Journal of Widya Medika Junior
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CORRELATION OF KNOWLEDGE OF COMORBID FACTORS AS A RISK FACTOR OF COVID-19 SEVERITY WITH BEHAVIOR RELATED TO COVID-19 PREVENTION IN MEMBERS OF CHRONIC DISEASE MANAGEMENT PROGRAM IN BANGKALAN
Get PDFBackground: Knowledge about COVID-19 is very important for everyone during this pandemic. This is related to efforts to break the chain of the spread of the Covid- 19 virus. Moreover, many deaths caused by this virus are experienced by many people with comorbidities.Research Objectives: This research study was conducted to know the relationship between knowledge of comorbid factors as the main risk factor for the severity of COVID-19 and behavior related to COVID-19 prevention among members of the Chronic Disease Management Program (PROLANIS) in Bangkalan Regency. Research Methods: This study uses quantitative methods. This type of research is observational with a cross-sectional. This sampling used a simple random sampling technique. And the data analysis used in this research is the Spearman correlation test. Research Results: From the results of the analysis, it is known that there is a relationship between knowledge about comorbid factors as the main risk factor for the severity of COVID-19 with behavior related to preventing COVID-19 among members of the Chronic Disease Management (PROLANIS) program in Bangkalan Regency, as evidenced by a p-value of 0.000 <0, 05. The correlation coefficient value of 0.619 is included in the strong category.Conclusion: meaning that there is a strong relationship between knowledge about comorbid factors as the main risk factor for the severity of COVID-19 and behaviors related to preventing COVID- 19 among members of the Chronic Disease Management (PROLANIS) program in Bangkalan Regency
THE EFFECT OF CIGARETTE SMOKE ON MUCOCILIARY TRANSPORT IN ALLERGIC RHINITIS PATIENTS AT PHC SURABAYA HOSPITAL
Get PDFBackground: Tobacco is one of the biggest public health threats in the world. According to the World Health Organization (WHO), the use of cigarettes causes the death of ± 8 million people per year worldwide. About 1.2 million are passive smokers who are exposed to cigarette smoke. Mucociliary transport is the first line in the defense mechanism of the nose that works actively to keep the respiratory tract always clean. Exposure to cigarette smoke can increase mucus secretion. Ciliary movement can also be obstructed, thereby interfering with nasal mucociliary transport. Inflammation of the nasal mucosa due to Allergic Rhinitis will obstruct the nose, which can interfere with the work of mucociliary transport.Objective: This study aims to analyze the effect of cigarette smoke on mucociliary transport in Allergic Rhinitis patients.Methods: This research is an observational study using a cross-sectional research method that was carried out at PHC Surabaya Hospital.Results: 20 RA patients were divided into two groups: ten smokers and ten non-smokers. The saccharin test measured mucociliary transport time. The mucociliary transport time for smokers was 8.72 minutes and 4.82 minutes for non-smokers. The results of the Mann-Whitney test obtained a significance value of p = 0.019 < α = 0.05.Conclusions: There is a significant difference in mucociliary transport time between smoking RA patients, where the mucociliary transport time of smoking patients is longer than that of non-smokers
A CASE REPORT OF NECROTIZING FASCIITIS OF THE NECK AND ANTERIOR CHEST WALL CAUSED BY ODONTOGENIC INFECTION IN ELDERLY: DIAGNOSIS AND MANAGEMENT IN RURAL AREA
Get PDFIntroduction: Necrotizing Fasciitis (NF) is bacterial infection spreading rapidly affecting soft tissue and muscular fascia. It's life threatening and fatal, leads to tissue necrosis, sepsis, and death. It has high mortality number especially in elderly.Purpose: To report a rare case of odontogenic NF in elderly patient extending to the neck, left upper limb and anterior chest wall, diagnosed and treated in district hospital with limited facilities.Case Report: A 65 years old male with painful left neck swelling and fluctuating gangrenous appearance start form the mastoid bone to infraclavicular area crossing to the right close with sternal area. Swelling and fluctuating area also found in left axillar and left arm. Thirteen hours after hospital admission, the patient was sent to operating room to do the wound debridement. Wound care was carried out daily in intensive care unit and inpatient ward. 14 days postoperatively patient was send out to continue the wound care in outpatient department. 28 days postoperatively, skin grafting was done.Conclusion: Fourteen days postoperatively patient was sent to outpatient department to continue his wound care. After wound care in order to wound prepare for skin grafting. 28 days postoperatively, 14 days after patient discharge from hospital, skin grafting was done to close the wound defect
