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All Journal Indonesian Journal of Tropical and Infectious Disease Health Notions SURABAYA PHYSICAL MEDICINE AND REHABILITATION JOURNAL JOURNAL OF COMMUNITY MEDICINE AND PUBLIC HEALTH RESEARCH CURRENT INTERNAL MEDICINE RESEARCH AND PRACTICE SURABAYA JOURNAL Indian Journal of Forensic Medicine & Toxicology Jurnal Ilmiah Kesehatan (JIKA) Jurnal Keperawatan BSI The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy Jurnal Penyakit Dalam Indonesia Journal Medical Informatics Technology
Novira Widajanti, Novira
Departemen Ilmu Penyakit Dalam, RSUD Dr. Soetomo
Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Computer Science & IT Dentistry Earth & Planetary Sciences Engineering Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Acute Pyrethroids Insecticide Ingestion in An Elderly Patient Yhan Batista; Novira Widajanti
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i4.17140

Abstract

Insecticide ingestion is not an uncommon phenomenon found in daily practices. An elderly woman, 69-yearold,was rushed to emergency room due to household cleaning liquid ingestion. There was a history of previoussuicide attempt and severe depressive episode before. Since there was no sign of severe intoxication, patientreceived symptomatic treatment. Patient was discharged with symptomatic treatment and antidepressants.
Profile of Muscle Strength and Physical Performance with the Incidence of Urinary Incontinence in Elderly Women Jihan Nabila Pranjasdhina; Novira Widajanti; Rwahita Satyawati Dharmanta
Health Notions Vol 5, No 3 (2021): March
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn50304

Abstract

Introduction: The 200 million people in the world experience urinary incontinence. In general, with increasing age, the capacity of the bladder decreases. The remaining urine in the bladder tends to increase and irregular contraction of the bladder muscles becomes more frequent. This situation often makes the elderly experience problems with the fulfillment of urine elimination needs, namely urinary incontinence. Efforts to overcome urinary incontinence in the form of bladder training programs are aimed at developing muscle tone and bladder sphincter so that it can function optimally. Objective: Knowing the profile of muscle strength and physical performance with the incidence of urinary incontinence in elderly women. Methods: This research was a retrospective descriptive study based on the results of filling out the questionnaire and evaluating it directly. Based on tabulated data, 38 elderly women were selected as the study sample. Results: There were (42.1%) urinary incontinence on elderly with very poor left hand muscle strength and (50%) urinary incontinence on elderly with very poor right hand muscle strength. In physical performance with urinary incontinence as many as (57.8%) were normal and (42.1%) were poor. Conclusions: Muscle strength and physical performance can be used as a measurement to early detection of the urinary incontinence. Keywords: urinary incontinence; muscle strength; physical performance; descriptive retrospective study
Comparison of Sarcopenia Diagnostic Component Between Two Age Groups in Men Yahya Taqiuddin Robbani; Novira Widajanti; Nuniek Nugraheni Sulistiawaty
Health Notions Vol 4, No 6 (2020): June
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn40604

Abstract

Sarcopenia is a condition which characterized by loss of muscle mass, muscle strength and muscle function due to aging. Some study found that sarcopenia prevalence was more common in men than women. This study aims to determine the comparison of sarcopenia diagnostic component between two group ages in men by observing and comparing muscle mass, handgrip strength and usual gait speed according to Asian Working Group on Sarcopenia (AWGS) diagnostic criteria that analyzed by Independent Sample T Test. The sample size with consecutive sampling technique was 149 mens which divided into two groups based on ages of elderly over 60 years (n = 73) and young adult between 18-40 years (n = 76). From the independent sample t test results, there was significant difference of muscle mass mean, handgrip strength mean and gait speed mean between elderly group and young adult group by 2.467 (SD ± 0.1454) kg/m2 (t(98.350) = -16.969; p = 0.000), 10.455 (SD ± 1.0983) kg (t(147) = -9.519; p = 0.000) and 0.4753 (SD ± 0.2808) m/s (t(11.636) = -16.747; p = 0.000) which means along with increasing age, sarcopenia diagnostic components value, i.e. muscle mass, muscle strength, and physical performance will also decrease. Keywords: sarcopenia; bioelectric impedance analysis; handgrip strength; gait speed; AWGS
The Relationship Between Clinical Manifestation and Histopatological Result in Non- Hodgkin Lymphoma: RSUD Dr. Soetomo Surabaya Glazydia Juwita Rachma; Ugroseno Yudho Bintoro; Mia Ratwita Andarsini; Novira Widajanti
Health Notions Vol 5, No 4 (2021): April
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn50405

