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Effect of Cryotherapy Combined with William Flexion Exercise in Reducing Myogenic Low Back Pain Windiastoni, Yoga Handita; Basuki, Nur; Haritsah, Nurul Fithriati
Indonesian Journal of Medicine Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2023.8.2.641

Background: Health problems related to daily activities can be experienced by individuals or groups. The most common complaint in the musculoskeletal system is low back pain. Low Back Pain according to the Ministry of Health of the Republic of Indonesia in 2018 means pain that is felt in the lower back area, between the lowest costal angle to the sacrum. The purpose of this study was to determine the effect of adding cold pack therapy to the William flexion exercise on reducing pain in myogenic LBP patients. Subjects and Method: This was an experiment study conducted at Dr. Moewardi Hospital, Surakarta, Central Java, in September 2022. A sample of 22 patients with myogenic low back pain was allocated into two groups. The dependent variable was pain. The independent variable was cryotherapy combined with William flexion exercise. Pain was measured using quadripel visual analogue scale. Mean between groups after intervention was analyzed using independent t test. Results: Mean of pain in the intervention group (Mean= 6.27; SD= 1.00) was lower than control group (Mean= 7.09; SD= 0.94), and it was statistically significant (p<0.001). Conclusion: Cryotherapy combined with William flexion exercise is better to reduce pain in patients with myogenic low back pain. Keywords: low back pain myogenic, cryotherapy, William flexion exercise. Correspondence: Yoga Handita Windiastoni. Study Program of Physiotherapy, Health Polytechnic, Ministry of Health Surakarta, Karanganyar, Central Java. Email: handitayoga@gmail.com. Mobile: 081329036114.

Factors Influencing Nursing Student's Satisfaction in the Clinical Practice Education Program: A Systematic Review Jadmiko, Arief Wahyudi; Felaza, Estivana
Indonesian Journal of Medicine Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2023.8.2.623

Background: Nursing education programs' major success is arguably linked to students' practical clinical practice. The practical clinical practice provides a realistic setting in which students can safely integrate theoretical nursing knowledge into practical nursing care while also developing the attitudes and abilities required for the profession. This study aimed to examine the factors influencing nursing students' satisfaction in the clinical practice education program.Subjects and Method: A systematic review were conducted by searching articles from PubMed, ResearchGate, Science Direct, Google Scholar, and EBSCO is an article published from 2012 to 2022. The keywords were “clinical practice” AND “education” AND “students, nursing” AND “satisfaction”. The inclusion criteria were cross-sectional study. The articles were selected by PRISMA flow diagram.Results: A total of 8 studies was included in this review. Individualized supervision model, the pedagogical atmosphere on the ward, the relationship with the clinical nurse supervisors, the relationship with the nurse teachers, leadership style, clinical nurse commitment, patient relationships, higher age, grade point average (GPA), completion of several clinical courses, type of service and center, the type of management, the preference in the choice of the practice center, the number of students per period per clinical educator, being a woman and being in the second-grade year group, unhealthy placement environments.Conclusion: Factors influencing the satisfaction of student nurses in the clinical practice education program are the type of management, service, and center; the premises of nursing in the ward; the pedagogical atmosphere on the ward; the Ward/ Nurse Manager’s leadership style; individualized supervision model; unhealthy placement environments, clinical tutors and nurse teacher.Keywords: clinical practice, learning, education, students, nursing, satisfaction.Correspondence: Arief Wahyudi Jadmiko. Nursing Department, Faculty of Health, Universitas Pembangunan Nasional Veteran Jakarta. Jl. RS. Fatmawati Raya, Pd. Labu, Cilandak, Depok, West Java. Email: ariefwjadmiko@gmail.com. Mobile: +62 856-4721-3628.Indonesian Journal of Medicine (2023), 08(02): 225-235https://doi.org/10.26911/theijmed.2023.08.02.12

Meta-Analysis of the Effect of Cognitive Activity Exercise on Independence Ability in Post-Stroke Patients Aktovianta, Lukman; Murti, Bhisma; Adriani, Rita Benya
Indonesian Journal of Medicine Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2022.7.3.587

