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The Effect of Corncob (Zea mays) Extract Cream on the Number of Melanin Pigments of Guinea Pig Exposed to Ultraviolet 玉米芯提取物乳霜对紫外线照射豚鼠黑色素数量的影响
Pub Date : 2021-11-30 DOI: 10.20473/bikk.v33.3.2021.194-199
Pasid Harlisa, Sita Mahardika, Suryani Yuliyanti
Background: Exposure to Ultraviolet B (UVB) rays on the skin causesmany problems, including pigmentation and aging effect. Hence, protection against it is needed. Purpose: The study aimedto determine the effect of corncob extract cream on the number of melanin pigments in guinea pig skins exposed to UVB rays. Methods: Anexperimental post-test-only control group study was conducted on the 25 guinea pigs. The guinea pigs were divided randomly into five groups: group I without cream, group II cream base, group III hydroquinone cream, group IV 30% corncob extract cream, and group V 40% corncob extract cream. The cream was given daily for 20 minutes before UVB exposure and 4 hours after UVB exposure. The total dose of UVB exposure was 780 mJ / cm2 for 28 days. The amount of melanin pigment was calculated using the CX21 image J. Result: The number of melanin pigment in groups I, II, III, IV, and V were 22.8±0.4 cells, 18±0.3 cells, 6.3±3.1 cells, 13.8±0.2 cells, and 9.4±0.5 cells, respectively. Asignificantlydifferent value of One way ANOVA test was <0.05. Thus, there was a difference in the number of melanin pigments between the five groups. LSD post-hoc test showed differences in each group (p <0.05). Conclusion: 40% corn cobs extract cream effectively decreased the number of melanin pigment in guinea pigs exposed to UVB rays.
背景:皮肤暴露在紫外线B (UVB)射线下会导致许多问题,包括色素沉着和衰老效应。因此,需要对其进行保护。目的:研究玉米芯提取物乳膏对UVB照射豚鼠皮肤中黑色素数量的影响。方法:以25只豚鼠为实验对象,进行单纯后试对照组研究。将豚鼠随机分为5组:不加奶油组、奶油底组、对苯二酚组、30%玉米芯提取膏组、40%玉米芯提取膏组。在中波紫外线照射前20分钟,在中波紫外线照射后4小时,每天使用这种乳霜。UVB照射28天总剂量为780 mJ / cm2。结果:I、II、III、IV、V组黑色素数量分别为22.8±0.4个细胞、18±0.3个细胞、6.3±3.1个细胞、13.8±0.2个细胞、9.4±0.5个细胞。单因素方差分析差异有统计学意义<0.05。因此,五组之间的黑色素数量是不同的。LSD事后检验各组差异有统计学意义(p <0.05)。结论:40%玉米芯提取物乳膏能有效降低UVB照射豚鼠体内黑色素的数量。
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引用次数: 0
Mucocutaneous Manifestations in HIV/AIDS Patients HIV/AIDS患者的粘膜皮肤表现
Pub Date : 2021-11-30 DOI: 10.20473/bikk.v33.3.2021.156-161
A. Hidayati, Citra Dwi Harningtyas, D. Damayanti, Maylita Sari, L. Astari, D. Indramaya, M. Listiawan, B. Utomo, Budiono Budiono, Dwi Murtiastutik, Septiana Widyantari, A. Astindari
Background: The main target of human immunodeficiency virus (HIV) is cluster of differentiation 4 (CD4) T lymphocytes and several other immune cells that have CD4 receptors. They are also present in skin and mucosa, such as Langerhans cells (LC). Mucocutaneous lesions are one of the first clinical presentations of immunosuppression in HIV seropositive patients that manifest at different stages of the infection and require early diagnosis and prompt treatment. Purpose: To determine the clinical characteristics and the pattern of various mucocutaneous manifestations in Human immunodeficiency virus/Acquired immune deficiency syndrome (HIV/AIDS) patients at Intermediate Care and Infectious Diseases Dr. Soetomo General Academic Hospital Surabaya. Methods: This is a descriptive retrospective study with a cross-sectional design. The study subject was classified as all HIV-AIDS patients with mucocutaneous manifestations treated in Intermediate Care and Infectious Diseases Dr. Soetomo General Academic Hospital Surabaya in 2019. Result: Out of the 614 patients who participated in the study, 72.1% were males. The majority of patients were in the age group 25–49 years (75.4%). The most common risk factor was heterosexuality (41.7%). Based on the distribution of mucocutaneous manifestations, the most common mucocutaneous manifestation was candidiasis mucocutan 387 patients (49.4%) followed by the pruritic papular eruption (PPE) 118 patients (15.1%) and human papillomavirus infection 57 patients (7.3%). Conclusion: Mucocutaneous manifestations occur throughout the course of HIV infection, and they can be considered as good clinical indicators for the progression of the disease and underlying immune status in resource-poor settings.
