Alamsyah Sutomo , Tharisa Novianti Syabania Suwarno, Adinda Ratulia Syailindra, Firza Viventius, Yoshua Wahyuningsih Djaali Wiguna , Naufal Yafi Rais Wijayanti , Fakhira Ayu