Introduction: Childcare centers are a type of daycare that is increasingly used by families all over the world. Indonesia is experiencing a similar trend. Childcare centers have essential roles in supporting child's growth and development in the center. This study aims to explore how childcare centers support the healthy growth and development of young children. Methods: A qualitative research approach using a case study design was used for exploring the perspectives of two childcare managers and eight teachers in two public and two private childcare centers in Yogyakarta, Indonesia. Semi-structured interviews of one hour each, audiotaped recorded with the participants' consent, were used to collect the data. Content analysis was used to generate findings from the data. Findings from the public and private centers were compared and contrasted to generate the study's overall findings.Results: The findings identified that childcare centers in Yogyakarta, Indonesia, actively promote child growth and development by providing high-quality environments and services. The environment is safe, homelike, has high standards of cleanliness and sanitation, and provides appropriate toys and equipment. Services include nutrition, supervision, and health checks. Linking centers to the community was an essential strategy for improving the funds and resources needed to promote child growth and development. Conclusion: This study suggests that providing training for childcare workers, refining the curriculum, and developing stimulating activities for children in the center are needed.
{"title":"Promoting child's growth and development in childcare centers","authors":"Ferika Indarwati, Gesta Firmansyah","doi":"10.15562/bmj.v10i3.2881","DOIUrl":"https://doi.org/10.15562/bmj.v10i3.2881","url":null,"abstract":"Introduction: Childcare centers are a type of daycare that is increasingly used by families all over the world. Indonesia is experiencing a similar trend. Childcare centers have essential roles in supporting child's growth and development in the center. This study aims to explore how childcare centers support the healthy growth and development of young children. Methods: A qualitative research approach using a case study design was used for exploring the perspectives of two childcare managers and eight teachers in two public and two private childcare centers in Yogyakarta, Indonesia. Semi-structured interviews of one hour each, audiotaped recorded with the participants' consent, were used to collect the data. Content analysis was used to generate findings from the data. Findings from the public and private centers were compared and contrasted to generate the study's overall findings.Results: The findings identified that childcare centers in Yogyakarta, Indonesia, actively promote child growth and development by providing high-quality environments and services. The environment is safe, homelike, has high standards of cleanliness and sanitation, and provides appropriate toys and equipment. Services include nutrition, supervision, and health checks. Linking centers to the community was an essential strategy for improving the funds and resources needed to promote child growth and development. Conclusion: This study suggests that providing training for childcare workers, refining the curriculum, and developing stimulating activities for children in the center are needed. ","PeriodicalId":44369,"journal":{"name":"Bali Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41774680","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}
Ima Indirayani, Hilwah Nora, Rusnaidi, Cut Meurah Yenni, F. Zahara, Dara Meutia Ayu Febrina
Introduction: A trial of labor after a cesarean (TOLAC) section is a maternal choice with previous caesarian section. However, for those with 2 previous scars, there are pros and cons to allowing the patient for vaginal birth after caesarian section (VBAC) in view of increasing complications. The incidence of SC in Indonesia has been increasing over the year. In addition, several studies have shown an increased risk of problems in subsequent pregnancies in mothers with a history of cesarean section. Thus VBAC in 2 previous scars becomes a alternative choice for a certain patient. Case Illustration: We reported 3 cases of TOLAC; Three of the cases were planned for vaginal birth after caesarian section (VBAC) since prenatal periode Case 1: A 30-year-old woman, G3P2, 39 weeks with two times previous cesarean section. Cardiotocography was normal. The patient was closely monitoring the signs of uterine rupture during labor, and after 7 hours, she had a successful VBAC without complication. Born female baby with body weight 4000 with a good, mother and baby were in good condition. Case 2: A 38-year-old woman, G6P4A1, 41 weeks pregnant with two previous vaginal deliveries and had two previous CS before the current pregnancy. The patient was closely monitored of vital signs and signs of uterine rupture. Cardiotocography is normal. After 8 hours later, she had a successful VBAC without complication, born a male baby with a body weight of 3500gr, with good APGAR score. Case 3: A 35-year-old woman, G3P2A0, had two previous CS admitted at 39 in the latent phase of labor with a cervical dilatation of 2 cm. The labor progressed to second stage after 9 hours. After a hour attempted to conduct delivery, the fetus was still not delivered. Catheterization was performed and found haematuria and proceded with emergency CS due to suspect a uterine rupture. Intraoperatively, the uterine rupture was noted at lower anterior of uterine corpus size 2x1 cm and a repair was performed Conclusion: VBAC can be considered in patients with two previous c-sections with after proper selection, close monitoring and adequate counseling. Prenatal care is a concern for pregnant women to prevent complications and reduce maternal and fetal morbidity and mortality. The VBAC decision returned to personalization and adequate assessment and counseling are mandatory.
