Journal of Widya Medika Junior
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DIFFERENCES IN SEBORRHOEIC DERMATITIS AREA SEVERITY INDEX IN IMMUNOCOMPROMISED AND NON IMMUNOCOMPROMISED PATIENTS
Get PDFBackground: Seborrhoeic Dermatitis (DS) is a papulosquamous skin disorder with a predilection for areas rich in sebaceous glands, scalp, face and body. Seborrheic dermatitis in immunocompromised patients is clinically different from non-immunocompromised seborrheic dermatitis patients. Seborrheic dermatitis is one of the clinical symptoms and is most often found in immunocompromised patients such as individuals who have HIV/AIDS compared to seborrheic dermatitis patients in general.Objective: To determine the difference in seborrhoeic dermatitis area severity index in immunocompromised and non-immunocompromised patients.Method: This research design uses analytical observational with a cross sectional approach. The population of seborrheic dermatitis patients was 70 people with 35 immunocompromised patient respondents and 35 non-immunocompromised respondents. Data collection starts from September 22 to October 26 2023. Seborrheic dermatitis examination is carried out on the face and scalp by comparing the area affected by seborrheic dermatitis with the surrounding area and then assessing the degree of the area affected by seborrheic dermatitis using SDASI. The assessment of the area of the lesion is multiplied by the sum of the erythema, scale and papule scores with a severity classification, namely: Mild: 0-7.9, Moderate: 8-15.9, Severe: >16. The results of the examination will be recorded and a score for the severity of seborrheic dermatitis on the face and scalp will be calculated.Results: Seborrhoeic dermatitis in 35 immunocompromised respondents and 35 non-immunocompromised respondents. The results obtained from the seborrheic dermatitis patient group were immunocompromised patients, namely 14 respondents with mild degrees (40.0%), 17 respondents with moderate degrees (48.6%), and four respondents with severe degrees (11.4%) while in the group of non-immunocompromised patients there were 20 respondents with mild degrees. (57.1%), 11 respondents had a moderate degree (31.4%), and four respondents had a mild degree (11.4%). The results of research analysis using the independent T-test showed that there was a difference in SDASI in immunocompromised and non-immunocompromised patients with a value of p = 0.040 (p < 0.05).Conclusion: there are differences in SDASI in immunocompromised and non-immunocompromised patients
DIFFERENCES IN LEVELS OF ANXIETY AND DEPRESSION IN PATIENTS WITH CARDIOVASCULAR DISEASE BEFORE AND AFTER PARTICIPATING THE CARDIOVASCULAR REHABILITATION PROGRAM PHASE II
Get PDFBackground: Cardiovascular disease continues to experience an increase in cases nationally and globally. Anxiety disorders and depression are psychological disorders that are often experienced by patients which can worsen the conditionher. Components in the phase II cardiovascular rehabilitation program can help increase functional capacity and improve psychological conditions (anxiety and depression) in patients with cardiovascular disease.Objective: This study aims to determine differences in levels of anxiety and depression in patients with cardiovascular disease before and after participating in the phase II cardiovascular rehabilitation program.Methods: The research uses analytical observational studies with technique total sampling in the medical records of patients with cardiovascular disease. HADS Questionnaire (Hospital Anxiety and Depression Scale) in the patient's medical records before and after participating in the phase II cardiovascular rehabilitation program will be compared using a comparative testWilcoxon two paired samples to determine differences in patient levels of anxiety and depression.Results: The largest distribution was found to be male patients, aged 51-60 years who suffered from CHD (Coronary Heart Disease) after CABG (Coronary Artery bypass Graft). This study shows that there are significant differences in levels of anxiety and depression in patients with cardiovascular disease before and after participating in the phase II cardiovascular rehabilitation program (p<0.001).Conclusion: A comprehensive phase II cardiovascular rehabilitation program can improve psychiatric conditions (anxiety and depression) in patients with cardiovascular disease
