Correlation Between Nongenomic Action of C19-Steroids and COVID-19 Severity

The recent COVID-19 pandemic is the defining global health crisis of our time and little is known about this disease. It has been reported that advanced age is considered a major risk factor for COVID-19 complications, and data suggest that this disease is deadlier for men than women but these observations are currently unclear. Regarding androgen action, it has been shown that certain smooth muscles are a target for androgens by inducing an acute relaxing effect in airway and vascular tissues that is nongenomically mediated; likewise, androgens are capable of inducing genomic anti-inflammatory and nongenomic hypotensive responses. The aim of this report is to associate the relationship between COVID-19 and aging men as well as the comorbidities presented in this group of patients linked with androgen deficiency. Remarkably, the nongenomic mechanisms of androgens as potential protectors are reviewed. On this basis, it is suggested that hypotestosteronemia may be a risk factor for COVID-19 severity.

Comparison between Ankle Stretching and Self Massage for Plantar Fascia Treatments on Male and Female Posture Balance

When performing physical activity and sports, men and women are at risk of the plantar fascia that could decrease foot functions when walking, running, and jumping. Thus it requires accurate prediction results in handling it. This study aimed to determine whether clinical findings can help plantar fascia flexibility treatments and managements through ankle stretching and self-massage interventions on posture balance based on gender. This study used a quasi-experimental design with a 2x2 factorial design for male and female categories. The population of this study was 300 students, while the samples were 40 students aged 19-26 years, consisting of 20 males and 20 females. The sampling technique used stratified random sampling. Furthermore, the ankle dorsiflexion intervention was performed by stretching the ankle to overcome plantar stiffness. For self-massage, the golf ball roll relaxation gave a relaxing effect on plantar pressure. The ankle dorsiflexion and golf ball roll relaxation were performed for 45 seconds. The data collection instrument of this study was a standing stork test as a measurement reference. Data analysis used two-way ANOVA statistical test with the help of SPSS application. The results showed that the significance value of comparing ankle stretching and self-massage technique effects for plantar fascia on the posture balance based on gender was (p0.05). The significance value of posture balance in terms of gender was (p) = 0.417. Meanwhile, the difference between ankle stretching and self-massage interaction based on gender was (p) = 0.000. This study indicates that these findings can assist the treatment and management of plantar fascia flexibility through ankle stretching and self-massage interventions to balance the posture in terms of gender. Treatment for plantar fascia flexibility is more effective with ankle stretching.

The Effect of Creative Arts Therapy on Stress Level and Blood Pressure of The Elderly With Hypertension

The elderly are vulnerable to hypertension due to the accumulation of unhealthy lifestyles for a long time and can be exacerbated by the stress due to the inability to adapt to the decline in physical conditions, changes in roles and social relations, economic ability, degenerative diseases and treatment in the long term. Risk factors for hypertension can caused by stress. Stress management can be done with a combination of creative arts therapy that is singing, drawing, and storytelling which has a relaxing effect. This study aims to determine the effect of creative arts therapy on stress levels and blood pressure of the elderly with hypertension in Kesiman Kertalangu Village, East Denpasar City, Bali, Indonesia. This research was a quasy experiment with pre-test and post-test design. Samples used were 63 elderly with hypertension who experience mild and moderate stress using simple random sampling technique divided into three groups of treatment with the amount 21 elderly of each groups. Stres level of of hypertension were evaluated using The Stress Assessment Questionnaire and blood pressure measurement using manometer. The main results of this study indicated that creative art therapy can reduce stress of the elderly significantly with p value 0.000<0.05. An average of blood pressure in creative art therapy has decreased. Wilcoxon test results showed the p value of blood pressure (sistole;diastole) for singing (0.002;0.014), storytelling (0.009;0.008) and drawing (0.016;0.011) <0.05 which means that there is an effect of those therapy on elderly blood pressure. The results of the Ancova analysis showed no difference in blood pressure results after each intervention was given to the elderly (p value 0.244>0.05 for systole dan p value 0.738>0.05 for diastole). That means that each intervention has a similar effect on reducing blood pressure. Creative arts therapy provides a relaxing effect while performing art activities so that feeling calms down and stimulates the healing process. Further research with a larger population needs to be done to increase public awareness of the benefits of creative art therapy to reduce stress and blood pressure in the elderly with hypertension. Index Terms— : elderly, creative arts therapy, singing, drawing, story telling, hypertension

