Journal of Widya Medika Junior
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THE RELATIONSHIP OF BODY MASS INDEX AND BLOOD PRESSURE WITH TYPE 2 DIABETES ON GERIATRIC AT RS PHC SURABAYA
Get PDFBackground : Diabetes Mellitus is a metabolic syndrome that occurs due to abnormalities in insulin secretion, insulin action or both. The pathophysiology of Type 2 Diabetes Mellitus is insulin resistance in muscle and liver cells, as well as failure of pancreatic beta cells. The most common risk factors for diabetes mellitus are obesity, hypertension, dyslipidemia, lack of physical activity, and others. The Indonesian population still occupies a high position regarding the risk factors above.Purpose : to analyze relation ship of body mass index and blood pressure with type 2 diabetes on geriatric at RS PHC Surabaya.Methods : this research is an analytic-observasional with a cross-sectional approach and usingconvenience sampling.Result : the number of subjects obtained was 68 people with the results of the analysis showing that there was not a strong enough relationship between the variable body mass index and type 2 diabetes mellitus (p value = 0.37) with the strength of the correlation (r value = 0.10) and blood pressure on duration of type 2 diabetes mellitus (p value= 0.67) with correlation strength (r value= 0.16).Conclusion : there is no relationship between body mass index and bloop pressure with type 2 diabetes on geriatric
CORRELATION BETWEEN NUTRITIONAL STATUS WITH ACUTE RESPIRATORY INFECTION FREQUENCY ON 3-5 YEARS OLD CHILDREN AT GOTONG ROYONG HOSPITAL SURABAYA
No full textBackground: Acute Respiratory Infection (ARI) is a process in which pathogens enter the respiratory tract, replicate, and spread, causing functional disturbances, inflammation, and tissue damage that can occur in both the upper and lower respiratory tracts. ARI accounts for 20% of mortality among children under 5 years old. The prevalence of ARI in Surabaya is the highest among other districts/cities in East Java, reaching 14%. One of the risk factors for ARI is malnutrition, which is assessed based on nutritional status. Southeast Asian countries have the highest rates of malnutrition and the largest number of malnourished children. Malnutrition increases the risk of infections and mortality by reducing the production and functional capacity of cellular components of the immune system. This can elevate the risk of prolonged and recurrent ARI.
Objective: To determine the relationship between nutritional status and the frequency of ARI in children aged 3–5 years at Gotong Royong Hospital, Surabaya.
Method: The research employed an observational analytic design with a cross-sectional method. Secondary data from the medical records of pediatric patients aged 3–5 years treated at Gotong Royong Hospital from January 2023 to August 2024 were analyzed.
Results: The majority of children aged 3-5 years have normal body weight. Most children rarely experience respiratory tract infections, while a small number frequently experience them, with the most common occurrence being once. The Spearman correlation test yielded a p-value of 0.031 and an r-value of -0.2706.
Conclusion: There is a significant relationship between nutritional status and the occurrence of ARI in children aged 3–5 years at Gotong Royong Hospital, Surabaya
CORRELATION BETWEEN ORTHOSTATIC HYPOTENSION AND COGNITIVE FUNCTION IN THE ELDERLY AT THE BHAKTI LUHUR NURSING HOME SIDOARJO REGENCY
Get PDFBackground: The elderly are a vulnerable group at risk of developing orthostatic hypotension. Orthostatic hypotension is defined as a drop in systolic blood pressure of ≥20 mmHg and/or diastolic blood pressure of ≥10 mmHg after a change in position from lying down to standing for 3 minutes. The impact of postural blood pressure dysregulation in orthostatic hypotension leads to hypoperfusion of the brain and other body organs. Cognitive decline is one of the consequences of orthostatic hypotension in the elderly. To prevent dementia in the elderly, it is important to identify and address risk factors for cognitive decline in the elderly.
Objective: To understand the correlation between orthostatic hypotension and cognitive function in the elderly at Bhakti Luhur Nursing home in Sidoarjo Regency.
Methods: The research study used was an observational analytical study with a cross-sectional design. The sampling method in the study employed purposive sampling technique. Postural blood pressure examination was taken from a lying position for 5 minutes to a standing position for 7 minutes using a blood pressure monitor. Cognitive function was assessed using the MMSE questionnaire.
Results: A total of 35 respondents were included in the sample. The types of orthostatic hypotension found in the respondents were non-OH (60,00%), COH (17,14%), and DOH (22,86%). Cognitive function in the respondents was classified as normal (60.00%), probable (34.29%), and definite cognitive impairment (5.71%). The results of the contingency coefficient test showed a p-value of 0.031 (p<0.05) with a contingency coefficient value of 0.408, indicating a moderate association.
