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"[ABSTRAKNyeri dan kecemasan merupakan hal yang normal ketika ibu menghadapipersalinan, namun jika mengalami nyeri dan kecemasan yang berlebihan akanmenimbulkan komplikasi selama proses persalinan. Penelitian ini bertujuan untukmengetahui pengaruh paket Touching, Massage, Acupressure (T.M.A) olehkeluarga terhadap nyeri persalinan dan proses persalinan. Penelitian inimerupakan operasional research. Sampel dalam penelitian ini 94 ibu hamil yangdibagi menjadi dua kelompok yaitu 47 orang sebagai kelompok intervensi dan 47kelompok kontrol yang diambil dengan teknik consecutive sampling.Pengumpulan data menggunakan kuesioner FPRS, FAS, lembar observasi prosespersalinan dan wawancara. Hasil wawancara keluarga mengatakan bahwapengetahuan keluarga bertambah dan adanya manfaat setelah penerapan paketT.M.A. Hasil uji statistik dengan menggunakan Chi Square menunjukan bahwaada perbedaan yang bermakna pada proses persalinan (power, p=0,028);passanger p=0,006; passageway p=0,048; position p=0,048; psikologis p=0,000)dan nyeri persalinan (p=0,003) antara kedua kelompok intervensi dan kontrol. Halini menunjukan bahwa pendampingan keluarga dengan menggunakan paketT.M.A berpengaruh terhadap proses persalinan dan nyeri persalinan. Paket T.M.Adiharapkan menjadi intervensi non farmakologis dalam keperawatan untukmenurunkan nyeri dan kecemasan pada ibu bersalin.

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ABSTRAKPain and anxiety is normal when a mother facing labor. Excessive pain andanxiety will cause complications during childbirth. This research aimed to knowthe effect of touching package, Massage, Acupressure (TMA) by the family to thepain of labor and delivery process. This research operasional research. Thesample were 94 pregnant women that divided into two groups: 47 as interventiongroup and 47 control group that taken with consecutive sampling technique.Collection data using questionnaires FPRS, FAS and observation sheet deliveryprocess. The results obtained in the interview, participant said that familyknowledge has increased and they feel the benefit of the TMA package. Thequantitatif result showed there was a significant difference in labor process(power, p=0,028); passenger p=0,006; passageway p=0,048; position p=0,048;psychological response p=0,000) and pain (p=0,003) between the intervention andcontrol groups. This shows that the family what used TMA package influence onlabor process and pain. Touching package, Massage, Acupressure (TMA) isexpected as an intervention non farmakologis in decreased pain and anxietymaternal.;Pain and anxiety is normal when a mother facing labor. Excessive pain andanxiety will cause complications during childbirth. This research aimed to knowthe effect of touching package, Massage, Acupressure (TMA) by the family to thepain of labor and delivery process. This research operasional research. Thesample were 94 pregnant women that divided into two groups: 47 as interventiongroup and 47 control group that taken with consecutive sampling technique.Collection data using questionnaires FPRS, FAS and observation sheet deliveryprocess. The results obtained in the interview, participant said that familyknowledge has increased and they feel the benefit of the TMA package. Thequantitatif result showed there was a significant difference in labor process(power, p=0,028); passenger p=0,006; passageway p=0,048; position p=0,048;psychological response p=0,000) and pain (p=0,003) between the intervention andcontrol groups. This shows that the family what used TMA package influence onlabor process and pain. Touching package, Massage, Acupressure (TMA) isexpected as an intervention non farmakologis in decreased pain and anxietymaternal.;Pain and anxiety is normal when a mother facing labor. Excessive pain andanxiety will cause complications during childbirth. This research aimed to knowthe effect of touching package, Massage, Acupressure (TMA) by the family to thepain of labor and delivery process. This research operasional research. Thesample were 94 pregnant women that divided into two groups: 47 as interventiongroup and 47 control group that taken with consecutive sampling technique.Collection data using questionnaires FPRS, FAS and observation sheet deliveryprocess. The results obtained in the interview, participant said that familyknowledge has increased and they feel the benefit of the TMA package. Thequantitatif result showed there was a significant difference in labor process(power, p=0,028); passenger p=0,006; passageway p=0,048; position p=0,048;psychological response p=0,000) and pain (p=0,003) between the intervention andcontrol groups. This shows that the family what used TMA package influence onlabor process and pain. Touching package, Massage, Acupressure (TMA) isexpected as an intervention non farmakologis in decreased pain and anxietymaternal., Pain and anxiety is normal when a mother facing labor. Excessive pain andanxiety will cause complications during childbirth. This research aimed to knowthe effect of touching package, Massage, Acupressure (TMA) by the family to thepain of labor and delivery process. This research operasional research. Thesample were 94 pregnant women that divided into two groups: 47 as interventiongroup and 47 control group that taken with consecutive sampling technique.Collection data using questionnaires FPRS, FAS and observation sheet deliveryprocess. The results obtained in the interview, participant said that familyknowledge has increased and they feel the benefit of the TMA package. Thequantitatif result showed there was a significant difference in labor process(power, p=0,028); passenger p=0,006; passageway p=0,048; position p=0,048;psychological response p=0,000) and pain (p=0,003) between the intervention andcontrol groups. This shows that the family what used TMA package influence onlabor process and pain. Touching package, Massage, Acupressure (TMA) isexpected as an intervention non farmakologis in decreased pain and anxietymaternal.]"

