International journal of health & medical sciences
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Relationship of strength and difficulty factors and video game addiction in adolescents of Denpasar Junior High School
Get PDFIntroduction: Video game addiction in adolescents can result in negative impacts on daily functioning, including personal, social, and educational. Finding the strength and difficulty factors and the related factors is beneficial for better diagnosis and treatment. Method: This study was conducted using a cross-sectional study design to examine the relationship between strength and difficulty factors and video game addiction. The research was conducted at three chosen junior high schools in Denpasar City from March to April 2024. The inclusion criteria are junior high school students in Denpasar City. The exclusion criteria were students with severe comorbidities, a history of psychiatric disorders, and who refused research approval. Data analysis consists of descriptive statistical analysis, proportional comparison analysis, and logistic regression tests. Result: From the 209 samples, 56.9% were male, 36.4% played long games, 71.3% had WIFI at home, and 64.6% had low-income parents. The distribution of supporting and confounding factors in the sample based on the Strength and Difficulty Questionnaire (SDQ) found that the prevalence of abnormal emotions was 82 (39.2%), abnormal Conduct was 67 (32.1%), abnormal hyperactivity was 105 (50.2%), abnormal peer was 139 (66.5%), total difficulty (ECHP) was 131 (62.7%) and abnormal prosocial was 23 (11%). 
Spiritual psychosis in a Balinese patient with cultural and religious influences: Case illustration
Get PDFThis case study presents a unique intersection between cultural beliefs, religious practices, and psychosis in a Balinese patient, observed during a 14-day hospitalization in the Intensive Psychiatry Care Unit (IPCU) at the Provincial Psychiatric Hospital, Bali. The patient, a middle-aged Balinese man with minimal formal education, exhibited symptoms of psychosis interwoven with his deep religious convictions and a belief in his role as a devout follower ("ngiring") of deities. He reported auditory and tactile hallucinations that he interpreted as divine messages, compelling him to perform religious rituals to prevent disaster. These experiences, perceived by the patient as sacred, ultimately culminated in aggressive behavior leading to his hospitalization. This case highlights the diagnostic and therapeutic challenges in differentiating spiritual practices from psychotic symptoms and underscores the importance of culturally sensitive psychiatric care
The influence of infant massage on the sleep duration of infants aged 6-12 months in TPMB X, Jagakarsa Sub-District, Srengseh Sawah Village
Get PDFThe infancy period is a critical phase in the growth and development of babies, thus requiring special attention. One of the factors that can influence infant growth and development is sleep and rest. Massage can help reduce muscle tension, resulting in babies feeling more relaxed and experiencing deeper sleep. Based on a preliminary study conducted in the Integrated Health Post (Posyandu) of TPMB X's working area, it was found that 11 out of 26 infants (approximately 42.3%) experienced sleep disturbances. Furthermore, interviews with 10 mothers revealed that 7 of them (70%) were not aware of infant massage. Objective: To determine the influence of infant massage on the sleep duration of infants aged 6-12 months in TPMB X, Jagakarsa Sub-District, Srengseng Sawah Village. Methodology: This study employed a quasi-experimental design with the one-group pretest-posttest design. The population consisted of 35 infants aged 6-12 months, and total sampling technique was utilized. The instrument used was a questionnaire that had been tested for validity and reliability. Data analysis was conducted using the Paired Samples Test. Results: The average sleep quality of infants before receiving infant massage was 12.714, while the average sleep quality after receiving infant massage was 14.086.
Exploring religion's influence on causing emotional distress: A case report of a patient with Hinduism beliefs
Get PDFWhile Hinduism offers many positive teachings and practices that promote well-being, certain interpretations and pressures within the religion—such as rigid social hierarchies, religious guilt, and community pressure—can also contribute to feelings of isolation, low self-worth, and anxiety. Cultural pressures and gender-specific roles within Hindu families can also significantly impact mental health, particularly for married Hindu women who face the dual responsibilities of managing household chores and fulfilling religious obligations. These expectations to raise children, participate in daily prayers, and uphold familial honor can lead to emotional and psychological overwhelm, resulting in heightened stress levels and decreased mental well-being. It is essential to recognize that the effects of these pressures vary widely based on individual experiences, family dynamics, and personal beliefs. By emphasizing flexibility, inclusivity, and mental health awareness within Hindu communities, we can help mitigate these negative impacts and foster a supportive environment where individuals can balance spiritual practices with their well-being
The relationship between nurses' motivation and compliance with case reflection discussions on standard operating procedures for pain management in the Darmawan Pavilion Care Unit at RSPAD Gatot Soebroto
Get PDFMotivation is a psychological characteristic of humans that contributes to their level of commitment. This study aims to analyze the relationship between nurses' motivation and compliance with case reflection discussions on the standard operating procedures for pain management in the Darmawan Pavilion Care Unit at RSPAD Gatot Soebroto. The independent variables are nurses' motivation and compliance, while the dependent variable is case reflection discussions on the standard operating procedures for pain management. The research design uses a cross-sectional quantitative approach with a sample of 57 respondents selected through purposive sampling, comprising implementing nurses assigned to case reflection discussions. Bivariate analysis was conducted using the chi-square test. The results indicate a relationship between nurses' motivation and compliance with case reflection discussions on the standard operating procedures for pain management in the Darmawan Pavilion Care Unit at RSPAD Gatot Soebroto. The bivariate test results show that nurses' compliance is the most dominant variable, with a p-value = 0.028 (? < 0.05), indicating that nurses' compliance has the most significant influence on the dependent variable. 
