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Pub Date : 2022-01-01 DOI: 10.26911/theijmed.2022.07.01.11
Zuraida Zulkarnain, Yulia Lanti Retno Dewi, Bhisma Murti
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引用次数: 0
Neurological Abnormalities in Congenital Rubella Syndrome and Possible Pathophysiology 先天性风疹综合征的神经系统异常及其可能的病理生理学
Pub Date : 2022-01-01 DOI: 10.26911/theijmed.2022.07.04.10
Erny Erny, Okky Prasetyo, Ayli Soekanto
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引用次数: 0
Analysis of the COVID-19 Severity Based on NLR and the Mortality Rate of Pregnant Women with COVID-19 at Dr. Moewardi General Hospital, Surakarta, Central Java, Indonesia 基于NLR的COVID-19严重程度分析和印度尼西亚中爪哇省苏拉arta Dr. Moewardi总医院COVID-19孕妇死亡率
Pub Date : 2022-01-01 DOI: 10.26911/theijmed.2022.07.04.05
Dhea Fitria Rachma, Teguh Prakosa, S. Setyawan, A. Laqif
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引用次数: 0
Relationship between Cardiorespiratory Fitness and Quality of Life in the Elderly 老年人心肺健康与生活质量的关系
Pub Date : 2022-01-01 DOI: 10.26911/theijmed.2022.07.04.02
Qomariyah Qomariyah, F. Rahman
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引用次数: 0
Multiple Segments Thoracal Spinal Canal Stenosis Caused by Ossification of Ligamentum Flavum: A Case Report 黄韧带骨化致多节段胸椎管狭窄1例
Pub Date : 2022-01-01 DOI: 10.26911/theijmed.2022.07.03.04
I. G. L. Ngurah Artha Wiguna
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引用次数: 0
Meta-Analysis of the Effects of Diet and Physical Activity on HbA1c in Type II Diabetes Mellitus Patients 饮食和体育活动对2型糖尿病患者HbA1c影响的meta分析
Pub Date : 2022-01-01 DOI: 10.26911/theijmed.2022.07.02.06
U. Kusumaningrum, Bhisma Murti, Hanung Prasetya
Background: Type II Diabetes Mellitus is still a global health problem. The prevalence of diabetes has increased over the decades due to the increased incidence of Type II DM. This study aims to analyze the effectiveness of diet therapy and physical activity on HbA1c levels in type II DM patients. Subject and Method: This study is a systematic and meta-analysis study, with the following PICO Population = Patients diagnosed with type II DM. Intervention= High physical activity and diet therapy. Comparison = Low physical activity and no diet. Outcome= HbA1c level. The articles used in this study were obtained from several databases, including PubMed, Science Direct, Scopus, Clinical Key, and Google Scholar. The keywords u sed were: “tertiary prevention and DM”, “diet”, “physical activity”, “diet and DM” “physical activity and DM”, “diet and tertiary prevention and DM”. The inclusion criteria were full-text articles, experimental study design using randomized controlled trial (RCT). Articles were collected using PRISMA flow diagram. Articles were analyzed using Review Manager 5.3 application. Results: A meta-analysis of 9 articles on the effectiveness of diet therapy on HbA1c levels from Spain, the United States, Japan, the United Kingdom, and Israel concluded that Type II DM patients on diet therapy had an HbA1c level of 0.49 units compared to Type II DM patients without treatment, and the results were statistically significant (SMD= -0.49; 95% CI= -0.56 to -0.42; p < 0.001). A meta-analysis of 9 articles on the effectiveness of physical activity on HbA1c levels from the United States, Australia, Italy, and India concluded that Type II DM patients with high physical activity had HbA1c levels by 0.81 units lower than Type II DM patients with low physical activity, and the results were statistically significant (SMD= -0.81; 95% CI= -1.20 to -0.43; p < 0.001). Conclusion: Diet therapy and high physical activity reduce HbA1c levels in type II DM patients.
