Journal of Widya Medika Junior
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A COMPARATIVE STUDY OF QUALITY OF LIFE IN SMALL INCISION LENTICULE EXTRACTION (SMILE) PRO PATIENTS AND USERS OF NON- SURGICAL OPTICAL CORRECTION
Get PDFBackground: SMILE Pro is performed to correct refractive errors so that individuals are no longer dependent on non-surgical refractive correction devices. SMILE Pro has been shown to provide clinically favorable results for the correction of myopia, astigmatism of myopia simplex, and astigmatism of composite myopia. While clinical measurements are important, they do not directly reflect the quality of life that patients experience post-surgery. Therefore, the evaluation of refractive surgery outcomes should also take into account the subjective side of patients' quality of life.
Objective: To analyze the difference in the quality of life of patients with myopia, astigmatism myopia simplex, and astigmatism myopia compositus with SMILE Pro correction and users of non-surgical optical correction.
Methods: Quality of life in both groups was measured using the Quality of Life Impact of Refractive Correction (QIRC) questionnaire. The quality of life data obtained were then analyzed using the Mann Whitney statistical test for each question item and the independent t statistical test for the composite score using Statistical Product and Service Solutions (SPSS) version 29.
Results: The mean quality of life in the SMILE Pro group was 54.22±6.05 and the non-surgical optical correction users group was 42.16±4.96. There was a significant difference between the quality of life composite scores of the two groups (P<0.001) with 12.01 scores higher in the SMILE Pro group. There was no significant difference in question items 1, 2, 8, 12, and 13 (p=0.755, p=0.087, p=0.209, p=559, and p=541).
Conclusions: Correction of myopia, astigmatism of myopia simplex, or composite with SMILE Pro was associated with higher quality of life scores in most aspects compared to spectacle or contact lens wear
THE RELATIONSHIP OF BODY MASS INDEX WITH THE INCIDENCE OF ORTHOSTATIC HYPOTENSION IN THE ELDERLY
Get PDFBackground: Orthostatic hypotension (HO) is a sudden drop in blood pressure when changing position from lying or sitting to a standing position. It is said that HO if you stand up within three minutes there is a decrease in systolic blood pressure (BBP) ≥20 mmHg or a decrease in diastolic blood pressure (TDD) ≥10 mmHg after lying down for 5 minutes. The HO condition can cause falls in the elderly, thereby reducing the quality of life of the elderly. OH is more common in the elderly because as they age, there is a decline in physiological function. Therefore, early detection of OH is needed, on of which is the measurement of body mass index (BMI). BMI is thought to be related to a decrease in SBP which can cause OH.
Objective: Examining the relationship between BMI and the incidence of OH in the elderly.
Method: This research uses an analytical observational study with a cross-sectional approach. The research population consists of the elderly in Sidoarjo and Surabaya. The research sample consists of elderly individuals residing in Panti Werdha Bhakti Luhur and Griya Usia Lanjut St. Yosef who meet the inclusion and exclusion criteria. The sampling method used is purposive sampling. The data used is primary data, the researcher carried out HO checks on the research sample. The data analysis technique used is the contingency correlation test. If the significance value p <0.05 is considered to indicate a significant relationship between the variables.
Result: It was found that most of the research subjects had an underweight BMI (32.5%) and it was found that most of the research subjects did not experience OH (62.5%).The result of the contingency correlation test showed insignificant correlation (p = 0.472).
Conclusion: There is no significant correlational relationship between body mass index and the occurrence of orthostatic hypotension, so it can be concluded that the hypothesis in this study cannot be prove
THE EFFECT OF BATH SOAP USE, BATH WATER TEMPERATURE, BATH DURATION, AND MOISTURIZER USE ON THE SEVERITY OF XEROSIS CUTIS IN THE ELDERLY AT THE DERMATOLOGY AND VENEREOLOGY CLINIC OF GOTONG ROYONG HOSPITAL
Get PDFBackground: The number of elderly people increases over time. Aging is a natural process influenced by intrinsic and extrinsic factors, leading to xerosis cutis, a common dermatological complaint in the elderly that is often overlooked. By identifying factors such as the type of soap used, bath water temperature, duration of bathing, and moisturizer use, we can prevent and manage xerosis cutis effectively.
Objective: To explain the effect of the use of soap, bath water temperature, bath time duration, and use of moisturizer on the severity of xerosis cutis in the elderly at the Dermatology and Venereology Polyclinic, Gotong Royong Hospital, Surabaya.
