首页 > 最新文献

Jurnal Profesi Medika最新文献

英文 中文
The Effect of High-Intensity Interval Training on Blood Lactate Levels and Rate of Perceived Exertion in Sedentary Healthy Adults 高强度间歇训练对久坐健康成年人血乳酸水平和运动感知率的影响
Pub Date : 2022-12-12 DOI: 10.33533/jpm.v16i2.5104
Nur Ahlina Damayanti, N. Nusdwinuringtyas, Tresia Fransiska Uliana Tambunan, A. Kekalih
The high-intensity interval training has been seen to be beneficial for various populations. This study aimed to determine the effect of high-intensity interval training (HIIT) on blood lactate levels and rate of perceived exertion (RPE) in sedentary healthy adults. A pre-post study was conducted on adults that were stated healthy and sedentary on physical activity. All participants were given HIIT with a total duration of 20 minutes for 12 sessions using a treadmill. Blood lactate level and RPE was recorded on the 1st and 12th session. A significant decrease in blood lactate level and RPE after giving HIIT was found with a reduction of 1,1 mmol/ L and 2 on the Borg Scale respectively (p<0.0001). Further research is needed using field-based exercise testing to determine exercise prescription and to obtain the benefit of HIIT in populations with cardiovascular risk factors before utilizing it in patients.
高强度间歇训练已被证明对不同人群有益。本研究旨在确定高强度间歇训练(HIIT)对久坐健康成年人血液乳酸水平和感觉用力率(RPE)的影响。对健康且久坐不动的成年人进行了一项前后研究。所有参与者都接受了HIIT,总持续时间为20分钟,使用跑步机进行12次训练。在第1和第12疗程记录血乳酸水平和RPE。给予HIIT后,血乳酸水平和RPE显著降低,Borg量表上分别降低了1.1 mmol/L和2(p<0.0001)。需要使用基于现场的运动测试进行进一步研究,以确定运动处方,并在患者使用HIIT之前,在有心血管危险因素的人群中获得HIIT的益处。
{"title":"The Effect of High-Intensity Interval Training on Blood Lactate Levels and Rate of Perceived Exertion in Sedentary Healthy Adults","authors":"Nur Ahlina Damayanti, N. Nusdwinuringtyas, Tresia Fransiska Uliana Tambunan, A. Kekalih","doi":"10.33533/jpm.v16i2.5104","DOIUrl":"https://doi.org/10.33533/jpm.v16i2.5104","url":null,"abstract":"The high-intensity interval training has been seen to be beneficial for various populations. This study aimed to determine the effect of high-intensity interval training (HIIT) on blood lactate levels and rate of perceived exertion (RPE) in sedentary healthy adults. A pre-post study was conducted on adults that were stated healthy and sedentary on physical activity. All participants were given HIIT with a total duration of 20 minutes for 12 sessions using a treadmill. Blood lactate level and RPE was recorded on the 1st and 12th session. A significant decrease in blood lactate level and RPE after giving HIIT was found with a reduction of 1,1 mmol/ L and 2 on the Borg Scale respectively (p<0.0001). Further research is needed using field-based exercise testing to determine exercise prescription and to obtain the benefit of HIIT in populations with cardiovascular risk factors before utilizing it in patients.","PeriodicalId":33234,"journal":{"name":"Jurnal Profesi Medika","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42361812","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
The Relationship Between Mallampati Score And Obesity With the Risk of OSAHS in Down Syndrome Children Mallampati评分与肥胖与唐氏综合征儿童OSAHS风险的关系
Pub Date : 2022-12-10 DOI: 10.33533/jpm.v16i1.3960
U. Gamayani, Agnes Christine Yolanda Sihite, Iin Pusparini, N. Lailiyya
Obstructive Sleep Apnea/Hypopnea Syndrome (OSAHS) has commonly occured in Down syndrome children caused by the abnormalities in upper respiratory tract anatomy and obesity. This study aims to identify the correlation between Mallampati score and obesity and the risk of OSAHS in Down syndrome children. This was an analytical descriptive cross-sectional study. This study was conducted in children with Down syndrome from September until November 2017. All parents filled the Indonesian Pediatric Sleep Questionnaire (PSQ), then all of the children were examined for Mallampati score and BMI. The correlation was analyzed by the Pearson Chi-Square model. Thirty-six subjects were included in this study. The number of male subjects were slightly more (61.1%), the mean age of the subjects was 8.42±4,449 years, with 52.8% (19 subjects) having OSAHS. There were 23 subjects (63.9%) who had Mallampati scores of 3 and 4, with 13 subjects (36.1%) were obese. This study concluded a statistically significant correlation between Mallampati score and obesity and the risk of OSAHS in Down syndrome children (p-value 0.001 and 0.029). Mallampati score and obesity had a significant correlation with the risk of OSAHS in Down syndrome children.  