"[ABSTRAKNyeri dan kecemasan merupakan hal yang normal ketika ibu menghadapipersalinan, namun jika mengalami nyeri dan kecemasan yang berlebihan akanmenimbulkan komplikasi selama proses persalinan. Penelitian ini bertujuan untukmengetahui pengaruh paket Touching, Massage, Acupressure (T.M.A) olehkeluarga terhadap nyeri persalinan dan proses persalinan. Penelitian inimerupakan operasional research. Sampel dalam penelitian ini 94 ibu hamil yangdibagi menjadi dua kelompok yaitu 47 orang sebagai kelompok intervensi dan 47kelompok kontrol yang diambil dengan teknik consecutive sampling.Pengumpulan data menggunakan kuesioner FPRS, FAS, lembar observasi prosespersalinan dan wawancara. Hasil wawancara keluarga mengatakan bahwapengetahuan keluarga bertambah dan adanya manfaat setelah penerapan paketT.M.A. Hasil uji statistik dengan menggunakan Chi Square menunjukan bahwaada perbedaan yang bermakna pada proses persalinan (power, p=0,028);passanger p=0,006; passageway p=0,048; position p=0,048; psikologis p=0,000)dan nyeri persalinan (p=0,003) antara kedua kelompok intervensi dan kontrol. Halini menunjukan bahwa pendampingan keluarga dengan menggunakan paketT.M.A berpengaruh terhadap proses persalinan dan nyeri persalinan. Paket T.M.Adiharapkan menjadi intervensi non farmakologis dalam keperawatan untukmenurunkan nyeri dan kecemasan pada ibu bersalin.

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ABSTRACTPain and anxiety is normal when a mother facing labor. Excessive pain andanxiety will cause complications during childbirth. This research aimed to knowthe effect of touching package, Massage, Acupressure (TMA) by the family to thepain of labor and delivery process. This research operasional research. Thesample were 94 pregnant women that divided into two groups: 47 as interventiongroup and 47 control group that taken with consecutive sampling technique.Collection data using questionnaires FPRS, FAS and observation sheet deliveryprocess. The results obtained in the interview, participant said that familyknowledge has increased and they feel the benefit of the TMA package. Thequantitatif result showed there was a significant difference in labor process(power, p=0,028); passenger p=0,006; passageway p=0,048; position p=0,048;psychological response p=0,000) and pain (p=0,003) between the intervention andcontrol groups. This shows that the family what used TMA package influence onlabor process and pain. Touching package, Massage, Acupressure (TMA) isexpected as an intervention non farmakologis in decreased pain and anxietymaternal.;Pain and anxiety is normal when a mother facing labor. Excessive pain andanxiety will cause complications during childbirth. This research aimed to knowthe effect of touching package, Massage, Acupressure (TMA) by the family to thepain of labor and delivery process. This research operasional research. Thesample were 94 pregnant women that divided into two groups: 47 as interventiongroup and 47 control group that taken with consecutive sampling technique.Collection data using questionnaires FPRS, FAS and observation sheet deliveryprocess. The results obtained in the interview, participant said that familyknowledge has increased and they feel the benefit of the TMA package. Thequantitatif result showed there was a significant difference in labor process(power, p=0,028); passenger p=0,006; passageway p=0,048; position p=0,048;psychological response p=0,000) and pain (p=0,003) between the intervention andcontrol groups. This shows that the family what used TMA package influence onlabor process and pain. Touching package, Massage, Acupressure (TMA) isexpected as an intervention non farmakologis in decreased pain and anxietymaternal., Pain and anxiety is normal when a mother facing labor. Excessive pain andanxiety will cause complications during childbirth. This research aimed to knowthe effect of touching package, Massage, Acupressure (TMA) by the family to thepain of labor and delivery process. This research operasional research. Thesample were 94 pregnant women that divided into two groups: 47 as interventiongroup and 47 control group that taken with consecutive sampling technique.Collection data using questionnaires FPRS, FAS and observation sheet deliveryprocess. The results obtained in the interview, participant said that familyknowledge has increased and they feel the benefit of the TMA package. Thequantitatif result showed there was a significant difference in labor process(power, p=0,028); passenger p=0,006; passageway p=0,048; position p=0,048;psychological response p=0,000) and pain (p=0,003) between the intervention andcontrol groups. This shows that the family what used TMA package influence onlabor process and pain. Touching package, Massage, Acupressure (TMA) isexpected as an intervention non farmakologis in decreased pain and anxietymaternal.]"

