Diabetic ketoacidosis (DKA) is an acute complication of diabetes mellitus classified as mild, moderate, and severe based on the severity of the metabolic acidosis and level of consciousness. As one of hyperglycemic crisis, DKA causes kidney dysfunction which then trigger acute kidney injury (AKI). High mortality rates, recurrent DKA (repeated episodes), increased health care costs, and the risk of further complications can occur due to AKI. Early detection of AKI risk by renal function tests such as blood urea nitrogen (BUN) and serum creatinine can be done because its easy method hence it is widely used for routine evaluation. This study aims to determine the differences of BUN and serum creatinine values in DKA patients classified by severity as a prognostic markers associated with the risk of AKI in RSD dr. Soebandi Jember. The design of this study was analytic observational using a cross-sectional design obtained from medical records of 34 patients. The results showed a non-significant difference in BUN values (p=0.085) and a significant difference in serum creatinine values (p=0.033) between mild, moderate, and severe DKA. Serum creatinine evinced to be more reliable indicator than BUN as prognostic marker of DKA in the setting of AKI risk. Keywords: DKA, prognosis, acute kidney injury, AKI
{"title":"Differences of BUN and Serum Creatinine Values in Severity of Diabetic Ketoacidosis Patients at RSD dr. Seobandi Jember","authors":"I. Kusuma, Nur Fa'iza Raihanah Masita, N. K. Adji","doi":"10.19184/ams.v9i2.33947","DOIUrl":"https://doi.org/10.19184/ams.v9i2.33947","url":null,"abstract":"Diabetic ketoacidosis (DKA) is an acute complication of diabetes mellitus classified as mild, moderate, and severe based on the severity of the metabolic acidosis and level of consciousness. As one of hyperglycemic crisis, DKA causes kidney dysfunction which then trigger acute kidney injury (AKI). High mortality rates, recurrent DKA (repeated episodes), increased health care costs, and the risk of further complications can occur due to AKI. Early detection of AKI risk by renal function tests such as blood urea nitrogen (BUN) and serum creatinine can be done because its easy method hence it is widely used for routine evaluation. This study aims to determine the differences of BUN and serum creatinine values in DKA patients classified by severity as a prognostic markers associated with the risk of AKI in RSD dr. Soebandi Jember. The design of this study was analytic observational using a cross-sectional design obtained from medical records of 34 patients. The results showed a non-significant difference in BUN values (p=0.085) and a significant difference in serum creatinine values (p=0.033) between mild, moderate, and severe DKA. Serum creatinine evinced to be more reliable indicator than BUN as prognostic marker of DKA in the setting of AKI risk. \u0000Keywords: DKA, prognosis, acute kidney injury, AKI","PeriodicalId":246242,"journal":{"name":"Journal of Agromedicine and Medical Sciences","volume":"90 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132564648","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}
Laksmi Indreswari, Handhayani Sri Fatika Laraswati, Rony Prasetyo
Fatigue is part of the main problem in workers that can reduce health status resulting in accidents to death. Work fatigue is still the main cause of work accidents, especially for drivers. Online motorcycle taxi drivers are a group at high risk of fatigue because most of their working time is on the road. This study aims to analyze the effect of risk factors on work fatigue on online motorcycle taxi drivers in the Jember Region. The type of this research is observational analytic with cross-sectional design. The sample is 100 respondents. The sampling technique used consecutive sampling method. The research was conducted from February 2021 to April 2021 using a questionnaire. Data analysis using Spearman Correlation test and Logistic Regression test. The results of Spearman's analysis were age (p = 0.000), smoking habits (p = 0.000), work motivation (p = 0.000), years of service (p = 0.000), and length of work (p = 0.002). The results of the Logistics Regression analysis are the length of service (p = 0.000). The conclusion of this study is that age, smoking habits, work motivation, years of service, and length of work have an influence on work fatigue and tenure is the most influential risk factor for online motorcycle taxi drivers in Jember Region. The suggestion of this research is that it is necessary to research other risk factors and other fatigue measurement methods and the driver is expected to reduce the level of risk of work fatigue. Keywords: risk factors, work fatigue, online motorcycle taxi drivers
