Pub Date : 2023-08-29DOI: 10.21744/ijhms.v6n3.2190
Qurrota Aini, G. Ayu, I. Ardani, Trisna Windiani, I. Gusti, Agung Ngurah, Sugitha Adnyana
HIV-infected and HIV-affected children experience grief from the death of their family, many caregiver transitions, and the potentially traumatic experience of living under stigma. Boy patient, 9 years old, Hindu, Balinese, single, not working, was consulted from the pediatric department and admitted in the Cempaka room of Prof. Dr. I.G.N.G. Ngoerah on April 6, 2023. From auto-anamnesis, he has a depressive mood, loss of interest and excitement, weight loss, fatigue or loss of energy, insomnia, psychomotor agitation, or retardation. The patient was diagnosed with Human Immunodeficiency Virus (HIV) in 2014 when he was a year and six months old. The patient lost his father in February 2023. The patient experienced depression caused by psychosocial stressors because of the loss of his father and was diagnosed with HIV. HIV-infected children are prone to get depression. One of the psychosocial stressors experienced by children with HIV is the prolonged mourning process due to the loss of a family member. Comprehensive treatment is needed in the form of psychopharmacology and psychotherapy. Family support is the most important thing in relieving symptoms of depression and increasing medication adherence.
{"title":"Depression due to loss of a parent in a child with HIV","authors":"Qurrota Aini, G. Ayu, I. Ardani, Trisna Windiani, I. Gusti, Agung Ngurah, Sugitha Adnyana","doi":"10.21744/ijhms.v6n3.2190","DOIUrl":"https://doi.org/10.21744/ijhms.v6n3.2190","url":null,"abstract":"HIV-infected and HIV-affected children experience grief from the death of their family, many caregiver transitions, and the potentially traumatic experience of living under stigma. Boy patient, 9 years old, Hindu, Balinese, single, not working, was consulted from the pediatric department and admitted in the Cempaka room of Prof. Dr. I.G.N.G. Ngoerah on April 6, 2023. From auto-anamnesis, he has a depressive mood, loss of interest and excitement, weight loss, fatigue or loss of energy, insomnia, psychomotor agitation, or retardation. The patient was diagnosed with Human Immunodeficiency Virus (HIV) in 2014 when he was a year and six months old. The patient lost his father in February 2023. The patient experienced depression caused by psychosocial stressors because of the loss of his father and was diagnosed with HIV. HIV-infected children are prone to get depression. One of the psychosocial stressors experienced by children with HIV is the prolonged mourning process due to the loss of a family member. Comprehensive treatment is needed in the form of psychopharmacology and psychotherapy. Family support is the most important thing in relieving symptoms of depression and increasing medication adherence.","PeriodicalId":149625,"journal":{"name":"International journal of health & medical sciences","volume":"104 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131960155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-21DOI: 10.21744/ijhms.v6n3.2187
Carolin Tiara, Lestari Indah, I. Arimbawa, Wayan Widyantara, Anak Agung, Ayu Putri Laksmidewi, Ida Bagus, Kusuma Putra, Anita Devi
Decompression illness (DCI) is an injury suffered by divers due to the formation of nitrogen bubbles in the bloodstream and tissues during or after a pressure drop in the surrounding environment when diving. Bali is one of the most famous diving spots in Southeast Asia and also has a Hyperbaric Oxygen Therapy (HBOT) center in Prof. IGNG Ngoerah General Hospital. This study aims to determine the characteristic of DCI patients at the Hyperbaric Polyclinic in Prof. IGNG Ngoerah General Hospital, Denpasar, Bali before the COVID-19 pandemic. A descriptive retrospective study has conducted by descriptive retrospective by collecting administrative data at the Hyperbaric Polyclinic of Prof. IGNG Ngoerah General Hospital in 2018-2019. The required examination data are demographic data, diver profiles, DCI characteristics, and the previous therapy. Data analysis using SPSS Version 24. Most DCI patients in this study were foreigner (88.1%), men (53.2%), normal BMI (37.3%), no prior history of disease (88.9%), diving depth >20 meters (n=79, 62.7%), average surface interval 101,184 minutes (30-1440 minutes), diving duration 1-3 hours (n=69.54.8%), DCI type 2 (58.7%) with major severity (57.9%). Of the overall patients, 14.3% rapid ascent, 2.4% panicked while diving, 10.3% made flights and 6.3% climbed after diving.
