A person with obesity has a high risk of getting a severe complication of COVID-19. This is related to the increasing of chronic illness cases caused by obesity. Obesity itself has been known to take part in the disruption of the human immune system. A person with obesity will be more susceptible to the infection and is suspected to be one of the risk factors that cause death in COVID-19. This study used observational analysis with a systematic review method and continued with Meta-Analysis. This study has been held at the Public Health Department of Faculty of Medicine, Universitas Airlangga, Surabaya, in July 2020. The data sources of this study come from online literature, such as published journals that match our inclusion criteria. The inclusion criteria for this study were journals that study the relation of obesity and mortality in COVID-19 cases, journals with a cross-sectional design, journals that used samples age >18 y.o., and journals that used BMI as the obesity classification. Five journals matched our criteria and were analyzed in this study. Four of 5 journals show that there is a relationship between obesity and mortality of COVID-19. There are 2133 subjects with COVID-19, and 361 of them have obesity. There are 1861 subjects with COVID-19 who are not dead; 1567 of them don’t have obesity. An analytic study with a random effect model shows that obesity is the risk factor of mortality in COVID-19 cases (OR = 2.041; 95% CI 1.027-4.058). It also shows that there is a significant relationship between obesity and mortality in COVID-19 cases (p=0.042). Most journals analyzed with a systematic review and meta-analysis in this study show that obesity is the risk factor of mortality in COVID-19 cases.
Presbycusis is a progressive hearing loss which occurs at the age of 65. Communication difficulties caused by these problems are usually not understood or understood by people with normal hearing functions. Therefore, the understanding of these problems must be improved so that there is no gap between people with normal hearing and people with low hearing. The research method used is a quantitative descriptive research design carried out in a number of elderly care foundations. The data we share is in the form of pre-test and post-test questionnaires to elderly caregivers with hearing loss in order to evaluate the caregiver's understanding of the educational video. There was an increase in the understanding of the caregivers about how to communicate effectively based on the comparison of the scores from the pre-test and post-test final scores carried out before and after the education was given. Providing education to caregivers with educational video media provides effective results in increasing caregiver knowledge in this field. The formal caregiver group has better results than the informal caregiver group at 77.7% on the pre-test by formal caregiver and an assessment of 65% on the pre-test by informal caregiver. In the post-test assessment, the formal caregiver got a score of 87.7% and for the informal caregiver it was 90%. There is an increase in the post-test scores of the two caregiver groups after providing education through video media.
Sekitar 60%-80% kasus hipertiroidisme diakibatkan oleh Graves’ disease dimana wanita pada usia 20-50th lebih dominan dibandingkan laki-laki. Graves’ disease adalah suatu kelainan autoimun, adanya thyroid stimulating immunoglobulin (TSI), atau bisa disebut dengan thyroid stimulating antibody (TSAb) yang disekresikan di kelenjar tiroid berikatan dengan reseptor thyroid stimulating hormone (TSH) di kelenjar tiroid. Sehingga merangsang kelenjar tiroid untuk bekerja memproduksi hormon tiroksin berdasarkan rangsangan dari reseptor TSH. Rangsangan terus menerus dari TSAb mengakibatkan keadaan hipertiroidisme dan tiromegaly. Keadaan hipertiroidisme menyebabkan denyut jantung melemah dan gambaran pola EKG yang menunjukkan sindrom sinus sakit termasuk bradikardia sinus (denyut jantung <40 bpm), jeda sinus (jeda tiba-tiba nodus sinus lebih pendek dari 2-3 detik), dan henti sinus. Tujuan, Mengetahui karakteristik penderita gangguan kecemasan menyeluruh pada graves disease dengan gambaran EKG sick sinus syndrome (SSS). Metode, Penelitian ini merupakan Systematic Review dengan menggunakan metode Preferred Reporting Items for Systematic Reviews and Meta-analyses atau biasa disebut PRISMA, metode ini dilakukan secara sistematis dengan mengikuti tahapan atau protokol penelitian yang benar. Sumber diambil dari situs PubMed dan situs Google Scholar dengan jurnal terbitan tahun 2017-2022 lalu dilakukan screening didapatkan hasil 15.486. Hasil, Dilakukan klasterisasi jurnal dan didapatkan jumlah jurnal terindex scopus Q1 sejumlah 2 jurnal, Q2 2 jurnal, terindeks Sinta S1 1 jurnal, sehingga terdapat 5 jurnal yang diekstraksi. Kesimpulan, Mayoritas jurnal membahas mengenai usia dan gaya hidup yang berkaitan dengan karakteristik terjadinya grave disease serta faktor risiko grave disease ditentukan berdasarkan usia serta grave disease berhubungan dengan gangguan kecemasan, gambaran EKG sick sinus syndrome (SSS).