Prenatal Yoga Untuk Kondisi Kesehatan Ibu Hamil

<p><em>In essence, pregnancy is a natural nature that must be carried out by women which at the same time can be a threat to the safety of their souls. So that this is not a serious threat, pregnancy needs treatment with good help. One of the activities that pregnant women can do is doing prenatal yoga activities. Yoga is a form of mind body practice that originated in India. Yoga is a science that explains the link between physical, mental, and spiritual humans to achieve overall health. Prenatal yoga (yoga for pregnancy) is a modification of classical yoga which has been adapted to the physical condition of pregnant women which is done with a more gentle and slow intensity. The principles of prenatal yoga are the principles of prenatal yoga, namely breathing with full awareness. Prenatal yoga practice can help improve the health of pregnant women. Posture and breathing exercises have a relaxing effect and help reduce physical stress.</em> <em>There are several techniques that can be done in prenatal yoga, namely calming or centering the mind, pranayama, warming up and implementing asanas for pregnant women.</em></p>

Comparison of Relaxing Effects of Sufi and Gregorian Music on People with High State Anxiety Levels

Objective: The aim of this study is to compare therelaxing effects of two religious music in people who has normal trait anxiety levels but high state anxiety levels and to investigate if the relaxing effect is relevant to cultural background. Methods: Sixty university students, aged between 20 and 25 with no psychiatric illnesses and no visual or hearing impairment were enrolled in this study. The participants were divided into subgroups consisting of ten people each. The two music applications were performed in two different sessions for each participants. All participants were given the trait anxiety inventory (STAI-2) at the beginning of the study, and state anxiety inventory (STAI-1) before the visual anxiety triggering material and after the music applications. Results: Both Sufi and Gregorian music caused a decrease in STAI-1 anxiety points, however, Sufi music was significantly effective in relieving anxiety compared to Gregorian music. Conclusion: The relatively more relaxing effect of Sufi music among participants may be due to the cultural archetypes.

Musik sebagai Intervensi Nonfarmakologik untuk Menurunkan Kecemasan pada Pasien Ekstraksi Gigi

Tooth extraction is the most common dental procedure in dentistry besides dental filling. Anxiety is a significant problem faced by patients who undergo dental extraction. There are many factors which can affect anxiety level visually and auditorily. Non-pharmacological intervention including music therapy has a substantial role as interventional media or additional of other therapies in reducing pain and anxiety. This study was aimed to evaluate the roles of music as a non-pharmacological intervention to reduce anxiety in patients undergoing tooth extraction. This was a literature review study using three databases; google scholar, PubMed, and ScienceDirect. The keywords used were music as non-pharmacological intervention reducing extanxiety during tooth extraction. There were 10 literatures in this study. The results showed that music had important roles as an interventional media or additional of other therapies in reducing pain and exaggerated anxiety. Music could also give relaxing effect, reduce anxiety, improve mood, control emotion, and reduce blood pressure as well as pulse rate during tooth extraction. In conclusion, music can be used as an alternative in reducing the anxiety during tooth extraction due to a variety of effects, such as sedating, decreasing the sensitivity to surrounding area, stabilizing emotion, and decreasing blood pressure as well as pulse rate.Keywords: music, anxiety, tooth extraction Abstrak: Ekstraksi gigi merupakan tindakan yang paling sering dilakukan dalam bidang kedokeran gigi selain penambalan. Kecemasan merupakan hal yang selalu dirasakan saat akan dilakukan ekstraksi gigi. Banyak hal yang dapat memengaruhi tingkat kecemasan pada tindakan ekstraksi gigi baik secara visual maupun auditorik. Intervensi nonfarmakologi dengan terapi musik berperan penting sebagai media intervensi dalam konteks meringankan rasa nyeri dan cemas. Penelitian ini bertujuan untuk mengevaluasi peran musik sebagai intervensi nonfarmakologik dalam menurunkan kecemasan pada pasien ekstraksi gigi. Jenis penelitian ialah literature review. Database yang digunakan yaitu google scholar, PubMed, dan ScienceDirect dengan kata kunci yaitu musik sebagai intervensi nonfarmakologik mengurangi kecemasan ekstraksi gigi. Hasil penelitian mendapatkan bahwa musik berperan penting sebagai media intervensi atau pelengkap dari bentuk terapi lain dalam konteks meringankan rasa nyeri atau cemas berlebihan. Musik juga memberikan efek menenangkan, mengurangi kegelisahan, membuat perasaan menjadi rileks dan santai, menstabilkan emosi, menurunkan kecemasan pasien, serta menurunkan tekanan darah dan denyut nadi saat ekstraksi gigi. Simpulan penelitian ini ialah musik dapat dijadikan sebagai alternatif untuk menurunkan kecemasan pasien saat ekstraksi gigi dengan memberikan efek menenangkan, mengurangi kepekaan terhadap lingkungan sekitar, menstabilkan emosi, serta menurunkan tekanan darah dan denyut nadi.Kata kunci: musik, kecemasan, ekstraksi gigi

