Men who have sex with men (MSM) comprise a population at risk for HIV infection. Assessing the Quality of Life (QOL) in MSM might be different than other populations. This study showed a secondary analysis from our previous research. It was needed to understand whether peer support and family acceptance had an impact on QOL of MSM living with HIV and ART (Antiretroviral Therapy). A total of 175 respondents were involved in this cross-sectional study that was carried out with purposive sampling. The questionnaires were translated to Bahasa and tested for validity and reliability. Data questionnaires completed were analyzed. Results showed that peer support was positively correlated with QOL (p= 0.023; OR= 2.070), and also, family acceptance was significantly related to QOL (p= 0.001; OR= 2.766). Thus, peer support and family acceptance are important factors affecting the well-being and QOL of MSM living with HIV and ART. This finding can be used for the improvement of QOL in people living with HIV. Abstrak Dukungan Sebaya dan Penerimaan Keluarga terhadap Kualitas Hidup Homoseksual dengan HIV dan Terapi Antiretroviral. Laki-laki yang berhubungan seks dengan laki-laki (LSL) merupakan populasi yang berisiko terinfeksi HIV. Menilai kualitas hidup (QOL) pada LSL mungkin berbeda dari populasi lainnya. Penelitian ini merupakan analisis sekunder dari penelitian sebelumnya. Kami menguji apakah dukungan sebaya dan penerimaan keluarga berdampak pada kualitas hidup pada LSL dengan HIV dan ART (terapi antiretroviral). Sebanyak 175 responden dilibatkan dalam studi cross-sectional yang dilakukan melalui purposive sampling. Data kuesioner yang sudah terisi komplit, akan dilakukan analisa. Hasil penelitian menunjukkan bahwa dukungan sebaya berhubungan positif dengan kualitas hidup (p= 0,023; OR= 2,070) dan juga penerimaan keluarga secara signifikan berhubungan dengan kualitas hidup (p= 0,001; OR= 2,766). Dengan demikian, dukungan sebaya dan penerimaan keluarga merupakan variabel penting yang mempengaruhi kesejahteraan dan kualitas hidup LSL yang hidup dengan HIV dan ART. Temuan ini dapat digunakan untuk peningkatan QOL pada orang dengan HIV. Kata Kunci: dukungan sebaya, HIV, kualitas hidup, penerimaan keluarga
The incidence of spinal trauma in the world is 0.019-0.088% per year. However, the epidemiological data from each country varies according to the specificities of each country. Until now, there have been no reports of epidemiological research for vertebral trauma in Indonesia. This research is a descriptive analytic study. The sample of this study were all patients with vertebral fractures who entered the Dr. Soetomo Hospital in 2013-2017. The data were obtained through medical records and electronic data in hospital databases. The data are displayed in tables and graphs and comparative analysis of variables is carried out. Based on data from 2014-2017, there were a total of 442 patients with vertebral fractures, with male and female ratio of 3.3: 1. The mean age of patients was 43.6 year. The causes of vertebral fractures are due to fall from altitude (38%), traffic accidents (34%), and direct impact / hit burden (10%). Based on fracture level, most fractures were at the lumbar level (153 patients, 34,6%). At the lumbar level, the most fracture subtypes were type A with a percentage of 91.5% and the most mechanism of injury was due to falling from a height. Based on the fracture subtype, type A (compression or burst) fracture is the most common type of fracture. Lumbar vertebral fracture is the most fractured in vertebral fractures. The most common cause of fracture in the vertebrae is trauma with great energy due to falling from a height.Keywords: Epidemiology, vertebral fractures, spinal traumaCorrespondence to : dr.donnypermana@gmail.com Abstrak Insiden trauma spinal di dunia tercatat sebesar 0,019% hingga 0,088% per tahun, namun data epidemiologi dari masing-masing negara adalah berbeda-beda, sesuai dengan kekhususan dari masing-masing negara. Hingga saat ini, belum terdapat laporan penelitian epidemiologi untuk trauma vertebra di Indonesia. Penelitian ini merupakan penelitian deskriptif analitik. Sampel penelitian ini adalah seluruh pasien dengan fraktur vertebra yang masuk di RS Dr. Soetomo Surabaya pada tahun 2013-2017. Data penelitian ini didapatkan melalui data berkas rekam medis dan database elektronik rumah sakit. Data ditampilkan dalam bentuk tabel dan grafik serta dilakukan analisa komparasi dari variabel. Berdasarkan