{"title":"Risk Factor Analysis of Work Fatigue on Online Motorcycle Taxi Drivers in Jember Region","authors":"Laksmi Indreswari, Handhayani Sri Fatika Laraswati, Rony Prasetyo","doi":"10.19184/ams.v9i2.24864","DOIUrl":"https://doi.org/10.19184/ams.v9i2.24864","url":null,"abstract":"Fatigue is part of the main problem in workers that can reduce health status resulting in accidents to death. Work fatigue is still the main cause of work accidents, especially for drivers. Online motorcycle taxi drivers are a group at high risk of fatigue because most of their working time is on the road. This study aims to analyze the effect of risk factors on work fatigue on online motorcycle taxi drivers in the Jember Region. The type of this research is observational analytic with cross-sectional design. The sample is 100 respondents. The sampling technique used consecutive sampling method. The research was conducted from February 2021 to April 2021 using a questionnaire. Data analysis using Spearman Correlation test and Logistic Regression test. The results of Spearman's analysis were age (p = 0.000), smoking habits (p = 0.000), work motivation (p = 0.000), years of service (p = 0.000), and length of work (p = 0.002). The results of the Logistics Regression analysis are the length of service (p = 0.000). The conclusion of this study is that age, smoking habits, work motivation, years of service, and length of work have an influence on work fatigue and tenure is the most influential risk factor for online motorcycle taxi drivers in Jember Region. The suggestion of this research is that it is necessary to research other risk factors and other fatigue measurement methods and the driver is expected to reduce the level of risk of work fatigue. \u0000Keywords: risk factors, work fatigue, online motorcycle taxi drivers","PeriodicalId":246242,"journal":{"name":"Journal of Agromedicine and Medical Sciences","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114650977","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}
The Infant Mortality Rate (IMR) is an indicator to assess the degree of public health in a country. One of the efforts to reduce infant mortality is through the promotion of breastfeeding practices. The purpose of this study is to analyze the scope and determinants of IMD implementation in Nusa Tenggara. The design of this study uses a cross-sectional approach. This study analyzed secondary data from the 2017 Indonesian Health Demographic Survey (IDHS). The sample used in this study was women of childbearing age (15-49 years) who have given birth in the last 2 years, have their last child under 6 months old who is still alive, and live with their child with with a total of 603 respondents. Binary logistic regression was used to analyze the data. The results of this study show that 70.8% of respondents carried out the Early Breastfeeding Initiation. Normal delivery has a relationship with the implementation of early breastfeeding initiation in Nusa Tenggara. Socialization and education regarding normal childbirth need to be optimized as an effort to increase early initiation of breastfeeding. Keywords: infant; female; breast feeding; Indonesia; health survey
{"title":"Coverage and Factors Related to Early Breastfeeding Initiation in Nusa Tenggara","authors":"Haerawati Idris, A. Ainy, Desri Maulina, N. Ermi","doi":"10.19184/ams.v9i2.38431","DOIUrl":"https://doi.org/10.19184/ams.v9i2.38431","url":null,"abstract":"The Infant Mortality Rate (IMR) is an indicator to assess the degree of public health in a country. One of the efforts to reduce infant mortality is through the promotion of breastfeeding practices. The purpose of this study is to analyze the scope and determinants of IMD implementation in Nusa Tenggara. The design of this study uses a cross-sectional approach. This study analyzed secondary data from the 2017 Indonesian Health Demographic Survey (IDHS). The sample used in this study was women of childbearing age (15-49 years) who have given birth in the last 2 years, have their last child under 6 months old who is still alive, and live with their child with with a total of 603 respondents. Binary logistic regression was used to analyze the data. The results of this study show that 70.8% of respondents carried out the Early Breastfeeding Initiation. Normal delivery has a relationship with the implementation of early breastfeeding initiation in Nusa Tenggara. Socialization and education regarding normal childbirth need to be optimized as an effort to increase early initiation of breastfeeding. \u0000Keywords: infant; female; breast feeding; Indonesia; health survey","PeriodicalId":246242,"journal":{"name":"Journal of Agromedicine and Medical Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128228489","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}
Anaemic caused by Iron deficiency can be affected by a lack of vitamin C. Vitamin C can reduce ferrous iron (Fe3+) to ferrous (Fe2+) in the small intestine so that it is easily absorbed. Kombucha tea is a functional drink known to the public for a long time and provides health benefits. The study aimed to determine the effectiveness of kombucha rosella tea against increasing haemoglobin levels in mice (Mus musculus) anaemic. The type of research is true experimental with a pre-post test randomized control group design. Treatment with four treatments and three repetitions. The sample from this study was mice (Mus musculus), female, 2-3 months, weighing 20-25 as many as 24 heads. Administration of kombucha rosella tea in anaemic mice at different doses (0.36 ml / 20 g BB, 0.55 ml / 20 g BB and 0.73 ml / 20 g BB) for 14 days. Giving kombucha rosella tea can increase haemoglobin levels in the blood of mice (Mus musculus) anaemic. The optimal dose of use of kombucha rosella tea against an increase in haemoglobin levels in the blood of anaemic mice is 0.73 ml / 20 g BB. It is necessary to conduct further research on using kombucha rosella tea in human subjects to obtain further substantiation of the benefits of kombucha rosella tea as a treatment therapy.
