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"Feeling old and creaky? Everyday wear and tear can erode your joints and stiffen your ligaments and tendons, and can even lead to arthritis. Bestselling authorDr. Bob Arnot designed a revolutionary program to overcome his own advanced case of wear and tear, and his findings can help you get on the move too.His exciting new blueprint will dramatically improve your strength and vigor, help you become more supple and limber, and put the spring back into your step. Whether you are sixty years old or twenty, this book can help you beat wear and tear.Based on the latest scientific research and decades of Dr. Arnot's own experience, Wear and Tear includes easy-to-follow guidelines to help you select the right shoes, incorporate highly effective new supplements into your diet, and kill the pain associated with sore joints and even moderate arthritis. For the more athletic, Dr. Arnot provides a regimen of nutrition, diet, and exercise to reverse joint damage. You'll even find customized yoga poses and a chapter on joint-friendly sports.Dr. Bob Arnot will show you how to slow, stop, or even reverse the effects of wear and tear."

"Feeling old and creaky? Everyday wear and tear can erode your joints and stiffen your ligaments and tendons, and can even lead to arthritis. Bestselling authorDr. Bob Arnot designed a revolutionary program to overcome his own advanced case of wear and tear, and his findings can help you get on the move too.His exciting new blueprint will dramatically improve your strength and vigor, help you become more supple and limber, and put the spring back into your step. Whether you are sixty years old or twenty, this book can help you beat wear and tear.Based on the latest scientific research and decades of Dr. Arnot's own experience, Wear and Tear includes easy-to-follow guidelines to help you select the right shoes, incorporate highly effective new supplements into your diet, and kill the pain associated with sore joints and even moderate arthritis. For the more athletic, Dr. Arnot provides a regimen of nutrition, diet, and exercise to reverse joint damage. You'll even find customized yoga poses and a chapter on joint-friendly sports.Dr. Bob Arnot will show you how to slow, stop, or even reverse the effects of wear and tear."

"Non-specific neck pain merupakan salah satu keluhan muskuloskeletal yang sering dialami oleh pekerja kantoran akibat posisi duduk statis dan ergonomi kerja yang buruk. Salah satu intervensi fisioterapi manual yang digunakan untuk mengatasi kondisi ini adalah Muscle Energy Technique (MET), yang terdiri dari teknik Post-Isometric Relaxation (PIR) dan Post-Facilitation Stretching (PFS). Penelitian ini bertujuan untuk mengetahui pengaruh pemberian Muscle Energy Technique terhadap penurunan nilai Neck Disability Index (NDI) pada pekerja kantoran dengan non-specific neck pain. Penelitian ini menggunakan desain pra-eksperimental dengan pendekatan one group pretest-posttest. Sebanyak 26 partisipan dengan keluhan non non-specific neck pain mengikuti intervensi MET selama 4 minggu dengan frekuensi tiga kali per minggu. Pengukuran dilakukan menggunakan kuesioner Neck Disability Index (NDI) versi Indonesia. Hasil analisis menunjukkan adanya penurunan skor NDI yang signifikan setelah pemberian intervensi MET (p < 0,001), dengan nilai perubahan yang melebihi batas Minimal Clinically Important Change (MCIC). Sehingga dapat disimpulkan bahwa Muscle Energy Technique efektif dalam menurunkan disabilitas leher pada pekerja kantoran yang mengalami nyeri leher non-spesifik. Intervensi ini dapat dijadikan sebagai bagian dari terapi manual berbasis bukti untuk populasi kerja berisiko.

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Non-specific neck pain is a common musculoskeletal complaint among office workers, often caused by prolonged static posture and poor ergonomic conditions. One of the manual physiotherapy interventions used to address this issue is Muscle Energy Technique (MET), which includes Post-Isometric Relaxation (PIR) and Post-Facilitation Stretching (PFS) techniques. This study aimed to determine the effect of Muscle Energy Technique on reducing the Neck Disability Index (NDI) in office workers with non-specific neck pain. This study used a pre-experimental one-group pretest-posttest design. A total of 26 participants with non-specific neck pain received MET intervention over four weeks, three times per week. Measurements were conducted using the Indonesian version of the Neck Disability Index (NDI) questionnaire. The results showed a significant reduction in NDI scores after the intervention (p < 0.001), with changes exceeding the Minimal Clinically Important Change (MCIC) threshold. Therefore, it can be concluded that Muscle Energy Technique is effective in reducing neck disability in office workers with non-specific neck pain. This intervention can be considered as part of evidence-based manual therapy for at-risk working populations."

