Journal of Widya Medika Junior
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THE RELATIONSHIP BETWEEN VISUAL IMPAIRMENT AND QUALITY OF LIFE IN THE ELDERLY AT SANTO YOSEF ELDERLY CARE HOME
Get PDFBackground: Visual impairment is a condition where visual acuity is worse than 6/12, even with the use of corrective lenses. This condition significantly impacts quality of life. The prevalence of eye disorders is expected to increase with the demographic aging of the population, with an estimated 91 million individuals affected by 2030. Additionally, elderly individuals with visual impairments are known to be impacted in their daily activities and various aspects of their quality of life.
Objective: To examine the relationship between visual impairment and eye-related quality of life among elderly residents of the Santo Yosef Elderly Care Home in Surabaya.
Results: A significant correlation of 0.641 was found between visual impairment and eye- related quality of life in elderly residents of the care home, with a p-value < 0.01.
Conclusion: There is a significant and relatively strong correlation in quality of life among individuals with visual impairments
EFFECTS OF A COMBINATION OF ALCOHOL AND CINNAMOMUM BURMANNII ESSENTIAL OIL SOLUTION ON CANDIDA ALBICANS
Get PDFBackground : Candida albicans is part of body normal flora that become pathogenistic when the host was immunocompromised. Candida albicans has the ability to form biofilm that caused resistance. Cinnamomum burmanii essential oils contains ingredients that capable to penetrate through cell membrane of Candida albicans that can be combinated with alcohol. Purpose : Determine the effect of combination antiseptics solution between alcohol and Cinnamomum burmanii essential oils on Candia albicans. Methods : The study was conducted at the Central Health Laboratory in Surabaya for 1 week using a randomized posttest-only comparison group with Candida albicans which was divided into a control group and a treatment group. The sampling technique is simple random sampling with Kirby Bauer disc diffusion method. Test data analysis using Kruskall Wallis (p <0.05) followed by Post Hoc test. Result : From the 3 treatment groups with Cinnamomum burmanii essential oils concentration was 1% and 2% also alcohol 80% gave results of data analysis using Kruskall Wallis a significance value of 0.007 which means that there is a significance between the treatment group and the control group. Conclusion : Combination solution of alcohol and Cinnamomum burmanii essential oils has effect of inhibiting growth of Candia albicans and the greater the concentration of essential oil, the greater diameter of the inhibition zone
THE ROLE OF PROBIOTIC ON AFFECTING ELDERLY’S MOOD WITH PARKINSONS DISEASE
Get PDFIntroduction: Parkinson’s Disease is a progressive disorder which affect the nervous system and cause movement problems in elderly. Parkinson’s disease has non-motor symptoms which include losing sense of smell, cognitive deficits, depression, constipation, and rapid eye movement sleep behaviour disorder. Constipation can also cause stress. Probiotics can help improve constipation in Parkinson’s disease patients. Fermented foods like pickles, yogurt, kimchi, and apple cider vinegar can be sources of probiotics. Moreover, probiotics can be consumed in the form of capsules, powder, and beverages as supplement.Objective: To know the role of probiotic on affecting elderly’s mood with Parkinson disease.Materials and Method : Journals and articles searching through PUBMED, google scholar, and other health information website between the years 2016-2024.Result: Gut brain axis mechanism can be activated by the accumulation of α-synuclein in the main pathway of the vagus nerve which lead to nerve degeneration. Dysfunction of the intestinal nervous system causes an imbalance of neurotransmitter regulation in the intestine, which then disturbs intestinal movement. In the other hand, neurotransmitter regulation imbalance can also cause stress or depression. Lactobacillus spp. and Bifidobacterium spp. can influenced normal gut flora which often used in depression therapy by reducing 5-HT metabolism that can improve cognitive function and other pathways.Conclusion: Probiotic may help constipation and depression in Parkinson’s disease patient through gut brain axis mechanism. The form of probiotic given is fermented milk rich in probiotics (yogurt) with rich-fiber foods such as whole wheat products, lentils, nuts and apricots
EARLY EXPERIENCE WITH TARIC TOTAL ANKLE ARTHROPLASTY, SUBTALAR FUSION, AND MODIFIED BROSTROM IN PATIENTS WITH RHEUMATOID ARTHRITIS
Get PDFRheumatoid arthritis (RA), a chronic inflammatory disease, primarily affects synovial joints, leading to progressive joint damage, pain, and physical limitations. (1) RA frequently involves the feet and ankles, where synovitis results in pain, stiffness, and joint destruction, often altering foot mechanics and heightening fall risk, thereby diminishing quality of life. (2) Although clinical exams help in identifying synovitis, their accuracy in RA assessment can be limited.(1) Historically, end-stage rheumatoid ankle arthritis has been managed with ankle arthrodesis to achieve pain relief and joint stability. (2) However, Total Ankle Arthroplasty (TAA) offers a promising alternative by preserving ankle motion and potentially mitigating osteoarthritis in adjacent joints.(3) This case report details a 57-year-old female with right ankle osteoarthritis due to RA, diagnosed eight years prior via rheumatoid factor positivity, successfully managed with a combined approach of TAA, subtalar fusion, and a modified Brostrom-Gould (BG) repair to enhance function and alleviate pain
