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Case Report: Generalize Pustular Psoriasis Pregnancy (GPPP) in Multiple Pregnancies Aida Musyarrofah; Probo Yudha Pratama Putra; Dwi Nurwulan Pravitasari; Yulia Nugrahanitya
Asian Journal of Health Research Vol. 1 No. 3 (2022): Volume 1 No 3 (December) 2022
Publisher : Ikatan Dokter Indonesia Wilayah Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55561/ajhr.v1i3.34

Abstract

Introduction: General Pustular psoriasis pregnancy (GPPP) is a dermatosis that occurs in pregnancy and requires serious management to reduce the risk of mortality and morbidity in both pregnancy mother and fetus. This disorder is also called impetigo herpetiform. Case Presentation: We report a woman with multiple pregnancies, G3P2A0 at 21 weeks gestation, with well-defined erythematous macules 5–10 cm in diameter, partly coalescent, with thick scales, and 0.1–0.2 cm diameter pustules and leukocytosis. Patients receive 1 mg of dexamethasone every morning, clobetasol cream 0.05% twice daily, gentamycin 0.1% three times daily, and 3% salicylic acid cream, while to avoid the emergence of preeclampsia aspirin is given at a low dose of 75 mg/day, and we use vipalbumin to treat hypoalbuminemia. The patient gave birth to premature twins by normal delivery. Conclusion: GPPP is a rare dermatosis with serious risks and consequences for both mother and child. Supportive management is needed to maintain pregnancy and prevent complications.
Analisis Faktor Risiko Akne Vulgaris Pada Pelajar Ratna Wulandari; Dwi Nurwulan Pravitasari; Rubayat Indradi; Asri Nugrahandini Putri
CoMPHI Journal: Community Medicine and Public Health of Indonesia Journal Vol. 3 No. 2 (2022): Oktober
Publisher : Perhimpunan Dokter Kedokteran Komunitas dan Kesehatan Masyarakat Indonesia (PDK3MI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37148/comphijournal.v3i2.110

Abstract

Acne vulgaris (AV) is a chronic skin disease in polysebaceous unit.The incidence of AV in Indonesia is 48-52%. Skin type and facial skin hygiene are triggers for AV. This disease is often complained to adolescents and become quite serious health problems. Someone with oily skin and lack of facial hygiene that can increase the AV phenomenon. Therefore, it is necessary to attend about skin types and facial hygiene to prevent the occurrence of AV in adolescents.It Is todetermine relationship between skin type and facial skin hygiene in teenager aged withtheexistence of AV inSMKMuhammadiyah2Malang.It use observational analytic study with cross sectional approach. Thesubjects were all students of SMKMuhammadiyah2Malang in academic year 2019/2020 who didn’t gettreatment AV from doctor. SamplingbyStratified Random Sampling, and found 79 respondents. Analyzed by Chi-squareand logistic regression.According to theChi-square test showed, other was a relationship between skin type (p=0.00) and facial hygiene (p=0.00) with AV. The logistic regression results showed thatskintype hadan effect (p=0.001) on AV with 54 times greater chance ofoilyskin type being exposed toAV.There’s relationship between skin type and facial skin hygiene in teenageraged withtheexistence ofAV inSMKMuhammadiyah2Malang.
Relationship of genetic factors to the degree of Acne vulgaris as one of the predisposing factors in student Faculty of Medicine University of Muhammadiyah Malang Dwi Nurwulan Pravitasari; Ratna Wulandari; Sri Adila Nurianiwati; M Yuliansyah Aldi Kurniawan; Raihan Fatihka Devi
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 7 No 2 (2023): Journal Qanun Medika Vol 07 No 02
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v7i2.17145

