IJAAM (Indonesian Journal of Anti-Aging Medicine)最新文献

{"title":"Differences in Age Estimated by the Kvaal Method on Right and Left Mandibular Canines","authors":"Sulistyani Kusumaningrum, B. Wasita, Hari Wujoso, Rachmi Fauziah Rahayu, Muhamad Lukman Hermansyah, Tharina Lawei","doi":"10.26911/theijmed.2021.06.02.09","DOIUrl":"https://doi.org/10.26911/theijmed.2021.06.02.09","url":null,"abstract":"Background: The radiographic method for deter­mining the estimated age has the advantage of being non-invasive and the orthopantomogram images are digitally processed. Canines have a strong corre­la­tion with chronological age and have good resistance and large pulp space. This study aimed to determine the difference in age estimates using the Kvaal method on the right and left mandibular canines. Subjects and Method: There were 80 ortho­pantomogram samples from dental and oral clinic patients who had undergone orthopantomography at the Radiology Installation of Dr. Moewardi Hos­pital, from January 2019 to December 2020. The estimated age of right and left canines was calcu­lated based on the Kvaal method and performed a T-test. Results: At the estimated age of the right and left mandibular canines determined by the Kvaal formula, the T-test was performed showing a mean of 38.3 years for the right mandibular canine (Mean= 38.3; SD= 6.7) and 38.2 year the left mandi­bular canine (Mean= 38.2; SD= 8.9), with p = 0.910. Data analysis showed that there was no difference in age estimation using the Kvaal method on the right and left mandibular canines. Conclusion: There was no difference in age estimates by the Kvaal method on the right and left mandibular canines. Keyword s : Oratopantomogram, Metoday Qual, Kaninus Mandibula Correspondence:  Sulistyani Kusumaningrum. Department of Radiology Dr. Moewardi Hospital / Faculty of Medicine Universitas Sebelas Maret, Surakarta. Email: kusumasulis1@gmail.com. Indonesian Journal of Medicine (2021), 06(02): 206-211 https://doi.org/10.26911/theijmed.2021.06.02.09","PeriodicalId":13354,"journal":{"name":"IJAAM (Indonesian Journal of Anti-Aging Medicine)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82776381","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}

{"title":"Differences in Post-Operative Complaints between Patients with and without Anatomical Variations of Ostiomeatal Complex Based on CT Scan of Chronic Rhinosinusitis at Dr. Moewardi Hospital","authors":"Prasetyo Sarwono Putro, Yudo Duswanto, Hari Wujoso, W. Soewondo","doi":"10.26911/theijmed.2021.06.02.10","DOIUrl":"https://doi.org/10.26911/theijmed.2021.06.02.10","url":null,"abstract":"Background : The ostiomeatal complex has various anomalous variants that can vary in type and number for each person. These ano­malies can contribute to the development of chronic rhinosinusitis and the accompanying symptoms. This study aims to determine the differences in post-treatment complaints between patients with and without anatomical variations of the ostiomeatal complex in chro­nic rhinosinusitis at RSUD Dr. Moewardi. Subjects and Method: A cross-sectional study was conducted in Dr. Moewardi hospital, Surakarta. A sample of 30 of chronic rhino­sinusitis patients who were subjected to a CT scan in the radiology department and surgery by an ENT-KL specialist at Dr. Moewardi, from January 2019 to June 2020, was selected for this study. The study variables were anatomical variations of ostimeatal complex and post-operative complaints. Difference of post-opera­tive complaints between chronic rhino­sinusitis patients with and without anatomical variations of ostiomeatal complex were described in frequency (n) and percent (%). Results: This study indicated that there is no difference in post-operative complaints between patients with and without anatomical variations of the ostiomeatal complex based on CT Scan of chronic rhinosinusitis (p= 0.856). Conclusion: There is no difference in post-operative complaints between patients with and without anatomical variations of the ostio­meatal complex based on CT Scans of chronic rhinosinusitis. Keywords: ostiomeatal complex, CT scan, post-operative complaints Correspondence:  Yudo Duswanto. Department of Radiology, Dr. Moewardi Hospital, Surakarta, Indonesia. Email: yudoduswanto7@gmail.com. Indonesian Journal of Medicine (2021), 06(02): 212-219 https://doi.org/10.26911/theijmed.2021.06.02.10","PeriodicalId":13354,"journal":{"name":"IJAAM (Indonesian Journal of Anti-Aging Medicine)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74808409","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}