Background: A stroke is an attack on the brain that occurs when the blood supply to part of the brain is blocked so that part of the brain becomes damaged and dies because it does not get nutritional intake. Cognitive exercise activities can maintain optimal blood flow and improve the delivery of nutrients to the brain. The study aims to analyze the effect of cognitive exercise activity on the independence ability in post-stroke patients.Subject and Method: The study was a meta-analysis with PICO as the following: Population: post-stroke patients. Intervention: cognitive exercise activity. Comparison: no cognitive exercise activity. Result: independence ability. The articles used in this study were obtained from three databases, namely Google Scholar, PubMed, and ScienceDirect. The keywords for searching for the articles were "cognitive exercise activity" AND "cognitive ability" AND "post-stroke". The included articles were full-text English versions with a randomized control trial study design from 2012 to 2022. The article selection was conducted using the PRISMA flow diagram. The articles were analyzed using the Review Manager 5.3 application.Results: A total of 9 case studies from Europe (Oxford, Sweden, United Kingdom), South America (Brazil), North America (Texas, Jamaica), Asia (Korea), and Africa (Egypt) were selected for systematic review and meta-analysis. It was discovered that cognitive exercise activity of 0.36 units increased independence ability in post-stroke patients compared to not obtaining cognitive exercise activities. Result statistically (SMD = 0.36; 95% CI = 0.19 to 0.54; p<0.001).Conclusion: Cognitive exercise activity increased independence ability in post-stroke patientsKeywords: cognitive exercise activity, cognitive ability, post-stroke.Correspondence: Lukman Aktovianta. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: lukman.aktovianta15@gmail.com. Mobile: +6285641434548.Indonesian Journal of Medicine (2022), 07(03): 350-359https://doi.org/10.26911/theijmed.2022.07.03.12

Meta-Analysis of the Role of Varenicline in Smoking Cessation Lafif, Muhammad Zainul; Murti, Bhisma; Prasetya, Hanung
Indonesian Journal of Medicine Vol. 6 No. 4 (2021)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2021.6.4.443

Background: Smoking is the leading cause of premature death in both developed and developing countries. Smoking cessation efforts can be classified into pharmacological and therapeutic strategies. Varencline is the latest discovery for pharmacological therapy for smoking cessation programs. This study aims to determine the role of varenicline on smoking cessation efforts.Subjects and Method: This was a systematic review and meta-analysis conducted using PRISMA flow diagrams. Search articles through journal databases including: Google Scholar, MEDLINE/ PubMed, Science Direct, Scopus, and Spinger Link by selecting articles published in 2011-2021. The keywords used are “varenicline” OR “pharmacotherapy” AND tobacco OR smoke OR smoked OR smoker AND “smoking cessation”. The research instrument used to assess smoking cessation efforts was the Fagerstrom Test for Nicotine Dependence (FTND). The inclusion criteria were full paper articles with Randomized Controlled Trial (RCT) research methods, the relationship measure used was Mean SD, the intervention given was varenicline, the research subjects were adult smokers who wanted to quit smoking. Eligible articles were analyzed using the Revman 5.3 application.Results: Meta-analysis of 9 articles showed results (SMD -0.11; 95% CI = -0.17 to -0.05; p<0.001).Conclusion: Varenicline has a statistically significant effect in reducing the frequency of smoking per day.Keywords: Varenicline, smoking cessation, quitting smokingCorrespondence: Muhamad Zainul Lafif. Masters Program in Public Health. Universitas Sebelas Maret, Jl.Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: zainullafif@gmail.com. Mobile: 082137179433.Indonesian Journal of Medicine (2021), 06(04): 354-363https://doi.org/10.26911/theijmed.2021.06.04.01

Proximal Tibial Osteosarcoma in Pediatric Patient: A Case Report Sandiwidayat, Komang Septian; Febyan, Febyan
Indonesian Journal of Medicine Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2022.7.3.554