缺铁引起的贫血会受到缺乏维生素C的影响。维生素C可以将小肠中的亚铁(Fe3+)还原为亚铁(Fe2+)，使其易于吸收。康普茶是一种长期以来为公众所知的功能性饮料，对健康有益。该研究旨在确定红茶菌茶对贫血小鼠血红蛋白水平升高的有效性。研究类型为真正的实验，采用前后测试随机对照组设计。四次治疗，三次重复。本研究的样本为小鼠(小家鼠)，雌性，2-3个月，体重20-25，最多24头。不同剂量(0.36 ml / 20 g BB, 0.55 ml / 20 g BB和0.73 ml / 20 g BB)给贫血小鼠14天。服用红茶菌茶可以增加贫血小鼠(小家鼠)血液中的血红蛋白水平。使用红茶菌茶对抗贫血小鼠血液中血红蛋白水平增加的最佳剂量为0.73 ml / 20 g BB。有必要对人类受试者使用红茶菌茶进行进一步的研究，以进一步证实红茶菌茶作为治疗方法的益处。
{"title":"The Effectiveness of Roselle Kombucha Tea in Increasing Haemoglobin Levels Mice (Mus imusculus) With Anaemic","authors":"T. Wijayanti, Reny Retnaningsih","doi":"10.19184/ams.v9i2.37481","DOIUrl":"https://doi.org/10.19184/ams.v9i2.37481","url":null,"abstract":"Anaemic caused by Iron deficiency can be affected by a lack of vitamin C. Vitamin C can reduce ferrous iron (Fe3+) to ferrous (Fe2+) in the small intestine so that it is easily absorbed. Kombucha tea is a functional drink known to the public for a long time and provides health benefits. The study aimed to determine the effectiveness of kombucha rosella tea against increasing haemoglobin levels in mice (Mus musculus) anaemic. The type of research is true experimental with a pre-post test randomized control group design. Treatment with four treatments and three repetitions. The sample from this study was mice (Mus musculus), female, 2-3 months, weighing 20-25 as many as 24 heads. Administration of kombucha rosella tea in anaemic mice at different doses (0.36 ml / 20 g BB, 0.55 ml / 20 g BB and 0.73 ml / 20 g BB) for 14 days. Giving kombucha rosella tea can increase haemoglobin levels in the blood of mice (Mus musculus) anaemic. The optimal dose of use of kombucha rosella tea against an increase in haemoglobin levels in the blood of anaemic mice is 0.73 ml / 20 g BB. It is necessary to conduct further research on using kombucha rosella tea in human subjects to obtain further substantiation of the benefits of kombucha rosella tea as a treatment therapy.","PeriodicalId":246242,"journal":{"name":"Journal of Agromedicine and Medical Sciences","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130473281","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}
L. Mata, Inke Kusumastuti, I. Astuti, Sheilla Rachmania
Pasung (restrain) towards people with schizophrenia has yet to recede from being a complex problem in Jember, East Java. One of many aspects of pasung that has not been widely studied is the caregiving burden in the post-pasung period. This research aimed to comprehend the meaning-making of the caregiving phenomenon as experienced by the families of people with schizophrenia during the patients’ post-pasung period in Jember. This research utilizing the interpretive phenomenological analysis (IPA) recruited 11 participants (7 caregivers of people with schizophrenia and 4 community mental health nurses) who were purposively sampled and underwent semistructured interviews from November to December 2019. Two themes emerged in this study namely the experience of the post-pasung caregivers and triangulation with the community mental health nurses which consisted of 8 and 3 subthemes, respectively. Post-pasung caregiving burden experienced by families in this study consisted of subjective, objective, and iatrogenic burdens. Compared with the pasung period, the burden was lighter both for objective and subjective caregiving burden. The most dominating burden is the subjective burdens including apprehensiveness, stigma from the family and the society, and advice from external parties that were against the process of recovery and the objective burden came in the form of the caregiver’s significant health problems. Caregivers made various efforts supported by the provision of accessible and holistic health services as well as interdisciplinary coordination to ease the burden. This study indicates the diversity of the caregiving burden of post-pasung people with schizophrenia. This diversity suggests that interventions aimed at lightening the burden should be carefully selected based on the actual needs of the caregivers. Keywords : caregiving burden, caregivers, pasung, schizophrenia