{"title":"Characteristics of patients with decompression illness at the hyperbaric polyclinic of Prof IGNG Ngoerah General Hospital Bali before the COVID-19 pandemic","authors":"Carolin Tiara, Lestari Indah, I. Arimbawa, Wayan Widyantara, Anak Agung, Ayu Putri Laksmidewi, Ida Bagus, Kusuma Putra, Anita Devi","doi":"10.21744/ijhms.v6n3.2187","DOIUrl":"https://doi.org/10.21744/ijhms.v6n3.2187","url":null,"abstract":"Decompression illness (DCI) is an injury suffered by divers due to the formation of nitrogen bubbles in the bloodstream and tissues during or after a pressure drop in the surrounding environment when diving. Bali is one of the most famous diving spots in Southeast Asia and also has a Hyperbaric Oxygen Therapy (HBOT) center in Prof. IGNG Ngoerah General Hospital. This study aims to determine the characteristic of DCI patients at the Hyperbaric Polyclinic in Prof. IGNG Ngoerah General Hospital, Denpasar, Bali before the COVID-19 pandemic. A descriptive retrospective study has conducted by descriptive retrospective by collecting administrative data at the Hyperbaric Polyclinic of Prof. IGNG Ngoerah General Hospital in 2018-2019. The required examination data are demographic data, diver profiles, DCI characteristics, and the previous therapy. Data analysis using SPSS Version 24. Most DCI patients in this study were foreigner (88.1%), men (53.2%), normal BMI (37.3%), no prior history of disease (88.9%), diving depth >20 meters (n=79, 62.7%), average surface interval 101,184 minutes (30-1440 minutes), diving duration 1-3 hours (n=69.54.8%), DCI type 2 (58.7%) with major severity (57.9%). Of the overall patients, 14.3% rapid ascent, 2.4% panicked while diving, 10.3% made flights and 6.3% climbed after diving.","PeriodicalId":149625,"journal":{"name":"International journal of health & medical sciences","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127547534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-10DOI: 10.21744/ijhms.v6n3.2181
Saeful Anwar
Fingertip injury is one of the most common injuries to the hand. Injuries can include damage to the skin and soft tissue, bones (distal phalanx), nails and nailbed. The fingertips are rich in nerves and very sensitive. Without prompt and precise treatment, finger injuries can interfere with the complex function of the hand and may result in permanent deformity and disability. This report aims to report management in patients with fingertip injury. A 25-year- male patient with fingertip injury in the area of the right index finger. The results of the localis status examination found a laceration measuring 3x1,5 cm with uneved edges in aspectus volar in the distal phalanx in the II digit along with tenderness and no limited finger movement. Patients treated with pharmacotherapy and operative measures for the reconstruction of fingertip injuries, with a local flap using the V-Y flap method.
