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All Journal Narra J Eduvest - Journal of Universal Studies The Journal of Society Medicine (JSOCMED) Jurnal Kedokteran Methodist
Nababan, Kristo A.
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Aerospace Engineering Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Earth & Planetary Sciences Education Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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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.
Reduction of 75% in the Psoriasis Area and Severity Index (PASI) for Moderate-to-Severe Psoriasis Vulgaris Nahrisyah, Nahrisyah; Nababan, Kristo A.
Journal of Society Medicine Vol. 4 No. 2 (2025): February
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v4i2.195

Abstract

Introduction: Psoriasis vulgaris is a chronic inflammatory skin disorder characterized by the presence of scaly, red plaques. The severity of the condition is often evaluated using the Psoriasis Area and Severity Index (PASI), which quantifies the extent and severity of skin lesions. A treatment is considered successful when a PASI 75 is achieved, indicating a 75% reduction in the PASI score. Case: A 26-year-old female presented with itchy and scaly red plaques covering nearly her entire body for the past month. Upon examination, her initial PASI score was 21.8. The patient was treated with a combination of systemic and topical therapies, resulting in a significant clinical improvement. Within two months, the patient achieved a PASI 75, demonstrating a 75% reduction in the PASI score. Conclusion: This case underscores the importance of achieving PASI 75 as a critical treatment goal in both clinical practice and research. It highlights the potential of effective therapy in managing psoriasis vulgaris and serves as a guide for dermatologists in optimizing treatment strategies for psoriasis patient.
Relationship Between Skin Hydration Levels With The Severity of Diaper Dermatitis in Children Aged 0-24 Months Gabriella Manurung, Widya; Anggia Paramita, Deryne; Nababan, Kristo A.
Eduvest - Journal of Universal Studies Vol. 5 No. 1 (2025): Journal Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v5i1.33273

Abstract

Diaper dermatitis is a common dermatological condition in children, particularly those aged 0-24 months, characterized by mild to severe inflammation. Over hydration skin has been associated with the occurrence of diaper dermatitis, as it can disrupt the skin barrier and trigger inflammation. To determine the relationship between skin hydration levels and the severity of diaper dermatitis in children aged 0-24 months. A cross-sectional study was conducted on 87 children aged 0-24 months with diaper dermatitis. Skin hydration levels were measured using a Corneometer® CM 825. The severity of diaper dermatitis was assessed using the Buckley Scale. Data analysis used the Chi-Square test, and results were considered significant if p<0,05. The relationship between the level of skin hydration and the severity of diaper dermatitis showed significant results (p=0.034) where the majority of subjects had a sufficiently hydrated degree of skin hydration in the diaper area, which was 69 people. Skin with sufficiently hydrated has a higher risk of more severe diaper dermatitis.
Tingkat Pengetahuan, Sikap Dan Tindakan Siswa-Siswi Sekolah Menengah Atas Terhadap Acquired-Immunodeficiency Syndrome Angel, Pretty; Nababan, Kristo A.; Hutasoit, Eka Samuel P.
Jurnal Kedokteran Methodist Vol. 17 No. 2 (2024): Jurnal Kedokteran Methodist
Publisher : Universitas Methodist Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46880/jkm.v17i2.533

Abstract

Background: The problem of HIV/AIDS is a major problem that threatens Indonesia and many other countries around the world. Currently there is not any country free from HIV/AIDS. Since the beginning of the HIV/AIDS became epidemic, nearly 78 million people in all over the world have been infected with HIV and about 39 million people have died from HIV. WHO estimates that 0,8% of people worldwide aged 15-49 years live with HIV. Method: The purpose of this study is to determine the level of knowledge, attitude, and action in SMA Negeri 1 Kabanjahe against AIDS. This research uses descriptive method with cross sectional approach. Samples are students of class X & XI IPA counted 136 people with slovin formula, where respondents obtained by using simple random sampling technique. Data collection uses questionnaires. Results: The result of the research indicates that knowledge is good as 87 people (64,0%), with female respondents has good knowledge level of 45 people (33,1%), and based on the most source of information is school as many as 60 people (44,1%). The result of attitude test is good as many as 78 people (57,4%) and result of action test is enough counted 69 people (50,7%). Conclusion: Based on this research can be concluded that students of class X & XI IPA in SMA Negeri 1 Kabanjahe have knowledge level, good attitude and enough action against AIDS.
Co-Authors Angel, Pretty Ayodhia P. Pasaribu, Ayodhia P. Gabriella Manurung, Widya Hendri Wijaya, Hendri Hutasoit, Eka Samuel P. Kollins, Fini Lubis, Inke ND. Nahrisyah, Nahrisyah Paramita, Deryne Anggia Rita Evalina