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Penatalaksanaan Holistik Pada Pasien Hipertensi Derajat II Melalui Pendekatan Kedokteran Keluarga Zaharuddin, Khairul Husni; Susanto, Tirta Darmawan; Soeryani, Wianti
Medula Vol 14 No 2 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i2.939

Hypertension is a global health problem that requires serious attention. Basic Health Research (Riskesdas) in 2018 shows that the prevalence of hypertension in Indonesia with a population of around 260 million is 34.1%, this shows an increase compared to the prevalence of hypertension in Riskesdas in 2013, which was 27.8%. The estimated number of hypertension cases in Indonesia is 63,309,620 people, while the death rate in Indonesia due to hypertension is 427,218 deaths. Data from WHO shows that the number of people suffering from hypertension doubled between 1990 and 2019, from 650 million people to 1.3 billion people worldwide. The purpose of this case report is to explore the role of hypertension management in the context of family medicine holistically and comprehensively through a Patient Centered, Family Focused, and Community Oriented approach. Family medicine has a crucial role in detecting, preventing, and managing hypertension. This study is a case report. Primary data were obtained through autoanamnesis, physical examination, and home visits. Secondary data were obtained from the patient's medical record. Mrs. E, 32 years old, has been complaining of headaches for the past day. Internal risk factors in the patient are being overweight, not exercising regularly, often eating fast food, having a history of cancer in parent, feeling stressed at work, and a curative treatment pattern. External risk factors in the patient is that patient have work activities that are mostly sitting. Diagnosis and management of patient is carried out holistically, Patient Centered, Family Focused, and Community Oriented. There are changes in clinical and patient behavior after the intervention. The family medicine approach emphasizes preventive interventions, patient education, and long-term management. This approach is expected to enhance the understanding of patients and their families regarding the importance of hypertension management and encourage sustainable behavioral changes.

Magnesium Sulphate For Tetanus, review of two cases Susanto, Tirta Darmawan
Medicinus Vol 8, No 2 (2019): February : 2019
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v7i4.2386

Introduction: Tetanus is critically ill disease with long term hospitalization period. It need to be carefully monitored, usually in intensive care unit and involves critical care physicians. Benzodiazepine is preferred by World Health Organization (WHO) for muscle spasm control in tetanus, but it will be less costly if magnesium sulphate can be used alone to control spasm and autonomic dysfunction in tetanus. We report a series of 2 tetanus cases that were treated using magnesium sulphate to provide a brief clinical description about the use of magnesium sulphate in tetanus. We also give a brief review on epidemiology, pathophysiology, clinical findings, diagnosis, and treatment of tetanus to provide implications for intensive care physicians. Methods : Case series reportResults : Two patients with tetanus was given magnesium sulphate infusion to control muscle spasm and autonomic dysfunction with good results as expected. Both of them were survive and discharged home in healthy condition.Conclusions :Magnesium sulphate can also be used to control muscle spasm and autonomic dysfunction although WHO recommend benzodiazepines for controlling muscle spasm. Intensive care physicians should have enough knowledge about tetanus and how it should be managed adequately to ensure survival from tetanus.

EFEK ANTIBAKTERI VIRGIN COCONUT OIL TERHADAP METHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS Susanto, Tirta Darmawan; Sujatno, Muchtan; Yuwono, Hendro Sudjono
Medicinus Vol. 4 No. 8 (2015): February 2015 - May 2015
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v4i8.1186