背景:2型糖尿病仍然是一个全球性的健康问题。由于II型糖尿病发病率的增加,糖尿病的患病率在过去几十年中有所增加。本研究旨在分析饮食治疗和体育活动对II型糖尿病患者HbA1c水平的有效性。研究对象和方法:本研究是一项系统荟萃分析研究,PICO人群=诊断为II型糖尿病的患者。干预=高体力活动和饮食治疗。对比=少运动和不节食。结果= HbA1c水平。本研究中使用的文章来自多个数据库,包括PubMed、Science Direct、Scopus、Clinical Key和Google Scholar。使用的关键词是:“三级预防与糖尿病”、“饮食”、“身体活动”、“饮食与糖尿病”、“身体活动与糖尿病”、“饮食与三级预防与糖尿病”。纳入标准为全文文章,实验研究设计采用随机对照试验(RCT)。用PRISMA流程图收集样品。使用Review Manager 5.3应用程序对文章进行分析。结果:对来自西班牙、美国、日本、英国和以色列的9篇关于饮食治疗对HbA1c水平有效性的文章进行荟萃分析,得出结论:与未治疗的II型糖尿病患者相比,接受饮食治疗的II型糖尿病患者的HbA1c水平为0.49个单位,结果具有统计学意义(SMD= -0.49;95% CI= -0.56 ~ -0.42;P < 0.001)。对来自美国、澳大利亚、意大利和印度的9篇关于体育活动对HbA1c水平有效性的文章进行荟萃分析,得出结论:高体育活动的II型糖尿病患者的HbA1c水平比低体育活动的II型糖尿病患者低0.81个单位,结果具有统计学意义(SMD= -0.81;95% CI= -1.20 ~ -0.43;P < 0.001)。结论:饮食治疗和高体力活动可降低II型糖尿病患者的HbA1c水平。
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引用次数: 0
Differences in the Effect of the Combination of Home-Based Walking Exercise and Pursed Lip Breathing with Pranayama Exercise on Increasing Lung Capacity in COPD Conditions 以家庭为基础的步行运动、闭口呼吸加调息运动对COPD患者肺容量增加效果的差异
Pub Date : 2022-01-01 DOI: 10.26911/theijmed.2022.07.04.09
N. Haritsah, Yoga Handita Windiaston, Noerdjannah Noerdjannah
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引用次数: 0
Accuracy of Uric Acid and Cholesterol Levels Examination in Distinguishing Pleural Effusion Fluid Exudates and Transudates 尿酸和胆固醇水平检查在鉴别胸腔积液、渗出液和渗出液中的准确性
Pub Date : 2021-06-03 DOI: 10.26911/theijmed.2021.06.02.05
Y. Sutanto
Background: Light's criteria was reported 25% of misclassification transudates as exu­dates. This study aimed to analyse the accuracy of examining uric acid levels and pleural fluid uric acid levels, and pleural fluid cholesterol and cholesterol ratios to distinguish the exudates and transudates in pleural effusions. Subjects and Method: This was a cross-sectional study de­sign conducted at Dr. Moe­wardi Hospital, Surakarta, Central Java, from July to August 2019. The study subjects were 30 pleural effusion patients treated in the pul­monology ward. The dependent variables were pleural fluid exudates and transudates. The indepen­dent variables were (1) Uric acid levels in pleu­ral fluid; (2) The ratio of uric acid levels be­tween pleural fluid and serum; (3) Pleural fluid cholesterol levels; and (4) The ratio of cho­lesterol levels between pleural fluid and serum. The study instruments were Light's cri­teria and laboratory examination. The diag­nosis's accuracy was analysed using sensi­tivi­ty, specificity, and the area under the ROC (AUC) curve. Results: Pleural fluid cholesterol showed sen­­sitivity and specificity of 86% and 83%, with a cut-off of 32.00 for transudate results. AUC value = 0.82 with p = 0.012. Serum cholesterol showed sensitivity and specificity of 71% and 61%, with a cut-off of 175.50 for transudate re­sults. AUC value = 0.67 with p = 0.194. Pleu­ral fluid uric acid levels showed a sensitivity and specificity of 86% and 87%, with a cut-off of 7.25 for transudate