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Acta Medical and Health Sciences (AMHS)
Published by Universitas Jenderal Achmad Yani
ISSN : 28305531     EISSN : 28305426     DOI : https://doi.org/10.35990
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health
Acta Medical and Health Sciences (AMHS) is a scientific journal that publishes research articles, case reports, literature reviews, and other topics relevant to the field of medicine and health, either clinically or to the biomolecular level. Manuscript under consideration that may be uploaded is a full text of article which has not been published in other national magazines. AMHS is published three times a year (every February, June, and October).
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 6 Documents
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Evaluation of physical activity levels among medical students at unjani medical school Y Triningtyas, Anastasia; Afrila, Syafarina
ACTA Medical Health Sciences Vol. 3 No. 2 (2024): Acta Medical and Health Sciences
Publisher : ACTA Medical Health Sciences

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Abstract

Physical activity is essential for the health and professional development of medical students. Previous studies have indicated that the level of physical activity among medical students is generally low, with up to 60% being inactive. Technological advancements and the predominantly sedentary nature of medical education contribute to these low daily activity levels, leading to a tendency toward an inactive lifestyle. On the other hand, medical students, as future healthcare providers, play a crucial role in encouraging their patients to adopt healthy physical activity habits. This study aims to evaluate the physical activity levels of students at the Faculty of Medicine at Universitas Jenderal Achmad Yani (UNJANI). Using observational design, this cross-sectional study involved a total of 60 respondents from the Medical Education Program who met the research criteria and were selected through consecutive sampling. Data regarding age, gender, and physical activity were collected using a questionnaire. Physical activity was measured using the standardized long-form International Physical Activity Questionnaire (IPAQ). The results show that the majority of students had a moderate level of physical activity (45%), followed by low (28.3%) and high levels (26.7%). The proportion of female respondents with low physical activity levels was significantly higher (36.8%) compared to males (13.6%). Among female participants, physical activity levels were predominantly categorized as low and moderate, whereas male participants displayed a higher distribution of moderate and high activity levels. These results highlight the necessity for targeted interventions to promote physical activity, particularly in encouraging a healthier lifestyle among medical students at UNJANI. DOI : 10.35990/amhs.v3n2.p60-67 REFERENCES Organización Mundial de la Salud. Global Status Report on Physical Activity 2022 [Internet]. WHO Press; 2022. 1–112 p. Available from: https://www.who.int/teams/health-promotion/physical-activity/global-status-report-on-physical-activity-2022 Dinas Kesehatan. Laporan Riskesdas 2018 Nasional. Lembaga Penerbit Balitbangkes; 2018. Riskawati YK, Prabowo ED, Al-Rasyid H. Physical Activity Level of the Second, Third, and Fourth Years Students at Study Program of Medicine. Majalah Kesehatan Fakultas Kedokteran Universitas Brawijaya. 2018;5(1):26–32. Utomo HS, Handayani S, Wiyono N. Hubungan Aktivitas Fisik dengan Kapasitas Memori Kerja pada Mahasiswa Program Studi Kedokteran Universitas Sebelas Maret. Nexus Kedokteran Komunitas. 