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Perbedaan Kadar Hemoglobin pada Ibu Hamil dengan Preeklamsi Ringan, Berat, dan Eklamsi di Rumah Sakit Umum Daerah (RSUD) Ciawi Ajeng Normala; Fernando Nathaniel; Dean Ascha Wijaya; William Gilbert Satyanegara
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.v1i3.1501

Abstract

Measurement of haemoglobin (Hb) is a standard examination in pregnant women at the first prenatal visit that is used to evaluate physical status and anemia. One of the health conditions that often occurs and is important to note in reducing maternal and perinatal morbidity and mortality is anemia in pregnancy, which can increase the risk of infection, preeclampsia, postpartum hemorrhage, low birth weight babies, preterm birth, to death for both mother and child. fetus. This cross-sectional study aims to determine the difference in mean haemoglobin levels with the incidence of mild preeclampsia, severe preeclampsia and eclampsia which were selected according to the criteria by total sampling using medical record data in the period January 2020 - December 2020. The variables in this study consisted of the basic characteristics of the respondents (age mother and parity status), gestational age (weeks), and medical condition of the mother divided into three groups (mild, severe preeclampsia, and eclampsia). Statistical analysis using the Kruskall Wallis test. This study included 190 respondents with an average maternal age of 32 years and an average haemoglobin level of 10.86 with medical conditions dominated by severe preeclampsia (85.3%). The results of the study found that there was no significant difference in mean hemoglobin levels between the three groups of pregnant women (p-value: 0.235). To improve the quality of life of the mother and fetus, it is recommended that primary health services should be strengthened, prevention, early diagnosis and treatment of anemia in pregnancy should be prioritized.
The Relationship Between Physical Activity and Nutritional Status Based on Body Mass Index for Age Percentiles in Elementary School Children in Ciherang Village Susy Olivia Lontoh; Yohanes Firmansyah; Ernawati Ernawati; Santoso, Alexander Halim; William Gilbert Satyanegara; Bryan Anna Wijaya; Fiona Valencia Setiawan; Nicholas Setia; Daniel Goh
Archives of The Medicine and Case Reports Vol. 5 No. 3 (2024): Archives of The Medicine and Case Reports
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/amcr.v5i3.553

Abstract

Physical activity is crucial for children, and it is also useful in the prevention of obesity. In today's modern lifestyle, children are becoming more inactive, which puts them at risk of being overweight and obese. Studies have shown that physical activity and dietary changes can help reduce weight in obese children. Therefore, researchers are interested in studying the relationship between physical activity and nutritional status in children. This cross-sectional study was conducted in February-March 2024 at 5 Ciherang Elementary Schools. Children who meet the inclusion criteria will be asked questions about physical activity using the IPAQ questionnaire, followed by a measurement of body weight and height, and then nutritional status will be interpreted using the BMI per age chart from CDC. Two hundred forty-six children met the inclusion criteria, and it was found that there was no significant difference in the mean value of IPAQ between nutritional status groups based on BMI/Age (p-value = 0.844). In this study, it was found that there was no significant difference between physical activity duration and nutritional status in children.
Cross-Sectional Study of Efficacy, Effectiveness, and Safety of Combination Creams (Tretinoin 0.05%, Clindamycin 3%, and Dexamethasone 0.05%) Anti-Acne – An Online Study Tan, Sukmawati Tansil; Yohanes Firmansyah; Hendsun Hendsun; Alicia Sarijuwita; William Gilbert Satyanegara; Joshua Kurniawan; Dean Ascha Wijaya
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 8 No. 4 (2024): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v8i4.956

Abstract

Background: Acne vulgaris is a common skin condition that causes blackheads, whiteheads, and pimples. It is caused by a number of things, like too much oil, clogged pores, and inflammation. Topical combination creams are an alternative treatment for acne. They can help reduce inflammation, kill bacteria that cause acne, and stop the skin from making too much oil. Topical combination creams like retinoids, antibiotics, and steroids are all mixed together in a single cream or gel. This study talks about the effectiveness and side effects of using combination creams (tretinoin 0.05%, clindamycin 3%, and dexamethasone 0.05%) to treat acne in the short and long term (local and systemic). Methods: This study is a survey that was done at the Sukma clinic with data from 2022 patients who were diagnosed with acne vulgaris. The survey was done on Google Forms, which is a website. In this study, different factors were looked at, such as demographics, efficacy (like reducing acne severity, making the skin brighter, getting rid of blackheads on the face, getting rid of acne scars, improving skin texture, hiding scars, minimizing facial pores, getting rid of wrinkles and dark spots), local adverse events (like burning, itching, stinging, eruptive papules, hypopigmentation, hyperpigmentation, erythema, scaling, and other), and systemic adverse events. Results: The results of this study show that a combination of tretinoin 0.05%, clindamycin 3%, and dexamethasone 0.05% is very effective and has minimal side effects. Local symptoms only show up during the first week of taking the drug (the "sensitization phase"), and then they tend to get less common over time. The only exceptions are hyperpigmentation and hypopigmentation, which show up later because they are caused by healing acne lesions. Conclusion: There was no direct link between the use of anti-acne combination cream drugs and the number of systemic side effects. This is because the patient had often had this happen before (constipation, GERD, and others).
Profil Maternal pada Kasus Kematian Neonatus di Rumah Sakit Umum Daerah (RSUD) Ciawi Ity Sulawati; Dean Ascha Wijaya; William Gilbert Satyanegara
Jurnal Rumpun Ilmu Kesehatan Vol. 3 No. 2 (2023): Juli: Jurnal Rumpun Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jrik.v3i2.2162

