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All Journal Jurnal Ilmiah Kedokteran Wijaya Kusuma Journal of Anesthesiology and Clinical Research
Dyatmika, Kadek Dwipa
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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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.
Anesthetic Management in Preeclampsia Patients with Thalassemia Minor B: A Case Report Dyatmika, Kadek Dwipa; Tjahya Aryasa; Otniel Adrians Labobar
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.v4i2.330

Abstract

Introduction: One of the complications of anesthesia that can be encountered in thalassemia patients is cardiovascular instability caused by chronic anemia, cardiomyopathy, and endocrinopathy. In addition, patients with preeclampsia may also experience postoperative risks such as sustained hypertension, stroke, venous thromboembolism, and seizures. This case report will discuss the anesthetic management of pregnant women with preeclampsia and β thalassemia minor. Case presentation: The patient is a pregnant woman G6P0141, 34 weeks gestation, with preeclampsia and a history of minor β thalassemia without therapy. Patients with thalassemia minor are often asymptomatic before pregnancy, but physiological changes during pregnancy can contribute to anemia during pregnancy. Beta thalassemia minor is also associated with an increased incidence of hypertension in pregnancy. Neuraxial anesthesia is recommended in preeclamptic patients to avoid severe hypertension and has a protective effect against postoperative apnea in premature infants. Conclusion: Anesthetic management in asymptomatic patients with minor thalassemia is not much different from normal pregnant women. The risk of bleeding needs special attention, especially in thalassemia patients who have anemia. In patients with preeclampsia, neuraxial anesthesia is preferred over general anesthesia. Postoperative patient care is carried out in an obstetric high dependency unit (OHDU). The patient went home after being treated for 3 days without complications at the hospital.
Co-Authors Dhany, Rini Kusumawar nurmawanti nurmawanti, nurmawanti Otniel Adrians Labobar Tjahya Aryasa