{"title":"Trial of labor in women with two previous caesarian sections: a challenge","authors":"Ima Indirayani, Hilwah Nora, Rusnaidi, Cut Meurah Yenni, F. Zahara, Dara Meutia Ayu Febrina","doi":"10.15562/bmj.v12i1.3943","DOIUrl":"https://doi.org/10.15562/bmj.v12i1.3943","url":null,"abstract":"Introduction: A trial of labor after a cesarean (TOLAC) section is a maternal choice with previous caesarian section. However, for those with 2 previous scars, there are pros and cons to allowing the patient for vaginal birth after caesarian section (VBAC) in view of increasing complications. The incidence of SC in Indonesia has been increasing over the year. In addition, several studies have shown an increased risk of problems in subsequent pregnancies in mothers with a history of cesarean section. Thus VBAC in 2 previous scars becomes a alternative choice for a certain patient.\u0000Case Illustration: We reported 3 cases of TOLAC; Three of the cases were planned for vaginal birth after caesarian section (VBAC) since prenatal periode Case 1: A 30-year-old woman, G3P2, 39 weeks with two times previous cesarean section. Cardiotocography was normal. The patient was closely monitoring the signs of uterine rupture during labor, and after 7 hours, she had a successful VBAC without complication. Born female baby with body weight 4000 with a good, mother and baby were in good condition. Case 2: A 38-year-old woman, G6P4A1, 41 weeks pregnant with two previous vaginal deliveries and had two previous CS before the current pregnancy. The patient was closely monitored of vital signs and signs of uterine rupture. Cardiotocography is normal. After 8 hours later, she had a successful VBAC without complication, born a male baby with a body weight of 3500gr, with good APGAR score. Case 3: A 35-year-old woman, G3P2A0, had two previous CS admitted at 39 in the latent phase of labor with a cervical dilatation of 2 cm. The labor progressed to second stage after 9 hours. After a hour attempted to conduct delivery, the fetus was still not delivered. Catheterization was performed and found haematuria and proceded with emergency CS due to suspect a uterine rupture. Intraoperatively, the uterine rupture was noted at lower anterior of uterine corpus size 2x1 cm and a repair was performed\u0000Conclusion: VBAC can be considered in patients with two previous c-sections with after proper selection, close monitoring and adequate counseling. Prenatal care is a concern for pregnant women to prevent complications and reduce maternal and fetal morbidity and mortality. The VBAC decision returned to personalization and adequate assessment and counseling are mandatory.","PeriodicalId":44369,"journal":{"name":"Bali Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48671744","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}
Hendra Zufry, Sarah Firdausa, A. S. Ekadamayanti, K. W. Sucipto
Background: Healthcare professionals are more vulnerable to infectious infections, especially ones that are easily transferred, such as COVID-19. Subacute thyroiditis is a self-limiting thyroid gland infection caused by a virus. SARS-CoV-2 infection increases the prevalence of subacute thyroiditis. Objective: This case series addresses the emergence of subacute thyroiditis cases linked to SARS-CoV-2 infection, which is more common in healthcare personnel. Methods: This study analyzed nine COVID-19 cases with neck pain symptoms. The clinical presentation, thyroid markers, ultrasound features of the thyroid gland, and its management were described in this study. Result: There were nine cases included, and seven out of nine were experienced by healthcare professional workers. All of them were patients in the Clinic of Endocrinology Metabolism and Diabetes - Thyroid Center, Dr. Zainoel Abidin Hospital, Banda Aceh, Indonesia, from January to June 2021. Most of them presented with mild to moderate neck pain. All patients had clinical improvement within two weeks to two months after receiving treatments. Conclusion: Subacute thyroiditis is a painful thyroid gland disease characterized by acute inflammation of the thyroid gland, which can arise during or after a viral infection such as COVID-19. This case series emphasizes the importance of physicians awareness that subacute thyroiditis could be one of many clinical spectra of SARS-CoV-2 infection that should not be missed.