THE RELATIONSHIP OF THE DEGREE OF DRY EYE SYNDROME WITH THE DEGREE OF DIABETIC NEUROPATHY AT GOTONG ROYONG HOSPITAL SURABAYA
Get PDFBackground: Dry eye syndrome is an uncomfortable condition in the eyesight caused by lubrication in the eyes and lack of moisture. The prevalence of dry eyes in Indonesia is 27.5% with an average age of more than 37 years. One of the risk factors for dry eye syndrome is diabetes mellitus. Dry eye syndrome is common in type 2 diabetes patients who experience polyneuropathy complications. Therefore, it is necessary to carry out further research regarding the relationship between dry eye syndrome and diabetic neuropathy.Objective: To determine the relationship between the degree of dry eye syndrome and the degree of diabetic neuropathy at the Gotong Royong Hospital Surabaya.Method: This research uses a correlation analytical research design with a cross sectional method. Sampling was carried out using a purposive sampling technique by looking for respondents according to predetermined criteria. Primary data was obtained through the results of examinations carried out on DM sufferers (Schirmer test and MNSI and MDNS questionnaires), while secondary data was obtained officially through medical records (HbA1c) from the Gotong Royong Hospital from August to October 2023. Data in the study were analyzed using tests Spearman's rho correlation. Results are significant if p<0.05.Results: The total sample was 71 patients who met the inclusion and exclusion criteria. The average age of patients was 60.4 years. More males (54.9%) than females (45.1%). There were 58 patients with a diagnosis of dry eye syndrome with diabetic neuropathy (72%), 10 patients with a diagnosis of dry eye syndrome without diabetic neuropathy (14.1%), and 13 patients with a diagnosis of diabetic neuropathy without dry eye syndrome ( 18.3%). In the analysis of the Spearman's rho correlation test, the value of p = 0.000 (p<0.05) was obtained.Conclusion: There is a relationship between the degree of dry eye syndrome and the degree of diabetic neuropathy at the Gotong Royong Hospital Surabaya
ASSOCIATION OF LONG-TERM MEDITERRANEAN DIETARY PATTERN AND DEPRESSIVE MOOD IN OLDER ADULTS: A SYSTEMATIC REVIEW OF COHORT STUDIES
Get PDFDepression is a significant global health concern that occurs frequently among individuals aged 65 and older. In addition to pharmacological therapy and psychotherapy, dietary interventions play a crucial role in the multifactorial, biopsychosocial treatment of psychiatric disorders and could be used as a potential therapeutic target. Increasing evidence is emerging about the important role of the Mediterranean diet (MeDi) in the pathophysiology of mood disorders, particularly depression. This systematic review aims to assess whether long-term adherence to MeDi affects depressive symptoms in the elderly based on published cohort studies. Literature searches are conducted on several databases (PubMed, ProQuest, ScienceDirect, and Google Scholar) with keywords related to “Mediterranean diet”, “depression” and “elderly”. The research was done based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol. Studies were then screened based on the inclusion criteria, with the result of 3 included cohort studies out of 5,123 identified studies. Study characteristics were extracted and the risk of bias was assessed with the Joanna Briggs Institute Critical Appraisal Checklist for each study. Based on the study analysis, the relationship between adherence to the Mediterranean diet and depression in elderly over time is inconclusive due to conflicting results and limited studies
SPONTANEOUS OGILVIE’S SYNDROME AND CHILAIDITI SYNDROME IN AN OCTOAGENARIAN FEMALE: A STUDY OF A RARE CASE WITH LITERATURE REVIEW
Get PDFIntroduction : Ogilvie’s syndrome, also known as acute colonic pseudo-obstruction (ACPO), is a unique type of colonic specificially cecum and ascending colon dilatation without underlying mechanical or anatomical causes.
Case Report : Eightytwo years old female patient was taken to the ER with enlarged stomach over the last two weeks which felt bigger last two days. Yesterday, was the last time defecated and were not other complaints. The patient has a history of hypertension and consuming antidyspeptic drugs. Physical examination showed compos mentis mental status, blood pressure of 140/80 mm of mercury, O2 saturation of 92%, other vital sign was normal. Abdomen examination showed obstruction bowel sign without tenderness, hypokalemia laboratory result, and the patient was treated conservatively. To our best knowledge, this is the first-ever case reported in English scientific literature from Indonesia.
Discussion : A clinical syndrome with symptoms, signs, and a radiological appearance of a major bowel blockage without any mechanical cause is known as acute colonic pseudo-obstruction (ACPO). We disclose a rare instance of Ogilvie's syndrome that was idiopathic, spontaneous, non-traumatic, non-infectious. Senility is the most probable risk factor in this case study, mostly in males. However, our patient was a female, eight decades, with Chilaiditi syndrome.
