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Published By Rifa Institute

2775-6440, 2808-7208

2021 ◽  
Vol 1 (12) ◽  
pp. 1002-1010
Author(s):  
Dicki Apriansyah Haris Putra ◽  
Lale Sirin Rifdah S ◽  
Putu Mega Asri D ◽  
Muhammad Mahfuzzahroni

Myasthenia gravis (MG) is an autoimmune disorder that affects neuromuscular transmission, causing generalized or localized weakness characterized by fatigue. Myasthenia gravis is most commonly associated with antibodies to the acetylcholine receptor (AChR) on the motor end plate in the postsynaptic neuron. This article aims to determine the appropriate neurointensive management in patients with myasthenia gravis with complications of myasthenic crisis. The writing of this article includes various sources originating from scientific journals and government guidelines and related agencies. Source searches were carried out on online portals for journal publications such as MedScape, Google Scholar (scholar.google.com) and the National Center for Biotechnology Information (ncbi.nlm.nih.gov), with the keyword “Myasthenia Gravis”. The management of myasthenia gravis can be done in various ways, namely, mechanical intubation and ventilation, non-invasive ventilation, pridostigmine as an anticholinesterase inhibitor, immunosuppressant therapy, short term immunotherapy, intravenous immunoglobulin, and surgical therapy. In the treatment of myasthenia gravis, the main goal is to restore muscle condition, especially patient productivity where the management of myasthenia gravis consists of management of myasthenic crisis, cholinergic crisis, symptoms, immunosuppressant therapy, and thymectomy surgical therapy if a tumor is indicated.


2021 ◽  
Vol 1 (12) ◽  
pp. 946-956
Author(s):  
Rani Salsabilla ◽  
Marie Yuni Andari ◽  
Monalisa Nasrul

Congenital cataracts are the leading cause of blindness in children. Lens opacity in early life has the potential to cause permanent visual impairment if not treated promptly. Cataract surgery performed at the right time can prevent children from amblyopia (lazy eye). This study aims to determine the characteristics of congenital cataracts at the West Nusa Tenggara Provincial General Hospital in the 2018-2019 period. This research uses descriptive method. The data used is secondary data from medical records of congenital cataract patients at the West Nusa Tenggara Provincial General Hospital in the 2018-2019 period. In the 2018-2019 period, 40 children had congenital cataracts. Most of the cataract sufferers were women (52.5%); living outside the city of Mataram (92.5%) with an age distribution of under 12 months (95%) and the rest over 12 months. For infants under 12 months, 53 percent have been diagnosing at the age of 1-2 months. The characteristics of congenital cataracts found were generally bilateral (52.5%), had standard birth weight (52.5%), history of natural birth delivery (67.5%), and had other extraocular congenital abnormalities (72.5%). Most patients with congenital cataracts in the West Nusa Tenggara Provincial General Hospital have been diagnosing at a (pretty/moderately) early age of 1-2 months at the beginning of their lives. So, with appropriate and prompt therapy, hoping that it can reduce the risk of amblyopia.


2021 ◽  
Vol 1 (12) ◽  
pp. 896-903
Author(s):  
Genta Faesal Atsani ◽  
Zanetha Mauly Ilawanda ◽  
Ilma Fahira Basyir

Neural tube defects (NTD) are one of the birth defects or congenital abnormalities that occur in the brain and spine, and commonly find in newborns worldwide. Anencephaly and spina bifida are the two prevalent forms of NTD. The incidence of spina bifida happen on average 1 in 1000 cases of birth worldwide and there are 140,000 cases per year worldwide. Source searches were carried out on the online portal of journal publications as many as 20 sources from MedScape, Google Scholar and the Nation Center for Biotechnology Information / NCBI with the keywords “Neural tube defects (NTD), prevention, and spina bifida”. Spina bifida is a congenital abnormality that occurs in the womb due to a failure of closing process the neural tube during the first few weeks of embryonic development which causes the spine not completely close around the developing spinal cord nerves. NTD can ensue multifactorial conditions such as genetic, environmental, and folate deficiency. The use of folic acid supplementation starting at least 3 months before pregnancy, those are 400 mcg (0.4 mg) per day and 800 mcg per day during pregnancy can reduce the risk of developing neural tube defects such as spina bifida. Generally, spina bifida is undertaking by surgery and the regulation of patients comorbid. Public can find out prevention to avoid or reduce the risk of spina bifida so that the incidence of spina bifida can decrease along with the increasing awareness of the community regarding this disease.