{"title":"Subacute thyroiditis associated with COVID-19 affecting health professionals, a case series in high-risk population","authors":"Hendra Zufry, Sarah Firdausa, A. S. Ekadamayanti, K. W. Sucipto","doi":"10.15562/bmj.v12i1.3936","DOIUrl":"https://doi.org/10.15562/bmj.v12i1.3936","url":null,"abstract":"Background: Healthcare professionals are more vulnerable to infectious infections, especially ones that are easily transferred, such as COVID-19. Subacute thyroiditis is a self-limiting thyroid gland infection caused by a virus. SARS-CoV-2 infection increases the prevalence of subacute thyroiditis.\u0000Objective: This case series addresses the emergence of subacute thyroiditis cases linked to SARS-CoV-2 infection, which is more common in healthcare personnel.\u0000Methods: This study analyzed nine COVID-19 cases with neck pain symptoms. The clinical presentation, thyroid markers, ultrasound features of the thyroid gland, and its management were described in this study.\u0000Result: There were nine cases included, and seven out of nine were experienced by healthcare professional workers. All of them were patients in the Clinic of Endocrinology Metabolism and Diabetes - Thyroid Center, Dr. Zainoel Abidin Hospital, Banda Aceh, Indonesia, from January to June 2021. Most of them presented with mild to moderate neck pain. All patients had clinical improvement within two weeks to two months after receiving treatments.\u0000Conclusion: Subacute thyroiditis is a painful thyroid gland disease characterized by acute inflammation of the thyroid gland, which can arise during or after a viral infection such as COVID-19. This case series emphasizes the importance of physicians awareness that subacute thyroiditis could be one of many clinical spectra of SARS-CoV-2 infection that should not be missed.","PeriodicalId":44369,"journal":{"name":"Bali Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45477297","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}
Yoke Surpri Marlina, Rima Novirianthy, Teuku M. Yus
Background: Primary breast angiosarcomas are very rare type malignant breast tumor. It may have an insidious clinical onset, presenting as a painless, often discrete palpable mass that grows rapidly. The ranged age of disease is 20-50 years. Case description: We report a case of a young woman with palpable and painless mass of her left breast. Based on radiological findings with mammography and MRI examination reported as malignant mass of the left breast suspected angiosarcoma. Pathological confirmation post-surgery reported a well-differentiated angiosarcoma that arose primarily in the left breast. Patient treated with simple mastectomy followed by whole breast radiotherapy. External beam radiotherapy delivered using 3DCRT with FIF technique, prescribed dose 60Gy in 30 fractions within 6 weeks. Conclusion: There is no established standard treatment for primary angiosarcoma of the breast. Mastectomy remains the mainstay of treatment. Adjuvant radiotherapy appears to improve local control.
