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Biopsychosocial Factors on Infertility Among Men in Surakarta, Central Java

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Journal article

Effectiveness of Acupuncture and Infrared Therapies for Reducing Musculoskeletal Pain in the Elderly

Background: According to the World Health Organization, the most frequent health problems experienced by the elderly is musculoskeletal pain. The common treatment for musculoskeletal pain is Non-Steroidal Anti-Inflammatory Drugs (NSAID) drugs. These drugs, however, give undesireable side effects such as disorders in digestion, renal function, and increased blood pressure. Acupuncture and infrared therapies have been widely known as cheap and safe for musculoskeletal pain. However, their relative effectiveness are not yet clear. This study aimed to determine the effectiveness of acupuncture and infrared therapies for reducing musculoskeletal pain in the elderly.Subjects and Method: This was an experiment study with randomized controlled trials design. The study was conducted at the elderly integrated health post Klodran, Karanganyar, Central Java, in May, 2016. A total sample of 60 elderlies was selected for this study using random sampling technique. This sample was randomized into 4 groups, each consisting of 15 study subjects: (1) acupressure; (2) acupuncture; (3) infrared; (4) acupuncture and infrared. The dependent variable was musculoskeletal pain. The independent variable was type of pain relief therapy. The data was analyzed by Kruskall Wallis Test, and post-hoc test using Mann-Whitney.Results: Kruskall Wallis Test showed mean differences in the reduction of musculosceletal pain between the four groups, and they were statistically significant, as follows: acupressure (mean= 1.3; SD= 0.5), acupunture (mean= 2.3; SD= 0.5), infrared (mean= 1.6; SD= 0.6), and acupuncture and infrared (mean= 3.9; SD= 0.4). Mann-Whitney test showed the most effective treatment for reducing musculoskeletal pain was acupunture and infrared combination therapy (mean difference= 2.53; p<0.001).Conclusion: Acupunture and infrared combination is the most effective treatment for reducing musculoskeletal pain in the elderly.Keywords: musculoskeletal pain, acupressure, acupuncture, infrared, elderlyCorrespondence: Risna Widowati. Acupuncture Unit, School of Health Polytechnics, Ministry of Health, Surakarta, Central Java. Email: risna.widowati@gmail.com. HP +6281555742729.Indonesian Journal of Medicine (2017), 2(1): 41-51https://doi.org/10.26911/theijmed.2017.02.01.05
Journal article

Serum Ferritin as a Predictor of Shock in Children with Dengue Infection

Background: Dengue shock syndrome causes high morbidity and mortality among children worldwide. Several laboratory monitoring can be used to evaluate the progressivity of dengue virus infection. This study aimed to analyze ferritin serum as a predictor of shock in children with dengue infection, and to determine the cut off point that can be used to diagnose dengue shock.Subjects and Method: This was a cross sectional study conducted at pediatric ward, Dr. Moewardi hospital Surakarta Dr. Soetrasno hospital Rembang, Central Java. Study population was children aged less than 18 years old with dengue infection. Study subjects were selected by consecutive sampling. Tha dependent variable was dengue shock. The independent variable was serum ferritin concentration. Mann Whitney test was used to compare mean ferritin concentration between children with and without dengue shock. Cut off point of serum ferritin concentration was determined by ROC curve.Results: Mean serum ferritin concentration in children with dengue shock (mean= 3628.8; SD= 1582.4) was higher than in children without dengue shock (mean= 717.8; SD= 695.8), with p<0.001. Therefore, there was a statistically significant asssociation between serum ferritin concentration and dengue shock . The cut off point of serum ferritin concentration that could be used to show dengue shock with high sensitivity (0.92) and specificity (0.97) was 2304.5.Conclusion: High serum ferritin concentration is a predictor of dengue shock.Keywords: ferritin, dengue shock syndrome, childrenCorrespondence: Putri Evalda. Dr. Moewardi Hospital, Jl. Kolonel Sutarto No.132 Jebres, Surakarta, Central Java 57126. Email: dr. putri.evalda@gmail.com. Mobile: 081227970440Indonesian Journal of Medicine (2017), 2(3): 154-160https://doi.org/10.26911/theijmed.2017.02.03.02
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The Relationship Between Maternal Education, Family Income, Parenting Style, and Language Development in Children Aged 3-4 Years in Boyolali, Central Java

Background: Early childhood is a unique period where development proccess such as language development occurs rapidly. Speech and language disorders are two among the most common problems in children. The first years of life form critical period in children's life. Maximum brain plasticity occurs during the initial years of life and continues to develop for a few years with slower pace. Sensorik experience, stimulation, and language exposure during this period determine the synaptogenesis, myelinisation, and synaptic relation. National Center for Health Statistics (NCHS) reported that speech disorder ocurred approximately 0.9% in children under five, and 1.94% in children aged 5-14 years old. The purpose of this study was to determine the relationship between maternal education, family income, parenting style, and language development in children aged 3-4 years.Subjects and Method: This was an analytic observational study with cross sectional design. This study was conducted at Kindergarten Nogosari Sub-district, Boyolali, Central Java. A sample of children aged 3-4 years old were selected for this study. The dependent variable was language development. The independent variables were maternal education, family income, and parenting style. The data were analyzed by multiple logistic regression. Results: Maternal education ≥ high school (OR= 25.74; 95% CI= 1.80 to 367.62; p= 0.017), family income ≥ minimum regional wage (OR= 32.98; 95% CI= 2.93 to 370.52; p= 0.005), and democratic parenting style (OR= 20.19; 95% CI= 1.83 to 222.82; p= 0.014), had positive and statistically significant relationships with language development in children aged 3-4 years old.Conclusion: Maternal education ≥ high school, family income ≥ minimum regional wage, and democratic parenting style, have positive and statistically significant relationships with language development in children aged 3-4 years old.Keywords: maternal education, family income, parenting style, child language developmentCorrespondence: Muryanti. School of Health Polytechnics, Poltekkes Surakarta. Email: muryanti.tw@gmail.comIndonesian Journal of Medicine (2016), 1(2): 100-107https://doi.org/10.26911/theijmed.2016.01.02.03
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