阻塞性睡眠呼吸暂停/低通气综合征(OSAHS)常见于唐氏综合征患儿,由上呼吸道解剖结构异常和肥胖引起。本研究旨在确定唐氏综合征儿童Mallampati评分与肥胖和OSAHS风险之间的相关性。这是一项分析描述性的横断面研究。这项研究于2017年9月至11月在唐氏综合症儿童中进行。所有家长填写了印度尼西亚儿童睡眠问卷(PSQ),然后对所有儿童进行Mallampati评分和BMI检查。采用皮尔逊-卡方模型对相关性进行分析。36名受试者被纳入本研究。男性受试者人数略多(61.1%),受试者的平均年龄为8.42±4449岁,其中52.8%(19名受试者)患有OSAHS。有23名受试者(63.9%)的Mallampati评分分别为3分和4分,其中13人(36.1%)肥胖。本研究得出结论,Mallampati评分与肥胖和唐氏综合征儿童OSAHS风险之间存在统计学显著相关性(p值0.001和0.029)。
{"title":"The Relationship Between Mallampati Score And Obesity With the Risk of OSAHS in Down Syndrome Children","authors":"U. Gamayani, Agnes Christine Yolanda Sihite, Iin Pusparini, N. Lailiyya","doi":"10.33533/jpm.v16i1.3960","DOIUrl":"https://doi.org/10.33533/jpm.v16i1.3960","url":null,"abstract":"Obstructive Sleep Apnea/Hypopnea Syndrome (OSAHS) has commonly occured in Down syndrome children caused by the abnormalities in upper respiratory tract anatomy and obesity. This study aims to identify the correlation between Mallampati score and obesity and the risk of OSAHS in Down syndrome children. This was an analytical descriptive cross-sectional study. This study was conducted in children with Down syndrome from September until November 2017. All parents filled the Indonesian Pediatric Sleep Questionnaire (PSQ), then all of the children were examined for Mallampati score and BMI. The correlation was analyzed by the Pearson Chi-Square model. Thirty-six subjects were included in this study. The number of male subjects were slightly more (61.1%), the mean age of the subjects was 8.42±4,449 years, with 52.8% (19 subjects) having OSAHS. There were 23 subjects (63.9%) who had Mallampati scores of 3 and 4, with 13 subjects (36.1%) were obese. This study concluded a statistically significant correlation between Mallampati score and obesity and the risk of OSAHS in Down syndrome children (p-value 0.001 and 0.029). Mallampati score and obesity had a significant correlation with the risk of OSAHS in Down syndrome children.  ","PeriodicalId":33234,"journal":{"name":"Jurnal Profesi Medika","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49268512","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
Risk of Back Pain in Faculty of Medicine UPN Veteran Jakarta Students During Online Lectures in the 2020 COVID-19 Pandemic Era 2020年新冠肺炎大流行时代在线讲座期间,UPN医学院雅加达资深学生的背痛风险
Pub Date : 2022-12-09 DOI: 10.33533/jpm.v16i2.4815
Dwi Arwandi Yogi Saputra, Hermawan Saputra, Sutoto Sutoto
Online learning is learning that is done without face-to-face but through available platforms. All forms of learning materials are distributed online. Communication is done online and tests are also conducted online. During the Covid-19 pandemic, distance learning using devices such as laptops and smartphones is very much needed to support distance learning activities. This has an impact on increasing the risks that arise such as back pain.