{"title":"Fingertip injury: A case report in emergency departments","authors":"Saeful Anwar","doi":"10.21744/ijhms.v6n3.2181","DOIUrl":"https://doi.org/10.21744/ijhms.v6n3.2181","url":null,"abstract":"Fingertip injury is one of the most common injuries to the hand. Injuries can include damage to the skin and soft tissue, bones (distal phalanx), nails and nailbed. The fingertips are rich in nerves and very sensitive. Without prompt and precise treatment, finger injuries can interfere with the complex function of the hand and may result in permanent deformity and disability. This report aims to report management in patients with fingertip injury. A 25-year- male patient with fingertip injury in the area of the right index finger. The results of the localis status examination found a laceration measuring 3x1,5 cm with uneved edges in aspectus volar in the distal phalanx in the II digit along with tenderness and no limited finger movement. Patients treated with pharmacotherapy and operative measures for the reconstruction of fingertip injuries, with a local flap using the V-Y flap method.","PeriodicalId":149625,"journal":{"name":"International journal of health & medical sciences","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133994190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-10DOI: 10.21744/ijhms.v6n3.2177
Nur Arifatus Sholihah, Kurnia Bend. Yunita Pellondou, Asri Handayani
Degenerative disease is a disease that arises due to the deterioration of organ function due to the aging process and is one of the biggest causes of death in the world, causing 60% of deaths and 40% of the global disease burden. According to the World Health Organization (WHO), nearly 17 million people are dying from degenerative diseases every year (Departemen Kesehatan RI, 2005). Efforts to increase clean and healthy living behavior in adolescents require counseling to adolescents, especially regarding various kinds of degenerative diseases and prevention efforts that must be done. The preliminary study conducted by the researcher is that out of 50 students at SMK 1 Sumbawa, it is known that 45 class XI students have never received counseling/knowledge about degenerative diseases, and 35 of them have a negative lifestyle, including often eating instant noodles, fried snacks, etc. (SMK 1 Sumbawa, 2023). The method used was pre-experimental, namely one group pretest-posttest design. This study aims to determine the effect of providing counseling on efforts to prevent degenerative diseases on clean and healthy living behavior in school settings in adolescents at SMK I Sumbawa. The location of data collection was carried out at SMK1 Sumbawa.
{"title":"effect of providing counseling on efforts to prevent degenerative diseases on clean and healthy living behaviors in school settings for adolescents at SMK I Sumbawa","authors":"Nur Arifatus Sholihah, Kurnia Bend. Yunita Pellondou, Asri Handayani","doi":"10.21744/ijhms.v6n3.2177","DOIUrl":"https://doi.org/10.21744/ijhms.v6n3.2177","url":null,"abstract":"Degenerative disease is a disease that arises due to the deterioration of organ function due to the aging process and is one of the biggest causes of death in the world, causing 60% of deaths and 40% of the global disease burden. According to the World Health Organization (WHO), nearly 17 million people are dying from degenerative diseases every year (Departemen Kesehatan RI, 2005). Efforts to increase clean and healthy living behavior in adolescents require counseling to adolescents, especially regarding various kinds of degenerative diseases and prevention efforts that must be done. The preliminary study conducted by the researcher is that out of 50 students at SMK 1 Sumbawa, it is known that 45 class XI students have never received counseling/knowledge about degenerative diseases, and 35 of them have a negative lifestyle, including often eating instant noodles, fried snacks, etc. (SMK 1 Sumbawa, 2023). The method used was pre-experimental, namely one group pretest-posttest design. This study aims to determine the effect of providing counseling on efforts to prevent degenerative diseases on clean and healthy living behavior in school settings in adolescents at SMK I Sumbawa. The location of data collection was carried out at SMK1 Sumbawa.","PeriodicalId":149625,"journal":{"name":"International journal of health & medical sciences","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124326570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-08DOI: 10.21744/ijhms.v6n3.2179
Regina Astari Tjoegito, I. Wardani
Background: Acute Lymphoblastic Leukemia (ALL) or also called Acute Lymphocytic Leukemia is a cancer of the blood and bone marrow. ALL is strongly related to pain due to the nature of the disease where leucocyte cells infiltrate organs causing pain, and also due to some of its treatments which can cause pain as a side effect. Case report: A female patient, aged 45 years, consulted the Consultation-Liaison Psychiatry, sub-Palliative Department with a complaint of pain. The patient felt severe pain, intermittent but kept getting worse over time, with VAS of 7-8 causing her to feel weak and have difficulty sleeping, with a history of Paracetamol and Codeine as analgetic. When the pain peaked, the patient felt weak and sometimes crying for no reason. She became more emotional since her illness and she’s not an emotional person before. Patients also tend to get tired and lost enthusiasm in doing activities. Patient with anankastic personality character, acting out, and sublimation defense mechanism, was diagnosed with Organic Depressive Disorder (F06.32); ALL ECOG2, mild anemia, suspect CAD with differential diagnosis of ischemic due to supply & demand mismatch (anteroseptal ischemia), uterine mass et causa suspected leukemic infiltration with differential diagnosis of uterine myoma.