2016;5(2):1–11. Analysis of the International Physical Activity Questionnaire (IPAQ). Acta Crystallographica Section E. 2005;68(9):1–15. Seeveldt V, Malina RM, Clark MA. Factors Influencing Levels of Physical Activity in Adults. Sports Medicine. 2002;32(3):143–68. World Health Organization. WHO Guidelines on Physical Activity and Sedentary Behaviour. Routledge Handbook of Youth Sport; 2016. Kementerian Kesehatan RI. Ayo Bergerak, Lawan Obesitas. 1st ed. Sulistyowati LS, editor. Jakarta: Kemenkes; 2017. p. 2–6. Wicaksono A, Handoko W. Aktivitas Fisik dan Kesehatan [Internet]. Pontianak: IAIN Pontianak Press; 2021. p. 32–36. Available from: https://www.researchgate.net/publication/353605384 Lorenza A, Machrina Y. Dengan Derajat Dismenore Primer pada Mahasiswi Universitas Muhammadiyah Sumatera Utara. Anastasia Y Triningtyas, et al. Farradika Y, Umniyatun Y, Nurmansyah MI, Jannah M. Perilaku Aktivitas Fisik dan Determinannya pada Mahasiswa Fakultas Ilmu-Ilmu Kesehatan Universitas Muhammadiyah Prof. Dr. Hamka. ARKESMAS (Arsip Kesehatan Masyarakat). 2019;4(1):134–42. Pratama A, Zulfahmidah Z. Gambaran Indeks Massa Tubuh (IMT) pada Mahasiswa. Indonesian Journal of Health. 2021;2(01):1–7. Angesti AN, Manikam RM. Faktor yang Berhubungan dengan Status Gizi Mahasiswa Tingkat Akhir S1 Fakultas Kesehatan Universitas MH Thamrin. Jurnal Ilmiah Kesehatan. 2020;12(1):1–14. Annamayra A, Ramli RS, Nur L. Gambaran Tingkat Aktivitas Fisik Mahasiswa Fakultas Kedokteran Universitas Pasundan di Era New Normal. Jurnal Maenpo: Jurnal Pendidikan Jasmani Kesehatan dan Rekreasi [Internet]. 2022;12(2):206–18. Available from: https://jurnal.unsur.ac.id/maenpo Hidayat A, Suroto. Hubungan antara Status Gizi dan Aktivitas Fisik dengan Tingkat Kebugaran Jasmani Siswa. Jurnal Pendidikan Olahraga dan Kesehatan. 2016;4(2):516–21. Alkaririn MR, Aji AS, Afifah E. Hubungan Aktivitas Fisik dengan Status Gizi Mahasiswa Keperawatan Universitas Alma Ata Yogyakarta. 2022;5:146–51. Habut MY, Nurmawan IPS, Wiryanthini IAD. Hubungan Indeks Massa Tubuh dan Aktivitas Fisik terhadap Daya Tahan Kardiovaskular pada Mahasiswa Fakultas Kedokteran Universitas Udayana. Erepo Unud. 2015;831:1–14. Herazo-Beltrán Y, Pinillos Y, Vidarte J, Crissien E, Suarez D, García R. Predictors of Perceived Barriers to Physical Activity in the General Adult Population: A Cross-sectional Study. Brazilian Journal of Physical Therapy [Internet]. 2017;21(1):44–50. Available from: http://dx.doi.org/10.1016/j.bjpt.2016.04.003 Schlickmann DW, Kock KS. Level of Physical Activity Knowledge of Medical Students in a Brazilian University. Journal of Lifestyle Medicine. 2022;12(1):47–55. World Health Organization. Global Recommendations on Physical Activity for Health [Internet]. 2018. Available from:http://link.springer.com/10.1007/978-3-319-59379-1http://dx.doi.org/10.1016/B978-0-12-420070-8.00002-7http://dx.doi.org/10.1016/j.ab.2015.03.024https://doi.org/10.1080/07352689.2018.1441103http://www.chile.bmw-motorrad.cl/sync/showroom/lam/es/ Medagama A, Galgomuwa M, De Silva C. Physical Activity Patterns and Socio-demographic Correlates of Physical Activity Among Medical Undergraduates in Sri Lanka: An Observational Study. Postgraduate Medical Journal. 2018;94(1107):32–6. Uğraş Dikmen A, Altunsoy M, Koç AK, Koç E, Özkan S. Physical Activity Level of Medical Students: Is There a Family Effect? Current Medical Research. 2022;3(November):68–73. Mohammed G, Md Said S, Azuhairi, Ariffin A, Kamaruzaman J. Physical Inactivity and Its Associated Factors Among University Students. IOSR Journal of Dental and Medical Sciences. 2014;13(10):119–30. Worobetz A, Retief PJ, Loughran S, Walsh J, Casey M, Hayes P, et al. A Feasibility Study of an Exercise Intervention to Educate and Promote Health and Well-being Among Medical Students: The “MED-WELL” Programme. BMC Medical Education. 2020;20(1):1–12.
