Labor pain is a significant concern for expectant mothers, often leading to anxiety and potential complications. Non-pharmacological interventions like massage and deep breathing relaxation (DBR) have gained attention as safe and effective pain management options. This randomized clinical trial aimed to investigate the efficacy of combining massage and DBR in reducing labor pain intensity at Mukomuko Regional General Hospital, Indonesia. A randomized controlled trial was conducted with 100 pregnant women experiencing labor pain. Participants were randomly assigned to either the intervention group (massage + DBR) or the control group (standard care). Pain intensity was assessed using the Visual Analog Scale (VAS) before and after the intervention. Data were analyzed using appropriate statistical tests. The intervention group demonstrated a significantly greater reduction in VAS scores compared to the control group (p < 0.05). Participants in the intervention group reported higher satisfaction with pain management and a more positive childbirth experience. In conclusion, the combination of massage and DBR is a safe and effective non-pharmacological intervention for reducing labor pain intensity. This approach can be easily integrated into standard care practices, offering a valuable tool for improving maternal comfort and well-being during childbirth.
{"title":"The Role of the Massage Method with Deep Breathing Relaxation in Reducing the Intensity of Labor Pain: A Randomized Clinical Trial at Mukomuko Regional General Hospital, Indonesia","authors":"Sulastri, Kartika Murya Nigrum","doi":"10.37275/amcr.v5i3.603","DOIUrl":"https://doi.org/10.37275/amcr.v5i3.603","url":null,"abstract":"Labor pain is a significant concern for expectant mothers, often leading to anxiety and potential complications. Non-pharmacological interventions like massage and deep breathing relaxation (DBR) have gained attention as safe and effective pain management options. This randomized clinical trial aimed to investigate the efficacy of combining massage and DBR in reducing labor pain intensity at Mukomuko Regional General Hospital, Indonesia. A randomized controlled trial was conducted with 100 pregnant women experiencing labor pain. Participants were randomly assigned to either the intervention group (massage + DBR) or the control group (standard care). Pain intensity was assessed using the Visual Analog Scale (VAS) before and after the intervention. Data were analyzed using appropriate statistical tests. The intervention group demonstrated a significantly greater reduction in VAS scores compared to the control group (p < 0.05). Participants in the intervention group reported higher satisfaction with pain management and a more positive childbirth experience. In conclusion, the combination of massage and DBR is a safe and effective non-pharmacological intervention for reducing labor pain intensity. This approach can be easily integrated into standard care practices, offering a valuable tool for improving maternal comfort and well-being during childbirth.","PeriodicalId":505285,"journal":{"name":"Archives of The Medicine and Case Reports","volume":"2 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141641631","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}
Anxiety during the third trimester of pregnancy can negatively impact both maternal and fetal well-being. Relaxation meditation has shown promise as a non-pharmacological intervention for anxiety reduction. This study aimed to evaluate the effectiveness of a structured relaxation meditation program on anxiety levels in third-trimester pregnant women at Embung Fatimah Regional Hospital Batam, Indonesia. A randomized controlled trial was conducted with 60 third-trimester pregnant women. Participants were randomly assigned to either an intervention group (n=30), receiving a six-week relaxation meditation program, or a control group (n=30) receiving standard prenatal care. Anxiety levels were assessed using the State-Trait Anxiety Inventory (STAI) at baseline, after the intervention (week 6), and at a four-week follow-up. Significant reductions in both state and trait anxiety scores were observed in the intervention group compared to the control group at week 6 (p<0.001) and at the four-week follow-up (p<0.01). No adverse events were reported in either group. Relaxation meditation is an effective and safe intervention for reducing anxiety in third-trimester pregnant women. This study supports the integration of relaxation meditation into routine prenatal care at Embung Fatimah Regional Hospital Batam and potentially other healthcare settings.
