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Prawiragara, Fachrizal Arfani
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Immunology & microbiology Mechanical Engineering Medicine & Pharmacology Public Health Social Sciences

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Femoral Neck Fracture in Geriatri Patient: A Case Studies and Approaches to Post-Operative Rehabilitation: A Literature Review Winata, Lionesya Sukma; Prawiragara, Fachrizal Arfani
Journal of Diverse Medical Research: Medicosphere Vol. 2 No. 6 (2025): J Divers Med Res 2025
Publisher : Faculty of Medical - UPN Veteran Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33005/jdiversemedres.v2i6.195

Abstract

Introduction: Femoral collum fractures are a common injury in the geriatric population, particularly postmenopausal women with osteoporosis. The intracapsular location of the fracture and proximity to the blood supply of the femoral head increases the risk of complications such as non-union and avascular necrosis. Early and appropriate treatment is essential to minimize long-term functional impact. Case Illustration: A 67-year-old woman experienced severe pain in the right hip after slipping while mopping the floor. The patient was unable to stand or walk after the incident. History showed osteoporosis which was not treated regularly. Radiologic examination revealed a right collum femur fracture with Garden type IV classification. The patient underwent arthroplasty bipolar and a gradual physiotherapy rehabilitation program for six months. Discussion: This case illustrates a common pattern of osteoporotic fractures in the elderly, where minor trauma can cause severe damage to the bone. The selection of arthroplasty is appropriate to the patient's bone condition and fracture type, providing stability and allowing early mobilization. Intensive rehabilitation has been shown to support functional recovery. Long-term management of osteoporosis with antiresorptive therapy such as zoledronate, patient education, and environmental modification are also important for the prevention of recurrent fractures. Conclusion: A comprehensive approach that includes surgery, early rehabilitation, and management of osteoporosis can result in a better.
Recovery Efforts for Patients After Anterior Cruciate Ligament (ACL) Reconstruction with Weight Training : Literature Review Artanto, Krishna; Wardhani, Fitria Kusuma; Prawiragara, Fachrizal Arfani; Handoko, Kun Avriady
Journal of Diverse Medical Research: Medicosphere Vol. 1 No. 6 (2024): J Divers Med Res
Publisher : Faculty of Medical - UPN Veteran Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33005/jdiversemedres.v1i3.31

Abstract

Background. Anterior cruciate ligament (ACL) injury is one of the most common knee ligament injuries, especially in athletes. Although ACL reconstruction is often required to restore stability to the knee joint, postoperative rehabilitation is essential to restore knee strength and function. Weight training is considered useful for recovery. However, not many studies have thoroughly studied this technique. Objective. This study investigated how effective weight training is in improving the recovery ability of patients after ACL reconstruction, with particular emphasis on reducing pain and increasing joint range of motion (ROM). Methods. is a literature review where analysis of various literature sources is carried out. Literature searches were conducted through google scholar and mendeley sources with a range of years between 2019-2024. Results: The study showed that weight training improved patient recovery, with an average pain level of 5.75 in the first cycle and a ROM of 96.25°. In the second cycle, pain levels dropped to 3.00 and ROM increased to 101.25°. In the third cycle, the pain level dropped to 1.00 and the ROM increased to 115.00°. Discussion. In rehabilitation post ACL reconstruction, organized weight training helps reduce pain, improve knee stability, and strengthen the muscles that support the knee joint. The success of rehabilitation is enhanced by the application of varied exercises according to the stage of recovery. Conclusion. This study found that gradual weight training can significantly accelerate the recovery process of patients after ACL reconstruction, by reducing pain and increasing ROM. These findings provide a strong basis for the development of more comprehensive rehabilitation programs in the future, as well as making weight training a standard technique in ACL injury recovery.
Hormonal and Psychological Factors in The Management of Rheumatoid Arthritis in Women : Literature Review Ningrum, Kadek Ardhyani Widya; Prawiragara, Fachrizal Arfani; Wardhani, Fitria Kusuma
Journal of Diverse Medical Research: Medicosphere Vol. 1 No. 6 (2024): J Divers Med Res
Publisher : Faculty of Medical - UPN Veteran Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33005/jdiversemedres.v1i3.36

