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All Journal Jurnal Berkala Epidemiologi Journal of Health (JoH) Journal Of Widya Medika Junior Budimas : Jurnal Pengabdian Masyarakat SURABAYA PHYSICAL MEDICINE AND REHABILITATION JOURNAL CURRENT INTERNAL MEDICINE RESEARCH AND PRACTICE SURABAYA JOURNAL Indian Journal of Forensic Medicine & Toxicology
Konginan, Agustina
Faculty Of Medicine Universitas Airlangga Dr. Soetomo General Hospital
Religion Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Economics, Econometrics & Finance Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Mean Exercise Duration And Fine Motor Speed In Elderly Living In Bhakti Luhur Tropodo Orphange And Nursing Home Suhardi, Maria A; Kurniawati, Nita; Konginan, Agustina
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 2, No 2 (2020): April
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (301.972 KB) | DOI: 10.33508/jwmj.v2i2.2478

Abstract

Introduction: For the elderly to live independently and productively, good fine motor skill is needed. It is well known that exercise can preserve fine motor skills. Still, the effect of practices in Bhakti Luhur Orphanage and Nursing Home: Oma-oma’s gym and tai chi haven’t been explored before. Aim: The goal of this research is to analyze the correlation between the median of the exercise duration and fine motor skills represented by the average of finger tapping test on trial three to trial five. Methods: This cross-sectional research employed purposive sampling yielding 22 elderly (≥60 years old) who understood the order given, agreed to join the research, and also free from motor impairment due to cerebrovascular accidents, parkinsonism, pain or arthritis on the dominant hand, and nil from psychiatric drugs as samples. Result: There was a slight correlation between the two variables, which is insignificant (r=0,341, p=0,120) between the duration of the exercises and motor speed. Conclusion: There is no significant correlation between exercise duration and fine motor skills in the elderly in Bhakti Luhur Orphanage and Nursing Home.
A 56 Year Old Man with Parkinson’s Disease and Depression: A Case Report on Treatment Management Risza Subiantoro; Agustina Konginan; Erikavitri Yulianti
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i4.17046

Abstract

Background: Depression is the strongest predictor of quality of life for Parkinson’s disease (PD).Presentation of Case: A 56 years old man came with the main complaint of difficulty sleeping due tothinking about tremors in his left hand since 6 months. Complaints are accompanied by feelings of sadness,lack of enthusiasm, and decreased appetite accompanied by weight loss. The patient had been diagnosedwith PD 8 years previously and was on medication. One month before the visit, the patient underwent athalamotomy operation. After surgery, the patient received therapy in the form of a combination tabletof levodopa/carbidopa/entacapaone (100/25/200 mg) 4×1 tablet and 1×2 mg of ropirinole. On the BeckDepression Inventory (BDI) examination, a score of 23 was obtained and on the Montgomery AsbergDepression Rating Scale (MADRS) examination a score of 31 was obtained, both of which correspond tomajor depression. The patient was diagnosed with a major depressive episode without psychotic symptomsand was given escitalopram therapy 1×10 mg and lorazepam 1×2 mg. Patients also received biofeedbacktherapy with family psychoeducation and supportive psychotherapy. At the time of control, the patientadmitted to feeling calmer and able to sleep after receiving therapy. Conclusion: Escitalopram has goodefficacy for the management of depression in PD patients.
The Difference of EPDS Examination Results before and after Delivery in High-Risk Pregnant Woman at Unair Hospital Delvanny Alfikri Rekaputri Wicaksono; Agustina Konginan; Nalini Muhdi
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 2 (2022): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v16i2.17952

Abstract

Background: Pregnancy is an exceptional condition for a woman who will become a mother. Theprospective mother will experience a phase to continue the offspring, and depression is a complicationthat generally does not occur in childbirth. Objective: To determine the differencein the prevalence ofdepression through the results of the EPDS examination before and after delivery in high-risk pregnantwomen at Unair Hospital. Method: This research will use an observational analytic study design witha one-group pretest-posttest design strategy—data retrieval using primary and secondary data, namelyby questionnaires and medical records at Unair Hospital. The sample in this study consisted of 23multigravida pregnant women and one primigravida mother who sought treatment at the OutpatientInstallation of Unair Hospital in March 2021 - May 2021. Results: The prevalence of pregnant womenwith a tendency to postpartum depression on the EPDS scores before and after delivery are 8% and17%, respectively. There is a very weak positive correlation between pre-delivery EPDS scores andpost-delivery EPDS scores. Conclusion: There is no significant difference between the scores beforeand after delivery in a high-risk pregnant woman at Unair Hospital.
THE EPIDEMIOLOGY OF PEDIATRIC CANCER IN THE PALLIATIVE CARE UNIT AT DR. SOETOMO GENERAL HOSPITAL, SURABAYA Izzatul Fithriyah; Agustina Konginan; Margarita Maramis; Marlina Mahajudin; Nalini Muhdi; Hendy Margono; Endang Warsiki; Lestari Basoeki; Suksmi Yitnamurti
Jurnal Berkala Epidemiologi Vol. 8 No. 1 (2020): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V8I12020.65-71

