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All Journal Medula Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine
Firdha Yossi Chani
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Dentistry Education Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health

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Penatalaksanaan Holistik Pada Pasien Diare Akut Dehidrasi Ringan Sedang dan Gizi Buruk Melalui Pendekatan Kedokteran Keluarga Firdha Yossi Chani; Diana Mayasari
Medula Vol 10 No 1 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i1.32

Abstract

Nowadays, the high morbidity and mortality rates caused by diarrhea require prompt and precise initial management. Nutritional conditions are one of the causes of the high morbidity of diarrhea in children. Poor nutritional conditions will have an impact on disruption of growth, mental development and intelligence of children and increase the likelihood of infection in children. In this case family medicine approach needs to be done to identify risk factors and clinical problems in patients, as well as to conduct holistic and comprehensive management with the application of evidence based medicine family doctors through a patient centered approach and family approach. The study conducted was Case Report. Primary data were obtained through alloanamnesis and physical examination by making a home visit, and filling in patient files. Secondary data was taken from the patient's medical record. The assessment is based on an initial holistic diagnosis, process and end of visit. Based on the final holistic diagnostic An. V had acute diarrhea, some dehydration and malnutrition, internal and external risk factors were found. Patient weight is very low (malnutrition), lack of family knowledge of the illness suffered and lack of awareness of cleanliness and balanced nutrition are the main factors of the problem. The family is given intervention by medical treatment and counseling using leafleates. Then an evaluation a conclusion can be drawn that there is an increase in knowledge about disease, hygiene and balanced nutrition
Hand Arm Vibration Syndrome: Ancaman Bagi Pekerja Sektor Industri Firdha Yossi Chani; Betta Kurniawan
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 5 No. 1 (2018): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Abstract

Hand arm vibration syndrome (HAVS) merupakan salah satu penyakit yang tengah berkembang dan mengancam pekerja sektor industri. Hand arm vibration syndrome merupakan suatu penyakit akibat kerja yang disebabkan oleh getaran, penyakit ini merupakan suatu kumpulan gejala vaskuler, neurologik dan muskuloskeletal yang mengenai jari, tangan dan lengan yang diakibatkan karena penggunaan alat-alat yang dapat menggetarkan tangan secara berlebihan atau diatas ambang batas. Hand arm vibration syndrome memiliki gejala yang hampir sama dengan carpal tunnel syndrome (CTS) sehingga sulit untuk membedakan keduanya. Gejala HAVS dibedakan berdasarkan gejala vaskuler dan gejala sensorineural. Gejala yang paling sering yaitu rasa baal atau rasa kesemutan pada bagian tubuh tertentu terutama jari, tangan dan lengan selain itu juga ada keluhan berupa Raynaud’s disease atau vibration white finger. Dalam mendiagnosis HAVS dapat dilakukan berbagai macam tes seperti tes Allen, tes Adson, pemeriksaan diskriminasi 2 titik, tes tinel dan phalen. Upaya utama yang dapat dilakukan untuk untuk mencegah terjadinya penyakit ini yaitu dengan memodifikasi pekerjaan, mengurangi paparan getaran, edukasi pekerja dan penggunaan alat pelindung diri. Tatalaksana farmakologi dan nonfarmakologi yang dapat diberikan berupa Physiobalneotherapy, obat-obatan berupa vasodilator, serta terapi pembedahan.Kata kunci: getaran, hand arm vibration syndrome, pekerja, vibration white finger.
Co-Authors Betta Kurniawan, Betta Diana Mayasari