"Luka bakar didefinisikan sebagai kerusakan jaringan yang terjadi akibat aksi panas baik secara langsung maupun tidak langsung. Meskipun telah banyak kemajuan yang dibuat dalam terapi luka bakar, namun penyembuhan luka yang lambat masih menjadi tantangan dalam perawatan luka bakar. Akupunktur manual dapat mempercepat penyembuhan luka bakar melalui efek anti-inflamasi, meningkatkan re-epitelisasi dan angiogenesis. Sedangkan laser akupunktur merupakan terapi yang menggunakan laser enersi rendah untuk merangsang titik akupunktur. Penelitian ini menilai pengaruh akupunktur manual dan laser akupunktur terhadap kecepatan penyembuhan luka bakar yang diamati secara makroskopik dan mikroskopik. Tiga puluh enam tikus Wistar jantan dibagi secara acak kedalam kelompok kontrol (n=12), kelompok akupunktur manual (n=12), dan kelompok laser akupunktur (n=12). Setelah dilakukan induksi luka bakar, pengukuran luka dan perlakuan diberikan setiap dua hari sekali selama 14 hari. Separuh jumlah dari setiap kelompok diterminasi pada hari ke-7 dan separuh sisanya diterminasi pada hari ke-14 untuk dilakukan pengamatan mikroskopik. Pada pengukuran penutupan luas luka hari ke-14, didapatkan perbedaan bermakna (p=0,009) antara kelompok akupunktur manual (66,96 ± 9,17) dibandingkan kelompok kontrol (49,93 ± 9,15), dan perbedaan yang bermakna (p=0,009) antara kelompok laser akupunktur (72,48 ± 14,62) dibandingkan kelompok kontrol. Namun tidak didapatkan perbedaan bermakna (p=0,451) antara kelompok akupunktur manual dan laser akupunktur. Pada penilaian skoring mikroskopik hari ke-14 didapatkan perbedaan yang bermakna (p<0,001) antara kelompok akupunktur manual (16,17 ± 1,17) dibandingkan kelompok kontrol (10,33 ± 1,21), dan perbedaan yang bermakna (p=0,004) antara kelompok laser akupunktur (17,83 ± 1,47) dibandingkan kelompok kontrol. Namun tidak didapatkan perbedaan bermakna (p=0,058) antara kelompok akupunktur manual dan laser akupunktur. Hasil penelitian menunjukkan bahwa baik terapi akupunktur manual ataupun laser akupunktur dapat digunakan sebagai terapi tambahan untuk mempercepat penyembuhan luka bakar.

