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Level of Knowledge among Medical Student Regarding The Role of Vitamin C For Skin Health in Universitas Sumatera Utara Nova Zairina Lubis; Hening Yumi Wardoyo Putri
Sumatera Medical Journal Vol. 5 No. 1 (2022): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v5i1.6514

Abstract

BACKGROUND: The main function of vitamin C for skin health is as an antioxidant, combating environmental oxidative stress, which helps the natural regeneration of environmental oxidative stressors, collagen formation and brightening the skin. Humans cannot synthesize their own vitamin C, so to meet the vitamin C needs of the body, humans must consume vitamin C from fresh fruits and vegetables. In addition to oral and topical use, the practice of using vitamin C by injection has also been widely spread in major cities in Indonesia. Taking vitamin C is not something bad, but using vitamin C that is not according to the recommended dosage can have unwanted effects on health. OBJECTIVE: This study aims to determine the level of knowledge of students at the Faculty of Medicine, Universitas Sumatera Utara to regarding the role of vitamin C for skin health in 2020. METHODS: This study used a descriptive observational method with a cross sectional design. The sample size in this study was 247 people. The samples used were students of Faculty of Medicine at the Universitas Sumatera Utara class 2017, 2018, and 2019. Data on student knowledge levels collected from the results of filling out the questionnaire will be grouped using the Guttman scale and forwarded for further data processing using the Statistical Package for Social Sciences (SPSS) program 25 . RESULTS : In this study it was found that 86.3% of respondents had sufficient knowledge about the role of vitamin C for skin health, 91.2% of female respondents had sufficient knowledge, 81.5% of male respondents had sufficient knowledge. Based on how to use vitamin C, it can be seen that 41.9% of students have high knowledge about the use of vitamin C orally, 60% of respondents have sufficient knowledge about the use of vitamin C topically, and 50.4% of respondents have sufficient knowledge about its use vitamin C by injection. CONCLUSION: The level of knowledge of students at the Faculty of Medicine at the Universitas Sumatera Utara, for 2017, 2018 and 2019 regarding the role of vitamin C for skin health is sufficient. There are differences in the level of knowledge according to gender in this study, it was found that women have a better level of knowledge than men.
Comparison of The Effects of General and Spinal on Apgar Scores of Babies Born Through Caesarean Section in RSUP Haji Adam Malik Medan from 2018 to 2019 Rambe, Aldo Putra; Nasution, Akhyar Hamonangan; Cut Meliza Zainumi; Nova Zairina Lubis
Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) Vol. 3 No. 4 (2021): Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)
Publisher : TALENTA Publisher, Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (568.93 KB) | DOI: 10.32734/jetromi.v3i4.7520

Abstract

Background. General anesthesia and spinal anesthesia in cesarean section both have advantages and disadvantages. The scoring system of APGAR is a standardized tool that can inform the condition of newborn infants, which might be influenced by gestational age, medication, resuscitation, cardiorespiratory and neurological conditions of the mother. This study aimed to compare the effect of general and spinal anesthesia usage to the APGAR score of newborn infants at Haji Adam Malik General Hospital Medan. Methode. This study uses an observational-analytic design with a cross-sectional approach,  conducted using secondary data through the medical records of mothers who gave birth through cesarean section and obtained at the Medical Record Installation at the Haji Adam Malik Hospital Medan from 2018 to 2019. Result. In spinal anesthesia, there are 52 samples for a score of 8-10. Whereas in general anesthesia, there are 52 samples to score 8-10. The APGAR score of 1 minute in infants born through cesarean section under spinal anesthesia had an average of 8.63, with general anesthesia of 8.00 (p=0.001). The 5-minute APGAR score in infants born through cesarean section under spinal anesthesia had an average of 9.85, and with general anesthesia of 8.67 (p=1.000). Conclusion: The 1-minute APGAR score for infants using spinal anesthesia showed a statistically better effect than the 1-minute APGAR score for infants using general anesthesia.
Exclusive Breastfeeding Versus Combination Feeding on Incidence of Atopic Dermatitis: A Comparative Study Nova Zairina Lubis; Wijaya, Albert; Lubis, Hilfan Ade Putra; Pase, Muhammad Aron
SCRIPTA SCORE Scientific Medical Journal Vol. 6 No. 2 (2025): SCRIPTA SCORE Scientific Medical Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/scripta.v6i2.17865

