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Comparison of the Effectiveness of the Chemosurgery and Cryosurgery for the Treatment of Patients with Condyloma Acuminatum at Dr. Moewardi Hospital, Surakarta 苏拉塔Dr. Moewardi医院化疗与冷冻治疗尖锐湿疣疗效比较
Pub Date : 2021-01-01 DOI: 10.26911/theijmed.2021.06.03.06
P. Mawardi, Bobby Febrianto, Danu Yuliarto
Background: Condyloma acuminatum (CA) is one of the most common sexually transmitted infections. Several therapeutic modalities that can be used are chemosurgery with trichloroacetic acid and cryosurgery with liquid nitrogen. Recurrence in CA often occurs, so selecting the right therapeutic modality and eliminating the lesion also prevents recurrence. This study aimed to compare the effectiveness of chemosurgery and cryosurgery therapy in patients with CA who are treated at Dr. Moewardi Hospital, Surakarta. Subjects and Method: A retrospective cross-sectional study was conducted at the Dermatology and Venereology Polyclinic, Dr. Moewardi Hospital, Surakarta, from January 1, 2018, to December 31, 2020. The study subjects were 78 patients diagnosed with CA based on ICD-10 criteria, while chemosurgery and cryosurgery procedures were based on ICD-9. The dependent variable was healing time in weeks. The independent variables were chemosurgery and cryosurgery therapy. The data came from the patient's medical record. Data were analyzed using an independent t-test. Results: Based on univariate analysis, most patients were male (67.9%), and the age group was 20-29 years (51.28%). Most of the CA patients work as private employees (46.15%). The most sexual orientation was heterosexual (53.8%), the most common site of lesions was genital (47.4%), and 52.6% were coinfected with HIV. Most CA patients received chemosurgery (70.5%). Bivariate analysis showed that chemosurgery therapy provided faster clinical improvement (Mean= 23.34; SD= 26.45) than cryosurgery therapy (Mean= 28.69; SD= 19.84), and the difference was statistically significant (p= 0.037). Conclusion: Treatment of CA using chemosurgery provides clinical improvement faster than cryosurgery, so that faster treatment time can reduce treatment costs and improve the patient's quality of life. Keywords: chemosurgery, cryosurgery, HPV, condyloma acuminatum Correspondence: Prasetyadi Mawardi. Department of Dermatology and Venereology, Faculty of Medicine of Universitas Sebelas Maret/ Dr. Moewardi Hospital, Surakarta, Central Java, Indonesia. Email: prasetyadimawardi@gmail.com/ prasetyadi_m@staff.uns.ac.id. Mobile: +6281229750211. Indonesian Journal of Medicine (2021), 06(03): 290-297 https://doi.­org/10.26911/the­ijmed.­2021.06.03.06
背景:尖锐湿疣(CA)是最常见的性传播感染之一。可采用的几种治疗方式是三氯乙酸化疗和液氮冷冻手术。CA经常发生复发,因此选择正确的治疗方式和消除病变也可以防止复发。本研究旨在比较在泗水Dr. Moewardi医院治疗的CA患者化疗和冷冻治疗的有效性。对象和方法:回顾性横断面研究于2018年1月1日至2020年12月31日在雅加达Dr. Moewardi医院皮肤病和性病综合诊所进行。研究对象是78例根据ICD-10标准诊断为CA的患者,而化疗和冷冻手术则根据ICD-9进行。因变量为愈合时间(周)。自变量为化疗和冷冻治疗。数据来自病人的医疗记录。数据分析采用独立t检验。结果:单因素分析显示,患者以男性居多(67.9%),年龄在20 ~ 29岁(51.28%)。CA患者以私营企业职员居多(46.15%)。性取向以异性恋者居多(53.8%),病变部位以生殖器居多(47.4%),合并感染HIV者占52.6%。大多数CA患者接受了化疗(70.5%)。双因素分析显示,化疗能更快地改善临床状况(Mean= 23.34;SD= 26.45)优于冷冻治疗(Mean= 28.69;SD= 19.84),差异有统计学意义(p= 0.037)。结论:化疗治疗CA比冷冻治疗临床改善更快,更快的治疗时间可以降低治疗成本,提高患者的生活质量。关键词:化疗,冷冻手术,HPV,尖锐湿疣对应:Prasetyadi MawardiSebelas市场大学医学院皮肤科和性病科/ Dr. Moewardi医院,印度尼西亚中爪哇省苏拉卡塔。邮箱:prasetyadimawardi@gmail.com/ prasetyadi_m@staff.uns.ac.id。手机:+ 6281229750211。印度尼西亚医学杂志(2021),06(03):290-297 https://doi .-org /10.26911/ the-ijmed.-2021.06.03.06
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引用次数: 0
The Effectiveness of Hypnotherapy in Reducing Pain in Patients with Cervical Cancer 催眠疗法减轻宫颈癌患者疼痛的效果
