Interaksi sosial merupakan hubungan yang erat kaitannya dengan hubungan antar individu. Interaksi sosial individu ini terjadi saat individu satu dengan individu yang lain saling bertemu, berjabat tangan, saling berbicara dan saling mempengaruhi dalam pikiran dan tindakan. Seseorang menjadi sulit bertahan hidup jika tidak menjalin interaksi sosial. Dampak negatif penggunaan gadget yang ditimbulkan ini dapat menyebabkan remaja menjadi sering cemas dan tegang, bahkan dampaknya juga dapat menyerang mental para remaja dan mereka cenderung menjadi pribadi yang penakut dan tidak percaya diri, karena kecanduan gadget ini, para remaja menjadi tidak memiliki banyak teman berbicara. Tujuan penelitian ini untuk menganalisis hubungan penggunaan gadget terhadap interaksi sosial dan kecemasan (normophobia). Metode penelitian menggunakan desain penelitian deskriptif analitik dengan pendekatan cross sectional. Hasil penelitian di dapatkan hasil analisis statistik dengan uji Chi Square untuk menilai hubungan penggunaan gadget terhadap interaksi sosial pada remaja, didapatkan nilai ⍴-value 0,006 (⍴<0,05) sehingga dapat disimpulkan bahwa ada hubungan antara penggunaan gadget terhadap interaksi sosial pada remaja. Uji Chi square untuk menilai hubungan penggunaan gadget dengan kecemasan nomophobia di dapatkan nilai ⍴-value 0,023 (⍴<0,05) yang berarti terdapat hubungan antara penggunaan gadget terhadap nomophobia pada remaja. Semakin sering gadget mendampingi penggunanya dalam kehidupan sehari-hari maka semakin tinggi tingkat kecemasan yang dialami ketika remaja tidak memiliki akses terhadap gadget nya. Faktor yang mempengaruhi kecemasan (nomophobia) selain penggunaan gawai adalah kontrol diri. Kontrol diri yang baik akan menjauhkan seseorang dari kecanduan pada gadget, dan tentunya individu akan terhindar dari masalah kecemasan bila berada jauh dari gadget atau kecemasan (nomophobia). Kontrol diri yang baik akan membuat individu mengatur penggunaan gadget nya agar sesuai dengan kebutuhan dan tidak berlebihan.
Penyakit tidak menular kronis merupakan penyakit yang sering menyerang lansia yang dapat menyebabkan masalah psikologis salah satunya depresi. Penelitian ini bertujuan untuk mendeskripsikan tentang deteksi dini depresi pada lansia dengan penyakit tidak menular kronis. Metode penelitian ini menggunakan teknik analisis studi deskriptif. Jumlah sampel pada penelitian ini sebanyak 272 responden dengan teknik pengambilan sampel menggunakan cluster sampling selanjutnya menggunakan random sampling, sehingga terpilih 1 cluster yaitu Puskesmas Kedungmundu. Penelitian ini dilakukan selama 21 hari muali tanggal 09 April – 30 April. Alat ukur yang diguanakan yaitu kuesioner CESD-R (Center for Epidemiologic Studies Depression Scale). Analisis data yang digunakan yaitu analisis univariate dengan tabel distribusi frekuensi. Hasil penelitian ini di dapatkan responden sebagian besar terindikasi depresi yaitu sebanyak 187 responden atau sebesar 68,8%, sedangkan yang tidak terindikasi depresi sebanyak 85 responden atau sebesar 31,3%. Berdasarkan hasil penelitian ini perlu dilakukan upaya pengembangan pelayanan kesehatan di Puskesmas dalam meningkatkan unit pelayanan jiwa (Poli Jiwa), untuk melakukan upaya penecgahan masalah gangguan jiwa terutama dilakukannya deteksi depresi pada lansia yang mengalami penyakit tidak menular kronis dengan melakukan skrining minimal setiap 6 bulan sekali.