{"title":"The Effectiveness of Relaxation Meditation on Anxiety in Third Trimester Pregnant Women at Embung Fatimah Regional Hospital Batam, Indonesia: A Randomized Controlled Trial","authors":"Gusmadewi, Sunesni, Elwitri Silvia, Marlena","doi":"10.37275/amcr.v5i3.602","DOIUrl":"https://doi.org/10.37275/amcr.v5i3.602","url":null,"abstract":"Anxiety during the third trimester of pregnancy can negatively impact both maternal and fetal well-being. Relaxation meditation has shown promise as a non-pharmacological intervention for anxiety reduction. This study aimed to evaluate the effectiveness of a structured relaxation meditation program on anxiety levels in third-trimester pregnant women at Embung Fatimah Regional Hospital Batam, Indonesia. A randomized controlled trial was conducted with 60 third-trimester pregnant women. Participants were randomly assigned to either an intervention group (n=30), receiving a six-week relaxation meditation program, or a control group (n=30) receiving standard prenatal care. Anxiety levels were assessed using the State-Trait Anxiety Inventory (STAI) at baseline, after the intervention (week 6), and at a four-week follow-up. Significant reductions in both state and trait anxiety scores were observed in the intervention group compared to the control group at week 6 (p<0.001) and at the four-week follow-up (p<0.01). No adverse events were reported in either group. Relaxation meditation is an effective and safe intervention for reducing anxiety in third-trimester pregnant women. This study supports the integration of relaxation meditation into routine prenatal care at Embung Fatimah Regional Hospital Batam and potentially other healthcare settings.","PeriodicalId":505285,"journal":{"name":"Archives of The Medicine and Case Reports","volume":"110 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141657558","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}
Dina Ayuning Tyas, Ira Maulina Sa’danoer, Meli Sundari
Polio remains a significant global health concern, with maternal compliance in immunization programs playing a crucial role in eradication efforts. This study aimed to identify risk factors associated with maternal compliance with polio immunization for toddlers in Padang Pariaman, Indonesia. A cross-sectional observational study was conducted among 350 mothers of toddlers (12-23 months) in Padang Pariaman. Data were collected using a structured questionnaire, including socio-demographic characteristics, knowledge and attitudes towards immunization, access to healthcare services, and perceived barriers. Compliance was assessed based on immunization card records and maternal recall. Multivariable logistic regression analysis was employed to identify independent risk factors. The overall compliance rate for polio immunization was 78.3%. Factors significantly associated with non-compliance included lower maternal education level (OR=3.12; 95% CI: 1.85-5.27), lack of knowledge about polio and its immunization (OR=2.65; 95% CI: 1.56-4.49), residing in rural areas (OR=2.08; 95% CI: 1.23-3.51), and perceived barriers to immunization (OR=4.78; 95% CI: 2.85-7.99). Several modifiable risk factors for non-compliance with polio immunization were identified. Targeted interventions addressing maternal education, knowledge enhancement, access to healthcare, and addressing perceived barriers could significantly improve polio immunization coverage in Padang Pariaman and similar settings.
{"title":"Risk Factor Analysis of Maternal Compliance in Polio Immunization for Toddlers: An Observational Study in Padang Pariaman, Indonesia","authors":"Dina Ayuning Tyas, Ira Maulina Sa’danoer, Meli Sundari","doi":"10.37275/amcr.v5i3.601","DOIUrl":"https://doi.org/10.37275/amcr.v5i3.601","url":null,"abstract":"Polio remains a significant global health concern, with maternal compliance in immunization programs playing a crucial role in eradication efforts. This study aimed to identify risk factors associated with maternal compliance with polio immunization for toddlers in Padang Pariaman, Indonesia. A cross-sectional observational study was conducted among 350 mothers of toddlers (12-23 months) in Padang Pariaman. Data were collected using a structured questionnaire, including socio-demographic characteristics, knowledge and attitudes towards immunization, access to healthcare services, and perceived barriers. Compliance was assessed based on immunization card records and maternal recall. Multivariable logistic regression analysis was employed to identify independent risk factors. The overall compliance rate for polio immunization was 78.3%. Factors significantly associated with non-compliance included lower maternal education level (OR=3.12; 95% CI: 1.85-5.27), lack of knowledge about polio and its immunization (OR=2.65; 95% CI: 1.56-4.49), residing in rural areas (OR=2.08; 95% CI: 1.23-3.51), and perceived barriers to immunization (OR=4.78; 95% CI: 2.85-7.99). Several modifiable risk factors for non-compliance with polio immunization were identified. Targeted interventions addressing maternal education, knowledge enhancement, access to healthcare, and addressing perceived barriers could significantly improve polio immunization coverage in Padang Pariaman and similar settings.","PeriodicalId":505285,"journal":{"name":"Archives of The Medicine and Case Reports","volume":"23 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141659113","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}
Putu Bagus, G. Pramana, Tjokorda Gde, Agung Senapathi, Pontisomaya Parami, Tjahya Aryasa, Putu Bagus Gin, G. Pramana
Placenta accreta spectrum disorder (PASD) is a severe obstetric complication associated with significant hemorrhage risk. This report highlights the successful use of prothrombin complex concentrate (PCC) as part of a multidisciplinary approach to managing a case of massive hemorrhage in PASD. A 36-year-old woman, G3P2002, at 33 weeks gestation, diagnosed with placenta previa totalis and suspected PASD, underwent a planned cesarean hysterectomy. The surgery was complicated by 5200 mL hemorrhage due to placental invasion and bladder injury. Hemodynamic instability was managed with massive transfusion protocol activation, including PCC, tranexamic acid, and packed red blood cells. Intra-abdominal packing was performed for hemostasis, and the bladder injury was repaired. Continued PCC administration in the ICU, along with other supportive measures, resulted in hemorrhage control and stabilization. The patient was successfully extubated and discharged after a second surgery to remove packing. This case emphasizes the vital role of PCC in the multidisciplinary management of massive hemorrhage in PASD. Early recognition of PASD risk factors and prompt intervention, including PCC administration, are crucial for optimal maternal outcomes.
