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Correlation between Personal Hygiene, Household Hygiene, and Atopic Dermatitis in Elementary School Children in Indonesia Muhammad Ikhfa Yusril Bahari; Deryne Anggia Paramita
Majalah Kedokteran Bandung Vol 52, No 3 (2020)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v52n3.1971

Abstract

Atopic dermatitis is a chronic inflammatory skin disease characterized by persistent itching and reddening of the skin. In general, infants and children are more susceptible to atopic dermatitis. Many factors are associated with atopic dermatitis, one of which is personal hygiene. Personal hygiene is a condition or practice to maintain or improve personal health by keeping the body and the environment clean. Personal hygiene can influence the surrounding environment, such as by influencing the household hygiene. The purpose of this study was to determine the correlation between personal hygiene, household hygiene, and atopic dermatitis incidence among children who attended Pertiwi Elementary School Medan. This was a cross-sectional study with correlational analysis designed conducted at Pertiwi Elementary School Medan from July to December 2019. Data were collected using a questionnaire and analyzed using the Chi-Square test with p = 0.05 considered significant. Results showed that 28 children (39.4%) had atopic dermatitis, with more girls affected than boys (n=19, 67.9% vs. n=9, 32.1%). The overall household hygiene and cleanliness were good. There is a significant relationship between personal hygiene, household cleanliness, and the incidence of atopic dermatitis (p<0.05). Hubungan Personal Hygiene, Rumah Tangga, dan Dermatitis Atopik pada Anak Sekolah Dasar di IndonesiaDermatitis atopik merupakan suatu penyakit radang kulit kronis yang ditandai dengan munculnya rasa gatal secara terus-menerus dan timbul ruam kulit yang memerah. Pada umumnya bayi dan anak-anak yang lebih rentan terhadap dermatitis atopik. Faktor-faktor yang dikaitkan dengan dermatitis atopik ini salah satunya yaitu personal hygiene. Personal hygiene adalah kondisi atau praktik yang digunakan orang menjaga atau meningkatkan kesehatan dengan menjaga diri mereka dan lingkungan mereka bersih. Faktor ini dapat mempengaruhi berbagai cakupan yang lebih luas seperti dalam kehidupan rumah tangga. Penelitian ini bertujuan mengetahui hubungan personal hygiene dan tingkat kebersihan dalam rumah tangga dengan kejadian dermatitis atopik pada anak-anak di SD Swasta Pertiwi, Medan. Penelitian ini menggunakan desain analitik korelasi dengan pendekatan cross-sectional yang dilaksanakan di SD Swasta Pertiwi Medan dari bulan Juli–Desember 2019. Pengumpulan data dilakukan menggunakan kuesioner dan dianalisis dengan uji chi-square dengan p=0.05 dianggap bermakna. Pada penelitian didapatkan hasil sebanyak 28 orang menderita dermatitis atopik lebih banyak perempuan 19 orang (32,1%) dibanding dengan pria 9 orang (67,9%). Hasil penelitian bahwa personal hygiene dan kebersihan dalam rumah tangga secara keseluruhan dikategorikan baik. Terdapat hubungan antara personal hygiene dan kebersihan dalam rumah tangga dengan kejadian dermatitis atopik (p<0.05).
Zinc Plasma Levels in Recurrent Vulvovaginal Candidiasis Patients Deryne Anggia Paramita; Kristina Nadeak; Richard Hutapea
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 29 No. 1 (2017): APRIL
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (109.461 KB) | DOI: 10.20473/bikk.V29.1.2017.16-20

Abstract

Background: Recurrent vulvovaginal candidiasis (RVVC) is episodes of thrush vulvovaginalis 4 times or more within 12 months.  Some exogenous pathogenic factors and host are known to be associated with RVVC including sex hormones, contraceptives, obesity, cellular immune responsses which could influenced by zinc. Purpose: To compare differences between plasma zinc levels of RVVC patients with controls. Methods: The study was cross involving 30 people with RVVC and 30 controls. Each study subjects vaginal smear examination and blood examination to measure the levels of zinc. Results: Mean value of plasma zinc levels in the case group (22.85 цg/dL) was lower than the control group (22.96 цg/dL). However, this difference was not statistically significant (p = 0.270). Conclusion: There is no difference between the plasma zinc level of vulvovaginalis recurrent candidiasis patients with controls.
Susbstance P Levels in Children with Atopic Dermatitis Khairina Nasution; Deryne Anggia Paramita; Nova Zairina Lubis
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 33 No. 3 (2021): DECEMBER
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V33.3.2021.182-186