The correlation between motorcycle riding duration with carpal tunnel syndrome among online ojek workers in Cimahi Djajasasmita, Daswara; Dessy; Amalia, Farinez
ACTA Medical Health Sciences Vol. 3 No. 2 (2024): Acta Medical and Health Sciences
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Abstract

Carpal Tunnel Syndrome (CTS) is a neuropathy of the wrist caused by the compression within the carpal tunnel, which puts pressure on the median nerve. Riding a motorcycle combines the risk factors for CTS, including grip strength and repetitive movements. The flexibility of working hours has led to an increase in the number of online motorcycle taxi workers. This research uses a cross-sectional design, and the sample consisted of 82 individuals selected using purposive sampling technique. Research data were processed using the Chi-Square test. The duration of motorcycle riding, categorized as either ≥8 hours per day or <8 hours per day, is associated with a risk of developing CTS. The results of the questionnaire indicated that the most common CTS symptoms reported by ojek online workers was tingling, experienced by 70.73% of respondents, while the least reported symptom was difficulty grasping or using small objects, reported by 23.17% of participants. The Chi-Square analysis test revealed no significant difference in the incidence of CTS complaints between those who rode motorbike for ≥8 hours and thos who rode <8 hours per day among Ojek Online workers in Cimahi (pvalue 0.635). This insignificant difference may be due to other risk factors that influence the emergence of CTS in Ojek Online workers. DOI : 10.35990/amhs.v3n2.p68-74 REFERENCES Maher, A. B. (2016). Neurological assessment. International Journal of Orthopaedic and Trauma Nursing, 22, 44–53. https://doi.org/10.1016/j.ijotn.2016.01.002 Chairunnisa, S., Novianus, C., & Hidayati. (2021). Factors associated with carpal tunnel syndrome symptoms among online ojek communities in Tangerang City in 2021. JFKI, 1(2), 2807–8020. Sekarsari, D., Arum, D., & Amrin, F. (2017). The association between working hours, repetitive motion, and awkward hand postures with carpal tunnel syndrome symptoms among stone breaking workers. Journal of Public Health Student Research, 2(6), 1–9. Feng, B., Chen, K., Zhu, X., Ip, W. Y., Andersen, L., et al. (2021). Prevalence and risk factors of self-reported wrist and hand symptoms and clinically confirmed carpal tunnel syndrome among office workers in China: A cross-sectional study. BMC Public Health, 21(1), 1–10. Perţea, M., Ursu, S., Veliceasa, B., Grosu, O. M., Velenciuc, N., & Luncă, S. (2020). Value of ultrasonography in the diagnosis of carpal tunnel syndrome: A new ultrasonographic index in carpal tunnel syndrome diagnosis. Medicine (Baltimore), 99(29), e20903. Farahdhiya, F. A., Jayanti, S., & Ekawati. (2020). The association between duration, frequency, repetitive motion, and wrist posture with carpal tunnel syndrome in chamberstring orchestra violinists. Journal of Public Health, 8(5), 657–664. https://ejournal3.undip.ac.id/index.php/jkm/article/view/27947 Sylvano, L. (2021). Low back pain in online ojek drivers. Ebers Papyrus, 27(2), 42–49. Badan Pusat Statistik Indonesia. (2023). Indonesian Statistics 2023. Jakarta: Statistics Indonesia. Febrianti, W. (2020). Impact of online transportation service (Gojek) on employment expansion in Bandung City. Jurnal Ilmu Sosial dan Ilmu Politik, 6(1), 57. Ibnu, A., Djarot, S., & Mokhammad, R. (2020). Internet of things-based driving duration warning system to improve traffic safety. Journal of Transportation, 20(3), 191–200. Sylvano, L., & Novendy. (2021). The association between riding duration and low back pain symptoms in online ojek drivers. Ebers Papyrus, 27(2), 42–49. Datu, M. M. D., Kawatu, P. A. T., & Mandagi, C. K. F. (2019). The association between working hours and work fatigue in online ojek drivers of the Manguni Rider Online Community. Kesmas, 8(6), 601–607. Sari, M. F., & Novendy. (2022). Risk of suspected carpal tunnel syndrome in online ojek drivers. Jurnal Kesehatan Masyarakat, 4(2), 341–348. Nurdasari, A., & Ariasih, R. R. (2021). Factors associated with carpal tunnel syndrome (CTS) in online ojek drivers in South Tangerang City. Semesta Sehat Journal, 1(1), 10–17. Rukayah, S., & Lupita, L. (2020). Factors associated with work fatigue level in online ojek drivers in East Jakarta in 2019. Journal of Persada Husada Indonesia, 7(25), 31–37. Campbell, S., Greenwood, M., Prior, S., Shearer, T., Walkem, K., Young, S., et al. (2020). Purposive sampling: Complex or simple research case examples. Journal of Research in Nursing, 25(8), 652–661. Sarilar, A. C., & Gök, D. K. (2021). Value of the Boston Questionnaire in carpal tunnel syndrome. Neurological Sciences and Neurophysiology, 38(4), 245–249. Wibawa, R. A. K., & Agustin, I. W. (2019). Characteristics of motorcyclists involved in traffic accidents in Surabaya. Plan Urban Reg Environ, 8(0341), 295–302. Radinda, U. B. I. (2023). The effect of riding duration on musculoskeletal complaints among online ojek drivers in Bandung City. Universitas Muhammadiyah Surakarta. Fanny, A., & Aisyah. (2018). Factors influencing the occurrence of health complaints. Journal of Health Management of Soetomo Hospital Foundation, 4, 123–133. Setiawan, M. A. D., Made, N. W., & Muliarta, M. (2017). The association between wrist position while using a mouse and the risk of carpal tunnel syndrome in PT. X employees. Indonesian Physiotherapy Scientific Journal, 5(3), 40–43.