Abstract

Background. In spite of the extensive research on the potential protective effects of exclusive breastfeeding in preventing the occurrence of atopic dermatitis and the involvement of cow’s milk allergy as a triggering factor, controversies regarding this issue persist. Objective. This study analyzes the comparison of the incidence of AD among infants exclusively breastfed compared to those who receive a combination of formula milk and breastfeeding. Methods. This study is an analytical research with a cross-sectional approach, conducted at Puskesmas Sentosa Baru Medan in August 2023. The sample consisted of 114 infants, which divided into two groups: exclusively breastfed infants and the other consisting of infants who received a combination of breastfeeding and formula milk, selected through consecutive sampling. The diagnosis of AD was based on a questionnaire modified from the Hanifin-Rajka criteria. Results. According to the research findings, among the exclusively breastfed infants, 11 (19,3%) were found to have AD, whereas in the opposing group, there were 12 (21,1%) cases of AD. Statistical analysis indicated no significant difference in the incidence of AD based on early feeding history (p=0,815). The prevalence ratio of AD infants from both study group is 1,10. Conclusions. Infants who receive a combination of breast milk and formula feeding have an elevated risk of 1,1 times for the onset of AD compared to those who are exclusively breastfed. There is no significant difference in the incidence of AD among infants who are exclusively breastfed and those who receive a combination of breast and formula feeding.   Latar belakang. Meskipun telah banyak penelitian mengenai potensi efek perlindungan ASI eksklusif dalam mencegah terjadinya dermatitis atopik dan keterlibatan alergi susu sapi sebagai faktor pemicu, kontroversi mengenai hal ini masih terus berlanjut. Tujuan. Penelitian ini bertujuan untuk menganalisis perbandingan kejadian DA pada bayi yang mendapat ASI eksklusif dibandingkan dengan bayi yang mendapat kombinasi susu formula dan ASI. Metode. Penelitian ini merupakan penelitian analitik dengan pendekatan potong lintang, yang dilakukan di Puskesmas Sentosa Baru Medan pada bulan Agustus 2023. Sampel terdiri dari 114 bayi, yang dibagi menjadi dua kelompok yaitu bayi yang diberi ASI eksklusif dan bayi yang diberi kombinasi ASI dan susu formula, yang dipilih secara consecutive sampling. Selanjutnya, diagnosis DA didasarkan pada kuesioner yang dimodifikasi dari kriteria Hanifin-Rajka. Hasil. Menurut temuan penelitian, di antara bayi yang disusui secara eksklusif, 11 (19,3%) ditemukan menderita DA, sedangkan pada kelompok yang tidak disusui, terdapat 12 (21,1%) kasus DA. Analisis statistik menunjukkan tidak ada perbedaan yang signifikan dalam kejadian PJB berdasarkan riwayat pemberian makanan awal (p=0,815). Rasio prevalensi bayi AD dari kedua kelompok penelitian adalah 1,10. Kesimpulan. Bayi yang menerima kombinasi ASI dan susu formula memiliki risiko 1,1 kali lebih tinggi untuk mengalami PJB dibandingkan dengan bayi yang mendapat ASI eksklusif. Tidak ada perbedaan yang signifikan dalam kejadian DA antara bayi yang diberi ASI eksklusif dan mereka yang menerima kombinasi ASI dan susu formula.
The Relationship between Skin Diseases and Nutritional Deficiencies in Children Nova Zairina Lubis; Fitriend Syahputri
SCRIPTA SCORE Scientific Medical Journal Vol. 6 No. 2 (2025): SCRIPTA SCORE Scientific Medical Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/scripta.v6i2.18991

Abstract

Background: Nutritional deficiencies are a significant global health issue, particularly in children, as they can impair growth and development. The skin often reflects early signs of nutritional deficiencies, including macronutrient and micronutrient imbalances, which may manifest as specific dermatological symptoms. Early identification of these manifestations is crucial to prevent long-term morbidity and mortality. Aims: This review aims to explore the relationship between nutritional deficiencies and skin diseases in children, emphasizing clinical features, diagnostic approaches, and effective treatment strategies. Methods: A comprehensive literature review was conducted using relevant studies and case reports on pediatric dermatological manifestations caused by macronutrient and micronutrient deficiencies. Discussion: Nutritional deficiencies, including protein-energy malnutrition, essential fatty acid deficiency, and deficiencies of vitamins A, B-complex, C, and K, as well as zinc and copper, present with a wide range of skin manifestations. These include xerosis, dermatitis, hyperkeratosis, hyperpigmentation, and petechiae. Diagnosis involves a combination of dietary history, clinical examination, and laboratory tests to assess nutritional status. Treatment requires nutritional supplementation tailored to the specific deficiency, alongside supportive dermatological care. Conclusion: Dermatological manifestations are often the first indicators of nutritional deficiencies in children. Early recognition and a multidisciplinary approach to diagnosis and treatment are essential to improve outcomes. Future research should focus on integrating nutritional interventions with dermatological care to enhance recovery and prevent recurrence. Latar Belakang: Defisiensi nutrisi merupakan masalah kesehatan global yang signifikan, terutama pada anak-anak, karena dapat mengganggu pertumbuhan dan perkembangan. Kulit sering kali mencerminkan tanda-tanda awal defisiensi nutrisi, termasuk ketidakseimbangan makronutrien dan mikronutrien, yang dapat muncul sebagai gejala dermatologis spesifik. Identifikasi dini manifestasi ini sangat penting untuk mencegah morbiditas dan mortalitas jangka panjang. Tujuan: Tinjauan ini bertujuan untuk mengetahui hubungan antara defisiensi nutrisi dan penyakit kulit pada anak-anak, dengan melihat gambaran klinis, pendekatan diagnostik, dan strategi pengobatan yang efektif. Metode: Tinjauan literatur komprehensif dilakukan menggunakan studi dan laporan kasus yang relevan mengenai manifestasi dermatologis pada anak akibat defisiensi makronutrien dan mikronutrien. Diskusi: Defisiensi nutrisi, termasuk malnutrisi energi-protein, defisiensi asam lemak esensial, serta defisiensi vitamin A, B-kompleks, C, dan K, serta zinc dan tembaga, menunjukkan berbagai manifestasi kulit seperti xerosis, dermatitis, hiperkeratosis, hiperpigmentasi, dan petechiae. Diagnosis melibatkan kombinasi riwayat diet, pemeriksaan klinis, dan tes laboratorium untuk menilai status nutrisi. Pengobatan memerlukan suplementasi nutrisi yang disesuaikan dengan defisiensi spesifik, disertai perawatan dermatologis suportif. Kesimpulan: Manifestasi dermatologis sering kali menjadi indikator pertama defisiensi nutrisi pada anak-anak. Pengakuan dini dan pendekatan multidisiplin untuk diagnosis dan pengobatan sangat penting untuk meningkatkan hasil. Penelitian di masa depan perlu berfokus pada integrasi intervensi nutrisi dengan perawatan dermatologis untuk meningkatkan pemulihan dan mencegah kekambuhan.