Abstract

In 2013, 4.6 million babies died worldwide before their first birthday, with 50% dying on the first day and nearly 75% within the first week. Most stillbirths and premature newborn deaths are attributable to birth complications that are preventable. The maternal profile in neonatal mortality cases plays an important role in understanding the factors that contribute to this high mortality rate. This cross-sectional study aims to determine the maternal profile of neonatal death cases at Ciawi Hospital, which were selected according to the criteria by total sampling based on medical record data from January 1, 2020, to December 31, 2020. The variables utilized in this study include maternal factors such as gestational age, type of delivery, twin pregnancy, presentation of pregnancy, medical condition of the mother, and obstetric problems. The data is presented in a descriptive format. Among the 58 respondents, the average age was 30.26 years, with a higher prevalence of preterm births (55.2%). The most frequently encountered medical condition in the maternal profile of neonatal deaths at Ciawi General Hospital is chronic hypertension. Conversely, the most common obstetric problems are premature rupture of membranes and oligohydramnios. Efforts to address medical issues in mothers can contribute to the reduction of neonatal mortality cases.
Edukasi Dan Skrining Kesehatan Kulit Pada Kelompok Lanjut Usia Sukmawati Tansil Tan; Alexander Halim Santoso; Triyana Sari; William Gilbert Satyanegara; Dean Ascha Wijaya; Bruce Edbert; Brian Albert Gaofman; Valentino Gilbert Lumintang
JURNAL PENGABDIAN KEPADA MASYARAKAT SISTHANA Vol. 5 No. 2 (2023): Desember : Jurnal Pengabdian Kepada Masyarakat Sisthana
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/pkmsisthana.v5i2.816

Abstract

Aging of the skin that occurs in the elderly has an impact on skin moisture. There are various factors that can influence skin moisture, both unchangeable and changeable. Disturbed skin moisture can cause various skin problems and reduce the sufferer's quality of life. This makes it important to provide education and skin hydration screening to the public, especially the elderly. Education is carried out by conveying information about skin moisture, influencing factors, as well as ways to prevent and care for the skin. The increasing number of elderly people in Indonesia makes it important for us to pay attention to their health. Skin care that can be done to maintain skin hydration includes using moisturizers, humidifiers in rooms with low humidity, using soft soap without fragrance, avoiding long showers, using sunscreen, and clothing that is not too tight. It is hoped that education and screening can increase public awareness regarding the importance of maintaining skin hydration, especially for the elderly, with the ultimate goal of improving the quality of public health in Indonesia.
Correlation of Physical Activity with Behavioral, Emotional, and Psychosocial Disorders: A Cross-Sectional Study of 5 Elementary Schools in Ciherang Village Agustina Agustina; Fransisca Iriani R Dewi; Lontoh, Susy Olivia; Yohanes Firmansyah; William Gilbert Satyanegara; Valentino Gilbert Lumintang; Kasvana Kasvana; Geoffrey Christian Lo
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.v5i2.554

Abstract

Physical activity is essential for children, but unfortunately, it has decreased due to the development of technology. Sedentary behavior in children can cause growth disorders, such as obesity, diabetes, heart disease, and high blood pressure. It can also affect child development, including emotional and behavioral disorders, decreased self-confidence, and symptoms of depression. This cross-sectional study was conducted in February-March 2024 in five Ciherang Elementary Schools. The study included 246 children who met the inclusion criteria. Physical activity was assessed using the IPAQ questionnaire, while emotional and behavioral disorders were assessed using the pediatric symptom checklist 17 (PSC-17) questionnaire. Their mean age was 11.83 years. The mean IPAQ score was 62.21 (16.45), and the mean PSC-17 score was 11 (2 – 27). The study found no significant correlation between physical activity and emotional, behavioral, and psychosocial disorders (internalization; p-value = 0.322, attention; p-value=0.515, and externalization; p-value=0.059, and total PSC17 score; p-value=0.944). However, a correlation was found between physical activity and externalizing behavior, with an r-correlation value of 0.121 and an R square of 0.016. Physical activity is associated with externalizing behavior, particularly in children between 10 and 14.
Mechanical Ventilation Management for Aneurysmal Subarachnoid Hemorrhage in ICU Settings: A Literature Review Jacoeb, Joseph Ivan; Bernadus Realino Harjanto; Tommy Nugroho Tanumihardja; Joshua Kurniawan; William Gilbert Satyanegara
Journal of Anesthesiology and Clinical Research Vol. 4 No. 2 (2023): Journal of Anesthesiology and Clinical Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v4i2.394

Abstract

Aneurysmal Subarachnoid Hemorrhage (aSAH) is one of the challenging neurologic emergencies with a high mortality rate along with various permanent disabilities. In order to provide the patient with the most appropriate and accurate treatment, as well as to prevent further complications, a multidiscipline approach is required. This study aimed to review the various mechanisms, indications, management, and sedation of mechanical ventilation in aSAH, along with a review of prone positioning and acute respiratory distress management in aSAH. Although the main injured organ is the brain, aSAH also affects the respiratory system through various mechanisms. The usage of mechanical ventilation plays an important part in brain oxygenation and perfusion and helps prevent related complications. Levels of oxygen and carbon dioxide in the blood might play some roles in aSAH patients. No significant difference was found in using various sedative regimens. Prone positioning is indeed beneficial for the oxygenation of aSAH patients, provided that continuous monitoring is done. Blood glucose and calcium levels might be able to help predict the outcome of aSAH patients. Mechanical ventilation plays an important part in aSAH management. Clinicians must be aware of the impact of mechanical ventilation on neurological organs and the cardiopulmonary system. Balancing between oxygenation, ventilation, and sedation must be in line with aSAH condition. Several prognostic factors and tools can help predict aSAH mortality that might be able to help the clinician tailor aSAH management to their patient's needs.