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Burns are defined as tissue damage that occurs as a result of the direct or indirect action of heat. Although many advanced treatments have been made in burn therapy, slow wound healing remains a challenge in burn treatment. Acupuncture can accelerate burn healing through its anti-inflammatory effect, increasing re-epithelialization and angiogenesis. While laser acupuncture is a therapy that uses low energy lasers to stimulate acupuncture points. This study assessed the effect of manual acupuncture and laser acupuncture on the speed of wound healing which were observed macroscopically and microscopically. Thirty-six male Wistar rats were randomly divided into control group (n=12), acupuncture group (n=12), and laser acupuncture group (n=12). After burn induction, wound measurements and treatments were given every two days for 14 days. Half of the numbers from each group were terminated on the 7th day and the remaining half were terminated on the 14th day for microscopic observation. On the 14th day of measurement of wound closure, there was a significant difference (p=0.009) between the acupuncture group (66.96 ± 9.17) compared to the control group (49.93 ± 9.15), and a significant difference (p =0.009) between laser acupuncture group (72.48 ± 14.62) compared to control group. However, there was no significant difference (p=0.451) between acupuncture and laser acupuncture groups. On the 14th day of microscopic scoring, there was a significant difference (p<0.001) between the acupuncture group (16.17 ± 1.17) compared to the control group (10.33 ± 1.21), and a significant difference (p = 0.004) between the laser acupuncture group (17.83 ± 1.47) versus the control group. However, there was no significant difference (p=0.058) between acupuncture and laser acupuncture groups. The results showed that either acupuncture therapy or laser acupuncture could be used as an adjunct therapy to accelerate burn healing."

"ABSTRAK Detrusor underactivity DU adalah berkurangnya kekuatan dan/atau durasi kontraksi yang mengakibatkan pengosongan kandung kemih yang memanjang atau inkomplit. Sebanyak enam pasien dengan diagnosis DU diinklusikan dalam penelitian ini. Akupunktur tanam benang dilakukan dengan menggunakan polydioxanone PDO yang ditusukkan di titik akupunktur BL33 dan CV3 dengan teknik penetrating needling. Akupunktur tanam benang dilakukan sebanyak satu kali. Transcutaneous tibial nerve stimulation TTNS dilakukan sebanyak 3 kali seminggu selama 4 minggu. Hasilnya penelitian menunjukkan tidak terdapat perbedaan bermakna antara rerata volume berkemih sebelum 72,00 70,48 dan setelah 158,17 139,58 akupunktur tanam benang dan TTNS, p = 0,115, namun didapatkan peningkatan dengan rerata 86,17 110,80. Tidak terdapat perbedaan bermakna antara nilai PVR sebelum 164,00 173,69 dan setelah 74,83 126,28 terapi, p = 0,151, namun didapatkan penurunan sebesar 89,17 129,07. Tidak terdapat perbedaan bermakna antara rerata Qmax sebelum 4,12 3,28 dan setelah 12,35 9,20 , p = 0,085, namun didapatkan peningkatan sebesar 8,23 9,41. Terdapat perbedaan bermakna antara skor kualitas hidup sebelum dan setelah terapi dengan p = 0,017. Kesimpulan : akupunktur tanam benang dan TTNS dapat meningkatkan volume berkemih, menurunkan PVR, dan meningkatkan Qmax penderita DU, dan dapat memperbaiki kualitas hidup penderita DU secara signifikan. ABSTRACT Detrusor underactivity DU is a contraction of reduced strength and/or duration resulting in prolonged and/or incomplete bladder emptying. A total of six DU patients were included in this research. We did thread-embedding acupuncture by inserting polydioxanone PDO into BL33 and CV3 acupuncture points with penetrating needling techniques. Thread-embedding acupuncture was given once. Transcutaneous tibial nerve stimulation TTNS was given 3 times in a week during 4 weeks. The results showed no significant differences between before and after treatment on voided volume 72,00 70,48 and 158,17 139,58 , p = 0,115, but there was improvement with mean 86,17 110,80. There was no significant difference between before and after treatment on PVR 164,00 173,69 and 74,83 126,28 , p = 0,151, but there was improvement with mean 89,17 129,07. There was no significant difference between before and after treatment on Qmax 4,12 3,28 and 12,35 9,20 , p = 0,085, but there was improvement with mean 8,23 9,41. There was significant difference between before and after treatment on quality of life scoring with p = 0,017. Conclusion : thread embedding acupuncture and TTNS increase voided volume, and Qmax, decrease PVR, improve quality of life in in detrusor underactivity patients significantly "

