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All Journal JURNAL PENDIDIKAN TAMBUSAI PREPOTIF : Jurnal Kesehatan Masyarakat JOURNAL LA MEDIHEALTICO jpki Innovative: Journal Of Social Science Research JOURNAL OF Qualitative Health Research & Case Studies Reports
Fujiko, Masita
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Journal : JOURNAL LA MEDIHEALTICO

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Case Report: The Effect of Ajwa Date Consumption on Total Cholesterol Levels in Perimenopausal Women Hamsah, M.; Aman, Abadi; Mappaware, Nasrudin Andi; Fujiko, Masita; Royani, Ida; Fortuna, Andi Cita Nadya
Journal La Medihealtico Vol. 5 No. 3 (2024): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v5i3.1377

Abstract

Based on the 2016 Riskesdas, the prevalence of high cholesterol in Indonesia among women aged 35-59 years was 52.9%, and among those aged ≥60 years, it was 58.7%. According to provincial data, the highest percentage of patients with high cholesterol levels at Posbindu and FKTP in Indonesia was in West Papua Province, reaching up to 70%. The concentration of cholesterol levels in women's blood tends to increase with age, particularly for those over 40 years old, due to hormonal factors, especially the decrease in estrogen production and function. The decline in estrogen levels leads to an increase in lipids or total cholesterol, resulting in changes in body fat composition associated with hypercholesterolemia. This case report aims to investigate the impact of consuming Ajwa dates on the total cholesterol levels of perimenopausal women. Results: Ajwa dates contain higher polyphenol concentrations with an impressive nutritional profile that enhances blood lipoproteins. Additionally, dates can increase estrogen levels due to the estradiol and estrone present in their pollen. Several experimental studies have shown a significant difference in total cholesterol levels in subjects before and after consuming Ajwa dates. Conclusion: There is a notable difference in total cholesterol levels before and after the administration of Ajwa dates.
Ureteric Injury During Hysterectomy: A Case Report Ulfa, Nura; Irianta, Trika; Hamsah, M.; A.M., Nasrudin; Fujiko, Masita; Nulanda, Mona
Journal La Medihealtico Vol. 6 No. 6 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i6.2753

Abstract

Ureteral trauma is an uncommon but serious iatrogenic complication of hysterectomy, with risk influenced by surgical indication, patient factors, and intraoperative conditions. A 50-year-old woman presented with oliguria six days after hysterectomy for uterine myoma. She had abdominal distension and mild tenderness, with laboratory findings showing impaired renal function. Ultrasonography revealed bilateral hydroureteronephrosis and intraperitoneal ascites. Emergency exploratory laparotomy identified approximately 1.5 liters of intraperitoneal urine, bilateral ureteral dilatation, and bilateral distal ureteral ligation with urine leakage. Surgical management included intraperitoneal drainage, bilateral ureteroneocystostomy, ureteral stenting, peritoneal lavage, and bladder drainage. Eight days later, the patient developed abdominal wound dehiscence and underwent bilateral ureterocutaneostomy in collaboration with a urology surgeon. At follow-up, the patient showed gradual improvement and was able to resume daily activities under regular outpatient monitoring. Management of ureteral trauma depends on the timing of diagnosis, extent of injury, and associated complications. Early recognition and appropriate surgical intervention are essential to preserve renal function and reduce morbidity. Bilateral ureteral ligation is a rare but severe complication of hysterectomy, often presenting with postoperative anuria or oliguria and requiring urgent urological management. Careful intraoperative identification of the ureters and close monitoring of urine output are critical to prevent and promptly detect ureteral injury.
Co-Authors A.M., Nasrudin Abdul Rahman Ahmad Agil Aman, Abadi Andi Mappaware, Nasrudin Apriliani, Aulia Putri Arfah, Arni Isnaini Azis, Uyuni Bakri, Sri Intan Akmal Efendy, Rizki Amalia Fadli, Alfian Farid Abdullah, Farid Fortuna, Andi Cita Nadya Haeriyanti, Haeriyanti Hamsah, M. Harahap, Muhammad Wirawan Hasir, Julia M. Yogi Riyantama Isjoni Mappaware, Nasrudin Mappaware, Nasrudin Andi Mokhtar, Shulhana Mujihad, Andi Nulanda, Mona Oddang, Andi Rahayu, Besse Resky Rakhmah, Nur Salahuddin Salahuddin Salsabila, Fitra Amalia Santy, Irma Sasmita, Irsanti Suhardin, Nur Isra Awaliyah Sukamto, Ika Sumiyarsi Susanti, Maya Syahril, Erlin Syahruddin, Febie Irsandy Syam, Widya Dian Pratiwi T. Chalid, St Maisuri Tahir, Mardiah Trika Irianta Ulfa, Nura