Abstract

Acne vulgaris is a skin disease, a chronic inflammation that affects the poly sebaceous glands, especially on the face and neck. One of the endogenous causes that influence the occurrence of acne vulgaris is a genetic and hormonal predisposition. Family history of acne is one of the risk factors in family genetics associated with the onset of the disease, the difficulty of therapy, and the risk for relapse. This research aimed to explain the relationship between genetic factors to the degree of acne vulgaris as one of the predisposing factors. This research was observational analytic, using purposive sampling as the sampling method and collecting data using a cross-sectional questionnaire. Statistical analysis between variables shows that age was not related (p = 0,790), while gender was not related (p = 0,066), the father's genetic history was related (p = 0,001), and mother's genetic history was not related (p = 0,390). In conclusion, among the factors that were analyzed, the father's genetic history was the only one which has a relationship in aggravating the degree of acne vulgaris.
Hubungan Pengetahuan Dan Perilaku Penggunaan Masker Sebagai Usaha Pencegahan Penularan Covid-19 Anung Putri Illahika; Dwi Nurwulan Pravitasari; Feny Tunjungsari
Jurnal Infokes Vol 13 No 2 (2023): Jurnal Ilmiah Rekam Medis dan Informatika Kesehatan
Publisher : Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/infokes.v13i2.2287

Abstract

COVID-19 merupakan suatu penyakit menular yang disebabkan oleh salah satu jenis koronavirus. Hadirnya COVID-19 hingga menjadi suatu pandemik membutuhkan penanganan yang serius di setiap tahap, termasuk salah satunya di tahap pencegahan. Sosialisasi program 3M (mencuci tangan, memakai Masker, menjaga jarak) perlu dilakukan dengan berfokus pada kegiatan pencegahan sebagai upaya menjadikan individu memiliki pola pikir, sikap, dan disiplin dalam menerapkan adaptasi baru tersebut. Penelitian ini diharapkan dapat menggambarkan efektivitas penyuluhan penggunaan masker terhadap pencegahan penularan COVID-19 pada penghuni Panti Asuhan. Penelitian pada tahun 2022 dan dilaksanakan pada 29 orang penghuni Panti Asuhan Putri Aisyiah di Kota Malang. Instrumen penelitian menggunakan kuesioner dan media penyuluhan. Sebelum dilaksanakan penyuluhan diberikan pre test dan post test setelah penyuluhan untuk menilai efektifitas penyuluhan penggunaan masker. Hasil analisis dengan uji Wilcoxonmenunjukkan bahwa ada terdapat perbedaan pengetahuan dan perilaku yang bermakna antara sebelum penyuluhan dengan sesudah dilakukan penyuluhan. Hasil uji korelasi juga menunjukkan bahwa peningkatan pengetahuan remaja tentang penggunaan masker yang baik dan benar turut serta meningkatkan perilaku mereka untuk menggunakan masker secara baik dan benar.
Family Behavior Model with Amount Cases in Odgj Case Study in Parringan Jenangan Village, Ponorogo Eky Okviana Armyati vivi; Nurul Sri Wahyuni; Dwi Nurwulan Pravitasari; Dian Laila Purwoningrum
Saintika Medika Vol. 19 No. 1 (2023): June 2023
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol19.SMUMM1.28347

Abstract

Family is a primary group consisting of two or more people who have a network of interpersonal interactions, blood relations, marital relations, and adoption. (kependudukan.co.id). Role of Families with ODGJ Based on the causes of mental disorders, patients who experience mental disorders need the role of various parties for the healing process, including psychiatrists who can provide psychopharmacology, clinical psychologists who can provide psychoeducation and psychotherapy, health cadres who can monitor the patient's condition and helping the patient's family to refer to a health facility. When they see people with mental disorders going berserk, what they do is most do is scream for help, 83% of people scream when disturbed by ODGJ. Apart from that, when there is an ODGJ going berserk, the most important thing the community does is ask for help from other people, 60% of people choose to ask others for help when they are disturbed by ODGJ. Of the 30 people who were asked what they did when ODGJ went berserk. What they usually do is call the health worker or seek help from others.
Pengaruh Asap Rokok Elektronik (E-Cigarettes) Dan Konvensional Terhadap Trakea Dan Jantung Tikus Putih Jantan andari, desy; Kharimah, Yusrotun; Harianja, Ade Friskilla; Pravitasari, Dwi Nurwulan
E-Jurnal Medika Udayana Vol 12 No 3 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i03.P07