{"title":"Prothrombin Complex Concentrate as a Key Adjunct in Massive Hemorrhage Management in Placenta Accreta Spectrum Disorder: A Case Report","authors":"Putu Bagus, G. Pramana, Tjokorda Gde, Agung Senapathi, Pontisomaya Parami, Tjahya Aryasa, Putu Bagus Gin, G. Pramana","doi":"10.37275/amcr.v5i3.599","DOIUrl":"https://doi.org/10.37275/amcr.v5i3.599","url":null,"abstract":"Placenta accreta spectrum disorder (PASD) is a severe obstetric complication associated with significant hemorrhage risk. This report highlights the successful use of prothrombin complex concentrate (PCC) as part of a multidisciplinary approach to managing a case of massive hemorrhage in PASD. A 36-year-old woman, G3P2002, at 33 weeks gestation, diagnosed with placenta previa totalis and suspected PASD, underwent a planned cesarean hysterectomy. The surgery was complicated by 5200 mL hemorrhage due to placental invasion and bladder injury. Hemodynamic instability was managed with massive transfusion protocol activation, including PCC, tranexamic acid, and packed red blood cells. Intra-abdominal packing was performed for hemostasis, and the bladder injury was repaired. Continued PCC administration in the ICU, along with other supportive measures, resulted in hemorrhage control and stabilization. The patient was successfully extubated and discharged after a second surgery to remove packing. This case emphasizes the vital role of PCC in the multidisciplinary management of massive hemorrhage in PASD. Early recognition of PASD risk factors and prompt intervention, including PCC administration, are crucial for optimal maternal outcomes.","PeriodicalId":505285,"journal":{"name":"Archives of The Medicine and Case Reports","volume":"24 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141664851","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}
The husband's role in assisting wives in childbirth has a significant impact on the birth experience and the health of the mother and baby. This study aims to analyze the risk factors that influence the role of husbands in accompanying their wives in childbirth in Bengkulu City, Indonesia. Analytical observational research was conducted on 200 married couples who gave birth in health facilities in Bengkulu City. Data was collected through questionnaires, interviews, and participant observation. Data analysis was carried out using logistic regression to identify risk factors related to the husband's role in accompanying wives in childbirth. The results showed that significant risk factors related to the husband's role in assisting wives in childbirth were the husband's education level (OR = 2.34; 95% CI: 1.21-4.53), the husband's knowledge about childbirth (OR = 3.12; 95% CI: 1.68-5.79), husband's attitude towards the role of mentoring (OR = 2.87; 95% CI: 1.45-5.68), social support from the family (OR = 1.98; 95% CI: 1.05-3.73), and previous birth experience (OR = 2.15; 95% CI: 1.12-4.14). This research identifies several risk factors that influence the husband's role in assisting wives in childbirth. Interventions aimed at increasing husbands' education, knowledge, and positive attitudes towards the role of companionship, as well as strengthening social support from the family, can increase husbands' involvement in the childbirth process.
