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INTENSITAS NYERI PADA ARTHRITIS: TINJAUAN SISTEMIK LITERATUR Birman, Yuliza; Nirwana, Putri Sinthya; Haiga, Yuri
Nusantara Hasana Journal Vol. 5 No. 3 (2025): Nusantara Hasana Journal, August 2025
Publisher : Yayasan Nusantara Hasana Berdikari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59003/nhj.v5i3.1638

Abstract

Arthritis is an inflammation of the joints characterized by pain as the main symptom. The most common types are osteoarthritis (OA), rheumatoid arthritis (RA), and gout arthritis (GA). One way to assess the intensity of pain is by using the Visual Analogue Scale (VAS). This study is a systematic literature review aimed at reviewing the differences in pain intensity among types of arthritis based on previous studies. The results show that pain intensity in RA is classified as mild to moderate (VAS ±3.4), OA is moderate to severe (VAS 4–6), and GA is severe during the acute phase (VAS 7–9). Factors such as age, gender, and psychological conditions also influence pain perception. Understanding this is essential to support appropriate management and improve the quality of life for patients.
HUBUNGAN DIABETES MELITUS DENGAN KOLELITIASIS: TINJAUAN LITERARUR BERDASARKAN JUMLAH DAN UKURAN BATU Birman, Yuliza; Bahri, Ahmad Fajar; Bahri, Rosmaini
Nusantara Hasana Journal Vol. 5 No. 3 (2025): Nusantara Hasana Journal, August 2025
Publisher : Yayasan Nusantara Hasana Berdikari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59003/nhj.v5i3.1657

Abstract

Diabetes mellitus (DM) and cholelithiasis are two conditions with increasing global prevalence. Several studies have indicated a significant association between DM and both the incidence and severity of cholelithiasis, particularly in relation to the number and size of gallstones. Objective: This article aims to review the literature regarding the pathophysiological mechanisms, epidemiological evidence, and morphological characteristics of gallstones in patients with diabetes mellitus. Methods: A literature search was conducted using electronic databases (PubMed, Google Scholar, ScienceDirect) for articles published within the last 10 years, using keywords such as “diabetes mellitus,” “cholelithiasis,” “gallstone size,” and “gallstone number.” Results: DM contributes to gallstone formation through impaired gallbladder motility due to autonomic neuropathy, bile supersaturation from dyslipidemia, and increased mucin expression that enhances cholesterol crystal nucleation. Patients with DM tend to develop multiple and/or larger gallstones, which are closely associated with a higher risk of complications such as cholecystitis and pancreatitis. Conclusion: Diabetes mellitus is strongly associated with an increased incidence and severity of cholelithiasis. Routine gallbladder screening is recommended for diabetic patients, particularly those with poor glycemic control, to prevent serious hepatobiliary complications.  
KAJIAN TEORITIS GLAUKOMA: DASAR TEORITIS UNTUK PENDEKATAN DIAGNOSTIK DAN TERAPI Mutiara Anissa; Birman, Yuliza; Naima Lassie
Nusantara Hasana Journal Vol. 5 No. 3 (2025): Nusantara Hasana Journal, August 2025
Publisher : Yayasan Nusantara Hasana Berdikari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59003/nhj.v5i3.1669

Abstract

Glaucoma is a group of chronic eye diseases characterized by optic nerve damage and increased intraocular pressure (IOP), and is the second leading cause of blindness in the world after cataracts. This article aims to review the basic theories of glaucoma including definition, epidemiology, classification, pathophysiology, clinical manifestations, diagnosis, management, complications, and prognosis. The main management involves IOP-lowering therapy, either medication through eye drops or surgical interventions such as trabeculectomy. Early detection and adherence to therapy are very important in preventing disease progression and reducing the risk of blindness. This review provides a comprehensive theoretical understanding as a basis for optimal glaucoma management.