{"title":"Radiotherapy for primary angiosarcoma of the breast: a case report","authors":"Yoke Surpri Marlina, Rima Novirianthy, Teuku M. Yus","doi":"10.15562/bmj.v12i1.3952","DOIUrl":"https://doi.org/10.15562/bmj.v12i1.3952","url":null,"abstract":"Background: Primary breast angiosarcomas are very rare type malignant breast tumor. It may have an insidious clinical onset, presenting as a painless, often discrete palpable mass that grows rapidly. The ranged age of disease is 20-50 years.\u0000Case description: We report a case of a young woman with palpable and painless mass of her left breast. Based on radiological findings with mammography and MRI examination reported as malignant mass of the left breast suspected angiosarcoma. Pathological confirmation post-surgery reported a well-differentiated angiosarcoma that arose primarily in the left breast. Patient treated with simple mastectomy followed by whole breast radiotherapy. External beam radiotherapy delivered using 3DCRT with FIF technique, prescribed dose 60Gy in 30 fractions within 6 weeks.\u0000Conclusion: There is no established standard treatment for primary angiosarcoma of the breast. Mastectomy remains the mainstay of treatment. Adjuvant radiotherapy appears to improve local control.","PeriodicalId":44369,"journal":{"name":"Bali Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43773863","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}
Hilwah Nora, Rajuddin, Hafizudin, Rachmad Suhanda, Ima Indirayani
Background: Worldwide, the population explosion and unintended pregnancies pose serious health issues. The family planning program is a vital element due to reducing population growth. Demographic data and family planning in Indonesia report that contraceptive use rates are 93.66% for women and 6.34% for men. Men's participation in family planning programs remains low, with options limited to vasectomy and condoms. Limited contraceptive options may explain the low participation rate. WHO recommends traditional medicine as a cost-effective substitute for manufactured medicines. The primary ingredient in turmeric, Curcumin, has antiviral, antibacterial, anti-inflammatory, and anticancer activities. In both animal and human clinical trials, it has demonstrated a lack of toxicity. Little research has been done on how it affects the male reproductive. Objective: This article reviews the literature regarding the effects of Curcumin in Curcuma Longa on male fertility. Conclusion: Curcumin in Curcuma Longa causes noticeable changes in the male reproductive system that reverse when treatment is discontinued. Therefore, Curcumin may potentially control male fertility as a male contraceptive.
{"title":"Curcumin, a potential oral herbal male contraceptive: a review article","authors":"Hilwah Nora, Rajuddin, Hafizudin, Rachmad Suhanda, Ima Indirayani","doi":"10.15562/bmj.v12i1.3937","DOIUrl":"https://doi.org/10.15562/bmj.v12i1.3937","url":null,"abstract":"Background: Worldwide, the population explosion and unintended pregnancies pose serious health issues. The family planning program is a vital element due to reducing population growth. Demographic data and family planning in Indonesia report that contraceptive use rates are 93.66% for women and 6.34% for men. Men's participation in family planning programs remains low, with options limited to vasectomy and condoms. Limited contraceptive options may explain the low participation rate. WHO recommends traditional medicine as a cost-effective substitute for manufactured medicines. The primary ingredient in turmeric, Curcumin, has antiviral, antibacterial, anti-inflammatory, and anticancer activities. In both animal and human clinical trials, it has demonstrated a lack of toxicity. Little research has been done on how it affects the male reproductive.\u0000Objective: This article reviews the literature regarding the effects of Curcumin in Curcuma Longa on male fertility.\u0000Conclusion: Curcumin in Curcuma Longa causes noticeable changes in the male reproductive system that reverse when treatment is discontinued. Therefore, Curcumin may potentially control male fertility as a male contraceptive.","PeriodicalId":44369,"journal":{"name":"Bali Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46267603","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}
Introduction: Testicular nubbin is the most common case of impalpable testis found by pediatric urologists. Diagnostic and surgical management, including long-term follow-up, is still a debate, especially in cases of bilateral testicular nubbin. Case presentation: A 5-year-old boy with bilateral impalpable testis was brought to a hospital. A diagnostic laparoscopy was performed, and both internal inguinal rings were closed with testicular blood vessels, and the vas deferens had entered the inguinal canal. We found bilateral testicular nubbin on inguinal exploration and subsequently performed only right orchidopexy because it was larger than the left testis. Conclusion: Evidence-based medicine, comprehensive management, and consultation between doctor and patient are needed in bilateral management of testicular nubbin for a good patient outcome.