"Pendahuluan: COVID-19 merupakan penyakit yang disebabkan oleh infeksi virus SARS-CoV-2. Gejala klinis COVID-19 yang paling sering dialami adalah demam dan batuk. Infeksi SARS-CoV-2 ke dalam tubuh pejamu akan menimbulkan respon imun dari pejamu yang akan menyebabkan terjadinya inflamasi sistemik. Hal ini dapat dilihat dari peningkatan berbagai penanda inflamasi, salah satunya adalah C-Reactive Protein (CRP). Saat ini belum ada terapi spesifik yang efektif untuk mengatasi COVID-19. Akupunktur yang merupakan modalitas terapi non-farmakologi yang telah terbukti dapat memberikan efek anti-inflamasi. Saat ini belum ada penelitian uji klinis akupunktur yang meneliti penanda inflamasi terhadap pasien COVID-19 yang telah dipublikasi. Tujuan penelitian ini adalah untuk mengetahui bagaimana efektivitas akupunktur dalam menurunkan kadar CRP dan memperbaiki gejala batuk yang dialami pasien COVID-19 gejala ringan-sedang.Metode: Sebuah penelitian pilot dengan desain studi uji klinis acak tersamar tunggal. Dua puluh dua pasien COVID-19 terkonfirmasi melalui pemeriksaan RT-PCR yang memiliki gejala ringan-sedang yang sedang dirawat inap di rumah sakit dikelompokan dalam dua kelompok: kelompok perlakuan yang mendapat terapi standar dan intervensi akupunktur manual dan kelompok kontrol yang mendapat terapi standar. Intervensi akupunktir manual dilakukan setiap 2 hari dengan total 6 sesi terapi. Sebelum intervensi dilakukan pengukuran kadar CRP dan penentuan onset batuk dan setelah 6 sesi akupunktur dilakukan dilakukan pengukuran kadar CRP dan penentuan periode lama batuk. Hasil: Terjadi penurunan rerata kadar CRP pada kedua kelompok (p=0,397). Penurunan kadar CRP pada kelompok perlakuan lebih besar dibandingkan kelompok kontrol. Gejala batuk lebih singkat pada kelompok perlakuan dibandingkan pada kelompok kontrol dan perbedaan ini bermakna secara statistik (p = 0,01).Kesimpulan: Kombinasi akupunktur manual dan terapi standar menurunkan kadar CRP dan penurunannya lebih besar dibandingkan dengan terapi standar. Namun, penurunan kadar CRP tidak bermakna secara statistik. Dan mempersingkat gejala batuk yang dialami pasien COVID-19 gejala ringan-sedang secara bermakna.

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Introduction: COVID-19 is a disease that caused by infection of SARS-CoV-2. The most common clinical symptoms of COVID-19 are fever and cough. SARS-CoV-2 infection into the host's body will cause an immune response which will cause systemic inflammation. This can be seen from the increase in various inflammatory markers, one of which is C-Reactive Protein (CRP). Currently there is no specific therapy that is effective for curing COVID-19. Acupuncture is a non-pharmacological therapeutic modality that has been shown to provide anti-inflammatory effects. Currently, there are no published studies of acupuncture clinical trials examining inflammatory markers in COVID-19 patients. The purpose of this study was to determine how effective acupuncture in reducing CRP levels and improving cough symptoms experienced by COVID-19 with mild-moderate symptoms patients.

Methods: A pilot study with an experimental study design single blind randomized clinical trial. Twenty-two COVID-19 patients confirmed by RT-PCR examination who had mild-moderate symptoms who were being hospitalized were divided into two groups: the treatment group who received standard therapy and manual acupuncture intervention and the control group who received standard therapy. Manual acupuncture intervention was performed every 2 days for a total of 6 therapy sessions. Before the intervention, the CRP level was measured and the onset of the cough was determined and after 6 acupuncture sessions, the CRP level was measured and the period of cough was determined.

Results: There was a decrease in the mean of CRP levels in both groups (p = 0.397). The decrease in CRP levels in the treatment group was greater than the control group. Cough symptoms were shorter in the treatment group than in the control group and this difference was statistically significant (p = 0.01).