Abstract

Non-Hodgkin's lymphoma is a major public health problem with over 14.1 million people are diagnosed with it (2012). In the same year there were 8.2 million deaths due to cancer. The purpose of this study was to determine the relationship between clinical manifestations and the degree of malignancy based on histopathological features in patients with Non-Hodgkin's Lymphoma. This study used a retrospective analytical method with a cross-sectional approach using the patient's medical record at RSUD Dr. Soetomo, Surabaya who was diagnosed with Non-Hodgkin Lymphoma from 1st January 2015 to 31st December 2017. In this study, there were 139 samples include those criteria, with a greater number of male samples (62.6%) compared to women (37.4%). This study showed that 49.3% of patients with non- Hodgkin's lymphoma in RSUD Dr. Soetomo with clinical manifestations without symptoms actually experience malignancy with a high degree, this showed that clinical manifestations without symptoms are not always associated with a low level of malignancy. Then, based on the Chi Square test results obtained p-value of 0.289 (>0.05), so there was no significant relationship between clinical manifestations and the degree of malignancy. Keywords: lymphoma; manifestation; histopatological
Several Factors Associated With Nitrogen Balance In Elderly Patients Zurriyani Zurriyani; Jusri Ichwani; Novira Widajanti
Current Internal Medicine Research and Practice Surabaya Journal Vol. 1 No. 1 (2020): CURRENT INTERNAL MEDICINE RESEARCH AND PRACTICE JOURNAL SURABAYA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cimrj.v1i1.16828

Abstract

BackgroundNitrogen balance is the method used to assess the protein adequacy. A negative nitrogen balance means that the body suffers from protein energy malnutrition.ObjectiveTo determine the risk factors that associated with nitrogen balance in the elderly patients who were inpatient in IRNA Internal Medicine Dr.Soetomo Hospital.MethodsThe experimental design of the research used was analytic observational with the cross-sectional design. The study was conducted of 50 elderly patients. Risk factors measured were protein intake using food recall and nitrogen excretion that expressed in Urea Nitrogen Urine (gr / 24 h). The nitrogen balance was derived from the difference between nitrogen intake and nitrogen excretion in 24 hours. Bivariate data analysis using Chi square or exact fisher test, while multivariate data analysis using logistic regression test.ResultsIn bivariate analysis, risk factors significantly associated with negative nitrogen balance were decreased renal function (LFG <90 ml / min / 1.73 m2), prolonged bed rest> 7 days and malnutrition. Other risk factors not significantly associated with negative nitrogen balance were diabetes mellitus, random blood sugar> 180 mg / dl, hypoalbumin and CRP> 6 mg / dl. In multivariate analysis showed the decrease of renal function and duration of bed rest > 7 days was significant.ConclusionThe decreased renal function and bed rest for more than 7 days was a risk factor for protein malnutrition in elderly patients.
Comparison Of The Function Of Neutrophil Cells Oxidative Burst Among Various Group Ages Dwi Setyawan; Gatot Sugiarto; Novira Widajanti
Current Internal Medicine Research and Practice Surabaya Journal Vol. 1 No. 1 (2020): CURRENT INTERNAL MEDICINE RESEARCH AND PRACTICE JOURNAL SURABAYA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cimrj.v1i1.17091

