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Low education, more frequent of seizure, more types of therapy, and generalized seizure type decreased quality of life among epileptic patients Hawari, Irawaty; Syeban, Zakiah; Lumempouw, Silvia F.
Medical Journal of Indonesia Vol 16, No 2 (2007): April-June
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (100.041 KB) | DOI: 10.13181/mji.v16i2.265

Abstract

Persons with chronic disease such as epilepsy, where a cure is not attainable and therapy may be prolonged, quality of life (QoL) has come to be seen as an important goal. The objective of this study was to identify scores of quality of life (QoL related to clinical factors. A cross-sectional study using QOLIE-31 instrument to identify quality of life among ambulatory epileptic patients at Epileptic Clinic of Department of Neurology-Cipto Mangunkusumo Hospital. Samples were taken consecutively from August 2005 to December 2005. Several demographic data as well as clinical were collected. QOLIE-31 components consisted of seizure worry, overall quality of life, emotional well-being, energy/fatigue, cognitive function, medication effect and social function. We found among 145 subjects the total score of QOLIE-31 ranged from 28-95 (mean = 67.6; standard of deviation = 14.55). The total score of QOLIE-31was corelated with low education, more frequent of seizures, antiepileptic drug politherapy and type of generalized seizure. antiepileptic drug politherapy was the most dominant risk factor for lowering total score of QOLIE-31. Our finding was in accordance with previous studies in India, Georgia, South Korea. In additioin we found that education was also a risk factor for total score of QOLIE-31. (Med J Indones 2007; 16:101-3)Keyword: epilepsy, quality of life, QOLIE-31, risk factors
Hubungan Depresi dengan Kejadian Gangguan Kognitif Irawaty Hawari; Dean Ascha Wijaya; Fernando Nathaniel; Noer Saelan Tadjudin; Yohanes Firmansyah
Journal of Educational Innovation and Public Health Vol. 1 No. 3 (2023): Juli : Journal of Educational Innovation and Public Health
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/innovation.v1i3.1496

Abstract

Aging is an inevitable and complex process. Cognitive impairment and depression are often seen as comorbid conditions and major mental health problems affecting the elderly. Both of these have become global issues and place a heavy burden on the health care system and society. This cross-sectional study aims to determine the relationship between depression and the incidence of cognitive impairment in the elderly group (³60 years) who meet the criteria by total sampling at the Sasana Tresna Werda RIA Development Center in January 2019. Depressive disorder was measured using the Geriatric Depression Scale (GDS). The Mini-Mental State Examination (MMSE) is used to measure and identify cognitive impairments. Statistical analysis using the Fisher Exact test. Of the 56 respondents, the average age was 78.13 years with 69.6% of the respondents being women. From all respondents, it was found that 10 respondents experienced depression and 23.2% of the elderly had cognitive disorders. The results of the Fisher Exact statistical test stated that there was a significant relationship between the incidence of depression and the onset of cognitive impairment in the elderly group at Sasana Tresna Werda RIA Development (p-value: 0.041). Clinically, the elderly with depressive disorders have a 2.875 times higher risk of experiencing cognitive impairment compared to the elderly without depression. Treating depression can reduce the number of cognitive impairments in the elderly.
Clinical Profile, Transmission Factors, and Early Disability Prevalence of Leprosy: A Single Center Observational Study at Bunda Pembantu Abadi General Hospital Naob, East Nusa Tenggara, Indonesia Ayleen Nathalie Jap; Hawari, Irawaty
Community Medicine and Education Journal Vol. 5 No. 2 (2024): Community Medicine and Education Journal
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/cmej.v5i2.570

Abstract

Leprosy is a chronic granulomatous infectious disease that causes peripheral neuropathy with disabling manifestations. This disease is caused by Mycobacterium leprae, which thrives in cool body surface temperatures and enters the body through the nose and skin. This study aims to identify the clinical profile of leprosy patients, risk factors for transmission, and the prevalence of early disability. This research uses a cross-sectional approach with descriptive methods. This study was conducted in December 2023 at the Bunda Pembantu Abadi General Hospital, involving 130 leprosy patients who met the inclusion criteria. Data was collected using medical record data, including gender, age, occupation, family history, marital status, number of children, vital signs, duration of illness, WHO disability level score, bacterial index, and morphological index. Most of the respondents were men with normal vital signs except for body temperature, positive bacterial index, solid morphology index on the forehead, ear lobes and chin, and had a disability prevalence of 0 of 43.1% (56/130) because leprosy patients had a long illness. for one year. In conclusion, the clinical profile of leprosy patients at this hospital is dominated by men of productive age. The low rate of early disability highlights the importance of early detection and treatment. Further research is needed to understand risk factors for transmission and preventive interventions.