Reconstruction of Anterior Cruciate Ligament Over 50 Years Old? Yes, or No

Background: The aim of the study is to compare the results of anterior cruciate ligament reconstruction (ACL-R) in people aged more than 50 and under 30 years of age. Methods: A total of 64 patients with ACL rupture were evaluated for eligibility. Thirty-two patients with ACL rupture, aged more than 50 years (54.38 ± 1.26) were matched in all of the background factors, with 32 patients suffering from ACL rupture under 30 years old. They were followed for clinical and functional results at six and on average 45.58 months after surgery. These evaluations included the Lachman test, KT-1000, International Knee Documentation Committee (IKDC) score, Lysholm knee score (LKS), return to exercise activity, post-operative satisfaction rate, and pain intensity based on Visual Analogue Scale (VAS) and rates of extension and flexion loss. Results: Our findings indicated that knee stability, return to exercise activity, LKS and IKDC scores, as well as pain intensity and satisfaction were significantly improved in both groups. Indeed, the satisfaction rate of patients over 50 years at six months after surgery was less than those under 30 years (P < 0.001); however, it was approximately similar to the group under 30 years of age in the final follow-up (P > 0.05). The rate of return to sports activity was also lower in patients over 50 years. Conclusions: The comparable results at the patients with < 30 years demonstrated that arthroscopic ACL-R in patients over 50 years of age with no or mild DJD has good results.

Uric Acid Levels in Type 2 Diabetes Mellitus Patients

Type 2 diabetes mellitus accounts for about 90% of all diabetes cases worldwide. Type 2 DM is caused by the body's inability to respond well to insulin or called insulin resistance. Insulin resistance causes hyperglycemia and hyperinsulinemia which results in decreased uric acid excretion function in the kidney tubules, so that there will be an increase in uric acid in the blood or hyperuricemia. Type of research including descriptive with cross sectional approach. The examination was carried out at Dr. Adhyatma, MPH. The research respondents were 24 people, uric acid levels were examined with a TMS 50i Superior device. The data obtained is processed and presented in the form of diagrams and percentages. Type 2 DM respondents numbered 24 people. The highest hyperuricemia is based on the characteristics of the respondents, those are above 55 years old (25%), female sex (25%), high blood pressure (25%), and exercise activity 1x / day (21%). Of the 24 respondents, 14 people (58.3%) had normal uric acid levels and 10 people (41.6%) had hyperuricemia, with an average female uric acid value of 5.54 mg / dL and men of 6,48 mg / dL.

Combined Ketogenic Diet and Walking Exercise Interventions in Community Older Groups

The ketogenic diet and walking exercise training activity are two key public health lifestyle factors. The potential of combined lifestyle factors interventions focused on getting to compliance in forced exercise. A balanced ketogenic diet and regular exercise activity is a key modifiable factor to the prevention and management of chronic diseases. Influence health across the lifespan and reduction of the risk of premature death through several biological mechanisms. Community older group&rsquo;s lifestyle factors interventions contribute identity in their natural living environment. While the older health benefits of walking exercise training strategies are commonly to study, combined ketogenic diet and walking exercise interventions have induced greater benefits in community older groups.

Analysis of Healthy Coping Feedback Messages from Diabetes Mobile Apps: Validation Against an Evidence-Based Framework

Background: In this study, we focused on Healthy Coping, a key principle of ADCES7 Self-Care Behaviors® (ADCES7®) that enables people with diabetes to achieve health goals for self-care. We aimed to validate Healthy Coping-related feedback messages from diabetes mobile apps against the framework based on behavioral change theories. Methods: We searched apps using the search terms: “diabetes,” “blood sugar,” “glucose,” and “mood” from iTunes and Google Play stores. We entered a range of values on 3 Healthy Coping domains: (1) diabetes-related measures including blood glucose, blood pressure, HbA1c, weight, (2) physical exercise/activity, and (3) mood to generate feedback messages. We used a framework by adopting validated behavioral change theory-based models to evaluate the feedback messages against 3 dimensions of timing, intention, and content (feedback purpose and feedback response). The feedback purposes in this study were categorized into 7 purposes; warning, suggestion, self-monitoring, acknowledging, reinforcement, goal setting, and behavior contract. Results: We identified 1,749 apps from which 156 diabetes mobile apps were eligible and generated 473 feedback messages. The majority of generated feedback messages were related to blood sugar measurement. Only feedback messages on blood sugar under diabetes-related measures and mood domains encompassed all 7 feedback purposes under the content dimension. Conclusions: Many feedback messages neither supported Healthy Coping domains nor followed the behavioral theory-based framework. It is important that feedback messages be structured around the dimensions of the behavioral theory-based framework to promote behavior change. Furthermore, our framework had the generalizability that can be used in other clinical areas.