Background: The most frequent primary malignant bone tumor in children is osteosarcoma. Patients with osteosarcoma are currently treated with a combination of neoadjuvant and adjuvant chemotherapy as well as surgery, either limb-sparing surgery or limb-ablation surgery. How to manage the remaining bone growth during the limb-sparing procedure in youngsters is one of the challenges. Unfortunately, amputation is still many perform for OS patients. The purpose of this study was to inform and educate doctors about the value of early OS diagnosis and treatment in pediatric patients.Case Presentation: We presented case from a male 16 years old Balinese complaint of pain on her left knee 12 months ago. The pain was continuous and got worse at night. The patient went to a traditional masseuse and was given topical herbal ointment. Three months later, a lump appeared on her knee at the size of a small ball and getting bigger. We did a review slide of the previous biopsy sample by the pathology of anatomy in our hospital. The result came out as osteosarcoma with osteoblastic cells. We performed to amputated the limb-affected tumor following wound care routinely controlled.Results: Intraoperatively, we performed wide excision, without patellar tendon, medial collateral ligament, and cruciate ligament preserve. We amputated the limb-affected tumor. The patient routinely controlled to our outpatient clinic every week. Unfortunately, the patient was died after 3 weeks of admission.Conclusion: To reduce the risk of misdiagnosis or delayed diagnosis of osteosarcoma, every source of knee pain with a mass in pediatric age groups should be thoroughly explored with a high index of suspicion for malignant lesions. Therefore, amputation is a cutting-edge osteosarcoma treatment that can be avoided if the patient can be identified early and treated quickly in pediatric oncology malignant instances.Keywords: osteosarcoma, long bone, diagnosis, tibia, pediatricCorrespondence: Komang Septian Sandiwidayat. Oncology Division, Department of Orthopaedic & Traumatology, Sanglah General Hospital, Faculty of Medicine, Udayana University, Bali, Indonesia. Email: drseptianortho@gmail.com. Mobile: 62-821-4725-2042.Indonesian Journal of Medicine (2022), 07(03): 298-305https://doi.org/10.26911/theijmed.2022.07.03.06

Alcoholic/Narcotic Anonymous Program Outcome: A Systematic Review Adriana, Nadya Puspita; Wicaksono, Dipo
Indonesian Journal of Medicine Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2023.8.3.650

Background: Recovery and long-term remission are the goals of treatment for substance use disorders. Though there are many pathways to recovery, the alcoholic/narcotic anonymous program is widely recommended for people with addiction as an adjunct to professional treatment services. However, not many studies reviewed the outcome resulting from alcoholic/ narcotic anonymous programs. This study aimed to systematically review the outcome of alcoholic/ narcotic anonymous programs. Subjects and Method: This article was a systematic review study conducted by searching for articles from online databases such as EBSCO, Google Scholar, PubMed, and Science Direct. PICO: 1) Populations: alcohol addict or illegal drug abuser who is a member or ever joined the alcohol or narcotic anonymous program; 2) Intervention: alcohol or narcotic anonymous program; 3) Comparison: alcohol or narcotic addict or illegal drug abuser who is not the member or never join the alcohol or narcotic anonymous program or etc; 4) Outcome: a variety of outcomes such as reduce of drinking. The dependent variable is the outcome of AA programs. The inclusion criteria for this study were full articles using an observational or experimental study, with the publication year from 2000 until 31st May 2023. The data extraction was focused on the relationship between AA/NA program with the outcome resulting and reported following the Preferred Reporting Items for Systematic Reviews. Results: A total of 9 articles reviewed in this study were from USA and UK. Six studies reported there is a significant relationship between attendance at the AA/ NA program with the increase in days of abstinence. Two studies explained that attending the AA/ NA program could lower the amount and frequency of illegal drug use. Only one study discussed that the AA/NA program could also lessen the depression that addiction causes. Conclusion: Our review suggested that attending the AA/ NA program has benefits such as abstinence, reduced frequency or amount of substance intake, and a reduction in depression or problems brought on by using illegal substances. Keywords: abstinence, alcoholic anonymous, alcoholism, narcotic anonymous, outcome. Correspondence: Nadya Puspita Adriana. Universitas Kusuma Husada. Jaya Wijaya No.11, Banjarsari, Central Java, Surakarta, Indonesia. Email: nadyadriana91@gmail.com. Mobile: 0821-3800-7567

The Correlation between Allergic Diseases and Systemic Lupus Erythematosus Pratiwi, Dewi; Wediningsih, Yulyani; Matea, Ari; Nareswari, Kirana Pawitra; Aryani, Niken Dyah
Indonesian Journal of Medicine Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2022.7.1.448