Methods: This study is an observational quantitative analytical study with a cross-sectional approach. Samples were taken using the consecutive non-probability sampling technique. The number of samples was calculated using the Lemeshow formula, and 38 samples were obtained. Data were collected through observation by Sp.DV doctors to classify the severity of xerosis cutis and filling out questionnaires, at the Dermatology and Venereology Polyclinic, Gotong Royong Hospital, Surabaya on September 1-October 31, 2024. Then the Spearman correlation test was carried out using SPSS version 27.
Results: The study showed a significant effect of the use of bath soap (p=0.000) and the use of moisturizer (p=0.000) on the severity of xerosis cutis in respondents. On the other hand, there was no significant effect of bath water temperature (p=0.621) and bath duration (p=0.056) on the severity of xerosis cutis in respondents.
Conclusion: Despite statistical results, soap use, bath water temperature, bathing duration, and moisturizer application can influence the severity of xerosis cutis. Irritating soap ingredients, prolonged hot water baths, and lack of moisturizers tend to worsen xerosis cutis severity, and vice versa
THE ASSOCIATION BETWEEN HBA1C LEVELS AND COGNITIVE FUNCTION IN GERIATRIC PATIENTS WITH TYPE 2 DIABETES MELLITUS
Get PDFBackground: Type 2 diabetes mellitus (T2DM) is a significant global health concern, particularly in Indonesia. Recent studies suggest a link between T2DM and increased risk of cognitive impairment. However, the relationship between glycaemic control, as measured by HbA1c levels, and cognitive function in elderly diabetic patients remains unclear and requires further investigation.Objective: To investigate the association between HbA1c levels and cognitive impairment in geriatric patients with T2DM.Methods: This observational analytic study with a cross-sectional approach was conducted at the Internal Medicine Clinic of Gotong Royong Hospital in Surabaya, Indonesia. Thirty-six geriatric T2DM patients were recruited using consecutive sampling. HbA1c levels were obtained from medical records, and cognitive function was assessed using the Montreal Cognitive Assessment-Indonesian Version (MoCA-INA). Data were analyzed using SPSS software, including normality tests and Spearman correlation analysis.Results: The majority of participants were female (77.8%) and aged 60-69 years (47.2%). Eleven participants (50%) of the 22 T2DM geriatric patients with good-controlled HbA1c levels had poor cognitive function (scores < 26). Meanwhile, among the 14 participants with poorly controlled HbA1c levels, 11 (78.6%) had poor cognitive function, and only 3 (21.4%) maintained good cognitive function. A significant negative correlation was found between HbA1c levels and MoCA-INA scores (p=0.013, r=-0.410), indicating that higher HbA1c levels were associated with lower cognitive function scores.Conclusion: This study demonstrates a significant relationship between HbA1c levels and cognitive function in elderly T2DM patients. Poor glycemic control is associated with a higher likelihood of cognitive impairment. These findings emphasize the importance of maintaining good glucose management to potentially prevent cognitive decline in this population. Further research with larger sample sizes and longitudinal designs is recommended to elucidate this relationship and its clinical implications
PORTABLE TECHNOLOGIES FOR GLAUCOMA SCREENING: BRIDGING GAPS IN EYE CARE DELIVERY
Get PDFGlaucoma is a leading cause of irreversible blindness worldwide, with many cases remaining undiagnosed due to its asymptomatic early course and limited access to conventional diagnostic tools in resource-constrained settings. Early detection is essential to prevent disease progression and preserving vision. This review explores the growing role of portable diagnostic technologies spanning tonometry, fundus imaging, optical coherence tomography (OCT), and perimetry in addressing diagnostic gaps, particularly in underserved populations. These devices have demonstrated promising levels of accuracy, usability, and accessibility. However, limitations remain, including variability in sensitivity for early-stage disease, user-dependent accuracy, and the need for further large-scale validation. Integrating these technologies into broader screening programs, supported by appropriate training and referral systems, may significantly reduce the global burden of undetected glaucoma. As advancements continue, portable diagnostics offer a viable solution to enhance early detection and bridge the equity gap in eye care delivery
THE DIFFERENCES BETWEEN SHORT WAVE DIATHERMY (SWD) AND EXTRACORPOREAL SHOCK WAVE THERAPY (ESWT) EFFICACY IN PATIENTS WITH SACROILIAC JOINT PAIN AT PHC HOSPITAL SURABAYA
Get PDFBackground: SIJ pain is a common cause of mechanical LBP with a prevalence of 15-30%. This condition causes various impacts so that it needs treatment in the field of Medical Rehabilitation. At PHC Hospital Surabaya, SIJ pain is typically treated with SWD-TENS therapy. There’s limited research on ESWT for this condition, but a research by Moon YE et al. (2017) found it to be quite effective. Researcher wants to know whether there is a difference in the efficacy of SWD-TENS with ESWT-TENS.