"From sore shoulders to spinal cord injuries, Essentials of Physical Medicine and Rehabilitation, 3rd Edition provides you with the knowledge you need to get your patients moving again. This practical and authoritative new edition delivers easy access to the latest advances in the diagnosis and management of musculoskeletal disorders and other common conditions requiring rehabilitation. Each topic is presented in a concise, focused, and well-illustrated format featuring a description of the condition, discussion of symptoms, examination findings, functional"

"Pendahuluan: Di Amerika Serikat kanker pada anak terjadi pada 2% dari seluruh kasus kanker. Setelah trauma, kanker merupakan penyebab kematian kedua terbanyak pada anak-anak usia lebih dari satu tahun. Beberapa tahun belakangan, kemajuan protokol terapi memberikan perbaikan yang signifikan terhadap prognosis pada pasien kanker anak. Selain itu juga menimbulkan permasalahan baru salah satunya adalah nyeri kanker. Studi klinis terbaru menunjukkan bahwa hampir 50% pasien kanker rawat jalan mengalami nyeri yang belum tertangani dengan baik. Efek samping dari nyeri yang tidak tertangani dengan baik seperti : menurunnya kualitas hidup, susah tidur, peningkatan sensitivitas terhadap nyeri, dan kesulitan dalam tindakan medis, hambatan dalam aktivitas sosial, dan berkembangnya masalah perilaku dan emosional. Akupunktur telah terbukti merupakan terapi tambahan yang efektif jika dilakukan bersama pengobatan farmakologi konvensional untuk mengatasi nyeri kanker dan dapat mengurangi dosis analgetik dan efek sampingnya. Tujuan dari penelitian ini adalah untuk mengetahui penggunaan obat analgetik, perubahan skor VAS intra kelompok, dan keberhasilan terapi pada kelompok akupunktur dan medikamentosa dan kelompok medikamentosa saja pada nyeri kanker anak.Metode: Penelitian ini menggunakan desain kohort retrospektif dengan mengambil data di RSUPN dr. Cipto Mangunkusumo (RSCM). Populasi terjangkau penelitian ini adalah pasien anak dengan nyeri kanker yang dirawat di Gedung Pusat Kesehatan Ibu Anak (PKIA) RSCM Kiara pada bulan Januari 2022- Juli 2023.Hasil: Kedua kelompok dapat menurunkan skor VAS dan terdapat beda signifikan. Akupunktur dan medikamentosa mempunyai peluang untuk dapat mengurangi penggunaan jenis obat analgetik, penggunaan ekstra obat dan pengurangan dosis total morfin harian, namun diperlukan penelitian lebih lanjut. Kedua kelompok memberikan hasil yang baik pada luaran keberhasilan terapiKesimpulan: Akupunktur dan medikamentosa mempunyai peluang untuk dapat mengurangi obat analgetik, mengurangi skor VAS, dan memberikan hasil yang baik untuk keberhasilan terapi, namun diperlukan penelitian lebih lanjut.

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Introduction: In the United States, childhood cancer occurs in 2% of all cancer cases. After trauma, cancer is the second leading cause of death in children over one year old. In recent years, advances in therapeutic protocols have provided significant improvements in the prognosis of pediatric cancer patients. Apart from that, it also creates new problems, one of which is cancer pain. Recent clinical studies show that nearly 50% of outpatient cancer patients have untreated pain. Side effects of pain that is not handled properly include: decreased quality of life, difficulty sleeping, increased sensitivity to pain, and difficulties in medical procedures, obstacles in social activities, and the development of behavioral and emotional problems. Acupuncture has been shown to be an effective adjunctive therapy when performed alongside conventional pharmacological treatment to treat cancer pain and can reduce analgesic doses and associated effects. The aim of this study was to determine the use of analgesic drugs, changes in intra-group VAS scores, and the success of therapy in the acupuncture and medication group and the medication alone group for childhood cancer pain.