Pub Date : 2021-01-01 DOI: 10.26911/theijmed.2021.06.02.04
Hanung Prasetya, H. N. Kusumawati, Wardiyatmi Wardiyatmi
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引用次数: 2
Meta-Analysis of Re-perfusion Injury and Ischaemic Conditioning in Limb Surgery 肢体手术中再灌注损伤与缺血状态的meta分析
Pub Date : 2021-01-01 DOI: 10.26911/theijmed.2021.06.03.04
Pamudji Utomo, Mochamadsyah Beizar Yudhistira
Background: Pneumatic tourniquet commonly used for orthopedic surgery is associated with morbidity related to ischemia-reperfusion injury. Ischaemia conditioning (IC) had shown beneficial effects to attenuate these outcomes. This study aimed to systematically review the evidence of IC effect on outcomes of the patient undergoing orthopedic surgery. Subjects and Method: This was a systematic review and Meta-Analysis conducted through the online database search from PubMed, Central, Clinicaltrials.gov, and Scopus with topics related to IC and all possible orthopedic surgical interventions. Articles were searched with Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) protocols used keywords "Ischemic conditioning," "Reperfusion injury," "Orthopaedic surgery." The data were extracted from the eligible study within inclusion and exclusion criteria. Two independent reviewers collected the study characteristics. Each study was examined for the risk of bias. The pooled data were analyzed using RevMan 5.3 in Standardized Mean Difference (SMD) as a summary measure with 95% Confidence Interval (CI). Results: Out of 12 eligible studies collected for qualitative analysis, eight studies with the same outcomes were analyzed for quantitative analysis. A random-effect model was used for analysis with high heterogeneity. The pooled SMD data for IC compared to control for postoperative pain were -0.50 (95% CI= -0.95 to 0.06; p<0.001). Outcome measures for hemodynamic stability, systemic inflammation, and end-organ injury were pooled with MD= 4.81 (95% CI= 3.19 to 6.44); SMD= -1.33 (95% CI= -2.06 to -0.60); SMD= 0.15 (95% CI= -0.14 to 0.71); respectively. Conclusion: Ischaemic conditioning significantly reduces postoperative pain, inflammation response and maintains hemodynamic stability. A better study design with a higher population number is needed for further study.
背景:骨科手术中常用的气动止血带与缺血再灌注损伤相关的发病率相关。缺血调节(IC)已显示出减轻这些结果的有益作用。本研究旨在系统回顾IC对骨科手术患者预后影响的证据。研究对象和方法:这是一项系统综述和荟萃分析,通过PubMed、Central、Clinicaltrials.gov和Scopus的在线数据库进行搜索,主题与IC和所有可能的骨科手术干预有关。使用关键词“缺血调节”、“再灌注损伤”、“骨科手术”,用系统评价和荟萃分析(PRISMA)方案的首选报告项目对文章进行检索。资料从符合纳入和排除标准的合格研究中提取。两名独立评论者收集了研究特征。对每项研究都进行了偏倚风险检查。采用RevMan 5.3对合并数据进行分析,标准化平均差(SMD)作为汇总测量,95%置信区间(CI)。结果:在收集的12项符合定性分析条件的研究中,有8项结果相同的研究进行了定量分析。分析采用随机效应模型,异质性较高。与对照组相比,IC术后疼痛的综合SMD数据为-0.50 (95% CI= -0.95至0.06;p < 0.001)。血流动力学稳定性、全身性炎症和终末器官损伤的结局指标均为MD= 4.81 (95% CI= 3.19至6.44);SMD= -1.33 (95% CI= -2.06 ~ -0.60);SMD= 0.15 (95% CI= -0.14 ~ 0.71);分别。结论:缺血调节可明显减轻术后疼痛和炎症反应,维持血流动力学稳定。进一步的研究需要一个更好的研究设计和更大的人群数量。
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引用次数: 0
The Relationship between Tumor Size and Carcinoembryonic Antigen (CEA) Levels in Stage IV Colorectal Adenocarcinoma Patients at Dr. Moewardi Hospital, Indonesia 印度尼西亚Dr. Moewardi医院IV期结直肠癌患者肿瘤大小与癌胚抗原(CEA)水平的关系
Pub Date : 2021-01-01 DOI: 10.26911/theijmed.2021.06.03.05
Rakhmawati Susetyaning Eri, Sulistyani Kusumaningrum, W. Widiastuti, Hari Wujoso, I. B. P. Adnyana, Prasetyo Sarwono Putro
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引用次数: 0
Meta-Analysis of the Effectiveness of Using Antiplatelet Drugs Uptake in Decreasing Mortality in COVID-19 Patients 使用抗血小板药物降低COVID-19患者死亡率的meta分析
Pub Date : 2021-01-01 DOI: 10.26911/theijmed.2021.06.03.09
