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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

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.

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

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

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.

TINGKAT PENGETAHUAN ORANG TUA DI PUSKESMAS SENTOSA BARU TENTANG PENGOBATAN DERMATITIS ATOPIK PADA ANAK Sinaga, Adinda Alleyda; Paramita, Deryne Anggia; Saragih, Restuti Hidayani; Wijaya, Hendri
Majalah Kesehatan Vol. 12 No. 2 (2025): Majalah Kesehatan
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/majalahkesehatan.2025.012.02.6

Dermatitis atopik atau atopik eczema adalah penyakit kulit inflamasi kronis dapat menyebabkan perubahan warna dan ruam gatal. Biasanya dimulai pada usia kanak-kanak hingga dewasa dengan suatu kondisi yang menyebabkan kulit kering, lesi eksim, dan likenifikasi. Peran orang tua sangat berperan penting untuk pengobatan dermatitis atopik pada anak. Keberhasilan pengobatan dermatitis atopik pada anak tergantung pada orang tua dalam pengetahuan dan sikap mereka terhadap anak yang menderita dermatitis atopik. Tujuan penelitian ini adalah untuk mengetahui tingkat pengetahuan orang tua tentang pengobatan dan efek samping obat, dan juga untuk mengetahui umur dan jenis kelamin serta prevalensi penyakit dermatitis atopik pada anak di Puskesmas Sentosa Baru. Jenis penelitian ini menggunakan desain cross-sectional deskriptif dengan sampel sebanyak 60 responden menggunakan rumus Slovin dan dilakukan di Puskesmas Sentosa Baru. Data dikumpulkan menggunakan kuesioner yang terstruktur. Hasil penelitian di Puskesmas Sentosa Baru mayoritas berjenis kelamin perempuan sebanyak 31 orang (51,7%), Sedangkan untuk usia anak mayoritas pada usia anak balita yaitu dari 12 bulan sampai dengan 59 bulan sebanyak 49 orang (81,7%), Tingkat pengetahuan orangtua tentang obat-obatan yang digunakan pada anak yang terkena dermatitis atopik di Puskesmas Sentosa Baru berkategori baik yaitu sebesar (70,0%), kemudian Tingkat pengetahuan orangtua tentang efek samping dari obat-obatan yang digunakan pada anak yang terkena dermatitis atopik di Puskesmas Sentosa Baru berkategori baik yaitu sebanyak 31 orang (51,7%), dan tingkat pengetahuan orang tua mengenai obat-obatan pada anak yang terkena penyakit dermatitis atopik di Puskesmas Sentosa Baru ialah baik sebanyak (55,0%). Dapat disimpulkan bahwa pengetahuan orang tua mengenai pengobatan dermatitis atopik pada anak adalah berkategori baik.

Relationship Between Nutritional Status and Hemodialysis Therapy in Patients With Chronic Kidney Disease at Adam Malik Medan Hospital, Indonesia Nasution, Muhammad Siddik; Ramadani, Sumi; Ardiansyah, Edy; Paramita, Deryne Anggia
Sumatera Medical Journal Vol. 8 No. 2 (2025): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v8i2.19070

Background: One of the measures taken to control chronic kidney failure is through the hemodialysis procedure. Hemodialysis therapy can cause various side effects in patients, one of which is the risk of decreased nutritional status which can result in malnutrition. When the nutritional status of kidney failure patients worsens, the quality of life also decreases. Objective: This study aimed to determine the relationship between nutritional status and hemodialysis therapy at Haji Adam Malik General Hospital, Medan. Methods: This research was conducted from February to October 2024. This research is an analytical observational study using a cross sectional study design. The sample taken in this study was 80. Data was obtained from medical records at H. Adam Malik General Hospital, Medan. Results: The correlation test with the Chi-square test showed no relationship between Body Mass Index and several criteria, namely: Gender (p=0.645), age (p=0.410), creatinine (p=0.296), urea (p=0.296), albumin (p=0.315). Conclusion: There is no relationship between BMI and age, gender, albumin levels, creatinine levels and albumin levels in hemodialysis patients at H.Adam Malik General Hospital, Medan. The majority of patients undergoing hemodialysis at H.Adam Malik General Hospital Medan have a normal BMI (66%).

Early-onset squamous cell carcinoma in xeroderma pigmentosum: A rare case Susanto, Claudia; Paramita, Deryne Anggia
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 16, No 1, (2025)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol16.Iss1.art16

Xeroderma pigmentosum (XP) is a rare autosomal recessive genodermatosis characterised by photosensitivity, dry skin, pigmentary abnormalities, premature skin aging, and skin cancers at an early age. This case report aims to alert health professionals about this disease, considering the rarity of the disease and the need for an early diagnosis of patients with XP. A 4-year-old boy was referred to our department with multiple painful ulcerated masses over his head and face, which had developed over the past two years. At the age of 6 months, the patient started to develop hyperpigmented spots of numerous sizes on his face, and gradually spread to the other sun-exposed areas of his body. He also had dry skin, photophobia, redness, and watery eyes. Dermatological examination showed multiple ulcerated erythematous nodules at the temporal and frontotemporal region; multiple scaly, hyperpigmented macules, papules, and cutaneous horns at the facial region; multiple hypopigmented and hyperpigmented macules, generalised distributed, predominantly over the sun-exposed areas. A biopsy examination from one of the nodules showed keratinising squamous cell carcinoma (SCC). The patient was diagnosed with xeroderma pigmentosum and was treated with multidisciplinary assessment involving dermatology, paediatric, oncology surgery, ophthalmology, and otolaryngology. The diagnosis in this patient is made clinically based on history taking, physical examination, and confirmation of malignancy from biopsy. Early diagnosis of XP is crucial for decreasing the development of neoplasms, which could improve the patient’s quality of life.