Abstract

Electronic cigarettes (e-cigarette) smoker was increasing from 0.3% in 2011 to 2.5% in 2015. E-cigarettes claimed to be safe for smoker, but subsequent research has shown that e-cigarette smoke also contains harmful ingredients beside nicotine, like carbon monoxide (CO). These contents presumed to increase the goblet cells in the trachea and can cause myocardial ischemia in the left ventricle of the heart which leads to necrosis. This study was conducted to determine the effect of e-cigarette and conventional cigarette smoke on tracheal goblet cells and left ventricular necrosis of the heart of male white rats (Rattus norvegicus strain wistar). Experimental study with post-test control only group design. 16 rats were divided into 4 groups: normal group, conventional cigarette group (kretek) with 2.3 mg nicotine, 3 mg nicotine e-cigarette, and 0 mg nicotine e-cigarette. Trachea and heart of rats were prepared using HE-staining and observed with a light microscope with 400x magnification. All data were analyzed using One-way ANOVA, Kruskall Wallis and Post-Hoc tests. Cigarette smoke had a significant effect on tracheal goblet cell (ANOVA p=0.000) and left ventricular necrosis of the heart (Kruskal Wallis p=0.002). Post-Hoc test showed a significant difference in the number of goblet cells and left ventricular necrosis of the heart (p (-- removed HTML --) 0.005). This is due to the toxic materials such as carbon monoxide, propylene glycol, formaldehyde, nitrosamines, and other carcinogenic substances. E-cigarette and conventional cigarettes smoke could affect increasing of tracheal goblet cells and left ventricular necrosis of rat.
Comparison of Risk Factors Use Personal Protection Equipment and Exposure to Sulphate Content with Irritant Contact Dermatitis in Car Washing Officers in Malang City Pravitasari, Dwi Nurwulan; Nerdenaesti, Aliyyudestrina Windya; Danurwendra, Syahdan Millenia; Illahika, Anung Putri
Jurnal Ilmu Kesehatan dan Kesehatan Vol 7 No 01 (2023): FEBRUARY
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v7i01.3846

Abstract

Background: Irritant contact dermatitis (ICD) is an occupational disease that involves non-immunological inflammatory mechanisms of the skin, resulting from a response to exposure to irritants, physical, or biological. ICD disease often occurs in car wash employees who are exposed to laundry soap containing sulfate. Most of the factors that cause ICD are the length of exposure to chemicals or from the workers themselves such as knowledge, use of personal protective equipment, and personal hygiene. The purpose of this study was to determine the effect of using personal protective equipment (PPE) and exposure to sulfate content of car wash soap on the incidence of ICD in car wash employees in the city of Malang with and without a history of skin disease. Method: The research method uses an analytic observational research type with a cross sectional design. The samples studied were 84 respondents who were car wash employees in the city of Malang, both those who had a history of skin diseases (39 respondents) and those who did not have a history of skin diseases (45 respondents). Data were analyzed using univariate and bivariate tests with SPSS application. Results: The results of the chi square test showed that there were significant differences in risk factors (p < 0.05) on the incidence of ICD. Conclusion: The conclusion of this study is there is an effect of the use of PPE and exposure to sulfate content on the incidence of ICD in car wash employees in the city of Malang with and without a history of skin diseases.
PENGARUH PENGGUNAAN ALAT PELINDUNG DIRI TERHADAP DERMATITIS KONTAK PADA PETANI TEBU Amalla, Fadilatul Khusna; Pravitasari, Dwi Nurwulan; Setiawan, Indra; Setyawan, Febri Endra Budi
CoMPHI Journal: Community Medicine and Public Health of Indonesia Journal Vol. 5 No. 1 (2024): Juni
Publisher : Perhimpunan Dokter Kedokteran Komunitas dan Kesehatan Masyarakat Indonesia (PDK3MI)