Patient perception of junior interns’ professionalism in teaching hospital Taufan, Ali; Grace, Aprilia; A Nugraha, Biancha
ACTA Medical Health Sciences Vol. 3 No. 2 (2024): Acta Medical and Health Sciences
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Abstract

A doctor's professionalism consists of clinical competence, communication skills, ethical and legal understanding, accountability, altruism, excellence, and humanism, of which the seven pillars of professionalism are applied at the professional level. This research aimed to describe patient perceptions of the professionalism of junior interns at Dustira Teaching Hospital. Data collection occurred in November-December 2022. This research utilized a quantitative approach, employing a descriptive research method with a cross-sectional design. The study results, which included patient characteristics such as age, sex, education level, and length of stay based on the seven pillars, showed the following outcomes: clinical ability (97.6%), communication skills (95.4%), understanding of ethics and law (92%), accountability (94.8%), altruism (90.8%), and excellence (94.4%) all fell within the very good category. In contrast, the aspect of humanism (66.2%) was only rated as quite good. Researchers suggest that institutions and junior interns should re-evaluate the learning and application of the professionalism among junior interns. While aspects of humanism are generally considered positive, there is still room for improvement. Therefore, further learning and re-evaluation regarding the professionalism aspect of humanism can be beneficial. DOI : 10.35990/amhs.v3n2.p75-83 REFERENCES Kanter, M. H., Nguyen, M., Klau, M. H., Spiegel, N. H., & Ambrosini, V. L. (2013). What does professionalism mean to the physician? The Permanente Journal, 17(3), 87–90. Mueller, P. S. (2015). Teaching and assessing professionalism in medical learners and practicing physicians. Rambam Maimonides Medical Journal, 6(2), e0011. Epstein, R. M., & Hundert, E. M. Defining and assessing professional competence. Retrieved from jama.com Tsugawa, Y., Tokuda, Y., Ohbu, S., Okubo, T., Cruess, R., Cruess, S., et al. (2009). Professionalism mini-evaluation exercise for medical residents in Japan: A pilot study. Medical Education, 43(10), 968–978. Undang-Undang Republik Indonesia Nomor 44 Tahun 2009 tentang Rumah Sakit. (2009). American Board of Internal Medicine. (n.d.). Project Professionalism: Promoting Excellence in Health Care. Retrieved from abim.org Mueller, P. S. (2009). Incorporating professionalism into medical education. Division of General Medicine and Program in Professionalism and Bioethics, Mayo Clinic, 1–11. Alizamar, & Couto, N. (2016). Psikologi Persepsi & Desain. Media Akademi. Rosenstein, A. H., & O’Daniel, M. (2008). A survey of the impact of disruptive behaviors and communication defects on patient safety. The Joint Commission Journal on Quality and Patient Safety, 34(8), 464–471. Papadakis, M. A., Teherani, A., Banach, M. A., Knettler, T. R., Rattner, S. L., Stern, D. T., et al. (2005). Disciplinary action by medical boards and prior behavior in medical school. New England Journal of Medicine, 353. Retrieved from nejm.org Purwanti, M., Armyanti, I., & Asroruddin, M. (2020). Persepsi mahasiswa Fakultas Kedokteran Universitas Tanjungpura mengenai konsep profesionalisme dokter. Nurlina, A., Dewi, M. K., Rachmi, A., Indrasari, E. R., & Kusmiati, M. (2019). Persepsi dokter pendidik klinis terhadap perilaku profesional dokter muda di Rumah Sakit Pendidikan Fakultas Kedokteran Unisba. Jurnal Integrasi Kesehatan & Sains, 1(2). Saleh, A. A. (2018). Pengantar Psikologi. Sidenreng Rappang: Aksara Timur. Rakhmat, J., & Surjaman, T. (2001). Psikologi Komunikasi. Bandung: PT Remaja Rosdakarya. Sarwono, S. W. (2009). Pengantar Psikologi Umum (E. A. Meinarno, Ed.). Depok: Rajagrafindo Persada. Ariardi, H. (2005). Persepsi pasien terhadap mutu pelayanan