Conclusion: The combination of manual acupuncture and standard therapy reduced CRP levels and the decrease was greater than that of standard therapy. However, the reduction in CRP levels was not statistically significant. And shorten the cough symptoms experienced by mild-moderate COVID-19 patients significantly."

"Pendahuluan: Salah satu efek samping kemoterapi yang paling sering terjadi dan meresahkan pada pasien anak adalah Chemotherapy induced nausea and vomiting (CINV). Akupunktur merupakan suatu pendekatan non farmakologi yang telah terbukti dapat menurunkan gejala CINV. Namun, aplikasi pada anak sering kali terkendala rasa takut akan jarum. Salah satu modalitas yang minimal invasif dan dapat diaplikasikan pada anak adalah press needle. Tujuan penelitian ini adalah untuk menilai efektivitas akupunktur press needle dalam mengurangi gejala CINV yang dinilai berdasarkan skor Rhodes index of nausea, vomiting, and retching (RINVR) pada pasien kanker anak yang menjalani kemoterapi.Metode: Desain studi ini adalah uji klinis acak terkontrol tunggal dengan kontrol sham. Penelitian ini diikuti oleh 60 pasien kanker anak yang menjalani kemoterapi. Subjek penelitian dialokasikan secara acak ke dalam kelompok perlakuan (n=30) dan kontrol (n=30). Pada kelompok perlakuan dilakukan pemasangan press needle pada titik PC6 Neiguan dan ST36 Zusanli, dilanjutkan dengan perangsangan akupresur minimal 3 kali sehari, sementara pasien pada kelompok kontrol mendapatkan press needle sham Plesterin® tanpa diikuti perangsangan apapun. Selama penelitian seluruh subjek tetap mendapatkan terapi anti emetik standar. Pemasangan press needle dilakukan sebelum kemoterapi dan dipertahankan hingga 3 hari pasca kemoterapi. Evaluasi mual muntah dilakukan setiap hari hingga 6 hari pasca kemoterapi menggunakan kuesioner Rhodes index of nausea, vomiting, and retching.Hasil: Terjadi penurunan skor RINVR yang signifikan antara hari kemoterapi dengan 3 hari pasca kemoterapi pada kelompok perlakuan ( p = 0,005 ). Skor RINVR pada hari pemberian kemoterapi, 3 hari dan 6 hari pasca kemoterapi pada kelompok perlakuan lebih rendah dibandingkan kelompok kontrol, namun perbedaan kedua kelompok tidak berbeda bermakna (p = 0,525, p = 0,506, p = 0,284).Kesimpulan: Akupunktur press needle mampu menurunkan skor RINVR pada pasien anak yang menjalani kemoterapi dan dapat diaplikasikan pada pasien anak karena efek sampingnya yang minimal, namun perlu dilakukan penelitian lebih lanjut untuk mengetahui waktu terapi yang sesuai.

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Background: Chemotherapy induced nausea and vomiting (CINV) are the most prevalent yet disturbing side effects of chemotherapy. Acupuncture is a non-pharmalogical approach that has been shown to reduce CINV symptoms. However, acupuncture in children is often constrained by a fear of acupuncture needles. Press needle is minimally invasive modalities that might be applied. The purpose of this study was to assess the effectiveness of press needle acupuncture in reducing CINV according to Rhodes index of nausea, vomiting, and retching (RINVR) score in pediatric cancer patients undergoing chemotherapy.

Method: The study design was a single randomized controlled trial with sham control. A total of 60 subjects were randomly allocated into treatment ( n = 30 ) and control ( n = 30) groups. Subjects in treatment group will received press needle at PC6 Neiguan and ST36 Zusanli, followed by acupressure stimulation at least 3 times a day, while patients in the control group received press needle sham Plesterin® without any further stimulation. During the study all subjects continued to receive standart anti-emetic therapy. The insertion of the press needle was performed before chemotherapy and retained up to 3 days after chemotherapy. Nausea and vomiting was evaluated everyday up to 6 days after chemotherapy using a Rhodes index of nausea, vomiting, and retching questionnaire.

Result: The RINVR score decreased significantly between the days of chemotherapy and 3 days post chemotherapy (p = 0,005) in treatment group. Comparation of RINVR score on chemotherapy days, 3 , and 6 days after chemotherapy was lower in treatment group but not significantly different between two groups ( p = 0,525, p = 0,506, p = 0,284).