{"title":"Analysis of Risk Factors of Husband's Readiness and Involvement in Accompanying Wives in Childbirth: An Observational Study in Bengkulu City, Indonesia","authors":"Murwati, Tita Septi Handayani, Ida Samidah","doi":"10.37275/amcr.v5i3.597","DOIUrl":"https://doi.org/10.37275/amcr.v5i3.597","url":null,"abstract":"The husband's role in assisting wives in childbirth has a significant impact on the birth experience and the health of the mother and baby. This study aims to analyze the risk factors that influence the role of husbands in accompanying their wives in childbirth in Bengkulu City, Indonesia. Analytical observational research was conducted on 200 married couples who gave birth in health facilities in Bengkulu City. Data was collected through questionnaires, interviews, and participant observation. Data analysis was carried out using logistic regression to identify risk factors related to the husband's role in accompanying wives in childbirth. The results showed that significant risk factors related to the husband's role in assisting wives in childbirth were the husband's education level (OR = 2.34; 95% CI: 1.21-4.53), the husband's knowledge about childbirth (OR = 3.12; 95% CI: 1.68-5.79), husband's attitude towards the role of mentoring (OR = 2.87; 95% CI: 1.45-5.68), social support from the family (OR = 1.98; 95% CI: 1.05-3.73), and previous birth experience (OR = 2.15; 95% CI: 1.12-4.14). This research identifies several risk factors that influence the husband's role in assisting wives in childbirth. Interventions aimed at increasing husbands' education, knowledge, and positive attitudes towards the role of companionship, as well as strengthening social support from the family, can increase husbands' involvement in the childbirth process.","PeriodicalId":505285,"journal":{"name":"Archives of The Medicine and Case Reports","volume":"10 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141668083","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}
K. BetaNovianti, Krisadelfa Sutanto, N. Ratna, Mutu Manikam
Introduction: Cancer cachexia is a debilitating syndrome characterized by involuntary weight loss, muscle wasting, and functional decline, negatively impacting quality of life and survival. Nutritional interventions, including branched-chain amino acids (BCAAs) and eicosapentaenoic acid (EPA), have shown promise in ameliorating cachexia. This case report illustrates the potential benefits of these nutrients in a patient with nasopharyngeal carcinoma. Case presentation: A 65-year-old female presented with severe fatigue, dysphagia, and significant weight loss (11 kg in 6 months) secondary to nasopharyngeal carcinoma (T1N3Mx, stage IV). She was diagnosed with cancer cachexia and severe malnutrition. Nutritional therapy included enteral nutrition with 1.5-2 g/kgBW/day protein, 11-12 g/day BCAAs, and 1-2 g/day EPA. Conclusion: This case report suggests that a nutritional approach combining high protein, BCAAs, and EPA may improve body composition and functional capacity in patients with cancer cachexia. Further research is warranted to confirm these findings in larger studies.
{"title":"The Role of Branched-Chain Amino Acids and Eicosapentaenoic Acid in Improving Body Composition and Functional Capacity in Nasopharyngeal Carcinoma Patients with Cancer Cachexia: A Case Report","authors":"K. BetaNovianti, Krisadelfa Sutanto, N. Ratna, Mutu Manikam","doi":"10.37275/amcr.v5i3.596","DOIUrl":"https://doi.org/10.37275/amcr.v5i3.596","url":null,"abstract":"Introduction: Cancer cachexia is a debilitating syndrome characterized by involuntary weight loss, muscle wasting, and functional decline, negatively impacting quality of life and survival. Nutritional interventions, including branched-chain amino acids (BCAAs) and eicosapentaenoic acid (EPA), have shown promise in ameliorating cachexia. This case report illustrates the potential benefits of these nutrients in a patient with nasopharyngeal carcinoma. \u0000Case presentation: A 65-year-old female presented with severe fatigue, dysphagia, and significant weight loss (11 kg in 6 months) secondary to nasopharyngeal carcinoma (T1N3Mx, stage IV). She was diagnosed with cancer cachexia and severe malnutrition. Nutritional therapy included enteral nutrition with 1.5-2 g/kgBW/day protein, 11-12 g/day BCAAs, and 1-2 g/day EPA. \u0000Conclusion: This case report suggests that a nutritional approach combining high protein, BCAAs, and EPA may improve body composition and functional capacity in patients with cancer cachexia. Further research is warranted to confirm these findings in larger studies.","PeriodicalId":505285,"journal":{"name":"Archives of The Medicine and Case Reports","volume":" 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141678911","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}
Nurul Azizah Suwarsa, Fadli Ananda, H. Muh Nur Abadi
Preeclampsia is a serious complication of pregnancy and is associated with an increased risk of maternal and fetal morbidity and mortality. Body mass index (BMI) before pregnancy has been identified as a potential risk factor for preeclampsia. This study aims to conduct a meta-analysis to evaluate the relationship between BMI before pregnancy and the incidence of preeclampsia, as well as identify effective prevention strategies. A literature search was conducted on the PubMed, Scopus, and Web of Science databases to identify observational studies published between 2018 and 2024. Studies that met the inclusion criteria had their data extracted and analyzed using a random effects model. Heterogeneity between studies was evaluated using the I2 statistic. Subgroup analyzes were performed based on geographic region and study design. A total of 25 studies with 534,000 respondents were included in this meta-analysis. The results of the analysis showed that increasing BMI before pregnancy was significantly associated with an increased risk of preeclampsia 2.22 (95% CI: 1.72-3.35). Subgroup analyzes revealed that these associations were consistent across geographic regions and study designs. This meta-analysis provides strong evidence that BMI before pregnancy is an independent risk factor for preeclampsia. Interventions to optimize BMI before pregnancy, such as nutritional counseling and promotion of physical activity, may be an effective preventive strategy to reduce the risk of preeclampsia.