Objective: Proving the results of differences in reducing pain intensity and increasing the functional ability of SIJ pain patients in groups given SWD-TENS with ESWT-TENS at PHC Hospital Surabaya.
Methods: This research is an experimental study using two group pretest-posttest involving 30 subjects with consecutive sampling technique.
Results: There are significant differences in pain intensity (p=0.001) and the level of functional ability (p = 0.009) at week 4 after therapy between SIJ pain patients who receive SWD-TENS with ESWT-TENS, Additionally, there is a significant difference in terms of healing between patients treated with SWD-TENS and ESWT-TENS (p = 0.007).
Conclusion: There is a significant difference in pain intensity and the level of functional ability of SIJ pain patients in the groups given SWD-TENS with ESWT-TENS at PHC Hospital Surabaya so that ESWT-TENS has a higher efficacy in healing patients with SIJ pain, and proven to be more time-effective and cost-efficient
THE EFFECT OF HEIGHT ON THE SEVERITY OF ILIOTIBIAL BAND SYNDROME IN RUNNERS AGED 17-50 IN THE SURABAYA CITY RUNNER COMMUNITY
Get PDFBackground: Iliotibial Band Syndrome (ITBS) is a collection of symptoms including pain, inflammation, and crepitus, caused by overuse of the iliotibial band. Clinical manifestations may arise due to continuous friction and compression, leading to inflammation of the iliotibial band. Risk factors for ITBS include age, body weight, leg length discrepancies, limb alignment differences, and spinal structural abnormalities.
Objective: To investigate the effect of height on the severity of Iliotibial Band Syndrome in runners aged 17-50 in the Surabaya Runner Community.
Methods: This study used an analytical observational design with a cross-sectional method. Sampling was done using a non-probability accidental sampling technique. The primary data was obtained through anamnesis and physical examinations performed by a physiotherapist from September to October 2024. The data were analyzed using the Spearman correlation test. Results were considered significant if p < 0.05.
Results: A total of 23 participants met the inclusion and exclusion criteria. The most common height group was 173 cm, with 4 participants, and the most common pain severity was moderate, with 14 participants. Results of the Spearman correlation analysis showed that there was no relationship between the variable height and the severity of iliotibial band syndrome with a p-value = 0,475 (p>0.05).
Conclusion: There is no significant effect of height on the severity of Iliotibial Band Syndrome in runners aged 17-50 in the Surabaya Runner Community
RELATIONSHIP BETWEEN PARASITEMIA LEVELS AND HEMOGLOBIN AND PLATELET COUNTS IN MALARIA PATIENTS AT DR. T.C. HILLERS HOSPITAL, MAUMERE
Get PDFBackground: Malaria, a disease caused by the Plasmodium parasite transmitted through the bite of female Anopheles mosquitoes, remains a significant public health issue in Indonesia, particularly in endemic regions such as East Nusa Tenggara. Malaria infections can decrease hemoglobin and platelet levels, which is suspected to be caused by the destruction of red blood cells by the parasite and the body's immune response. Research on this relationship in Maumere is still limited, and the findings are expected to help evaluate the severity of malaria.
Objective: To examine the relationship between parasitemia levels and hemoglobin and platelet counts in malaria patients at dr. T.C. Hillers hospital in Maumere.
Methods: This study uses a retrospective cross-sectional design with secondary data. The population includes all patients diagnosed with malaria infection at dr. T.C. Hillers RSUD Maumere from January 2019 to July 2024. The sample consists of malaria patients who meet the inclusion and exclusion criteria. The data for all three variables will be analyzed using the Spearman Correlation test with the assistance of SPSS to determine the relationship between parasitemia levels and hemoglobin and platelet counts.