{"title":"Determinants of Stunting in Children Aged 12 to 60 Months in Kota Waingapu District, East Nusa Tenggara, Indonesia","authors":"Samuel Bungaran Partahi Saud Manalu, P. Eyanoer","doi":"10.26911/theijmed.2021.06.02.11","DOIUrl":"https://doi.org/10.26911/theijmed.2021.06.02.11","url":null,"abstract":"Background: Stunting is a problem that is often not recognized in the community because short stature is so common and often considered normal. In Indonesia, the incidence of stunting under five is a major nutritional problem, with an average prevalence from 2015-2017 of around 36.4%. This study aimed to investigate the determinants of stunting in children aged 12 months - 60 months in the Waingapu District. Subjects and Method: This was a cross-sectional study conducted at Posyandu, Waing­apu District, in December 2020. A total of 105 samples were selected based on inclusion and exclusion criteria using non-probability conse­cutive sampling. The dependent variable was stunting. The independent variables were exclusive breastfeeding, birth weight, house­hold income, maternal education, mater­nal nutritional status, and maternal age. The data were collected by questionnaire and analyzed by Chi-square. Results: The prevalence of stunting in children aged 12 to 60 months in the Waingapu District was 24.8%. The bivariate analysis elucidated that the incidence of stunting was significantly increased by poor maternal education (OR= 3.40; 95% CI= 1.29 to 8.97; p= 0.011), poor maternal nutritional status (OR= 3.06; 95% CI= 1.05 to 8.89; p= 0.034), and low household income (p = 0.002). Conclusion: Poor maternal education, poor maternal nutritional status, and low household income significantly increase the incidence of stunting. Keyword s : stunting, determinant, nutritional status, children Correspondence:  Samuel Bungaran Partahi Saud Manalu. Faculty of Medicine, Universitas Sumatera Utara. Email: samuel.manalu.4th@gmail.com Indonesian Journal of Medicine (2021), 06(02): 220-229 https://doi.org/10.26911/theijmed.2021.06.02.11","PeriodicalId":13354,"journal":{"name":"IJAAM (Indonesian Journal of Anti-Aging Medicine)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77617735","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}

{"title":"The Effect of Hypnotherapy on Postpartum Pain and Depression in Women with Post Caesarean Delivery","authors":"Araafi Hariza Mahandaru, S. H. Respati, S. Sulistyowati, A. Laqif, Hanung Prasetya","doi":"10.26911/theijmed.2021.06.02.08","DOIUrl":"https://doi.org/10.26911/theijmed.2021.06.02.08","url":null,"abstract":"Background: Postoperative pain is one of the most common problems in women after cesarean section. Caesarean section is also associated with post-partum depression. Hypno­therapy is one of the complementary therapy options that are effective and efficient in reducing pain symptoms and post-partum depression. This study aimed to analyze the effect of hypnotherapy on the level of pain and post-partum depression in post-cesarean section patients. Subjects and Method: This was an expe­rimental single-blind randomized controlled trial with a post-test group design, which was conducted from January to April 2021, at the Dr. Moewardi and Universitas Sebelas Maret Hospitals, Surakarta. A sample of 80 patients with cesarean section was divided into two groups, namely 40 pati­ents in the hypno­therapy group and 40 patients in the control group. The indepen­dent variable was hypno­therapy. The depen­dent variables were pain and depression. Hypnotherapy was carried out by self-hypnosis using audio recordings of hypnotherapy in 2 sessions before and after the cesarean section procedure. The pain was measured by the Numeric Rating Scale. Post-partum depression was measured by the Edinburgh Postnatal Depression Scale. The data were analyzed by an independent t-test. Results: Post-cesarean section pain in the group of hypnotherapy (Mean= 4.58; SD= 1.20) was lower than