Conclusion : Timely identification Ogilvie’s syndrome is of crucial importance. Excessive age and metabolic cause seems to be the main risk factor in this case. More research is needed to identify the pathophysiologic pathways connected to aging that predispose to Ogilvie's disease
EFFECT OF THE ETHANOL EXTRACT OF CALENDULA OFFICINALIS FLOWER ON THE WOUND HEALING IN MICE SKIN
Get PDFBackground: The result of research on the cause of injuries obtained data that the most causes of injuries were caused by surgical wound, with a total of 110.300.000 cases. One of the plants that can be used as a woundhealer is the flower of Calendula Officinalis, which is rich in flavonoid compounds, terpenoids, and saponins that could help to accelerate the wound-healing process.
Objective: To determine the difference in the effectiveness of the ethanolic extract of Calendula officinalis flower with concentration of 1:1 and the ethanolic extract of the Calendula officinalis flower with concentration of 1:2 on the wound length in the wound healing process of the rat’s skin.
Methods: The research design that used in this study is experimental with the post- test only controlled group design. The random sampling method calculated using the Federer formula,so that the total number of samples obtained is 28 rats. The length of the incision wound will be measured macroscopically every 24 hours before the treatment for 14 days in total using a caliper with an accuary of 0.1 mm.
Results: The result showed that the group treated with the ethanolic extract of Calendula officinalis flower with concentration of 1:1 were more effective than the group treated with the ethanolic extract of Calendula officinalis flower with concentration of 1:2, the control group with Povidone Iodine, and the control group with distilled water. The result of Pairwise Comparison test which compared the group treated with the ethanolic extract of Calendula officinalis with concentration of 1:1 and concentration of 1:2 is in a significan value p=0.000 (p<0.05), which means that both treatment groups had a meaningful differences.
Conclusion: There was a significant effect between the group treated with the ethanolic extract of Calendula officinalis flower with concentration of 1:1 and the group treated with ethanolic extract of Calendulla officinalis flower with concentration of 1:2
COMPARISON OF THE QUALITY OF LIFE OF PATIENTS PRE AND POST SENILE CATARACT SURGERY WITH PHACOEMULSIFICATION TECHNIQUE AT PHC HOSPITAL SURABAYA
Get PDFBackground : Cataract is an eye disease that causes the clear lens to become cloudy. This results in visual impairment and reduces a person's quality of life. Cataracts impair a person's ability to see at a distance, resulting in impediments to mobility related to dependency such as the ability to recognize people, see and avoid obstacles on the road. Cataracts can also impair a person's ability to see at close range. Cataract patients can therefore experience difficulty in performing activities such as dressing, reading and sewing. One way to treat cataracts is by performing cataract surgery using the phacoemulsification technique. This surgery allows the lens to heal naturally without the need for stitches, allowing the patient to resume their daily activities and improve their quality of life.
Objective: To find the difference in quality of life between pre and post senile cataract surgery patients with phacoemulsification technique at PHC Surabaya Hospital.
Methods: Quality of life scores were taken using a quality of life research questionnaire for senile cataract patients containing 25 question points divided into 11 subscales. Data collection will be carried out twice, namely before phacoemulsification cataract surgery and 8 weeks after phacoemulsification cataract surgery.
Results: There is a significant difference between pre and post cataract surgery quality of life with phacoemulsification technique based on the quality of life research questionnaire for senile cataract patients at PHC Surabaya Hospital, with the result (P=0.000).
Conclusion: There is a significant difference between the quality of life pre and post phacoemulsification cataract surgery at PHC Surabaya Hospital based on the cataract patient quality of life research questionnaire
THE CORRELATION BETWEEN COGNITIVE FUNCTION AND THE RISK OFPOSTURAL BALANCE DISORDERS IN THE ELDERLY
Get PDFBackground: WHO reported that around 65.6 million of the elderly population worldwide experienced a decline in cognitive function in 2021. The majority of older adults with cognitive impairment also tend to experience balance disorders. Factors contributing to postural balance disorders include age, decreased muscle strength, decreased cognitive function, and central nervous system disease. The impacts include increased risk of falls, decreased mobility, social isolation, and decreased quality of life.
Objective: to determine the relationship between cognitive function and the risk of postural balance disorders in the elderly.
Method: quantitative research with observational analytic research design type and using cross-sectional research design method. Samples were taken using purposive sampling. Cognitive function was measured using the MoCA-Ina questionnaire which was divided into normal cognitive function and decreased cognitive function. Measurement of the risk of postural balance disorders with the TUGT tool which is divided into mild, moderate, and severe degrees of risk of postural balance disorders.
Results: There was a weak negative correlation (r=-0.184), but not significant (P = 0.415) between cognitive function and the risk of postural balance disorders.
Conclusion: There is no relationship between cognitive function and the risk of postural balance disorders in the elderly