Fabiola Cathleen, Ayers Gilbert Ivano Kalaij, M. F. Soelaeman, Sarah Latifah Raharja
{"title":"Suicidal Ideation as a Risk Factor of Suicide in Asian Countries: A Systematic Review and Meta-Analysis of Case-Control Studies","authors":"Fabiola Cathleen, Ayers Gilbert Ivano Kalaij, M. F. Soelaeman, Sarah Latifah Raharja","doi":"10.47830/jinma-vol.73.3-2023-990","DOIUrl":"https://doi.org/10.47830/jinma-vol.73.3-2023-990","url":null,"abstract":"Introduction: Suicide has become the third leading cause of death among individuals in their productive years, underscoring the pressing requirement for effective preventive measures and risk assessment strategies. Earlier studies have indicated that suicidal ideation may play a role as a risk factor of completing suicide. To bolster this understanding, we conducted a systematic review and meta-analysis focusing on the relationship between suicidal ideation and completed suicide within Asian populations. \u0000Methods: This review adopted a systematic approach, adhering to the four-phased PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) flow diagram and checklist. Case-control studies were selected, focusing on samples of individuals aged 15-44 years who had received psychiatric care. Exclusion criteria included language barriers, incomplete or inaccessible texts, publications older than 2000, and participants with co-existing medical conditions that could interfere with the results. To assess the quality and potential bias of the included studies, the Oxford’s Critical Appraisal Skills Programme (CASP) Case-Control Checklist and critical appraisal worksheet were utilized. \u0000Result: The search process yielded a total of 641 records, from which six studies were finally included in the meta-analysis. We found a statistically significant association between suicidal ideation and suicide (aOR 4.20; 95%CI 3.00-5.88, p<0.00001) with low heterogenity among the studies. The most common bias identified was related to the acceptability of case recruitment. \u0000Conclusion: Suicidal ideation can act as a predictor of suicide risk in Asian populations. Incorporating the assessment of suicidal ideation in suicide prevention initiatives is critical for promptly identifying and intervening with individuals at risk.","PeriodicalId":378619,"journal":{"name":"Journal Of The Indonesian Medical Association","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121075528","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}
Evi Rachmawati Nurul Hidayati, Hafizia Asri Yusviani, Dewi Listiani Solecha
{"title":"Improving The Accuracy of Screening Pharyngeal Dysphagia Using Ultrasonography in Acute Stroke Patient: A Case Report","authors":"Evi Rachmawati Nurul Hidayati, Hafizia Asri Yusviani, Dewi Listiani Solecha","doi":"10.47830/jinma-vol.73.3-2023-735","DOIUrl":"https://doi.org/10.47830/jinma-vol.73.3-2023-735","url":null,"abstract":"Introduction: Dysphagia is a common complication in acute stroke patients that require early screening to reduce the risk of aspiration pneumonia, disability, and mortality. Bedside examinations such as the Gugging Swallowing Screen (GUSS) test and ultrasonography are non-invasive methods that may improve early diagnosis of dysphagia after stroke. \u0000Case Report: We report a 49-year-old man with a history of cerebrovascular event that had difficulty swallowing, followed by coughing and choking after drinking. \u0000Discussion Case: The GUSS score indicated moderate dysphagia with a high risk of aspiration. The swallowing ultrasonography showed conformity to the GUSS score and improved the screening accuracy for silent aspiration risk in the pharyngeal swallowing phase. \u0000Conclusion: In conclusion, ultrasonography examination may improve the screening accuracy of the GUSS test, particularly for the detection of silent aspiration in pharyngeal dysphagia.","PeriodicalId":378619,"journal":{"name":"Journal Of The Indonesian Medical Association","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134225968","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}