EFEKTIVITAS PEMBERIAN AROMA TERAPI LAVENDERDAN MASSAGE EFFLEURAGE TERHADAP PENURUNAN NYERI MENSTRUASI PADA REMAJA PUTRI DI SMAN 10 PEKANBARU

Lavender aromatherapy and effleurage massage are non-pharmacological methods, aromatherapy can reduce pain, stress, anxiety and massage can cause a relaxing effect. The aim was to see the effectiveness of lavender aromatherapy and effleurage massage in reducing menstrual pain in young women. The research design used a pre-experimental and a two-group design as a sample, a pre-test-posttest study of girls who experienced menstrual pain and met the criteria. The data in this study used an observation sheet, the analysis used a paired sample t-test. The results showed that the significance value of 0.000 <0.05, there was a difference between the pre-test and post-test giving lavender aromatherapy and effleurage massage with differences in the lavender aromatherapy group. The high average value of effleurage massage with a difference of 0.16 indicates that young women who experience menstrual pain can apply non-pharmacological treatments to reduce pain due to menstrual pain, one of which is lavender aromatherapy and effleurage massage to reduce the use of pharmacological drugs.

THE EFFECT OF DHIKR THERAPY ON ANXIETY IN PREOPERATIVE PATIENTS AT SURGICAL ROOM IN PEMANGKAT GENERAL HOSPITAL IN 2020

Perioperative is a surgical process that begins pre surgery (surgery), surgery (intraoperative), and postoperative (postoperative). While undergoing a preoperative course the patient will experience anxiety. One way to reduce anxiety levels by giving the dhikr therapy has a relaxing effect. The purpose of this study was to determine the effect of dhikr therapy on the level of anxiety inpreoperative patients in the surgical ward of the general regional Pemangkat hospital in 2019. This research used quantitative research with the pre experiment method, and pre and post test without control group approach. The method of selecting samples in this study uses Non Probability Sampling with Conseutive Sampling techniques. The sampling technique using one questionnaire, namely the APAIS (Amsterdam Preoperative Anxiety and Information Scale) questionnaire, which was conducted 2 times, namely 1 pre and 1 post. The number of samples in this study were 33 respondents from preoperative patients. The data analysis in this study used Paired T test.The results of the study with the effect of dhikr therapy on the anxiety level of preoperative patients were produce a P value of 0.00 with a significance value of 0.05. So the value of P < 0.05 which means that Ha accepted. The conclusion of this study found that the Dhikr therapy have positive effect to reduce the levelof anxiety in preoperative patients in the surgical ward of the general regional Pemangkat hospital in 2019. For the nursing profession, to the hospital for the respondent institutions, for further research. Hopefully this research has been done can be put to good use for the delivery of health services in the future.