先兆子痫是一种严重的妊娠并发症，会增加母体和胎儿的发病率和死亡率。孕前体重指数（BMI）已被确定为子痫前期的潜在风险因素。本研究旨在进行荟萃分析，评估孕前体重指数与子痫前期发病率之间的关系，并找出有效的预防策略。我们在 PubMed、Scopus 和 Web of Science 数据库中进行了文献检索，以确定 2018 年至 2024 年间发表的观察性研究。对符合纳入标准的研究进行了数据提取，并采用随机效应模型进行了分析。研究之间的异质性采用 I2 统计量进行评估。根据地理区域和研究设计进行了分组分析。本次荟萃分析共纳入了 25 项研究，受访者达 534,000 人。分析结果表明，孕前体重指数增加与子痫前期风险增加有显著相关性，相关性为 2.22（95% CI：1.72-3.35）。亚组分析表明，这些关联在不同的地理区域和研究设计中都是一致的。这项荟萃分析提供了强有力的证据，证明孕前体重指数是子痫前期的一个独立风险因素。优化孕前体重指数的干预措施，如营养咨询和促进体育锻炼，可能是降低子痫前期风险的有效预防策略。
{"title":"Prepregnancy Body Mass Index and Risk of Preeclampsia: A Meta-Analysis","authors":"Nurul Azizah Suwarsa, Fadli Ananda, H. Muh Nur Abadi","doi":"10.37275/amcr.v5i3.595","DOIUrl":"https://doi.org/10.37275/amcr.v5i3.595","url":null,"abstract":"Preeclampsia is a serious complication of pregnancy and is associated with an increased risk of maternal and fetal morbidity and mortality. Body mass index (BMI) before pregnancy has been identified as a potential risk factor for preeclampsia. This study aims to conduct a meta-analysis to evaluate the relationship between BMI before pregnancy and the incidence of preeclampsia, as well as identify effective prevention strategies. A literature search was conducted on the PubMed, Scopus, and Web of Science databases to identify observational studies published between 2018 and 2024. Studies that met the inclusion criteria had their data extracted and analyzed using a random effects model. Heterogeneity between studies was evaluated using the I2 statistic. Subgroup analyzes were performed based on geographic region and study design. A total of 25 studies with 534,000 respondents were included in this meta-analysis. The results of the analysis showed that increasing BMI before pregnancy was significantly associated with an increased risk of preeclampsia 2.22 (95% CI: 1.72-3.35). Subgroup analyzes revealed that these associations were consistent across geographic regions and study designs. This meta-analysis provides strong evidence that BMI before pregnancy is an independent risk factor for preeclampsia. Interventions to optimize BMI before pregnancy, such as nutritional counseling and promotion of physical activity, may be an effective preventive strategy to reduce the risk of preeclampsia.","PeriodicalId":505285,"journal":{"name":"Archives of The Medicine and Case Reports","volume":"11 42","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141696260","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: Radiation enteritis is damage to the small and large intestines caused by radiation therapy for regional cancer treatment. The incidence is around 90% in patients undergoing radiation in the pelvic and abdominal regions. This study aimed to report the effect of probiotics on radiation enteritis in endometrial cancer patients. Case presentation: A 57-year-old morbidly obese woman diagnosed with endometrial cancer underwent chemoradiation therapy. On the 21st out of 25 radiation sessions and the 2nd chemotherapy session, the patient visited the nutrition clinic at the Radiation Oncology Therapy Center with a complaint of diarrhea for the past 5 days. The diarrhea occurred approximately 10 times a day, with each bowel movement being approximately 50 ml and yellow in color. The patient was then treated with anti-diarrheal therapy, probiotics (Lactobacillus acidophilus, Bifidobacterium longum, and Streptococcus thermophilus) 2 times a day, zinc 20 mg once a day, and prescribed a low-fat and lactose-free diet. After monitoring on the 21st day, the frequency of liquid bowel movements decreased to 2 times a day, and the appetite improved. Conclusion: Patients with radiation enteritis who are given probiotics may experience a reduction in symptoms of acute diarrhea. Direct administration of probiotics increases beneficial bacteria in the digestive tract.
