Indonesian government, through BKKBN, has joined to promote healthy life in the elderly in the community. Bina Keluarga Lansia (BKL) programme was established to fulfil elderly need through a family-based approach. This study is aimed to evaluate the programme with the examination of the quality of life of its members, including the elderly and their family member. We used a cross-sectional method using WHO-QOL BREF questionnaire to assess the quality of life and another questionnaire to enlist the involvement on the BKL activities. This study was conducted in 2018, at four BKL groups across Sleman Regency. Further analysis was conducted with gaussian mix models to adjust for the cluster effect from sampling method. Our 103 respondents with 68 family members and 35 elderly generally have a good quality of life on four dimensions of WHO-QOL BREF. We found that BKL activities statistically significant associated with better QoL, especially in Social Domain and Psychological Domain. Activities that were specifically associated with better QoL was health education on elderly resilience and art/music activities. Other activities that show borderline association was business activities. BKL programme has shown an association with better QoL, thus any successful activities should be maintained or improved, and other less influential activities should be reviewed and customised with local needs.
Traumatic Brain Injury (TBI) is one of the leading cause of death and disability. TBI and spinal cord injuries have impacts on patients life, their families and also to the comunity. This edition retained the book structure of the first edition with emphasis in critical care and also it offers review the updated guideline recommendation. A review gives the reader not only summary of the content but also a critical assesment about the content. Additionally, this book gives the reader content about a brief review of a basic ethical framework. The concern is not only about science but also about prehospital care, critical care, outcome, ethical issue, prevention and sosioeconomic.
<p class="abstract"><strong>Background:</strong> Quality of life (QoL) can be affected by chronic pain in osteoarthritis (OA). Previous studies showed that combination of <em>Curcuma longa</em> (CL) and <em>Boswellia serrata</em> (BS) extract (CB extract) are promising for alternative treatment for pain in OA. This study aimed to measure the benefit of CB extract to improve QoL in patients with OA.</p><p class="abstract"><strong>Methods:</strong> This was a randomized controlled trial (RCT) in OA patients. Subjects were randomized to 3 different group (Group 1: CB extract (350 mg of CL and 150 mg BS) and NSAID (400 mg ibuprofen or 50 mg diclofenac sodium); group 2: CB extract; group 3: NSAID). Each medication was taken two times per day for 4 weeks. QoL measured using 5Q-5D-5L that include five dimensiones in 5Q-5D: mobility, self-care, usual activities, pain/discomfort, anxiety/depression, with 5 levels of severity.<strong></strong></p><p class="abstract"><strong>Results:</strong> There were 105 subjects at baseline. After 4 weeks of study, remained 95 subjects. The most common problem in group 1, 2, and 3 was pain (n=23, n=8, n=15 respectively). The improvement of level of severity in group 1 after 4 weeks of treatment was significant in mobility problems (p=0.002), pain/discomfort (p<0.001), and anxiety/depression (p=0.008). A significant improvement was only seen in usual activity problems (p=0.013) in group 2. The decrease of level of severity in usual activity problems (p=0.034), pain/discomfort (p=0.005), and anxiety/depression (p=0.018) in group 3 were also statistically significant.</p><p class="abstract"><strong>Conclusions:</strong> CB extract was beneficial to improve QoL in OA patients with a less side effect compared to NSAID.</p>
Background: Chronic pain is the major complaint in subjects with osteoarthritis (OA). Non-steroid anti-inflammatory drug (NSAID) is still the drug of choice in Indonesia to treat OA patients. The prolonged consumption of NSAID may lead to many adverse events (AE). Some previous studies showed the extract of Curcuma longa and Boswellia serrata is a promising potential as therapeutic interventions against OA. Objective: This study aimed to evaluate the effectiveness and safety of CB extract to relieve symptoms in patients with OA. Study Design: This was a randomized controlled trial (RCT) in OA patients. The treatment used in this trial were CB extract (350 mg of Curcuma longa and 150 mg Boswellia serrata) and NSAID (400 mg ibuprofen or 50 mg diclofenac sodium). Subjects were randomized to 3 different groups (Group 1: CB extract and NSAID; group 2: CB extract; group 3: NSAID). Each medication was taken two times per day for four weeks. Paracetamol tablet 500 mg gave to each subject as a rescue medication.
Covid-19 telah menyebar ke berbagai negara di dunia, termasuk Indonesia. Pemerintah banyak menerapkan peraturan terkait penyegahan Covid-19, dengan 5M yaitu memakai masker, mencuci tangan pakai sabun dan air mengalir, menjaga jarak, menjauhi kerumunan, serta membatasi mobilisasi dan interaksi serta diupayakannya percepatan Vaksinasi Covid-19. Dengan adanya kelompok remaja yang sadar akan pentingnya vaksin Covid-19 maka para remaja tersebut dapat menjadi role model dalam memberikan informasi kepada teman sebayanya. Tujuan dari Program Pengabdian Masyarakat ini bertujuan membentuk penyuluh sebaya guna menjadi role model bagi remaja untuk meningkatkan pengetahuan remaja terkait 5 M dan Vaksinasi Covid-19. Tema yang diusung adalah Prajurit X Korona “Pelajar maju rintangi korona”. Metode yang dipakai adalah dengan melakukan observasi lapangan dilakukan di empat SMA di Yogyakarta dan melakukan komunikasi dengan sekolah untuk memilih 4 siswanya yang akan dibina sebagai penyuluh sebaya. Dilakukan pelatihan kepada para penyuluh sebaya dengan materi Covid-19, 5M dan Vaksinasi Covid-19 serta Public Speaking. Setelah dilakukan kegitan disampaikan bahwa pelajar merasa terbantu dengan adanya pelatihan ini.
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