Dhany, Rini Kusumawar
Dr. Wahidin Sudiro Husodo Mojokerto General Hospital. Faculty Of Medicine, Muhammadiyah Surabaya University.

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Insiden dan Etiologi Kelumpuhan Saraf III, IV dan VI yang disertai Diplopia Binokuler di RSUD DR. Wahidin Sudirohusodo Dhany, Rini Kusumawar; Tanjung, Yunita; Jennel, Farren
Jurnal Ilmiah Kedokteran Wijaya Kusuma Vol 8, No 2 (2019): EDISI SEPTEMBER 2019 (available online since Oktober 2019)
Publisher : Universitas Wijaya Kusuma Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (748.806 KB) | DOI: 10.30742/jikw.v8i2.480

Abstract

The purpose of this study is to determine the incidence and etiology of III, IV and VI nerve paralysis with binocular diplopia in RSUD dr. Wahidin Sudiro Husodo General Hospital Mojokerto. Method of this study was descriptive study using secondary medical record data. Incidence rates are adjusted for age and sex distribution of the population. The mean age of onset was 45.6 years, seven male subjects (58.3%) and five female subjects (41.7%). We identified 12 cases of acquired III, IV and VI nerve palsy over a 4-year period. The most common cause of binocular diplopia was sixth nerve palsy (33.3%), 3 patients experienced partial third nerve palsy (25%), one patient with third nerve palsy with pupil sparing (8.3%). Most common etiology was microvascular (58,3%), neoplasms (16.7%), aneurysms (8.3%) trauma (8.3%), and post meningioma neurosurgery (8.3%). Six patients (50%) with microvascular third nerve palsy had diabetes mellitus, while 1 patient (8.3%) had grade 2 hypertension. The most common cause of binocular diplopia was VI nerve palsy. Risk factors such as hypertension and diabetes mellitus which have a significant effect on diplopia. Patients with N. III, IV and VI palsy need to be done early MRI examination so that complications and progression can be prevented.
Relationship between Education, Sex, and Age with Refractive Errors at DR. Wahidin Soedirohusodo General Hospital Dyatmika, Kadek Dwipa; Nurmawanti, Nurmawanti; Dhany, Rini Kusumawar
Jurnal Ilmiah Kedokteran Wijaya Kusuma Vol 8, No 1 (2019): EDISI MARET 2019 (available online since April 2019)
Publisher : Universitas Wijaya Kusuma Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (343.692 KB) | DOI: 10.30742/jikw.v8i1.479

Abstract

The prevalence of refractive error and its relationship with education, age and sex at DR. Wahidin Soedirohusodo general hospital have not been comprehensively assessed. The aim of this study was to examined the distribution and risk factor of refractive errors at DR. Wahidin Soedirohusodo general hospital. Methods of this study used population based cross-sectional study. Respondents were interviewed and underwent standardised clinical eye examinations. Refractive error was determined by an automatic refraction device. Refractive errors are myopia, hyperopia and astigmatism. Myopia and hyperopia were defined as spherical equivalent of -0.50/+0.50 diopter (D) or worse, respectively; astigmatism was defined as cylindrical error >0.50 D. Total of 1760 patients with refractive error from January 2016 to January 2018 with 700 or 39,8% males and 1060 or 60.2% females. Based on the cross-tabulation output, it is known that the respondents with the most elementary level of education experienced mild hypermetropy (10.2%), the junior high school education experienced mild myopia (6.8%), high school and bachelor education experienced mild myopia (8%). Age 6-15 years experienced the most myopia compositus astigmatism (5.7%), 16-25 years mild myopia (10.2%), 26-35 years mild myopia (4.5%), 36-45 years mild myopia (10.2%), 46-55 years mild hypermetropia (10.2%) and 56-65 years mild hypermetropia (5.7%). Kruskal Wallis test it is known that the sig value obtained = 0,000 indicates that there are differences in refractive abnormalities based on education and age. Chi square sig value obtained is 0.021, indicating that there is a relationship between sex and refractive errors. Multivariate analysis revealed female subjects inhibited the risk of mild myopic by 0.157 times the male subjects and simple myopia astigmatism by 0.082 times the male subjects. The relationship of myopia, astigmatism and hypermetropia with age and education is not significant. The risk factor of mild myopia and simple myopia astigmatism decrease in female than male. These findings may help clinicians to better understand the patterns of refractive error and planning for preschool vision-screening programs.
Ocular manifestations in COVID-19 Patients at Dr. Wahidin Sudiro Husodo General Hospital Mojokerto during January – June 2021 Rini Kusumawar Dhany; Gusti Ratu Azzahra
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 7 No 2 (2023): Journal Qanun Medika Vol 07 No 02
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v7i2.17356