{"title":"Management of bilateral nubbin testis, past and present controversies: a case report","authors":"D. Syahputra, V. Indriasari, F. Kusumowidagdo","doi":"10.15562/bmj.v12i1.3935","DOIUrl":"https://doi.org/10.15562/bmj.v12i1.3935","url":null,"abstract":"Introduction: Testicular nubbin is the most common case of impalpable testis found by pediatric urologists. Diagnostic and surgical management, including long-term follow-up, is still a debate, especially in cases of bilateral testicular nubbin.\u0000Case presentation: A 5-year-old boy with bilateral impalpable testis was brought to a hospital. A diagnostic laparoscopy was performed, and both internal inguinal rings were closed with testicular blood vessels, and the vas deferens had entered the inguinal canal. We found bilateral testicular nubbin on inguinal exploration and subsequently performed only right orchidopexy because it was larger than the left testis.\u0000Conclusion: Evidence-based medicine, comprehensive management, and consultation between doctor and patient are needed in bilateral management of testicular nubbin for a good patient outcome.","PeriodicalId":44369,"journal":{"name":"Bali Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43599988","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}
Background: Atopic dermatitis (AD) is the most common skin disease in infants and children, influenced by hereditary and environmental factors and characterized by an inflammatory reaction in the skin. The increase in AD has been explained by two hypotheses: the "hygiene hypothesis" and the "diet–microbiome hypothesis." AD is driven by a familial or personal predisposition to induce immunoglobulin E (IgE) antibodies and sensitize in response to stimuli. Microorganisms on the skin have been shown to play an important role in the pathogenesis of AD, and changes in the composition of the skin microbiome have been investigated in disease progression in pediatric AD patients. Method: This descriptive observational study with a cross-sectional approach aims to determine the bacteria found in AD. The samples were taken from both the lesion and non-lesion areas in children with AD, which grown anaerobically and aerobically in blood and Brucella agar at 37C. The bacteri then indentified by Vitek® 2 and the data presented in percentage. Result: Thirty-five pediatric patients (18 males and 17 females) with a mean age of 7.58 (0,17 – 16) years were diagnosed with AD and were examined for bacterial culture on lesions and non-lesions. A total of 4 types of bacteria were found on the neck, 20 on the forearm, 2 on hand folds, 2 on fingers, 1 on the knee, and 5 on the lower limbs. Conclusion: The most common bacteria were Gram-negative bacilli, namely, Acinetobacter baumannii (15%) and Burkholderia cepacian (14.3%), followed by the Gram-positive coccus Staphylococcus hominis (11.4%).
{"title":"Bacterial colonization in atopic dermatitis","authors":"D. A. Paramita, Khairina, N. Z. Lubis","doi":"10.15562/bmj.v11i3.3811","DOIUrl":"https://doi.org/10.15562/bmj.v11i3.3811","url":null,"abstract":"Background: Atopic dermatitis (AD) is the most common skin disease in infants and children, influenced by hereditary and environmental factors and characterized by an inflammatory reaction in the skin. The increase in AD has been explained by two hypotheses: the \"hygiene hypothesis\" and the \"diet–microbiome hypothesis.\" AD is driven by a familial or personal predisposition to induce immunoglobulin E (IgE) antibodies and sensitize in response to stimuli. Microorganisms on the skin have been shown to play an important role in the pathogenesis of AD, and changes in the composition of the skin microbiome have been investigated in disease progression in pediatric AD patients.\u0000Method: This descriptive observational study with a cross-sectional approach aims to determine the bacteria found in AD. The samples were taken from both the lesion and non-lesion areas in children with AD, which grown anaerobically and aerobically in blood and Brucella agar at 37C. The bacteri then indentified by Vitek® 2 and the data presented in percentage.\u0000Result: Thirty-five pediatric patients (18 males and 17 females) with a mean age of 7.58 (0,17 – 16) years were diagnosed with AD and were examined for bacterial culture on lesions and non-lesions. A total of 4 types of bacteria were found on the neck, 20 on the forearm, 2 on hand folds, 2 on fingers, 1 on the knee, and 5 on the lower limbs.\u0000Conclusion: The most common bacteria were Gram-negative bacilli, namely, Acinetobacter baumannii (15%) and Burkholderia cepacian (14.3%), followed by the Gram-positive coccus Staphylococcus hominis (11.4%).","PeriodicalId":44369,"journal":{"name":"Bali Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48712249","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}
Background: Skin is considered a reflection of a person's appearance, so it is normal if many people try to take care of their skin, especially facial skin, and retard the aging process. Dermoscopy is a quick, non-invasive technique that allows physicians to observe the skin. Different ethnic groups may show different signs of aging on the face. Medan is a multiethnic city and thus might show facial skin aging differently. This study aimed to evaluate facial skin aging through the Dermoscopic Photoaging Scale (DPAS) and assess the relationship between DPAS, Glogau and Fitzpatrick scales among various ethnic groups in Medan, Indonesia. Subjects and Methods: This cross-sectional study enrolled 155 subjects from 10 ethnicities in Medan. The examination of facial aging is based on DPAS using 11 criteria, the Glogau scale, and the Fitzpatrick skin type. Results: Malay and Karonese got the highest DPAS score. There was a significant difference between DPAS, Glogau, and Fitzpatrick in age (p = <0.001,<0.001 and 0.032), and Fitzpatrick scores in ethnicity (p <0.001). There was a strong and significant correlation between DPAS and Glogau scores (p < 0.001, r = 0.748), while DPAS and Fitzpatrick's scores showed a moderate and significant correlation (p < 0.001, r = 0.288). Conclusion: The highest DPAS scores were found in the Malay and Karonese ethnic groups. There were significant differences between DPAS, Glogau, and Fitzpatrick in age and Fitzpatrick scores in ethnicity. There was a strong and significant correlation between DPAS scores and the Glogau scale and a moderate and significant correlation between DPAS and Fitzpatrick scores in various ethnic groups.