PENDIDIKAN KESEHATAN TENTANG PERAWATAN DAN SENAM KAKI PADA PASIEN DIABETES

ABSTRAKPenyakit diabetes dapat mengakibatkan komplikasi multi organ, dimana komplikasi yang paling sering adalah ulkus diabetikum sebagai akibat dari neuropati. Perlu dilakukan upaya pencegahan terjadinya ulkus diabetikum bagi masyarakat dengan memberikan edukasi terkait perawatan untuk kesehatan kaki juga senam kaki. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk memberikan informasi kesehatan tentang perawatan kaki diabetes dan memotivasi para penderita diabetes untuk melakukan aktivitas fisik salah satunya dengan melakukan senam kaki diabetes. Kegiatan ini diikuti oleh 16 pasien diabetes di polikilinik RS Cinta Kasih Budha Tzu Chi, Jakarta. Ada 3 tahapan yang dilakukan dalam kegiatan ini, yaitu perkenalan dan ice breaking, dilanjutkan dengan penjelasan tentang penyakit diabetes dan perawatan kaki diabetes, kemudian diakhiri dengan demonstrasi senam kaki diabetes. Kegiatan ini dilakukan secara blended yaitu dengan menggunakan aplikasi daring dan melakukan pertemuan diunit poliklinik dengan mematuhi protokol kesehatan. Hasil evaluasi terhadap kegiatan pengabdian yang telah dilakukan terlihat adanya peningkatan pengetahuan tentang perawatan kaki dan motivasi melakukan senam kaki. Selain itu, dari hasil kuesioner didapatkan bahwa mayoritas peserta memiliki pengetahuan yang baik tentang perawatan kaki sebesar 56.2%. Diharapkan masyarakat dapat meningkatkan pengetahuan dan perilaku dalam melakukan perawatan kaki diabetes serta termotivasi untuk melakukan senam kaki diabetes secara teratur sehingga dapt mencegah komplikasi ulkus diabetikum. Kata kunci: diabetes; perawatan kaki; senam kakiASTRACTDiabetes can lead to multi-organ failure, where the most common complication is diabetic ulcers as a result of neuropathy. It is necessary to perform a prevention program of diabetic ulcers to community by giving health education of foot care and foot exercise. In addition to education, motivation for diabetics is also needed to perform physical activity. This community service activity aimed to provide health education in diabetes foot care and motivate diabetes patients to perform physical activity such as diabetic foot exercise. There were 16 diabetic patients at Cinta Kasih Budha Tzu Chi Hospital, Jakarta participated in this community service. The activity performed in 3 sessions, such as opening and ice breaking, health education sharing of diabetes and foot care, followed by demonstration of diabetic foot exercise. Activity was conducting using blended method by zoom application and face to face meeting at polyclinic unit by complying health protocols of Covid-19. From the results of the evaluation, there has been an increase level of knowledge on diabetic foot care and motivation to perform diabetic foot exercise. Aside from that, as a result of filling out the questionnaire about foot care, the majority of the participants had good knowledge about foot care (56.2%). It is suggested that the community should increase knowledge on diabetes foot care, perform diabetes foot exercise regularly to decrease the complications of diabetic ulcers.Key words: diabetes; foot care; foot exercise

Female Tilapia Strategising Energy Mobilisation Differently For Growth Or Reproduction Depend On Living Environments

This study was conducted to investigate the energy mobilization and ionoregulation pattern of tilapia living recirculating aquaculture system (RAS) and cage culture environments. Three different groups of tilapia were compared as tilapia cultured in RAS (Group I - RAS), tilapia cultured in open water cage (Group II - Cage) and tilapia transferred from cage to RAS (Group III - Compensation) as physiology compromising model. Results revealed that Group II tilapia mobilized glycogen as primarily energy for daily exercise activity and promoted growth, whilst tilapia from Group I and III mobilised lipid to support gonadogenesis and protein reserved for somatogensis. The gills and kidney NKA activities remained relative stable to maintain balance homeostasis with a electrolytes level. As a remark, this study revealed that tilapia re-strategized their energy mobilization pattern in accessing glycogen as easy energy to support exercise metabolism and mobilized lipid and protein for growth and gonadal development.