{"title":"Pharmacological and psychotherapy pain management in adult acute lymphoblastic leukemia (ALL) with depressive organic disorder patient","authors":"Regina Astari Tjoegito, I. Wardani","doi":"10.21744/ijhms.v6n3.2179","DOIUrl":"https://doi.org/10.21744/ijhms.v6n3.2179","url":null,"abstract":"Background: Acute Lymphoblastic Leukemia (ALL) or also called Acute Lymphocytic Leukemia is a cancer of the blood and bone marrow. ALL is strongly related to pain due to the nature of the disease where leucocyte cells infiltrate organs causing pain, and also due to some of its treatments which can cause pain as a side effect. Case report: A female patient, aged 45 years, consulted the Consultation-Liaison Psychiatry, sub-Palliative Department with a complaint of pain. The patient felt severe pain, intermittent but kept getting worse over time, with VAS of 7-8 causing her to feel weak and have difficulty sleeping, with a history of Paracetamol and Codeine as analgetic. When the pain peaked, the patient felt weak and sometimes crying for no reason. She became more emotional since her illness and she’s not an emotional person before. Patients also tend to get tired and lost enthusiasm in doing activities. Patient with anankastic personality character, acting out, and sublimation defense mechanism, was diagnosed with Organic Depressive Disorder (F06.32); ALL ECOG2, mild anemia, suspect CAD with differential diagnosis of ischemic due to supply & demand mismatch (anteroseptal ischemia), uterine mass et causa suspected leukemic infiltration with differential diagnosis of uterine myoma.","PeriodicalId":149625,"journal":{"name":"International journal of health & medical sciences","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124906107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-07DOI: 10.21744/ijhms.v6n3.2178
I. G. V. Hardika, L. Aryani, C. Lesmana, I. G. B. W. Putra
Background: The intensity of trading in the stock, foreign exchange, and crypto markets worldwide has been increasing. The need to earn a higher income amid the pandemic situation has led people to shift towards trading. For beginners, trading can be addictive due to the desire to constantly be involved in the financial markets and continuously monitor price movements. This research originates from the lack of supporting examinations that can be used to assess trading addiction. The aim of this study is to develop a trading addiction questionnaire and assess its validity and reliability within the trader community in Indonesia. Methods: This study is an analytical observational research with a cross-sectional design, involving 403 samples engaged in trading activities. The samples were obtained through voluntary sampling from the trader community in Indonesia. The main objective of this research is to assess the validity and reliability of the Trading Addiction Scale Version Indonesia-Korea (SATVIK) questionnaire. Result: SATVIK questionnaire has a construct validity value of ? 0.5, indicating that it is valid. The Cronbach's Alpha value of 0.932 for the 9 questionnaire items signifies that the reliability of the SATVIK questionnaire falls into the high category.