在线学习是一种不需要面对面,而是通过可用平台完成的学习。所有形式的学习材料都在网上分发。交流在网上完成,测试也在网上进行。在2019冠状病毒病大流行期间,非常需要使用笔记本电脑和智能手机等设备进行远程学习,以支持远程学习活动。这就增加了出现背痛等疾病的风险。
{"title":"Risk of Back Pain in Faculty of Medicine UPN Veteran Jakarta Students During Online Lectures in the 2020 COVID-19 Pandemic Era","authors":"Dwi Arwandi Yogi Saputra, Hermawan Saputra, Sutoto Sutoto","doi":"10.33533/jpm.v16i2.4815","DOIUrl":"https://doi.org/10.33533/jpm.v16i2.4815","url":null,"abstract":"Online learning is learning that is done without face-to-face but through available platforms. All forms of learning materials are distributed online. Communication is done online and tests are also conducted online. During the Covid-19 pandemic, distance learning using devices such as laptops and smartphones is very much needed to support distance learning activities. This has an impact on increasing the risks that arise such as back pain.","PeriodicalId":33234,"journal":{"name":"Jurnal Profesi Medika","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45277998","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
Comparison in Levels of Interleukin 6, Ferritine and Neutrophil-Lymphocyte Ratio in COVID-19 Patiens Treated in ICU and Non-ICU 重症监护病房与非重症监护病房患者白细胞介素6、铁氨酸水平及中性粒细胞淋巴细胞比值的比较
Pub Date : 2022-12-07 DOI: 10.33533/jpm.v16i2.4891
Nanda Oktavia, Efrida Efrida, Z. Rofinda
Inflammation is caused by infectious diseases, including COVID-19. Severe inflammatory responses contribute to weak adaptive immune response, there by resulting in immune response imbalance. Circulating biomarkers can represent inflammation and immune status are potential predictors for the prognosis of COVID-19 patients. Ferritin and interleukin-6 can serve as significant biomarkers in the detection of cytokine storm, systemic inflammation, and the prognosis of COVID-19. Neutrophil-lymphocyte ratio is an independent prognostic biomarker for COVID-19 patients. The aim of this study to determine differences levels of IL-6, ferritin, and NLR in COVID-19 patients treated ICU and non-ICU. This study was comparative cross-sectional design of 62 COVID-19 patients. Research was conducted at the Central Laboratory and Medical Record of Dr. M. Djamil Padang hospital (May-September 2021). Interleukin-6 levels determined the ECLIA methods, ferritin with the ELFA methods, and NLR with calculation methods. Bivariate data were analyzed with Mann-Whitney test. The characteristics of COVID-19 patients treated in ICU: 64.5% male, average age was 53.52(10.71) years, 48.4% death, and non ICU: female 71.0%, average 42.32 (12.22) years, and recovered 100%. The most common comorbid is hypertension. There were significant differences levels of IL-6, ferritin, and NLR in ICU and non-ICU patients with COVID-19 (p<0.001).
炎症是由包括COVID-19在内的传染病引起的。严重的炎症反应导致适应性免疫反应弱,从而导致免疫反应失衡。循环生物标志物可以代表炎症和免疫状态是COVID-19患者预后的潜在预测因素。铁蛋白和白细胞介素-6可作为检测细胞因子风暴、全身炎症和COVID-19预后的重要生物标志物。中性粒细胞-淋巴细胞比率是新冠肺炎患者独立的预后生物标志物。本研究的目的是确定在ICU和非ICU治疗的COVID-19患者中IL-6、铁蛋白和NLR水平的差异。本研究采用62例COVID-19患者的比较横断面设计。研究是在M. Djamil Padang博士医院的中央实验室和医疗记录(2021年5月至9月)进行的。ECLIA法测定白细胞介素-6水平,ELFA法测定铁蛋白水平,计算法测定NLR水平。双变量数据采用Mann-Whitney检验进行分析。在ICU治疗的新冠肺炎患者中,男性占64.5%,平均年龄53.52(10.71)岁,死亡占48.4%;非ICU患者中,女性占71.0%,平均42.32(12.22)岁,康复率100%。最常见的合并症是高血压。ICU与非ICU患者IL-6、铁蛋白、NLR水平差异有统计学意义(p<0.001)。
{"title":"Comparison in Levels of Interleukin 6, Ferritine and Neutrophil-Lymphocyte Ratio in COVID-19 Patiens Treated in ICU and Non-ICU","authors":"Nanda Oktavia, Efrida Efrida, Z. Rofinda","doi":"10.33533/jpm.v16i2.4891","DOIUrl":"https://doi.org/10.33533/jpm.v16i2.4891","url":null,"abstract":"Inflammation is caused by infectious diseases, including COVID-19. Severe inflammatory responses contribute to weak adaptive immune response, there by resulting in immune response imbalance. Circulating biomarkers can represent inflammation and immune status are potential predictors for the prognosis of COVID-19 patients. Ferritin and interleukin-6 can serve as significant biomarkers in the detection of cytokine storm, systemic inflammation, and the prognosis of COVID-19. Neutrophil-lymphocyte ratio is an independent prognostic biomarker for COVID-19 patients. The aim of this study to determine differences levels of IL-6, ferritin, and NLR in COVID-19 patients treated ICU and non-ICU. This study was comparative cross-sectional design of 62 COVID-19 patients. Research was conducted at the Central Laboratory and Medical Record of Dr. M. Djamil Padang hospital (May-September 2021). Interleukin-6 levels determined the ECLIA methods, ferritin with the ELFA methods, and NLR with calculation methods. Bivariate data were analyzed with Mann-Whitney test. The characteristics of COVID-19 patients treated in ICU: 64.5% male, average age was 53.52(10.71) years, 48.4% death, and non ICU: female 71.0%, average 42.32 (12.22) years, and recovered 100%. The most common comorbid is hypertension. There were significant differences levels of IL-6, ferritin, and NLR in ICU and non-ICU patients with COVID-19 (p<0.001).","PeriodicalId":33234,"journal":{"name":"Jurnal Profesi Medika","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42388502","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