Happy Nurhayati, Eti Poncorini Pamungkasari, Bhisma Murti
Background: Viscoelastic coagulation testing in COVID-19 patients often found elevated concentrations of D-dimer and fibrinogen. Thrombotic complications can be in the form of Venous Thromboembolism (VTE), where this thrombotic disease is one of the factors associated with increased mortality of COVID-19 patients. This study aims to analyze the effectiveness of antiplatelet drugs in reducing mortality in COVID-19 patients. Subjects and Method: This is a meta-analysis study using PRISMA flowchart guidelines. The article search process was carried out between 2020-2021 using PubMed, Science Direct, Google Scholar, and Scopus databases. The article search was carried out by considering the eligibility criteria defined in the PICO model. Population= COVID-19 patients, Intervention= using antiplatelet drugs, Comparison= not using anticoagulant drugs, Outcome= mortality. The keywords used were "antiplatelet" AND "mortality" AND "COVID-19". The inclusion criteria used were English full-text cohort papers and the relationship measure used as the adjusted odds ratio (aOR). Based on the database, 9 articles fulfilled the inclusion criteria. The analysis was carried out using RevMan 5.3 software.
背景:COVID-19患者粘弹性凝血检测常发现d -二聚体和纤维蛋白原浓度升高。血栓性并发症可能以静脉血栓栓塞(VTE)的形式出现,这种血栓性疾病是与COVID-19患者死亡率增加相关的因素之一。本研究旨在分析抗血小板药物对降低COVID-19患者死亡率的有效性。对象和方法:这是一项使用PRISMA流程图指南的荟萃分析研究。文章检索过程在2020-2021年间使用PubMed、Science Direct、b谷歌Scholar和Scopus数据库进行。通过考虑PICO模型中定义的资格标准进行文章搜索。人群= COVID-19患者,干预=使用抗血小板药物,对比=未使用抗凝药物,结局=死亡率。关键词为“抗血小板”、“死亡率”和“COVID-19”。纳入标准为英文全文队列论文,关系测量方法为调整优势比(aOR)。根据数据库,9篇文章符合纳入标准。采用RevMan 5.3软件进行分析。
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引用次数: 0
The Effect of the Use of Cervical Collar on the Reduction of Neck Pain: Meta-Analysis 颈套对减轻颈部疼痛的影响:meta分析
Pub Date : 2021-01-01 DOI: 10.26911/theijmed.2021.06.01.12
Hisyam Syafi’ie, Hanung Prasetya, Bhisma Murti
Background: Neck pain is the fourth leading cause of disability, with an annual prevalence rate exceeding 30%. Nearly 50% of individuals will continue to experience pain or it often occurs to some degree. This study aimed to analyze the magnitude of the effect of using a cervical collar on reducing the degree of pain in neck pain patients compared to manual therapy (exercises). Subjects and Method: This research is a systematic review and meta-analysis carried out by following the PRISM diagram flow. The process of searching for articles through a journal database that includes: PubMed, Google Scholar and Science Direct by selecting articles published in 2000-2020. The keywords used include: “cervical collar” OR “neck collar” OR “soft collar” OR “hard collar” AND “neck pain” AND “cervical pain” AND “cervical radiculopathy” AND “cervical syndrome” AND “randomized controlled trial”. The inclusion criteria were full paper articles with a randomized controlled trial study design, articles using English and Indonesian, and bivariate analysis with adjusted odds ratio. Articles that meet the requirements are analyzed using the Revman 5.3 application. Results: A total of 6 articles were reviewed in this study with a randomized controlled trial study design. Meta-analysis of 6 randomized controlled trial (RCT) studies showed that there was no difference in effectiveness in using cervical collars compared to manual therapy (exercises) in reducing neck pain (ES = 0.04; 95% CI -0.31 to 0.39; p = 0.083). Conclusion: This meta-analysis concluded that there was no difference in effectiveness between the use of cervical collars and manual therapy (exercises) in reducing the degree of pain in neck pain.