Abstract

Introduction. Rheumatoid arthritis (RA) is a chronic autoimmune disease that causes inflammation of the joints and can lead to systemic complications. The prevalence of RA ranges from 0.5% to 1% of the global population, with a higher incidence in women than men. This literature review aims to analyze current research related to hormonal and psychological factors that influence the management of RA in women. Methods. A search was conducted through databases such as PubMed, Scopus, Google Scholar, and ScienceDirect with the criteria of articles published within the last five years. Discussion. Results suggest that hormonal fluctuations, such as estrogen and progesterone, may affect RA symptoms, especially during pregnancy and menopause. In addition, psychological factors, including stress and depression, have a significant impact on quality of life and pain perception in RA patients. Thus, the management of RA requires a comprehensive approach that considers both hormonal and psychological factors. Conclusion. This review emphasizes the importance of patient education as well as recommendations for further research into the specific role of hormones in RA pathogenesis and the development of more integrated psychological interventions. Keywords. Rheumatoid arthritis, autoimmune disease, hormonal, psychological, quality of life
Leveraging Technology for Dengue Fever Management Using Mobile Health GIS and Big Data to Improve Epidemic Control in Tropical Regions: A Literature Review Nabilla Salsabilla Zainudin, Alifia; Prawiragara, Fachrizal Arfani
Journal of Diverse Medical Research: Medicosphere Vol. 2 No. 2 (2025): J Divers Med Res 2025
Publisher : Faculty of Medical - UPN Veteran Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33005/jdiversemedres.v2i2.55

Abstract

Background: Dengue Fever (DBD) remains a major public health issue in tropical countries, including Indonesia, leading to significant morbidity and mortality, particularly among children and young adults. With the increasing number of outbreaks, innovative approaches are necessary for effective management. Technological advancements, including mobile health applications (mHealth), Geographic Information Systems (GIS), and big data analytics, have been identified as valuable tools in the early detection, monitoring, and control of Dengue Fever. These technologies promise to improve the efficiency of health systems and expedite the response to outbreaks.Objective: This study aims to explore the role of technology in managing Dengue Fever outbreaks, focusing on the application of mHealth, GIS, and big data in enhancing public health responses and epidemic control efforts.Methods: A literature review was conducted using databases such as PubMed, Google Scholar, and Scopus, with keywords including "Dengue Fever," "mHealth," "GIS," "big data," and "epidemic control." The selected studies, published between 2018 and 2023, were peer-reviewed articles, case studies, and research reports that discussed technological applications in Dengue Fever management.Results: The findings highlight several technological innovations, including the use of mHealth applications for raising public awareness and enabling real-time communication between health workers and the community. GIS technologies are instrumental in mapping high-risk areas for mosquito breeding and planning targeted vector control interventions. Big data analytics allows for the prediction and monitoring of outbreaks, facilitating better resource allocation and more efficient response strategies. These technologies, when integrated, have shown promise in improving Dengue Fever control, particularly in low-resource settings.
Recent Understanding of Pathogenesis, and Management Strategies of Asthma: A Literature Review Adiputra, Ramdhan; Prawiragara, Fachrizal Arfani
Journal of Diverse Medical Research: Medicosphere Vol. 1 No. 1 (2024): J Divers Med Res 2024
Publisher : Faculty of Medical - UPN Veteran Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33005/jdiversemedres.v1i3.128

Abstract

ABSTRACTAsthma is a chronic inflammatory disease of the airways triggered by an immune response involving Th22 cells and group 3 innate lymphoid cells (ILC2). This disease is divided into two main endotypes: type 2-high, characterized by eosinophilic inflammation and a good response to corticosteroids; and type 2-low, associated with neutrophilic inflammation and a response to non-type 2 cytokines. The aim of this literature review is to examine the literature focusing on the immunology of asthma, its pathogenesis, biomarkers, genetics, epigenetics, and management.           Methods. The literature used included searches in several databases such as Google Scholar and PubMed using keywords relevant to the topic. The results of the review indicate that type 2-high asthma responds well to corticosteroid therapy, whereas type 2-low asthma requires treatment approaches targeting non-type 2 cytokines. Biomarker-based approaches are becoming crucial in asthma management, with studies showing that plant-based diets and vitamin D intake may play a role in controlling asthma.        Conclusion. A deeper understanding of asthma endotypes and associated biomarkers is vital in developing more personalized and effective treatment strategies. Keywords. asthma, endotype, immunology, biomarkers
Co-Authors Adiputra, Ramdhan Artanto, Krishna Handoko, Kun Avriady Nabilla Salsabilla Zainudin, Alifia Ningrum, Kadek Ardhyani Widya Wardhani, Fitria Kusuma Winata, Lionesya Sukma