{"title":"Development of trading addiction questionnaire for traders in Indonesia","authors":"I. G. V. Hardika, L. Aryani, C. Lesmana, I. G. B. W. Putra","doi":"10.21744/ijhms.v6n3.2178","DOIUrl":"https://doi.org/10.21744/ijhms.v6n3.2178","url":null,"abstract":"Background: The intensity of trading in the stock, foreign exchange, and crypto markets worldwide has been increasing. The need to earn a higher income amid the pandemic situation has led people to shift towards trading. For beginners, trading can be addictive due to the desire to constantly be involved in the financial markets and continuously monitor price movements. This research originates from the lack of supporting examinations that can be used to assess trading addiction. The aim of this study is to develop a trading addiction questionnaire and assess its validity and reliability within the trader community in Indonesia. Methods: This study is an analytical observational research with a cross-sectional design, involving 403 samples engaged in trading activities. The samples were obtained through voluntary sampling from the trader community in Indonesia. The main objective of this research is to assess the validity and reliability of the Trading Addiction Scale Version Indonesia-Korea (SATVIK) questionnaire. Result: SATVIK questionnaire has a construct validity value of ? 0.5, indicating that it is valid. The Cronbach's Alpha value of 0.932 for the 9 questionnaire items signifies that the reliability of the SATVIK questionnaire falls into the high category.","PeriodicalId":149625,"journal":{"name":"International journal of health & medical sciences","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122022086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-30DOI: 10.21744/ijhms.v6n3.2174
Athiyyah Nabilah Az Zahro, S. Hidayati, Isnanto Isnanto
It was found in a preliminary study conducted on mild mentally retarded children aged 9-12 years at SLB Tunas Mulya Surabaya, most of them had poor knowledge of how to brush their teeth. This is caused by the use of media that is less effective in the learning process. Efforts to increase knowledge of dental and oral health maintenance can be carried out by using MEDBOGI (Media Boneka Gigi). This study aimed to determine the effect of using MEDBOGI on knowledge of how to brush teeth in children with mild mental retardation at SLB Tunas Mulya Surabaya. The research method uses analytic research with quick experimental and one-group pretest-posttest design. The research sample was 30 mentally retarded children aged 9-12 years at SLB Tunas Mulya Surabaya, taking samples using a total sampling technique. The data collection instrument uses a questionnaire sheet. The data analysis technique uses the Mann-Whitney test. Results: based on the Man-Whitney test, the result is P (0.000) <0.05. This value indicates that H0 is rejected, so there is an effect of using MEDBOGI on knowledge of how to brush teeth in children with mild mental retardation at SLB Tunas Mulya Surabaya.
{"title":"influence of using MEDBOGI (media boneka gigi) on knowledge of how to brush teeth in mild mental mental disability children at SLB Tunas Mulya Surabaya","authors":"Athiyyah Nabilah Az Zahro, S. Hidayati, Isnanto Isnanto","doi":"10.21744/ijhms.v6n3.2174","DOIUrl":"https://doi.org/10.21744/ijhms.v6n3.2174","url":null,"abstract":"It was found in a preliminary study conducted on mild mentally retarded children aged 9-12 years at SLB Tunas Mulya Surabaya, most of them had poor knowledge of how to brush their teeth. This is caused by the use of media that is less effective in the learning process. Efforts to increase knowledge of dental and oral health maintenance can be carried out by using MEDBOGI (Media Boneka Gigi). This study aimed to determine the effect of using MEDBOGI on knowledge of how to brush teeth in children with mild mental retardation at SLB Tunas Mulya Surabaya. The research method uses analytic research with quick experimental and one-group pretest-posttest design. The research sample was 30 mentally retarded children aged 9-12 years at SLB Tunas Mulya Surabaya, taking samples using a total sampling technique. The data collection instrument uses a questionnaire sheet. The data analysis technique uses the Mann-Whitney test. Results: based on the Man-Whitney test, the result is P (0.000) <0.05. This value indicates that H0 is rejected, so there is an effect of using MEDBOGI on knowledge of how to brush teeth in children with mild mental retardation at SLB Tunas Mulya Surabaya.","PeriodicalId":149625,"journal":{"name":"International journal of health & medical sciences","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125372111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-10DOI: 10.21744/ijhms.v6n3.2159
Petrus Agustinus Seda Sega, A. Wahyuni, N. K. S. Diniari, I. W. G. A. E. Putra
Background: Hospital Services rely on Medical and Paramedics at the Hospital, Hospital Paramedic services, especially women, are greatly influenced by mood, in women it is especially influenced by hormonal balance, including menstruation and menopause. The drop in estrogen levels after menopause causes many physical and emotional changes. Estradiol is the largest estrogen. It is estimated that the number of women who have menopause will experience a very significant increase of estradiol. Methods: An analytic observational study with a cross-sectional study design on 85 menopausal paramedics at Prof I.G.N.G Ngoerah Hospital Denpasar using a Hospital Anxiety and Depression Scale (HADS) questionnaire and examined salivary levels of 17? estradiol and looked for its relationship with anxiety and depression. Results: Based on the low salivary 17? estradiol level of the sample aged above 50 years (76.5%). Outpatient (75%), underweight (100%), married status (74.4%), and sample >5 years (76.5%). It is also a significant result where the salivary 17? estradiol level is lower in the sample compared to anxiety and depression complaints, with the chi-square test (p-value = <0.001). Conclusion: There is a significant relationship between low salivary 17? estradiol levels and complaints of anxiety and depression in menopausal paramedics.