without hypnotherapy (Mean= 6.48; SD= 1.01), and it was statis­tically significant (p<0.001). Postpartum de-pression in the group of hypnothera­py (Mean= 6.08; SD= 1.60) was lower than non-hypnotherapy group (Mean= 8.48; SD= 3.78), and it was statis­tically significant (p <0.001). Conclusion: Hypnotherapy has a significant effect on reducing pain and post-partum depression in post-cesarean section patients. Keyword s : Hypnotherapy, pain levels, post-partum depression, post-cesarean section Correspondence:  Araafi Hariza Mahandaru. Department of Obstetrics and Gynecology, Faculty of Medi­cine, Universitas Sebelas Maret/ Dr. Moe­wardi Hospital, Surakarta, Jl. Kolonel Sutar­to, Jebres, Surakarta 57126, Central Java. Email: mahandarurafi@gmail.com. Indonesian Journal of Medicine (2021), 06(02): 194-205 https://doi.org/10.26911/theijmed.2021.06.02.08","PeriodicalId":13354,"journal":{"name":"IJAAM (Indonesian Journal of Anti-Aging Medicine)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79547682","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}

{"title":"The Effect of Ear Acupuncture in Reducing Body Weight in Obesity Patients: A Meta-Analysis","authors":"Utami Pangestu, Yulia Lanti Retno Dewi, Hanung Prasetya","doi":"10.26911/theijmed.2021.06.01.03.","DOIUrl":"https://doi.org/10.26911/theijmed.2021.06.01.03.","url":null,"abstract":"Background: Obesity is now no longer consi­dered a health problem in developed countries, but has also been faced by developing countries such as Indonesia. According to WHO, obesity worldwide has increased by more than two times from 1980. In 2016, there were 1.9 billion adults who were overweight and more than 600 million of them were obese or overweight. This study aims to analyze the effect of ear acu­puncture therapy on weight loss. Subjects and Method: This study was a systematic review and meta-analysis using the Randomized Controlled Trial design. The arti­cles used in this study were obtained from seve­ral databases including PubMed, Google Scholar, Springerlink, Hindawi, and Science­direct. The articles used in this study were those published from 2008-2020. The article search was carried out by considering the eli­gibility criteria defined using the PICO model. P: obese patients (BMI ≥25), I: ear acu­puncture therapy, C: no ear acupuncture thera­py O: weight loss. The keywords for searching articles are as follows: \"auricular acupuncture\", AND \"obesity\", \"auricular acupuncture for obe­sity\" and \"acupuncture obesity randomized con­trolled trial\". The articles included in this study are full text articles with a Randomized Con­trolled Trial. Articles were collected using PRISMA flow diagrams. Articles were analyzed using the Review Manager 5.3 application. Results: A total of 7 articles were reviewed in this study. The meta-analysis showed the results that ear acupuncture therapy was effec­tive for weight loss in obese people (SMD= -0.74; 95% CI= -1.31 to-0.16;  p<0.001). This meta-analysis combined primary research from Korea, Taiwan and Iran. Conclusion: Ear acupuncture therapy affects weight loss in obese people. Keyword s : auricular acupuncture, obesity, randomized controlled trial Correspondence:  Utami Pangestu. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: utamipangestu@gmail.com Indonesian Journal of Medicine (2021), 06(01): 23-31 https://doi.org/10.26911/theijmed.2021.06.01.03.","PeriodicalId":13354,"journal":{"name":"IJAAM (Indonesian Journal of Anti-Aging Medicine)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83390256","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}

{"title":"The Effect of Kinesio Taping on the Reduction of Pain in Patients with Carpal Tunnel Syndrome: Meta-Analysis","authors":"Cahyono Setiawan, D. Tamtomo, Hanung Prasetya","doi":"10.26911/theijmed.2021.06.01.11.","DOIUrl":"https://doi.org/10.26911/theijmed.2021.06.01.11.","url":null,"abstract":"Background: Carpal tunnel syndrome (CTS) is the most common occurrence of nerve com­pression. Some cases of CTS have chronic sym­p­toms. The most common complaint is \"Noc­turnal Acroparesthesia\", which is tingling pain at night. Physiotherapy interventions can be do­ne to relieve complaints of CTS one of which is the use of Kinesio Taping. This study aimed to analyze