GERIATRIC ANESTHESIA: EVALUATING THE IMPACT OF AGE-RELATED PHYSIOLOGICAL CHANGES ON ANAESTHETIC PRACTICES
Get PDFBackground: As the global population ages, the number of elderly patients undergoing surgical procedures increases, posing unique challenges for anesthetic management. Age-related physiological changes affect multiple organ systems, impacting the pharmacokinetics and pharmacodynamics of anesthetic agents. Understanding these changes is crucial for optimizing perioperative care in geriatric patients.Objective: This literature review aims to comprehensively evaluate the impact of age-related physiological changes on anesthetic practices and outcomes in geriatric patients. By synthesizing current research, the review seeks to provide insights into tailored approaches for anesthesia in the elderly population, encompassing hemodynamic management, ventilation strategies, drug selection and dosing, and postoperative care.Methods: A comprehensive literature search was conducted to identify studies on the impact of age-related physiological changes on aesthetic practices in geriatric patients. Electronic databases were searched using specific keywords. Inclusion criteria encompassed peer-reviewed articles focusing on anesthesia patients aged 65 and older, while exclusion criteria eliminated studies not published in English or those focusing solely on pediatric or adult populations under 65. Data extraction and synthesis involved organizing findings on cardiovascular, respiratory, renal, hepatic, and central nervous system changes, aesthetic implications, and strategies for perioperative management.Results: Age-related physiological changes significantly influence anesthetic practices in geriatric patients. These changes necessitate tailored approaches to hemodynamic management, ventilation strategies, drug selection and dosing, and postoperative care. Techniques such as regional anesthesia and multimodal analgesia mitigate risks and improve outcomes. Collaborative multidisciplinary care is essential for optimizing perioperative management in elderly patients.Conclusion: Optimizing anesthetic care in geriatric patients requires a comprehensive understanding of age-related physiological changes and their implications for perioperative management. Tailored approaches that consider these changes, utilize appropriate anesthetic techniques, and implement multidisciplinary care strategies are crucial for improving surgical outcomes and enhancing the quality of life in elderly patients. Ongoing research and education are essential for advancing geriatric anesthesia practice and addressing the evolving needs of this growing patient population
CORRELATION OF BODY MASS INDEX WITH MENARCHE AGE IN ELEMENTARY SCHOOL STUDENTS IN KRIAN
Get PDFIntroduction: Early menarche is increasing throughout the world, including in Indonesia. The average age of early menarche in Indonesia is less than 10 years based on the results of Riset Kesehatan Dasar or Basic Health Research 2013. Early menarche can cause stress, cardiovascular disease, and the risk of breast cancer. Early menarche can be influenced by various factors, one of which is nutritional status which can be assessed by body mass index.Objective: To determine the relationship between Body Mass Index and Menarche Age in elementary school “X” in Krian.Method: This study used a cross-sectional research design, conducted on a population of elementary school children in grades IV-VI aged 9-12 years at primary school “X” in Krian with the inclusion criteria being School Health Unit (Unit Kesehatan Sekolah or UKS) data and the exclusion criteria being having chronic diseases. Data analysis was carried out using the Spearman Correlation test.Results: 49 samples were obtained consisting of 7 people in class IV, 14 people in class V, and 28 people in class VI. From the sample, 8 children had a low BMI (16.3%), 30 children had a normal BMI (61.3%), and 11 children had a high BMI (22.5%). Meanwhile, for early menarche 6 people (12.2%), normal menarche 43 people (87.8%), and no late menarche (0%) obtained a p-value = 0.616 (p>0.05). The percentage of early menarche in obese BMIs is higher than in other BMIs with a percentage of 6.1%.Conclusion: There is no significant correlation between body mass index and age at menarche due to the small number of samples
CORRELATION BETWEEN MELASMA AND QUALITY OF LIFE IN WOMEN IN SEBANI VILLAGE, TARIK DISTRICT, AND SIDOARJO DISTRICT