Thania Yasmin, Yusuf Ari Mashuri, M. Maryani, Trihana Susilawati
{"title":"Aplikasi Antimicrobial Susceptibility Test (AST) dalam Mendeteksi Carbapenem-Resistant Enterobacteriaceae (CRE): Sebuah Tinjauan Sistematis","authors":"Thania Yasmin, Yusuf Ari Mashuri, M. Maryani, Trihana Susilawati","doi":"10.47830/jinma-vol.73.3-2023-991","DOIUrl":"https://doi.org/10.47830/jinma-vol.73.3-2023-991","url":null,"abstract":"Pendahuluan: Indonesia merupakan negara dengan prevalensi carbapenem-resistant Enterobacteriaceae (CRE) tertinggi di Asia. Hal tersebut menunjukkan pentingnya menemukan dan menanggulangi kasus CRE sedini mungkin. Telaah sistematis ini bertujuan untuk menyajikan hasil penelitian terkini tentang prevalensi CRE secara global, aplikasi antimicrobial susceptibility test (AST) dalam mendeteksi CRE, dan metode deteksi carbapenemase-producing (CP-CRE). \u0000Metode: Tinjauan sistematis dilakukan pada artikel ilmiah berbahasa Inggris yang diterbitkan di PubMed®, Science Direct®, dan Scopus® dari Januari 2018 hingga Februari 2022. Kriteria inklusi adalah studi yang melakukan pemeriksaan CRE dengan sampel yang berasal dari manusia dan kata kunci pencarian adalah ‘antimicrobial susceptibility test’ OR ‘microbial sensitivity test’ OR ‘antimicrobial susceptibility breakpoint determination’ AND ‘carbapenem-resistant Enterobactericeae’ OR ‘carbapenemase-producing Enterobacteriaceae’. Tahapan selanjutnya dilakukan sesuai dengan pedoman preferred reporting items for systematic reviews and meta-analyses (PRISMA). \u0000Hasil: Hasil pencarian dan alur seleksi menghasilkan 11 artikel yang kemudian diekstraksi dan dianalisis. Prevalensi CRE sebesar 9,6% pada studi yang bertujuan untuk skrining kasus CRE. Deteksi CRE paling banyak dilakukan pada sampel urin dan darah dengan mengunakan metode Vitek-2® dan disk diffusion untuk mendeteksi resistensi mikroba terhadap imipenem dan meropenem. \u0000Kesimpulan: Didapatkan prevalensi yang tinggi pada studi penapisan kasus CRE. Vitek-2® merupakan metode deteksi CRE yang paling sering, dan metode disk diffusion dapat menjadi alternatif apabila sumber daya terbatas. Pemeriksaan CRE dapat dilanjutkan dengan mendeteksi carbapenemase-producing CRE (CP-CRE) menggunakan uji genotipik, fenotipik, dan fluorogenik.","PeriodicalId":378619,"journal":{"name":"Journal Of The Indonesian Medical Association","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126943735","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}
Rudy Hidayat, Nur Asicha, Dicky L. Tahapary, Suryo Anggoro Kusumo Wibowo
{"title":"Kualitas Hidup Pasien Artritis Reumatoid dan Faktor-Faktor Yang Memengaruhi","authors":"Rudy Hidayat, Nur Asicha, Dicky L. Tahapary, Suryo Anggoro Kusumo Wibowo","doi":"10.47830/jinma-vol.73.2-2023-1032","DOIUrl":"https://doi.org/10.47830/jinma-vol.73.2-2023-1032","url":null,"abstract":"Pendahuluan: Artritis reumatoid (AR) merupakan penyakit reumatik yang sering menyebabkan gangguan fungsional dan penurunan kualitas hidup. Penelitian ini bertujuan mengetahui rerata kualitas hidup dan faktor-faktor yang memengaruhinya pada pasien AR.Metode : Sebanyak 152 subjek direkrut dari Poliklinik Reumatologi RSUPN Dr. Cipto Mangunkusumo Jakarta. Data mengenai sosiodemografi, kondisi klinis dan laboratorium yang berkaitan dengan aktivitas penyakit, status fungsional, masalah psikologis, dan jumlah komorbiditas diambil dalam penelitian ini. Aktivitas penyakit dinilai berdasarkan Disease Activity Score-28 dengan laju endap darah (DAS28 LED) kumulatif selama 6 bulan terakhir. Kualitas hidup diukur menggunakan EuroQol five dimensional (EQ-5D) yang terdiri dari nilai deskriptif EQ-5D dan nilai EQ visual analogue scale (VAS). Analisis dilakukan secara univariat, bivariat, dan