背景:皮肤被认为是一个人外表的反映，所以如果许多人试图照顾他们的皮肤，特别是面部皮肤，延缓衰老过程是正常的。皮肤镜检查是一种快速、非侵入性的技术，可以让医生观察皮肤。不同的民族可能会在脸上表现出不同的衰老迹象。棉兰是一个多民族城市，因此面部皮肤老化的表现可能不同。本研究旨在通过皮肤镜光老化量表(DPAS)评估面部皮肤老化，并评估DPAS, Glogau和Fitzpatrick量表在印度尼西亚棉兰不同民族中的关系。对象和方法:本横断面研究纳入棉兰10个民族的155名受试者。面部老化的检查是基于DPAS使用11个标准，Glogau量表和Fitzpatrick皮肤类型。结果:马来语和Karonese语的DPAS得分最高。DPAS、Glogau和Fitzpatrick在年龄上有显著差异(p = <0.001、<0.001和0.032)，Fitzpatrick评分在种族上有显著差异(p <0.001)。DPAS与Glogau评分有较强的显著相关(p < 0.001, r = 0.748)， DPAS与Fitzpatrick评分有中等的显著相关(p < 0.001, r = 0.288)。结论:DPAS得分最高的族群为马来族和喀罗那族。DPAS、Glogau和Fitzpatrick在年龄和种族上存在显著差异。各民族DPAS与Glogau量表之间存在显著的相关性，DPAS与Fitzpatrick量表之间存在显著的相关性。
{"title":"Evaluation of dermoscopic photoaging score among multiethnic in Medan, Indonesia","authors":"N. Jusuf, I. Putra, Medina Muslim","doi":"10.15562/bmj.v11i3.3810","DOIUrl":"https://doi.org/10.15562/bmj.v11i3.3810","url":null,"abstract":"Background: Skin is considered a reflection of a person's appearance, so it is normal if many people try to take care of their skin, especially facial skin, and retard the aging process. Dermoscopy is a quick, non-invasive technique that allows physicians to observe the skin. Different ethnic groups may show different signs of aging on the face. Medan is a multiethnic city and thus might show facial skin aging differently. This study aimed to evaluate facial skin aging through the Dermoscopic Photoaging Scale (DPAS) and assess the relationship between DPAS, Glogau and Fitzpatrick scales among various ethnic groups in Medan, Indonesia.\u0000Subjects and Methods: This cross-sectional study enrolled 155 subjects from 10 ethnicities in Medan. The examination of facial aging is based on DPAS using 11 criteria, the Glogau scale, and the Fitzpatrick skin type.\u0000Results: Malay and Karonese got the highest DPAS score. There was a significant difference between DPAS, Glogau, and Fitzpatrick in age (p = <0.001,<0.001 and 0.032), and Fitzpatrick scores in ethnicity (p <0.001). There was a strong and significant correlation between DPAS and Glogau scores (p < 0.001, r = 0.748), while DPAS and Fitzpatrick's scores showed a moderate and significant correlation (p < 0.001, r = 0.288).\u0000Conclusion: The highest DPAS scores were found in the Malay and Karonese ethnic groups. There were significant differences between DPAS, Glogau, and Fitzpatrick in age and Fitzpatrick scores in ethnicity. There was a strong and significant correlation between DPAS scores and the Glogau scale and a moderate and significant correlation between DPAS and Fitzpatrick scores in various ethnic groups.","PeriodicalId":44369,"journal":{"name":"Bali Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42656639","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}
Shofie Sabatini Verayunia, Sri Mardjiati Mei Wulan, Noor Idha Handajani, Andriati, Martha Kurnia Kusumawardani, A. Darma, R. Ranuh, Soenarnatalina Melaniani
Background: Children with cerebral palsy (CP) often experience many comorbidities, such as constipation. Pain and discomfort that often accompany constipation have an impact on behavior and decrease quality of life. Abdominal muscle weakness can cause a low increase in intra-abdominal pressure so that the expulsive force during defecation is not adequate. The aim of this study was to evaluate the addition of interferential current (IFC) therapy on standard therapy (lactulose) on abdominal muscle activity in children with cerebral palsy (CP) with constipation. Methods: This research is a true experimental study with pre and post-test randomized control group design. Subjects were 18 children with CP who were constipated according to the ROMA IV criteria, which were divided into two groups, namely the control group who received standard therapy (lactulose) and the intervention