Conclusion: Press needle acupuncture might be effective in reducing CINV in pediatric cancer patiens and was feasible due to its minimal side effects. Further research is needed to determine the appropriate treatment time."

"Pendahuluan: Peningkatan kadar kolesterol didalam plasma darah atau hiperlipidemia merupakan faktor predisposisi terjadinya aterosklerosis. Faktor risiko diet tinggi lemak amat mempengaruhi tingginya kadar kolesterol darah. Permasalahan kepatuhan dalam perubahan diet dan efek samping obat penurun kolesterol menjadi alasan perlunya terapi pilihan lain yang aman dan efektif. Penelitian menunjukkan bahwa elektroakupunktur pada titik ST40 Fenglong dapat digunakan sebagai terapi untuk memperbaiki kadar kolesterol darah. Salah satu modalitas akupunktur yang sedang berkembang adalah laser akupunktur. Tujuan penelitian ini adalah untuk mengetahui bagaimana efektivitas laser akupunktur dibandingkan dengan elektroakupunktur pada titik ST40 Fenglong dalam memperbaiki kadar kolesterol otal, indeks aterogenik, dan berat lemak dinding abdomen pada tikus model diet tinggi lemak. Metode: Desain studi ini adalah studi eksperimental dengan randomised control group posttest only. Dua puluh empat tikus Wistar jantan, usia 10 minggu dengan berat badan 200–250 gram dibagi menjadi 4 kelompok yaitu: kelompok diet normal, kelompok diet tinggi lemak tanpa perlakuan akupunktur, kelompok diet tinggi lemak dengan elektroakupunktur dan kelompok diet tinggi lemak dengan laser akupunktur. Elektroakupunktur dan laser akupunktur dilakukan 3 kali seminggu dengan total 12 sesi. Dilakukan pengukuran kadar kolesterol total, indeks aterogenik, dan berat lemak dinding abdomen setelah 12 sesi.Hasil: Rerata kadar kolesterol total, indeks aterogenik, dan berat lemak dinding abdomen pada kelompok tikus model diet tinggi lemak yang mendapat laser akupunktur lebih rendah dibandingkan pada kelompok tikus model diet tinggi lemak yang mendapat elektroakupunktur, namun tidak berbeda bermakna secara statistik (p > 0,05). Kesimpulan: Laser akupunktur memiliki kecenderungan lebih baik dalam mencegah peningkatan kolesterol total, indeks aterogenik, dan peningkatan berat lemak dinding abdomen akibat konsumsi diet tinggi lemak dibandingkan dengan elektroakupunkturIntroduction: Hyperlipidemia is an increased concentration of fat in blood plasma and is a predisposing factor for atherosclerosis. Risk factor such as high-fat diet greatly affect blood cholesterol levels. The problem of adherence to diet changes and cholesterol medication side effects are reasons to look for other alternative therapies that are safe and effective. Research shows that electroacupuncture at the ST40 Fenglong point can be used as a therapy to improve blood cholesterol levels. One of the acupuncture modalities is laser acupuncture. The purpose of this study was to determine the effectiveness of laser acupuncture compared to electroacupuncture at the ST40 Fenglong point for improving total cholesterol levels, atherogenic index, and abdominal wall fat weight in high fat diet model rats. Methods: This study was an experimental study with posttest only randomized control group. Twenty-four male Wistar rats, aged 10 weeks with a body weight of 200–250 grams were divided into 4 groups: the normal diet group, the high-fat diet without acupuncture treatment group, the high-fat diet with electroacupuncture group and the high-fat diet with laser acupuncture group. Electroacupuncture and laser acupuncture treatments were performed 3 times a week for a total of 12 sessions. Total cholesterol levels, atherogenic index, and abdominal wall fat weight were measured after 12 sessions.Results: The mean total cholesterol levels, atherogenic index, and weight of abdominal wall fat in the high-fat diet model group which received laser acupuncture treatment was lower than that in the high-fat diet group which received electroacupuncture group, but did not significantly differ (p> 0.05). Conclusion: Compared to electroacupuncture, laser acupuncture has a better tendency at preventing increases in total cholesterol level, atherogenic index, and abdominal wall fat weight due to high-fat diet consumption."