multivariat.Hasil : Sebanyak 90,8% subjek adalah perempuan dengan rerata usia 49,41 ± 12,31 tahun, dengan mayoritas subjek memiliki derajat aktivitas penyakit sedang dan status fungsional mandiri. Median durasi penyakit adalah 3 (0 – 34) tahun. Ditemukan ansietas pada 11.2% subjek dan depresi pada 20,4% subyek. Median nilai indeks EQ-5D adalah 0,84 (0,170 – 1,000) dan median nilai EQ dengan skala VAS adalah 70 (40 – 100). Disabilitas fungsional, aktivitas penyakit, dan depresi secara independen berperan dalam nilai indeks EQ-5D maupun EQ VAS, sementara ansietas dan jumlah komorbiditas hanya berperan pada EQ VAS.Kesimpulan: Disabilitas fungsional, aktivitas penyakit, gangguan psikologis, dan jumlah komorbiditas memiliki pengaruh negatif terhadap kualitas hidup pasien AR. Evaluasi terhadap faktor-faktor tersebut harus dipertimbangkan dalam standar pelayanan pasien AR. \u0000 ","PeriodicalId":378619,"journal":{"name":"Journal Of The Indonesian Medical Association","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128563337","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}
Leli Hesti Indriyati, Irena Ujianti, Betty Semara Lakhsmi
{"title":"The Prevalence Of Metabolic Syndrome And Its Components Among Male Workers In Indonesia","authors":"Leli Hesti Indriyati, Irena Ujianti, Betty Semara Lakhsmi","doi":"10.47830/jinma-vol.73.2-2023-886","DOIUrl":"https://doi.org/10.47830/jinma-vol.73.2-2023-886","url":null,"abstract":"Introduction : Metabolic syndrome (MetS) has emerged as one of the world’s major public health issues and the prevalence of this syndrome varies among population. There is a little of information on the epidemiology of MetS in male workers in Indonesia. Therefore, this study aims to determine the prevalence, its component and risk factors of MetS in Indonesian’s male working population. \u0000Methods : This was a cross sectional study of 1298 workers (median age, IQR 41,37-48 years) who underwent a routine Medical Check Up (MCU). The metabolic syndrome is diagnosed using the criteria established by the revised National Cholesterol Education Program-Adult Treatment Panel-III definition (2005 ATP III). \u0000Results : Metabolic syndrome prevalence was 13.9% in male workers. The most common abnormalities among all participants were hypertriglyceridemia (94.5%) and abdominal obesity (80.6%) [p<0.001]. Multivariable logistic regression analysis revealed that obesity (OR: 9.29; 95% CI: 5.56-15.54), overweight (OR: 2.15; 95% CI: 1.11-4.18), increasing age (OR: 2.39; 95% CI: 1.36-4.21), white blood cells/WBC or leukocyte (OR: 1.13; 95% CI: 1.04-1.24) and exercise (OR: 1.51; 95% CI: 1.06-2.15), were associated with a higher risk of developing MetS in the working population. \u0000Conclusion : The most common component of MetS in workers is hypertriglyceridemia followed by abdominal obesity. As a result, it is possible that these are the first detectable component of MetS in the working population. Early detection of MetS components, especially in obese workers, could be effective way to prevent the development of the syndrome.","PeriodicalId":378619,"journal":{"name":"Journal Of The Indonesian Medical Association","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124131563","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":"Peran Probiotik Terhadap Kadar Zonulin pada Penderita Obesitas","authors":"Chaula Putri Rizkia","doi":"10.47830/jinma-vol.73.2-2023-964","DOIUrl":"https://doi.org/10.47830/jinma-vol.73.2-2023-964","url":null,"abstract":"Obesitas merupakan penyakit kronis dengan angka penderita yang semakin meningkat sehingga menjadi sebuah epidemi di dunia. Menurut data Riskesdas 2018, angka obesitas di Indonesia meningkat hingga 35,4% dibandingkan angka tahun 2007. Obesitas menjadi faktor risiko terjadinya penyakit-penyakit metabolik karena adanya kondisi inflamasi kronik. Inflamasi kronik yang terjadi berkaitan dengan peningkatan permeabilitas dinding usus yang ditandai dengan meningkatknya kadar zonulin. Probiotik diketahui mampu menurunkan kadar zonulin dan memperbaiki integritas usus pada obesitas.","PeriodicalId":378619,"journal":{"name":"Journal Of The Indonesian Medical Association","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130368726","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}