data tahun 2014-2017 didapatkan total 442 pasien dengan fraktur vertebra, dengan perbandingan laki-laki dan perempuan sebesar 3,3:1. Rerata usia pasien adalah 43,6 tahun. Penyebab fraktur vertebra adalah akibat jatuh dari ketinggian (38%), kecelakaan lalu lintas (34%), dan benturan langsung/ tertimpa beban (10%). Berdasarkan level fraktur, fraktur terbanyak sejumlah 153 pasien (34,6%) pada level lumbal. Pada level lumbal didapatkan subtIpe fraktur terbanyak adalah tipe A dengan persentase 91,5% dan mechanism of injury terbanyak adalah akibat jatuh dari ketinggian. Berdasarkan subtipe frakturnya, fraktur tipe A (kompresi atau burst) merupakan jenis fraktur yang paling banyak terjadi. Fraktur vertebra lumbal adalah fraktur terbanyak pada kasus fraktur pada vertebra. Penyebab terbanyak fraktur pada vertebra adalah trauma dengan energi besar akibat jatuh dari ketinggian. Laki-laki 3 kali lebih banyak mengalami fraktur vertebra dibanding perempuan.Kata kunci: Epidemiologi, fraktur vertebra, trauma spinalKorespondensi : dr.donnypermana@gmail.com
Men who have sex with men (MSM) comprise a population at risk for HIV infection. Quality of Life (QOL) becomes the main goal to lengthen their life span. This study was conducted to determine the relationship between peer support and family acceptance toward QOL of MSM living with HIV and ARV in Medan. A total of 175 respondents were involved in this cross-sectional study that was carried out via purposeful sampling. Data were collected by means of the Perceived Acceptance Scale, Peer Group Caring Interaction Scale, and WHOQOL-HIV BREF. Results showed that QOL was significantly associated with peer support (p= 0.023; OR= 2.070) and family acceptance (p= 0.001; OR= 2.766). Thus, peer support and family acceptance are important variables affecting well-being and QOL of MSM living with HIV and ARV. This finding can be used for the improvement of QOL in PLWH. AbstrakDukungan Sebaya dan Penerimaan Keluarga terhadap Kualitas Hidup LSL dengan HIV dan Antiretroviral. Laki-laki yang berhubungan seks dengan laki-laki (LSL) merupakan populasi yang berisiko terinfeksi HIV. Kualitas hidup (QOL) menjadi tujuan utama untuk memperpanjang umur mereka. Penelitian ini dilakukan untuk mengetahui hubungan dukungan sebaya dan penerimaan keluarga terhadap kualitas hidup LSL yang hidup dengan HIV dan antiretroviral (ARV) di Medan. Sebanyak 175 responden dilibatkan dalam studi cross-sectional yang dilakukan melalui purposive sampling. Data dikumpulkan dengan menggunakan Skala Perceived Acceptance, Skala Interaksi Peduli Peer Group, dan WHOQOL-HIV BREF. Hasil penelitian menunjukkan bahwa kualitas hidup secara signifikan berhubungan dengan dukungan teman sebaya (p = 0,023; OR = 2,070) dan penerimaan keluarga (p = 0,001; OR = 2,766). Dengan demikian, dukungan sebaya dan penerimaan keluarga merupakan variabel penting yang mempengaruhi kesejahteraan dan kualitas hidup LSL yang hidup dengan HIV dan ARV. Temuan ini dapat digunakan untuk peningkatan QOL pada ODHA.Kata Kunci: dukungan sebaya, HIV, kualitas hidup, penerimaan keluarga
Introduction: Cervical radiculopathy is a clinical condition characterized by unilateral arm pain, numbness and tingling in a dermatomal distribution in the hand, and weakness in specific muscle groups that can be treated with nonsurgical or surgical method. This study aims to evaluate the outcome of the stand-alone cervical cage surgical method for cervical radiculopathy in our hospital institution from 2013 to 2017Methods: This is a retrospective observational study on every patient who undergoes a stand-alone cervical cage for cervical radiculopathy in our hospital institution from 2013 to 2017. The study runs from December 2017 until April 2018. We evaluated the clinical outcome with the Neck Disability Index (NDI). The data were collected from medical records, and postoperative follow up is done by house visits, phone calls, and outpatient visits.Results: Five male and one female subjects with a mean age of 58 years old (45–65 years old) underwent the procedure; one patient passed away on three year postoperative due to other events not related to operation procedure; one patient could no longer be reached. Four patient has an increasing score of NDI postoperative. There is no postoperative complicationConclusion: Stand-alone cervical cage is an excellent treatment for cervical radiculopathy in our hospital institution from 2013 to 2017.
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