Abstract

Background: Atopic dermatitis (AD) is the most common skin disease in infants and children. AD is influenced by hereditary and environmental factors, and it is characterized by an inflammatory reaction in the skin. In developing countries, children suffering from AD are estimated around 10–20%, of which 60% of the cases persist into adulthood. Substance P is a cutaneous neuropeptide that contributes to the pathogenesis of AD. Substance P promotes the production of nerve growth factors from keratinocytes, and the release of histamine, leukotriene, or tumor necrosis factor from mast cells, which cause the growth of sensory nerve fibers, augmentation of skin inflammation, and are considered pruritogenic factors. Purpose: This study aims to determine the description of substance P in children with atopic dermatitis using a descriptive observational study with a cross-sectional approach. Methods: This is a destructive observational study with a crossectional approach samples were selected from AD patients at the Universitas Sumatera Utara Hospital. Result: The largest group of subjects were childhood (2–12 years old), there was 60%, followed by the adolescent group (12–18 years old) and the infant group (<2 years old). In the childhood group, the highest level of substance P was found in girls with a mean of 349.03 ± 146.7. On the other hand, the highest levels of substance P in the adolescent were found in males with a mean of 243.73 ± 64.57 ng/L. Conclusion: In this study, we found that the level of substance p was higher in the childhood group.
Microbial Patterns and Antimicrobial Susceptibility on Pediatric Patients with Pressure Ulcers Deryne Anggia Paramita; Khairina Nasution; Nova Zairina Lubis
Molecular and Cellular Biomedical Sciences Vol 3, No 1 (2019)
Publisher : Cell and BioPharmaceutical Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (984.859 KB) | DOI: 10.21705/mcbs.v3i1.39

Abstract

Background: A pressure ulcer (PU) is localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with sharp surface. Several studies have found that PU is also a common problem in the pediatric population. Infection at PU sites is the most common complication, where PU can host resistant microorganisms and can turn into a local infection that is a source of bacteremia in hospital patients. This study aims to determine the most common bacteria and antimicrobial susceptibility at the site of PU in pediatric patients that serve as baseline data in Haji Adam Malik Hospital.Materials and Methods: A cross-sectional study was carried out in July-December 2017, involving 30 PU pediatric patients. For each subject, swab from ulcers were cultured in microbial laboratory to determine the microbial pattern and antimicrobial susceptibility.Results: The most common age group was 0-3 (53.3%), the highest gender was male (60%), the most common type was type 2 (46.7%), the main location was occipital (30%) and the most common undelying diseases were hydrocephalus (16.6%). The most common microbial pattern in PU pediatric patients is Acinetobacter baumannii (40%). The highest sensitivity is vancomycine for gram positive bacteria and amikacine for gram negative bacteria.Conclusion: The most common microbial pattern in PU pediatric patients in Haji Adam Malik Hospital is Acinetobacter baumannii (40%). The highest sensitivity is vancomycine for gram positive bacteria and amikacine for gram negative bacteria.Keywords: pressure ulcer, pediatric, microbial pattern, antimicrobial susceptibility
Gambaran spesies candida penyebab kandidiasis vulvovaginalis rekuren di RSUP Haji Adam Malik Medan Deryne Anggia Paramita; Kristina Nadeak; Richard Hutapea
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 47, No 2 (2014): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Introduction : Recurrent vulvovaginal candidiasis (RVVC) is an episode four times or more vulvovaginal candidiasis within 12 months, nearly 85% up to 95% are caused by Candida albicans. The rest 10% to 20% are caused by non-albicans species. RVVC caused by non-albicans species is clinically indistinguishable from that caused by Candida albicans, and non-albicans species usually are more resistant to therapy.Objective : To reveal which is the most Candida species that cause recurrent vulvovaginal candidiasis in Haji Adam Malik General Hospital MedanMethod : Cross sectional study was conducted in August-September 2012, involving 30 people with RVVC. To each subject, vaginal swab examination, culture and fermentation test was done to see Candida species.Result : The study found the following results: Candida albicans (43.3%) Candida parapsilosis (16.6%), Candida tropicalis (10%), Candida glabrata (6.7%), Candida lusitinae (6.7%), Candida guiliermondi (6.7%), Candida kefyr (6.7%), Candida catenulata (3.3%)Conclusion : Candida albicans is the most widely Candida species that cause RVVC in Haji Adam Malik General Hospital Keywords: recurrent candidiasis vulvovaginalis, Candida species
Effect of Citrullus lanatus seed oil on xerosis in leprosy patients Puteri Wulandari; Syahril Rahmat Lubis; Deryne Anggia Paramita
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 54, No 4 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19106/JMedSci005404202203