{"title":"Caregiving Burden in Family Caregivers Of Patients With Schizophrenia Post-Pasung in Jember","authors":"L. Mata, Inke Kusumastuti, I. Astuti, Sheilla Rachmania","doi":"10.19184/ams.v9i2.25247","DOIUrl":"https://doi.org/10.19184/ams.v9i2.25247","url":null,"abstract":"Pasung (restrain) towards people with schizophrenia has yet to recede from being a complex problem in Jember, East Java. One of many aspects of pasung that has not been widely studied is the caregiving burden in the post-pasung period. This research aimed to comprehend the meaning-making of the caregiving phenomenon as experienced by the families of people with schizophrenia during the patients’ post-pasung period in Jember. This research utilizing the interpretive phenomenological analysis (IPA) recruited 11 participants (7 caregivers of people with schizophrenia and 4 community mental health nurses) who were purposively sampled and underwent semistructured interviews from November to December 2019. Two themes emerged in this study namely the experience of the post-pasung caregivers and triangulation with the community mental health nurses which consisted of 8 and 3 subthemes, respectively. Post-pasung caregiving burden experienced by families in this study consisted of subjective, objective, and iatrogenic burdens. Compared with the pasung period, the burden was lighter both for objective and subjective caregiving burden. The most dominating burden is the subjective burdens including apprehensiveness, stigma from the family and the society, and advice from external parties that were against the process of recovery and the objective burden came in the form of the caregiver’s significant health problems. Caregivers made various efforts supported by the provision of accessible and holistic health services as well as interdisciplinary coordination to ease the burden. This study indicates the diversity of the caregiving burden of post-pasung people with schizophrenia. This diversity suggests that interventions aimed at lightening the burden should be carefully selected based on the actual needs of the caregivers. \u0000Keywords : caregiving burden, caregivers, pasung, schizophrenia \u0000 ","PeriodicalId":246242,"journal":{"name":"Journal of Agromedicine and Medical Sciences","volume":"277 1-2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131695935","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}
Morbus Hansen or leprosy is a chronic granulomatous infection caused by Mycobacterium leprae. This disease attacks the peripheral nerves and other organs or systems in the body. M. leprae attacks the stratum corneum so that it makes the skin rough, scaly and cracked or what is called xerosis. The appearance of xerosis is due to mechanisms that contribute to decreased hydration of the stratum corneum and defects in sweat gland function. Prevention of damage to the integrity of the skin (xerosis) in leprosy patients can use olive oil, vaseline, coconut oil, and olive oil. This case report was conducted to determine the effect of massage with olive oil and scrub in overcoming skin problems in leprosy subjects. Providing a physiotherapy program at the Donorejo Leprosy Rehabilitation Unit in Jepara, using physiotherapy modalities in the form of massage with olive oil and scrubs. After therapy was carried out on the subject by giving massage with olive oil and scrub, there was a significant decrease in the ODSS scale value from an initial value of two to a value of one. The results showed that massage with olive oil and scrub was effective in improving the skin of leprosy patients which could be used as an alternative intervention in skin care for leprosy sufferers to prevent further defects.