Methylene Blue: a Potential Novel Treatment in Diabetic Foot Ulcer 亚甲基蓝:一种潜在的治疗糖尿病足溃疡的新方法
Pub Date : 2022-12-06 DOI: 10.33533/jpm.v16i2.4792
Lintang Cahyaning Ratri, A. Nugrahani, G. Prabowo, J. H. Prajitno
Diabetes is a chronic metabolic disease that can lead to serious consequences that impair one's quality of life, if not adequately controlled. One of the undesirable complications is diabetic foot ulcer. It is estimated globally that every 30 seconds a leg is amputated due to diabetic foot, and thus can lower the quality of life. Recent studies have used a low-cost dye known as methylene blue as an anti-microorganism agent, and this sparks the idea of exploring more of its possible benefits. This literature review aimed to outline the beneficial roles of methylene blue in diabetic foot ulcer treatment. According to the findings, it is said that methylene blue may play a role as an anti-microorganism agent through its contribution in wound healing and invasive surgical prevention such as limb amputation. All the pooled articles showed a promising outcome of MB from the reduction of wound size in a shorter healing period with none adverse effects reported. Hence, methylene blue may have a promising role to be an effective agent in treating diabetic foot ulcer.
糖尿病是一种慢性代谢性疾病,如果控制不当,会导致严重后果,损害一个人的生活质量。其中一个不良并发症是糖尿病足溃疡。据估计,全球每30秒就有一条腿因糖尿病足而截肢,从而降低了生活质量。最近的研究使用了一种被称为亚甲基蓝的低成本染料作为抗微生物剂,这激发了探索其更多可能好处的想法。本文献综述旨在概述亚甲基蓝在糖尿病足溃疡治疗中的有益作用。根据研究结果,亚甲基蓝可能通过其在伤口愈合和侵入性手术预防(如截肢)中的贡献而发挥抗微生物剂的作用。所有汇总的文章都显示,在较短的愈合时间内伤口大小减少,MB的结果很有希望,没有不良反应的报道。因此,亚甲基蓝有可能成为治疗糖尿病足溃疡的有效药物。
{"title":"Methylene Blue: a Potential Novel Treatment in Diabetic Foot Ulcer","authors":"Lintang Cahyaning Ratri, A. Nugrahani, G. Prabowo, J. H. Prajitno","doi":"10.33533/jpm.v16i2.4792","DOIUrl":"https://doi.org/10.33533/jpm.v16i2.4792","url":null,"abstract":"Diabetes is a chronic metabolic disease that can lead to serious consequences that impair one's quality of life, if not adequately controlled. One of the undesirable complications is diabetic foot ulcer. It is estimated globally that every 30 seconds a leg is amputated due to diabetic foot, and thus can lower the quality of life. Recent studies have used a low-cost dye known as methylene blue as an anti-microorganism agent, and this sparks the idea of exploring more of its possible benefits. This literature review aimed to outline the beneficial roles of methylene blue in diabetic foot ulcer treatment. According to the findings, it is said that methylene blue may play a role as an anti-microorganism agent through its contribution in wound healing and invasive surgical prevention such as limb amputation. All the pooled articles showed a promising outcome of MB from the reduction of wound size in a shorter healing period with none adverse effects reported. Hence, methylene blue may have a promising role to be an effective agent in treating diabetic foot ulcer.","PeriodicalId":33234,"journal":{"name":"Jurnal Profesi Medika","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44374194","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
Critically Ill Patient with Acute Exacerbation of Chronic Obstructive Pulmonary Disease Developing Sepsis and Potassium Disorder: a Case Report in Secondary Hospital Setting 慢性阻塞性肺疾病急性加重并发败血症和钾血症的危重患者:二级医院一例报告
Pub Date : 2022-12-06 DOI: 10.33533/jpm.v16i2.5071
Regia Anadhia Pinastika, Indah Rahmawati, Tiara Nadya Putrianda
Sepsis and electrolyte disturbances are frequently experienced among acute exacerbation of chronic obstructive pulmonary disease (AECOPD) patients. It is characterized by organ failure brought on by unbalanced host response to infection. A 63-year-old male presented to the hospital with the complaint of breathlessness with the oxygen saturation of 76%. The leukocyte level increased to 19.000 and the Potassium level decreased to 2.88. The combination of antibiotics, Potassium supplement, oxygen support through NRM of 15 liters per minute and symptomatic treatment were administered to the patient. The NRM was then changed to HFNC due to his worsening condition and successfully decreased oxygen demand. The patient’s condition has made a significant improvement after seven days of hospitalization. Patients with AECOPD are at higher risk of developing sepsis and electrolyte disturbances. Sepsis will change the biological system of the body due to different pathophysiology such as electrolyte imbalance and obviously engaged with the pathogenesis of ensuing regular intensifications. It is important for the clinicians to know the effective management for the patient, so that the critical phase can be passed even at the limited facilities. 