Abstract

Background: Children with cancer require special interventions and palliative care to improve their quality of life. The epidemiology of pediatric cancer is needed as a basis for determining health policy. Purpose: This study describes pediatric cancer patients in the palliative outpatient clinic in Dr. Soetomo General Hospital, Surabaya. Methods: This study is an observational descriptive study that uses the medical records of pediatric patients with cancer at the palliative care unit in Dr. Soetomo General Hospital between June 2014 and July 2015. The data included the demographic characteristics of the pediatric cancer patients and was analyzed using descriptive statistics. Results: The number of children in the 1–5 years, 6–10 years, and 11–15 years age groups was similar, while noticeably fewer children fell into the 16–18 years group. The majority of children suffering from cancer were male (68,70%). The most common type of cancer in was blood cancer (leukemia) with a percentage of 51.91%, while the rarest types were retinoblastoma and lymph node cancer (malignant lymphoma) with percentage of 3.05%. Conclusion: The incidence of pediatric cancer patients in the palliative outpatient clinic was quite high. These patients tended to be male, aged 6–10 years, and suffered from leukemia.
PEMBENTUKAN DESA SIAGA BENCANA SEBAGAI WUJUD UPAYA MITIGASI BENCANA DI SURABAYA Nalini Muhdi; Izzatul Fithriyah; Agustina Konginan; Gilang Dokman Perkasa
BUDIMAS : JURNAL PENGABDIAN MASYARAKAT Vol 4, No 1 (2022): BUDIMAS : VOL. 04 NO. 01, 2022
Publisher : LPPM ITB AAS Indonesia Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29040/budimas.v4i1.2950

Abstract

Wilayah Indonesia merupakan negara kepulauan yang secara geografis dan geologis terletak diantara empat lempeng tektonik, yaitu: lempeng Euroasia, Australia, Pasifik, dan Filipina, sehingga sangat memungkinkan untuk terjadi bencana yang utamanya disebabkan oleh faktor alam. Pemberdayaan masyarakat adalah upaya untuk menumbuhkan kesadaran, kemauan dan kemampuan masyarakat dalam mengenali, mengatasi, memelihara, melindungi dan meningkatkan kesejahteraan mereka sendiri. Pemberdayaan masyarakat bidang kesehatan dapat menumbuhkan kesadaran kemauan dan kemampuan dalam memelihara dan meningkatkan kesehatan. Pemberdayaan masyarakat melibatkan sumber daya manusia (kader) di masyakat yang bekerja secara sukarela. Kader kesehatan disebut juga sebagai promotor kesehatan desa. Pada umumnya yang paling memungkinkan menjadi kader kesehatan adalah kelompok perempuan yang tidak bekerja karena memiliki waktu lebih banyak, serta anak-anak muda, khususnya mahasiswa dan pelajar yang sudah dilatih, sehingga lebih leluasa di dalam keikutsertaan pada kegiatan yang bersifat sosial termasuk program mitigasi bencana. Memberikan pelatihan tanggap darurat bencana perlu dilakukan. Salah satu pelatihan tanggap darurat yang bisa dilakukan adalah dengan menggunakan modul Psychological First Aid (PFA).
Tingkat Depresi dan Faktor yang Mempengaruhi pada Pasien Kanker Serviks di RSUD Dr. Soetomo Devana Nuur Raihan; Brahmana Askandar Tjokroprawiro; Agustina Konginan
Journal of Health (JoH) Vol 9 No 1 (2022): Journal of Health (JoH) - Januari 2022
Publisher : LPPM STIKES Guna Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30590/joh.v9n1.421