group who received lactulose plus IFC therapy with a frequency of 4000-4100 Hz, duration 20 minutes, 3 times a week for 1 month. The parameters evaluated in this study were the value of abdominal muscle activity at rest and during contraction. Measurements were carried out twice, before and one week after the completion of the IFC therapy series. Data were analyzed computerized with SPSS v20.0. Results: There was a significant decrease in abdominal muscle activity at rest (P= .024) in the treatment group, while there was an insignificant increase in the control group (P= 0,266). The abdominal muscle activity during contraction in the treatment group showed a greater increase (P= 0.730) than in the control group (P= 0.831). The effect size in the treatment group is 0.2, which means it has a small effect, while in the control group is 0.1, which means it has no effect. Conclusion: The addition of IFC to standard therapy (lactulose) can improve abdominal muscle activity so that IFC can be an alternative supporting therapy in cerebral palsy with constipation to provide a good clinical response.
{"title":"Improved abdomen muscle activity with interferential current therapy in cerebral palsy with constipation: a randomized controlled trial study","authors":"Shofie Sabatini Verayunia, Sri Mardjiati Mei Wulan, Noor Idha Handajani, Andriati, Martha Kurnia Kusumawardani, A. Darma, R. Ranuh, Soenarnatalina Melaniani","doi":"10.15562/bmj.v12i1.3819","DOIUrl":"https://doi.org/10.15562/bmj.v12i1.3819","url":null,"abstract":"Background: Children with cerebral palsy (CP) often experience many comorbidities, such as constipation. Pain and discomfort that often accompany constipation have an impact on behavior and decrease quality of life. Abdominal muscle weakness can cause a low increase in intra-abdominal pressure so that the expulsive force during defecation is not adequate. The aim of this study was to evaluate the addition of interferential current (IFC) therapy on standard therapy (lactulose) on abdominal muscle activity in children with cerebral palsy (CP) with constipation.\u0000Methods: This research is a true experimental study with pre and post-test randomized control group design. Subjects were 18 children with CP who were constipated according to the ROMA IV criteria, which were divided into two groups, namely the control group who received standard therapy (lactulose) and the intervention group who received lactulose plus IFC therapy with a frequency of 4000-4100 Hz, duration 20 minutes, 3 times a week for 1 month. The parameters evaluated in this study were the value of abdominal muscle activity at rest and during contraction. Measurements were carried out twice, before and one week after the completion of the IFC therapy series. Data were analyzed computerized with SPSS v20.0.\u0000Results: There was a significant decrease in abdominal muscle activity at rest (P= .024) in the treatment group, while there was an insignificant increase in the control group (P= 0,266).\u0000The abdominal muscle activity during contraction in the treatment group showed a greater increase (P= 0.730) than in the control group (P= 0.831). The effect size in the treatment group is 0.2, which means it has a small effect, while in the control group is 0.1, which means it has no effect.\u0000Conclusion: The addition of IFC to standard therapy (lactulose) can improve abdominal muscle activity so that IFC can be an alternative supporting therapy in cerebral palsy with constipation to provide a good clinical response.","PeriodicalId":44369,"journal":{"name":"Bali Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49085625","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}
