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<![CDATA[The Effect of Core Stability Exercise on Decreasing Angle of Trunk Rotation Degree in Idiophatic Scoliosis in Junior High School Student ]]>
<![CDATA[Lathifa , Windy]]>;
<![CDATA[Sukadarwanto, Sukadarwanto]]>;
<![CDATA[Ghufroni, Afif]]>
<![CDATA[ Medica Hospitalia : Journal of Clinical Medicine Vol. 11 No. 3 (2024): Med Hosp ]]>
Publisher : <![CDATA[RSUP Dr. Kariadi ]]>
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DOI: 10.36408/mhjcm.v11i3.1050
<![CDATA[Background : Scoliosis is a group of conditions consisting of changes in the shape and position of the spine on the lateral side that may be accompanied by rotation caused by various etiologies. Core stability exercise is a form of exercise that can be used to reduce the degree of scoliosis curve Objective : This study aims to determine the effect of core stability exercise on junior high school student (JHS). Methods : This study used a one group pre and post test with control design involving 32 students of SMP 2 Wonosari Klaten who were divided into 2 groups, using the blind randomized control trial method. into 2 groups, namely a treatment group and a control group with a treatment group of 16 subjects as intervention group given treatment of core stability exercise and a control group of 16 subjects as control group without any treatment. The intervention was carried out for 5 weeks with a frequency of 3 times a week. Measuring the degree of the scoliosis curve using a scoliometer. The pre-test trunk rotation angle (ATR) value for the treatment group was found to be an average of 5.06º and a post-test ATR value of 4.75º. Meanwhile, in the control group, there was no change in the ATR value during the pre-test or post-test, which was 5.43º. Result : Statistical test of differences in pre-post test of treatment groups using the Wilcoxon test obtained a value of p = 0.025 (p < 0.05). Conculsion : From this study it was concluded that There is an effect of core stability exercise on reducing the scoliosis curve in junior high school student.]]>
<![CDATA[A Clinical Dilemma Of Bilateral Hematosalpinx In Ectopic Pregnancy: Case Report ]]>
<![CDATA[Putri, Ratu Astuti Dwi]]>;
<![CDATA[Hidayat, Fadler]]>;
<![CDATA[Suhaimi, Donel]]>;
<![CDATA[Rhomdaniwahid, Tubagus Odih]]>
<![CDATA[ Medica Hospitalia : Journal of Clinical Medicine Vol. 11 No. 3 (2024): Med Hosp ]]>
Publisher : <![CDATA[RSUP Dr. Kariadi ]]>
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DOI: 10.36408/mhjcm.v11i3.1052
<![CDATA[Background: Blastocyst implantation outside the uterine cavity leads to ectopic pregnancy. About 96% of ectopic pregnancies occur in the fallopian tubes, where it most frequently occurs; the fimbrial end accounts for 11% of all ectopic pregnancies. There was an uncommon type of ectopic pregnancy called bilateral tubal ectopic pregnancy. Bilateral tubal ectopic pregnancy is estimated to affect 1 out of 725 - 1580 ectopic pregnancies or 1 out of 200,000 live births. However, the villi quickly penetrate the endosalpinx once the implantation of the ectopic pregnancy has occurred before reaching the tubal wall and peritoneum. Vascular growth and a peritubal hematoma or hematosalpinx, which frequently involves the contralateral tubal section, are also present with this penetration. The purpose of this article is to report on the dilemmas that often occur in the case of bilateral hematosalpinx in ectopic pregnancy. Case Description: In this report, we discuss a 33-year-old woman with a positive pregnancy test and transvaginal ultrasound result that was suggestive of ectopic pregnancy in a stable hemodynamic state. The patient underwent an exploratory laparotomy, which showed bilateral hematosalpinx with right ectopic pregnancy with damaged fimbria. The left fallopian tube had a blue-purple bulge that suggested hematosalpinx secondary to ectopic pregnancy rather than bilateral ectopic pregnancy condition. The decision for definitive management was made, right salpingectomy puncture and drainage of the hematosalpinx were performed without complication. The final diagnosis was confirmed on pathology examination that showing chorionic villi within the right damaged fimbria, focal decidua, a few trophoblast-like cells that indicated ectopic pregnancy in the left tubal cavity. Conclusion: This approach encourages both shared decision-making and preparedness, both of which are required to provide patient-centered and comprehensive caremanagement such as bilateral hematosalpinx in ectopic pregnancy case, that must always be individualized, and patient's desire for future conception must be taken into account.]]>