背景:人类免疫缺陷病毒(HIV)的主要靶点是分化4 (CD4) T淋巴细胞簇和其他几种具有CD4受体的免疫细胞。它们也存在于皮肤和粘膜中,如朗格汉斯细胞(LC)。皮肤粘膜病变是HIV血清阳性患者免疫抑制的首要临床表现之一,表现在感染的不同阶段,需要早期诊断和及时治疗。目的:了解泗水Soetomo博士综合学术医院中级护理和传染病科人类免疫缺陷病毒/获得性免疫缺陷综合征(HIV/AIDS)患者的临床特点和各种粘膜皮肤表现。方法:采用横断面设计的描述性回顾性研究。研究对象被归类为2019年在泗水Soetomo综合学术医院的中级护理和传染病治疗的所有有粘膜皮肤表现的HIV-AIDS患者。结果:参与研究的614例患者中,男性占72.1%。大多数患者年龄在25-49岁(75.4%)。最常见的危险因素是异性恋(41.7%)。从黏液皮肤表现的分布来看,最常见的黏液皮肤表现为念珠菌病387例(49.4%),其次是瘙痒性丘疹(PPE) 118例(15.1%)和人乳头瘤病毒感染57例(7.3%)。结论:粘膜皮肤表现贯穿于HIV感染的整个过程,在资源贫乏的环境下,它们可以作为疾病进展和潜在免疫状况的良好临床指标。
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引用次数: 0
A Retrospective Study: Risk Factor Analysis of Secondary Bacterial Infection in Pediatric Atopic Dermatitis Patients 回顾性研究:儿童特应性皮炎继发细菌感染危险因素分析
Pub Date : 2021-07-31 DOI: 10.20473/bikk.v33.2.2021.83-87
D. W. Sari, S. Sawitri, M. Listiawan, Dwi Murtiastutik, L. Astari, A. F. Athiyyah, A. Hidayati
Background: Atopic Dermatitis (AD) is a complex multifactorial disease that includes defects in skin architecture, immune dysregulation, and changes of skin flora, and it predominantly occurs in infancy and childhood. The defects in skin barrier structures are mentioned as one of the factors that facilitates bacterial colonization. Bacterial infection in AD can worsen the inflammation. It requires treatment with antibiotics, which takes longer therapy time, higher costs, and ultimately affects the patient’s quality of life and his/her family members. Purpose: To find out the epidemiology, diagnosis, management of AD, and analyze the risk factors of secondary bacterial infection in new AD patients at the Pediatric Dermatology Division, Dermatovenereology Outpatient Clinic, Dr. Soetomo General Academic Hospital. Methods: This was a retrospective study with a total sampling method. The research data were medical records of new AD patients at the Pediatric Dermatology Division, Dermatovenereology Outpatient Clinic, Dr. Soetomo General Academic Hospital Surabaya from January 2012 to December 2018. Result: There were 404 new patients with AD at the Pediatric Dermatology Division from January 2012 to December 2018, and 210 of them were accompanied by secondary bacterial infection. There was a correlation between a history of dry skin (p=0.000) with the incidence of secondary bacterial infection in AD patients. Conclusion: In this study, AD patients with a history of dry skin had a risk of complication such as bacterial secondary infection.