脓毒症和电解质紊乱在慢性阻塞性肺疾病(AECOPD)急性加重期患者中经常发生。它的特点是由宿主对感染的不平衡反应引起的器官衰竭。男,63岁,主诉呼吸困难,血氧饱和度76%。白细胞水平上升至19.000,钾水平下降至2.88。给予抗生素联合补钾、NRM给氧15升/分及对症治疗。由于病情恶化,将NRM改为HFNC,并成功降低了需氧量。病人住院7天后,病情有了明显好转。AECOPD患者发生败血症和电解质紊乱的风险更高。脓毒症会因电解质失衡等不同的病理生理改变机体的生物系统,并与随后的规律强化的发病机制明显相关。对于临床医生来说,了解对患者的有效管理是很重要的,这样即使在有限的设备下也能度过关键阶段。
{"title":"Critically Ill Patient with Acute Exacerbation of Chronic Obstructive Pulmonary Disease Developing Sepsis and Potassium Disorder: a Case Report in Secondary Hospital Setting","authors":"Regia Anadhia Pinastika, Indah Rahmawati, Tiara Nadya Putrianda","doi":"10.33533/jpm.v16i2.5071","DOIUrl":"https://doi.org/10.33533/jpm.v16i2.5071","url":null,"abstract":"Sepsis and electrolyte disturbances are frequently experienced among acute exacerbation of chronic obstructive pulmonary disease (AECOPD) patients. It is characterized by organ failure brought on by unbalanced host response to infection. A 63-year-old male presented to the hospital with the complaint of breathlessness with the oxygen saturation of 76%. The leukocyte level increased to 19.000 and the Potassium level decreased to 2.88. The combination of antibiotics, Potassium supplement, oxygen support through NRM of 15 liters per minute and symptomatic treatment were administered to the patient. The NRM was then changed to HFNC due to his worsening condition and successfully decreased oxygen demand. The patient’s condition has made a significant improvement after seven days of hospitalization. Patients with AECOPD are at higher risk of developing sepsis and electrolyte disturbances. Sepsis will change the biological system of the body due to different pathophysiology such as electrolyte imbalance and obviously engaged with the pathogenesis of ensuing regular intensifications. It is important for the clinicians to know the effective management for the patient, so that the critical phase can be passed even at the limited facilities. ","PeriodicalId":33234,"journal":{"name":"Jurnal Profesi Medika","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47204250","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
Capacity to Consent of People with Dementia: a Narrative Review from an Ethical Perspective 痴呆症患者的同意能力:从伦理角度的叙事回顾
Pub Date : 2022-12-06 DOI: 10.33533/jpm.v16i2.4744
Urfa Khairatun Hisan, N. Qomariyah, Kristina Elizabeth
People with dementia have impairment to execute daily life activities by presenting as a deterioration of mental processes, such as memory, thinking, reasoning, and judgment. Many participants in dementia research may lack the capacity to provide informed consent. Additional safeguards are needed for dementia research participants’ protection because of their vulnerability. Only after carefully weighing the risks and possible benefits for the participants in the research may it be decided to use vulnerable participants. The intention to prevent harm pushes against the removal of autonomy. This dilemma is the driving force behind this article's narrative review of the capacity to consent problems in dementia research. For this critical narrative review, we conducted a thorough search of Scopus, PubMed, and Wiley Open Library for literature addressing the ethical and legal issues on the capacity to consent of people with dementia. We outline the dilemmas and difficulties that surround them including the related ethical principles, the informed consent process, capacity to consent, and safeguards for the participant in research involving people with dementia.