<![CDATA[The The Relationship between Family Support And Quality of Life in Elderly with Dementia ]]>
<![CDATA[Deta, Juventus Sandy D.U.]]>;
<![CDATA[Santoso, Teguh]]>
<![CDATA[ Medica Hospitalia : Journal of Clinical Medicine Vol. 11 No. 3 (2024): Med Hosp ]]>
Publisher : <![CDATA[RSUP Dr. Kariadi ]]>
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DOI: 10.36408/mhjcm.v11i3.1096
<![CDATA[BACKGROUND : The growing number of elderly individuals can result in a decline in physical and mental functioning, which in turn affects the quality of life of the elderly. The family serves as the primary support system for the elderly in maintaining their health. Effective family support can enhance the quality of life of the elderly, enabling them to enjoy a fulfilling life in their later years. OBJECTIVE: to determine the relationship between family support and quality of life in elderly people with dementia. METHOD : This is a quantitative-correlative study design with a cross-sectional design. The analysis test used is chi-square. A total of 73 respondents were sampled for the purposes of data collection. This was achieved by administering two questionnaires: one pertaining to family support and the other to quality of life (Short Form 12). RESULT : The results of this study indicate that the majority of elderly individuals aged 60–74 (69.9%), females (53.4%), reside in the same household as their children (53.4%), work as farm laborers (69.9%), have basic education (72.6%), and have moderate levels of dementia. (50.7%). Having family support shows the moderate category (91.8%), while the quality of life is mostly good (58.9%), with a significance p-value of 0.033. CONCLUSION : There is a significant relationship between family support and quality of life in elderly people with dementia.]]>
<![CDATA[The Effect of Feeding Process Stimulation on Oral Preparedness Readiness in Premature Infants ]]>
<![CDATA[Dessirya, Endah]]>;
<![CDATA[Herlina, Herlina]]>;
<![CDATA[Wahyuni, Wahyuni]]>;
<![CDATA[Pusparini, Iin]]>;
<![CDATA[Mustaqimah, Mustaqimah]]>;
<![CDATA[Hayati, Dewi]]>
<![CDATA[ Medica Hospitalia : Journal of Clinical Medicine Vol. 11 No. 3 (2024): Med Hosp ]]>
Publisher : <![CDATA[RSUP Dr. Kariadi ]]>
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DOI: 10.36408/mhjcm.v11i3.1097
<![CDATA[BACKGROUND: Most preterm infants do not have proper sucking, swallowing, and breathing coordination which caused delay in oral feeding readiness. OBJECTIVE: The objective of this study was to analyze the influence of feeding stimulation on the readiness of premature infant’s oral feeding. METHOD: This study was a true experimental study that involved 44 preterm infants born between 32-34 weeks of gestational age, devided in two groups. Twenty two infants in the intervention group received positioning (mid-line control symmetric) and oral feeding stimulation, while the control group received only positioning intervention. Oral stimulation was given 8 times a day for 7 days, before starting the oral feeding program. Oral feeding readiness was measured by using a modified early feeding scale (EFS) instrument on the first and the seventh days. Data analysis using t-test dependent, independent t-test, and Mc Nemar test. RESULT: The results showed that there was a significant effect of the intervention on EFS score (p <0.001) and also on preterm infant’s oral feeding readiness (p = 0.002). The results also showed that there was an effect of intervention on the length of stay (p=0.001). CONCLUSION: Early oral feeding stimulation improves the infant’s oral feeding readiness and shortens the infant’s length of stay. Researchers recommend stimulation of the feeding process as an independent nursing intervention in caring for premature infants. ]]>
<![CDATA[Effects of α-Mangostin-Loaded Self-Nanoemulsion (MG-SNE) and Physical Exercise on The Reduction of Waist Circumference in Wistar Rats ]]>
<![CDATA[Setiawan, Andreas Arie]]>;