背景:特应性皮炎(AD)是一种复杂的多因素疾病,包括皮肤结构缺陷、免疫失调和皮肤菌群改变,主要发生在婴儿期和儿童期。皮肤屏障结构缺陷被认为是促进细菌定植的因素之一。阿尔茨海默病的细菌感染会加重炎症。它需要抗生素治疗,这需要更长的治疗时间,更高的费用,并最终影响患者的生活质量和他/她的家庭成员。目的:了解Soetomo博士综合学术医院皮肤性病门诊儿科皮肤科AD新发患者的流行病学、诊断、治疗及继发细菌感染的危险因素。方法:采用全抽样方法进行回顾性研究。研究数据是2012年1月至2018年12月泗水Soetomo综合学术医院皮肤性病门诊儿科皮肤科新发AD患者的医疗记录。结果:2012年1月至2018年12月儿科皮肤科新发AD患者404例,其中210例伴有继发性细菌感染。AD患者皮肤干燥史与继发细菌感染发生率之间存在相关性(p=0.000)。结论:本研究中,有皮肤干燥史的AD患者有继发细菌感染等并发症的风险。
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引用次数: 1
Contact Dermatitis in Tertiary Hospital: A 2-year Retrospective Study 三级医院接触性皮炎的2年回顾性研究
Pub Date : 2021-07-31 DOI: 10.20473/bikk.v33.2.2021.88-92
Efenina Ginting, D. Damayanti, Deasy Fetarayani, A. Hidayati
Background: Contact dermatitis (CD) is a skin inflammatory caused by allergen or irritant that generates public health impact. CD is classified into two types, based on its etiological perspective, namely allergic contact dermatitis (ACD) due to a hypersensitivity type IV reaction and irritant contact dermatitis (ICD), which is a non-immunological reaction. Purpose: To determine the profile of CD patients at Dermatology and Venereology Outpatients Unit of Dr. Soetomo General Academic Hospital Surabaya in January 2018 – December 2019. Methods: A retrospective study by observation and recording data. The results of the data recap were then processed using Microsoft Excel to obtain conclusions.  Result: The results obtained were ACD (61.9%) and ICD (38.1%), aged 26-45 years (32.7%), female (79.3%). The most frequent occupation was housewives (25.3%), followed by private employees (24.5%). The most suspected causative substance was cosmetic (47.7%). The most common skin disease history was food allergy (11%), followed by drug allergy (2.8%), and atopic dermatitis (2.3%). The most frequent manifestation was acute (69.8%), with the most clinical presentation was erythematous macules (35%). Most therapies were given in combination (73.6%), with antihistamines (61%) and topical corticosteroids (49.2%) were the most prescription drug. Conclusion: ACD was more common than ICD, mostly in a female, dominated in the 26-45 years old. Housewife was the most occupational. Cosmetic was the most suspected causative substance. Food allergy was the most skin disease history. Acute was the most frequent manifestation. Erythematous macules were the most clinical presentation. Antihistamine and corticosteroid are the most common drug in combination therapy.