Abstract

Background: In old ages there is a change in the immune system along with the aging process called the term immunosenescence. Neutrophil cells play an important role in natural immunity because they are the first immune cells to be deployed in the body's defenses.Objective: To prove that there is a difference in the function of neutrophil cell oxidative burst in older age group compared with the younger age group as well as the tendency of decreased oxidative burst function of neutrophil cells with increasing age.Method: This is a cross-sectional observational analytic study involving 48 healthy subjects. The subjects were divided into 3 age groups: young age (18-40 years old), middle age (41-59 years old), and old age ≥60 years old). Each of them were examined for the function of neutrophil cells oxidative burst. The data were then analyzed using one-way ANOVA test. The result was considered significant if p<0.05.Results: The obtained mean age 59.26±8.03 years old. The mean age for young age group was 28.75±6.66 years old. The mean of middle age group was 50.19±5.46 years old. The mean age of old group was 66.38±3.83 years old. The mean of netrofil oxidative burst cell function was 96.83±2.7% with mean of young age being 98.57±0.98%, middle age 97.71±1.64%, and old age 94.20±3.56%. One way ANOVA comparison analysis showed a significant difference with p = 0.000 (significant when p <0.05). The result of Rank Spearman test showed significant result with r=-0.590 (p=0.000).Conclusion: There are differences in the function of neutrophil cells oxidative burst between young and old age groups. There is a negative trend between the age group and the function of neutrophil cell oxidative burst. The increase of age causes decrease in the function of neutrophil cells oxidative burst.
SUICIDE ATTEMPT IN ELDERLY: AN OVERLOOKED COMPLICATION OF LATE-LIFE DEPRESSION Yhan Batista; Novira Widajanti; Agustina Konginan
Current Internal Medicine Research and Practice Surabaya Journal Vol. 3 No. 1 (2022): CURRENT INTERNAL MEDICINE RESEARCH AND PRACTICE SURABAYA JOURNAL
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cimrj.v3i1.32537

Abstract

Suicide attempt in the elderly is underestimated and underreported due to cultural reference. Triggering factors may be the results of stressful life events or acquired late-life depression. An elderly woman, 69-year-old, was rushed to the emergency room due to household cleaning liquid ingestion. There was a history of previous suicide attempts and severe depressive episodes before. Since there was no sign of severe intoxication, then, the patient was treated symptomatically. Comprehensive geriatric and psychiatric assessments concluded that the patient was in a depressive state. The patient was discharged with symptomatic treatment and antidepressants but two weeks later she completed the course by drowning herself in a river.  
Efektivitas Terapi Latihan pada Pasien Parkinson dengan Barthel Index Skor Salma Maha Rhani; Nuniek Nugraheni; Novira Widajanti
Jurnal Ilmiah Kesehatan (JIKA) Vol. 3 No. 3 (2021): Volume 3 Nomor 3 Desember 2021
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (917.932 KB) | DOI: 10.36590/jika.v3i3.186

Abstract

Parkinson’s disease is the second most neurodegenerative disease after Alzheimer. This disease attacks approximately 1% of total world population. The proportion of the elderly population (?60 years) in Indonesia is increasing. This increase has a consequence, as a result of the decline in bodily functions causing increasingly the number of degenerative diseases in this age group. Until now, there has been no definitive treatment that can cure this disease thoroughly. Despite optimal medical treatment and neurosurgical intervention, people with Parkinson still experience progressive disability. The role of rehabilitation to maximize motoric and cognitive abilities as well as independence was suggested to improve the quality of life. This study aimed to determine the effectiveness of the exercise therapy in handling of Parkinson's patients in medical rehabilitation installation of RSUD Dr. Soetomo evaluated with Barthel Index. This research was a retrospective-analytic with a cross-sectional study design. The number of subjects was 24 with the criteria Parkinson patients who undergo exercise therapy for 3 months, had comorbid degenerative diseases, and did routine therapy twice a week. Subjects who met the criteria are interviewed using the Barthel Index questionnaire as an instrument. Statistical analysis was done with Wilcoxon-Signed Rank Test. P value of ? 0.05 was considered statistically significant. There was significant result of the effectiveness of exercise therapy in Parkinson's patients at the Medical Rehabilitation Installation at RSUD Dr . Soetomo (p=0,001). Exercise therapy is effective in treating Parkinson's patients at the Medical Rehabilitation Installation at RSUD Dr. Soetomo.
Constipation in Elderly Population and Its Appropriate Management Alvin Hartanto Kurniawan; Ulfa Kholili; Novira Widajanti
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy Vol 21, No 3 (2020): VOLUME 21, NUMBER 3, December 2020
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (495.59 KB) | DOI: 10.24871/2132020212-219