背景:颈痛是第四大致残原因,年患病率超过30%。近50%的人会继续经历疼痛,或者在某种程度上经常发生。本研究旨在分析与手工治疗(运动)相比,使用颈项圈对减轻颈部疼痛患者疼痛程度的影响程度。对象与方法:本研究遵循PRISM图流程进行系统综述和meta分析。通过期刊数据库搜索文章的过程,包括:PubMed, Google Scholar和Science Direct,通过选择2000-2020年发表的文章。关键词包括:“颈领”、“颈领”、“软领”、“硬领”、“颈痛”、“颈神经根病”、“颈综合征”、“随机对照试验”。纳入标准为采用随机对照试验研究设计的论文全文、使用英语和印尼语的文章,以及采用调整优势比的双变量分析。使用Revman 5.3应用程序对满足要求的文章进行分析。结果:本研究共纳入6篇文献,采用随机对照试验研究设计。对6项随机对照试验(RCT)研究的荟萃分析显示,使用颈项圈与手工疗法(运动)在减轻颈部疼痛方面的有效性无差异(ES = 0.04;95% CI -0.31 ~ 0.39;P = 0.083)。结论:本荟萃分析的结论是,使用颈项圈和手工疗法(运动)在减轻颈部疼痛程度方面的有效性没有差异。
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引用次数: 0
Meta-Analysis of the Role of Varenicline in Smoking Cessation 伐尼克兰对戒烟作用的meta分析
Pub Date : 2021-01-01 DOI: 10.26911/theijmed.2021.06.04.01
M. Lafif, Bhisma Murti, Hanung Prasetya
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引用次数: 0
The Agreement of Immunoglobulin Gamma Release Assay (IGRA)/ T-SPOT Tuberculosis and Tuberculin Skin Test to Detect Latent TB Infection in Diabetes Mellitus Patients 免疫球蛋白γ释放试验(IGRA)/ T-SPOT结核与结核菌素皮肤试验检测糖尿病患者潜伏性结核感染的一致性
Pub Date : 2021-01-01 DOI: 10.26911/theijmed.2021.06.03.07
Reviono Reviono, Y. Sutanto, Harsini Harsini, L. Saptawati, M. Marwoto, B. Suryawati, Dhani Redhono, Pribadi M Sebayang
{"title":"The Agreement of Immunoglobulin Gamma Release Assay (IGRA)/ T-SPOT Tuberculosis and Tuberculin Skin Test to Detect Latent TB Infection in Diabetes Mellitus Patients","authors":"Reviono Reviono, Y. Sutanto, Harsini Harsini, L. Saptawati, M. Marwoto, B. Suryawati, Dhani Redhono, Pribadi M Sebayang","doi":"10.26911/theijmed.2021.06.03.07","DOIUrl":"https://doi.org/10.26911/theijmed.2021.06.03.07","url":null,"abstract":"","PeriodicalId":13354,"journal":{"name":"IJAAM (Indonesian Journal of Anti-Aging Medicine)","volume":"136 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75134351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Meta-Analysis: Effects of Obesity and Family History of Diabetes Mellitus on the Risk of Gestational Diabetes Mellitus 荟萃分析:肥胖和糖尿病家族史对妊娠期糖尿病风险的影响
Pub Date : 2021-01-01 DOI: 10.26911/theijmed.2021.06.01.01
Galuh Sitorukmi, Yulia Lanti Retno Dewi, Bhisma Murti
Background: Gestational diabetes mellitus is a serious complication of pregnancy, this is due to impaired carbohydrate tolerance which results in increased blood sugar levels and was first noticed during pregnancy. Gestational diabetes mellitus is a global problem in terms of its incidence and impact. Studies suggest that obesity and a family history of diabetes mellitus are important risk factors for gestational diabetes mellitus. This study aimed to analyze the influence of obesity and family history of diabetes mellitus on the incidence of gestational diabetes mellitus by meta-analysis. Subjects and Method: This was a systematic review and meta-analysis carried out by following the PRISMA flow diagram. The electronic database for article searches is as follows: PubMed, Science