背景:接触性皮炎(CD)是一种由过敏原或刺激物引起的皮肤炎症,对公众健康产生影响。从病因学角度来看,CD分为两种类型,即过敏性接触性皮炎(ACD),这是一种超敏IV型反应,而刺激性接触性皮炎(ICD)是一种非免疫反应。目的:确定2018年1月至2019年12月泗水Soetomo博士综合学术医院皮肤科和性病门诊部CD患者的概况。方法:采用回顾性观察和记录资料的方法。然后使用Microsoft Excel对数据重述的结果进行处理,得出结论。结果:结果为ACD(61.9%)和ICD(38.1%),年龄26 ~ 45岁占32.7%,女性占79.3%。最常见的职业是家庭主妇(25.3%),其次是私营企业雇员(24.5%)。疑似致病菌最多的是化妆品(47.7%)。最常见的皮肤病史是食物过敏(11%),其次是药物过敏(2.8%)和特应性皮炎(2.3%)。最常见的表现是急性(69.8%),最常见的临床表现是红斑(35%)。以联合用药为主(73.6%),其中以抗组胺药(61%)和外用皮质类固醇(49.2%)为主。结论:ACD较ICD多见,以女性居多,以26 ~ 45岁年龄组居多。家庭主妇是最职业的。化妆品是最可疑的致病物质。食物过敏是史上最常见的皮肤病。急性是最常见的表现。红斑斑是最常见的临床表现。抗组胺药和皮质类固醇是联合治疗中最常见的药物。
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引用次数: 5
Secondary Syphilis During Pregnancy: The Importance of Screening and Clinical Management 妊娠期二期梅毒:筛查和临床管理的重要性
Pub Date : 2021-07-31 DOI: 10.20473/bikk.v33.2.2021.145-149
I. Purnamasari, J. Barakbah, Sunarko Martodiharjo, Dwi Murtiastutik, Maylita Sari, A. Astindari, Septiana Septiana, A. Hidayati
Background: Syphilis is one of the most serious sexually transmitted diseases worldwide, and has tremendous consequences for the mother and her developing fetus if left untreated. The burden of morbidity and mortality due to congenital syphilis is high. Purpose: Screening and prompt to know the importance of treatment of syphilis during pregnancy. Case: A 32-year-old multigravida in 5 months of pregnancy presented with multiple raised lesions over her labia. It was accompanied by fluor and smelly fishy odor. There was no history of genital ulcers in either spouse and no history of sexual promiscuity. History of antenatal care in public health showed non-reactive status of HIV, syphilis and hepatitis B. Clinical examination revealed multiple flat, moist warts over her labia mayora and minora, and multiple roseola syphilitica on the plantar pedis sinistra. Darkfield microscopic examination presence spirochete, venereal disease research laboratory (VDRL) titer was 1:16 and T. pallidum particle agglutination assay (TPHA) titer was 1:2560. Obstetric ultrasonography examination was suggestive no mayor congenital abnormalities. Both of serology VDRL and TPHA were non-reactive in her husband. Significant of lesion improvement and decrease a fourfold titer serologic in VDRL (1:4) and TPHA (1:320) as follow-up 3 months after being treated with single intra-muscular injections of benzathine penicillin 2.4 million units. Discussion: Coordinated prenatal care and treatment are vital. It’s implemented before the fourth month of pregnancy to reduce vertical transmission and all associated side effects of congenital syphilis. Penicillin is highly efficacious in maternal syphilis and prevention of congenital syphilis. Conclusion: Universal screening and adequate pregnancy care must be a priority.
背景:梅毒是世界范围内最严重的性传播疾病之一,如果不及时治疗,会对母亲和发育中的胎儿造成巨大的后果。先天性梅毒的发病率和死亡率都很高。目的:筛查并提示妊娠期梅毒治疗的重要性。病例:一个32岁的多胎妊娠5个月提出了多个凸起病变在她的阴唇。它伴随着面粉和难闻的鱼腥味。配偶双方均无生殖器溃疡史,无性乱交史。公共卫生产检史:HIV、梅毒、乙肝无反应。临床检查:大阴唇、小阴唇多处扁平湿疣,足底多处梅毒玫瑰疹。暗场显微镜检查发现螺旋体,性病研究室(VDRL)滴度为1:16,梅毒螺旋体颗粒凝集试验(TPHA)滴度为1:2560。产科超声检查提示无重大先天性异常。其丈夫血清VDRL和TPHA均无反应。单次肌内注射240万单位苄星青霉素治疗3个月后,VDRL(1:4)和TPHA(1:20 20)血清学指标有显著改善和降低4倍滴度。讨论:协调产前护理和治疗至关重要。它在怀孕第四个月前实施,以减少垂直传播和先天性梅毒的所有相关副作用。青霉素对母体梅毒和预防先天性梅毒疗效显著。结论:普遍筛查和充分的妊娠护理必须优先考虑。
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引用次数: 0
Cutaneous Adverse Drug Reactions in Hospitalized HIV/AIDS Patients 住院HIV/AIDS患者皮肤药物不良反应
Pub Date : 2021-07-31 DOI: 10.20473/bikk.v33.2.2021.96-102
Y. Wibisono, I. Agusni, A. Hidayati, R. Rahmadewi, Maylita Sari, A. Astindari, Septiana Septiana, Dwi Murtiastutik