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

Abstract

Latar Belakang : Dermatitis kontak akibat kerja (DKAK) adalah penyakit kulit akibat paparan bahan iritan dan alergen selama bekerja. DKAK tidak menular dan berbahaya tetapi menyebabkan penurunan kualitas hidup dan rasa tidak nyaman akibat gejala yang ditimbulkan. Petani tebu selama bekerja seringkali terkena bulu yang menempel pada daun dan batang tebu, serta pupuk kimia sehingga beresiko terkena DKAK. Hal ini dapat dicegah dengan menggunakan APD selama bekerja. Penggunaan APD dapat mengurangi paparan bahan iritan dan kimia selama selama bekerja. Tujuan : Mengetahui pengaruh faktor resiko penggunaan alat pelindung diri terhadap kejadian dermatitis kontak akibat kerja apada petani tebu Desa Pakisjajar Kecamatan Pakis Kabupaten Malang. Metode : Metode penelitian menggunakan observasional analitik dengan rancangan cross-sectional. Alat pengambilan data menggunakan kuesioner. Analisis data menggunakan SPSS. Hasil : Hasil analisis menggunakan uji statistik koefisien kontingensi diperoleh hasil p 0,000 ; p < 0,05 maka terdapat pengaruh penggunaan APD terhadap kejadian DKAK pada petani tebu Desa Pakisjajar Kec. Pakis Kab. Malang. Berdasarkan nilai value koefisien kontingensi sebesar 0,508, dapat disimpulkan bahwa kekuatan hubungan antara penggunaan APD dengan kejadian DKAK termasuk dalam kategori hubungan sedang. Kesimpulan : Terdapat pengaruh faktor resiko penggunaan APD terhadap kejadian DKAK pada petani tebu Desa Pakisjajar Kec. Pakis Kab. Malang
Factors Abssociated With Occupational Irritant Contact Dermatitis In Cleaning Service Dwi Nurwulan Pravitasari; Raihan Fatihka Devi; Probo Yudha Pratama Putra
Farmasains : Jurnal Farmasi dan Ilmu Kesehatan Vol. 8 No. 2 (2023)
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/farmasains.v8i2.34815

Abstract

Occupational contact dermatitis is one of the occupational diseases which often arises due to contact with materials in the work environment. Cleaning service (CS) is an example of a job exposed to daily irritants that can cause skin irritation. The study used an analytic observational method with a cross-sectional approach. The population of CS throughout the University of Muhammadiyah Malang is 42 people with simple random sampling. The research data used a questionnaire from the Health and Safety Executive UK (HSE UK). The analytical technique used is the Fisher Exact and Kruskal Wallis test (alternative chi-square) in the bivariate test and logistic regression in the multivariate test. Bivariate analysis showed there was no specific relationship between the length of work (p= 0.178), duration of exposure (p= 0.068), and length of exposure (p= 1,000) in CS employees at the University of Muhammadiyah Malang, while in multivariate analysis it was not influenced by the same effect, significance (sig wald duration of exposure 0.851 and length of work 0.070). The incidence of occupational contact dermatitis caused by irritants often occurs after exposure, so there is no conclusion on the length of work, duration of exposure, and length of exposure.
Profil pengetahuan dan penanganan awal demam anak usia pra sekolah Anung Putri Illahika; Dwi Nurwulan Pravitasari; 'Iffah Najati Ummi' Afro; Dinda Alifia Darmajik
PROMOTIF: Jurnal Pengabdian kepada Masyarakat Vol. 1 No. 2 (2021): PROMOTIF: Jurnal Pengabdian Kepada Masyarakat
Publisher : Universitas Negeri Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17977/um075v1i22021p125-132

Abstract

Seorang anak membutuhkan kesehatan yang baik untuk melalui fase pertumbuhan dan perkembangan. Maka dari itu, kesehatan anak harus terjaga agar dapat menjalani fase pertumbuhan dan perkembangan dengan baik. Angka kesehatan anak usia pra sekolah masih menduduki posisi yang rendah dengan rata-rata dalam 1 minggu terdapat 2 siswa mengalami keluhan kesehatan. Beberapa keluhan kesehatan termasuk demam. Kegiatan ini bertujuan untuk memberikan tambahan pengetahuan mengenai demam dan penanganannya. Metode yang digunakan yaitu penyuluhan dan workshop secara daring, dengan media power point, video, poster atau leaflet serta modul. Adapun tahapan pelaksanaannya adalah penyuluhan, workshop dan analisis data. Hasil dari kegiatan ini adalah 40% ibu memiliki pengetahuan yang buruk tentang demam, namun setelah kegiatan pelatihan berkurang menjadi 32,5%. Dalam pelaksanaan penanganan awal demam sebesar 55% ibu mampu melakukan dengan baik, peningkatan persentase 85% didapat setelah responden mengikuti kegiatan ini. Kesimpulan yang dapat diambil adalah metode pemahaman ibu mengenai demam dan pelaksanaan penanganan awal demam meningkat dengan adanya penyuluhan disertai workshop.