dokter ditinjau dari karakteristik dan mutu pelayanan dokter di instalasi rawat jalan RSI Sunan Kudus. [Skripsi, Universitas Diponegoro]. Valderas, J. M., World Health Organization. (n.d.). Patient Engagement. World Health Organization, Department of Service Delivery and Safety. Peraturan Menteri Kesehatan Republik Indonesia Nomor 4 Tahun 2018. (2018). Rahmah, F. (2016). Hubungan antara jenis kelamin dan usia dengan persepsi pasien terhadap komunikasi dokter di Puskesmas Pakisaji Kabupaten Malang. [Diakses 27 Agustus 2022]. Peraturan Menteri Kesehatan Republik Indonesia Nomor 290 Tahun 2009 tentang Persetujuan Tindakan Kedokteran. Rahayu, S. (2021). Tinjauan length of stay (lama rawat). Makassar. Windiyani, T., Kurnia, D., & Purnamasari, R. (n.d.). Studi Pendidikan Guru Sekolah Dasar. Edisi pertama. Universitas Pakuan. Pudjosumedi, Handayani, T., Saidah, E. S., & Istaryatiningtias. (2013). Buku Profesi Pendidikan. Jakarta: UHAMKA Press. Amin, Y. (2017). Etika Profesi dan Hukum Kesehatan (Suparmi & Junianti Heru, Eds.). Kementerian Kesehatan Republik Indonesia, hlm. 18–23. Ananda, R. (n.d.). Profesi Pendidikan. Arnold, L. (n.d.). Assessing professional behavior: Yesterday, today, and tomorrow. Academic Medicine. Kusumawati, W. (2011). Profesionalisme dan professional behavior mahasiswa. Mutiara Medika, 11(1), 37–45.
The effect of elderly exercise on sleep quality Afgani, Apen; Lesmana, Sandi; J Callista, Agsel
ACTA Medical Health Sciences Vol. 3 No. 2 (2024): Acta Medical and Health Sciences
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Abstract

An elderly person will begin to experience changes in various aspects. The most frequently complained health problem among the elderly is nighttime sleep disturbances. Exercise is known to help improve sleep quality in the elderly. This study aims to examine the effect of exercise on sleep quality among elderly individuals at the Kota Batu Public Health Center, Bogor Regency. The research method used was cross-sectional. The research sample consisted of 27 respondents, obtained through random sampling, and included elderly individuals who actively participated in regular exercise programs at the health center. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) questionnaire. The sleep quality scores were analyzed using the independent t-test, and the group comparison between individuals who engaged in regular exercise and those who did not was conducted using the Mann-Whitney test. The results showed that the majority of the elderly had good sleep quality (59%). A total of 14 respondents (52%) regularly exercised. There was a significant difference in sleep quality between those who regularly exercised and those who did not, with significant differences observed in the components of subjective sleep quality (p=0.007), sleep latency (p=0.019), sleep disturbances (p=0.021), and daytime dysfunction (p=0.002). This study found a significant effect of exercise on sleep quality among the elderly at the Kota Batu Public Health Center, Bogor Regency, with a p-value < 0.05 (p=0.00). This indicates a significant effect of elderly exercise on sleep quality in the elderly at the Kota Batu Public Health Center, Bogor Regency DOI : 10.35990/amhs.v3n2.p84-90 REFERENCES Kementerian Kesehatan Republik Indonesia. (2022). Infodatin Lanjut Usia (Lansia). Pusat Data dan Informasi, Kementerian Kesehatan Republik Indonesia, p. 12. Badan Pusat Statistik Kabupaten Bogor. (2021). Statistical Report. Subekti, R. T., & Nina, R. (2022). The impact of exercise on sleep quality in the elderly. Jurnal Kesehatan Panca Bhakti Lampung, 10(September 2021), 110–120. Rezaei, M., Khormali, M., Akbarpour, S., Sadeghniiat-Hagighi, K., & Shamsipour, M. (2018). Sleep quality and its association with psychological distress and sleep hygiene: A cross-sectional study among pre-clinical medical students. Sleep Science, 11(4), 274. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6361305/ Harisa, A., Syahrul, S., Yodang, Y., Abady, R., & Bas, A. G. (2022). Analysis of factors affecting sleep quality in elderly patients with chronic diseases. Jurnal Kesehatan Vokasional, 7(1), 1. Miasa, N. W. N. P., Wibawa, A., Widnyana, M., & Dewi, N. N. A. (2020). The relationship between elderly exercise and sleep quality among seniors in Badung Regency. Sport and Fitness Journal, 8(3), 158. Barrett, B., Harden, C. M., Brown, R. L., Coe, C. L., & Irwin, M. R. (2020). Mindfulness meditation and exercise both improve sleep quality: Secondary analysis of a randomized controlled trial of community-dwelling adults. Sleep Health, 6(6), 804–813. Lina, R. K., Fratidhina, Y., Trioclarise, R., Puput, G., & Kurniawan, D. (2022). Implementation of sustainable aerobic exercise programs aimed at improving fitness and quality of life in elderly groups in Jatirahayu, Pondok Melati District, Bekasi City. Jurnal Pengabdian Masyarakat Fisioterapi dan Kesehatan Indonesia, 1(1), 23–29. Subekti, R. T., & Nina, R. (2022). The influence of elderly exercise on sleep quality in the elderly. Jurnal Kesehatan Panca Bhakti Lampung, 10(2), 110–120. Retrieved from https://www.ejournal.pancabhakti.ac.id/index.php/jkpbl/article/view/132 Hartono, A. (2023). Statistics of the Aging Population 2023. Badan Pusat Statistik. Retrieved from https://www.bps.go.id/id/publication/2023/12/29/d308763ac29278dd5860fad/statistics-of-aging-population-2023.html Nurdianningrum, B., & Purwoko, Y. (2016). The influence of elderly exercise on sleep quality in the elderly. Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal), 5(4), 587–598. Retrieved from https://ejournal3.undip.ac.id/index.php/medico/article/view/14255 Späth-Schwalbe, E., Hansen, K., Schmidt, F., Schrezenmeier, H., Marshall, L., Burger, K., et al. (1998). Acute effects of recombinant human interleukin-6 on endocrine and central nervous sleep functions in healthy men. Journal of Clinical Endocrinology and Metabolism, 83(5), 1573–1579. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/9589658 Melancon, M. O., Lorrain, D., & Dionne, I. J. (2014). Exercise and sleep in aging: Emphasis on serotonin. Pathologie Biologie (Paris), 62(5), 276–283. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/25104243
Description of cases of child sexual violence in indonesia from 2018 to 2022 (literature review) A Rusman, Andri; Ismail, Mirza; Salman, Adam
ACTA Medical Health Sciences Vol. 3 No. 2 (2024): Acta Medical and Health Sciences
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Sexual violence against children in Indonesia has been a pervasive issue that largely remains concealed, resembling the phenomenon of an iceberg. The Indonesian Child Protection Commission (KPAI) reported that there was a significant increase in the number of children who were victims of sexual violence in 2020. Children are particularly vulnerable to such violence, as they are often perceived as weak or powerless and are highly dependent on the adults in their environment. This study aims to describe cases of sexual violence against children in Indonesia from 2018 to 2022. The type of this research is a descriptive study, using a literature review approach by searching for various relevant sources through Google Scholar and Publish or Perish databases. The keywords used in the research for relevant articles include violence, sexual violence, child sexual violence, victims, perpetrators, risk factors. A total of 17 articles were selected for analyses using a synthesis matrix, obtaining following results: (1) The majority child victims of sexual violence were aged 12 to under 18 years old and were predominantly female; (2) Most perpetrators of sexual violence were over 18 years of age and predominantly male; (3) A significant number of perpetrators were part of extra-familial groups; (4) The most prevalent form of sexual violence was penetration, (5) Most the risk factors for sexual violence were associated with familial aspects. DOI : 10.35990/amhs.v3n2.p91-105 REFERENCES Komisi Perlindungan Anak Indonesia. (2021). REFERENCES1.2021. Darus, D. N., & Permana, R. (2022). Kekerasan seksual terhadap anak: Bentuk kekerasan seksual pada anak dan pelaku kekerasan seksual pada anak. [Jurnal tidak disebutkan], 400–407. Jannah, N., & Irfani, A. (2021). Peran Komisi Perlindungan dan Pengawasan Anak Daerah Provinsi Kalimantan Barat dalam penanganan kekerasan seksual pada anak tahun 2021. 