"ABSTRAKKolonoskopi merupakan standar penapisan neoplasia kolorektal. Salah satu komplikasi yang sering dirasakan adalah nyeri abdomen. Pemberian analgesi untuk mengurangi nyeri belum optimal sehingga berbagai modalitas terapi dikembangkan, salah satunya akupunktur telinga. Uji klinis acak tersamar dengan pembanding dilakukan pada 56 pasien yang menjalani kolonoskopi untuk mengetahui efek akupuntur terhadap nyeri. Hasil penelitian menunjukkan bahwa skor CPOT lebih rendah pada kelompok akupunktur namun tidak terdapat perbedaan bermakna terhadap skor VAS, perubahan frekuensi nadi dan rerata waktu menuju sekum. Kesimpulan penelitian ini, akupunktur telinga efektif untuk mengurangi nyeri pada kolonoskopi walaupun tidak terdapat perbedaan bermakna dengan plasebopunktur.

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ABSTRACT

Colonoscopy is the standard screening colorectal neoplasia.One of the common complication is abdominal pain. Randomized controlled trials carried out on 56 patients who underwent colonoscopy to determine acupuncture effect on pain during ciolonoscopy. The results showed CPOT was lower in the acupuncture group while there were no significant differences regarding VAS , changes in heart rate and the mean time to the cecum. Resulst suggested ear acupuncture combined with midazolam and pethidine was effective to reduce pain during colonoscopy while there were no significant differences compared to plasebopuncture."

"Sindrom miofasial adalah kumpulan gejala dan tanda dari satu atau beberapa titik picu (trigger points) dan dicirikan oleh nyeri otot kronis dengan peningkatan sensitivitas terhadap tekanan. Tatalaksana akupunktur manual dapat dilakukan dengan berbagai pilihan teknik rangsang.Tujuan penelitian ini adalah membandingkan tindakan akupunktur superfisial dry needling dengan akupunktur sparrow pecking terhadap perubahan nyeri dan ambang rangsang nyeri penderita sindroma nyeri miofasial upper trapezius.Telah dilakukan penelitian eksperimental dengan rancangan randomized control trial. Sampel sebanyak 36 orang dibagi menjadi dua kelompok masing-masing 18 orang. Kelompok A mendapatkan tindakan akupunktur superfisial dry needling, sedangkan Kelompok B mendapatkan tindakan akupunktur sparrow pecking. Pengumpulan data dilakukan dengan mengukur intensitas nyeri menggunakan visual analog scale (VAS) dan ambang rangsang nyeri menggunakan pressure threshold meter (PTM) pada saat sebelum, menit ke-0, 30 dan 60 setelah perlakuan.Dari hasil penelitian didapat tidak ada perbedaan skor nyeri (p=0,23, uji Mann-Whitney U) dan peningkatan ambang rangsang nyeri (p=0,80, uji Mann-Whitney U) setelah tindakan akupunktur superfisial dry needling dan sparrow pecking.Disimpulkan akupunktur superfisial dry needling, sama baiknya dengan sparrow pecking untuk menurunkan nyeri dan meningkatkan ambang rangsang nyeri penderita sindroma nyeri miofasial otot upper trapezius, dengan tidak adanya perbedaan signifikan.

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Myofascial syndrome is a group of symptoms and signs of one or more trigger points and is characterized by chronic muscle pain with increased sensitivity to pressure. Manual acupuncture can be done with several choice of stimulation techniques.The purpose of this study was to compare the acupuncture technique of superficial needling with sparrow pecking in reducing pain and the changes of pain threshold of myofascial pain syndrome of upper trapezius. Sample of 36 people, divided into two groups, each group consisted of 18 people. The first group was given superficial dry needling acupuncture while the second group get sparrow pecking acupuncture. The intensity of pain was measured using the VAS (Visual Analog Scale) and stimuli of pain threshold was measured using a pressure threshold meter (PTM) at the time before at minute 0, 30 and 60 after treatment.After treatment (minute 0), there was no mean difference in pain scores (p=0.23, Mann-Whitney U test) and the stimuli of pain threshold (p=0.80, Mann-Whitney U test) between superficial dry needling and sparrow pecking acupuncture.Dry needling acupuncture as well as sparrow pecking both reduced pain and increased the threshold of pain stimuli of myofascial pain upper trapezius, with no significant difference."