IDENTIFICATION OF RISK FACTORS AND SYMPTOMS OF CHRONIC KIDNEY DISEASE ON ELDERLY IN NURSING HOME ‘X’ PEKANBARU
Get PDFBackground: At this time, Chronic Kidney Disease (CKD) is still a world health problem, CKD is usually undetected until it reaches the severe or terminal stage. CKD ranks 16th as a cause of death worldwide. Nationally, CKD has been the second largest expense following heart disease. This study was conducted to identify the symptoms and risk factors for chronic kidney disease in the elderly in social care institutions who are the population at risk. Methods: A descriptive study was conducted on 38 elderly people aged ≥60 years who are residents of nursing home 'X'. The residents of the nursing home who met the criteria of inclusion were interviewed and identified the risk factors and symptoms of CKD by conducting interviews using the available questionnaires and physical examination. Data were collected and presented in frequency distribution table. Results: from 38 respondents, 15 respondents had history of hypertension, 10 respondents had a history of diabetes mellitus, 16 respondents had history of smoking, 8 with history of NSAIDS use, and no one has history of kidney disease. The highest count of risk factor was found in 1 respondent (2.6%), meanwhile respondent with 1 and 2 risk factors was found in 11 respondents (28.9%). The most frequent symptom of CKD that appeared among respondents was decreased libido which 26 respondents experienced every day and the rarest symptom of kidney disease that appeared among respondents were restless legs which 35 respondents have never experienced. Conclusion: Almost every respondent had risk factor/s of CKD with the most frequent distribution of risk factor is 1-2 risk factor/s in one respondent and the most frequent symptom among respondents is impotence/decreased libido.
TELEREHABILITATION FOR DEMENTIA PATIENTS DURING PANDEMIC CORONAVIRUS DISEASE (COVID-19): A LITERATURE REVIEW
Get PDFIntroduction: Dementia is a chronic and progressive intellectual function syndrome in the elderly. According to WHO, the prevalence of dementia in the world in 2018 reached 50 million people and is estimated to reach 152 million in 2050. Rehabilitation is an effort to minimize disturbances in the life quality of dementia patients. However, The COVID-19 pandemic has emerged as a new obstacle in providing rehabilitation services for dementia patients. Telerehabilitation is very useful in helping rehabilitate dementia patients in the era of the COVID-19 pandemic.Purpose: The technology use of telerehabilitation in geriatrics dementia is potentially improving medical access to deliver rehabilitation therapy of pandemic COVID-19.Method: This study was conducted by literature review from Science Direct, PubMed, and The American Journal of Geriatric Psychiatry library database, with search terms: "Telemedicine," "Telerehabilitation," "Dementia," "Geriatric" by Boolean search operators. There are 226 records identified and screened by title and abstract. Their studies are finally fulfilled our criteria and will be reviewed.Result: We examined three studies and presented qualitative and quantitative scores for two telerehabilitation methods. Two methods are commonly used for video conference and virtual reality. Video conferences are still the most capable method for dementia telerehabilitation.Conclusion: The technology use of telerehabilitation in geriatrics dementia is potentially improving medical access to deliver rehabilitation therapy to patients and caregivers at a distance during this pandemic
COPING MECHANISM USED BY DEPENDENT ELDERLY IN REJOWINANGUN URBAN VILLAGE, YOGYAKARTA