<![CDATA[Sugiri, Sugiri]]>;
<![CDATA[Prasetyo, Awal]]>;
<![CDATA[Kurniawan, Eirin Yovita]]>;
<![CDATA[Putra, Dominikus Evano]]>
<![CDATA[ Medica Hospitalia : Journal of Clinical Medicine Vol. 11 No. 3 (2024): Med Hosp ]]>
Publisher : <![CDATA[RSUP Dr. Kariadi ]]>
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DOI: 10.36408/mhjcm.v11i3.1103
<![CDATA[BACKGROUND : Waist circumference (WC) is a marker of intra-abdominal adipose tissue and a risk factor for cardiometabolic disease. A higher risk of coronary heart disease was associated with an increased WC. Garcinia mangostana Linn's anti-inflammatory activity would reduce abdominal fat deposition and WC. Additionally, Garcinia mangostana Linn's potential would increase in nanotechnology. AIMS : To demonstrate that WC in Wistar rats induced by an atherogenic diet can be decreased by α-Mangostin-loaded self-nanoemulsion (MG-SNE) treatment combined with physical activity. METHOD : Experimental research with Randomized Control Trial design using a total sample of 15 male white rats (Rattus novergicus strain Wistar) weighing 300 grams and aged between 6 and 8 weeks, split into 3 groups given physical exercise for 8 weeks along with 3 different doses of medication (group K received Atorvastatin 1.44 mg once; group P1 received Garcinia mangostana Linn pericarp extract, at a dose of 800 mg/kg, divided into 3 administrations; and group P2 received MG-SNE 50 mg/kg once). Waist circumference was measured using a metline, before and after treatment. RESULT : WC decreased in Groups K, P1, and P2, with deltas of -5.00±21.21 mm, -12.50±24.75 mm, and -17.50±12.58 mm. The greatest decrease in WC was P2. There was no significant difference, according to the paired test between the pre-test and posttest in all groups. The p value >0.05 was determined to indicate that there were no significant differences between the groups. CONCLUSION : WC in Wistar rats induced by an atherogenic diet can be decreased by MG-SNE treatment combined with physical exercise.]]>
<![CDATA[Platelet to Lymphocyte Ratio (PLR) Value in Normotency, Preeclampsia and Severe Preeclampsia ]]>
<![CDATA[Sibagariang, Rony Falty]]>;
<![CDATA[Wibowo, Bambang]]>
<![CDATA[ Medica Hospitalia : Journal of Clinical Medicine Vol. 11 No. 3 (2024): Med Hosp ]]>
Publisher : <![CDATA[RSUP Dr. Kariadi ]]>
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DOI: 10.36408/mhjcm.v11i3.1105
<![CDATA[BACKGROUND : Hyperactivation of the inflammatory response in preeclampsia causes a significant increase in the number of leukocytes. Platelet to Lymphocyte Ratio (PLR) has been known as a marker of systemic inflammatory response. In preeclampsia, the role of PLR markers is still uncertain regarding the ability of clinical evaluation, differential diagnosis and evaluation of patient prognosis. AIMS : To analyze differences in platelet to lymphocyte ratio (PLR) values in normotensive, preeclampsia, and severe preeclampsia pregnancies METHOD : Analytical observational study with cross sectional design with 90 samples consisting of 30 normotensive pregnancies, 30 preeclampsia and 30 severe preeclampsia. Evaluation is carried out on the platelet to lymphocyte ratio (PLR) value. Analysis was carried out using the SPSS 32 edition application. Results are significant if p<0.05. RESULT : Comparison between the normotensive group versus preeclampsia versus severe preeclampsia showed that platelet levels decreased but not significantly (p=0.081), lymphocyte levels increased significantly (p<0.001) and PLR values decreased significantly (p<0.001) as the degree of severity increased preeclampsia. In the severe preeclampsia group, the lowest platelet levels, the highest lymphocyte levels and the lowest PLR values were obtained. Patients with a PLR value < 104.62 have an 8.43x (OR 8.43; CI95% 3.12-22.78) higher risk of experiencing severe preeclampsia compared to subjects with a PLR value > 104.62. CONCLUSION : The PLR value was significantly lowest in the severe preeclampsia group.]]>
<![CDATA[Perineal Laceration in primipara in Association with Perineal length, Fetal Head Circumference, and Fetal Weight ]]>
<![CDATA[Udjaja, Claudio]]>;
<![CDATA[Erwinanto, Erwinanto]]>;
<![CDATA[Kristanto, Herman]]>;
<![CDATA[Tjahjanto, Hary]]>;
<![CDATA[Trisetiyono, Yuli]]>;
<![CDATA[Mochtar, Arufiadi Anityo]]>