{"title":"The Effect of Probiotics on Radiation Enteritis in Endometrial Cancer Patients Undergoing Radiotherapy","authors":"Bernardine Godong, Nurul Ratna Mutumanikam, Diana Sunardi","doi":"10.37275/amcr.v5i3.551","DOIUrl":"https://doi.org/10.37275/amcr.v5i3.551","url":null,"abstract":"Introduction: Radiation enteritis is damage to the small and large intestines caused by radiation therapy for regional cancer treatment. The incidence is around 90% in patients undergoing radiation in the pelvic and abdominal regions. This study aimed to report the effect of probiotics on radiation enteritis in endometrial cancer patients. \u0000Case presentation: A 57-year-old morbidly obese woman diagnosed with endometrial cancer underwent chemoradiation therapy. On the 21st out of 25 radiation sessions and the 2nd chemotherapy session, the patient visited the nutrition clinic at the Radiation Oncology Therapy Center with a complaint of diarrhea for the past 5 days. The diarrhea occurred approximately 10 times a day, with each bowel movement being approximately 50 ml and yellow in color. The patient was then treated with anti-diarrheal therapy, probiotics (Lactobacillus acidophilus, Bifidobacterium longum, and Streptococcus thermophilus) 2 times a day, zinc 20 mg once a day, and prescribed a low-fat and lactose-free diet. After monitoring on the 21st day, the frequency of liquid bowel movements decreased to 2 times a day, and the appetite improved. \u0000Conclusion: Patients with radiation enteritis who are given probiotics may experience a reduction in symptoms of acute diarrhea. Direct administration of probiotics increases beneficial bacteria in the digestive tract.","PeriodicalId":505285,"journal":{"name":"Archives of The Medicine and Case Reports","volume":"114 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140659494","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}
Unsafe act is a worker's failure to follow correct work procedures, giving rise to the potential for work accidents. Human factors with unsafe act are the cause of 85% of work accidents. This research aims to determine factors related to unsafe act, namely K3 knowledge, K3 supervision, K3 training, and fatigue in office construction project workers by PT. X in North Jakarta. This type of research is quantitative with a cross sectional study design. The research sample used a total sampling of 72 workers. Research variables were analyzed using the Chi-square test. The highest proportion of respondents were workers who behaved safely (53%), had good K3 knowledge (66%), good K3 supervision (65%), had attended K3 training (54%), and experienced severe fatigue (54%). Bivariate results show a relationship between K3 knowledge (p-value = 0.020), K3 training (p-value = 0.001), and fatigue (p-value = 0.004) with unsafe act. There is no relationship between K3 supervision (p-value = 0.731) and unsafe act. In conclusion, K3 knowledge, K3 training, and fatigue are related to unsafe act in workers.