Background: Cutaneous adverse drug reaction (CADR) is the most common manifestation of drug hypersensitivity in humanimmunodeficiency virus (HIV), which presented as maculopapular rash. The incidence of CADR is found to be more commonin untreated HIV patients, and the frequency is higher in severe immunodeficiency status. Early diagnosis and appropriatetreatment give better outcomes. Purpose: To evaluate the incidence and management of CADR in HIV and acquired immunedeficiency syndrome (AIDS) patients. Methods: A retrospective descriptive study of HIV/AIDS patients with CADR whowere hospitalized at Intermediate Care and Infectious Disease Centre Dr. Soetomo General Academic Hospital. Result: Therewere more CADR cases in 2017, accounted 2.35% of the total Intermediate Care and Infectious Disease Centre RSUD Dr.Soetomo General Academic Teaching Hospital ward patients. There were more male patients (62.5%), with the mostcommonly found at the age of 25-44 years (64.3%), and which mostly (89.3%) originated from Surabaya. The most commondiagnosis was morbiliform eruption (60.7%), main complaint was red spots all over the body (45%), all of which are obscureerythematous macules. The most common causes were Duviral + Neviral antiretroviral (46%) and the most common treatmentwas dexamethasone injection. Conclusion: The incidence of CADR increased in 2017. The most frequent manifestation wasmorbilliform eruption due to Duviral+Neviral as the first line ARV treatment. Skin management varies widely in form oftopical, oral, and intravenous injection drugs, mostly using steroid class, dexamethasone intravenous injection in particular.
背景:皮肤药物不良反应(CADR)是人类免疫缺陷病毒(HIV)药物过敏最常见的表现,表现为黄斑丘疹。CADR的发生率在未经治疗的HIV患者中更为常见,并且在严重免疫缺陷状态中频率更高。早期诊断和适当治疗可获得更好的结果。目的:探讨HIV合并获得性免疫缺陷综合征(AIDS)患者CADR的发生率及处理方法。方法:对在苏艾托莫综合学术医院中级护理和传染病中心住院的HIV/AIDS合并CADR患者进行回顾性描述性研究。结果:2017年中级护理与传染病中心苏托莫医生综合学术教学医院病房病例数增加,占总病例数的2.35%。男性患者较多(62.5%),以25 ~ 44岁的男性患者居多(64.3%),多来自泗水地区(89.3%)。最常见的诊断是病状疹(60.7%),主要主诉为全身红点(45%),均为隐蔽性红斑。最常见的原因是杜韦病毒+奈韦病毒抗逆转录病毒(46%),最常见的治疗方法是地塞米松注射。结论:2017年CADR的发病率有所上升。最常见的表现是由于Duviral+Neviral作为一线抗逆转录病毒治疗而引起的麻疹样皮疹。皮肤治疗在局部、口服和静脉注射药物的形式上有很大的不同,主要使用类固醇类药物,特别是地塞米松静脉注射。
{"title":"Cutaneous Adverse Drug Reactions in Hospitalized HIV/AIDS Patients","authors":"Y. Wibisono, I. Agusni, A. Hidayati, R. Rahmadewi, Maylita Sari, A. Astindari, Septiana Septiana, Dwi Murtiastutik","doi":"10.20473/bikk.v33.2.2021.96-102","DOIUrl":"https://doi.org/10.20473/bikk.v33.2.2021.96-102","url":null,"abstract":"Background: Cutaneous adverse drug reaction (CADR) is the most common manifestation of drug hypersensitivity in humanimmunodeficiency virus (HIV), which presented as maculopapular rash. The incidence of CADR is found to be more commonin untreated HIV patients, and the frequency is higher in severe immunodeficiency status. Early diagnosis and appropriatetreatment give better outcomes. Purpose: To evaluate the incidence and management of CADR in HIV and acquired immunedeficiency syndrome (AIDS) patients. Methods: A retrospective descriptive study of HIV/AIDS patients with CADR whowere hospitalized at Intermediate Care and Infectious Disease Centre Dr. Soetomo General Academic Hospital. Result: Therewere more CADR cases in 2017, accounted 2.35% of the total Intermediate Care and Infectious Disease Centre RSUD Dr.Soetomo General Academic Teaching Hospital ward patients. There were more male patients (62.5%), with the mostcommonly found at the age of 25-44 years (64.3%), and which mostly (89.3%) originated from Surabaya. The most commondiagnosis was morbiliform eruption (60.7%), main complaint was red spots all over the body (45%), all of which are obscureerythematous macules. The most common causes were Duviral + Neviral antiretroviral (46%) and the most common treatmentwas dexamethasone injection. Conclusion: The incidence of CADR increased in 2017. The most frequent manifestation wasmorbilliform eruption due to Duviral+Neviral as the first line ARV treatment. Skin management varies widely in form oftopical, oral, and intravenous injection drugs, mostly using steroid class, dexamethasone intravenous injection in particular.","PeriodicalId":8792,"journal":{"name":"Berkala Ilmu Kesehatan Kulit dan Kelamin","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90776548","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}