<![CDATA[ Medica Hospitalia : Journal of Clinical Medicine Vol. 11 No. 3 (2024): Med Hosp ]]>
Publisher : <![CDATA[RSUP Dr. Kariadi ]]>
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DOI: 10.36408/mhjcm.v11i3.1117
<![CDATA[BACKGROUND : Perineal laceration is one of the risk and complication of spontaneous labour resulting intervention in short-term and long-term quality of life. Lack of research in Indonesia on perineal length Lack of research on perineal length in Indonesia, fetal birth weight and fetal head circumference and its impact on spontaneous labour and perineal laceration gave rise to the idea of research in order to minimize the occurrence of complications from perineal laceration in spontaneous labour.OBJECTIVES : To know find out the association between perineal length, fetal head circumference, and fetal weight with degree of perineal laceration in primiparous women.METHODS : Observational cross sectional multi-center study conducted between August 2023 until October 2023 in which all subject that delivered vaginally within inclusion criteria was measured. All data will be further analized to determine the significant predictor of perineal tear.RESULTS : Based on this study The result of this study has indicated that there is no significant association of perineal length with the degree of spontaneous primiparous perineal laceration. While there is an association of fetal head circumference and fetal weight with the degree of spontaneous primiparous perineal laceration in aterm pregnancy. Based on further analysis, fetal head circumference greater than 325 mm increases the risk of severe perineal laceration 4.4 times (PR=4,4; 95% CI=1,4-13,9) and Fetal weight greater than 3097.5 grams increases the risk of 2.7 times (PR=2,7; 95% CI=1,1-6,4) the occurrence of severe perineal laceration.CONCLUSION : There is an association of fetal head circumference and fetal weight with the degree of spontaneous primiparous perineal laceration.]]>
<![CDATA[Differences in the Degree of Spasticity in Post-Haemorrhagic and Non-Haemorrhagic Stroke Patients Based on the Modified Ashworth Scale ]]>
<![CDATA[Abhista, Ifandias Gian]]>;
<![CDATA[Sugianto, Maria Belladonna Rahmawati]]>;
<![CDATA[Kesoema, Tanti Ajoe]]>;
<![CDATA[Budisulistyo, Trianggoro]]>
<![CDATA[ Medica Hospitalia : Journal of Clinical Medicine Vol. 11 No. 3 (2024): Med Hosp ]]>
Publisher : <![CDATA[RSUP Dr. Kariadi ]]>
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DOI: 10.36408/mhjcm.v11i3.1137
<![CDATA[Background : Stroke is a brain function disorder caused by vascular disturbances with manifestations ranging from paralysis to death. Stroke is a health issue with high incidence and mortality rates. Furthermore, post-stroke patients can experience various residual symptoms such as spasticity, which can lead to decreased productivity and socio- economic impacts. Spasticity is a common symptom in stroke survivors, with a prevalence ranging from 30% to 80%. This symptom typically appears several weeks after a stroke and can persist for up to 12 months, causing reduced productivity and socio-economic challenges. Hemorrhagic strokes result from blood vessel rupture, while non- hemorrhagic strokes are caused by ischemia. Both types can damage motor pathways, leading to spasticity. Understanding the differences in spasticity severity between stroke types may guide targeted rehabilitation strategies. The aimsof ths study was to determine the difference in the degree of spasticity in post-stroke patients between hemorrhagic and non-hemorrhagic strokes based on the Modified Ashworth Scale. Methods : An analytical observational study with a cross-sectional design was conducted. The study included 33 post-hemorrhagic stroke patients and 33 post-non- hemorrhagic stroke patients. The degree of spasticity was measured using the Modified Ashworth Scale. Statistical analysis was performed using the Chi-Square test. Results : The Chi-Square test for the variable "stroke type" and "degree of spasticity" yielded a p-value of 0.428 (p > 0.05). The Chi-Square test is considered significant when the p-value is < 0.05. Conclusion : There is no difference in the degree of spasticity]]>
<![CDATA[Oropharyngeal Dysphagia as The Presenting Symptom of Myasthenia Gravis with Diabetes Mellitus ]]>
<![CDATA[Kurnia, Handy]]>;
