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Scabies : Terapi Berdasarkan Siklus Hidup Tansil Tan, Sukmawati; Angelina, Jessica; -, Krisnataligan
Cermin Dunia Kedokteran Vol 44, No 7 (2017): THT
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (320.003 KB) | DOI: 10.55175/cdk.v44i7.753

Abstract

Skabies merupakan salah satu infeksi parasit yang cukup banyak dan menjadi isu penting terutama daerah padat penduduk. Penyakit ini dapat menyerang segala usia dan berbagai kalangan sosial. Beberapa penyebab tingginya angka kejadian skabies adalah penularan yang cepat, siklus hidup Sarcoptes scabiei yang pendek, dan ketidakpatuhan pasien pada terapi. Tulisan ini mengusulkan terapi permethrin 5% diberikan tiga kali, dengan jarak satu minggu; didasarkan pada siklus hidup Sarcoptes scabiei sekaligus mencegah kegagalan terapi.Scabies is a common parasitic infection and a very important issue especially in densely populated areas. The disease can affect all ages and social strata. The high incidence is caused by rapid transmission, short life cycle of Sarcoptes scabiei, and poor compliance. This paper proposes therapy with permethrin 5 % given three times, with one week interval, based on the life cycle of Sarcoptes scabiei. This regimen can prevent treatment failure.
Melanoma Maligna Tansil Tan, Sukmawati; Dewi, Isabella Puspa
Cermin Dunia Kedokteran Vol 42, No 12 (2015): Dermatologi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (176.375 KB) | DOI: 10.55175/cdk.v42i12.934

Abstract

Melanoma maligna merupakan penyebab 75% kematian semua kasus kanker kulit. Risiko melanoma maligna meningkat pada orang yang memiliki banyak tahi lalat atau mempunyai riwayat keluarga yang menderita penyakit tersebut. Istilah ABCDE digunakan untuk mempermudah pengenalan gejala klinis : A untuk asymmetry, B untuk border irregularity, C untuk color variation, D untuk diameter, dan E untuk evolution. Semua lesi berpigmen yang diduga melanoma maligna harus dibiopsi. Metode biopsi yang direkomendasikan adalah biopsi eksisi. Diagnosis dini diikuti pembedahan merupakan tindakan yang tepat. Deteksi dini sangat penting untuk menemukan lesi yang masih belum terlalu dalam, sehingga dapat meningkatkan harapan hidup pasien.Malignant melanoma is responsible for approximately 75 percent of all deaths from skin cancer. Persons with an increased number of moles or a family history of the disease are at increased risk. ABCDE mnemonic, which comprises asymmetry, border irregularities, color variation, diameter, and evolution can assist the evaluation of potential melanomas. Biopsy should be done on any suspicious pigmented lesion, the recommended method is excisional biopsy. Surgery remains the mainstay of melanoma therapy at all sites. Early detection can increase survival rate. Early diagnosis combined with appropriate surgical therapy is currently the only curative treatment.
Diagnosis dan Tatalaksana Karsinoma Sel Basal Tansil Tan, Sukmawati; Reginata, Gabriela
Cermin Dunia Kedokteran Vol 42, No 12 (2015): Dermatologi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (139.74 KB) | DOI: 10.55175/cdk.v42i12.932