Conclusion: There is a significant correlation between orthostatic hypotension and cognitive function in the elderly at the Bhakti Luhur Nursing home in Sidoarjo Regency
ACUTE APPENDICITIS: IS SURGERY STILL THE BEST OPTION? SPECIAL CONSIDERATION ON PEDIATRIC AND PREGNANT PATIENTS
Get PDFAcute appendicitis, being one of the most prevalent sources of the acute abdomen in adult and pediatric patients, is marked by inflammation of the remnant of vermiform appendix. Combine the pregnancy and general surgery cases, acute appendicitis is also of the leading concern. For more than 10 decades, open surgery was the solely normative treatment for acute appendicitis. Nonoperative management (NOM) is a master plan in which patients get anti-microbials with the point of averting surgery. Appendectomy is set aside for patient who do not response to anti-microbials or undergo relapse of appendicitis. But the decision to conduct NOM increased since the outbreak of COVID-19 until now. NOM is suitable in first attack patients who have a clinical sign of merely appendicitis without bodily discoveries of diffuse peritonitis or proof of imaging of enormous abscess, phlegmon, perforation, or tumor. The limited contraindications to NOM are of patient who has delayed response to anti-microbials, those with appendicolith finding, and older patients because of higher chance to have a latent malignancy. Treatment failure clinically or radiographically, as prove by obstruction of the bowel, sepsis, or constant ache, pyrexia, or leukocytosis, necessitates prompt appendectomy. NOM may be a choice for children who can describe their symptoms verbally, have a trustworthy and reproducible abdominal examination, and after shared decision-making among the overseeing pediatric surgeon and the parents/primary caregivers. Successful rate of NOM in child patient is about 67% to 91%. The customary treatment of acute appendicitis in pregnancy is still appendectomy, with laparoscopic appendectomy preferable than open appendectomy. The selection of strategy is based on the clinical status and inclinations, gestational age, and the surgeon's experience degree. Under considerations of gestational age, NOM was more frequently chosen than appendectomy in the first and third trimesters. Overall successful rate of NOM is 93%
CORRELATION BETWEEN BODY MASS INDEX AND THE SEVERITY OF ATOPIC DERMATITIS AT GOTONG ROYONG HOSPITAL OF SURABAYA
Get PDFBackground: Atopic dermatitis (AD) is a chronic inflammatory skin disease that can affect the patients' quality of life. The global prevalence of AD in adults ranges from 1-3%, with significant variations between countries. Body mass index (BMI) has been identified as a potential risk factor for AD, but its correlation with the severity of AD among adolescents and adults still needs to be further investigated.
Objective: To analyze the correlation between body mass index, especially overweight and obesity categories with the severity of atopic dermatitis among patients aged 15-40 years at Gotong Royong Hospital of Surabaya.
Methods: This was an observational analytical study with a cross-sectional design using a non- probability purposive sampling technique. The data collected involved primary data on patients with AD in the form of height and weight at the dermatology clinic at Gotong Royong Hospital of Surabaya. The severity of AD was assessed using the Scoring of Atopic Dermatitis (SCORAD).
Results: There were 24 respondents involved as the study samples. Based on the results of Spearman correlation test, there was a significant correlation between BMI and the severity of AD (p=0.002, r=0.603).
Conclusion: There was a significant, moderate positive correlation between body mass index and the severity of atopic dermatitis among patients at Gotong Royong Hospital of Surabaya
CORRELATION OF HIGH SENSITIVITY C-REACTIVE PROTEIN LEVELS WITH POST-PARTUM HYPERTENSION PERSISTENCE
Get PDFBackground: Postpartum hypertension is a serious health issue that can increase the risk of maternal health complications. A study found that approximately 39% of pregnant women experience persistent hypertension up to 12 weeks postpartum. High-sensitivity C-reactive protein (hsCRP) is an inflammatory biomarker often associated with cardiovascular diseases, including hypertension. This study aims to prevent morbidity in women of reproductive age, particularly pregnant women with hypertension.
Objective: To analyze the correlation between hsCRP levels in third-trimester pregnant women and the persistence of hypertension at 12 weeks postpartum. The anticipated significance of this study is that hsCRP could serve as a biomarker to identify the risk of persistent hypertension.
Methods: This cross-sectional study involved 19 respondents with gestational age ≥34 weeks, intrauterine singleton pregnancy, and blood pressure ≥140/90 mmHg. Exclusion criteria included a history of chronic diseases other than hypertension, alcohol consumption, and smoking. hsCRP levels were measured during antenatal care (ANC), and blood pressure was assessed at ≥34 weeks of gestation and 12 weeks postpartum. Data were analyzed using Spearman's correlation test.
Results: Among 19 participants with blood pressure ranging from 140-170/90-110 mmHg, 5 (26.31%) had persistent postpartum hypertension (140-160/90-105 mmHg). Six participants had moderate hsCRP levels, and 13 had high hsCRP levels (≥5.0 mg/L). The analysis yielded a p-value of 0.824.
