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Journal : Sumatera Medical Journal

IDENTIFICATION OF CANDIDA SPECIES ON THE SKIN OF DIABETES MELLITUS PATIENTS Al Hafiz, OK Muhammad; Amelia, Rina; Jusuf, Nelva Karmila
Sumatera Medical Journal Vol. 1 No. 01 (2017): The Sumatera Medical Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v1i01.76

Abstract

Background: Intertriginous candidiasis is a type of candidiasis which the lesion lies in the folds of the armpit, groin, intergluteal, folding of the breast, between the fingers or the toes, glans penis, and the umbilicus. One of the risk factors for intertriginous candidiasis is diabetes mellitus (DM). DM is a typical clinical syndrome characterized by the presence of hyperglycemia which is caused by deficiency or the decrease of insulin effectivity. Fungal infection of the skin with Candida species becomes easier in patients with immunocompromised conditions such as DM patients.Objective: To identify the Candida species in DM patient's skin.Method: This research is an observational descriptive study with cross sectional design. This research identifies Candida species from 30 DM patients at The Public Health Center Sentosa BaruMedan who met the inclusion and exclusion criteria by skin scraping with KOH 10% and slide culture.RESULTS: The location of the rash was found in the crotch folds 63.3% and in the intergluteal 36.7%. All samples (100%) showed positive fungus structure with KOH 10% examination. On theexamination of slide culture with Saboraoud Dextrose Agar media and identification of slide colony with Corn Meal Agar medium as many as 60% Candida spesies was found with overallspecies are Candida albicans.Conclusions: The identification of Candida Species on the skin of DM patients showed as many as 60% Candida albicans was found
QUALITY OF LIFE IN VITILIGO PATIENTS AT H. ADAM MALIK GENERAL HOSPITAL MEDAN, INDONESIA Jusuf, Nelva Karmila; putra, imam budi; utami, dina rizki
Sumatera Medical Journal Vol. 1 No. 01 (2017): The Sumatera Medical Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v1i01.79

Abstract

Background: Vitiligo is an acquired depigmenting skin disorder that can affect the patients’ quality of life (QOL).Objectives: The aim of this study was to evaluate the QOL in patients with vitiligo.Patients and Methods: This study included 30 patients with vitiligo. All the patients filled out questionnaires Skindex- 29. Data were compiled and analyzed statistically.Results: Among the 30 vitiligo patients, 73,3 % were women and 26,7 % were men. Mean age of patients were 40.53 ± 12. 91 years old. The mean duration of vitiligo was 9.07 ± 7.643 years. Themean total Skindex-29 score of the subjects was 24.68 ± 7,72. There was significant difference according to age’s group (p =0,035) and sex ( p = 0,01) but there is no significant difference according to duration of disease’s group ( p = 0,582 ).Conclusions: The study findings showed that vitiligo has a significant effect on the patients’ QOL. It seems counselling is needed as part of treatment in vitiligo patients.
QUALITY OF LIFE ASSESSMENT IN SKIN TAG PATIENTS putra, imam budi; Jusuf, Nelva Karmila; Kartayana, Johan
Sumatera Medical Journal Vol. 1 No. 01 (2017): The Sumatera Medical Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v1i01.80

Abstract

Background: Patients with skin disease may experience clinical symptoms, such as itching, pain, and discomfort, that can have a negative impact on quality of life (QOL).Skin tag is a common benign tumor of the skin with small, soft pedunculated protrusion, it commonly occur in axilla, neck and major flexura area, despitethe lesion usually asimptomatic, sometimes patients complainabout cosmetics appereance, itching or discomfort experienced.Objective : The aim of our study was to assess the impact of skin tag lesion on quality of life of patients.Material and Method: This is a descriptive study with a cross sectional design, involving 50 patients with skin tag lesion who visited the Dermatology outpatient clinic Adam Malik GeneralHospital, Medan from September 2016 to October 2016. Thepatients were filled Indonesian version of skindex-29 questionnaire to measures the effects of skin disorders on their QOL.Results: In this study QOL in skin tag patient was fairly good, 38(76%) subjects had a skindex-29 category score<5, and 12(24%) subjects had a skindex-29 score 6-17. We didn’t findimpaired QOL in all skin tag patients.Conclusion : In this study we concludedskin tag does not affect the quality of life of the patients.
The Association Between Skin Types and Acne Vulgaris Tamba, Asnita Bella Putri; Jusuf, Nelva Karmila
Sumatera Medical Journal Vol. 3 No. 1 (2020): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v3i1.3279