痴呆症患者通过表现为记忆、思考、推理和判断等心理过程的恶化,导致日常生活活动受损。痴呆研究的许多参与者可能缺乏提供知情同意的能力。由于痴呆症研究参与者的脆弱性,需要额外的保护措施。只有在仔细权衡研究参与者的风险和可能的益处之后,才能决定使用弱势参与者。防止伤害的意图推动了自治的取消。这一困境是背后的驱动力,这篇文章的叙述性审查的能力,同意问题在痴呆研究。为了这篇批判性的叙述性综述,我们对Scopus、PubMed和Wiley开放图书馆进行了彻底的搜索,以寻找有关痴呆症患者同意能力的伦理和法律问题的文献。我们概述了围绕他们的困境和困难,包括相关的伦理原则,知情同意过程,同意能力,以及涉及痴呆症患者的研究参与者的保障措施。
{"title":"Capacity to Consent of People with Dementia: a Narrative Review from an Ethical Perspective","authors":"Urfa Khairatun Hisan, N. Qomariyah, Kristina Elizabeth","doi":"10.33533/jpm.v16i2.4744","DOIUrl":"https://doi.org/10.33533/jpm.v16i2.4744","url":null,"abstract":"People with dementia have impairment to execute daily life activities by presenting as a deterioration of mental processes, such as memory, thinking, reasoning, and judgment. Many participants in dementia research may lack the capacity to provide informed consent. Additional safeguards are needed for dementia research participants’ protection because of their vulnerability. Only after carefully weighing the risks and possible benefits for the participants in the research may it be decided to use vulnerable participants. The intention to prevent harm pushes against the removal of autonomy. This dilemma is the driving force behind this article's narrative review of the capacity to consent problems in dementia research. For this critical narrative review, we conducted a thorough search of Scopus, PubMed, and Wiley Open Library for literature addressing the ethical and legal issues on the capacity to consent of people with dementia. We outline the dilemmas and difficulties that surround them including the related ethical principles, the informed consent process, capacity to consent, and safeguards for the participant in research involving people with dementia.","PeriodicalId":33234,"journal":{"name":"Jurnal Profesi Medika","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69572620","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
Vascular Risk Factor and Cognitive Impairment in Elderly 老年人血管危险因素与认知功能障碍
Pub Date : 2022-11-25 DOI: 10.33533/jpm.v16i2.4601
Rohmania Setiarini, Made Rika Anastasia Pratiwi, Mirzaulin Leonaviri
The elderly are more likely to experience cognitive impairment, especially those who have a vascular risk factor. The purpose of this study was to determine the relationship between vascular risk factor and cognitive impairment in the elderly. Observational research method with cross-sectional design consist of 79 participant in Tresna Werdha Puspa Karma Social Institution, Mataram from October to November 2021. The subjects were measured blood pressure, weight and height to obtain BMI, glucose level, and total cholesterol. Furthermore, each participant underwent a cognitive function test using Moca-INA. Data were analyzed by chi-square and logistic regression. Diabetes mellitus (p =0.09), hypertension (p =0.037), lower education (p =0,01) and hight blood pressure (p =0.036) were associated with poor cognitive function.
