The Combination Effects of Physical Exercise and Dzikr for Anxiety Symptoms Improvement in the Elderly Hajj Pilgrim Candidates in Sragen

Background. Anxiety disorders often occur in prospective elderly hajj pilgrims during preparation for departure. Physical exercise and dzikr are recommended as one of the non pharmacological efforts in reducing anxiety disorders.Method. Quasi-experimental one group pretest and post-test with research subjects elderly hajj pilgrim candidates in Sragen in 2019 with symptoms of anxiety that were assessed using the Beck Anxiety Inventory (BAI) score. The intervention was carried out in the form of a combination of forty minutes of physical exercise and thirty minutes of dzikr, 4 times during two weeks and assessed differences in BAI scores before and after the intervention.Aims. To find out the improvement of the BAI score after the combined intervention of physical exercise and remembrance, the Paired t-test was performed if the data distribution was normal and the Wilcoxon test if the data distribution was not normal. Differences were considered significant if p <0.05.Result. There were significant differences in the overall BAI score (p-value <0.001, p <0.05), mild anxiety BAI score (p-value 0.001; p <0.05), systolic blood pressure (p-value 0.002, p<0.05), and pulse frequency (p-value 0.012, p <0.05) before and after the intervention. Obtaining a decrease in systolic blood pressure and a decrease in pulse frequency are parameters for achieving a relaxation response.Conclusions. Significant anxiety symptom improvements were demonstrated as the effect of a combination of physical exercise and dzikr in the elderly hajj pilgrim candidates in Sragen

Community Engagement Program Odapus (People with Lupus) ‘My Lupus’ Support Group Based in Wedomartani

Lupus is one of the autoimmune rheumatic diseases that require long-term treatment, can potentially be life-threatening, but is still unknown to the general public. However, there are various problems encountered by odapus (orang dengan lupus = people with lupus) and their companions during treatments. This program is established to create a support group for odapus, their companions, and associated medical professionals by organizing counseling and focus group discussion (FGD) during March until November 2018 in Wedomartani, as well as providing information regarding Lupus and its problems on www.jogjalupuscare.com and Lupus bulletin. Simultaneously, several studies were conducted to evaluate psychological factors of lupus survivors. Pre-test and post-test scores were used as evaluations of counseling and FGD, the results were analyzed using paired t-test or Wilcoxon test, whereas the research used Pearson or Spearman correlation test. The pre-test score increased from 86.81 to 100. There was a significant relationship between disease activity and depression scores, quality of life and insomnia scores, as well as anxiety and depression levels with the quality of life (p <0.05). There was no correlation between disease activity and anxiety scores. Education and counseling are some of the main pillars in lupus treatment, while psychological factors faced by odapus during treatments cannot be ignored

EFFECTS OF LATIHAN PASRAH DIRI ON THE IMPROVEMENT OF DEPRESSIVE SYMPTOMS A study on Human Immunodeficiency Virus (HIV)/ Acquired Immune Deficiency Syndrome (AIDS) patients at RSUP Dr. Sardjito, Yogyakarta

Background. Depression is more prevalent in persons with chronic illnesses such as diabetes, epilepsy and infection of Human Immunodeficiency Virus (HIV). Depression can make HIV even. Antidepressant may be needed, interaction and side effect may occur when using Antiretroviral (ARV) and antidepressant in combination. Complementary and alternative medicine (CAM) include Latihan Pasrah Diri(LPD) may seem safe to treat depression in HIV patients. Methods. This is a quasi experimental study, participant include outpatient dan inpatient at RSUP Dr. Sardjito, Yogyakarta. They were aged >18 years. After scoring with Zung Self Rating Scale for depression, participants allocated into two groups, with dan without Latihan Pasrah Diri program. Zung Self Rating Scale for depression was evaluated after 1 cycle of program. Result. The means of Zung Self-Rating Depression Scale score before and after LPD were 42,21 ± 9,3 and 35 ± 10,73 (p 0,003). While in control group (without LPD / brief psychotherapy) the means of Zung Self-Rating Depression Scale score before and 3 weeks after brief psychotherapy were 42,93 ± 7.45 and 39,36 ± 7,69 (p 0,019). Statistically there was no significancy in the means of delta Zung Self-Rating Depression Scale in LPD group and control group. Conclusion. It was concluded from this study that there is an influence on the improvement of depressive symptoms post- Latihan Pasrah Diri program to people with HIV / AIDS

LEPTIN LEVEL IN NON DIABETIC POPULATION WITH AND WITHOUT NON ALCOHOLIC FATTY LIVER (NAFL)

ABSTRACTBackground. Non alcoholic fatty liver disease (NAFLD) is a prevalent condition associated with obesity and insulin resistance. Leptin is an adipokine which plays role in decreasing food intake and controlling energy utilization. The role of leptin pathogenesis of NAFLD remains unclear. Former studies associated with the role of leptin in NAFL were never conducted in diabetic patients. Therefore we aimed to analyze the difference of leptin level in non diabetic population between subjects with and without non alcoholic fatty liver disease.Method. This was a non matching case control study in general check up polyclinic Dr.Sardjito Hospital Yogyakarta. The inclusion criteria were aged 30-60 years old, no history of alcohol consumption > 20 gr/day, no diabetes mellitus. The exclusion criteria were viral hepatitis (B and C), rapid weight loss, steroid therapy, and pregnancy.  Diagnosis of NAFL was based on bright liver imaging from ultrasonography.Result. There were 48 subjects consist of 23 subjects with NAFL and 25 subjects without NAFL. Mean of leptin level in NAFL group was higher than non NAFL group and this difference was statistically significant (20.29 + 15.73 ng/ml and 12.27 + 10.1 ng/ml; p=0.040).Conclusion. The conclusion of this study was leptin level significantly higher in non diabetic population with NAFL compared with non NAFL. Keywords:  leptin, non diabetic, non alcoholic fatty live

The Difference of Depression Score of Patients Failed Ultrafiltration Compared to Successful at Continuous Peritoneal Dialysis Patients in RSUP Dr. Sardjito Yogyakarta

Background. High mortality and morbidity in patients with Chronic Kidney Disease (CKD) are associated with psychological problems and poor quality of life. Depression is a psychological problem most often found in groups of CKD patients undergoing renal replacement therapy. Specific research that links the failure of ultrafiltration in Continuous Ambulatory Peritoneal Dialysis (CAPD) patients with depression does not yet exist today. So that further research is needed regarding this matter so that various depression intervention approaches can be carried out in the group of patients undergoing CAPD.Aims. This study aimed to determine the difference in depressive score of patients who failed ultrafiltration compared to those who did not fail in patients undergoing Continuous Ambulatory Peritoneal Dialysis (CAPD) in RSUP dr. Sardjito Yogyakarta.Method. A cross-sectional analytic study to assess differences in depressive score of CAPD patients with ultrafiltration failure compared to those who did not fail ultrafiltration in CAPD Clinic of RSUP dr. Sardjito Yogyakarta. The research subjects consisted of 41 people who fulfilled the inclusion and exclusion criteria. Depression assessment was carried out by calculating the total score of the BDI-II questionnaire and analyzing it using the Mann-Whitney method.Result. The average value of BDI-II in this study was 12 ± 8. 1. Depression scores based on BDI-II are if the score is equal to or more than 17. In this study 7 research subjects (17.1%) are depression. BDI –II values in the non-ultrafiltration failure group 10.96±7.25 and in the failed group 13.38±9.73 with p= 0.633.Conclusion. There were no significant differences in BDI-II score between groups that failed and those  that did not fail ultrafiltration