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Introduction: A growing body of studies focuses on the association between loneliness defined as social isolation with sleep quality and cognitive performance, whereas emotional loneliness has not received much attention. Determine the association between emotional loneliness, cognitive performance, and sleep quality in one of Indonesia's rural areas. Method: The sample comprised 30 Indonesian individuals > 60 years old living in rural areas. Cognitive performance was evaluated using the Mini-Mental State Examination (MMSE). The quality of sleep was measured using the Pittsburgh Sleep Quality Index. Meanwhile, emotional loneliness was conducted using the UCLA Loneliness Scare. Using Pearson correlation, bivariate analysis was performed between physical health, sociodemographic factors, cognitive function, and sleep quality with loneliness. Results: There is a significant moderate correlation between loneliness and diabetes (p-value = 0.001, r = 0.573). There is a significant low correlation between loneliness and MMSE score (p-value = 0.03, r = 0.397). And there is a significant high correlation between loneliness and PSQI score (p-value = 0.000, r = 0.886). Two components of sleep quality that show a statistically significant correlation with loneliness are subjective sleep quality (p-value = 0.000, r = 0.6) and sleep duration (p-value = 0.023, r = 0.414). Conclusion: This is the first study to examine the association between emotional loneliness with sleep quality and cognitive function in one of Indonesia's rural areas. [ABSTRACT FROM AUTHOR]

Introductions: One of the mental health disorders that have an impact on physical health is called somatization disorder. Somatization is characterized by the appearance of complaints of pain in body parts that occur repeatedly. Anxiety, various physical complaints, and an increasing number of symptoms accompany symptoms of somatization disorder. The most common physical complaint is heartburn. Case: This case report discusses the case of a 36-year-old woman who complained of heartburn by visiting various doctors, but no medical results showed any abnormalities. Purpose: This case report aims to provide a literature review of heartburn symptoms due to somatization. Discussion: The Relationship between Heartburn Levels and Somatoform Disorders Psychosocial stressors are related to psychological factors that influence medical conditions that cause prominent psychological and somatic disorders. Psychological disorders and vice versa can cause physical disturbances. The patient's bodily medical condition can cause psychological disorders. Patients with severe acute pain will experience anxiety, fear, and sleep disturbances. This is due to the patient's discomfort with his condition, where he suffers from the pain he experiences and cannot move. With increasing duration and intensity of pain, the patient may experience a depressive disorder, and then the patient will be frustrated and irritable towards those around him and himself. Conclusion: The high pain intensity in the patient will cause sensitivity and increase his concern for his physical, lowering the threshold for detecting physical sensations or expressing distress and pain. [ABSTRACT FROM AUTHOR]

Objective: To determine the incidence, onset, risk factors and mortality of pulmonary embolism in total knee replacement patients., Methods: The systematic review was conducted in September 2022, and comprised search on PubMed, ScienceDirect, Scopus and Crossref databases for studies published from 1977 till September 7, 2022, in the English language related to the incidence of pulmonary embolism after primary total knee replacement. Cochrane Handbook for Systematic Reviews of Interventions was used to assess risk of bias, and the Newcastle-Ottawa Scale was used to assess the quality of evidence., Results: Of the 3,910 studies initially identified, 66(1.68%) were analysed in detail, which together had 13,258,455 total knee replacement patients. Pulmonary embolism was reported in 76,515(0.58%) cases. The onset of pulmonary embolism ranged 2-150 days post-surgery. Patients with older age, diabetes mellitus, higher body mass index, atrial fibrillation, previous venous thromboembolism, high Charlson Comorbidity Index score, hypertension, arrhythmia and chronic heart failure were at significantly higher risk (p<0.05). The overall mortality rate of pulmonary embolism in such cases ranged 10.53-100%., Conclusions: Pulmonary embolism is a rare complication after orthopaedic surgery, but it has a very high mortality rate. By recognising the risk factors, attending physicians can optimise the use of chemoprophylaxis, thus preventing pulmonary embolism.