Abstract

Cancer patients in Indonesia experience mild to severe depression around 34.4% which can affect their quality of life. The study aimed to determine the distribution of depression in cervical cancer patients, the level of depression that predominated in cervical cancer patients, and the relationship between the level of depression in cervical cancer and the influencing factors in cervical cancer patients RSUD Dr. Soetomo. The research design used descriptive-analytic with a research population of 2845 people. The research sample was determined using a descriptive formula and was taken in September 2021 from outpatients at the Poli Onkologi Satu Atap (POSA), who was diagnosed with cervical cancer were 45 people by distributing questionnaires containing BDI-II and Holmes and Rahe Scale instruments. The sampling technique used non-probability sampling with the purposive sampling technique. Analytical descriptive data analysis using Chi-square test. The results showed that the majority had mild depression as many 21 respondents (46.7%), followed by minimal depression as many 19 respondents (42.2%), moderate depression as many three respondents (6.7%), and severe depression as many two respondents (4.4%). The relationship between the level of depression with influencing factors was found to be significant in the number of marriages. The second marriage does not always show better results than the first marriage, the fear of repeated marriage failures and the emergence of conflicts in the future can potentially lead to depression. Women with second marriages have higher rates of depression. In the relationship between depression and other factors, namely age, last education, marital status, monthly income, cervical cancer stage, family history of cervical cancer, and duration of diagnosis, did not have a significant relationship.
SUICIDE ATTEMPT IN ELDERLY: AN OVERLOOKED COMPLICATION OF LATE-LIFE DEPRESSION Yhan Batista; Novira Widajanti; Agustina Konginan
Current Internal Medicine Research and Practice Surabaya Journal Vol. 3 No. 1 (2022): CURRENT INTERNAL MEDICINE RESEARCH AND PRACTICE SURABAYA JOURNAL
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cimrj.v3i1.32537

Abstract

Suicide attempt in the elderly is underestimated and underreported due to cultural reference. Triggering factors may be the results of stressful life events or acquired late-life depression. An elderly woman, 69-year-old, was rushed to the emergency room due to household cleaning liquid ingestion. There was a history of previous suicide attempts and severe depressive episodes before. Since there was no sign of severe intoxication, then, the patient was treated symptomatically. Comprehensive geriatric and psychiatric assessments concluded that the patient was in a depressive state. The patient was discharged with symptomatic treatment and antidepressants but two weeks later she completed the course by drowning herself in a river.  
Comparison of the Effects of Repetitive Transcranial Magnetic Stimulation and Aerobic Exercise as an Adjunct Therapy in Depressed Patients on Activity of Daily Living and Quality of Life Muhammad Yusuf; Sri Mardjiati Mei Wulan; Reni Hendrarati Masduchi; Agustina Konginan
Surabaya Physical Medicine and Rehabilitation Journal Vol. 5 No. 1 (2023): SPMRJ, FEBRUARY 2023
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v5i1.25196

Abstract

Background: Depression is one of the most common causes of disabilities and poor quality of life worldwide. One-fifth of patients fail to respond to antidepressant therapy. Hence, adjunct therapy is urgently needed. Aim: This study aims to compare the effectiveness of repetitive transcranial magnetic stimulation (rTMS) and aerobic exercise as adjunct therapy on activity of daily living and quality of life in depressed patients. Material and Methods: A randomized-controlled experiment was conducted between May 2019 and January 2020. Twenty-seven depressed patients were divided into three groups for two weeks: antidepressant-only, antidepressant-and-aerobic exercise, and antidepressant-and-rTMS. The Barthel Index and SF-36 were used to assess the activity of daily living and quality of life. Results: After the intervention, there were no appreciable changes in the Barthel Index scores in any of the three groups (p>0.05). Following therapy, SF-36 results for physical function, bodily discomfort, public health, vitality, social function, emotional role functioning, and mental health all showed substantial improvements across groups (p 0.05). Patients in the antidepressant and rTMS groups improved more than those in the other two groups in the areas of overall health (15.71±6.075, p=0.009), emotional role functioning (20.29±11.940, p=0.049), and mental health (14.29±6.075, p=0.041). However, the Barthel Index score changes did not differ between groups (p=0.664). Conclusion: Better quality of life improvement in the rTMS group compared to the other two groups supports the use of rTMS as an additional therapy. It aims to enhance quality of life in patients with moderate and severe first-episode depression.
Co-Authors Brahmana Askandar Tjokroprawiro Delvanny Alfikri Rekaputri Wicaksono Devana Nuur Raihan Endang Warsiki Erikavitri Yulianti Gilang Dokman Perkasa Hendy Margono Izzatul Fithriyah Kurniawati, Nita Lestari Basoeki Maramis, Margarita M. Marlina Mahajudin Muhammad Yusuf Muhdi, Nalini Novira Widajanti, Novira Reni Hendrarati Masduchi Risza Subiantoro Sri Mardjiati Mei Wulan Suhardi, Maria A Suksmi Yitnamurti Yhan Batista