Background: The prevalence of autoimmune diseases and major chronic allergic diseases such as allergic rhinitis, asthma, and atopic dermatitis are increasing in line with the occurrence of climate change. Allergy and systemic lupus erythematosus (SLE) are sometimes being linked since both are immune diseases involving gene-environment interactions. The purpose of this research is to investigate the correlation between allergic diseases and SLE.Method: This case-control study was performed on 39 SLE subjects from the Tittari Community and 39 non-SLE subjects aged 15-49 years old, from September until October 2021. All of them were females. The independent variable was allergic disease and the dependent variable was SLE. Participants' characteristics and allergy data were collected through answering the online Score for Allergic Rhinitis (SFAR) questionnaire, then the results were processed with bivariate and multivariate analyses.Results: The correlation between allergic diseases and SLE was significant for atopic dermatitis but not for allergic rhinitis and asthma (p=0.018; p=0.352; p=0.151 respectively). The bivariate analysis revealed that the risk of SLE was 3.17 times higher in atopic dermatitis patients (OR=3.17; 95% CI=1.20-8.39; p=0.018). Furthermore, the multivariate analysis found that subjects with atopic dermatitis had the highest risk of SLE (OR= 3.18; 95% CI= 1.07-9.51; p=0.031).Conclusion: Among allergic diseases, atopic dermatitis was found to be significantly correlated with SLE, where the risk of SLE was raised as the number of atopic dermatitis increased.Keywords: systemic lupus erythematosus, allergic diseases, allergic rhinitis, asthma, atopic dermatitisCorrespondence: Dewi Pratiwi. Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Universitas Sebelas Maret – Moewardi Hospital, Indonesia. Email: pratiwidewi81@staff.uns.ac.id. Phone: (0271) 664569.Indonesian Journal of Medicine (2022), 07(01): 19-27https://doi.org/10.26911/theijmed.2022.07.01.03

Effectiveness of Cognitive Behavioral Therapy for Insomnia on Sleep Quality in Patients with Insomnia: A Meta-Analysis Octaviani, Cynthia; Prasetya, Hanung; Murti, Bhisma
Indonesian Journal of Medicine Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2023.8.3.652

Background: The relationship between sleep quality and sleep quantity is very close and has a significant impact on a person's sleep needs. If someone does not get enough sleep, then this will have an impact on the quality of their sleep, and vice versa. Therefore, maintaining a good quality of sleep is very important to maintain a healthy body and improve quality of life. The aim of the study was to analyze the effect of cognitive behavior therapy for insomnia (CBT-I) on sleep quality in insomnia patients. Subjects and Method: This study is a meta-analysis with PICO. Population: insomnia patients. Intervention: given cognitive behavior therapy for insomnia (CBT-I). Comparison: not given cognitive behavior therapy for insomnia (CBT-I). Outcome: sleep quality. The articles used in this study were obtained from five databases, namely PubMed, Embase, Web of Science, ScienceDirect, and Google Scholar. The keywords used to search for articles use the medical subject heading (MeSH) term and the emtree of the keywords "Insomnia" AND "Cognitive Behavior Therapy for Insomnia" AND "Sleep Quality". The articles used were full text in English from 2013 to 2023. Articles were selected using the 2021 PRISMA flowchart and analyzed using the RevMan 5.3 application. Results: A total of 10 randomized controlled trial study articles came from Iran, Canada, Spain, Texas, Korea, Kansas and the United States. The total sample size is 473 research subjects. Based on the analysis, insomnia patients who were given CBT-I therapy showed an average PSQI score of 1.88 units lower than those not given CBT-I (placebo), and the difference was statistically significant (SMD = -1.88; 95% CI = -2.55 to -1.22; p<0.001). Then insomnia patients who were given CBT-I showed an average PSQI score of 0.52 units lower than those given other insomnia therapies, and the difference was statistically significant (SMD= -0.52; 95% CI= -0.77 to -0.28; p <0.001) . Then when viewed as a whole, it shows that insomnia patients who are given CBT-I therapy on average have or show a PSQI score of 0.78 units lower than other therapies and without CBT-I therapy (placebo), and this difference is statistically significant (SMD= -0.78; 95% CI= -1.13 to -0.42; p < 0.001). Conclusion: Cognitive behavior therapy for insomnia (CBT-I) can improve sleep quality in insomnia patients (decrease the PSQI score). Keywords: insomnia, cognitive behavior therapy for insomnia, sleep quality. Correspondence: Cynthia Octaviani. Master's Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah, Indonesia. Email: Cynthia.octaviani14@gmail.com. Mobile: +6287812315855.