{"title":"Effect of Massage with Olive Oil and Scrub on Xerosis et Morbus Hansen Multi Basiler","authors":"Arif Pristianto, Kanthi Ilham Utami","doi":"10.19184/ams.v9i2.38375","DOIUrl":"https://doi.org/10.19184/ams.v9i2.38375","url":null,"abstract":"Morbus Hansen or leprosy is a chronic granulomatous infection caused by Mycobacterium leprae. This disease attacks the peripheral nerves and other organs or systems in the body. M. leprae attacks the stratum corneum so that it makes the skin rough, scaly and cracked or what is called xerosis. The appearance of xerosis is due to mechanisms that contribute to decreased hydration of the stratum corneum and defects in sweat gland function. Prevention of damage to the integrity of the skin (xerosis) in leprosy patients can use olive oil, vaseline, coconut oil, and olive oil. This case report was conducted to determine the effect of massage with olive oil and scrub in overcoming skin problems in leprosy subjects. Providing a physiotherapy program at the Donorejo Leprosy Rehabilitation Unit in Jepara, using physiotherapy modalities in the form of massage with olive oil and scrubs. After therapy was carried out on the subject by giving massage with olive oil and scrub, there was a significant decrease in the ODSS scale value from an initial value of two to a value of one. The results showed that massage with olive oil and scrub was effective in improving the skin of leprosy patients which could be used as an alternative intervention in skin care for leprosy sufferers to prevent further defects.","PeriodicalId":246242,"journal":{"name":"Journal of Agromedicine and Medical Sciences","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116766599","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}
Wahyu Eko Prabowo, E. Sulistyaningsih, D. Rachmawati
Dengue hemorrhagic fever (DHF) is an endemic infectious disease in Indonesia. This disease is caused by dengue virus and transmitted by Aedes aegypti as a vector. Vector control is an important approach to control DHF. Citrus suhuinensis contains active compounds such as saponins, tannins, flavonoids, and D-limonene that can kill Ae aegypti larvae. This study aimed to determine the effectivity and lethal dose of C. suhuinensis peel extract against Ae aegypti larva. This was an experimental study using randomized control-group posttest design on Ae aegypti instar III and IV larvae which were divided into 10 groups, i.e., positive control, negative control, 8 treatment groups of serial doses of 0.01, 0.02, 0.04, 0.06, 0.25, 0.50, 0.75 and 1 %. Each group consisted of 25 larvae. Observations on the larvae were conducted after 24 and 48 hours of treatment. The results showed that C. suhuinensis peel extract has larvicide effect as shown by the Lethal Dose value, i.e., LD50, LD95 and LD99 were 5.77, 9.34 and 11.39%, respectively. In conclusion, the C. suhuinensis peel extract has potential as an Ae. aegypti larvacide.
{"title":"Lethal Dose Determination of Larvacide Effect of Citrus suhuinensis Peel Extract on Aedes Aegypti Larvae","authors":"Wahyu Eko Prabowo, E. Sulistyaningsih, D. Rachmawati","doi":"10.19184/ams.v9i2.33098","DOIUrl":"https://doi.org/10.19184/ams.v9i2.33098","url":null,"abstract":"Dengue hemorrhagic fever (DHF) is an endemic infectious disease in Indonesia. This disease is caused by dengue virus and transmitted by Aedes aegypti as a vector. Vector control is an important approach to control DHF. Citrus suhuinensis contains active compounds such as saponins, tannins, flavonoids, and D-limonene that can kill Ae aegypti larvae. This study aimed to determine the effectivity and lethal dose of C. suhuinensis peel extract against Ae aegypti larva. This was an experimental study using randomized control-group posttest design on Ae aegypti instar III and IV larvae which were divided into 10 groups, i.e., positive control, negative control, 8 treatment groups of serial doses of 0.01, 0.02, 0.04, 0.06, 0.25, 0.50, 0.75 and 1 %. Each group consisted of 25 larvae. Observations on the larvae were conducted after 24 and 48 hours of treatment. The results showed that C. suhuinensis peel extract has larvicide effect as shown by the Lethal Dose value, i.e., LD50, LD95 and LD99 were 5.77, 9.34 and 11.39%, respectively. In conclusion, the C. suhuinensis peel extract has potential as an Ae. aegypti larvacide.","PeriodicalId":246242,"journal":{"name":"Journal of Agromedicine and Medical Sciences","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128205903","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}