Abstract

Coronavirus Disease (COVID-19) is a respiratory infection caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). SARS-CoV-2 can be found in ocular organs through direct inoculation, migration via the nasolacrimal duct, or hematogenous. This study aims to determine the clinical manifestations of eye disease in COVID-19 patients at Dr. Wahidin Sudiro Husodo Mojokerto General Hospital from January-June 2021. A cross-sectional retrospective observational study by collecting secondary data on patient medical records. The research sample was all outpatients and inpatients with a positive PCR test for COVID-19 who were consulted by an ophthalmologist at Dr. Wahidin Sudiro Husodo General Hospital Mojokerto in January-June 2021. A total of 861 cases of patients with positive PCR tests for COVID-19, a total of 67 patients were consulted to eye specialists with a median age of 42.6 years. Among 67 patients, 59 (88%) showed symptoms of conjunctival injection, 8 patients (12%) ciliary infusion with 7 patients diagnosed with keratitis, and 1 patient with ulcer redness. In conclusion, the main eye manifestation most commonly found in COVID-19 patients is conjunctivitis which is characterized by conjunctival hyperemia.
Pemanfaatan Konten Media Sosial Dalam Penyebaran Informasi Tentang Tuberkulosis di Kalangan Murid SMAN 1 Puri Mojokerto Dhany, Rini Kusumawar; Dharianta, Rifqy
Panrannuangku Jurnal Pengabdian Masyarakat Vol. 4 No. 4 (2024)
Publisher : Lembaga Penelitian dan Pengembangan Teknologi dan Rekayasa, Yayasan Ahmar Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35877/panrannuangku3524

Abstract

Tuberkulosis merupakan penyakit menular dan masih menjadi masalah kesehatan global, termasuk di Indonesia. Meskipun tuberkulosis dapat diobati dan dicegah, namun jumlah kasusnya masih tinggi, terutama pada kelompok usia muda. Kegiatan pengabdian masyarakat ini menunjukkan efektivitas konten media sosial sebagai metode edukasi untuk meningkatkan pengetahuan remaja tentang tuberkulosis. Data yang diperoleh dari hasil kuisioner menunjukkan bahwa platform media sosial yang sering digunakan adalah Instagram yang paling banyak digunakan sebesar 74,4%, kemudian TikTok 66,2%, YouTube sebesar 42,7%, Twitter 11%, Facebook 6,1% dan lainnya sebesar 3,7%. Video pendek dan infografis yang digunakan pada platform populer seperti Instagram dan TikTok terbukti efektif menarik perhatian remaja. Data menunjukkan 58,5% siswa mengalami peningkatan pemahaman tentang tuberkulosis setelah menonton konten di media sosial. Pendekatan inovatif dalam penyampaian informasi kesehatan, serta pentingnya melibatkan remaja sebagai agen perubahan dalam upaya pencegahan tuberkulosis.
HUBUNGAN DURASI DIABETES MELITUS TIPE 2 DAN KADAR HBA1C DENGAN TIPE RETINOPATI DIABETIK Sahela , Ayu Anitalia; Lutfiana, Nurul Cholifah; Dhany , Rini Kusumawar; Ambar , Nabil Salim
JurnalMU: Jurnal Medis Umum Vol 2 No 1 (2025): Jurnal Medis Umum
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jmu.v2i1.25639

Abstract

Latar Belakang: Pada tahun 2021 sebanyak 73,7 % pengidap Diabetes melitus (DM) atau sekitar 14,34 juta jiwa orang Indonesia hidup dengan penyakit diabetes melitus tidak terdiagnosis. Salah satu komplikasi diabetes adalah retinopati diabetik yang tergolong dalam komplikasi mikrovaskular yang diakibatkan hiperglikemi yang berkepanjangan atau kondisi lainnya yang berkaitan dengan DM. Retinopati diabetik memengaruhi 80% pasien diabetes. Tujuan: Penelitian yang dilakukan ini memiliki tujuan agar dapat mengetahui hubungan durasi diabetes melitus tipe 2 dan kadar HbA1c dengan tipe RD. Metode: Penelitian termasuk dalam analitik observational yang menggunakan studi jenis Cross sectional. Hasil: Analisis data kelompok usia didominasi rentang usia 55-59 tahun dan 60-64 tahun (35,3%). Analisis kadar HbA1c didominasi rentang usia 55-59 tahun dan 60-64 tahun dengan durasi DM tipe 2 > 5 tahun (52,9 %). Tipe retinopati diabetik yang mendominasi NPDR (54,9 %). Kesimpulan: Penelitian menunjukkan tidak terdapat hubungan yang signifikan antara DM tipe 2 dengan RD. Akan tetapi, terdapat hubungan yang signifikan antara kadar HbA1c dengan tipe RD. Kata Kunci : Retinopati Diabetik, Diabetes Melitus Tipe 2, Kadar HbA1c