results. AUC value = 0.83 with p = 0.009. Examination of serum uric acid levels showed a sensitivity and specificity of 86% and 70%, with a cut-off of 7.10 for trans­udate results. AUC value = 0.65 with p = 0.249. Conclusion: Examination of uric acid and pleural fluid cholesterol levels can be used in routine pleural effusion examinations to distin­guish exudates and transudates. Keyword s : accuracy, uric acid, exudates, cho­les­te­rol, transudates Correspondence:  Yusup Subagio Sutanto. Department of Pul­mo­no­logy and Respiratory Medicine, Faculty of Medicine Universitas Sebelas Maret, Dr. Moe­wardi Hospital, Surakarta. Jl. Kolonel Sutarto 132, Jebres, Surakarta 57126, Central Java. Email: dr_yusupsubagio­@yahoo.com. Mobile: +62811284165. Indonesian Journal of Medicine (2021), 06(02): 159-167 https://doi.org/10.26911/theijmed.2021.06.02.05
背景:据报道,Light的标准中有25%的误分类转体为渗出物。本研究旨在分析检查尿酸水平、胸水尿酸水平、胸水胆固醇和胆固醇比值在区分胸腔积液渗出物和渗出物中的准确性。对象和方法:这是一项横断面研究设计,于2019年7月至8月在中爪哇省苏拉卡塔的Dr. Moe-wardi医院进行。研究对象为在肺内科病房治疗的30例胸腔积液患者。因变量为胸腔积液和渗出物。自变量为:(1)胸膜液尿酸水平;(2)胸膜液与血清尿酸比值;(3)胸水胆固醇水平;(4)胸膜液与血清胆固醇水平之比。研究工具是Light的标准和实验室检查。采用敏感性、特异性和ROC曲线下面积(AUC)分析诊断的准确性。结果:胸膜液胆固醇的敏感性和特异性分别为86%和83%,漏出结果的截止值为32.00。AUC值= 0.82,p = 0.012。血清胆固醇的敏感性和特异性分别为71%和61%,漏出结果的截止值为175.50。AUC值= 0.67,p = 0.194。胸膜液尿酸水平的敏感性和特异性分别为86%和87%,漏出结果的截止值为7.25。AUC值= 0.83,p = 0.009。检查血清尿酸水平显示敏感性和特异性分别为86%和70%,反式结果的截止值为7.10。AUC值= 0.65,p = 0.249。结论:在常规胸腔积液检查中,检查尿酸和胸水胆固醇水平可用于区分渗出液和渗出液。关键词:准确性,尿酸,渗出物,cho-les-te-rol, transates对应:Yusup Subagio Sutanto。Sebelas Maret医科大学医学院肺科和呼吸医学系,雅加达Moe-wardi医生医院。杰。Sutarto上校132,Jebres, Surakarta 57126,中爪哇。电子邮件:dr_yusupsubagio -@yahoo.com。手机:+ 62811284165。印度尼西亚医学杂志(2021),06(02):159-167 https://doi.org/10.26911/theijmed.2021.06.02.05
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引用次数: 0
Secondary Knee Osteoarthritis with Medial Instability and Tibial Defect due to Chronic Abscess Treated by Total Knee Arthroplasty with Metal Augmentation - Case Report 金属增强全膝关节置换术治疗慢性脓肿伴内侧不稳胫骨缺损继发性膝骨关节炎1例
Pub Date : 2021-06-03 DOI: 10.26911/theijmed.2021.06.02.06
Bintang Soetjahjo, Udi Herunefi Hancoro, R. Ermawan, R. Saputra, Hillan Akbar
Background:Knee osteoarthritis (OA), known as degenerative joint disease, is typically the result of wear and tear and progressive loss of articular cartilage, most common in elderly women and men. Knee OA is a leading cause of disability and increase with an aging and overweight population. Total Knee Arthroplasty (TKA) is a common surgical treatment of OA knee that highly cost-effective procedure. Stable placement of components is difficult and thus it presents technical challenges for the surgeon but various options are available for managing these defects. Case Report: A 58 years-old housewife came to our clinic due to chronic left knee pain with associated instability since two years ago and getting worse in last three months. She already had knee joint supplementation injections and physical therapy