2021 ◽  
Vol 1 (12) ◽  
pp. 855-867
Author(s):  
Elika Sifra Lidya ◽  
Mitro Subroto

LAPAS or Correctional Institution under the auspices of the Directorate General of Corrections is the final place of the criminal justice system process that fosters and integrates the social of convicts, so that when returning to society they are able to live a normal life. Elderly (according to Law No. 13 of 1998: Elderly) is a person whose age reaches the age of 60 years and above. In its efforts, Correctional Services interpret this understanding by regulating the rights of inmates contained in Law no. 12 of 1995 article 14 paragraph 1.The increasing age and declining body condition of the elderly inmates need special treatment both in health, treatment, and public services. Elderly inmates as much as possible are treated as people usually are, it's just that the place and application are different. This is for the implementation of part of Human Rights (HAM) as a national instrument. This special handling effort involves other stakeholders be it medical or health workers and the government to support the infrastructure needed. The elderly as one of the vulnerable groups become important objects in terms of how decent handlers are so that they feel cared for in their twilight years. Although until now still in the process and stages of refinement of special handling for them. The fact is still not optimal and this study illustrates how well the effort is.


2021 ◽  
Vol 1 (12) ◽  
pp. 971-978
Author(s):  
Salwa Khairunnisa ◽  
Muhammad Ghifari Rifansha ◽  
Ayundha Rizky Lestari ◽  
Cahya Nabila

Since the pandemic, all countries have implemented Work From Home (WFH) policies, which are new policies that utilize the virtual world. As for the negative effects that can be given from WFH, such as the occurrence of Neck Pain. Neck Pain is pain in the cervical spine from the superior line of the first thoracic spinous nuchal process. Reported cases of neck pain in office workers as much as 15% to 34.4%. Source searches were carried out on the online portal of journal publications as many as 27 sources from Medscape, Google Scholar, National Center for Biotechnology Information (NCBI) with the keywords WFH and Neck Pain. Sitting in a chair or bed without a table while working on a computer or laptop can cause neck pain and the upper or lower back area. When fatigue occurs in the neck muscles, it can cause static muscle contractions that last a long time, if this condition occurs continuously there will be pain and discomfort in the neck muscle area which can eventually lead to disability. In this study, the author uses a qualitative method with a literature review research paradigm. Qualitative research methods are carried out in natural conditions and carried out on direct data sources. The purpose of the qualitative method is to gain an understanding of the meaning of the problem to be studied.


2021 ◽  
Vol 1 (12) ◽  
pp. 979-986
Author(s):  
Wita Hana Puspita ◽  
Tjetjep Sudrajat

An Army soldier must be able to foster physical fitness so that his body becomes healthy and can carry out his main duties to maintain the sovereignty and territorial integrity of the Republic of Indonesia. This study aims to determine the effect of adding core stability exercise to increasing the value of physical fitness B in soldiers. Quasi experimental design research held at Yon Armed 4 Cimahi. A sample of 20 soldiers divided into 2 groups. The dependent variable is the physical fitness score B and the independent variable is the core stability exercise. Exercise is carried out for 4 weeks with a frequency of 3 times per week. The difference in test results between the experimental group and the control group both before and after core stability exercise was tested by independent T test. There was a difference in the mean physical fitness scores between the experimental group (Mean= 85.80; SD= 2.82) and the control group (Mean= 82.50; SD= 2.32) before the intervention, and the difference was statistically significant (p= 0.011). There was a difference in physical fitness scores before and after the intervention between the experimental group (Mean= 3.90; SD= 1.52) and the control group (Mean= 1.60; SD= 0.70) and statistically significant (p < 0.001), with effect size = 1.94. Conclusion core stability exercise is effective to increase the physical fitness value of B on soldiers of Yon Armed 4 Cimahi


2021 ◽  
Vol 1 (12) ◽  
pp. 918-932
Author(s):  
Muhammad Achyar ◽  
I Wayan Midhio ◽  
Khaerudin Khaerudin

The purpose of this study is to analyze the strategies and constraints of Indonesia's defense policy in responding to the development of China's military base construction in the South China Sea. Data obtained through literature study and interviews with informants, then analyzed using qualitative methods. The results of this study can be concluded that Indonesia's current defense strategy has not been concretely described and the problems found in the formulation of Indonesian policies have yet to be found a solution because there are still egos and differences in interests among policy makers, the solution requires commitment from the Ministry of Defense, TNI Headquarters, and Main Command to faithfully adhere to execute all planning and road map that were prepared together.