老年人更容易出现认知障碍,尤其是那些有血管危险因素的人。本研究的目的是确定老年人血管危险因素与认知障碍之间的关系。采用横断面设计的观察性研究方法,于2021年10月至11月在马塔兰的treresna Werdha Puspa Karma社会机构对79名参与者进行了调查。研究人员测量了受试者的血压、体重和身高,以获得体重指数、血糖水平和总胆固醇。此外,每个参与者都使用Moca-INA进行认知功能测试。数据分析采用卡方回归和逻辑回归。糖尿病(p =0.09)、高血压(p =0.037)、低学历(p = 0.01)和高血压(p =0.036)与认知功能低下相关。
{"title":"Vascular Risk Factor and Cognitive Impairment in Elderly","authors":"Rohmania Setiarini, Made Rika Anastasia Pratiwi, Mirzaulin Leonaviri","doi":"10.33533/jpm.v16i2.4601","DOIUrl":"https://doi.org/10.33533/jpm.v16i2.4601","url":null,"abstract":"The elderly are more likely to experience cognitive impairment, especially those who have a vascular risk factor. The purpose of this study was to determine the relationship between vascular risk factor and cognitive impairment in the elderly. Observational research method with cross-sectional design consist of 79 participant in Tresna Werdha Puspa Karma Social Institution, Mataram from October to November 2021. The subjects were measured blood pressure, weight and height to obtain BMI, glucose level, and total cholesterol. Furthermore, each participant underwent a cognitive function test using Moca-INA. Data were analyzed by chi-square and logistic regression. Diabetes mellitus (p =0.09), hypertension (p =0.037), lower education (p =0,01) and hight blood pressure (p =0.036) were associated with poor cognitive function.","PeriodicalId":33234,"journal":{"name":"Jurnal Profesi Medika","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43719963","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
Toxigenic Diphtheriae Profile in Children in 2017-2018 2017-2018年儿童产毒性白喉概况
Pub Date : 2022-11-15 DOI: 10.33533/jpm.v16i2.4865
S. Maemun, Aninda Dinar Widiantari, Nur Aliza, M. Pane, T. Y. Setianingsih, Yeni Afrina, Farida Murtiani
Corynebacterium diphteriae is divided based on its ability to produce toxin. Toxigenic C. diphteriae is the type that has capacity to produce toxin and life threatening. This study was descriptive study in Corynebacterium diphteriae found in children less than 18 years old who were administered to National Infection Center Prof. Dr. Sulianti Saroso. We found 36 viable toxigenic C. diphteriae isolates, which 52.8% intermedius strain, 33.3% gravis strain, 8.3% mitis, and 5.6% non-strain. Most of the host (52,8%) were 60-144 months years old. Majority of the host had completed basic vaccination recommended by Indonesian Paediatrician Association while 75% of them hadn’t gotten the supplementary doses. Fever (48.5%) and odynophagia (54.5%) were experienced by toxigenic intermedius strain infection.  Snoring (50%) and thick pseudomembran mostly found in gravis strain host while Bullneck sign found in intermedius strain infection. Complications like airway obstruction, chronic kidney disease, and myocarditis were found in host with toxigenic intermedius strain by 66.7%, 100%, and 75%. Death case were also mostly with this strain. Intermedius strain were mostly found in this study. Complications and mortality were also connected to intermedius strain infection.
根据其产生毒素的能力,可以对双叉棒状杆菌进行分类。毒蜥是一种具有产生毒素和威胁生命的能力的细菌。这项研究是对国家感染中心教授Sulianti Saroso博士在18岁以下儿童中发现的双叉棒状杆菌的描述性研究。我们发现了36株可存活的产毒双毒梭菌菌株,其中52.8%为中间菌株,33.3%为重症菌株,8.3%为轻度菌株,5.6%为非菌株。大多数宿主(52.8%)年龄在60-144个月之间。大多数受试者已经完成了印尼儿科医生协会推荐的基本疫苗接种,而75%的受试者没有接种补充疫苗。发热(48.5%)和疼痛感(54.5%)是由产毒中间株感染引起的。打鼾(50%)和厚伪膜多见于重症毒株宿主,牛颈征多见于中间毒株感染。毒源性中间株宿主出现呼吸道阻塞、慢性肾脏病和心肌炎等并发症的比例分别为66.7%、100%和75%。死亡病例也大多与该菌株有关。本研究主要发现中间型菌株。并发症和死亡率也与中间菌株感染有关。
{"title":"Toxigenic Diphtheriae Profile in Children in 2017-2018","authors":"S. Maemun, Aninda Dinar Widiantari, Nur Aliza, M. Pane, T. Y. Setianingsih, Yeni Afrina, Farida Murtiani","doi":"10.33533/jpm.v16i2.4865","DOIUrl":"https://doi.org/10.33533/jpm.v16i2.4865","url":null,"abstract":"Corynebacterium diphteriae is divided based on its ability to produce toxin. Toxigenic C. diphteriae is the type that has capacity to produce toxin and life threatening. This study was descriptive study in Corynebacterium diphteriae found in children less than 18 years old who were administered to National Infection Center Prof. Dr. Sulianti Saroso. We found 36 viable toxigenic C. diphteriae isolates, which 52.8% intermedius strain, 33.3% gravis strain, 8.3% mitis, and 5.6% non-strain. Most of the host (52,8%) were 60-144 months years old. Majority of the host had completed basic vaccination recommended by Indonesian Paediatrician Association while 75% of them hadn’t gotten the supplementary doses. Fever (48.5%) and odynophagia (54.5%) were experienced by toxigenic intermedius strain infection.  