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Dermatomyositis with multiple organ involvement: a case report and literature review Putri, Wayan Julita Krisnanti; Wardiana, Maya; Anindita, Karina; Putri, Adisti Prafica; Kumaladewi, Baiq Ratna; Santosa, Hilda
Bali Dermatology Venereology and Aesthetic Journal BDVAJ - Volume 6, Issue 2 (December 2023)
Publisher : Explorer Front

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/4x0xd735

Abstract

Background: Dermatomyositis (DM) is a chronic autoimmune disorder characterized by muscle and skin inflammation, a part of the idiopathic inflammatory myositis (IIM). Even though the disease is idiopathic, there are multifactorial factors related to dermatomyositis. This care report aimed to describe a DM case in a male patient to increase the knowledge and management of DM patients. Case description: A 44-year-old Filipino male was referred to the emergency department (ED) of Siloam Hospital Mataram complaining of muscle pain and weakness with skin rashes 3 weeks before admission. Before the skin rash started, he had enlarged femoral lymph nodes in both thighs. The patient was afebrile with normal vital signs and was prescribed ibuprofen and amoxicillin. After that, he experienced skin rashes around his neck and the back of his ears with minimal pruritus.  The symptoms worsened, making him unable to open his mouth and hard to breathe. In the ED, he also threw up dark-colored blood twice. Supporting examination showed elevated transaminase, increased LDH, and creatinine kinase. Biopsy results showed a histologic pattern of dermatomyositis. During hospitalization, he received a high-dose systemic steroid, antibiotic, and symptomatic treatment. He was discharged with a good outcome and planned to continue medical treatment in his country. Conclusion: Dermatomyositis is an idiopathic autoimmune disease involving skin and internal organs. It is a multifactorial disease yet with unclear etiopathogenesis. Specific treatment guidelines for DM are not yet established, but initial systemic corticosteroid and additional steroid-sparring agents may exhibit good outcomes.
Analisis Klaster Dampak Kesehatan Akibat Pandemi Covid-19 Menggunakan Metode K-Means dan C4.5 Anindita, Karina; Wirakusuma, Anak Agung Ngurah Bagus Adhitya; Pamudji, Kristopher May; Budi, Dini Wurnaning; Yudha Putra, I Komang Reka
Nutriology : Jurnal Pangan, Gizi, Kesehatan Vol. 6 No. 2 (2025): Oktober 2025
Publisher : Program Studi Gizi, Universitas Bumigora

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30812/nutriology.v6i2.5659

Abstract

The COVID-19 pandemic has had a broad impact on the health system and the socio-economic conditions of communities, including in the Province of West Nusa Tenggara. Inequalities in healthcare access, the prevalence of comorbid diseases, and economic disparities have resulted in varying levels of risk across regions. This study aims to analyze clusters of health impacts resulting from the COVID-19 pandemic in West Nusa Tenggara. The research employed the K-Means and C4.5 Decision Tree methods with a CRISP-DM approach. Secondary data were obtained from the West Nusa Tenggara Provincial General Hospital, the West Nusa Tenggara Health Profile, Statistics Indonesia (BPS) 2022–2023, the 2021 Basic Health Research (Riskesdas), and the World Health Organization (WHO). The variables included COVID-19 cases per 100,000 population, vaccination rates, healthcare facility ratios, prevalence of hypertension and diabetes, and poverty rates. The K-Means results identified three risk clusters: high (Mataram, West Lombok), moderate (Central Lombok, East Lombok), and low (Sumbawa, Dompu, Bima). The C4.5 model achieved an accuracy of 80.67%, with age and comorbidities emerging as dominant factors. These findings highlight the potential of data mining analysis as a foundation for post-pandemic mitigation policies and strengthening regional health system resilience.