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All Journal Journal of Islamic Medicine CRJIM (Clinical and Research Journal in Internal Medicine)
Helena Helena, Helena
Universitas Nasional
Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Other

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Gangguan Tidur pada Lanjut Usia Sunarti, Sri; Helena, Helena
Journal of Islamic Medicine Vol 2, No 1 (2018): Journal of Islamic Medicine
Publisher : Faculty of Medicine and Health Science, Universitas Islam Negeri Maulana Malik Ibrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (571.659 KB) | DOI: 10.18860/jim.v2i1.5009

Abstract

Sekitar 50% orang lanjut usia mengalami kesulitan tidur gangguan tidur memberikan pengaruh negatif yang signifikan pada kesehatan fisik dan mental, terutama pada orang lanjut usia. Gangguan tidur pada orangtua dapat bersifat akut atau kronis, dapat disebabkan karena faktor intrinsik atau gangguan tidur primer atau sekunder akibat penyakit lain, gangguan psikologis atau fisik, faktor lingkungan dan efek samping obat. Gangguan tidur dapat mempengaruhi kualitas hidup pada orangtua, menurunkan status imunologi, gangguan hormonal dan endokrinologi, serta penurunan fungsi kognitif. Manajemen untuk gangguan tidur ini meliputi terapi non-farmakologis dan farmakologis. Perubahan perilaku dan modifikasi diet pada beberapa penyebab gangguan tidur terbukti efektif. Intervensi non-farmakologis seperti sleep hygiene dan terapi perilaku kognitif merupakan terapi lini pertama pada berbagai gangguan tidur.
The Diagnostic Dilemma of Charcot Foot in 73 Year-Old-Female Helena, Helena; Rosandi, Rulli
Clinical and Research Journal in Internal Medicine Vol 1, No 1 (2020): New: The First Volume of Clinical and Research Journal in Internal Medicine
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.crjim.2020.001.01.7

Abstract

Charcot neuroarthropathy (CN) is a progressive degenerative arthropathy of weight-bearing joints, which rarely complicates diabetes mellitus, usually in the foot or ankle. Commonly, when affecting the foot, it seems to be determined by the interaction of neuropathy, osteopenia, and proinflammatory cytokines on a calcified peripheral vasculature that maintains its ability to vasodilate despite widespread arteriosclerosis. Although often unrecalled, this arthropathy is probably triggered by trauma. Diagnosis is primarily clinical, given the lack and non-specificity of radiological and biochemical findings at the acute stage. CN should be considered in the differential diagnosis of any diabetic patient presenting with a warm swollen lower extremity. Offloading is essential and improves limb survival. Failure to institute corrective measures at an early stage results in a foot that is prone to deformity, ulceration, amputation, and loss of function. We report a case of Charcot foot in a 73 years old female and review of diagnostic modalities.
Co-Authors Bogi Pratomo Praja, Dedy Indra Rulli Rosandi Sri Sunarti