Snoring (50%) and thick pseudomembran mostly found in gravis strain host while Bullneck sign found in intermedius strain infection. Complications like airway obstruction, chronic kidney disease, and myocarditis were found in host with toxigenic intermedius strain by 66.7%, 100%, and 75%. Death case were also mostly with this strain. Intermedius strain were mostly found in this study. Complications and mortality were also connected to intermedius strain infection.","PeriodicalId":33234,"journal":{"name":"Jurnal Profesi Medika","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43861170","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
Isolation and Characterization of Adipose-Derived Mesenchymal Stem Cell Exosomes: an In-Vitro Study 脂肪来源的间充质干细胞外泌体的分离和表征:一项体外研究
Pub Date : 2022-11-15 DOI: 10.33533/jpm.v16i2.4867
J. Fiolin, I. H. Dilogo, R. Antarianto, Ludwig Andre Pontoh
Exosomes from Mesenchymal Stem Cells (MSC) is currently one of the highlighted research due to its more specific action on the target tissue. Exosome is one of the MSC Extracellular Vesicle (EVs) that acts as a mediator in the cellular communication. However, not so many literatures have succeed in elaborating its isolation and characterization process. This study aimed to explain the method used in exosomes isolation from Adipose-Derived MSC (ASC) and elaborate its characteristics. This is an in-vitro study performed in the Stem Cell and Tissue Engineering (SCTE) Indonesia Medical Education and Research Institute (IMERI) laboratory. Ultracentrifugation method was performed to isolate exosome from ASC. The exosome were characterized based on its particle size, morphology, and CD63 and CD81 expression for its purity. We were able to isolate sterile exosome from ASC by performing differential ultracentrifugation. The mean size of exosome was 88.7 nm ± 40 nm SD and showed expression of CD63 and CD81. Exosome was successfully isolated from ASC using ultracentrifugation method and characterization following the MISEV standard should be implemented in order to meet the therapeutic efficacy and safety issues as a regenerative agent.
来自间充质干细胞(MSC)的外泌体是目前重点研究的对象之一,因为它对靶组织具有更特异的作用。外泌体是MSC细胞外囊泡(EVs)中的一种,在细胞通信中起中介作用。然而,并没有那么多的文献成功地阐述了它的分离和表征过程。本研究旨在解释从脂肪衍生MSC(ASC)中分离外泌体的方法,并阐述其特征。这是一项在干细胞和组织工程(SCTE)印度尼西亚医学教育研究所(IMERI)实验室进行的体外研究。采用超离心法从ASC中分离外泌体。外泌体基于其颗粒大小、形态以及CD63和CD81表达的纯度进行了表征。我们能够通过差速超速离心从ASC中分离出无菌外泌体。外泌体的平均大小为88.7 nm±40 nm SD,并显示CD63和CD81的表达。使用超速离心法从ASC中成功分离出外泌体,并应按照MISEV标准进行表征,以满足作为再生剂的治疗效果和安全性问题。
{"title":"Isolation and Characterization of Adipose-Derived Mesenchymal Stem Cell Exosomes: an In-Vitro Study","authors":"J. Fiolin, I. H. Dilogo, R. Antarianto, Ludwig Andre Pontoh","doi":"10.33533/jpm.v16i2.4867","DOIUrl":"https://doi.org/10.33533/jpm.v16i2.4867","url":null,"abstract":"Exosomes from Mesenchymal Stem Cells (MSC) is currently one of the highlighted research due to its more specific action on the target tissue. Exosome is one of the MSC Extracellular Vesicle (EVs) that acts as a mediator in the cellular communication. However, not so many literatures have succeed in elaborating its isolation and characterization process. This study aimed to explain the method used in exosomes isolation from Adipose-Derived MSC (ASC) and elaborate its characteristics. This is an in-vitro study performed in the Stem Cell and Tissue Engineering (SCTE) Indonesia Medical Education and Research Institute (IMERI) laboratory. Ultracentrifugation method was performed to isolate exosome from ASC. The exosome were characterized based on its particle size, morphology, and CD63 and CD81 expression for its purity. We were able to isolate sterile exosome from ASC by performing differential ultracentrifugation. The mean size of exosome was 88.7 nm ± 40 nm SD and showed expression of CD63 and CD81. Exosome was successfully isolated from ASC using ultracentrifugation method and characterization following the MISEV standard should be implemented in order to meet the therapeutic efficacy and safety issues as a regenerative agent.","PeriodicalId":33234,"journal":{"name":"Jurnal Profesi Medika","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43173068","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: 1
期刊
Jurnal Profesi Medika
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1