Get PDFIntroduction: A decrease often follows aging in quality of life. Coping is a form of problem-solving and balancing emotions in stressful situations. Coping strategies that someone uses extensively affect someone's ability to handle problems.Objectives: Obtain an overview of the coping mechanism of dependent elderly in Rejowinangun Urban Village, Yogyakarta, and indirectly know the impact of the COVID-19 pandemic on dependent elderly.Materials and Methods: The subjects were more than 60 years old residents of Rejowinangun Urban Village, which are dependent on Barthel's criteria and had no cognitive impairment. A qualitative method with a phenomenological approach was used. Data collection was carried out by in-depth interviews, which were preceded by a screening process. Sampling was done through purposive sampling with five subjects. The interview was verbatim transcribed and analyzed using the thematic framework.Results: Dependent elderly perform confrontative, seeking social support, planful problem solving, self-control, distancing, positive reappraisal, escape/avoidance, and accepting responsibility coping. Not all dependent elderly living depend on others. Some do not want to bother others and are still productive. More diverse coping mechanisms were carried out by subjects who had the disease for more than ten years.Conclusion: Subjects tend to use problem-focused coping rather than emotion-focused coping. During the COVID-19 pandemic, their disease can become uncontrollable, and they feel stressed because they cannot do outside activities or the decreased income. However, they have more time to spend with their families
THE ASSOCIATION OF DURATION OF TYPE 2 DIABETES MELLITUS WITH THE PREVALENCE OF PERIPHERAL DIABETIC NEUROPATHY
Get PDFBackground: Chronic complications of diabetes mellitus have a significant role in increased morbidity, mortality, disability, and health cost as the population increases every year. Promotive and preventive actions are needed to decrease the prevalence of peripheral diabetic neuropathy. The screening tool for peripheral diabetic neuropathy is Michigan Neuropathy Screening Instrument (MNSI), which consists questionnaire and physical examination.Objective: The purpose of this study was to understand the association of the duration of type 2 diabetes mellitus with the prevalence of peripheral diabetic neuropathy in the Outpatient Unit of Gotong Royong Hospital Surabaya. Method: A cross-sectional study was done using 50 patients in the Outpatient Unit of Gotong Royong Hospital Surabaya. The sampling technique used consecutive sampling with filling out the Michigan Neuropathy Screening Instrument (MNSI) questionnaire. The score of the MNSI questionnaire is analyzed using Chi-Square Test.Result: Among 50 subjects who participated in the study, most were women (78%). The prevalence of patients with peripheral diabetic neuropathy was 28% from all subjects. This chronic complication is divided into two groups based on the duration of diabetes mellitus type 2 with the prevalence of peripheral diabetic neuropathy with a duration of diabetes <5 years (18,2%) and peripheral diabetic neuropathy with the duration of diabetes more than equal to five years old (35,7%). From the analysis with Chi-Square, we did not find a significant association between the duration of type 2 diabetes mellitus and peripheral diabetic neuropathy (p = 0.004).Conclusion: There was no statistically significant association between the duration of type 2 diabetes mellitus and the prevalence of peripheral diabetic neuropathy
CORRELATION OF THE USE OF CONTRACEPTIVE PILL COMBINATION TO RISK OF LEIOMYOMA EVENTS IN RSPAL SURABAYA
Get PDFThe use of contraception is important to control population growth, regulate the interval between pregnancies, avoid unwanted births, control the time of birth in a husband and wife relationship and determine the number of children in the family. According to the Central Statistics Agency (BPS) of East Java Province in 2018, the number of active Family Planning (KB) participants of married women of childbearing age who use hormonal contraception in the form of pills was 19.26%, injections were 50.44%, and implants is 11. 