Introduction: Perforated peptic ulcer is the most common indication for emergency gastric surgery. good management of postoperative peptic ulcer perforation patients in the ICU will reduce patient mortality rates. Case presentation A 76-year-old male patient presented with a major complaint of pain throughout the abdomen that had worsened since 1 day, the abdominal pain had been felt for 4 days before admission. The patient had a history of painkiller drug consumption routinely for 3 years. The patient’s vital signs were normal, with a qSOFA score 1 and a VAS score 5. Abdominal physical examination showed the abdominal distended, no visible contour and no visible peristaltic, decreased bowel sound, and there is tenderness and rebound tenderness at the whole abdomen Patient was taken up for emergency laparostomy, then the patient underwent diagnostic laparoscopic in an elective setting with intraoperative findings of gastric perforation, then patient continued with the gastric repair. In the postoperative period, the patient was treated in the ICU of Dr. M. Djamil General Hospital. Conclusion: Intensive care management for post-gastric repair surgery patients is generally the same as for other abdominal surgery patients. The intensive care management needs comprehensive treatment, starting from oxygen therapy, monitoring, analgesia, fluid therapy, antibiotic therapy, glycemic control, and nasogastric tube nutrition.
{"title":"Interventional Intensive Care in Postoperative Period of Gastric Surgical Repair Due to Perforated Peptic Ulcer Disease : A Case Report","authors":"Liliriawati Ananta Kahar","doi":"10.37275/ijr.v14i3.295","DOIUrl":"https://doi.org/10.37275/ijr.v14i3.295","url":null,"abstract":"Introduction: Perforated peptic ulcer is the most common indication for emergency gastric surgery. good management of postoperative peptic ulcer perforation patients in the ICU will reduce patient mortality rates. \u0000Case presentation A 76-year-old male patient presented with a major complaint of pain throughout the abdomen that had worsened since 1 day, the abdominal pain had been felt for 4 days before admission. The patient had a history of painkiller drug consumption routinely for 3 years. The patient’s vital signs were normal, with a qSOFA score 1 and a VAS score 5. Abdominal physical examination showed the abdominal distended, no visible contour and no visible peristaltic, decreased bowel sound, and there is tenderness and rebound tenderness at the whole abdomen Patient was taken up for emergency laparostomy, then the patient underwent diagnostic laparoscopic in an elective setting with intraoperative findings of gastric perforation, then patient continued with the gastric repair. In the postoperative period, the patient was treated in the ICU of Dr. M. Djamil General Hospital. \u0000Conclusion: Intensive care management for post-gastric repair surgery patients is generally the same as for other abdominal surgery patients. The intensive care management needs comprehensive treatment, starting from oxygen therapy, monitoring, analgesia, fluid therapy, antibiotic therapy, glycemic control, and nasogastric tube nutrition.","PeriodicalId":502681,"journal":{"name":"Indonesian Journal of Rheumatology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141002249","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}
Introduction. Denture stomatitis is a prevalent issue among those who wear dentures, and it is caused by Candida albicans. Ketoconazole, an azole antifungal medication, is commonly employed to treat denture stomatitis. However, it is important to note that the usage of this agent might lead to hepatotoxicity and the development of resistance. The objective of the study was to assess the inhibitory efficacy of rambutan seed extract (Nephelium lappaecum L.) at concentrations of 50% and 80% on the proliferation of Candida albicans. Methods. This research employs a laboratory experiment using a design that includes a post-test only control group. The specimen is an uncontaminated culture isolation of Candida albicans. This study had four distinct groups: rambutan seed extract concentrations of 50% and 80%, a positive control group, and a negative control group. Each group was reproduced six times. Using digital calipers to measure the diameter of resistance. Upon completion of data collection, the acquired data was subsequently subjected to analysis utilizing one-way ANOVA and post hoc LSD statistical testing. Results. The research findings indicate that the average ± standard deviation inhibitory diameter of rambutan seed extract was 50%, 80%, and the positive control for the growth of Candida albicans was 8.68 ± 0.585; 12.38±0.505; 22.43 ± 0.809 mm, respectively. In contrast, the negative control (DMSO) did not exhibit any inhibitory effects. The one-way ANOVA test revealed a statistically significant difference in the mean inhibitory diameter of rambutan seed extract at concentrations of 50% and 80% on the growth of Candida albicans (p=0.000; p?0.05). The findings of the LSD post hoc test indicated a significant difference in inhibitory power between the 50% and 80% concentrations of rambutan seed extract, as well as between these concentrations and both the positive and negative controls. Additionally, there was a significant difference in the growth of Candida albicans between the 50% and 80% concentrations of rambutan seed extract (p?0.05). Conclusion. The research findings indicate that the extract derived from rambutan seeds effectively inhibits the development of Candida albicans. An 80% concentration is the optimal concentration for maximum effectiveness.