Sekitar 60%-80% kasus hipertiroidisme diakibatkan oleh Graves’ disease dimana wanita pada usia 20-50th lebih dominan dibandingkan laki-laki. Graves’ disease adalah suatu kelainan autoimun, adanya thyroid stimulating immunoglobulin (TSI), atau bisa disebut dengan thyroid stimulating antibody (TSAb) yang disekresikan di kelenjar tiroid berikatan dengan reseptor thyroid stimulating hormone (TSH) di kelenjar tiroid. Sehingga merangsang kelenjar tiroid untuk bekerja memproduksi hormon tiroksin berdasarkan rangsangan dari reseptor TSH. Rangsangan terus menerus dari TSAb mengakibatkan keadaan hipertiroidisme dan tiromegaly. Keadaan hipertiroidisme menyebabkan denyut jantung melemah dan gambaran pola EKG yang menunjukkan sindrom sinus sakit termasuk bradikardia sinus (denyut jantung <40 bpm), jeda sinus (jeda tiba-tiba nodus sinus lebih pendek dari 2-3 detik), dan henti sinus. Tujuan, Mengetahui karakteristik penderita gangguan kecemasan menyeluruh pada graves disease dengan gambaran EKG sick sinus syndrome (SSS). Metode, Penelitian ini merupakan Systematic Review dengan menggunakan metode Preferred Reporting Items for Systematic Reviews and Meta-analyses atau biasa disebut PRISMA, metode ini dilakukan secara sistematis dengan mengikuti tahapan atau protokol penelitian yang benar. Sumber diambil dari situs PubMed dan situs Google Scholar dengan jurnal terbitan tahun 2017-2022 lalu dilakukan screening didapatkan hasil 15.486. Hasil, Dilakukan klasterisasi jurnal dan didapatkan jumlah jurnal terindex scopus Q1 sejumlah 2 jurnal, Q2 2 jurnal, terindeks Sinta S1 1 jurnal, sehingga terdapat 5 jurnal yang diekstraksi. Kesimpulan, Mayoritas jurnal membahas mengenai usia dan gaya hidup yang berkaitan dengan karakteristik terjadinya grave disease serta faktor risiko grave disease ditentukan berdasarkan usia serta grave disease berhubungan dengan gangguan kecemasan, gambaran EKG sick sinus syndrome (SSS).
Researchers believe that most cases of cleft lip and cleft palate are caused by genetic and environmental factors. Nevertheless, the exact cause was not found. Nevertheless there are allegations that the condition of the cleft lip and palate has something to do with osteogenesis imperfecta with the heterozygous mutation COL1A2 and the formation of triple helix DNA accompanied by Tetralogy of Fallot in children with a maternal history of catatonic schizophrenia followed by the use of valproic acid and type II diabetes mellitus. Then, it is also found in babies with cleft lip and sky conditions usually accompanied by other congenital anomaly, but not always. This then further gives rise to speculation that there are links between the above variables and the cleft lip and palate. Therefore. Knowing the Relationship Between Cleft Lip and Palate Events with osteogenesis imperfecta with heterozygous mutation COL1A2 and triple helix DNA formation accompanied by Tetralogy of Fallot in children with a maternal history of catatonic schizophrenia followed by the use of valproic acid and type II diabetes mellitus. This research is a Systematic Review using the Preferred Reporting Items for Systematic Reviews and Meta-analyses method or commonly called PRISMA, this method is carried out systematically by following the correct research stages or protocols. The source was taken from the Google Scholar site with journals published in 2017-2023 and then screened the results of 1,870 journals. Journal clustering was carried out and the number of Q1 indexed journals was obtained in 4 journals, Q3 in 1 journal, and Q4 in 1 journal so that there were 6 journals extracted. The entire journal does not directly discuss the relationship between the research variables, but only provides an overview of the increased risk of celestial cleft conditions in babies if the expectant mother has type 2 diabetes mellitus conditions, osteogenesis imperfect, and the relationship of the two health conditions to the possibility of birth of the baby with the Tetralogy of Fallot condition, as well as the relationship of the baby to the condition of the cleft lip and palate and tetralogy of fallot
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