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Dian Mediana
Fakultas Kedokteran, Universitas Trisakti, Jakarta, Indonesia

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RISIKO HIPERTENSI PADA PEREMPUAN DILIHAT DARI AKTIVITAS FISIK DAN STRES DI PUSKESMAS KASEMEN SERANG BANTEN Rezky Ariska Amnor; Dian Mediana
Jurnal Akta Trimedika Vol. 2 No. 1 (2025): Januari 2025
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/aktatrimedika.v2i1.21481

Abstract

Background: Hypertension is always increasing every time, estimated to 1.5 billion individuals will be infected by 2025. Hypertension is a disease caused by many factors. Women of menopause have a greater risk of developing hypertension. It is also associated with a lack of physical activity, exerting a significant influence on blood pressure. In addition, continuous stress is also a factor causing hypertension.  Methods: This study was conducted on 100 respondents in September - December 2023 at Puskesmas Kasemen, Serang, Banten using an analytics  observational method with a non random consecutive sampling  technique. Data processing using cross sectional methods with Fisher test. The data was obtained using questionnaires about physical activity and stress levels, and a sfigmomanometer. Results: The distribution of respondents with pre-elderly age was 54 people (54%), less physical activity was 60 people (60%), and severe stress was 55 people (55%). In the case of hypertension, 54 people (54%) suffered grade II hypertension, and more were uncontrolled (59%). There was no significant relationship between age, physical activity, and stress with controlled hypertension (p=0.220; 0.402; 0.762). There was no significant relationship between age and physical activity with uncontrolled hypertension (p=0.136; 0.440). While there was a relationship between stress and uncontrolled hypertension (p-0.000). Conclusion: There was no significant relationship between age and physical activity with controlled and uncontrolled hypertension in elderly women. Stress was not significantly related to controlled hypertension, but significantly related to uncontrolled hypertension in elderly women.
PATOMEKANISME HILANG PENGLIHATAN IATROGENIK AKIBAT PROSEDUR FILLER WAJAH Nabila Maudy Salma; Lenny Setiawati; Dian Mediana; Deasyka Yastani; Keilani Prigel Salma
Jurnal Akta Trimedika Vol. 2 No. 2 (2025): April 2025
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/

Abstract

Currently, the use of dermal fillers on the face is increasing, as evidenced by the rising life expectancy, leading many people to seek solutions for early aging. This procedure aims to minimize facial wrinkles and enhance skin volume through the injection of substances such as hyaluronic acid or autologous fat. Although this procedure is generally considered safe with a low risk of complications, there are possibilities of serious complications, such as blindness, stroke, or even death, caused by arterial occlusion. Vision loss due to facial filler injections is a rare occurrence, first reported more than 50 years ago. This case is typically related to occlusion of small blood vessels in the facial area, such as branches of the ophthalmic artery that anastomose with other arteries. The main mechanism of vision loss is retrograde embolism that blocks blood flow to the retina, causing ischemia and blindness. Some facial areas at high risk for these complications include the glabella, nasolabial area, and frontal region. Other factors that may exacerbate this condition include high injection pressure, which can affect arterial blood flow and increase the likelihood of occlusion. Understanding the pathomechanism is important to reduce the risk of complications in facial filler procedures and to provide education to both patients and medical professionals to perform this procedure safely
FLATFOOT PADA ANAK: HUBUNGANNYA DENGAN PERKEMBANGAN ARKUS PLANTARIS DAN INDIKASI INTERVENSI Dian Mediana; Nuryani Sidarta; Nabila Maudy Salma; Lenny Setiawati
Jurnal Akta Trimedika Vol. 2 No. 4 (2025): Oktober 2025
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/

Abstract

Flatfoot (pes planus) pada anak merupakan kondisi umum yang ditandai dengan rendah atau tidak terbentuknya arcus plantaris. Pada masa kanak-kanak awal, kondisi ini umumnya bersifat fisiologis akibat perkembangan arcus plantaris yang belum matur, dan biasanya mengalami perbaikan seiring bertambahnya usia. Namun, pada sebagian anak, flatfoot dapat bersifat persisten atau disertai gejala, yang memerlukan perhatian medis. Tujuan penulisan artikel ini untuk mengulas perkembangan anatomi arcus plantaris, mengidentifikasi faktor-faktor yang mempengaruhi terjadinya flatfoot, serta menjelaskan indikasi klinis untuk intervensi medis. Penulisan artikel ini menggunakan metode tinjauan pustaka naratif dengan menelusuri literatur ilmiah dari basis data PubMed, Scopus, dan Google Scholar dalam rentang publikasi 10 tahun terakhir. Kata kunci yang digunakan meliputi “flatfoot in children”, “arch development”, dan “pediatric pes planus”. Hasil tinjauan menunjukkan bahwa perkembangan arcus plantaris dipengaruhi oleh faktor intrinsik (genetik, tonus otot, dan struktur tulang) dan faktor ekstrinsik (kebiasaan berjalan tanpa alas kaki, jenis alas kaki, berat badan, dan aktivitas fisik). Mayoritas kasus bersifat asimptomatik dan membaik secara spontan pada usia 6–10 tahun. Intervensi diperlukan pada kasus dengan nyeri, keterbatasan aktivitas, deformitas progresif, atau adanya kelainan struktural. Pemahaman mengenai mekanisme perkembangan arcus plantaris dan faktor risiko sangat penting bagi tenaga kesehatan dalam menentukan strategi penatalaksanaan yang tepat.
Co-Authors Deasyka Yastani Keilani Prigel Salma Lenny Setiawati Nabila Maudy Salma Nuryani Sidarta Rezky Ariska Amnor