Abstract

The skin problem often found on adolescents is acne vulgaris. The pathogenesis of acne vulgaris is multifactorial, from increased production of sebum, hyperproliferation of pilosebaceous follicles, colonization of Cutibacterium acnes, to inflammation process. The elevated sebum production which is often linked to oily skin type could result in acne vulgaris in adolescents. According to Baumann Skin Type, one of the parameters in categorizing skin type is having either oily or dry skin. Acne vulgaris is also found on dry skin. This research aims to find the association between skin types and acne vulgaris. It is an analitic research with cross-sectional method. The data were acquired from 93 students of SMA Santo Thomas 1 Medan who fulfilled the inclusion criteria with stratified random sampling method. The collection of data were primarily carried out with dermatology examination and Baumann Skin Type questionnaire to determine the skin types. Then, they were analyzed with Chi-square test to see the relationship between skin types and acne vulgaris. The obtained results show that 73 (78,5%) out of 93 students suffered from acne vulgaris with predominance being female (39,8%) than male (38,7%), and those in 15-year age group (38,7%). The most commonly observed skin type on samples is oily skin (79,6%). The bivariate analysis with acquired p-value of 0,002 (p<0,05) led to a conclusion that there is a significant association between skin types and acne vulgaris.
Risk Factors Analysis of Premature Canities in Medical Students of Universitas Sumatera Utara Class 2016-2018 Eka Zhaki Safira Lubis; Jusuf, Nelva Karmila
Sumatera Medical Journal Vol. 3 No. 1 (2020): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v3i1.3543

Abstract

Abstract. Background. Premature canities is a terminology to describe a premature graying of hair before the age of 25 in Asians.The ethiopathogenesis of premature canities is still not fully understood, but there are risk factors associated to premature canities such as gender, family history, obesity, smoking, alcohol consumption, other disease, micronutrients deficiencies. Aims: to evaluate risk factors that influence the incidence of premature canities in medical students of University of Sumatera Utara class 2016-2018. Methods: This research is an analytic research with the number of subjects are 80 respondents using bivariate and multivariate analysis using logistic regression test. Results: of the 80 respondents, 57 respondents (71,2%) had premature canities. Based on bivariate analysis, it was obtained p value ≤ 0,05 for family history and stress, Based on multiavariate analysis, it was obtained p value ≤ 0,05 for family history (p value = 0,000), which means family history is the most dominants factors for premature canities. Conclusion: there is a correlation between premature canities and family history and stress and Family history is the most dominant risk factors that associated to premature canities in medical students of University of Sumatera Utara class 2016-2018.
Analysis of Risk Factors for Infant Diaper Dermatitis Khairina, Fadilah Oliv; Jusuf, Nelva Karmila
Sumatera Medical Journal Vol. 3 No. 2 (2020): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v3i2.3678

Abstract

Infants have skin that is easy to get irritated and infected by microorganisms. The use of diapers in infants often causes diaper dermatitis and disturbs the comfort. The diaper dermatitis incidence is quite high in infants aged 0-24 months. This study purposes to determine the factors that influence the infant diaper dermatitis and assess the relationship between these factors and the diaper dermatitis. The study design is an analytical observational with a cross sectional study design. Data retrieval using interview method on respondents use a structured questionnaire to obtain risk factors which are associated with the diaper dermatitis incidence. Bivariate analysis was used to examine the relationship between the diaper dermatitis incidence and contributing factors. The study result is 27 infants (36%) of 75 infants had diaper dermatitis. It was obtained p value ≤ 0.05 for solid food (fishes, p = 0,018) and diarrhea (p = 0,021). The value of p > 0.05 for the variables of age, sex, maternal education level, neighborhood, solid foods (cereals, eggs and fruits), frequency of diaper changes, frequency of bathing, and the use of protective skin cream. The conclusion is there is a correlation between diaper dermatitis and the solid food (fishes) and diarrhea.