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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 Effect of Fluid Management Application on Hemodialysis Patients with Excess Fluid Damanik, Candra Meriani; Putra, Imam Budi; Siregar, Cholina Trisa; Saidah Nst, Siti
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 5, No 2: December 2020
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (578.073 KB) | DOI: 10.30604/jika.v5i2.514

Abstract

Renal disease is a disorder that occurs in the kidneys. Such diseases caused by various factors, such as infections, tumours, congenital disorders, metabolic or degenerative diseases, and others. Chronic renal disease usually occurs slowly and is chronic. Patients suffering from chronic renal disease require renal replacement therapy (TPG) to maintain their life. The success of this chronic renal disease therapy depends on the patient's involvement in maintaining their diet and fluids. Fluid management experienced by hemodialysis patients is essential to decrease the risk of excess fluid and is a significant factor that can determine the success of hemodialysis therapy. This research was performed aiming to analyze the effect of implementing fluid management on the excess fluid in hemodialysis patients. This study employed a quasi-experimental design through pre-test and post-test methods using a control group. There were 90 respondents involved in this research as samples, who were divided into two groups, 45 respondents in the intervention group and another 45 respondents in the control groups. These samples were selected through purposive sampling. Furthermore, the research data were collected using fluid management guide instruments, fluid intake monitoring charts, and weight recording sheets. The results revealed that there was no effect of fluid management on IDWG values between the intervention group after fluid management and the control group of hemodialysis patients (t = -1.58; p = 0.118). The results of this study can recommend that the application of fluid management with family support can be an action to decrease excess fluid in hemodialysis patients.Abstrak: Penyakit Ginjal merupakan kelainan yang mengenai organ Ginjal. Penyakit ini timbul akibat berbagai faktor, misalnya infeksi, tumor, kelainan bawaan, penyakit metabolik atau degeneratif, dan lain-lain. Penyakit Ginjal kronik, biasanya timbul secara perlahan dan sifatnya menahun. Pasien dengan penyakit ginjal kronik membutuhkan terapi pengganti ginjal (TPG) untuk mempertahankan hidup. Keberhasilan terapi penyakit ginjal kronik sangat bergantung pada keterlibatan pasien dalam menjaga diet dan cairan. Manajemen cairan pada pasien hemodialisa sangat penting guna mengurangi resiko kelebihan cairan dan merupakan faktor penting yang dapat menentukan keberhasilan terapi hemodialisa. Tujuan dari penelitian ini adalah menganalisa pengaruh penerapan manajemen cairan terhadap kelebihan cairan pada pasien hemodialisa. Penelitian ini menggunakan desain quasi experiment dengan metode pre test dan post test with kontrol group. Sampel penelitian ini adalah 90 responden yang dibagi dalam dua kelompok, 45 kelompok intervensi dan 45 kelompok kontrol.  Teknik pengambilan sampel penelitian ini menggunakan purposive sampling. Pengumpulan data penelitian menggunakan instrumen panduan manajemen cairan, chart pemantauan intake output cairan, lembar pencatatan berat badan. Hasil penelitian menunjukkan bahwa tidak ada pengaruh manajemen cairan terhadap nilai IDWG antara kelompok intervensi setelah manajemen cairan dengan kelompok kontrol pasien hemodialisa (t = -1.58; p = 0.118).
Bacterial sensitivity pattern to antibiotics in acne vulgaris at Universitas Sumatera Utara Hospital Medan, Indonesia in 2019 Sari, Lovena; Jusuf, Nelva Karmila; Putra, Imam Budi
Journal of General - Procedural Dermatology & Venereology Indonesia Vol. 6, No. 1
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: The association between psoriasis and metabolic syndrome is appealing as the two may share a similar cross-linking systemic inflammation process. The inflammation processes occurring in obesity and psoriasis may aggravate one another. This raised the question of whether a low-calorie diet would possibly reverse the aforementioned process. This study aims to determine whether calorie restriction reduces psoriasis area and severity index (PASI) in obese patients with moderate-to-severe psoriasis receiving conventional treatment compared to no calorie restriction.Methods: We searched Pubmed/Pubmed Central, ScienceDirect, Cochrane library, EBSCOhost, and Scopus databases using keywords derived from our clinical question. The inclusion criteria were randomized clinical trial (RCT) or systematic review, published in English, and available in full-text.Results: We obtained 2 systematic reviews with meta-analyses by Ko et al. and Upala et al. Ko et al. included 6 RCTs which found that the inclusion of a low-calorie diet shows significant improvement in PASI 75 compared to standard therapy (RR 1.66; 95%CI 1.07, 2.58). Upala et al. also found significant improvement in PASI 75 in a meta-analysis of 7 RCTs (Pooled OR 2.92; 95%CI 1.39, 6.13), but shows moderately high heterogeneity between studies. Other secondary outcomes have also shown significant improvements, such as quality of life and metabolic parameters.Conclusion: The intervention of a low-calorie diet may significantly reduce PASI, improve quality of life and reduce comorbidities in obese patients with moderate-to-severe psoriasis, and thus can be recommended in psoriasis management.