the effect of Kinesio taping on the re­d­uction of pain in patients with carpal tunnel syn­drome from some previous studies. Subjects and Method: This was a systematic and meta-analysis study. The study used the PICO model as follows Population=Patients with Carpal Tunnel Syndrome, Intervention= Gi­­ven Kinesio Taping, Comparison= Not Given Kinesio Taping, and Outcome=Reductionof Pa­in. The articles used in this study were obtained from several databases including PubMed, Sci­enceDirect, and Google Scholar. The articles we­re collected in a month. The keywords for sear­ching the articles were as follows: \"kinesio taping\" OR \"kinesio tape\" OR \"pain\" OR \"carpal tunnel syndrome\" AND \"Randomized Control­led Trial\". The articles included in this study we­re full-text articles with a randomized con­trol­led trial study design. The articles were collected using PRISMA flow diagrams and ana­lyzed using the Review Manager 5.3 ap­p­l­i­cation. Results: The total of seven articles reviewed in this meta-analysis study was from Turkey, Po­land, the Republic of Korea, Egypt, and the USA. The studies showed that giving KT could reduce pain in CTS and it was statistically very significant (Standardized Mean Difference= -1.21; 95% CI= -2.14 to -0.28; p<0.01). Conclusion: Kinesio Taping can reduce pain in Carpal Tunnel Syndrome. Keyword s : kinesio taping, reduction of pain, carpal tunnel syndrome. Correspondence:  Cahyo Setiawan, Masters Program In Public Health, Sebelas Maret University, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: setiawan.cahyo10@gmail.com.Mobile Pho­ne: 089693257305. Indonesian Journal of Medicine (2021), 06(01): 104-111 https://doi.org/10.26911/theijmed.2021.06.01.11.","PeriodicalId":13354,"journal":{"name":"IJAAM (Indonesian Journal of Anti-Aging Medicine)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89571466","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}

{"title":"Correlation between Family Support and Self Care in Type 2 Diabetes Mellitus: Meta-Analysis","authors":"D. Islami, D. Tamtomo, Hanung Prasetya","doi":"10.26911/theijmed.2021.06.01.07.","DOIUrl":"https://doi.org/10.26911/theijmed.2021.06.01.07.","url":null,"abstract":"Background: Patients with Type 2 Diabetes Mellitus have a high risk of serious compli­cations. Complications resulting from diabetes can be minimized and prevented by imple­menting self-care behavior. The study revealed that one of the factors that affect self-care acti­vity is family support. The correlation of family support with self-care activity has been exten­sively investigated in several primary studies with several contradictions in the results. This study aimed to determine the correlation between family support and self-care activity in people with type 2 diabetes mellitus using the meta-analysis method. Subjects and Method: This study was a systematic review and meta-analysis. The meta-analysis was carried out by systematically reviewing articles published from 2010 to 2020 from the Pubmed, Google Scholar, DOAJ, and Springer Link databases using search key­words, namely (\"Family Support\" OR \"Social Support\") AND (\"Self Management \"OR\" Self Care \") AND\" Diabetes Mellitus Type 2\". Article searches were carried out using PICO. The study population was people with type 2 diabetes mellitus. Intervention/exposure was getting family support compared to not getting family support, and the outcome was diabetes mellitus self-care. The search for articles was carried out for one month. The articles included in this study were full-text articles with a cross-sectional design. Articles were reviewed using the PRISMA flow diagram guidelines. Articles analyzed using Revman 5.3 Software. Conclusion: People with type 2 diabetes mellitus with good family support will increase self-care activity 2.22 times compared to people with type 2 diabetes mellitus who do not get family support. (aOR = 2.22 (95% CI = 1.84-2.68; p <0.001) The study of 7 articles originated from Africa. Keyword s : family support, self-care, diabetes mellitus type 2 Correspondence:  Dian Dini Islami. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: dian.dinii94@gmail.co. Mobile: 085­72­9483960. Indonesian Journal of Medicine (2021), 06(01): 62-70 https://doi.org/10.26911/theijmed.2021.06.01.07.","PeriodicalId":13354,"journal":{"name":"IJAAM (Indonesian Journal of Anti-Aging Medicine)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88707712","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}

