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Edinburgh Post-natal Depression Scale (EPDS): Deteksi Dini dan Skrining Depresi Post-partum Adli, Farhan Kamali
Jurnal Kesehatan Vol 13 No 2 (2022): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v13i2.2741

Abstract

The Edinburgh post-natal depression scale (EPDS) is an instrument that can be used worldwide for screening for symptoms of post-partum depression (PPD). PPD is a mood disorder/mood swings that occur after delivery which usually occurs within 4 weeks after delivery. In Indonesia, the number of cases of PPD is often undetected because it is considered a common symptom in newborns. This EPDS instrument is in the form of a questionnaire with 10 easy-to-use questions to assess the heart/mood that one has been feeling for the past week with not too long processing time. Each has a score scale of 0-3 with a maximum of 30 points. The EPDS has a sensitivity of 96% and a specificity of 82% with a cut-off value of 10. With the high sensitivity and specificity of the EPDS instrument and its ease of use, the EPDS can be used as a tool for comprehensive screening before making the diagnosis of PPD without specifying the cause of depression. It is hoped that this paper, can add references to the use of EPDS in Indonesia and its benefits so that it can detect early and screen the incidence of PPD in Indonesia so that it can be handled from the start without any impact on mothers and children as a result of PPD experienced.
Pengaruh Ekstrak Etanol Daun Rhizophora apiculata terhadap Kolesterol Total dan Trigliserida Rattus norvegicus Galur Sprague dawley yang Diinduksi Diet Tinggi Lemak Mustofa, Syazili; Adli, Farhan Kamali; Wardani, Dyah Wulan Sumekar Rengganis; Busman, Hendri
Jurnal Kesehatan Vol 13 No 3 (2022): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v13i3.3178

Abstract

Dyslipidemia is a lipid metabolism disorder in the form of an increase and decrease in the lipid fraction which is one of the high-risk factors for coronary heart disease and other non-communicable diseases. Rhizophora apiculata contains secondary metabolites in the form of flavonoid, tannin, alkaloid, saponin, and terpenoid which are thought to have the effect of preventing an increase in total cholesterol and triglyceride. This research is an experimental study with a posttest-only control group design carried out for 30 days using 30 experimental animals of Rattus norvegicus Sprague Dawley. There were 6 treatment groups, KN which was only given standard feed, K+ which was given quail egg yolk induction, simvastatin 10 mg/day, and K- which was given quail egg yolk induction. On the other hand, P1, P2, and P3 were given quail egg yolk induction, respectively. and leaf extract of Rhizophora apiculata with doses of 56mg/KgBW,m28mg/KgBW, and 14mg/KgBW. Then the rats were terminated using ketamine xylazine and blood was taken through the heart to be examined for total cholesterol and triglyceride using spectrophotometry. The results of the normality Shapiro-Wilk and Levene test p-value>0.05. In the One-way Anova test, cholesterol levels were 0.006 and triglyceride 0,002 (p-value
HOLISTIC MANAGEMENT OF A 69 YEAR OLD FEMALE PATIENT WITH LOW BACK PAIN AND GRADE 2 HYPERTENSION IN A PRIMARY HEALTH CARE Adli, Farhan Kamali; Karyus, Aila; Ernawati, Tutik
Medula Vol 13 No 7 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i7.878

Abstract

Based on data from the World Health Organization, it is estimated that around 15-20% of the world's population suffers from hypertension and Hypertension in Indonesia is the third cause of death in all age groups, namely around 6.7% of the total population of deaths in Indonesia. The prevalence of musculoskeletal diseases in Indonesia is 11.9% and based on symptoms, the prevalence of musculoskeletal diseases in Indonesia reaches 24.7%. Meanwhile, the prevalence of musculoskeletal disease in Lampung reached 18.9%. Apply the principles of family medicine services to patients and carry out holistic management based on the patient problem found with patient-centered approach, family focused, and community oriented based on Evidence Based Medicine. This study is a case report with Primary data obtained through history taking, physical examination and home visits to complete family, psychosocial and environmental data. Secondary data was obtained from the patient's medical record. The assessment is based on a holistic diagnosis from the beginning, process, and end of the study. Mrs. L 69 years old, came with complaints of headaches, heavy shoulders and lower back pain. The patient was diagnosed as hypertension and low back pain. In this case, the diagnosis and treatment were carried out according to the theory and related journals. After the intervention, there was a decrease in clinical symptoms and an increase in patient and family knowledge. Holistic management can improve the knowledge, attitudes, and behavior of patients and family in maintaining their health.