Hubungan Fungsi Seksual dengan Kecemasan Pasien Pasca-Infark Miokard Akut

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.Latar Belakang: Disfungsi seksual dan kecemasan sering dialami oleh pasien pasca-infark miokard akut (acute myocardial infarct, AMI) dan dapat memengaruhi kualitas hidup. Tujuan penelitian ini adalah untuk menguji hubungan fungsi seksual dengan kecemasan pasien pasca-AMI. Metode: Penelitian ini menggunakan desain potong lintang. Responden adalah pasien rawat jalan Poliklinik Jantung Terpadu RS Cipto Mangunkusumo yang memenuhi kriteria inklusi dan eksklusi serta menandatangani informed consent. Fungsi seksual dinilai dengan International Index of Erectyle Function (IIEF) sedangan kecemasan dinilai dengan Hamilton Anxiety Rating Scale (HAM-A). Hasil: Pasien pasca-AMI mengalami disfungsi ereksi (82,5%), disfungsi orgasme (72,5%), dan disfungsi libido (93,8%). Responden pada umumnya menyatakan ketidakpuasan dalam hubungan seksual (97,5%) dan terhadap kehidupan seksual secara keseluruhan (90%). Proporsi kecemasan pasca-AMI adalah 52,5%. Tidak terdapat hubungan antara fungsi seksual dengan kecemasan pasca-AMI. Kesimpulan: Kecemasan dan disfungsi seksual merupakan masalah yang perlu diperhatikan pada pasien pasca-AMI. Faktor-faktor yang memengaruhi kecemasan dan disfungsi seksual pasca-AMI perlu dieksplorasi lebih lanjut sehingga panduan tatalaksana yang terintegrasi dapat disusun dengan baik

PROFIL KEBUGARAN JASMANI PETUGAS KEBERSIHAN DI UNIVERSITAS: SERI KASUS

Salah satu profesi yang menuntut fisik dan profil kardiorespirasi yang baik adalah seorang petugas kebersihan, yang sangat dibutuhkan di sebagian besar sector, namun kesejahteraannya jarang mendapat perhatian. Tujuan dari penelitian ini adalah untuk memberikan gambaran profil kardiorespirasi petugas kebersihan di kalangan perguruan tinggi, khususnya Universitas Indonesia. Dalam program pengabdian masyarakat berjudul “Fakultas Kedokteran Universitas Indonesia Peduli 2019”, peneliti melakukan studi deskriptif dengan melibatkan 7 orang partisipan yang berprofesi sebagai petugas kebersihan. Wawancara singkat serta pemeriksaan fisik dan penilaian kardiorespirasi sederhana dengan metode uji jalan 6 menit dilakukan. Hasilnya, subjek perempuan menunjukan hasil yang lebih baik pada uji jalan 6 menit, Kapasitas fungsional pernapasan untuk laki-laki dan perempuan mendapatkan skor lebih rendah dari normal (FEV1 58.00±18%; FVC 59.71±8.71%; FEV1/FVC87.29±10%). Simpulan, petugas kebersihan berisiko pensiun dini, dan tidak dapat bekerja dengan baik tanpa pemberian intervensi komprehensif dan jangka panjang. Hal ini dapat menjadi sasaran bagi program rehabilitasi bagi pekerja.

The Influence and Feasibility of Therapeutic Exercise Videos at Home on the Functional Status of Post-COVID-19 Hospitalization

The COVID-19 pandemic pushed physicians to modify conventional practices to reduce the exposure and risk of infection among patients and health workers. Telemedicine is one of the safest methods, and telerehabilitation could prevent the sequelae of COVID-19. A quasi-experimental study with randomized sampling without masking/blinding was conducted. The study was conducted from August 2021 to March 2022 at Hospital A in Pekanbaru, Hospital B in Jayapura, and Hospital C in Jakarta, Indonesia. A total of 27 patients were recruited and divided into control and intervention groups. The control group was given conventional education on therapeutic exercise at home, while the intervention group was shown educational videos about therapeutic exercise at home. The comparison of all functional outcomes between the two groups after the intervention showed a significant difference. The intervention group improved more than the control group, except for the fatigue severity scale. Most of the responses showed that this video was feasible and useful and did not need to be supervised by health workers. Therapeutic exercise educational videos can be an option to deliver rehabilitation programs for post-COVID-19 hospitalized patients