but no improvements. Based on our clinical and radiological findings, our assessment was secondary left knee osteo-arthritis with medial instability and tibial defect due to chronic abscess. Patient underwent TKA to correct this condition. A revised implant was used to close the defect in the medial part of the tibia and soft tissue reconstruction procedure was used to correct the instability. Result: On the first postoperative month, the patient underwent rehabilitation and physical therapy to strengthen her lower limb muscles. On the second month, she started to walk using walking assisted device. On the ninth months follow-up, the patient was able to walk normally without assisted device, the pain disappeared and the symptoms of knee instability were reduced. Conclusion:Bone defects are commonly encountered during TKA, which still has no standard treatment to cure. In this case, the use of metal augmentation with revision implant give satisfactory results with good clinical outcome. Keywords: Osteoarthritis, Total Knee Arthro¬plasty, knee instability, tibial defect, metal augmentation Correspondence: Bintang Soetjahjo. Dr. Moewardi Hospital. Jl. Kolonel Sutarto 132, Jebres, Surakarta, Central Java 57126, Indonesia. Mobile: +628122987359. Email: bjortho@yahoo.com Indonesian Journal of Medicine (2021), 06(02): 168-176 https://doi.org/10.26911/theijmed.2021.06.02.06
背景:膝关节骨性关节炎(OA),被称为退行性关节疾病,是典型的关节软骨磨损和进行性损失的结果,最常见于老年女性和男性。膝关节骨性关节炎是导致残疾的主要原因,并随着人口老龄化和超重而增加。全膝关节置换术(TKA)是OA膝关节的一种常见的手术治疗方法,具有很高的成本效益。部件的稳定放置是困难的,因此它对外科医生提出了技术挑战,但有多种选择可用于处理这些缺陷。病例报告:一名58岁的家庭主妇因两年前左膝慢性疼痛伴不稳定性就诊,近三个月病情加重。她已经接受了膝关节补充注射和物理治疗,但没有任何改善。根据我们的临床和放射学结果,我们的评估是继发性左膝骨关节炎,伴有内侧不稳定和慢性脓肿引起的胫骨缺损。患者接受TKA以纠正这种情况。改良的植入物用于关闭胫骨内侧的缺损,软组织重建手术用于纠正不稳定性。结果:术后第一个月,患者接受康复和物理治疗,加强下肢肌肉。第二个月,她开始使用辅助行走设备行走。在第9个月的随访中,患者能够在没有辅助装置的情况下正常行走,疼痛消失,膝关节不稳定症状减轻。结论:全髋关节置换术中骨缺损较为常见,目前尚无标准治疗方法。在本病例中,使用金属隆胸和修复种植体获得了令人满意的结果和良好的临床效果。关键词:骨关节炎,全膝关节成形术,膝关节不稳定,胫骨缺损,金属隆胸Moewardi医生医院。杰。Sutarto上校132,Jebres,苏拉卡塔,中爪哇57126,印度尼西亚。手机:+ 628122987359。电子邮件:bjortho@yahoo.com印度尼西亚医学杂志(2021),06(02):168-176 https://doi.org/10.26911/theijmed.2021.06.02.06
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引用次数: 0
Effect of Curcuma Longa Rhizome Extract on Fasting Blood Sugar Levels and HbA1C in Type 2 Diabetes Mellitus: A Meta-Analysis 姜黄龙骨提取物对2型糖尿病空腹血糖水平及糖化血红蛋白影响的meta分析
Pub Date : 2021-06-03 DOI: 10.26911/theijmed.2021.06.02.01
Riska Fajar Fatony, D. Tamtomo, Hanung Prasetya
Background: Diabetes mellitus (DM) is a metabolic disease that is developing into a serious global problem. Diabetes mellitus is characterized by an increase in blood levels that are more than the normal reference. In type 2 DM generally occurs due to reduced insulin secretion and sensitivity over time. Control of blood sugar levels can improve the patient's quality of life. This study aimed to analyze the effect of curcuma longa rhizome extract on fast­ing blood sugar levels and HbA1C in