Taking the LEAP: study protocol for a randomized, multicentre, naturalistic, efficacy trial of the compuLsive Exercise Activity theraPy (LEAP) - a cognitive behavioral program specifically targeting compulsive exercise in patients with eating disorders

Background About half of Swedish eating disorder patients report exercising compulsively and compulsive exercise (CE) is prevalent in all diagnoses and both genders. Yet there are no systematic treatments targeting CE in specialist care. This study aims to evaluate the effects of The CompuLsive Exercise Activity TheraPy (LEAP) - a promising group treatment targeting compulsive exercise, in Swedish eating disorder patients. Method One hundred twenty-eight adult females and males suffering from anorexia nervosa, bulimia nervosa or other specified feeding and eating disorders (type 1, 2, or 4) with CE will be recruited via four specialist eating disorder treatment units. Participants will be randomized to receive treatment as usual (control group) or treatment as usual plus LEAP (intervention group). The groups will be assessed on key variables (e.g., BMI, eating disorder symptoms, exercise cognitions and behaviors) at three occasions: initially, after 3 months and after 6 months. Discussion The project takes place in a clinical setting, including both male and female patients with different eating disorder diagnoses with CE, enabling a good indication of the efficacy of LEAP. If our results are positive, LEAP has the potential of benefiting about half of the eating disorder population, with remission and recovery hopefully improving as a result. Trial registration The trial is registered with the ISRCTN registry (registration date 2020-03-25), trial ID: ISRCTN80711391.

Exercise Activity Analysis and Paralympian Recovery Athletics During The Covid-19

The covid-19 pandemic period caused activities and the need for recovery paralysis to be disrupted, in other studies not much has analyzed training activities and athletic recovery during the covid-19 pandemic. Motion outside this research use non-experimental quantitative research methods and is written descriptively. The data was obtained by filling out the Google Form filled in by 13 Paralympian respondents. The data were analyzed by calculating the percentage. Thes results are Paralympian with sleep recovery 86% with the category always score and exercise activity reaches a percentage rate of 74,9%, the frequency of exercise gets an average of 51,3% with the occasional category, the intensity of the exercise has an average number of 63,2% with the frequent category, and the duration of exercise has an average rate of 53,8% with occasional category. The conclusions are that when the covid-19 pandemic hit, with the government’s provisions that physical distancing does not limit the paralysis to carry out activities and carry out maximum recovery. The sleep to be the highest percentage of 86% with the always the data average reaches 73 which is the value of 81%-100%, that the exercise activity or anaerobic and aerobic exercise has an average number of 74,9 with the frequent category, the intensity of light-moderate exercise has an average number the average was 63,2 with the frequent category and the exercise duration had 30-45 minutes a day the mean score was 53,8 with the occasional category. Suggestion by staying consistent in doing exercise activities gradually.

Self-Management Behaviors of Diabetes Control Among Diabetic Patients in Indonesia

Aims: This study was conducted to exploring the behaviors of self-management of Indonesian diabetes patients on Diabetes (DM) control and health promotion.Methods: Grounded theory was applied to explore the health self-management, by used In-depth interview.Results: The study takes place in the community and health care center, which interviewed 20 respondents, explained the health self-management behaviors. There were found out 5 main themes including: Self-regularly take medication to control DM; Manage daily exercise activity in controlling DM; Manage my food and diet intake is necessary; Monitor blood sugar is the important part of DM control and; Monitor the hypo/hyperglycemia symptoms.Conclusion: The healthy self-management behaviors need to be improved to enhance the motivation and self-care skills of diabetic patients in DM control. Although, the disease management of DM patients may be affected by the environment, culture, and life experience. The results show that diabetic patients have multiple DM self-management attitudes and behaviors towards diabetes disease.