Direct, Springer Link, Scopus, and Google Scholar. The search for articles was carried out on articles published from 2010 to 2020. The keywords used were "gestational diabetes mellitus AND obesity", "gestational diabetes mellitus AND family history. The inclusion criteria were full text articles, used English, cross-sectional study design, and results reported in adjusted odds ratio (aOR). P= Pregnant mother. I= Obesity and family history of diabetes mellitus. C= No obesity and no family history of diabetes mellitus. O= gestational diabetes mellitus. Articles that meet the requirements are analyzed using the Revman 5.3. Results: Nine articles were reviewed in this study with a total of 11,657 subjects. The results of the meta-analysis showed that obesity increased the risk of gestational diabetes mellitus 1.81 times compared with non-obese (aOR= 1.81; 95% CI= 1.53 to 2.15; p <0.001). Having a family history of diabetes mellitus increased the risk of gestational diabetes mellitus 2.08 times compared with those without a family history of diabetes mellitus (aOR= 2.08; 95% CI= 1.34 to 3.22; p <0.001). Conclusion: Obesity and a family history of diabetes mellitus increase the risk of gestational diabetes mellitus.
背景:妊娠期糖尿病是妊娠期的一种严重并发症,其原因是碳水化合物耐受性受损,导致血糖水平升高,并在妊娠期首次发现。妊娠期糖尿病的发病率和影响是一个全球性的问题。研究表明,肥胖和糖尿病家族史是妊娠期糖尿病的重要危险因素。本研究旨在通过荟萃分析,分析肥胖和糖尿病家族史对妊娠期糖尿病发病率的影响。对象和方法:这是一项系统综述和meta分析,遵循PRISMA流程图进行。文章检索的电子数据库如下:PubMed、Science Direct、Springer Link、Scopus和Google Scholar。文章检索是对2010年至2020年发表的文章进行的。关键词为“妊娠期糖尿病与肥胖”、“妊娠期糖尿病与家族史”。纳入标准为全文文章,采用英文,横断面研究设计,并以调整优势比(aOR)报告结果。P=怀孕的母亲。I=肥胖和糖尿病家族史。C=无肥胖,无糖尿病家族史。O=妊娠期糖尿病。使用Revman 5.3对符合要求的文章进行分析。结果:本研究共纳入9篇文献,11,657名受试者。荟萃分析结果显示,与非肥胖相比,肥胖使妊娠期糖尿病的风险增加1.81倍(aOR= 1.81;95% CI= 1.53 ~ 2.15;p < 0.001)。有糖尿病家族史者患妊娠期糖尿病的风险是无糖尿病家族史者的2.08倍(aOR= 2.08;95% CI= 1.34 ~ 3.22;p < 0.001)。结论:肥胖和糖尿病家族史可增加妊娠期糖尿病的发生风险。
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引用次数: 0
The Effects of Ethanol Extract, Chayote (Sechium Edule (Jacq.) Swartz) Fraction and Juice on the High-density Lipoprotein Level in Male White Mice 佛手柑乙醇提取物的作用研究斯沃茨提取物和果汁对雄性白鼠高密度脂蛋白水平的影响
Pub Date : 2021-01-01 DOI: 10.26911/theijmed.2021.06.02.03
Jekson Martiar Siahaan, Endy Juli Anto, Tengku Muhammad Fauzi
{"title":"The Effects of Ethanol Extract, Chayote (Sechium Edule (Jacq.) Swartz) Fraction and Juice on the High-density Lipoprotein Level in Male White Mice","authors":"Jekson Martiar Siahaan, Endy Juli Anto, Tengku Muhammad Fauzi","doi":"10.26911/theijmed.2021.06.02.03","DOIUrl":"https://doi.org/10.26911/theijmed.2021.06.02.03","url":null,"abstract":"","PeriodicalId":13354,"journal":{"name":"IJAAM (Indonesian Journal of Anti-Aging Medicine)","volume":"109 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73547124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
IJAAM (Indonesian Journal of Anti-Aging Medicine)
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