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Childhood sexual violence in Indonesia: A systematic review. Trauma, Violence, & Abuse, 21(2), 284–299. https://doi.org/10.1177/1524838018767932 Agustina, P. W., & Kusumaning Ratri, A. (2018). Analisis tindak kekerasan seksual pada anak sekolah dasar. Jurnal Kajian Teori dan Praktik Kependidikan, 3(2), 151–155. Noviani, P. U., Arifah, R., Cecep, C., & Humaedi, S. (2018). Mengatasi dan mencegah tindak kekerasan seksual pada perempuan dengan pelatihan asertif. Prosiding Penelitian dan Pengabdian kepada Masyarakat, 5(1), 48. Latjengke, A. P., Tomuka, D., & Kristanto, E. G. (2020). Gambaran kasus kejahatan kekerasan seksual di RS Bhayangkara Tingkat III Manado periode Januari 2017–Desember 2019. e-CliniC, 8(2). Suwandi, J., Chusniatun, C., & Kuswardani, K. (2019). Karakteristik kekerasan seksual terhadap anak perempuan di Wonogiri dan Boyolali. Jurnal Pendidikan Ilmu Sosial, 29(1), 65–77. Kusuma, A. P. U., Nasution, A., & Saputra Nasution, A. (2021). 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Effectiveness of various lower extremity rehabilitation techniques to improve quality of life in post-stroke patients Mumtazati, Naili; Ayu Sinta, Gusti; Djajasasmita, Daswara; Taufan, Ali
ACTA Medical Health Sciences Vol. 3 No. 2 (2024): Acta Medical and Health Sciences
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Abstract

The ability to move the lower extremities in individuals who have suffered from a stroke presents significant challenges to daily mobility and function. We conducted a systematic evaluation to compare the effectiveness of physical rehabilitation following a stroke. We searched six databases (PubMed, Science Direct, Cochrane Library, Springer, Portal Garuda, and Nature Portfolio) for publications published before November 2023. The researchers recruited stroke patients and used a validated scale to assess lower extremity strength and walking capacity in post-stroke patients. We used the Joanna Briggs Institute Critical Appraisal Checklist to evaluate the quality of the papers that met the inclusion criteria. The PRISMA checklist was used to report the study. We identified nine relevant articles that discussed various rehabilitation methods for stroke patients with lower extremity impairment. We examined the specificity of these results using a statistical parameter. The findings were as follow: Biofeedback cycling (P < 0.001); Pelvic Stability Training (P < 0.05); Exoskeleton for post-stroke recovery of ambulation (ExStRA) (P < 0.05); Aerobic Cycling (P < 0.001); Somatosensory Training (P < 0.001), Lower-extremity constraint-induced movement therapy (P < 0.001), Motor imagery with circuit class therapy (P < 0.001), Robotic gait training (P < 0.05), and Early and Intensive  (P < 0.001). Various rehabilitation methods discussed in the article demonstrate high effectiveness in improving lower extremity function. These methods include biofeedback cycling, aerobic cycling, somatosensory training, movement therapy, motor imagery combined with structured progressive circuit therapy classes, and early and intensive rehabilitation after ischemic stroke. DOI : 10.35990/amhs.v3n2.p106-117 REFERENCES Murphy, S. J., & Werring, D. J. (2023). Stroke: Causes and clinical features. Medicine (United Kingdom), 51, 602–607. Kuriakose, D., & Xiao, Z. (2020). 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