Methode: This study used a retrospective cohort design by taking data at RSUPN dr. Cipto Mangunkusumo (RSCM). The reachable population for this study is children with cancer pain who are treated at the Pusat Kesehatan Ibu Anak (PKIA) RSCM Kiara in January 2022-July 2023.

Results: Both groups can reduce the VAS score and there is a significant difference. Acupuncture and medication have the opportunity to reduce analgesic drugs, reduce extra drug use and reduce the total daily dose of morphine, but further research is needed. Both groups gave good results in terms of therapeutic success.

Conclusion: Acupuncture and medication have the opportunity to reduce the use of analgesic drugs, reduce VAS scores, and provide good results for successful therapy, but further research is needed."

"Nyeri merupakan salah satu gejala yang paling sering dialami oleh pasien anak di ruang perawatan intensif yang dilakukan prosedur tindakan pengambilan darah. Perawat perlu memberikan asuhan keperawatan dengan menitikberatkan pada kenyamanan anak selama prosedur tindakan pengambilan darah di rumah sakit karena kenyamanan adalah hal penting dalam kualitas hidup pasien anak. Tujuan karya ilmiah ini adalah untuk menganalisis penerapan Teori Kenyamanan Kolcaba dalam proses asuhan keperawatan pada anak di ruang perawatan intensif yang mengalami nyeri saat pengambilan darah melalui pemberian intervensi terapi musik. Metode karya ilmiah ini adalah studi kasus pada lima pasien anak yang dirawat di ruang perawatan intensif yang mendapatkan prosedur tindakan pengambilan darah. Terdapat lima kasus pasien anak yang terpasang ventilasi mekanik yang diberikan asuhan keperawatan dengan pendekan Teori Kenyamanan Kolcaba dengan intervensi kenyamanan yang berbasis bukti yaitu intervensi terapi musik. Hasil menunjukkan bahwa Teori Kenyamanan Kolcaba dapat diterapkan dalam asuhan keperawatan anak dan terapi musik  efektif dalam menurunkan nyeri  pada anak yang dilakukan tindakan pengambilan darah.

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Pain is one of the most common symptoms experienced by pediatric patients in intensive care unit who are undergoing blood collection procedures. Nurses need to provide nursing care with an emphasis on children's comfort during blood collection procedures in hospitals because comfort is important in the quality of life of pediatric patients. The aim of this scientific work is to analyze the application of Kolcaba's Comfort Theory in the care process for children in intensive care who experience pain when taking blood through providing music therapy interventions. The method of this scientific work is a case study of five pediatric patients treated in intensive care who received a blood collection procedure. There were five cases of pediatric patients on mechanical ventilation who were given treatment using Kolcaba's Comfort Theory approach with evidence-based comfort interventions, namely music therapy interventions. The results show that Kolcaba's Comfort Theory can be applied in childcare and music therapy is effective in reducing pain in children who undergo blood sampling."

"Penelitian ini bertujuan untuk melihat adakah perbedaan intensitas nyeri, kekuatan otot, dan kemampuan fungsional lutut antara penderita obesitas dan tanpa obesitas dengan osteoartritis genu (OA genu). Dilakukan studi potong lintang pada 50 orang perempuan dewasa, terdiri dari 25 orang penderita obesitas dengan OA genu, dan 25 orang tanpa obesitas dengan OA genu yang datang ke poli unggulan Obesitas dan poliklinik muskuloskeletal Departemen Rehabilitasi Medik RSCM. Intensitas nyeri dinilai menggunakan metode Visual Analogue Scale (VAS), kekuatan otot kuadrisep diukur menggunakan dinamometer jinjing, sedangkan kemampuan fungsional lutut dievaluasi menggunakan indeks Laquesne. Hasil penelitian menunjukkan adanya perbedaan intensitas nyeri dan kekuatan otot kuadrisep, terutama antara obesitas derajat II dengan subjek yang memiliki berat badan normal, berat badan lebih maupun obesitas derajat I. Tidak terdapat perbedaan kemampuan fungsional lutut yang bermakna secara statistik antara penderita obesitas dan tanpa obesitas dengan OA genu.