New data in stroke patient’s rehabilitation: Review
Get PDFStroke has a special place in clinical neurology as the brain is the center of the nervous system. They require immediate treatment as the time burden can dramatically worsen their development. The distinction of stroke it is done in the form of damage. 80-88% are ischemic strokes and 12-20% are hemorrhagic strokes. The clinical manifestations of cerebrovascular attacks depend on the location of the damage in the brain parenchyma and specifically in the affected vessel. The separation of cerebral ischemia and hemorrhage syndromes follows anatomical criteria because it depends on the arterial branch that is damaged. The factors that favor stroke with the main causes being hypertension, atherosclerotic plaque rupture, heart diseases as well as people's lifestyle, are a large part of nursing for their prevention in the general population. The global knowledge of the brain (anatomy and physiology) and the understanding of the functioning of strokes helps us as nurses to enrich our knowledge and have a general picture of the patient, without focusing only on the treatment. The treatment requires very good medical and nursing staff and their cooperation with physiotherapists, speech therapists, and other health scientists, who will plan the treatment
Long acting paliperidone injection in patient with bipolar affective disorder, current episode manic with psychotic symptoms: A case report
Get PDFBipolar Disorder is a chronic mental illness characterized by periods of mania, depression, and mixed episodes that often need lifelong medication. The first line of pharmacotherapy includes lithium, valproate, or second-generation antipsychotics. Paliperidone is a medication that works in the brain and is also known as a second-generation antipsychotic. Paliperidone is available as an oral extended-release tablet and a once-monthly extended-release suspension for intramuscular injection. Long-acting injectables (LAIs) are used to reduce the non-adherence of oral medication. Paliperidone is one of the LAI that could be used to treat manic, hypomanic, and mixed episodes in patients with bipolar disorder. Paliperidone LAI reduces the number of relapses, hospitalization, and length of stay. As reported in this case, a patient with a manic episode who received paliperidone LAI showed favourable results after a week-long observation with no signs of extrapyramidal symptoms
Tranexamic acid-induced seizures in parturient patient during sectio caesarean: Case report
Get PDFIntroduction: Tranexamic acid has found extensive application in obstetrics to prevent and treat postpartum hemorrhage (PPH). This case report investigated an infrequent incidence in which seizures were caused by the administration of tranexamic acid. Even though tranexamic acid is generally regarded as safe, it has been associated with the infrequent yet serious side effects of tranexamic acid-induced seizures. This case report was aimed at investigating the infrequent incidence of tranexamic acid-induced seizures in postpartum patients. Case: It was reported that a woman who was 40 weeks pregnant suffered from postpartum seizures after delivery via cesarean section. These seizures occurred after tranexamic acid was administered to treat postpartum hemorrhage (PPH) caused by uterine rupture, which was accompanied by hypocalcemia. Despite not having a history of epilepsy, preeclampsia, or hypertension, the electrocardiogram (EKG) showed a prolongation of the QT interval. A comprehensive diagnostic evaluation, which involved a CT scan of the head and a D-dimer examination, was conducted, revealing no abnormalities. Discussion: Tranexamic acid, a synthetic derivative of lysine, acts as a competitive inhibitor of plasminogen activation, thereby inhibiting the breakdown of fibrin clots
The relationship between saliva 17 beta-estradiol levels with anxiety and depression in menopause paramedic at Prof I.G.N.G Ngoerah Hospital Denpasar
Get PDFBackground: Hospital Services rely on Medical and Paramedics at the Hospital, Hospital Paramedic services, especially women, are greatly influenced by mood, in women it is especially influenced by hormonal balance, including menstruation and menopause. The drop in estrogen levels after menopause causes many physical and emotional changes. Estradiol is the largest estrogen. It is estimated that the number of women who have menopause will experience a very significant increase of estradiol. Methods: An analytic observational study with a cross-sectional study design on 85 menopausal paramedics at Prof I.G.N.G Ngoerah Hospital Denpasar using a Hospital Anxiety and Depression Scale (HADS) questionnaire and examined salivary levels of 17? estradiol and looked for its relationship with anxiety and depression. Results: Based on the low salivary 17? estradiol level of the sample aged above 50 years (76.5%). Outpatient (75%), underweight (100%), married status (74.4%), and sample >5 years (76.5%). It is also a significant result where the salivary 17? estradiol level is lower in the sample compared to anxiety and depression complaints, with the chi-square test (p-value = <0.001). Conclusion: There is a significant relationship between low salivary 17? estradiol levels and complaints of anxiety and depression in menopausal paramedics
The influence of using MEDBOGI (media boneka gigi) on knowledge of how to brush teeth in mild mental mental disability children at SLB Tunas Mulya Surabaya
Get PDFIt was found in a preliminary study conducted on mild mentally retarded children aged 9-12 years at SLB Tunas Mulya Surabaya, most of them had poor knowledge of how to brush their teeth. This is caused by the use of media that is less effective in the learning process. Efforts to increase knowledge of dental and oral health maintenance can be carried out by using MEDBOGI (Media Boneka Gigi). This study aimed to determine the effect of using MEDBOGI on knowledge of how to brush teeth in children with mild mental retardation at SLB Tunas Mulya Surabaya. The research method uses analytic research with quick experimental and one-group pretest-posttest design. The research sample was 30 mentally retarded children aged 9-12 years at SLB Tunas Mulya Surabaya, taking samples using a total sampling technique. The data collection instrument uses a questionnaire sheet. The data analysis technique uses the Mann-Whitney test. Results: based on the Man-Whitney test, the result is P (0.000) <0.05. This value indicates that H0 is rejected, so there is an effect of using MEDBOGI on knowledge of how to brush teeth in children with mild mental retardation at SLB Tunas Mulya Surabaya