{"title":"Dietary Pattern As a Risk Factor of Diabetes Mellitus and Obesity: Meta-Analysis","authors":"Linda Wahyu Septianawati, Yulia Lanti Retno Dewi, E. Pamungkasari","doi":"10.26911/theijmed.2021.06.01.09.","DOIUrl":"https://doi.org/10.26911/theijmed.2021.06.01.09.","url":null,"abstract":"Background: Non-Communicable Disease is a disease that is considered unable to transmit or spread from one person to another but is a cause of death globally, especially diabetes mellitus and obesity. According to WHO, the number of deaths due to PTM in 2016 was 40.5 million (71%) worldwide. Diet is  one of the risk factors for Diabetes Mellitus and Obesity. This study aims to analyze the effect of diet as a risk factor for diabetes mellitus and obesity. Subjects and Method: This study was a syste­matic review and meta-analysis using a cross-sectional design. The articles used in this stu­dy were obtained from several databases, including PubMed, Google Scholar, Spring­er­link, and ScienceDirect. The articles used in this study were those published from 2011-2020. The article search was carried out by consi­dering the eligibility criteria defined using the PICO model. P: adults, I: unhealthy eating patterns, C: healthy eating patterns, and O: Diabetes Mellitus and Obesity. The keywords to search for articles were \"dietary pattern\", \"risk\", \"obesity\", and \"diabetes mellitus,\" and \"adjus­ted odds ratio\". The articles included in this study were full-text articles with cross-sectional study design. Articles were collected using PRISMA flow diagrams. Articles were analyzed using the Review Manager 5.3 application. Results: A total of 15 articles were reviewed in this study. The meta-analysis showed that an unhealthy diet increased the risk of Diabetes (aOR= 1.65; 95% CI= 1.29 to 2.11; p <0.001). The meta-analysis of 9 articles also showed that an unhealthy diet increased the risk of obesity (aOR= 1.42; 95% CI= 1.21 to 2.66; p <0.001). This meta-analysis combines primary studies from Swaziland, China, Ethiopia, Kenya, Ame­rica, Malaysia, Ghana, Romania, Nepal, Ire­land, and Korea. Conclusion: Unhealthy diet is a risk factor for diabetes mellitus and obesity. Keyword s :  dietary pattern, diabetes mellitus, obesity, cross-sectional Correspondence:  Linda Wahyu Septiananwati. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: lindatian81@gmail.com. Indonesian Journal of Medicine (2021), 06(01): 82-94 https://doi.org/10.26911/theijmed.2021.06.01.09.","PeriodicalId":13354,"journal":{"name":"IJAAM (Indonesian Journal of Anti-Aging Medicine)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86278396","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}

{"title":"Determinants of Delay in Diagnosis and Treatment in Multi Drug-Resistant Tuberculosis Patients in Health Facilities","authors":"Y. Sutanto, Paulus Wisnu Kuncoro Murti, Reviono Reviono, A. Probandari, Hendra Kurniawan","doi":"10.26911/theijmed.2021.06.01.02","DOIUrl":"https://doi.org/10.26911/theijmed.2021.06.01.02","url":null,"abstract":"Background: Multidrug-resistant tubercu­lo­sis (MDR-TB) is a serious threat to global TB control programs. According to WHO, there are 23,000 cases of TB multidrug-/rifampicin-resistant (MDR/RR-TB) in Indonesia. In 2017, there were 442,000 of TB cases. There were 8,600 - 15,000 MDR/RR-TB cases, of which 2.4% were new cases and 13% were previously treated TB cases. This study aims to determine the factors that influence the delay in diagnosis and treatment of MDR-TB patients. Subjects and Method: This study was a cross-sectional study conducted at Dr. Moe­wardi hospital, from Sep­tem­ber to October 2017, Surakarta, Central Java. A sample of 73 MDR-TB patients with disabilities on medical records was selected for this study. The depen­dent variables were delay in diagnosis and delay in therapy of MDR-TB cases. The inde­pendent variables were age, gender, distance to health facilities, and type of health facilities. Data were collected from medical records of MDR-TB patients who were treated