45%. Uterine fibroids occur in 20%-25% of women of reproductive age. The prevalence of leiomyoma may increase with hormonal contraceptives containing the hormone estrogen, either pure or combined. Uterine fibroids can affect the quality of life of the sufferer.Purpose: To analyze the relationship between the use of combined pill contraceptives and those who do not use the combined pill contraception in women with the incidence of leiomyoma.Method: This research is an observational analytic carried out retrospectively with a case-control approach. The sampling technique in this study was non-probability sampling, namely purposive sampling. This study uses secondary data, namely medical records of gynecological patients at the RSPAL Dr. Ramelan Surabaya by meeting the inclusion criteria and exclusion criteria. The data collected will be analyzed by looking at whether leiomyoma patients use combined pill contraception.Result: Patients diagnosed with leiomyoma who used the combined pill contraceptive were 48 (63%), while those who did not use the combined pill were 28 (37%). This study's results indicate a significant relationship between the use of combined pill contraceptives and the incidence of leiomyoma (p=0.001).Conclusion: There is a relationship between the use of combined pill contraceptives with the incidence of leiomyoma
THE DIFFERENCES IN RAT CHOLESTEROL LEVELS AFTER GIVING RED GUAVA JUICE
Get PDFIntroduction: Cholesterol is a fat found in our body, it can be dangerous if cholesterol level is increasing. The way to lower cholesterol levels, such as by consuming high-fiber foods for example red guava.Purpose: To determine the difference in total cholesterol levels in rats after giving red guava juice.Method: The research was conducted using 30 Rattus Norvegicus. Rats were divided into three groups, each group consisted of 10 rats. Control group was given 594 chicken feed, first treatment group was given lard and second treatment group was given lard with red guava juice. Before being given treatment, five rats from each group were examined for their total cholesterol and the remaining five rats were given treatment for 14 days before total cholesterol were checked. Examination of total cholesterol by enzymatic colorimetry CHOD-PAP using blood from orbital vein of rats without fasting.Result: There were significant differences in total cholesterol of rats before and after treatment (P<0.05) in each treatment group. In comparison of three groups that had given treatment, significant difference was found (P=0.005). Significant differences were also found in comparison of two groups, between first treatment group and second treatment group (P = 0.004), insignificant results were found in comparison of control group with first treatment group (P = 0.060), and comparison of control group with second treatment group. (P=0.299).Conclusion: There are differences in total cholesterol of rats, total cholesterol of rats in high-fat diet group with guava juice were lower than the high-fat diet group
COVID-19 THERAPY: COMPARISON EFFECTIVITY BETWEEN REMDESIVIR AND FAVIPIRAVIR
Get PDFIntroduction: Severe Acute Respiratory Syndrome Coronavirus 2 (SARS CoV-2) is the virus that causes Coronavirus Disease 2019 (COVID-19), a disease of global concern(1). Remdesivir and favipiravir are antiviral drugs that are considered COVID19 therapy, as described in Indonesia's 3rd COVID-19 Management Guidelines. They have a similar mechanism, specifically by inhibiting RNA dependent RNA polymerase of the virus (3). Several studies have reported that patients who were treated with these antivirals had a shorter hospital stays (4–6). However, the comparison of efficacy between remdesivir and favipiravir is still unknown.Methods: An observational analytic study was done using a retrospective cohort design. Eighty-eight medical records of COVID-19 patients between January 2021 to August 2021 are collected by consecutive sampling techniques, and this research was carried out at Gotong Royong Hospital Surabaya.Results: Based on the statistical analysis test, there was no clinical improvement difference found, neither patients received remdesivir nor favipiravir based on their clinical manifestations, such as ventilation support and chest X-ray, measured by WHO ordinal scale (p=0,486 ; p>0,05 on the first week and p=0,942 ; p>0,05 on the second week).Conclusions: Improved clinical manifestations were seen in the second week of therapy, either in patients who received remdesivir or favipiravir, but there was no significant effectivity difference between those drugs