Astika Cahya Noviana, Meisy Andriana, I. P. A. Pawana, D. Tinduh, H. Novida, Soenarnatalina Melaniani
Background: People with obesity tend to have balance disturbance and a higher fall risk than those with normal BMI. The Weight-bearing Exercise for Better Balance (WEBB) is an exercise program that could improve balance in the elderly population, but no study implementing the WEBB program on obese subjects. This study aims to analyze the effects of the telerehabilitation WEBB program on dynamic balance in obese subjects, measured by Maximized Reach Distance (%MAXD) and a composite score of the Modified Star Excursion Balance Test (mSEBT). Methods: Ten male participants aged 18-30 were recruited. Participants underwent the WEBB program 3 times a week for 8 weeks in their own homes under the supervision of the researchers. The intensity of the exercise was increased every 2 weeks. For the analysis, %MAXD and composite score mSEBT were used to assess the dynamic balance before and after the WEBB program. Results: There was a significant increase (p < 0.05) in %MAXD of both sides and all directions. The mSEBT composite score of both sides also significantly increased (p < 0.05). All the statistical results showed large effect sizes. Conclusion: The WEBB program through telerehabilitation is proven to significantly improve dynamic balance, as indicated by an increase in %MAXD and mSEBT composite scores in obese subjects.
背景:肥胖人群容易出现平衡障碍，比BMI正常人群摔倒的风险更高。负重运动促进更好的平衡(Weight-bearing Exercise for Better Balance, WEBB)是一种可以改善老年人平衡感的运动项目，但目前尚无研究将WEBB项目应用于肥胖人群。本研究旨在分析远程康复WEBB计划对肥胖受试者动态平衡的影响，通过最大到达距离(%MAXD)和修正星偏移平衡测试(mSEBT)的综合得分来衡量。方法:招募年龄在18-30岁的男性受试者10名。参与者在研究人员的监督下，每周三次在自己家中进行WEBB项目，为期8周。运动的强度每两周增加一次。在分析中，采用%MAXD和综合评分mSEBT来评估WEBB计划前后的动态平衡。结果:两侧及各方向的%MAXD均显著升高(p < 0.05)。双方mSEBT综合评分也显著升高(p < 0.05)。所有的统计结果都显示了很大的效应量。结论:通过远程康复的WEBB计划可显著改善动态平衡，肥胖受试者的%MAXD和mSEBT综合得分均有所提高。
{"title":"Dynamic balance in obese subjects: before and after telerehabilitation weight-bearing exercise for better balance","authors":"Astika Cahya Noviana, Meisy Andriana, I. P. A. Pawana, D. Tinduh, H. Novida, Soenarnatalina Melaniani","doi":"10.15562/bmj.v12i1.3726","DOIUrl":"https://doi.org/10.15562/bmj.v12i1.3726","url":null,"abstract":"Background: People with obesity tend to have balance disturbance and a higher fall risk than those with normal BMI. The Weight-bearing Exercise for Better Balance (WEBB) is an exercise program that could improve balance in the elderly population, but no study implementing the WEBB program on obese subjects. This study aims to analyze the effects of the telerehabilitation WEBB program on dynamic balance in obese subjects, measured by Maximized Reach Distance (%MAXD) and a composite score of the Modified Star Excursion Balance Test (mSEBT).\u0000Methods: Ten male participants aged 18-30 were recruited. Participants underwent the WEBB program 3 times a week for 8 weeks in their own homes under the supervision of the researchers. The intensity of the exercise was increased every 2 weeks. For the analysis, %MAXD and composite score mSEBT were used to assess the dynamic balance before and after the WEBB program.\u0000Results: There was a significant increase (p < 0.05) in %MAXD of both sides and all directions. The mSEBT composite score of both sides also significantly increased (p < 0.05). All the statistical results showed large effect sizes.\u0000Conclusion: The WEBB program through telerehabilitation is proven to significantly improve dynamic balance, as indicated by an increase in %MAXD and mSEBT composite scores in obese subjects.","PeriodicalId":44369,"journal":{"name":"Bali Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45205260","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}
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