{"title":"relationship between saliva 17 beta-estradiol levels with anxiety and depression in menopause paramedic at Prof I.G.N.G Ngoerah Hospital Denpasar","authors":"Petrus Agustinus Seda Sega, A. Wahyuni, N. K. S. Diniari, I. W. G. A. E. Putra","doi":"10.21744/ijhms.v6n3.2159","DOIUrl":"https://doi.org/10.21744/ijhms.v6n3.2159","url":null,"abstract":"Background: Hospital Services rely on Medical and Paramedics at the Hospital, Hospital Paramedic services, especially women, are greatly influenced by mood, in women it is especially influenced by hormonal balance, including menstruation and menopause. The drop in estrogen levels after menopause causes many physical and emotional changes. Estradiol is the largest estrogen. It is estimated that the number of women who have menopause will experience a very significant increase of estradiol. Methods: An analytic observational study with a cross-sectional study design on 85 menopausal paramedics at Prof I.G.N.G Ngoerah Hospital Denpasar using a Hospital Anxiety and Depression Scale (HADS) questionnaire and examined salivary levels of 17? estradiol and looked for its relationship with anxiety and depression. Results: Based on the low salivary 17? estradiol level of the sample aged above 50 years (76.5%). Outpatient (75%), underweight (100%), married status (74.4%), and sample >5 years (76.5%). It is also a significant result where the salivary 17? estradiol level is lower in the sample compared to anxiety and depression complaints, with the chi-square test (p-value = <0.001). Conclusion: There is a significant relationship between low salivary 17? estradiol levels and complaints of anxiety and depression in menopausal paramedics.","PeriodicalId":149625,"journal":{"name":"International journal of health & medical sciences","volume":"179 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133564614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-07DOI: 10.21744/ijhms.v6n3.2155
Anak Agung Gede Agung Satrya Megada, L. Aryani
The problem of substance abuse has shown an increase in quantity, quality, and rate of distribution, both in terms of the number of victims and the types of substance abuse. World drug reports around 275 million people used drugs worldwide in 2020. In Indonesia, there are 3.66 million drug users in 2021. When people with substance abuse stop taking the substance and have the desire to take it again, it is called the craving phase. The case is a 36-year-old male with Mental and Behavioral Disorders Due to the Use of Other Stimulants With Uncomplicated Substance Withdrawal (F15.30). The patient wants to stop using crystal methamphetamine because there’s a desire to use it again in the last 3 weeks after stopping two months ago. This patient is in the craving phase, and CBT is the most therapy given to prevent relapse, beside CBT patient is also given other non-medical therapy in the form of supportive psychotherapy, motivational interviewing, and family therapy, for the medical therapy Fluoxetine 10 mg tab every 24 hours IO (in the morning) and Alprazolam 1 mg tab every 24 hours IO (in the evening).
