92 research outputs found
sj-docx-2-smo-10.1177_20503121221089448 – for Analysis of therapeutic effectiveness and adverse effects of long-term corticosteroids among leprosy patients with reactions: A retrospective cohort study
No full textsj-docx-2-smo-10.1177_20503121221089448 for Analysis of therapeutic effectiveness and adverse effects of long-term corticosteroids among leprosy patients with reactions: A retrospective cohort study by Joyce Novelyn Siagian, Purwantyastuti, Instiaty and Sri Linuwih Menaldi in SAGE Open Medicine</p
sj-docx-1-smo-10.1177_20503121221089448 – Supplemental material for Analysis of therapeutic effectiveness and adverse effects of long-term corticosteroids among leprosy patients with reactions: A retrospective cohort study
No full textSupplemental material, sj-docx-1-smo-10.1177_20503121221089448 for Analysis of therapeutic effectiveness and adverse effects of long-term corticosteroids among leprosy patients with reactions: A retrospective cohort study by Joyce Novelyn Siagian, Purwantyastuti, Instiaty and Sri Linuwih Menaldi in SAGE Open Medicine</p
Atlas Berwarna dan Sinopsi Penyakit Kulit dan Kelamin
No full textxiii, 256 hal. : il. ; 15,5 x 21, 5 cm
Model pengembangan keterampilan interpersonal dalam pencapaian kompetensi klinik mahasiswa kedokteran dengan hasil uji psikometrik kategori 4 dan 5
No full textLatar Belakang: Sebanyk 56,45 % mahasiswa fakultas kedokteran dengan hasil uji psikometrik kategori rekomendasi 4 (diragukan) dan 5 (tidak disarankan) yang disebut sebagai kelompok at-risk, memiliki peluang keberhasilan rendah untuk menyelesaikan pendidikan. Hal ini diperkirakan akan mengakibatkan kesulitan pencapaian: kompetensi klinik yang sesuai dengan Standar Kompetensi Dokter Indonesia (SKDI). Oleh karena itu, perlu dicari faktor-faktor yang dapat mempengaruhi pencapaian kompetensi klinik, serta bentuk intervensi yang sesuai untuk membantu mahasiswa dalam menyelesaikan pendidikan.
Objektif: Penelitian ini bertujuan untuk mencari prediktor pencapaian kompetensi klinik mahasiswa kedokteran, menciptakan model intervensi berupa pelatihan keterampilan interpersonal, serta mengukur hasil intervensi pada modul praktik klinik.
Metode: Rancangan penelitian yang digunakan adalah penelitian campuran (mixed method), menggabungkan metode kuantitatif dan kualitatif yang dilakukan secara bersamaan pada setiap tahap penelitian. Pada tahap awal dilakukan pendekatan kuantitatif untuk mendapatkan faktor-faktor yang mempengaruhi kompetensi klinik, dan diikuti dengan wawancara mendalam dengan pendekatan kualitatif. Berikutnya adalah tahap intervensi dengan pendekatan kualitatif dan dilanjutkan dengan penilaian hasil intervensi, yaitu membandingkan pencapaian kompetensi klinik kelompok eksperimen dan kontrol. Pada tahap ini dilakukan pendekatan kuantitatif dan kualitatif secara bersama.