Abstract

Karsinoma Sel Basal (KSB) merupakan neoplasma ganas dari sel yang tidak mengalami keratinisasi pada lapisan basal epidermis, bersifat invasif lokal, agresif, destruktif, dan jarang bermetastasis. KSB lebih sering terjadi pada usia lanjut. Etiopatogenesis KSB adalah genetik, lingkungan, dan yang paling sering adalah paparan sinar ultraviolet. Secara klinis, terdapat lima tipe KSB yaitu nodular, superfisial, morpheaform, pigmented, dan fibroepitelioma Pinkus. Subtipe KSB dapat ditentukan melalui anamnesis dan manifestasi klinis, ditunjang dengan pemeriksaan histopatologi. Penatalaksanaan berdasarkan lokasi dan gambaran histopatologi. Angka kekambuhan KSB sangat rendah jika terapi tepat.Basal Cell Carcinoma (BCC) is a malignant neoplasm derived from nonkeratinizing cells originating in the basal layer of the epidermis; locally invasive, aggressive, destructive, and rarely metastasize. KSB is more common in the elderly. Etiopathogenesis associated with KSB is genetic, environmental, and most often is exposure to ultraviolet light. There are five clinical types of BCC: nodular, superficial, morpheaform, pigmented, and fibroepitelioma Pinkus. BCC subtypes can be determined from anamnesis and clinical manifestations supported by histopathological examination. Management is based on anatomic location and histopathologic features. BCC recurrence rate is very low if treated appropriately.
Perubahan Kualitas Hidup DLQI Sebelum Dan Sesudah Penggunaan Krim Racikan Anti Jerawat Klinik Sukma Angelina, Chesia; Tansil Tan, Sukmawati
Health Information : Jurnal Penelitian Content Digitized
Publisher : Poltekkes Kemenkes Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Acne vulgaris is a disease of the pilosebaceous unit characterized by open or closed comedones, papules, pustules, nodules and cysts. Acne is one of the most common diseases that are treated by dermatologists and occurs mostly in adolescents. Quality of life is a person's perception of his existence in life, in the context of his value system culture and its relationship to goals, expectations, standards and concerns. It is a skin disease that can have an impact on the quality of life of the sufferer. Disruption of quality of life can have a negative psychological impact and can trigger emotional symptoms such as depression, anxiety, anger, and feelings of shame that have an impact on interpersonal relationships. Several factors can cause acne such as family history or genetics, hormones, environment, emotional stress, trauma, food, medications, and cosmetics. The purpose of this study was to find out the DLQI quality of life scores before and before the intervention and the significant difference in the DLQI quality of life before and before the use of Sukma Clinic's anti-acne cream. The method used in this study is an analytical observational study and the use of a cross-sectional design by distributing the DLQI questionnaire in the form of a g-form. Samples were taken sequentially by sampling, then analyzed using the Wilcoxon test. Of the 32 respondents suffering from acne vulgaris, there were 9 (28.13%) male respondents and 23 (71.87%) female respondents. In this study, it was found that the difference in the mean DLQI quality of life score before the intervention was 8.63±8.147 to 5.78±6.210 after with p=0.006.
The Effect of Counseling Intervention on Adolescents' Knowledge Regarding Sunscreen Use and the Incidence of Acne Vulgaris: An Experimental Study in the Adolescent Population in Jakarta, Indonesia Shelma Tria Amanda; Tansil Tan, Sukmawati
Community Medicine and Education Journal Vol. 5 No. 2 (2024): Community Medicine and Education Journal
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/cmej.v5i2.588

Abstract

Acne vulgaris is a common skin problem in adolescents, often exacerbated by a lack of knowledge about proper skin care, including the use of sunscreen. This study aims to evaluate the effectiveness of counseling interventions in increasing adolescents' knowledge about sunscreen use and reducing the incidence of acne vulgaris. This experimental research involved 150 adolescents aged 15-18 years in Jakarta who were randomly divided into an intervention group (receiving counseling) and a control group. The intervention group received structured counseling sessions on sunscreen use and skin care for 8 weeks. Knowledge about sunscreen and the incidence of acne vulgaris were assessed before and after the intervention using a validated questionnaire and clinical examination. There was a significant increase in knowledge about sunscreen in the intervention group after counseling (p < 0.001). The intervention group also showed a significant reduction in the incidence of acne vulgaris compared to the control group (p = 0.023). Counseling interventions are effective in increasing adolescents' knowledge about sunscreen use and reducing the incidence of acne vulgaris. This intervention can be considered as a public health strategy to address skin problems in adolescents.
Analysis of the Role of Sebum Levels in the Incidence of Acne Vulgaris in Adolescents: An Observational Study on Adolescents in Jakarta, Indonesia Arni Ismi Fadhila; Tansil Tan, Sukmawati
Community Medicine and Education Journal Vol. 5 No. 2 (2024): Community Medicine and Education Journal
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/cmej.v5i2.589

Abstract

Acne vulgaris (AV) is a chronic inflammatory skin condition common in adolescents, with excess sebum production considered a major risk factor. This study aims to analyze the relationship between sebum levels and the incidence of AV in adolescents in Jakarta, Indonesia. Cross-sectional observational research was conducted on 300 adolescents aged 12-18 years in Jakarta. Sebum levels were measured using Sebumeter, and AV incidence was assessed based on Global Acne Grading System (GAGS) criteria. Statistical analysis was carried out using the chi-square test, independent t-test, and logistic regression. There is a significant relationship between high sebum levels and the incidence of AV (p < 0.001). Adolescents with high sebum levels have a 3.9 times higher risk of experiencing AV compared to adolescents with normal sebum levels (OR = 3.9; 95% CI = 2.4-6.3). Other factors such as age, gender, socioeconomic status, body mass index (BMI), face washing habits, use of cosmetics, and family history of AV do not have a significant effect on the incidence of AV. Sebum level is an independent risk factor for the incidence of AV in adolescents in Jakarta. Early detection and effective management of sebum levels can be an important strategy in the prevention and treatment of AV.