引用次数: 0
Risk Factor Profile and Quality of Life of Psoriasis Vulgaris 寻常型银屑病的危险因素及生活质量
Pub Date : 2021-07-31 DOI: 10.20473/bikk.v33.2.2021.129-134
As'ad Naufal, D. Damayanti, E. Kusumastuti, A. Hidayati
Background: Psoriasis is an autoimmune human skin disease. It is a chronic and recurrent lesion characterized by erythema patches with well-defined borders with rough, multi-layered, and transparent scales with a significant negative impact on patients' quality of life. Several risk factors for psoriasis can decrease patient’ quality of life. Purpose: To determine the risk factor profile and quality of life of psoriasis patients at the dermatology and venereology outpatient clinic at Dr. Soetomo General Academic Hospital Surabaya.  Methods: This was a cross-sectional study involving new and control psoriasis patients. Their risk factors were evaluated using questionnaires, and their quality of life was measured using the DLQI questionnaires. The data was collected at the Dermatology and Venereology outpatient unit Dr. Soetomo General Academic Hospital Surabaya. Result: Of the 24 patients, the biggest risk factor for psoriasis patients was trauma/ Koebner phenomenon, as reported in 15 patients (62.5%), and 11 patients’ (45.8%) quality of life was affected. Conclusion: Trauma was the largest risk factor for psoriasis, and psoriasis has significantly affected patient’ quality of life.
背景:银屑病是一种人类自身免疫性皮肤病。它是一种慢性复发性病变,其特征是红斑斑块,边界明确,鳞片粗糙,多层次,透明,对患者的生活质量有显著的负面影响。牛皮癣的几个危险因素会降低患者的生活质量。目的:确定泗水Soetomo博士综合学术医院皮肤科和性病门诊牛皮癣患者的危险因素概况和生活质量。方法:这是一项横断面研究,涉及新发和对照组牛皮癣患者。采用问卷法评估其危险因素,采用DLQI问卷法测量其生活质量。数据是在泗水Soetomo综合学术医院皮肤科和性病门诊收集的。结果:24例患者中,创伤/ Koebner现象是银屑病患者的最大危险因素,15例(62.5%),11例(45.8%)患者的生活质量受到影响。结论:创伤是银屑病的最大危险因素,银屑病显著影响患者的生活质量。
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引用次数: 1
Contact Dermatitis Knowledge Level in Batik Workers of Desa Batik, Tanjung Bumi, Bangkalan, Madura
Pub Date : 2021-07-31 DOI: 10.20473/bikk.v33.2.2021.93-95
C. Prakoeswa, R. Rahmadewi, T. Setyaningrum, D. Damayanti, Hasnikmah Mappamasing, Sylvia Anggraeni, M. Umborowati
Background: Batik has been declared as a humanitarian heritage for oral and non-cultural culture. The increasing demand for batik may have a negative impact as the industry utilizes chemical agents. Hazardous chemical exposure to the skin in the batik industry may result in a high risk of occupational contact dermatitis. This study was conducted to find out the social determinants of health. Purpose: This study aims to assess the level of knowledge of the batik workers before and after health education about occupational contact dermatitis. Methods: This was an observational interview study, and the data were collected using questionnaires. This study involved 30 batik workers.  We assessed the level of knowledge before and after the health education about occupational contact dermatitis. Result: There were 4 (13.3%) male participants and 26 (86.7%) female participants. The mean score of the pre-test was 66.98±10.10, and the post-test was 77.77±13.53 (p<0.05). Conclusion: The result showed a significant difference between batik workers' knowledge before and after health education about contact dermatitis.