Meta-Analysis the Effect of Hydrotherapy on the Elevation of Motoric Functional Ability in Post Stroke Patients Wibisono, Lilik Sigit; Prasetya, Hanung; Murti, Bhisma
Indonesian Journal of Medicine Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2022.7.1.517

Background: Stroke is the third leading cause of death in the world after heart and cancer and the disease that causes serious and permanent disability is the first in the world. Hydrotherapy in stroke plays a role in developing, maintaining, and restoring movement and function with motor training based on an understanding of the pathophysiology, neurophysiology, kinematics and kinetics of normal motion. The purpose of this study was to analyze the effect of hydrotherapy on improving motor functional ability in post-stroke patients.Subjects and Method: This study was a meta-analysis with the following PICO, population: stroke patients. Intervention: administration of hydrotherapy. Comparison: Standard therapy. Result: motor functional improvement. The articles used in this study were obtained from three databases, namely Google Scholar, Pubmed, and Science Direct. Keywords to search for articles “hydrotherapy” OR “Aquatic therapy” AND “functional enhancement” AND “post stroke”. The articles included are full-text English with a randomized control trial study design from 2002 to 2022. Article selection was carried out using PRISMA flow diagrams. Articles were analyzed using the Review Manager 5.3 application.Results: A meta-analysis of 9 studies from China, Korea, Italy, Spain and Brazil concluded that hydrotherapy has an effect on post-stroke functional improvement. Post-stroke patients who received hydrotherapy intervention had motor functional ability 0.68 units higher than those who did not receive hydrotherapy. The difference was significant (SMD= 0.68; 95% CI = 0.44 to 0.91; p=0.001).Conclusion: Hydrotherapy improves motor functional ability of post-stroke patients.Keywords: Hydrotherapy, functional enhancement, post strokeCorrespondence: Lilik Sigit Wibisono. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Mobile: 087779982774. Email: lilik21_1990@student.uns.ac.id.Indonesian Journal of Medicine (2022), 07(01): 73-81https://doi.org/10.26911/theijmed.2022.07.01.08

Effect of Gluten Free Casein Free Diet on Maladaptive Behavior in Autistic Children: Meta-Analysis Nurul Hakim, Ruliany Yuni; Tamtomo, Didik; Murti, Bhisma
Indonesian Journal of Medicine Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2023.8.3.647

Background: Children with Autism tend to experience gastrointestinal disorders more often. Interactions between the gut and brain microbiome influence mood and behavior in health and disease. Diet therapy, specifically the gluten and case-free diet (GFCF) is an elimination diet that involves removing certain proteins from the normal diet, such as gluten and casein. The right intervention can change behavior for the better and through the right handling. This study aims to estimate the effect of a case-free gluten-free diet on maladaptive behavior in autistic children, through a meta-analysis of primary studies conducted by previous authors. Subjects and Method: This study is a systematic review and meta-analysis with the following PICO, population: Autism children, intervention: gluten-free case-free diet, comparison: no case-free gluten-free diet, outcome: maladaptive behavior. The articles used in this study were obtained from three databases, namely PubMed, Google Scholar, and Science Direct, using the search key “Diet Gluten Free Casein Free” OR “NonDiet Gluten Free Casein Free” OR “GFCF” AND “Autism” OR “Autism” AND “Maladaptive” AND “Randomize Controlled Trial” OR “RCT”. The included article is a full-text Randomized Controlled Trial study designed from 2002 to 2022 and reports the mean and SD in multivariate analysis. The selection of articles is done using PRISMA flow diagrams. Articles were analyzed using the Review Manager 5.4 application. Results: A total of 7 randomized controlled trial studies conducted in the Americas, Europe, and Asia were selected for meta-analysis. Autistic children who received casein-free gluten-free had an average score of 0.11 units of maladaptive behavior lower than those who were not given a diet (SMD= 0.11 95% CI= .035 to 0.13; p= 0.360). Conclusion: The casein-free gluten-free diet has an effect on reducing the risk of maladaptive behavior in children with autism. Keywords: casein free gluten-free diet, gfcf, maladaptive behavior, autism Correspondence: Ruliany Yuni Nurul Hakim. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A Surakarta 57126, Central Java, Indonesia. Email: Ruliany27@gmail.com. Ponsel +6282124886320. Indonesian Journal of Medicine (2023), 08(03): 286294

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