Abstract

Constipation is a gastrointestinal disorder commonly found in the community, especially in the elderly with various comorbidities. This problem culminates with the increasing incidence along with aging, increasing therapeutic cost, and decreasing the quality of life in this population. Some of the underlying causes are the difference in the terminology of constipation, shallow understanding of its pathophysiology, and poor management. The pathophysiology, including slow transit constipation, dyssynergic defecation, and normal transit constipation, is the most critical foundation in managing constipation accordingly. Diagnostic approaches should be made by history taking, including complaints based on Rome III, lifestyle, contributing factors, past medical history, and medications. Physical examination is considered incomplete without rectal examination. Thorough history taking and comprehensive physical examination have more diagnostic value than additional physiological workup. Management of constipation consists of non-pharmacological and pharmacological approaches, such as conventional laxative or more recent agents with better efficacy. Therapeutical management should correspond to the underlying pathophysiology. Therefore it is important to be able to recognize constipation and make the right management approach in the elderly.
SYSTEMATIC REVIEW: KOMUNITAS WANITA LANSIA DAN FAKTOR RISIKO INKONTINENSIA URIN DI WILAYAH ASIA Alya Shafira Hewiz; Novira Widajanti; Lukman Hakim; Rwahita Satyawati
Jurnal Keperawatan BSI Vol 10 No 2 (2022): Jurnal Keperawatan BSI
Publisher : LPPM Universitas BSI

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

Abstract

Knowledge of how the condition of elderly women in the community, especially in the Asian region, is interesting to know. Especially related to the study of risk factors and the relationship with urinary incontinence. This study aims to determine the risk factors and association with urinary incontinence in elderly women in particular in the Asian region. The method used is the PRISMA guidelines to be used as a systematic review. Sources of research data obtained from the data center. PubMed and Science Direct research in the period 2000-2020 with exclusion and inclusion criteria. Assessments are carried out for quality and risk using a standardized scoring system. Based on research in the Asian region, 3 articles were selected. Information obtained in communities in the Asian region in elderly women that the prevalence of urinary incontinence ranges from 19%–31.3%. Urinary incontinence is influenced by many factors, namely age, BMI, and smoking habits. The conclusion is that urinary incontinence is often experienced by elderly women in the Asian region and many factors can cause urinary incontinence. Awareness about urinary incontinence in elderly women can help better management.
Co-Authors Agustin Junior Nanda Deniro Agustin Junior Nanda Deniro, Agustin Junior Nanda Alvin Hartanto Kurniawan Alya Shafira Hewiz Arlia Ayu Damayanti Damayanti, Arlia Ayu Diar Meitha Wardhana Dwi Setyawan Erika Marfiani Fadhil Abiyyu Yofi Faizah, Ummi Ziyadatul Firdaus, Hadiq Gatot Sugiarto Glazydia Juwita Rachma Hadiq Firdaus Hadiq Firdausi Hemma Wahyuda Indirayani Hewiz, Alya Shafira husna, kholidatul Ichwani, Jusri Indirayani, Hemma Wahyuda Jihan Nabila Pranjasdhina Jusri Ichwani Kholidatul Husna Konginan, Agustina Kristiana, Titin Lukman Hakim Lukman Hakim Maranatha, Daniel Mia Ratwita Andarsini Mifta Nurmalasari Muhammad Amin Nuniek Nugraheni Nuniek Nugraheni Sulistiawati Nurmalasari, Mifta Rhani, Salma Maha Rwahita Satyawati Rwahita Satyawati Dharmanta Salma Maha Rhani Sri Sumarmi Sri Sumarmi Ugroseno Yudho Bintoro Ulfa Kholili Wardhana, Diar Meitha Yahya Taqiuddin Robbani Yhan Batista Yhan Batista Yofi, Fadhil Abiyyu Zurriyani Zurriyani