{"title":"Factors Related to the Unsafe Act in Office Construction Project Workers at PT. X North Jakarta, Indonesia","authors":"Yacoba Jennyver Simopiaref","doi":"10.37275/amcr.v5i3.552","DOIUrl":"https://doi.org/10.37275/amcr.v5i3.552","url":null,"abstract":"Unsafe act is a worker's failure to follow correct work procedures, giving rise to the potential for work accidents. Human factors with unsafe act are the cause of 85% of work accidents. This research aims to determine factors related to unsafe act, namely K3 knowledge, K3 supervision, K3 training, and fatigue in office construction project workers by PT. X in North Jakarta. This type of research is quantitative with a cross sectional study design. The research sample used a total sampling of 72 workers. Research variables were analyzed using the Chi-square test. The highest proportion of respondents were workers who behaved safely (53%), had good K3 knowledge (66%), good K3 supervision (65%), had attended K3 training (54%), and experienced severe fatigue (54%). Bivariate results show a relationship between K3 knowledge (p-value = 0.020), K3 training (p-value = 0.001), and fatigue (p-value = 0.004) with unsafe act. There is no relationship between K3 supervision (p-value = 0.731) and unsafe act. In conclusion, K3 knowledge, K3 training, and fatigue are related to unsafe act in workers.","PeriodicalId":505285,"journal":{"name":"Archives of The Medicine and Case Reports","volume":"6 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140697732","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}
Kartika Soka Rahmita, D. E. Andayani, Diana Sunardi, Kartika Soka
Introduction: Bullous pemphigoid is the most common bullous-type autoimmune disease. Hypovitaminosis D is often associated with autoimmune disease and found in 86,7% bullous pemphigoid patients. Vitamin D supplementation in bullous pemphigoid patients ought to ameliorate its clinical symptoms. Case presentation: A-58 years old male patient with bullous pemphigoid and acute kidney injury admitted with a chief complaint of infected blisters all over the body. The patient had been treated for 1 week with worsening swallowing pain and low intake. On the 12th day of hospitalization, the patient was given calcitriol supplementation of 0,25 mcg per day. There was an improvement in clinical symptoms shown on autoimmune bullous skin disorder intensity score (ABSIS) from 57 on inpatient day 7 to 17.5 on inpatient day 20. Patient discharged on the 20th day of hospitalization with no emerging blisters and the ability to swallow minced food by mouth. Conclusion: Calcitriol supplementation of 0,25 mcg per day for 10 days helps to improve the ABSIS score in bullous pemphigoid patient with acute kidney injury. Administration of calcitriol is considered safe and well tolerated.
简介大疱性类天疱疮是最常见的大疱型自身免疫性疾病。维生素 D 过低通常与自身免疫性疾病相关，86.7% 的大疱性类天疱疮患者会出现维生素 D 过低。对大疱性类天疱疮患者补充维生素 D 可改善其临床症状。病例介绍：一名 58 岁的男性患者，患有大疱性类天疱疮和急性肾损伤，入院时主诉全身感染性水疱。患者因吞咽疼痛加重和进食量少已接受治疗 1 周。住院第 12 天，患者开始补充钙三醇，每天 0.25 微克。自身免疫性大疱性皮肤病强度评分（ABSIS）显示，临床症状有所改善，从住院第 7 天的 57 分降至住院第 20 天的 17.5 分。患者在住院第 20 天出院时，身上没有出现新的水泡，并能用嘴吞咽碎食物。结论连续10天每天补充0.25微克的降钙素三醇有助于改善伴有急性肾损伤的大疱性类天疱疮患者的ABSIS评分。服用降钙素三醇安全且耐受性良好。
{"title":"The Effect of Vitamin D Supplementation on Autoimmune Bullous Skin Disorder Intensity Score on Bullous Pemphigoid and Acute Kidney Injury: A Case Report","authors":"Kartika Soka Rahmita, D. E. Andayani, Diana Sunardi, Kartika Soka","doi":"10.37275/amcr.v5i3.529","DOIUrl":"https://doi.org/10.37275/amcr.v5i3.529","url":null,"abstract":"Introduction: Bullous pemphigoid is the most common bullous-type autoimmune disease. Hypovitaminosis D is often associated with autoimmune disease and found in 86,7% bullous pemphigoid patients. Vitamin D supplementation in bullous pemphigoid patients ought to ameliorate its clinical symptoms. \u0000Case presentation: A-58 years old male patient with bullous pemphigoid and acute kidney injury admitted with a chief complaint of infected blisters all over the body. The patient had been treated for 1 week with worsening swallowing pain and low intake. On the 12th day of hospitalization, the patient was given calcitriol supplementation of 0,25 mcg per day. There was an improvement in clinical symptoms shown on autoimmune bullous skin disorder intensity score (ABSIS) from 57 on inpatient day 7 to 17.5 on inpatient day 20. Patient discharged on the 20th day of hospitalization with no emerging blisters and the ability to swallow minced food by mouth. \u0000Conclusion: Calcitriol supplementation of 0,25 mcg per day for 10 days helps to improve the ABSIS score in bullous pemphigoid patient with acute kidney injury. Administration of calcitriol is considered safe and well tolerated.","PeriodicalId":505285,"journal":{"name":"Archives of The Medicine and Case Reports","volume":"30 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140231894","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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