Perbedaan MBSR dan Terapi Musik untuk Menurunkan Stres pada Pasien Kanker Payudara di Era Pandemi COVID-19

This study aims to determine the differences in the effectiveness of MBSR and music therapy in reducing the stress level of breast cancer patients in the COVID-19 pandemic era. The method used is a systematic review using the Scopus, ScienceDirect, Web of Science, PubMed and CINAHL databases. The JBI critical assessment checklist was used to assess the methodological quality of the included randomized controlled trials. The results showed that the MBSR intervention was carried out in 4-12 weeks, while music therapy was carried out in 12-40 minutes. MBSR and music therapy can reduce stress in breast cancer patients, but MBR therapy is more effective in the long term. In conclusion, MBSR and music therapy can be used as psychological therapy for breast cancer patients during the COVID-19 pandemic.  Keywords: Breast Cancer, MBSR, Stress, Music Therap

The differences of tooth density changes in the applications of 45% carbamide peroxide PF and 38% hydrogen peroxide PF as dental bleaching agents and after the application of 1.2% acidulated phosphoric fluoride

The changes of tooth density is caused by the dissolutions of mineral enamel (demineralization) by bleaching agent. The purpose of this research was intended to know tooth density changes after the application of bleaching agent using 45% carbamide peroxide potassium fluoride (PF) and 38% hydrogen peroxide potassium fluoride (PF) and after the application of 1.2% acidulated phosphoric fluoride (APF).This research was true experimental in-vitro. Sample taking was by random sampling. The sample consisted of 32 maxillary central incisive permanent teeth. The tooth density was measured using RVG (Radiovisiography). The research results were analyzed and tested in a pair and in a pair of two sample for means using t student method. The conclusion of the research was a decrease of tooth density after the application of bleaching agent with 45% carbamide peroxide PF and 38% hydrogen peroxide PF with statistically significant. After the application of 1.2% APF the density increased significantly but the density was lower than original density. There was no significant difference between bleached with 45% carbamide peroxide potassium fluoride and 38% hydrogen peroxide potassium fluoride

Cognitive Behavior Therapy dalam Menurunkan Kecemasan pada Pasien Kanker Payudara

This study aims to determine the effect of cognitive behavior therapy in reducing anxiety in patients with breast cancer. The research method used in this research is a systematic review through the PICOT method by searching using the CINAHL, SAGE, SCOPUS, and Proquest databases. The study results showed that most revealed a positive impact of cognitive behavior therapy on reducing anxiety in patients with breast cancer. In conclusion, the benefits provided by this therapy can help overcome the stress experienced by patients with breast cancer.   Keywords: Cognitive Behavior Therapy, Breast Cancer, Anxiet

Perbedaan MBSR dan Terapi Musik untuk Menurunkan Stres pada Pasien kanker Payudara di Era Pandemi Covid-19

This study aims to determine the differences in the effectiveness of MBSR and music therapy in reducing the stress level of breast cancer patients in the COVID-19 pandemic era. The method used is a systematic review using the Scopus, ScienceDirect, Web of Science, PubMed and CINAHL databases. The JBI critical assessment checklist was used to assess the methodological quality of the included randomized controlled trials. The results showed that the MBSR intervention was carried out in 4-12 weeks, while music therapy was carried out in 12-40 minutes. MBSR and music therapy can reduce stress in breast cancer patients, but MBR therapy is more effective in the long term. In conclusion, MBSR and music therapy can be used as psychological therapy for breast cancer patients during the COVID-19 pandemic

The Lived Experience of Women with Breast Cancer

Breast cancer is the most common cancer among women. Women with breast cancer face many psychosocial and physical problems. In addition, such women have to deal with treatment problems, physical changes, feelings of loss and uncertainty, self-reconstruction, and changes in social interaction and support. This study aims to explore and identify their life experiences while undergoing chemotherapy. A phenomenological approach was used to explore the meaning of life with breast cancer for women undergoing chemotherapy at Surabaya,Indonesia. The patient's feelings and life experience with breast cancer were explored by using in-depth interviews with 30 women between 26 and 65 years. The results of this study reveal that the diagnosis of breast cancer produces various emotional responses. Participants explained their experience of living with breast cancer as losing something important, lack of self-confidence, living with fear, emotional dizziness and the need to be supported in the negative aspects of breast cancer and helping to explore new aspects of life as a positive aspect of this event. These findings have the potential to lessen health disparities in increasing utilisation of psychosocial treatments by Indonesian women with breast cancer