patients with type 2 diabetes. Subjects and Method: This was a meta-analysis of a number of randomized con­trolled trials. The articles were obtained from PubMed, Google Scholar, Springerlink, BMJ, and Sci­encedirect data­bases, published from 2010-2020. The article search was carried out by con­sidering the eligibility criteria defined using the PICO model. P: Type 2 diabetes patients, I: Cur­cuma longa rhizome extract, C: Placebo, and O: Fasting blood sugar levels and HbA1C. The keywords to find articles are as follows: "Curcuma longa", OR "Curcu­min" OR "Tume­ric" OR "Curcuma" AND "Fast­ing blood glu­cose" AND "HbA1C" OR "Glice­mic" OR "Dia­betes Mellitus" AND "Rando­mized Controll Trials". Articles were collected using PRISMA flow diagrams. Articles were analyzed using the Review Manager 5.3 application. Results: A total of 14 articles were reviewed in this study. Meta-analysis of 12 articles showed that the curcuma longa rhizome extract reduced fasting blood sugar levels (Stan­dar­dized Mean Diffe­rence= -0.48; 95% CI= -0.61 to -0.34; p <0.001). The meta-analysis of 11 articles showed that admi­nis­tration of curcuma longa rhizome extract decreased HbA1C levels (Standardized Mean Difference= -0.40; 95% CI= -0.59 to -0.20; p <0.001). This meta-ana­ly­sis combines primary studies from Iran, Japan, Thailand, China, Mexico, Brazil, and Australia Conclusion: Curcuma longa rhizome extract reduces fasting blood sugar and HbA1C levels in patients with type 2 diabetes. Keyword s : Curcuma longa, Fasting blood sugar levels, HbA1C, diabetes mellitus type 2, randomized controlled trial Correspondence:  Riska Fajar Fatony. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: respatieka10@gmail.com. Indonesian Journal of Medicine (2021), 06(02): 119-134 https://doi.org/10.26911/theijmed.2021.06.02.01
背景:糖尿病(DM)是一种代谢性疾病,正在发展成为一个严重的全球性问题。糖尿病的特点是血液水平高于正常参考值。2型糖尿病的发生通常是由于胰岛素分泌和敏感性随着时间的推移而降低。控制血糖水平可以提高病人的生活质量。本研究旨在分析姜黄提取物对2型糖尿病患者空腹血糖水平及HbA1C的影响。研究对象和方法:这是一项对若干随机对照试验的荟萃分析。这些文章来自PubMed、Google Scholar、Springerlink、BMJ和science - encedirect数据库,发表于2010-2020年。通过考虑使用PICO模型定义的资格标准进行文章搜索。P: 2型糖尿病患者,I:莪术提取物,C:安慰剂,O:空腹血糖水平和糖化血红蛋白。查找文章的关键词如下:“姜黄”、“姜黄素”、“姜黄素”、“姜黄素”、“姜黄素”、“姜黄素”、“空腹血糖”、“糖化血红蛋白”、“glicmic”、“糖尿病”、“随机对照试验”。使用PRISMA流程图收集文章。文章使用Review Manager 5.3应用程序进行分析。结果:本研究共纳入14篇文献。对12篇文章的荟萃分析显示,姜黄根提取物可降低空腹血糖水平(标准化平均差= -0.48;95% CI= -0.61 ~ -0.34;p < 0.001)。11篇文章的荟萃分析显示,姜黄提取物可降低HbA1C水平(标准化平均差= -0.40;95% CI= -0.59 ~ -0.20;p < 0.001)。这项荟萃分析综合了来自伊朗、日本、泰国、中国、墨西哥、巴西和澳大利亚的初步研究。结论:姜黄提取物可降低2型糖尿病患者的空腹血糖和HbA1C水平。关键词:姜黄,空腹血糖水平,HbA1C, 2型糖尿病,随机对照试验塞贝拉斯市场大学公共卫生硕士课程。杰。红外光谱。Sutami 36A, Surakarta 57126,中爪哇。电子邮件:respatieka10@gmail.com。印度尼西亚医学杂志(2021),06(02):119-134 https://doi.org/10.26911/theijmed.2021.06.02.01
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引用次数: 0
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IJAAM (Indonesian Journal of Anti-Aging Medicine)
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