Conclusion: The analysis found that 26.31% of patients experienced persistent postpartum hypertension. However, no significant correlation was identified between third- trimester hsCRP levels and the persistence of postpartum hypertensio
RELATIONSHIP OF BODY MASS INDEX WITH THE SEVERITY OF PRIMARY KNEE OSTEOARTHRITIS IN THE ELDERLY AT PHC SURABAYA HOSPITAL
No full textBackgorund: Osteoarthritis is a disease characterized by abnormalities in bones and joints, known as a degenerative condition because it is frequently encountered in the elderly. Factors that increase the risk of osteoarthritis include age, excessive joint usage, anatomical structural abnormalities, humoral, genetic, metabolic factors, trauma, Body Mass Index (BMI), endocrine disorders, primary joint diseases, and cultural factors. One modifiable risk factor is Body Mass Index.Objective: Analyzing the relationship between Body Mass Index and the severity degree of primary knee osteoarthritis in the elderly at PHC Surabaya Hospital.Method: This research employs an analytical study approach with an observational study type using a cross-sectional research design. Data analysis is conducted using SPSS version 26.Results: Out of the 36 samples in this study, 35 (97%) patients with primary knee osteoarthritis in the elderly were female, and 1 (3%) patient was male. The most common severity level of primary knee osteoarthritis was grade III (47.2%). The analysis of the relationship between Body Mass Index and the severity of primary knee osteoarthritis in the elderly at PHC Surabaya Hospital yielded a p- value of 0.187.Conclusion: There is no significant relationship between Body Mass Index and the severity degree of primary knee osteoarthritis in the elderly at PHC Surabaya Hospital
THE EFFECT OF BACKPACK LOAD ON THE SEVERITY OF NECK PAIN IN STUDENTS FACULTY OF MEDICINE OF WIDYA MANDALA SURABAYA CATHOLIC UNIVERSITY
Get PDFBackground : A heavy backpack also results in a forward shift of the neutral center of mass (CoM) of the body and changes the position of the head and upper and lower cervical vertebrae markedly. The change in cervical alignment caused by a backpack may place a burden on the cervical joints and soft tissues. The comfort of a backpack is a combination of the biomechanical effects on the CoM of the body and the forward-leaning posture. Many studies have reported a correlation between the load of a backpack and backpain. Neck pain is as common as lumbar pain and leads to disability and costly economic effects due to reduced ability to work.Objective : The aim of this study is to investigate the influence of backpack weight on the severity of neck pain in medical students at FoM WMSCU.Method : This study is an analytical observational research with a cross-sectional design. The sample size for the study is 72 students from the 2020, 2021, and 2022 batches at FoM WMSCU who use backpacks, selected through Simple Random Sampling. Data is collected through questionnaire responses and weighing the backpacks and respondents' body weight. The research was conducted from August to September 2023. The statistical test used in this study is the Mann- Whitney test.Result : The majority of respondents use backpacks that are considered heavy, with 51 individuals (70.83%). Most respondents experience mild neck pain, with 29 individuals (40.28%). The Mann-Whitney analysis yielded a p-value of <0.001.Conclusion : There is an influence of backpack weight on the severity of neck pain in medical students at FoM WMSCU
THROMBOSIS DISORDER IN ELDERLY PATIENTS WITH HUMAN IMMUNODEFICIENCY VIRUS INFECTION: A LITERATURE REVIEW
Get PDFThrombosis disorder in elderly patients with HIV infection is a chronic disorder that is interesting to discuss because of its multifaceted impact. Elderly patients with HIV infection face a dual risk from aging and HIV effects, which can exacerbate coagulation disorders. Thrombosis can lead to severe complications, especially in cardiovascular issues, significantly increasing morbidity and mortality. The pathophysiology of thrombosis disorder in HIV patients involves vascular, immune, and liver synthesis function problems, resulting in increased thrombogenesis. Clinical manifestations include deep vein thrombosis, pulmonary embolism, stroke, and myocardial infarct. Management is complex due to difficulties in diagnosis and increased therapeutic burden. Therapies involve using rosuvastatin and low-dose aspirin in managing inflammation and thrombosis. This article outlines the prevalence, pathophysiology, clinical manifestations, and management of thrombosis disorder in elderly patients with HIV infection
EFFECT OF COMBINATION OF ALCOHOL AND CLOVE ESSENTIAL OIL SOLUTION ON STAPHYLOCOCCUS AUREUS
No full textBackground: Alcohol is an antiseptic that is often used to prevent Staphylococcus aureus infection, research shows that some Staphylococcus aureus bacteria are resistant to alcohol antiseptics, so a combination solution of alcohol with clove essential oil is made to increase the antibacterial effect of alcohol-based antiseptics.Objective: To study the antibacterial effect of the antiseptic combination of alcohol and clove essential oil against Staphylococcus aureus.Method: The method used in this study is disk diffusion test on Mueller Hinton media which had been inoculated with Staphylococcus aureus ATCC 25923, then given a disk containing a control solution (gentamycin 10mcg) and a treatment solution (alcohol + essential oil 0%; 0.5%; 1%; and 2%) and the diameter of the resulting inhibition zone was measured and the antibacterial index was calculated based on the diameter of the inhibition zone.Result: that alcohol solution and alcohol solutions with 0.5% clove essential oil did not have an inhibitory zone (resistance), but the combination of alcohol antiseptic solution with 1% oil and 2% clove essential had an inhibitory zone (sensitive), with diameter of 9 mm and antimicrobial index of 18,7%.Conclusion: Alcohol solution with clove essential oil has antibacterial activity to Staphylococcus aureus at 1% and 2% concentrations.Key word: Antibacterial effect, clove essential oil, antiseptic, alcohol, Staphylococcus aureu