背景:蜡染已被宣布为口头和非文化文化的人道主义遗产。对蜡染需求的增加可能会产生负面影响,因为该行业使用化学剂。在蜡染工业中,皮肤接触有害化学物质可能导致职业性接触性皮炎的高风险。进行这项研究是为了找出健康的社会决定因素。目的:了解蜡染工人职业接触性皮炎健康教育前后的知识水平。方法:采用观察性访谈法,采用问卷调查法收集资料。这项研究涉及30名蜡染工人。我们评估了职业接触性皮炎健康教育前后的知识水平。结果:男性4人(13.3%),女性26人(86.7%)。前测平均分为66.98±10.10分,后测平均分为77.77±13.53分(p<0.05)。结论:蜡染工人接触性皮炎健康教育前后对接触性皮炎知识知晓程度差异有统计学意义。
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引用次数: 3
The Role of Connexin in Cutaneous Adverse Drug Reactions (CADRs) in Patients with Increasing Aspartate Aminotransferase (AST) and Alanine Aminotransferase (ALT) 连接蛋白在谷草转氨酶(AST)和丙氨酸转氨酶(ALT)升高患者皮肤药物不良反应(CADRs)中的作用
Pub Date : 2021-07-31 DOI: 10.20473/bikk.v33.2.2021.123-128
D. Oktarina, Gilang Baswara, H. Soebono
Background: The occurrence of Cutaneous Adverse Drug Reactions (CADRs) is relatively rare but can be fatal when causing organ failure, especially in the liver. The supporting examinations to determine liver injury are aspartate aminotransferase (AST) and alanine aminotransferase (ALT). Connexin-32 (Cx32) and connexin-43 (Cx43) are gap junction proteins that can be found in the liver and allegedly have a role in the mechanism of liver injury. To date, correlations between the level of connexin and aminotransferases enzyme in humans with CADRs cases are still unclear. Purpose: To determine the correlations between Cx32/Cx43 and AST/ALT levels in CADRs cases. Methods: This was a retrospective study, data collected from inpatient and outpatient’s medical records, Department of Dermatology and Venereology of Dr. Sardjito Hospital, from 2011–2015. Result: A total of 25 patients with CADRs and 35 healthy controls were included in this study. The levels between Cx32 and AST, Cx32 and ALT, Cx43 and AST, and Cx43 and ALT were not significantly correlated in CADRs cases (p>0.05). Both Cx32 and Cx43 were not significantly different between patients with and without CADRs (p>0.05). Confounding factors such as gender were not associated with this study (p>0.05). Conclusion: There was no correlation between levels of Cx32/Cx43 and increasing AST/ALT in CADRs cases. Therefore, further study is necessary to conclude the correlation between connexin and aminotransferase enzyme in CADRs patients.