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The aim of the study was to find wheather there were any differences pain intensity, quadriceps muscle strength, and knee functional abilities between obese and non-obese patient with genu osteoarthritis (OA genu). We conducted a cross-sectional study in 50 adult women outward patient in Obesity Vlinic and Musculoskeletal Division of Physical Medicine and Rehabilitation Departement at Cipto Mangunkusumo Hospital, consisted of 25 obese people with osteoarthritis genu, and 25 non-obese people with osteoarthritis genu. The intensity of pain was assessed using the Visual Analogue Scale method (VAS), quadriceps strength was measured using a hand-held dynamometer, while functional ability was evaluated using the index Lequesne.

The study results showed that there were significant differences in pain intensity and quadriceps muscle strength, particularly between obese grade II and subjects with normal weight, overweight or obese first degree. There were no statistically significant difference in functional abilities knee between obese and non-obese patients with osteoarthritis genu."

"Obat nyeri umumnya digunakan oleh pasien kanker yang mengikuti pelayanan paliatif dimana pelayanan tersebut mengutamakan peningkatan kualitas hidup pasien. Selain obat nyeri, pasien kanker pelayanan paliatif juga dapat menggunakan obat lain sebagai kombinasi untuk mengatasi gejala lainnya sehingga dapat meningkatkan potensi interaksi obat. Penelitian ini bertujuan untuk menganalisis potensi interaksi obat nyeri dengan obat nyeri dan obat lain pada pasien kanker pelayanan paliatif. Desain penelitian yang digunakan yaitu cross sectional dengan metode retrospektif dan bersifat deskriptif. Sampel penelitian adalah data resep pasien kanker yang mengikuti pelayanan paliatif di RS Kanker Dharmais pada bulan Januari - Desember 2017. Sampel penelitian yang diperoleh sebanyak 273 resep. Hasil penelitian menunjukkan sebanyak 191 resep 69,9 pasien kanker pelayanan paliatif berpotensi memiliki interaksi obat nyeri. Jumlah insidensi interaksi obat nyeri yang ditemukan sebanyak 316 kasus, dengan tingkat keparahan mayor sebanyak 73,5, moderat sebanyak 26,3, dan minor sebanyak 0,2. Kombinasi obat nyeri yang paling banyak mengalami interaksi yaitu fentanil dan morfin sebanyak 61 kasus 19,3. Hasil penelitian ini dapat disimpulkan bahwa potensi interaksi obat nyeri dengan obat nyeri dan obat lain pada pasien kanker cukup tinggi sehingga diperlukan pemantauan terapi dalam peresepan obat nyeri pada pasien kanker yang mengikuti pelayanan paliatif di RS Kanker Dharmais tahun 2017.

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Pain medicines are mostly used in cancer patient with palliative care which give priority to increase patients quality of life. Besides pain medicines, cancer patient with palliative care also used other drug as a combination to overcome other symptomps of cancer which potentially cause drug interaction.

The aim of this study was to analyze the potential of pain medicine interaction in cancer patient. The study design was cross sectional with a retrospective method and descriptive study. The sample of this study was cancer palliative care patients prescription at Dharmais Cancer Hospital in the period of January ndash December 2017. Sample analyzed in this study was 273 prescriptions.

This study found that there were 191 prescriptions 69,9 pain medicine which potentially interact with 316 interaction cases. The most common pain medicine interaction was 61 cases of fentanyl and morphine 19,3. Based on severity, pain medicine interaction consisted of 73,5 mayor interaction, 26,3 moderat interaction, and 0,2 minor interaction.

Based on this study, pain medicine interaction was high occured, so that management therapies are needed in pain medicine prescription in cancer patient with palliative care at Dharmais Cancer Hospital in 2017."