<![CDATA[Seno, Heri Nugroho Hario]]>;
<![CDATA[Bintoro, Aris Catur]]>;
<![CDATA[Purnomo, Hery Djagat]]>
<![CDATA[ Medica Hospitalia : Journal of Clinical Medicine Vol. 11 No. 3 (2024): Med Hosp ]]>
Publisher : <![CDATA[RSUP Dr. Kariadi ]]>
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DOI: 10.36408/mhjcm.v11i3.1154
<![CDATA[Background: Oropharyngeal dysphagia may caused by a variety of causes. Myasthenia gravis is a common autoimmune disease affecting the neuromuscular junction. While ocular symptoms are common in myasthenia gravis, bulbar symptoms such as dysarthria and dysphagia are less common. Aim: To present the importance of recognizing atypical presentations of myasthenia gravis and utilizing electromyography in diagnosis when AChR antibody testing is unavailable. Case Presentation: A 57-year-old woman was referred because of progressive dysphagia for both solid and liquid food. She also experienced weight loss, heaviness of the right eyelid, drooling, and chewing difficulty. Medical history revealed diabetes. Vital signs were stable. Physical examination revealed right ptosis without any other neurological deficits. Wartenberg test and dysarthria counting test were positive. Laboratory examination revealed a blood glucose level of 270 mg/dL and an HbA1c level of 9.4%. The barium swallow study revealedno abnormalities. Esophagogastroduodenoscopy revealed esophageal candidiasis. Electromyography showed more than 20% decremental response of the orbicularis oculi muscle. This result is suggestive of neuromuscular junction disorder. Improvement of the condition was achieved after the administration of intravenous steroids and oral pyridostigmine combined with therapeutic plasma exchange. Discussion: Oropharyngeal dysphagia accompanied by ptosis and positive Wartenberg & dysarthria counting test is suggestive of myasthenia gravis. Although an AChR antibody test cannot be performed, significant electromyography alongside relevant clinical presentation is sufficient to diagnose myasthenia gravis. Conclusion: It is crucial to recognize the accompanying signs and symptoms of oropharyngeal dysphagia. EMG may be used to diagnose MG in the appropriate clinical context.]]>
<![CDATA[Comparison Between Robotic Finger Therapy Exercise and Conventional Exercise on the Range of Motion of the Metacarpophalangeal Joints: Study of Post-stroke Patients at Diponegoro National Hospital ]]>
<![CDATA[Kurniawan, Daniel Andry]]>;
<![CDATA[Wahyudati, Sri]]>;
<![CDATA[Kesoema, Tanti Ajoe]]>;
<![CDATA[Julianti, Hari Peni]]>;
<![CDATA[Putri, Rahmi Isma Asmara]]>;
<![CDATA[Setiawati, Erna]]>;
<![CDATA[Hartono, Dewi Kusuma]]>
<![CDATA[ Medica Hospitalia : Journal of Clinical Medicine Vol. 11 No. 3 (2024): Med Hosp ]]>
Publisher : <![CDATA[RSUP Dr. Kariadi ]]>
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DOI: 10.36408/mhjcm.v11i3.1155
<![CDATA[BACKGROUND : Metacarpophalangeal (MCP) joints range of motion (RoM) exercise can be done using either conventional exercise or robotic finger therapy. This study aimed to compare MCP joints RoM improvement between conventional exercise and robotic finger therapy exercise in post-stroke patients. METHOD : This study was a randomized controlled trial pre and post test controlled group design. The data were taken from individuals aged 45-65 years with a history of stroke undergoing medical rehabilitation at the Diponegoro National Hospital before and after intervention (robotic finger therapy exercise vs conventional exercise) for 6 weeks. MCP joints RoM was measured using goniometer before and after the intervention. Datas were analysed using SPSS ver 20.0. Normality of data distribution would be assessed using the Shapiro-Wilk test. Differences in the RoM of MCP joints before and after treatment in each group were tested using paired t-test. Group differences were tested using unpaired t-test. RESULT : There was significant RoM improvement in each MCP joint in each group before and after the treatment (p<0.05). There was no significant difference in RoM improvement between groups (p>0.05). CONCLUSION : Both robotic and conventional therapy significantly improve MCP joints RoM in post-stroke patients. There was no significant difference in MCP joints RoM improvements between robotic finger therapy and conventional exercise.]]>