C.I.B. Pamungkas, Asri Ayu Firdausi, A. M. Utami, Elfindri Okgandita Veranie, Anselma Dyah Kartika Hadi
Erythrodermic psoriasis (EP) is a rare form of psoriasis but has a high mortality and morbidity rate. The management of erythrodermic psoriasis includes prevention of complications and administration of immunosuppressant drugs such as methotrexate. This article reports the case of a 37-year-old man with complaints of red, scaly spots almost all over his body since the past month. Initially, the red spots only appeared on the right and left arms and legs. On dermatological examination found lesions on >90% of the patient's total body area in the form of erythematous patches, well-defined, irregular shape and covered with thick scales, there was onycholysis of the toenails, and the Karvslek phenomenon in the patient. Based on the history and physical examination, the patient was diagnosed with erythrodermic psoriasis with a PASI score of 60.2. The patient received oral methotrexate therapy 7.5 mg/week, folic acid once daily, cetirizine 10 mg twice daily, and topical therapy with desoximetasone cream 0.25%. Methotrexate is taken alternately with a single dose of 2.5 mg. Evaluation of patients at 1 month after therapy showed improvement in clinical symptoms with reduced subjective symptoms followed by a change in the PASI score to 45.8. Proper diagnosis and management as well as monitoring for side effects of medication can reduce morbidity and prevent complications from EP. Keywords: Erythrodermic psoriasis, treatment, methothrexate.
{"title":"Clinical Improvement of Erythrodermic Psoriasis Patient Treated with Methotrexate: A Case Report","authors":"C.I.B. Pamungkas, Asri Ayu Firdausi, A. M. Utami, Elfindri Okgandita Veranie, Anselma Dyah Kartika Hadi","doi":"10.19184/ams.v9i2.38317","DOIUrl":"https://doi.org/10.19184/ams.v9i2.38317","url":null,"abstract":"Erythrodermic psoriasis (EP) is a rare form of psoriasis but has a high mortality and morbidity rate. The management of erythrodermic psoriasis includes prevention of complications and administration of immunosuppressant drugs such as methotrexate. This article reports the case of a 37-year-old man with complaints of red, scaly spots almost all over his body since the past month. Initially, the red spots only appeared on the right and left arms and legs. On dermatological examination found lesions on >90% of the patient's total body area in the form of erythematous patches, well-defined, irregular shape and covered with thick scales, there was onycholysis of the toenails, and the Karvslek phenomenon in the patient. Based on the history and physical examination, the patient was diagnosed with erythrodermic psoriasis with a PASI score of 60.2. The patient received oral methotrexate therapy 7.5 mg/week, folic acid once daily, cetirizine 10 mg twice daily, and topical therapy with desoximetasone cream 0.25%. Methotrexate is taken alternately with a single dose of 2.5 mg. Evaluation of patients at 1 month after therapy showed improvement in clinical symptoms with reduced subjective symptoms followed by a change in the PASI score to 45.8. Proper diagnosis and management as well as monitoring for side effects of medication can reduce morbidity and prevent complications from EP. \u0000Keywords: Erythrodermic psoriasis, treatment, methothrexate.","PeriodicalId":246242,"journal":{"name":"Journal of Agromedicine and Medical Sciences","volume":"58 7","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132335042","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}
I. G. A. Ratna Dewi, Tristi Lukita Wening, S. Purwowiyoto
Polycythemia vera happened in people around 40-60 years old and mostly men. The criteria are total red blood cells ≥36 mL/kg in males, thrombocytosis, leukocytosis, and JAK2 mutation. We present a case of a 63-year-old male with unknown history of polycythemia vera who came to our hospital with acute STEMI anterior, he previously had done a coronary angiogram at another hospital thirteen days ago and found out that his previous drug-eluting stent (DES) was total in-stent restenosis in proximal. To prevent recurrent ischemia events, we replaced Clopidogrel with Ticagrelor and continue Aspirin. Keywords: drug-eluting stent; in-stent restenosis; polycythemia vera