{"title":"Comparative Analysis of the Inhibitory Efficacy of 50% and 80% Concentrations of Rambutan Seed Extract (Nephelium lappaceum L.) on the Growth of Candida albicans","authors":"Cindy Denhara Wijaya, Daryono, Rasyika Adani","doi":"10.37275/ijr.v14i3.284","DOIUrl":"https://doi.org/10.37275/ijr.v14i3.284","url":null,"abstract":"Introduction. Denture stomatitis is a prevalent issue among those who wear dentures, and it is caused by Candida albicans. Ketoconazole, an azole antifungal medication, is commonly employed to treat denture stomatitis. However, it is important to note that the usage of this agent might lead to hepatotoxicity and the development of resistance. The objective of the study was to assess the inhibitory efficacy of rambutan seed extract (Nephelium lappaecum L.) at concentrations of 50% and 80% on the proliferation of Candida albicans. \u0000Methods. This research employs a laboratory experiment using a design that includes a post-test only control group. The specimen is an uncontaminated culture isolation of Candida albicans. This study had four distinct groups: rambutan seed extract concentrations of 50% and 80%, a positive control group, and a negative control group. Each group was reproduced six times. Using digital calipers to measure the diameter of resistance. Upon completion of data collection, the acquired data was subsequently subjected to analysis utilizing one-way ANOVA and post hoc LSD statistical testing. \u0000Results. The research findings indicate that the average ± standard deviation inhibitory diameter of rambutan seed extract was 50%, 80%, and the positive control for the growth of Candida albicans was 8.68 ± 0.585; 12.38±0.505; 22.43 ± 0.809 mm, respectively. In contrast, the negative control (DMSO) did not exhibit any inhibitory effects. The one-way ANOVA test revealed a statistically significant difference in the mean inhibitory diameter of rambutan seed extract at concentrations of 50% and 80% on the growth of Candida albicans (p=0.000; p?0.05). The findings of the LSD post hoc test indicated a significant difference in inhibitory power between the 50% and 80% concentrations of rambutan seed extract, as well as between these concentrations and both the positive and negative controls. Additionally, there was a significant difference in the growth of Candida albicans between the 50% and 80% concentrations of rambutan seed extract (p?0.05). \u0000Conclusion. The research findings indicate that the extract derived from rambutan seeds effectively inhibits the development of Candida albicans. An 80% concentration is the optimal concentration for maximum effectiveness.","PeriodicalId":502681,"journal":{"name":"Indonesian Journal of Rheumatology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139592948","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}
Introduction: Food and drinks taste sweet and sticky, which can trigger dental caries. The increasing number of dental caries for children shows the need for optimal treatment in increasing their knowledge. The aim of the research is to find a relationship between the level of knowledge of consuming donuts and sweet chewing gum as cariogenic foods on experiencing dental caries for grade 12 students at Cahaya Medan High School. Methods: Data collection using questionnaires and checking teeth. Data were analyzed using statistical tests Kruskal-Wallis. This type of research is an analytical survey through design cross sectional. Results: The research results showed that the majority of the level of knowledge of consuming donuts and sweet chewing gum as cariogenic foods in the sample was sufficient with the average DMFT score being .63 ± 2.723. Conclusion: it can be concluded that the better the level of knowledge about consuming donuts and sweet chewing gum as cariogenic foods, the lower the dental caries.
简介食物和饮料味道甜糯，容易引发龋齿。儿童龋齿数量的不断增加表明，有必要通过增加他们的知识来优化治疗。本研究旨在了解 Cahaya Medan 高中 12 年级学生对甜甜圈和甜口香糖是致龋食物的认知水平与龋齿经历之间的关系。调查方法通过问卷调查和检查牙齿收集数据。数据分析采用 Kruskal-Wallis 统计检验。这类研究是通过设计横断面进行分析调查。研究结果研究结果表明，样本中大多数人对食用甜甜圈和甜口香糖是致龋食物的认知水平足够高，DMFT 平均分为 0.63 ± 2.723。结论：可以得出结论，对甜甜圈和甜口香糖是致龋食物的认知水平越高，龋齿率越低。
{"title":"The Relationship between the Level of Knowledge of Consuming Donuts and Sweet Gum as Cariogenic Foods and the Occurrence of Dental Caries in Class 12 Students at Cahaya Medan High School","authors":"Susiani Tarigan, Firdha Muharraran, Putri Angelia Pardede","doi":"10.37275/ijr.v14i3.280","DOIUrl":"https://doi.org/10.37275/ijr.v14i3.280","url":null,"abstract":"Introduction: Food and drinks taste sweet and sticky, which can trigger dental caries. The increasing number of dental caries for children shows the need for optimal treatment in increasing their knowledge. The aim of the research is to find a relationship between the level of knowledge of consuming donuts and sweet chewing gum as cariogenic foods on experiencing dental caries for grade 12 students at Cahaya Medan High School. \u0000Methods: Data collection using questionnaires and checking teeth. Data were analyzed using statistical tests Kruskal-Wallis. This type of research is an analytical survey through design cross sectional. \u0000Results: The research results showed that the majority of the level of knowledge of consuming donuts and sweet chewing gum as cariogenic foods in the sample was sufficient with the average DMFT score being .63 ± 2.723. \u0000Conclusion: it can be concluded that the better the level of knowledge about consuming donuts and sweet chewing gum as cariogenic foods, the lower the dental caries.","PeriodicalId":502681,"journal":{"name":"Indonesian Journal of Rheumatology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139527575","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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