2021 ◽  
Vol 1 (12) ◽  
pp. 845-854
Author(s):  
Atik Handariati ◽  
Galih Aji Gandika

Taekwondo is a martial sport that relies on kicks. For a taekwondo athlete to kick, it is necessary to support the explosive power of the leg muscles. This study aims to analyze the relationship between age, sex, body mass index, length of exercise with leg muscle explosive power in taekwondo athletes. Subjects and Methods: This analytic descriptive study used a cross sectional design. The subjects of the study were taekwondo members at Sangkuriang Sports Hall and Lions Gymnasium in Cimahi City, West Java Province, totaling 95 people. The dependent variable is leg muscle explosive power. The independent variables were age, gender, body mass index and duration of exercise. The instruments used are questionnaires and vertical jump measuring instruments. Data were analyzed bivariately using OR and chi square test. The explosive power of the limbs increased with increasing age (OR= 2.89; 95% CI= 1.23 to 5.77; p= 0.010) and duration of exercise (OR= 7.44; 95% CI= 2.96 to 18.67; p <0.001). Leg explosive power decreased with body mass index but not statistically significant (OR= 0.72; 95% CI= 0.30 to 1.18; p= 0.600). Gender increased limb explosive power, but not statistically significant (OR= 1.14; 95% CI= 0.51 to 2.56; p= 0.900). The explosive power of the limbs increases with age and duration of exercise. The relationship between limb explosive power and sex and body mass index was not statistically significant


2021 ◽  
Vol 1 (12) ◽  
pp. 904-917
Author(s):  
Lalu Wisnu R Danu N ◽  
Anindhita Pangestika

Brain tumor patients often experience cognitive impairment. In the case of meningiomas, this disorder can affect areas of executive function and memory. Cognitive impairment in meningioma patients is influenced by the location and volume of the tumor. In a study of 38 patients with WHO grade I meningiomas, working memory capacity was lower in patients with tumor resection without adjuvant treatment compared with healthy controls. The writing of this article includes various sources originating from scientific journals and government guidelines and related agencies. Source searches were carried out on online portals for journal publications such as MedScape, Google Scholar (scholar.google.com) and the National Center for Biotechnology Information (ncbi.nlm.nih.gov), with the keyword “Meningioma”. Another study of 293 patients (220 women and 73 men) with multiple meningiomas showed that 23% of patients after surgery had neurological deficits and 12% had new permanent neurological deficits. Regarding risk factors, one study showed that the frequency of women is higher than that of men. In addition, age is also considered to have an effect on patients with meningiomas. Meningiomas are intracranial brain tumors that are often found in adults. Cognitive deficits are common in brain tumor patients. At least one area of ​​cognition is impaired in brain tumor patients.


2021 ◽  
Vol 1 (12) ◽  
pp. 884-895
Author(s):  
Feny Oktaviyani ◽  
Jenal Arifin

Physical fitness is the body's ability to carry out physical activities without causing excessive fatigue. For a military soldier, physical fitness plays an important role in improving and maintaining the military body, in order to support the implementation of the main tasks of military soldiers. Physical fitness can be optimized, one of which is the core stability exercise. This study aims to analyze the effect of adding core stability exercise to increase physical fitness A (endurance) in military soldiers at Brigif 15 Kujang II Cimahi. A quasi-experimental study with a pre-post two group design approach consisting of an experimental group and a control group. With purposive sampling technique, 48 people were selected which were divided into two groups, namely the experimental group (n=24) and the control group (n=24). The experimental group was given a 12-minute running exercise program and core stability exercise while the control group was only given a 12-minute running exercise and data collection in the form of a 12-minute running test. There was a difference in the mean physical fitness score A between the experimental group (Mean= 40.33; SD= 3.54) and the control group (Mean= 44.17; SD= 6.72) before the intervention, and the difference was statistically significant (p= 0.017). There was a difference in physical fitness scores before and after the intervention between the experimental group (Mean= 4.38; SD= 1.41) and the control group (Mean= 2.42; SD= 2.04) and statistically significant (p<0.001), with effect size = 1.14. Core stability exercise is effective to increase the value of physical fitness A in Brigif 15 Kujang II Cimahi soldiers.


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