Get PDFBackground: Melasma has another name chloasma, derived from the Greek word "melas" which means black. Melasma is usually found on the cheeks, forehead, nose, chin, and the area above the lip. The majority of melasma will appear in women who have dark skin with certain histories such as pregnancy, never using sunscreen resulting in exposure to ultraviolet (UV) rays, use of hormonal contraception.Purpose: Knowing the relationship between melasma and the quality of life of mothers in Sebani Village, Tarik District, Sidoarjo Regency.Methods: The design of this research is analytic observational using cross sectional method. The number of samples in the study were 67 people. Data analysis used the t-test and Spearman's correlation.Result: The results of the study found that most of the respondents aged 46-50 were 43 people (64.2%). The average MASI of people exposed to the sun >6 hours, namely 27.41, was higher than people exposed to the sun <6 hours, namely 18.09. The average MASI of people who do not use sunscreen, which is 27.41, is higher than those who do not use sunscreen, which is 18.09. The average MASI for people who use birth control pills is 28.47, higher than people who don't use birth control pills, which is 25.02.. The relationship between melasma and quality of life was analyzed using the Spearman correlation test and found r = 0.823 and p = 0.000.Conclusion: There is a very strong relationship between melasma and quality of lif
PERSONAL HYGIENE AND THE INCIDENT OF SCABIES: COMPREHENSIVE CASE MANAGEMENT AT PHC SURABAYA HOSPITAL
Get PDFIntroduction: One of the risk factors for scabies is poor hygiene. Scabies is a skin condition caused by infestation and sensitization to the Sarcoptes scabiei var. hominis mite. While scabies can be treated, it is often diagnosed late, leading to delayed treatment and easy spread within groups.Objective: This paper aims to present a case of scabies in a patient who contracted the infection within the school environment, emphasizing the importance of hygiene and health awareness, particularly regarding skin health, to prevent disease transmission.Case Report: The patient presented to the Skin and Venereology Clinic at PHC Hospital with complaints of generalized itching persisting for 3 months, similar to symptoms experienced by classmates. The itching was accompanied by the presence of small ulcers. Treatment involved the application of Sulfur precipitatum Cream 10%, Krotamiton Cream 10%, and Permethrin Cream 5% once, to be left on for 8-10 hours (with a repeat application after 1 week), along with Cetirizine 10 mg.Conclusion: After weekly evaluations over 3 months, coupled with pharmacological therapy and adherence to hygiene practices, the patient returned symptom-free and without complications
SEMI-OCCLUSIVE DRESSING FOR FINGERTIP INJURY: A CASE REPORT
Get PDFIntroduction: A fingertip injury is an injury to the most distal part of the fingers. Anatomically, the fingertip can be defined as the part located distal to the insertion of the flexor digitorum superficialis and extensor digitorum tendons on the distal phalanx, or the interphalangeal joint if referring to the thumb.Case Report: A male patient, approximately 40 years old, with an Allen grade III fingertip injury on the right ring finger due to a work accident, was brought to the Emergency Department. The patient was informed that he would undergo an occlusive dressing procedure with local anaesthesia. Evaluation three months after injury showed optimal improvement in both the cosmetic appearance and function of the ring finger.Conclusion: Semi-occlusive dressing may be more feasible than operative treatment because of its simple technique while still be able to give satisfactory results for the patient. However, there are several conditions where operative treatment is more preferable than conservative treatment. The patient’s preferences, existing comorbidities, and the degree of injury should always be assessed before choosing any treatment option
ANALYSIS OF INCREASED C-REACTIVE PROTEIN LEVELS IN BLOOD SERUM OF RATTUS NORVEGICUS WISTAR STRAIN DUE TO INTAKE OF POLYETHYLENE MICROPLASTICS