Abstract

Xerosis in leprosy patients may result from defects in sweat gland function.Red watermelon (Citrullus lanatus) seed oil a lot of contains linoleic acid,which can hydrate the skin and reduce trans-epidermal water loss (TEWL).This study aimed to evaluate the effect of C. lanatus seed oil administrationin leprosy patients with xerosis. It was a clinical study with one group pretestposttest control group design involving 30 leprosy patients with xerosis at theDepartment of Dermatology and Venereology, Dr. Pirngadi Medan Hospital, thePolyclinic of Dermatology and Venerology, Universitas Sumatera Utara Hospitaland the Department of Dermatology and Venerology, H. Adam Malik GeneralHospital, Medan, Indonesia. Patients were asked to topically administration of2 mL C. lanatus seed oil to the right and left legs for two times daily for 4 weeks.Specified symptom sum score (SRRC) and skin capacitance (SCap) were thenmeasured before the intervention at the first visit (week 0), week 2, and week 4.A significantly different on SRRC and SCap of the leprosy patients was observedon the 2nd and 4th week after C. lanatus oil administration compared to week 0(p<0.001). No side effects of erythema, blistering, and burning were observed.However, a mild degree itching was observed in 2 (6.7%) patients. Majority ofleprosy patients feel good satisfaction (83.4%), followed by a moderate (13.3%)and a low satisfaction (3.3%). In conclusion, topically administration of redwatermelon (C. lanatus) seed oil can reduce the xerosis degree in leprosypatients as indicated by the decrease of SRRC and the increase of SCap. Theseed oil is well tolerated and gives a good satisfaction on the patients.
Knowledge of primary survey on lowering consciousness among Pasar Petisah citizens Suherman, Jessen; Lubis, Andriamuri Primaputra; Paramita, Deryne Anggia; Nasution, Afrida Aryani
Jurnal Prima Medika Sains Vol. 6 No. 1 (2024): June
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v6i1.5313

Abstract

Lowered consciousness is a life-threatening condition that necessitates prompt assessment and first aid. One crucial method for addressing such emergencies is the primary survey, which aims to identify and treat life-threatening conditions quickly. Pasar Petisah, one of the largest and busiest markets in Medan, is a high-risk location for such emergencies due to its crowded nature. Therefore, the community at Pasar Petisah needs to have a strong understanding of the primary survey procedure. This study is a descriptive cross-sectional analysis that uses primary data collected through questionnaires. The sample size consists of 97 subjects, selected using non-probability sampling techniques. The results indicate that among the 97 participants, only 3 (3.1%) demonstrated a good level of knowledge about the primary survey, 41 (42.3%) had a sufficient level of knowledge, and 53 (54.6%) had a lacking level of knowledge. Regarding readiness to perform the primary survey, 61 individuals (62.9%) reported feeling prepared, 23 individuals (23.7%) were doubtful, and 13 individuals (13.4%) felt unprepared. Overall, while the community at Pasar Petisah generally lacks adequate knowledge about conducting a primary survey in cases of lowered consciousness, a majority still express readiness to perform the primary survey in emergency situations.
Norwegian scabies in human immunodeficiency virus and tuberculosis-infected child: A case report Wijaya, Hendri; Kollins, Fini; Lubis, Inke ND.; Pasaribu, Ayodhia P.; Evalina, Rita; Nababan, Kristo A.; Paramita, Deryne A.
Narra J Vol. 4 No. 1 (2024): April 2024
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v4i1.661