Clinical Features and Histopathologic Examination in Supporting The Diagnosis of Exfoliative Dermatitis Suspected Caused by Captopril in Child : A case report Astarina, Awalia; Alferraly, T Ibnu; Paramita, Deryne Anggia; Nababan, Kristo A
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6870

Exfoliative dermatitis (ED) is defined as diffuse erythema and scaling of the skin involving more than 90% of the total body skin surface area. It is a reaction pattern and cutaneous manifestation of a myriad of underlying ailments, including psoriasis and eczema, or a reaction to the consumption of certain drugs. Though some experts believe it does not pose a significant risk of death, erythroderma is a potentially life-threatening condition that requires proper diagnosis, identification of underlying etiology, and management. Several factors have been implicated as triggers for erythroderma and can be grouped into several general categories, including preexisting dermatoses, drugs, and malignancies. Drugs Involved in ED, one of the drugs that cause it is cardiac drugs such as captopril. Captopril, an angiotensin-converting enzyme (ACE) inhibitors containing a sulfhydryl group and has occasionally been implicated in complex immunological diseases, this chemical group has been considered the culprit of allergic reactions to captopril. Histopathologic examination is important to exclude differential diagnosis. Management of ED involves combining symptomatic relief with addressing the underlying etiology and potential systemic complications. In patient hospitalization is required in acute cases.

Case Report: Suspected Thiamphenicol-Induced Stevens-Johnshon Syndrome-Toxic Epidermal Necrolisis Overlap in A Child – Diagnosis and Management Apriano, Ika Diamanda; Paramita, Deryne Anggia; Nababan, Kristo Alberto
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6523

Stevens-Johnson Syndrome (SJS) and Toxic Epidermal Necrolysis (TEN) are rare delayed-type hypersensitivity reactions characterized by detachment of the epidermis and mucous membranes, along with skin necrosis. While these conditions are rare in children, they are most commonly caused by antibiotics, antiepileptic drugs, and antipyretic drugs. This case report aims to highlight thiamphenicol as a rare and potentially overlooked cause of SJS/TEN in pediatric patients. A 14-year-old girl who developed painful red patches accompanied by fluid-filled blisters on almost her entire body which appeared five days after taking the antibiotic thiamphenicol. The patient also experienced red, watery eyes; blisters on the lips and oral cavity; involvement of the nipples; and was unable to swallow due to severe pain in the mouth and throat. The patient was diagnosed with SJS-TEN overlap, and showed a good response to systemic corticosteroids (methilprednisolone) and supportive therapy. Her overall prognosis was favorable, with a Severity-of-Illness Score for Toxic Epidermal Necrolysis (SCORTEN) score of 1. The management of SJS/TEN involves a multidisciplinary specialist approach, immediate withdrawal of the suspected drug, administration of corticosteroids, and comprehensive supportive care.

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

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.

Gambaran Tingkat Pengetahuan dan Pemilihan Pengobatan Ketombe pada Mahasiswa Fakultas Kedokteran Universitas Sumatera Utara Sriwulan, Anyelin; Dalimunthe, Dina Arwina; Paramita, Deryne Anggia; Widjaja, Sry Suryani; Samosir, Fauzan Azmi Hasti Habibi
SCRIPTA SCORE Scientific Medical Journal Vol. 4 No. 2 (2023): SCRIPTA SCORE Scientific Medical Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/scripta.v4i2.10495

Latar Belakang. Ketombe merupakan gangguan kulit kepala yang ditandai dengan pengelupasan abnormal pada kulit kepala. Ada tiga penyebab utama yang menimbulkan ketombe yaitu jamur Malassezia, sekresi kelenjar sebasea, dan sensitivitas individu. Berbagai macam pengobatan telah banyak dilakukan untuk mengatasi masalah ketombe. Tujuan. Untuk mengetahui tingkat pengetahuan dan pemilihan pengobatan ketombe pada mahasiswa Fakultas Kedokteran Universitas Sumatera Utara Angkatan. Metode. Penelitian ini bersifat deskriptif menggunakan metode pendekatan studi potong-lintang. Sampel penelitian merupakan mahasiswa Fakultas Kedokteran Universitas Sumatera Utara. Pengumpulan data menggunakan kuesioner yang disebarkan secara online melalui Google form dan QR Code. Hasil. Didapatkan mahasiswa memiliki pengetahuan yang baik tentang ketombe (92,1%). Berdasarkan pemilihan pengobatan ketombe, sumber informasi didapatkan melalui media elektronik (84,2%), tempat membeli obat di swalayan/mal (72,6%), cara memilih pengobatan ketombe hanya menggunakan sampo saja (63,7%), faktor pemilihan pengobatan ketombe karena mudah didapatkan (71,1%), alasan pemilihan pengobatan ketombe karena kandungan yang terdapat di dalam sampo sangat bagus (58,4%), bahan yang dipilih dalam pemilihan pengobatan ketombe menggunakan bahan alami dan bahan kimia (51,1%). Kesimpulan. Tingkat Pengetahuan mahasiswa baik tentang ketombe. Berdasarkan pemilihan pengobatan ketombe, sumber informasi yang paling banyak didapatkan responden melalui media elektronik, tempat responden membeli obat paling banyak di swalayan/mal, cara responden dalam memilih pengobatan ketombe paling banyak hanya menggunakan sampo, faktor pemilihan pengobatan ketombe responden paling banyak karena mudah didapatkan, alasan pemilihan pengobatan ketombe responden paling banyak karena kandungan yang terdapat dalam sampo sangat bagus, bahan yang dipilih responden dalam pemilihan pengobatan ketombe paling banyak menggunakan bahan alami dan bahan kimia.

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