Factors Affecting Oral Feeding Ability in Indonesian Preterm Infants

Most preterm infants exhibit atypical and immature feeding skills. Even though preterm infants have fulfilled the oral feeding readiness criteria, they still do not have optimal oral feeding ability. This study aimed to determine various factors affecting oral feeding ability in Indonesian preterm infants who have fulfilled oral feeding readiness criteria but still have not been able to feed orally. A cross-sectional study included 120 preterm infants admitted to five tertiary hospitals in Jakarta, Indonesia. Participants were preterm infants born at 28–34 weeks gestational age who had fulfilled the oral feeding readiness as the inclusion criteria: (1) stable cardiorespiratory status, (2) have achieved full enteral feeding via orogastric tube (OGT) 120 mL/kg/day without vomiting or bloating, and (3) strong and rhythmic non-nutritive sucking (NNS) through objective measurement. Infants’ oral feeding ability and various factors that were assumed to affect oral feeding ability, including physiological flexion postural tone, physiological stability, rooting reflex, self-regulation, behavioral state, and level of morbidity were evaluated. Chi-square and multivariate analysis with Poisson regression were performed. Results indicated that postural tone, rooting reflex, physiological stability, self-regulation, behavioral state, and level of morbidity were significantly related to oral feeding ability in preterm infants. The most influencing factors were self-regulation with a prevalence ratio (PR) of 1.96 (1.16–3.34; CI 95%) and p = 0.012, followed by postural tone, high morbidity, and behavioral state (PR 1.91; 1.59; 1.56; CI 95%, respectively). In conclusion, despite meeting the oral feeding readiness criteria, most preterm infants were still not able to feed orally. There are other factors affecting oral feeding ability in Indonesian preterm infants

Gender Differences in Guideline-Directed Medical Therapy for Cardiovascular Disease Among Young Veterans

BackgroundThere is an increasing burden of cardiovascular disease, including coronary artery disease (CAD) and heart failure (HF), among women Veterans. Clinical practice guidelines recommend multiple pharmacotherapies that can reduce risk of mortality and adverse cardiovascular outcomes.ObjectiveTo determine if there are disparities in the use of guideline-directed medical therapy by gender among Veterans with incident CAD and HF.DesignRetrospective.ParticipantsVeterans (934,504; 87.8% men and 129,469; 12.2% women) returning from Operations Enduring Freedom, Iraqi Freedom, and New Dawn.Main measuresDifferences by gender in the prescription of Class 1, Level of Evidence A guideline-directed medical therapy among patients who developed incident CAD and HF at 30 days, 90 days, and 12 months after diagnosis. For CAD, medications included statins and antiplatelet therapy. For HF, medications included beta-blockers and renin-angiotensin-aldosterone system inhibitors.Key resultsOverall, women developed CAD and HF at a younger average age than men (mean 45.8 vs. 47.7 years, p<0.001; and 43.7 vs. 45.4 years, p<0.02, respectively). In the 12 months following a diagnosis of incident CAD, the odds of a woman receiving a prescription for at least one CAD drug was 0.85 (95% confidence interval [CI], 0.68-1.08) compared to men. In the 12 months following a diagnosis of incident HF, the odds of a woman receiving at least one HF medication was 0.54 (95% CI, 0.37-0.79) compared to men.ConclusionsDespite guideline recommendations, young women Veterans have approximately half the odds of being prescribed guideline-directed medical therapy within 1-year after a diagnosis of HF. These results highlight the need to develop targeted strategies to minimize gender disparities in CVD care to prevent adverse outcomes in this young and growing population