from March 2012 to March 2017. Data were analyzed using the chi-square model. Results: Median delay in diagnosis = 4 days. Median treatment delay = 12 days. The average patient who had delayed MDR-TB therapy (≥4 days) was 44 years old (Mean= 44.19; SD= 12.64). Delay in MDR-TB diagnosis was not significantly associated with gender (OR= 0.53; 95% CI= 0.18 to 1.57; p= 0.264), distance to health facility (OR= 1.56; 95% CI= 0.58 to 4.21; p= 0.389), and type of health facility (OR= 0.60; 95% CI= 0.26 to 1.41; p= 0.983). The average of patient who had delayed MDR-TB therapy (≥12 days) was 41 years old (Mean= 41.39; SD= 12.69). Treatment delay was not significantly related to gender (OR= 0.45; 95% CI= 0.16 to 1.26; p= 0.137), distance to health facility (OR=1.44; 95% CI= 0.55 to 3.78; p= 0.466), and type of health facility (OR= 2.31; 95% CI= 1.03 to 5.21; p= 2.967). Conclusion: There was no statistically sig­nificant relationship between gender, dis­tance from the patient's home to health facilities, and type of health facility with the delay in diag­nosis and treatment of MDR-TB patients. Keyword s : diagnosis, treatment, TB-MDR Correspondence:  Yusup Subagio Sutanto. Department of Pulmo­nology and Respiratory Medicine, Faculty of Medicine Universitas Sebelas Maret/ Dr. Moe­wardi Hospital, Surakarta. Jl. Kolonel Sutarto No.132, Jebres, Surakarta, Central Java 57126. Email: dr_yusupsubagio@yahoo.com. Mobile: 0811284165. Indonesian Journal of Medicine (2021), 06(01): 14-22 https://doi.org/10.26911/theijmed.2021.06.01.02.","PeriodicalId":13354,"journal":{"name":"IJAAM (Indonesian Journal of Anti-Aging Medicine)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86266617","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}

{"title":"The Effectiveness of Acupuncture in Insomnia Patients: Meta Analysis","authors":"Kurnia Eka Putri, Bhisma Murti, Hanung Prasetya","doi":"10.26911/theijmed.2021.06.01.05.","DOIUrl":"https://doi.org/10.26911/theijmed.2021.06.01.05.","url":null,"abstract":"Background: Insomnia is a disease that has a negative impact on the health and well-being of the sufferer. Insomnia can occur in anyone, both men and women with various ages of vulnerability and in individuals with various socioeconomic backgrounds. This study aims to examine the effectiveness of acupuncture in insomnia patients. Subjects and Method: Meta-analysis was performed with PICO which is presented as follows: the population in this study was insomnia patients aged 16-85. The intervention is in the form of acupuncture therapy. The com­parison used was a sham/ placebo acupuncture. The outcome was insomnia. The meta-analysis study was applied to this study with electronic data sources: Clinical Key, Google Scholar, MEDLINE/ PubMed, Science Direct, Scopus. The article used is a full-text article with a randomized control trial (RCT) study design. There were 9 articles used in this study with a sample size of 649 people who were divided into two groups (372 people in the acupuncture group and 277 people in the sham / placebo acupuncture group). Articles were analyzed using the Review Manager 5.4 application. The results of this study aim to determine the Standardized Mean difference (SMD) and hete­rogeneity of the study sample. Results: There is high heterogeneity between one experiment and another (I 2 = 94%; p <0.001) so that what is used is the Random Effect Model (REM). The provision of acu­puncture therapy was able to reduce the degree of insomnia with the Standardized Mean Diffe­rent (SMD) of 0.98 compared to sham acu­puncture (SMD= -0.98; 95% CI= -1.71 to -0.25; p = 0.008). Conclusion: The provision of acupuncture therapy was able to reduce the degree of insomnia with the Standardized Mean Different (SMD) of 0.98 compared to sham acupuncture. Keyword s : Acupuncture, Insomnia Correspondence:  Kurnia Eka Putri. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Indonesia. Email: anggi­pag@gmail.com.Mobile: +628995212646. Indonesian Journal of Medicine (2021), 06(01): 42-51 https://doi.org/10.26911/theijmed.2021.06.01.05.","PeriodicalId":13354,"journal":{"name":"IJAAM (Indonesian Journal of Anti-Aging Medicine)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89785666","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}