Get PDFBackground: The widespread use of plastic and poor management of plastic waste is an environmental problem and has an impact on human health. The most commonly found microplastic contaminant is polyethylene polymer. Ingested microplastic particles will undergo an endocytosis mechanism and be absorbed into the bloodstream. This then triggers an increase in reactive oxygen species (ROS) which induces oxidative stress and results in an inflammatory response. This study tries to analyze the effect of administering microplastics on increasing blood serum C-reactive protein as a biomarker and marker of the inflammatory response due to microplastics. Method: The experimental analytical research used 42 Rattus Norvegicus Wistar Strain animals, which were divided into 5 experimental groups and 1 control group. Quantitative data measurements/collection were carried out at two times (pre-post-test control group design) and analyzed by non-parametric comparison using the Friedman Test to see the increase in C-Reactive Protein (CRP) levels in the blood serum of Rattus norvegicus Wistar Strain before and after being given intake polyethylene microplastics. Result: In all groups X0-X5, The results of the comparative test using the Friedman test showed a significant value of P = 0.000 (P < 0.05), so it can be concluded that there is a difference in pre and post experimental CRP levels. Discussion: The increase in serum CRP levels from the control group to the X5 treatment group may be due to oxidative stress mechanisms, especially in hepatocyte cells, smooth muscle cells, macrophage cells, endothelial cells, lymphocyte cells and adipocyte cells which induce the production of CRP protein, especially native C-reactive protein (nCRP) and monomeric C-reactive protein (mCRP). The difference in serum CRP levels was significant (P = 0.000), where there was an increase in serum CRP levels post treatment (post experimental) from the lowest mean of 0.05 mg/L (pre experimental) to the highest of 0.98 mg/L on average, indicating that administration of microplastic intake at the dose studied had an impact on increasing serum CRP levels in response to an inflammatory reaction. The limitation of this research is that there are no journals that examine microplastics on serum CRP levels, resulting in a lack of research that can be used as a reference or comparative theory. Conclusion: Administration of Microplastic Polyethylene at the dose studied in the treatment group caused a significant increase in Rattus Norvegicus Wistar Strain Serum CRP levels
HASHIMOTO THYROIDITIS IN 7-YEAR-OLD CHILDREN: A CASE REPORT
No full textHashimoto thyroiditis (AIT) is a common cause of hypothyroidism that can occur in childhood and adolescence (ages six to sixteen years) and often occurs in women. AIT can be determined by increases in TSH with normal thyroid hormone serum levels. The diagnosis of AIT based on clinical symptoms of hypothyroid, biochemical results, and ultrasound images. Treatment is carried out by administering levothyroxine at an initial dose of 1 – 2 g/weight/day. This case report aims to show that AIT can show a wide range of symptoms and effects from the treatment that given to patient
CORRELATION OF PHYSICAL FUNCTIONAL CAPACITY AND SLEEP QUALITY IN THE ELDERLY AT GOTONG ROYONG HOSPITAL
Get PDFIntroduction: Old age is a period that indicates a process of physical, mental, and social deterioration over time. There are several things that concern health in old age, one of which is functional status which is a major health problem in the elderly. A person's ability to perform daily activities can be assessed by their functional capacity. Physical functional capacity can be measured using the six-minute walk test (6MWT). There have been many studies that discuss the 6MWT, but none have specifically looked for the relationship between physical functional capacity and sleep quality in the elderly.Purpose: This study was conducted with the aim of knowing the relationship between physical functional capacity and sleep quality in the elderly at Gotong Royong Hospital.Methods: This study used an analytic observational research design with a cross sectional approach. Data were collected from demographic questionnaires, Pittsburgh Sleep Quality Index (PSQI), and direct 6MWT measurements. Data analysis in this study used univariate and bivariate analysis.Results: In this study, the results obtained p = 0.000 (p < 0.05) indicate that there is a significant relationship between physical functional capacity and the quality of sleep of the elderly at Gotong Royong Hospital.Conclusion: There is a relationship between physical functional capacity and elderly sleep quality at Gotong Royong Surabaya Hospital