{"title":"Role of cognitive behavior therapy on people with substance abuse in the craving phase","authors":"Anak Agung Gede Agung Satrya Megada, L. Aryani","doi":"10.21744/ijhms.v6n3.2155","DOIUrl":"https://doi.org/10.21744/ijhms.v6n3.2155","url":null,"abstract":"The problem of substance abuse has shown an increase in quantity, quality, and rate of distribution, both in terms of the number of victims and the types of substance abuse. World drug reports around 275 million people used drugs worldwide in 2020. In Indonesia, there are 3.66 million drug users in 2021. When people with substance abuse stop taking the substance and have the desire to take it again, it is called the craving phase. The case is a 36-year-old male with Mental and Behavioral Disorders Due to the Use of Other Stimulants With Uncomplicated Substance Withdrawal (F15.30). The patient wants to stop using crystal methamphetamine because there’s a desire to use it again in the last 3 weeks after stopping two months ago. This patient is in the craving phase, and CBT is the most therapy given to prevent relapse, beside CBT patient is also given other non-medical therapy in the form of supportive psychotherapy, motivational interviewing, and family therapy, for the medical therapy Fluoxetine 10 mg tab every 24 hours IO (in the morning) and Alprazolam 1 mg tab every 24 hours IO (in the evening).","PeriodicalId":149625,"journal":{"name":"International journal of health & medical sciences","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127046874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-24DOI: 10.21744/ijhms.v6n2.2146
A. Wahyuni, I. G. Vasmana, Wati Evilia, Marianto Marianto
Background: Psychoneuroimmunology (PNI) or also called psychoneuroendocrinology is the study of how psychological, neural, and immunological processes interact and influence human health and behavior. It is known that psychosocial factors contribute to the development of many diseases and that the immune system plays an important role in this relationship. Likewise, immune system signals in the brain affect mood, cognitive function, and behavior. Method: Literature review through scientific sources from books and journals related to the psychoneuroimmunology of depression and its relationship with the gut-brain axis. Discussion: Several studies have shown that patients with severe mental disorders including depression are affected by various changes in the gut microbiota and increased intestinal permeability. The gut microbiota can activate the Hypothalamic-Pituitary-Adrenal (HPA) axis through some mediators that cross the blood-brain barrier and include antigens, microbes, cytokines, and prostaglandins. Some bacterias release neurotransmitters that can interact directly with the vagus nerve. Hypothalamic-Pituitary-Adrenal axis activation can influence gut microbiota and gut permeability. An imbalance in intestinal flora can reduce protective properties, and increase neurotoxins and inflammatory mediators, causing nerve damage from the synaptic cleft which causes depression. Conclusion: There is an interrelated relationship between the psychoneuroimmunology of depression and the gut-brain axis.
{"title":"Psychoneuroimmunology of depression and its relation to the gut-brain axis","authors":"A. Wahyuni, I. G. Vasmana, Wati Evilia, Marianto Marianto","doi":"10.21744/ijhms.v6n2.2146","DOIUrl":"https://doi.org/10.21744/ijhms.v6n2.2146","url":null,"abstract":"Background: Psychoneuroimmunology (PNI) or also called psychoneuroendocrinology is the study of how psychological, neural, and immunological processes interact and influence human health and behavior. It is known that psychosocial factors contribute to the development of many diseases and that the immune system plays an important role in this relationship. Likewise, immune system signals in the brain affect mood, cognitive function, and behavior. Method: Literature review through scientific sources from books and journals related to the psychoneuroimmunology of depression and its relationship with the gut-brain axis. Discussion: Several studies have shown that patients with severe mental disorders including depression are affected by various changes in the gut microbiota and increased intestinal permeability. The gut microbiota can activate the Hypothalamic-Pituitary-Adrenal (HPA) axis through some mediators that cross the blood-brain barrier and include antigens, microbes, cytokines, and prostaglandins. Some bacterias release neurotransmitters that can interact directly with the vagus nerve. Hypothalamic-Pituitary-Adrenal axis activation can influence gut microbiota and gut permeability. An imbalance in intestinal flora can reduce protective properties, and increase neurotoxins and inflammatory mediators, causing nerve damage from the synaptic cleft which causes depression. Conclusion: There is an interrelated relationship between the psychoneuroimmunology of depression and the gut-brain axis. ","PeriodicalId":149625,"journal":{"name":"International journal of health & medical sciences","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129017460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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