Background. Aortic dissection is one of the leading causes of death in cardiovascular disease. The clinical course of aortic dissection is often atypical and can mimic a variety of clinical manifestations. Stroke is one of the conditions that can make the management of aortic dissection becoming more complex. Case presentation. A 55-year-old female patient came with complaints of severe chest pain. The patient was diagnosed with Stanford aortic dissection, De Bakey type II, hypertension heart disease, mild mitral regurgitation, mild circumferential pericardial effusion. After the second day of treatment, the patient also complained of sudden slurred speech and weakness on right extremities. The administration of antiplatelet were postponed in consideration of the current patient with aortic dissection. On the 7th day of treatment, the patient experienced a worsening motor strength on the right extremities. We decided to continue antihypertensive therapy on acute phase of ischemic stroke with the consideration that aortic dissection can cause higher mortality. Conclusions. The management of ischemic stroke in a patient with aortic dissection is challenging. In ischemic stroke patient with aortic dissection, anti-hypertensives need to be given to reduce the stress on the aortic wall and prevent expansion of the dissection which has a higher mortality rate.
Blockage due to thrombus in Acute Myocardial Infarction (AMI) causes complete ischemia and necrosis in areas supplied by blocked arteries. Rapid revascularization with Percutaneous Coronary Intervention (PCI) will decrease myocardial damage. The left ventricle function is an important outcome during PCI. A semi-quantitative assessment of the regional left ventricular contractile function can be obtained through the assessment of the Wall Motion Score Index (WMSI). The time between angina and PCI is most important, since the time lag represents the total ischemic time, so it needs to be reduced to the shortest possible to increase the clinical outcome. This study aimed to know the correlation between WMSI changes between patients who were treated with PCI with shorter total ischemic time compare with longer total ischemic time. This was a cohort prospective study conducted in Sanglah Hospital, Denpasar, Bali, during November 2017 until January 2018. This study included 32 AMI patients who are treated with PCI. WMSI was measured using transthoracic echocardiography before and 72 hours after PCI. From ROC curve analysis, the time cutoff point between angina and PCI action was 313 minutes with 75% sensitivity and 54% specificity and there were 2 groups consist of group with the time integral between angina and PCI less than 313 minute (early group) and group with the time integral between angina and PCI more than equal to 313 minute (late group). By using the Wilcoxon sign rank pair test, there was significant WMSI changes in both early and late groups before and 72 hours after PCI, with the early group showed better improvement compared to the late group. Meanwhile, Wilcoxon Mann Whitney U test result showed that there was no significant difference in WMSI changes in the early group compared to the late group. These result showed the importance of PCI in improving myocardial contractility even in patients who underwent PCI later than 5 hours after the onset of chest pain.
Background: Type 2 diabetes mellitus (T2DM) is an independent factor in increasing the risk of heart failure in the absence of coronary heart disease and hypertension. Global longitudinal strain (GLS) as the gold standard in determining subclinical left ventricular (LV) systolic dysfunction is not available on all echocardiographic tools and requires good-quality images. Mitral annular plane systolic excursion (MAPSE) and mitral annular peak systolic velocity (Sm) are simpler, faster, and widely available method that can determine left ventricular systolic dysfunction regardless of image quality. Methods: This study involved 72 asymptomatic T2DM patients, divided into two groups, patients with subclinical left ventricular systolic dysfunction (GLS >-18%) and normal systolic function (GLS ≤-18%). GLS was obtained from the mean of 18 left ventricular segments on the apical 4-chamber, 3-chamber and 2-chamber images. MAPSE was obtained on the septal and lateral sides of the mitral annulus using M-mode on apical 4-chamber view, while Sm was obtained using tissue doppler imaging (TDI). Results: The study included 72 asymptomatic T2DM patients, 34 samples (47.2%) were found with subclinical LV systolic dysfunction. According to receiver operating characteristic (ROC) curve analysis, lateral TDI Sm had the highest area under the curve (AUC), it was 0.85, followed by average TDI Sm was 0.83 and average MAPSE was 0.81. The cut-off value of average TDI Sm <7.425 cm/s had the best sensitivity and specificity, 82.4% and 81.6%, while cut-off value of average MAPSE <13.4 mm had sensitivity of 76.5% and specificity of 73.7%. Conclusion: TDI Sm had better accuracy than MAPSE in determining subclinical LV systolic dysfunction in T2DM patients. However, both of them can be used as alternative diagnostic methods of GLS.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.