{"title":"In Stent Restenosis After Drug-Eluting Stent Implantation in a Patient with Polycythemia Vera: A Case Report","authors":"I. G. A. Ratna Dewi, Tristi Lukita Wening, S. Purwowiyoto","doi":"10.19184/ams.v9i2.38765","DOIUrl":"https://doi.org/10.19184/ams.v9i2.38765","url":null,"abstract":"Polycythemia vera happened in people around 40-60 years old and mostly men. The criteria are total red blood cells ≥36 mL/kg in males, thrombocytosis, leukocytosis, and JAK2 mutation. We present a case of a 63-year-old male with unknown history of polycythemia vera who came to our hospital with acute STEMI anterior, he previously had done a coronary angiogram at another hospital thirteen days ago and found out that his previous drug-eluting stent (DES) was total in-stent restenosis in proximal. To prevent recurrent ischemia events, we replaced Clopidogrel with Ticagrelor and continue Aspirin. \u0000Keywords: drug-eluting stent; in-stent restenosis; polycythemia vera","PeriodicalId":246242,"journal":{"name":"Journal of Agromedicine and Medical Sciences","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128610950","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}
Agustina Arundina Triharja Tejoyuwono, I. Armyanti
A positive assessment of self-esteem and self-efficacy will motivate, especially female students, to care about their body image, reduce the risk of eating disorders, and in turn aspire them to become healthy role-models. This study aimed to examine the influence of those variables on becoming healthy role-models. A cross-sectional study was conducted in 2021 to 189 female students at the Faculty of Medicine, Tanjungpura University. Data were analyzed using the Chi-Square test and multivariate logistic regression test. Self-esteem (p: 0.003; OR: 2.638) and self-efficacy (p: 0.000; OR: 5.752) had a significant relationship with body image, and body image had a significant relationship with the risk of eating disorders (p: 0.000; OR: 4,609). Regression analysis showed that self-esteem (p: 0.016) and self-efficacy (p: 0.024) are the variables that affected becoming of a role model. Moreover, it is found that self-efficacy had an indirect influence on eating disorders according to the body image with a coefficient of 2.45. Good self-acceptance (high self-esteem and self-efficacy) through positive self-compassion likely reduces the risk of eating disorders and improves the body image. The combination of these aspects will ultimately increase the students’ motivation to promote healthy behavior to others and thus become healthy role-models. Keywords: Female Medical Student; Healthy Behavior; Motivation; Role As Healthy Role Model; Role Model.
{"title":"Influencing Factors on Motivation To Be A Health Role Model Among Female Preclinical Medical Students","authors":"Agustina Arundina Triharja Tejoyuwono, I. Armyanti","doi":"10.19184/ams.v9i2.38424","DOIUrl":"https://doi.org/10.19184/ams.v9i2.38424","url":null,"abstract":"A positive assessment of self-esteem and self-efficacy will motivate, especially female students, to care about their body image, reduce the risk of eating disorders, and in turn aspire them to become healthy role-models. This study aimed to examine the influence of those variables on becoming healthy role-models. A cross-sectional study was conducted in 2021 to 189 female students at the Faculty of Medicine, Tanjungpura University. Data were analyzed using the Chi-Square test and multivariate logistic regression test. Self-esteem (p: 0.003; OR: 2.638) and self-efficacy (p: 0.000; OR: 5.752) had a significant relationship with body image, and body image had a significant relationship with the risk of eating disorders (p: 0.000; OR: 4,609). Regression analysis showed that self-esteem (p: 0.016) and self-efficacy (p: 0.024) are the variables that affected becoming of a role model. Moreover, it is found that self-efficacy had an indirect influence on eating disorders according to the body image with a coefficient of 2.45. Good self-acceptance (high self-esteem and self-efficacy) through positive self-compassion likely reduces the risk of eating disorders and improves the body image. The combination of these aspects will ultimately increase the students’ motivation to promote healthy behavior to others and thus become healthy role-models. \u0000Keywords: Female Medical Student; Healthy Behavior; Motivation; Role As Healthy Role Model; Role Model.","PeriodicalId":246242,"journal":{"name":"Journal of Agromedicine and Medical Sciences","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132588077","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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