Kejadian infeksi, baik di lingkungan rumah sakit yang disebut infeksi nosokomial maupun di luar rumah sakit, cukup besar. Infeksi mempertinggi angka kematian dan kesakitan, serta memperlama waktu perawatan di rumah sakit. Saat ini banyak tanaman yang terbukti secara empiris memiliki efek antibakteri, diantaranya adalah minyak kelapa murni (Virgin Coconut Oil / VCO), oleh karena itu perlu dilakukan penelitian ini guna mengetahui efek anti bakteri VCO pada luka yang telah diinfeksi dengan Methicillin Resistant Staphylococcus aureus (MRSA).Telah dilakukan penelitian eksperimental laboratorium dengan desain penelitian Rancangan Acak Lengkap. Hewan coba yang digunakan adalah marmut jantan galur albino sebanyak 15 ekor . Dermis hewan coba diinsisi hingga diperoleh luka berukuran 9cm2 dasar otot, luka diinfeksi dengan suspensi bakteri MRSA, kemudian diberi 3 macam perlakuan yaitu dibiarkan saja tanpa pengobatan untuk control negatif, terapi VCO per oral 3 cc / hari dan terapi VCO topikal 0,4 cc / hari. Data yang diperoleh dianalisis dengan analysis of variance (ANOVA) dan two sample - T test.Hasil penelitian menunjukkan bahwa pemberian VCO topikal dengan dosis 0,4 cc / hari mampu mengobati infeksi dan mempercepat penyembuhan luka hewan coba secara bermakna (p = 0,043 < Î± = 0,05), tetapi pemberian VCO peroral 3 cc / hari menunjukkan hasil yang tidak bermakna (p = 0,376 > Î± = 0,05). Pemberian VCO per oral 3 cc / hari dan topikal 0,4 cc / hari mampu menurunkan jumlah lekosit darah pada hewan coba. Pemberian VCO topikal 0,4 cc / hari mampu membunuh bakteri sehingga dapat mengurangi jumlah bakteri pada luka secara bermakna (p = 0,0092 < Î± = 0,05), namun pemberian VCO per oral tidak mampu mengurangi jumlah bakteri pada luka secara bermakna (p = 0,17 > Î± = 0,05). Pada hasil penelitian di atas, dapat disimpulkan bahwa pemberian VCO topikal menunjukkan efek antibakteri yang bermakna untuk mengatasiinfeksi MRSA.

Magnesium Sulphate For Tetanus, review of two cases Susanto, Tirta Darmawan
Medicinus Vol. 8 No. 2 (2019): February : 2019
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v7i4.2386

Introduction: Tetanus is critically ill disease with long term hospitalization period. It need to be carefully monitored, usually in intensive care unit and involves critical care physicians. Benzodiazepine is preferred by World Health Organization (WHO) for muscle spasm control in tetanus, but it will be less costly if magnesium sulphate can be used alone to control spasm and autonomic dysfunction in tetanus. We report a series of 2 tetanus cases that were treated using magnesium sulphate to provide a brief clinical description about the use of magnesium sulphate in tetanus. We also give a brief review on epidemiology, pathophysiology, clinical findings, diagnosis, and treatment of tetanus to provide implications for intensive care physicians. Methods : Case series reportResults : Two patients with tetanus was given magnesium sulphate infusion to control muscle spasm and autonomic dysfunction with good results as expected. Both of them were survive and discharged home in healthy condition.Conclusions :Magnesium sulphate can also be used to control muscle spasm and autonomic dysfunction although WHO recommend benzodiazepines for controlling muscle spasm. Intensive care physicians should have enough knowledge about tetanus and how it should be managed adequately to ensure survival from tetanus.

Penatalaksanaan Hiperurisemia, Dislipidemia dan Obesitas Melalui Pendekatan Kedokteran Keluarga Sugianto, Michael Aquilar; Susanto, Tirta Darmawan; Moningkey, Shirley
Jurnal Sehat Indonesia (JUSINDO) Vol. 7 No. 2 (2025): Jurnal Sehat Indonesia (JUSINDO)
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/jsi.v7i2.314

Hiperurisemia merupakan suatu kondisi di mana kadar asam urat terlampaui dalam tubuh. Jika tidak segera diobati, hiperemia dapat menyebabkan pembentukan kristal gout, yang dapat menyebabkan gout dan batu ginjal. Dislipidemia adalah penyakit yang ditandai dengan kadar kolesterol, LDL, HDL, dan trigliserida, yang tidak normal. Kondisi ini dapat disebabkan oleh gaya hidup yang tidak sehat atau gangguan genetik. Dislipidemia sering berubah hanya ketika komplikasi seperti stroke atau serangan jantung terjadi. Obesitas adalah akumulasi lemak yang berlebihan karena ketidakseimbangan penyerapan energi (asupan energi), dan energi digunakan untuk waktu yang lama (pengeluaran energi). Laporan kasus ini bertujuan untuk membahas lebih lanjut peran dokter umum untuk mencegah dan mengurangi komplikasi dari tiga jenis penyakit, termasuk batu ginjal, garis keturunan, serangan jantung dan penyakit metabolisme lainnya. Kedokteran keluarga memainkan peran penting dalam deteksi, pencegahan dan manajemen tiga penyakit. Pendekatan kedokteran keluarga menekankan intervensi preventif, pendidikan pasien dan manajemen jangka panjang. Pendekatan ini berharap bahwa pasien dan keluarga mereka akan meningkatkan pentingnya mengelola tiga jenis penyakit..

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