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Hubungan Fungsi Seksual dengan Kecemasan Pasien Pasca-Infark Miokard Akut Melinda Harini; Deddy Tedjasukmana; Tresia Fransiska U Tambunan; Muhammad Yamin; Petrin Redayani Lukman S; Hamzah Shatri; Melinda Harini
Jurnal Kardiologi Indonesia Vol. 37, No. 2 April - Juni 2016
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v37i2.568

Background: Sexual dysfunction and anxiety frequently happens on patients after acute myocardial infarction (AMI) and can affect patients’ quality of life. The purpose of this study was to examine the assosiation of sexual function post-AMI patients with anxiety. Methods: It was a cross-sectional study. Respondents are patients in Integrated Cardiac Clinic of Cipto Mangunkusumo Hospital that meet inclusion and exclusion criteria. They signed informed consent. Sexual function was assessed using International Index of Erectyle Function (IIEF) and anxiety was assessed using Hamilton Anxiety Rating Scale (HAM-A). Results: Post-AMI patients had erectile dysfunction (82.5%), orgasm dysfunction (72.5%) and libido dysfunction (93.8%). Respondents expressed sexual intercourse dissatisfaction (97.5%) and overall dissatisfaction (90%). The proportion of post-AMI anxiety was 52.5%. There was no assosiation between sexual function post-AMI with anxiety. Conclusion: Anxiety and sexual dysfunction post-AMI is a considerable problem. Factors that affect anxiety and sexual dysfunction post-AMI needs to be explored further so that an integrated management guidelines could be proposed.

Applicability of Acu-TENS in Patients with Chronic Obstructive Pulmonary Disease Melinda Harini; I Nyoman Murdana
Indonesian Journal of Physical Medicine & Rehabilitation Vol 4 No 01 (2015): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Asthma and Chronic Obstructive Pulmonary Disease (COPD) are the most global prevalence disease.Accupunture has been proved to be the adjuvant therapy for both airway obstructive diseases. Butinvasive technique that were used in accupunture, is not comfortable for some patients and dependsso much to operator’s skill. Acu-TENS is an electrical stimulation therapy with low frequency,in which transcutaneous electrodes are placed over acupuncture points, Dingchuan (EX-B1). It isless invasive, easy to apply and offer advantages to patient with COPD. The Acu-TENS therapymechanism in COPD were related to lung function, functional capacity, quality of life improvement.Moreover, higher blood ß-endorphin is produced and in fact, it is found to be moderately correlatedwith reduction of respiratory rate, improvement of forced expiratory volume in one second (FEV1).Therefore, Acu-TENS could be used as alternative electrodes placement in order to improve symptoms, muscle function, and functional capacity in patients with COPD. However, long-termstudy to evaluate the application of Acu-TENS is highly recommended.Keywords: Acu-TENS, COPD, ß-endorphin

Applicability of Acu-TENS in Patients with Chronic Obstructive Pulmonary Disease Melinda Harini; I Nyoman Murdana
Indonesian Journal of Physical Medicine & Rehabilitation Vol 4 No 01 (2015): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Asthma and Chronic Obstructive Pulmonary Disease (COPD) are the most global prevalence disease.Accupunture has been proved to be the adjuvant therapy for both airway obstructive diseases. Butinvasive technique that were used in accupunture, is not comfortable for some patients and dependsso much to operator’s skill. Acu-TENS is an electrical stimulation therapy with low frequency,in which transcutaneous electrodes are placed over acupuncture points, Dingchuan (EX-B1). It isless invasive, easy to apply and offer advantages to patient with COPD. The Acu-TENS therapymechanism in COPD were related to lung function, functional capacity, quality of life improvement.Moreover, higher blood ß-endorphin is produced and in fact, it is found to be moderately correlatedwith reduction of respiratory rate, improvement of forced expiratory volume in one second (FEV1).Therefore, Acu-TENS could be used as alternative electrodes placement in order to improve symptoms, muscle function, and functional capacity in patients with COPD. However, long-termstudy to evaluate the application of Acu-TENS is highly recommended.Keywords: Acu-TENS, COPD, ß-endorphin

Non-nutritive sucking milestones of preterm infants in Indonesia: a descriptive study Luh Karunia Wahyuni; Irawan Mangunatmadja; Risma Kerina Kaban; Elvie Zulka Kautzia Rachmawati; Melinda Harini; Budiati Laksmitasari; Agatha Geraldyne; Inez Ayuwibowo Sangwidjojo; Dini Prima Utami; Victor Prasetyo Poernomo; Adrian Prasetya Sudjono
Paediatrica Indonesiana Vol 62 No 5 (2022): September 2022
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi62.5.2022.311-7

Background Non-nutritive sucking (NNS) maturity has been used as one of the markers of oral feeding readiness in infants. Prematurity may hinder the attainment of NNS milestones. Depending on gestational age (GA) at birth, preterm infants may display various degrees of immaturity, potentially affecting the strength, coordination, and efficiency of skills required for NNS. Objective To identify the progression of NNS patterns across gestational age groups of preterm infants in Indonesia by comparing NNS parameters between moderate-to-late preterm and very preterm infants. Methods NNS evaluation was conducted in 120 preterm infants born at 28-34 weeks gestational age in five tertiary hospitals in Jakarta, Indonesia. Three aspects of NNS (suction pressure, number of suctions per burst, and time between bursts) were documented and arranged to present a descriptive overview. A suction pressure measurement device was used to record, identify, and analyze NNS parameters. We hypothesize that maturity, as determined by GA, positively affected the attainment of NNS milestones. Results Moderate-to-late preterm infants (GA 32 to <37 weeks), compared to very preterm infants (GA 28 to <32 weeks), had higher mean NNS pressure (-79.8 vs. -72.7 mmHg, respectively, P=0.041) and shorter mean time between bursts (6.63 vs. 7.36 s, respectively, P=0.030). Mean number of suctions per burst were also significantly different between the two GA groups (8.90 vs. 8.99 sucks/burst, respectively, P=0.048). Conclusion Maturity, as reflected by GA, had a positive effect on the attainment of NNS milestones in preterm infants in Indonesia. Significant differences in the three NNS parameters: number of suctions per burst, time between bursts, and suction pressure were found between moderate-to-late preterm and very preterm infants.

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