Hasil: Pada penelitian tahap awal diperoleh faktor-faktor yang mempengaruhi pencapaian kompetensi klinik, yaitu: gender, minat, bakat, motivasi, lingkungan kehidupan,keterampilan klinik dasar dan akseleran. Pada tahap intervensi diperoleh gambaran keterampilan interpersonal, yaitu komunikasi, empati, aktualisasi diri, serta mempraktikkan role play komunikasi dengan berbagai teknik yang telah dilatihkan. Hasil penelitian mendapatkan bahwa kelompok eksperimen memperoleh nilai' yang Jebih baik dibandingkan kelompok kontrol aspek anamnesis (p = 0,035) dan profesionalisme (p= 0,003) dengan hasil uji statistik berbeda bermakna. Walaupun nilai median pada aspek pemeriksaan fisik (p= 0,313) lebih tinggi . pada kelompok eksperimen, namun secara statistik tidak berbeda bermakna. Analisis selanjutnya dengan menggunakan regresi linier multipel, mendapatkan intervensi merupakan faktor yang sangat berpengaruh pada pencapaian kompetensi klinik, sedangkan analisis dengan regresi logistik memperoleh hasillaki-Iaki memiliki peluang mendapatkan nilai kurang pada aspek anamnesis (OR = 4,16), dan aspek profesionalisme (OR = 3,42) dibandingkan denganperempuan, serta mahasiswa dengan IPK &l
The Quality of Life of Leprosy Patients in Dermatovenereology Polyclinic of Dr. Cipto Mangunkusumo Hospital Jakarta: Study on Social Stigma
No full text Leprosy is a skin disease that has physical and psychosocial effects. Until now there are still many new cases of leprosy in Indonesia. Various causative factors include late diagnosis, patient not complaining about the illness, or similarities with other skin disorders. Eradication of leprosy is difficult especially due to the stigma of leprosy, both self and social, which can cause a decrease in quality of life. This study uses a mixed research design, quantitatively by filling in the Indonesian language DLQI questionnaire, followed by qualitative research through in-depth interviews with four subjects. Of the 40 subjects, the highest DLQI score range was between 11-20, which means that leprosy has a major influence on the subject’s life. Based on statistical tests, there was no significant association between DLQI scores and gender, age group, leprosy type, or occupation. The level of education has a statistically significant association with the DLQI score (p = 0.031). Based on in-depth interviews, leprosy was found to have an impact on subject’s education and work activities, as well as psychological effects due to the stigma caused. The use of instruments such as DLQI can quantitatively measure the quality of life of leprosy patients. In-depth interviews were conducted to assess psychological aspects that cannot be measured by using questionnaires. The data obtained can be used as a basis in giving counseling to leprosy patient
Comparison between oral pentoxifylline + corticosteroid andoral corticosteroid alone for severe erythema nodosum leprosum
Get PDFBackground: Severe erythema nodosum leprosum (ENL) is common but difficult to treat. Long term use of systemic corticosteroid causes side effects. This study compares the use of a combination of pentoxifylline + oral corticosteroids with a single oral corticosteroid in leprosy patients with severe ENL reactions. Parameters measured include skin RSA score, systemic RSA, total corticosteroid dose, resolution time of skin lesions, improvement of pain VAS and treatment side effects.Methods: 29 subjects with severe ENL reactions are allocated randomly into two groups which receive oral pentoxifylline + methylprednisolone, and oral placebo + methylprednisolone for 12 weeks. The starting dose of pentoxifylline are 400 mg thrice daily for 4 weeks, tapered to 400 mg daily every 4 weeks. Methylprednisolone is based on WHO guideline. Results: In the end, the median of cutaneous RSA score in pentoxifylline vs placebo group is 4 (0-5) vs 3 (0-5). The median of systemic RSA score in pentoxifylline vs placebo group is 0 (0-6) vs 0 (0-5). The median of total corticosteroid doses in pentoxifylline vs placebo group is 156 (120-200) mg vs 136 (96-200) mg. The median of resolution time in pentoxifylline vs placebo group is 6 (0-12) weeks vs 6 (0-12) weeks. The median of change of pain VAS score in pentoxifylline vs placebo group is 5 (0-6) vs 3 (-3-6). No statistically significant difference (p\u3e0,05) are found in all parameters, including side effects. Conclusion: Combination of oral pentoxifylline + corticosteroid is not proven to be more effective. Both are safe
Occupational skin cancer and precancer
Get PDFOccupational skin cancer and precancerous lesions are skin disorders caused by exposure to chemical
carcinogens such as polycyclic hydrocarbons and arsenic, or radiation, such as ultraviolet light and ionizing
light in the workplace. Annual increase in skin cancer incidence is believed to be related to various factors
such as frequent intense sunlight exposure (i.e. at work, recreational activities, and sun-tanning habit), ozone
depletion, an increase in number of geriatric population, and an increase of public awareness in skin cancer.
The most common occupational skin cancers are basal cell carcinoma, squamous cell carcinoma, and
melanoma. Examples of occupational precancerous lesion of the skin are actinic keratosis and Bowen’s
disease. Particular diagnostic criteria to diagnose occupational diseases has been developed. Early
detection of occupational skin cancer and precancerous lesion is necessary. An effective prevention program
consists of primary prevention such as prevention of hazardous material exposure, secondary prevention
such as early detection of disease for early intervention, and tertiary prevention such as minimizing long-term
impact of the disease
Atlas kusta : buku pedoman bergambar untuk membantu tenaga kesehatan lini depan mengenai cara deteksi, diagnosis klinis dan pengobatan penyakit kusta/ Mc Dougall/ Mc Dougall
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