Results: This study involved 63 malaria patients at RSUD dr. T.C. Hillers Maumere and demonstrated a significant relationship between parasitemia levels and hemoglobin as well as platelet counts. The analysis revealed p < 0.001 with a correlation coefficient (r) of -0.819 for the relationship with hemoglobin levels, and p < 0.001 with a correlation coefficient (r) of - 0.906 for the relationship with platelet counts.
Conclusion: There is a significant relationship between parasitemia levels and hemoglobin and platelet counts in malaria patients at dr. T.C. Hillers RSUD Maumere
THE COMPARISON OF SUPEROXIDE DISMUTASE LEVELS POST ULTRAVIOLET B EXPOSURE ON RATTUS NOVERGICUS WITH PHYSICAL AND CHEMICAL SUNSCREEN
No full textBackground: Ultraviolet radiation on the skin can result in the production of free radicals in the body. One of the defense mechanisms against free radicals is enzymatic antioxidants which are mainly mediated by superoxide dismutase (SOD). However, with the increasing number of free radicals formed, it will reduce SOD levels in the body. Physical and chemical sunscreens protect the skin from exposure to ultraviolet light so as to prevent the formation of free radicals and prevent a decrease in SOD levels in the body.Objective: To determine the difference in SOD levels after UVB exposure in white rats (Rattus novergicus) with physical sunscreen compared to white rats (Rattus novergicus) with chemical sunscreen.Methods: This study used 28 Rattus novergicus which were divided into 2 treatment groups namely, a group with physical sunscreen SPF 30 (P1) and a group with chemical sunscreen SPF 30 (P2), and 2 control groups namely, a group exposed to UVB without sunscreen (K2). and the group without UVB or sunscreen (K1). UVB exposure was given to the research subjects for 300 minutes and the measurement of plasma SOD levels was carried out by ELISA.Results: There was no significant difference in the mean SOD levels in all groups (p=0.436), with the mean SOD levels in group P1 was 179.03 U/mg prot, group P2 was 330.41 U/mg prot, group K2 was 291.34 U/mg prot, and the K1 group was 317.77 U/mg prot.Conclusions: SOD levels after UVB exposure in the group with chemical sunscreen were not statistically proven to be higher than the group with physical sunscreen; SOD levels after UVB exposure in the group with sunscreen were not statistically proven to be higher than the group without sunscreen; SOD levels in the group without UVB exposure were not statistically proven to be higher than the group with UVB exposure.Keywords: Superoxide dismutase, UVB, Physical sunscreen, Chemical sunscreen
THE COMPARISON OF SUPEROXIDE DISMUTASE LEVEL POST ULTRAVIOLET B EXPOSURE ON RATTUS NOVERGICUS WITH PHYSICAL AND CHEMICAL SUNSCREEN
No full textBackground: Ultraviolet radiation on the skin can result in the production of free radicals in the body. One of the defense mechanisms against free radicals is enzymatic antioxidants which are mainly mediated by superoxide dismutase (SOD). However, with the increasing number of free radicals formed, it will reduce SOD levels in the body. Physical and chemical sunscreens protect the skin from exposure to ultraviolet light so as to prevent the formation of free radicals and prevent a decrease in SOD levels in the body.
Objective: To determine the difference in SOD levels after UVB exposure in white rats (Rattus novergicus) with physical sunscreen compared to white rats (Rattus novergicus) with chemical sunscreen.
Methods: This study used 28 Rattus novergicus which were divided into 2 treatment groups namely, a group with physical sunscreen SPF 30 (P1) and a group with chemical sunscreen SPF 30 (P2), and 2 control groups namely, a group exposed to UVB without sunscreen (K2). and the group without UVB or sunscreen (K1). UVB exposure was given to the research subjects for 300 minutes and the measurement of plasma SOD levels was carried out by ELISA.
Results: There was no significant difference in the mean SOD levels in all groups (p=0.436), with the mean SOD levels in group P1 was 179.03 U/mg prot, group P2 was 330.41 U/mg prot, group K2 was 291.34 U/mg prot, and the K1 group was 317.77 U/mg prot.
Conclusions: SOD levels after UVB exposure in the group with chemical sunscreen were not statistically proven to be higher than the group with physical sunscreen; SOD levels after UVB exposure in the group with sunscreen were not statistically proven to be higher than the group without sunscreen; SOD levels in the group without UVB exposure were not statistically proven to be higher than the group with UVB exposure.
Keywords: Superoxide dismutase, UVB, Physical sunscreen, Chemical sunscreen