Rudi Saputra, M. Nuryanto, Rahmat Bakhtiar, Yadi Yasir, Ronny Isnuwardana
{"title":"Korelasi Tingkat Pengetahuan Hoaks Vaksin COVID-19 dengan Sikap Masyarakat pada Program Vaksinasi di Samarinda","authors":"Rudi Saputra, M. Nuryanto, Rahmat Bakhtiar, Yadi Yasir, Ronny Isnuwardana","doi":"10.47830/jinma-vol.73.2-2023-932","DOIUrl":"https://doi.org/10.47830/jinma-vol.73.2-2023-932","url":null,"abstract":"Pendahuluan: Masalah pandemi COVID-19 diikuti oleh berkembangnya infodemi yang didukung dengan kemajuan teknologi. Kemajuan ini memengaruhi cepat dan pesatnya penyebaran informasi di masyarakat. Masyarakat dapat mengakses berbagai macam informasi COVID-19 secara mudah. Tetapi, di antara informasi-informasi yang diterima masyarakat ada sebagian yang berisi hoaks. Tujuan penelitian ini adalah untuk mengetahui korelasi tingkat pengetahuan hoaks vaksin COVID-19 dengan sikap masyarakat pada program vaksinasi.Metode: Penelitian ini dilakukan secara daring di Samarinda menggunakan desain penelitian cross-sectional dengan voluntary response sampling. Kuesioner penelitian disebar melalui media sosial dengan sampel minimal 147 responden. Penelitian ini menggunakan uji korelasi Spearman Rank, uji Mann-Whitney, dan uji Kruskal-Wallis dengan tingkat kepercayaan 95%. Hasil: Hasil penelitian menunjukkan adanya korelasi yang signifikan antara tingkat pengetahuan hoaks vaksin COVID-19 dengan sikap masyarakat pada program vaksinasi (p < 0,001). Selain itu, didapatkan juga bahwa mereka yang berusia > 35 tahun (p = 0,011), berpendidikan terakhir di perguruan tinggi (p < 0,001), dan sudah menikah (p = 0,001) tidak setuju dengan program vaksinasi COVID-19. Pada karakteristik jenis kelamin (p = 0,076) dan riwayat positif COVID-19 (p = 0,702) tidak ditemukan adanya perbedaan yang signifikan.Kesimpulan: Terdapat korelasi yang signifikan antara tingkat pengetahuan hoaks vaksin COVID-19 dengan sikap masyarakat pada program vaksinasi.","PeriodicalId":378619,"journal":{"name":"Journal Of The Indonesian Medical Association","volume":"38 10S 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131965402","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}
Arya Marganda Simanjuntak, Indra Yovi, Patricia Dean Ully Marbun, Adinda Elisabet
{"title":"COVID-19 and Pulmonary Tuberculosis, Between Coinfection and Reactivation from Latent Tuberculosis Patient: A Systematic Review","authors":"Arya Marganda Simanjuntak, Indra Yovi, Patricia Dean Ully Marbun, Adinda Elisabet","doi":"10.47830/jinma-vol.73.2-2023-1006","DOIUrl":"https://doi.org/10.47830/jinma-vol.73.2-2023-1006","url":null,"abstract":"Introduction: Globally, cases of pulmonary tuberculosis (PTB) are rising by 4%, while new cases have declined in many nations, most notably by 14% in Indonesia. During the COVID-19 pandemic, the number of undiagnosed and untreated PTB patients could rise and infect more people. In particular, CD8+ lymphocytes were decreased in COVID-19. Perhaps this is the cause of the rise in cases, but there is no data to show it. Aim: Determine current data about the PTB with COVID-19 coinfection and possible reactivation of PTB after COVID-19 infection in LTB patient. \u0000Methods: This systematic review is based on PRISMA statements using Pubmed, EBSCOHost, Science Direct and Cochrane from December 2019 to July 2022. Inclusion and exclusion criteria were set to select studies that included. We analyze risk of bias of all included studies with JBI critical appraisal tools. \u0000Results: This study had 