Apical instrumentation in endodontic therapy

Cleaning and shaping of the root canal as the foundation for successful endodontic therapy. Cleaning of the root canal as the removal of all the contents of the root canal systems before and during shaping. Mechanical cleaning as the most important part of the root canal therapy. Instrumentation of the apical region has long been considered to be an essential component in the cleaning and shaping process. The apical area as the critical zone for instrumentation. The apical portion of the root canal system can retain microorganisms that could potentially cause periradicular inflammation. The nickel-titanium rotary instrumentation system to facilitate the cleaning and shaping process. Larger instrumentation sizes not only allow proper irrigation but also significantly decrease remaining bacteria in the canal system. How the larger apical sizes preparation must be achieved to clinical success. This paper will describe the major factors impacting the selection of final apical size, the factors are the anatomy of the apical constriction, root canal diameter, apical instrumentation, and bacteria in dentin tubuli

Endodontic treatment failure caused by arsen utilization as the devitalization material

Root canal treatment diagnoses as pulpitis irreversible can be treated in a non-vital condition with devitalization material. Arsenic is one of devitalization material that used in inflammatory pulp tissue before it is going to endodontic treatment. The long-term use of it or the leak of using this arsenic can cause the toxic effect of the pulp tissue. The case is going to report is about the damage of gingival tissue and alveolar that caused by the uncarefullness using of arsenic. Inappropriate arsenic applications cause the leak that able to spread to gingival tissue and will become necrosis. Now a day, the using of arsenic begin to leave because of the toxicity sad effect. This report is going to report how much the damage using arsenic trioxide (As2O3) and the effort from the leakness

Effectiveness of EDTA as the irrigation solution to remove smear layer in root canal

One of the objectives of successful endodontic treatment is the hermetic obturation of the root canal system. To achieve this, the root canal filling must seal the canal space both apically and coronally to prevent the ingress of microorganisms or tissue fluids into the canal space. Apical leakage is reported a common reason for the clinical failure of endodontic therapy. Leakage through an obturated root canal is expected to take place at interfaces between sealer and dentin or sealer and gutta-percha, or through voids within the sealer. Hence, the sealing quality of root canal filling depends much on the sealing ability of the sealer. Therefore, anything that may influence the adaptation of the root filling to the canal wall is can determine the degree and the extent of leakage, and ultimately the prognosis of the endodontic therapy. In endodontic therapy, the smear layer formation results from root canal preparation and may influence the effective seal of the root canal system. The smear layer formation is mainly composed of inorganic components (dentin debris) and organic materials, such as pulp tissue remnant, bacteria, and blood cells. Removal of the smear layer from the root canal walls before the obturation can reduce the leakage of root canal sealer. To remove the smear layer use 10 ml 17% EDTA followed by 10 ml of 5.25% NaOCl as irrigating solution. This paper discribe about how the effectivity of EDTA as irigating solution to remove the smear layer especially in the apical root canal with many lateral canal to reduce the apical leakage

The difference of 17% ethylenediaminetetraacetic acid irrigation material contact time of 60 seconds and 30 seconds toward of cleanliness of apical third root canal wall

Root canal preparation is one important step in endodontic treatment, involves the cleaning and the shaping of the root canal debris. Root canal cleaning effectiveness depends on the preparation bio-mechanical and irrigation. Purpose of this study was to evaluate the cleanliness of apical third of root canal wall from of debris, with the contact time of 17% EDTA irrigation material for 60 seconds and 30 seconds after root canal preparation using rotary NiTi instruments. This quasi-experimental study was carried out invitro, with random sampling technique. The sample used was 20 central maxillary incisors that have been extracted and divided into two experimental groups of 10 teeth each. The results were analyzed using student t statistics, showed that the average value of the debris of the two groups differed significantly. The contact time of 60 seconds of 17% EDTA showed cleaner root canal than the 30 seconds. The conclusion of this study was there were the differences of the cleanliness of apical third of the root canal with the 60 seconds contact time of 17% EDTA irrigation materials than 30 seconds contact time