Abstract

Norwegian scabies is a rare scabies with the manifestation of thick crusts of the extremities of the skin that contain eggs and mites. Several conditions in which scabies infection is easily transmitted include immunocompromised, home nursing, and severe neurological disorder. The aim of this case report was to present a thorough analysis of a comprehensive resource for the management of Norwegian scabies patients, with a specific focus on individuals who also have HIV or other immunocompromising diseases.  A 1-year-and-7-month-old boy was presented to the hospital with a chief complaint of a thick crust that he had experienced for four months. It began as a red papule in the lower extremity, then crusted and spread to the whole body. The patient kept scratching due to itching, had a recurrent fever and diarrhea for three months, and cough for one month. The patient was diagnosed with human immunodeficiency virus (HIV) and pulmonary tuberculosis at three months, suspected to get the infection from the parents. Sarcoptes scabiei was found from microscopy examination of skin scraping. The patient received holistic treatment, including antiretroviral drugs, antituberculosis medication, scabies treatment, and malnutrition treatment. Appropriate scabies treatment aimed at peeling crusted skin, relieving itching, and increasing the patient ability to use the extremities. Comorbidity conditions caused by HIV and pulmonary tuberculosis should also be treated to optimize the outcome. The patient was discharged in good condition with sanitation education and regular follow-up at the outpatient clinic. This case highlights that Sarcoptes scabiei infestation may be a clue to an immunocompromised condition. Holistic therapy aiming to cure underlying infection, infestation and underlying nutrition and psychosocial problems must be addressed to fully cure this high-burden case.
Factors Affecting Nutritional Status of Children with Down Syndrome of 7 to 12 Year-Old in Medan Andrew, Reynard; Lubis, Nenni Dwi Aprianti; Nasution, Fitriyani; Paramita, Deryne Anggia
Journal of Epidemiology and Public Health Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.02.10

Abstract

Background: Despite the increasing prevalence of overnutrition, the increasing number of children with Down syndrome, followed by the higher risk of children with Down syndrome to experience overnutrition, research conducted on factors that influence the nutritional status of children with Down syndrome is still limited in Indonesia. This research was conducted to look at the comparison of factors affecting the nutritional status of children with Down syndrome in the 7-12-year-old age group in Medan.Subjects dan Method: This research is an analytical cross-sectional study design. This research was conducted by distributing questionnaires to mothers of children with Down syndrome at POTADS Medan. The sampling method used is purposive sampling and data that meets the inclusion and exclusion criteria is selected. The number of samples were 30 children with Down syndrome. The data is then analyzed with Spearman’s correlation using SPSS with children’s nutritional status as the dependent factor and paternal education, maternal education, total parents’ earnings, children's energy intake, children’s diet quality, children’s physical activity, and maternal nutritional knowledge as the independent factors.Results: Correlations were found between the nutritional status of the children and paternal education (p= 0.019; r= -0.42), between children’s nutritional status and children's energy intake (p= 0.002; r= 0.55), and between children’s nutritional status and children’s diet quality (p= 0.015; r= -0.44) with confidence interval at 95%.Conclusion: Strong negative correlation against children’s nutritional status was found in paternal education and children's diet quality, while strong positive correlation was found in children’s energy intake. Indirect correlations against nutritional status were found in maternal education, parents’ total income, and maternal nutritional knowledge score. Keywords: down syndrome, diet quality, bmi. Correspondence: Reynard Andrew. Universitas Sumatera Utara, Jalan Dr. T. Mansur No.9, Padang Bulan, Kec. Medan Baru, Kota Medan, Sumatera Utara 20222, Indonesia. Email: reydrew7@gmail.com. Mobile: +6285361991111.
The Influence of Social Media on Self-Medication and Treatment of Acne Vulgaris Butar Butar, Agatha Uli Angelica; Paramita, Deryne Anggia; Putri Amelia; Panggabean, Yoan Carolina
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 37 No. 1 (2025): APRIL
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V37.1.2025.48-52

Abstract

Background: With the advancement of technology, access to information about acne vulgaris has become easier. Social media has become a key platform for influencers and doctors to educate the public about acne, which often leads acne sufferers to use social media as a reference for understanding the condition and treatment options. As a result, many individuals choose to practice self-medication based on information obtained from social media. Purpose: This study aims to examine the impact of social media on self-medication and the treatment of acne vulgaris. Methods: This is an analytical cross-sectional study conducted among high school students. The sample was selected using consecutive sampling. Data was collected through a questionnaire that assessed social media usage, self-medication practices, and treatment outcomes. Result: Among the 92 respondents who participated in this study, the following results were found: 18 respondents had a high level of social media usage, 54 respondents had a moderate level, and 20 respondents had a low level. In addition, 64 respondents expressed interest in self-medication, while 28 respondents were not interested in self-medication. The results of the acne treatment of 64 people interested in self-medication showed that eight people had significant improvement in self-medication results, 52 people had slight improvement, and four people had no improvement. The bivariate analysis shows that social media influences self-medication but does not affect treatment outcomes. Conclusion: Social media influences self-medication but does not affect the treatment outcomes of acne vulgaris.