背景:皮肤药物不良反应(CADRs)的发生相对罕见,但当引起器官衰竭时,尤其是肝脏,可能是致命的。判断肝损伤的辅助检查是天冬氨酸转氨酶(AST)和丙氨酸转氨酶(ALT)。Connexin-32 (Cx32)和connexin-43 (Cx43)是在肝脏中发现的间隙连接蛋白,据称在肝损伤机制中起作用。迄今为止,CADRs患者中连接蛋白和转氨酶水平之间的相关性尚不清楚。目的:探讨CADRs患者Cx32/Cx43与AST/ALT水平的相关性。方法:回顾性研究,收集Dr. Sardjito医院皮肤性病科2011-2015年住院和门诊病历资料。结果:本研究共纳入25例cadr患者和35例健康对照。在CADRs患者中,Cx32与AST、Cx32与ALT、Cx43与AST、Cx43与ALT的表达无显著相关性(p>0.05)。Cx32和Cx43在CADRs患者和非CADRs患者中均无显著差异(p>0.05)。性别等混杂因素与本研究无关(p>0.05)。结论:CADRs患者Cx32/Cx43水平与AST/ALT升高无相关性。因此,有必要进一步研究连接蛋白与转氨酶在CADRs患者中的相关性。
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引用次数: 0
The Effectiveness of 5% Tea Tree Oil cream, 10% Tea Tree Oil cream, and 5% Permethrin Cream for Scabies Treatment in Pediatric Patients 5%茶树油乳膏、10%茶树油乳膏和5%氯菊酯乳膏治疗小儿疥疮的疗效
Pub Date : 2020-11-30 DOI: 10.20473/bikk.v32.3.2020.200-205
Chesia Christiani Liuwan, M. Listiawan, Dwi Murtiastutik, Evy Ervianti, S. Sawitri, C. Prakoeswa, L. Astari, Farhat Surya Ningrat, Kurniati Kurniati, Endang Wahyu Fitriani, I. Citrashanty, Regitta I Agusni, I. Zulkarnain
Background: Scabies, an infectious disease caused by Sarcoptes scabiei mites, is still one of the most common skin diseases found in developing countries, including Indonesia. The 5% permethrin cream for scabies treatment has been investigated as having 2–3 time to cure scabies. Tea Tree Oil (TTO) is one of the agents that has been proven to have acaricidal potential as an anti-inflammatory, antibacterial, and antipruritic agent. It has minimal side effects in topical use. Purpose: To evaluate the effectiveness of 5% TTO cream and 10% TTO cream in scabies treatment of pediatric patients. Methods: This was an experimental, analytical study with controlled clinical trial methods, and a double-blind, parallel design comparing 5% TTO cream (treatment 1), 10% TTO cream (treatment 2), with 5% permethrin cream (control) to children with scabies. Result: The 5% TTO cream gave a cure rate of 61.5% and was significantly different from the 5% permethrin cream groups with a p-value = 0.044 in the first week of the study. The 5% permethrin cream gave a cure rate of 15.4%, and the cure rate of 10% TTO cream was 53.8% in the first week of the study. Conclusion: There was a significant difference between the 5% TTO cream and 5% permethrin cream in the first week of the study. The highest and fastest cure rates were found in the 5% TTO cream treatment group.
背景:疥疮是一种由疥螨引起的传染病,仍然是包括印度尼西亚在内的发展中国家最常见的皮肤病之一。研究表明,5%氯菊酯治疗疥疮膏2-3次即可治愈疥疮。茶树油(TTO)是一种已被证明具有抗炎、抗菌和止痒杀螨潜力的药剂。局部使用时副作用极小。目的:评价5% TTO乳膏和10% TTO乳膏治疗小儿疥疮的疗效。方法:采用对照临床试验方法,采用双盲平行设计,比较5% TTO乳膏(治疗1)、10% TTO乳膏(治疗2)和5%氯菊酯乳膏(对照)对疥疮患儿的治疗效果。结果:5% TTO乳膏治疗第一周的治愈率为61.5%,与5%氯菊酯乳膏组有显著性差异,p值= 0.044。5%氯菊酯乳膏治疗第一周的治愈率为15.4%,10% TTO乳膏治愈率为53.8%。结论:在研究的第一周,5% TTO乳膏与5%氯菊酯乳膏的治疗效果有显著性差异。5% TTO乳膏组治愈率最高,治愈率最快。
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Berkala Ilmu Kesehatan Kulit dan Kelamin
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