107,425 patients in total from 20 studies. All studies were deemed to have low overall author bias risks. A critical component of PTB defense is CD8+. By reducing lymphocytes, COVID-19 can encourage the growth of PTB, which might therefore result in coinfection or the reactivation of existing PTB. \u0000Conclusion: COVID-19 possibly increase case of PTB in form of co-infection or reactivation of PTB in LTB patients. This needs special attention for patients that have infected by COVID-19 to followed up for risk developing PTB.","PeriodicalId":378619,"journal":{"name":"Journal Of The Indonesian Medical Association","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123731225","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":"Carotid-Cavernous Fistula: Manifestasi Klinis dan Tatalaksana","authors":"Nadira Deanda Putri, Bambang Tri Prasetyo, Ricky Gusanto Kurniawan, Beny Rilianto, Pratiwi Raissa Windiani, Abrar Arham","doi":"10.47830/jinma-vol.73.2-2023-880","DOIUrl":"https://doi.org/10.47830/jinma-vol.73.2-2023-880","url":null,"abstract":"Carotid-cavernous fistula (CCF) merupakan abnormalitas vaskular antara arteri karotis interna atau eksterna dengan vena di dalam sinus kavernosus. Fistula pada CCF dapat bersifat langsung (Barrow tipe A) atau tidak langsung (Barrow Tipe B, C, dan D). Etiologi tersering pada CCF tipe langsung ialah trauma dan ruptur vaskular, sementara CCF tipe tidak langsung umumnya ditemui pada pasien dengan komorbid hipertensi, kelainan jaringan ikat, kehamilan, dan diseksi arteri karotis interna. Tanda dan gejala CCF sangat bervariasi, mulai dari nyeri kepala mendadak, proptosis, diplopia, oftalmoplegia, kemosis, bruit orbital, hingga kebutaan, namun dapat pula berupa konjungtiva kemerahan. Pasien dengan kecurigaan CCF harus menjalani pencitraan neuroradiologi, dilanjutkan dengan intervensi endovaskular untuk menutup aliran fistula dan membiarkan arteri karotis terbuka. Dengan tatalaksana yang tepat, resolusi komplit diharapkan untuk terjadi pada semua pasien.","PeriodicalId":378619,"journal":{"name":"Journal Of The Indonesian Medical Association","volume":"83 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126026980","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":"Six-Minute Walking Test as Prognosis Indicator in Stable Chronic CHF Patients in Second Phase Cardiac Rehabilitation","authors":"Deddy Tedjasukmana Basuni, F. Fitria","doi":"10.47830/jinma-vol.73.2-2023-786","DOIUrl":"https://doi.org/10.47830/jinma-vol.73.2-2023-786","url":null,"abstract":"Intorduction: Congestive heart failure is a complex clinical syndrome that may result from disturbances in myocardial function (systolic and diastolic function) leading to decreased perfusion of cardiac blood flow. The main goals in treating patients with heart failure are to improve functional capacity and quality of life, as well as to reduce mortality and morbidity. Cardiac rehabilitation is one of many forms of treatment recommended by the American Heart Association and has been proven safe and effective in patients with heart failure.Case: This case report consists of three patients undergoing phase two cardiac rehabilitation.Case Discussion: Each patient underwent several examinations consisting of recollection of previous medical history and current complaints. Vital signs and Borg Scale were checked before and after the walking test. The 6-Minute Walk Test was carried out according to the standard protocol on a 30-meter flat track.Conclusion: From a series of 6-minute walking trials conducted on three patients, there was a significant increase in mileage since cardiac rehabilitation phase I, early phase II, and four weeks of phase II exercise.","PeriodicalId":378619,"journal":{"name":"Journal Of The Indonesian Medical Association","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131239891","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}