Desain Interior Rumah Sakit Jiwa Dr.Radjiman Wediodiningrat Lawang Malang

Kesehatan manusia merupakan kesehatan secara holistic baik jiwa maupun raga. Kesehatan mental merupakan unsur vital bagi produktifitas manusia. Di era globalisasi seperti ini tingkatan stres masyarakat meningkat, sehingga dibutuhkan fasilitas penunjang perawatan kesehatan jiwa. Rumah Sakit Jiwa merupakan satu satunya rujukan utama bagi perawatan jiwa masyarakat. Dewasa ini, pengembangan peran serta lingkungan fisik terhadap kesehatan mental pasien cukup pesat. Sehingga dapat menjadi literature dalam Perencanaan re-desain interior Rumah Sakit Jiwa Lawang Malang. Perencanaan re-desain interior RSJ berdasarkan observasi obyek desain, wawancara pihak petugas medis rumah sakit, maupun wawancara dari pihak keluarga pasien. Hasil yang diperoleh berupa konsep perancangan Rumah Sakit Jiwa dengan konsep terapeutik. Oleh karena itu, dapat disusun sebuah konsep dan meredesain desain interior Rumah Sakit Jiwa Dr. Radjiman Wediodiningrat Lawang Malang dengan konsep terapeutik yang mengedepankan Kenyamanan pasien dari aspek sirkulasi dan desain ruangan terapi dari Rumah Sakit Jiwa Dr. Radjiman Wediodiningrat Lawang Malang

Minimally invasive procedure reduces adjacent segment degeneration and disease: New benefit-based global meta-analysis

<div><p>Objective</p><p>Adjacent segment pathology (ASP) is a common complication presenting in patients with axial pain and dysfunction, requiring treatment or follow-up surgery. However, whether minimally invasive surgery (MIS), including MIS transforaminal / posterior lumbar interbody fusion (MIS-TLIF/PLIF) decreases the incidence rate of ASP remains unknown. The aim of this meta-analysis was to compare the incidence rate of ASP in patients undergoing MIS versus open procedures.</p><p>Methods</p><p>This systematic review was undertaken by following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement. We searched electronic databases, including PubMed, EMBASE, SinoMed, and the Cochrane Library, without language restrictions, to identify clinical trials comparing MIS to open procedures. The results retrieved were last updated on June 15, 2016.</p><p>Results</p><p>Overall, 9 trials comprising 770 patients were included in the study; the quality of the studies included 4 moderate and 5 low-quality studies. The pooled data analysis demonstrated low heterogeneity between the trials and a significantly lower ASP incidence rate in patients who underwent MIS procedure, compared with those who underwent open procedure (p = 0.0001). Single-level lumbar interbody fusion was performed in 6 trials of 408 patients and we found a lower ASP incidence rate in MIS group, compared with those who underwent open surgery (p = 0.002). Moreover, the pooled data analysis showed a significant reduction in the incidence rate of adjacent segment disease (ASDis) (p = 0.0003) and adjacent segment degeneration (ASDeg) (p = 0.0002) for both procedures, favoring MIS procedure. Subgroup analyses showed no difference in follow-up durations between the procedures (p = 0.93).</p><p>Conclusion</p><p>Therefore, we conclude that MIS-TLIF/PLIF can reduce the incidence rate of ASDis and ASDeg, compared with open surgery. Although the subgroup analysis did not indicate a difference in follow-up duration between the two procedures, larger-scale, well-designed clinical trials with extensive follow-up are needed to confirm and update the findings of this analysis.</p></div

The comparing of ASP incident rate in single level lumbar interbody fusion between MIS and open groups.

<p>The comparing of ASP incident rate in single level lumbar interbody fusion between MIS and open groups.</p

Modified Newcastle-Ottawa Scale (NOS) scores for the included non-RCT studies.

<p>Modified Newcastle-Ottawa Scale (NOS) scores for the included non-RCT studies.</p

The main characteristics of the nine included studies.

<p>The main characteristics of the nine included studies.</p

The detailed matching information of patients clinical characteristics.

<p>The detailed matching information of patients clinical characteristics.</p

Systematic review or meta-analysis of ASDis or ASDeg incidence rate between different interventions in lumbar spine surgery.

<p>Systematic review or meta-analysis of ASDis or ASDeg incidence rate between different interventions in lumbar spine surgery.</p

Flow diagram sketches the literatures identified, screened, included and excluded in meta-analysis.

<p>Flow diagram sketches the literatures identified, screened, included and excluded in meta-analysis.</p

Grading of clinical studies following GRADE guidelines.

<p>Grading of clinical studies following GRADE guidelines.</p

The Beg funnel plot (A) and the Egger funnel plot (B) tests showed no significant publication bias.

<p>The Beg funnel plot (A) and the Egger funnel plot (B) tests showed no significant publication bias.</p