One treatment option for couples with infertility that enables the highest success rate is in vitro fertilization (IVF). With this technique, various causes of infertility can be overcome, whether they are caused by anatomical abnormalities in women or abnormalities of sexual dysfunction in men. Acupuncture, a nonpharmacologic therapy with minimal side-effects, according to various studies is be beneficial for increasing the success of IVF. There are several mechanisms of acupuncture related to this, such as: (1) modulating neuroendocrine factors; (2) increasing blood flow to the uterus and ovaries; (3) modulating immune factors; and (4) reducing stress, anxiety, and depression. Because acupuncture does not have bad side-effects, it is an adjuvant therapy that can be performed at each stage of the IVF procedure to increase the chances of successful IVF.
The elderly are residents who have a high risk for various degenerative diseases, including stroke, hypertension, and diabetes mellitus. Lack of information and knowledge of the elderly regarding degenerative diseases, healthy lifestyles, and patterns of early prevention, are the main causes of the high incidence of complications of disease in the elderly. The inaccessibility of the elderly to access health services is also a barrier factor for the elderly and families to obtain information related to the disease. The purpose of this activity in general is to improve the degree of public health through increasing the knowledge of the elderly about degenerative diseases in the Kampung Tengah region, and specifically (1) providing knowledge to the elderly about stroke, (2) providing knowledge to the elderly about hypertension, (3) providing knowledge to the elderly about diabetes mellitus, and (4) providing knowledge to the elderly about how to prevent and manage stroke, hypertension, and diabetes mellitus. The method of this activities are lecturing, discussions, practicing and educational approaches. From the results of counseling activities, it can be concluded that the knowledge of the elderly about stroke, hypertension and diabetes mellitus in the Kampung Tengah region is still very minimal, and increasing knowledge about these degenerative diseases is very much needed so that the elderly can better maintain their health.
Background: Radiation therapy for head-and-neck cancer can cause side-effects, including pain, nausea, vomiting, sensory disorders such as anosmia and dysgeusia, dysphagia, xerostomia, hot flashes, fatigue, sleep disorders, and even anxiety and depression disorders. Therapies using acupuncture are now being adopted at cancer therapy centers. Acupuncture has been clinically proven to reduce the side-effects of cancer therapies, thus, resulting in better quality of life. Case: A 65-year-old man was diagnosed with stage I laryngeal squamous-cell carcinoma (SCC), and had missing taste and pain on swallowing (visual analogue scale [VAS]: 4) after undergoing 30 sessions of radiation therapy for head-and-neck cancer with a total radiation dose of 60 Gy. He received acupuncture at: body points (LI 4 Hegu, LR 3 Taichong, ST 36 Zusanli, SP 6 Sanyinjiao, and ST 40 Fenglong); the Battlefield Acupuncture points of the ear (Cingulate Gyrus, Thalamus, Zero Point, Shen Men, and Omega 2); and on the wrist area (according to a balance method). Acupuncture therapy was given 2 times a week, for 45-minute sessions. Results: After 12 acupuncture sessions, he had improvement in taste function and pain reduction from VAS 4 to VAS 1. This improvement likely occurred due to acupuncture's anti-inflammatory effects through antiinflammatory mediator secretion, an antipain effect through ß-endorphin secretion, and nerve-cell regeneration through neurotropic factors' secretion. Conclusions: Routine acupuncture therapy can reduce dysgeusia and pain in postradiated patients with headand-neck cancer. Acupuncture can be a therapeutic choice for patients with post-radiation head-and-neck cancer toxicity.
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