Articles
Pola Dermatom pada Herpes Zoster di Poliklinik Kulit dan Kelamin RSUP Dr. M. Djamil Padang
Putri Sabila Hidayat;
Rina Gustia;
Satya Wydya Yenni
Jurnal Ilmu Kesehatan Indonesia Vol 1 No 2 (2020): Juli 2020
Publisher : Fakultas Kedokteran, Universitas Andalas
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DOI: 10.25077/jikesi.v1i2.34
Abstract Background. Herpes zoster is a skin disease caused by reactivation of varicella zoster virus after its primary infection and characterized by the onset of a skin rash with a dermatomal distribution and accompanied by severe pain. The cases of herpes zoster have tended with increasing age. Objectives. This study was aimed to obtain the dermatome pattern of herpes zoster in the Dermatovenerology Polyclinic of Dr. M. Djamil Hospital Padang period 2015-2017. Method. This study was a descriptive study that was conducted in May 2018-August 2018. Simple size was 18 patients suited by inclusion criteria. Data were obtained from medical records of herpes zoster patients and presented in the frequency distribution tables. Results. The results showed that thoracic dermatome and trigeminal nerve area were most commonly involved (44.4%), within the age range of 45-64 years old (33.3%). There is no differences in events between men and women (50%). Pain is the most common major subjective complaint (88.2%) and classical grouped vesicles is the most major objective complaint (92.9%). Most patients have complications (72.2%), common complication is the neurological (38%). Conclusion. The location of dermatomes for herpes zoster patients in the the Dermatovenerology Polyclinic of Dr. M. Djamil Hospital Padang was a thoracic region of 8 patients (44.4%) and a trigeminal nerve area of 8 patients (44.4%). Keywords: : dermatome, herpes zoster
Perbedaan Rerata Kadar Albumin Serum Berdasarkan Klasifikasi Child Turcotte Pugh pada Pasien Sirosis Hepatis di RSUP Dr. M. Djamil Padang
Fadila Esmeralda Ilmi;
Ellyza Nasrul;
Rina Gustia
Jurnal Ilmu Kesehatan Indonesia Vol 1 No 3 (2020): November 2020
Publisher : Fakultas Kedokteran, Universitas Andalas
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DOI: 10.25077/jikesi.v1i3.172
Sirosis hepatis termasuk 10 penyakit penyebab kematian di US. Penyakit ini terjadi akibat adanya inflamasi kronik di hati. Sirosis hepatis di Indonesia paling banyak disebabkan oleh virus hepatitis B dan C. Pada sirosis hepatis stadium lanjut dapat terjadi hipoalbuminemia karena penurunan sintesis albumin. Tingkat keparahan sirosis hepatis dapat dinilai dari klasifikasi Child Turcotte Pugh (CTP). Penelitian ini bertujuan untuk mengetahui apakah terdapat perbedaan rerata kadar albumin serum berdasarkan klasifikasi CTP. Metode penelitian analitik retrospektif dilakukan dengan mengambil rekam medik di RSUP Dr. M. Djamil Padang dari 1 Januari 2018 – 31 Desember 2018. Pengambilan sampel diakukan dengan Purposive Sampling dan didapatkan 80 sampel yang memenuhi kriteria inklusi dan eksklusi. Analisis data perbedaan rerata kadar albumin serum berdasarkan klasifikasi CTP dilakukan dengan uji t. Pada penelitian ini didapatkan paling banyak pasien sirosis hepatis pada kelompok umur 51 – 60 (35%) dan jenis kelamin laki-laki (66,3%). Penelitian ini mendapatkan 30 pasien sirosis hepatis dengan CTP B dan 50 pasien CTP C. Didapatkan rerata kadar albumin serum pada CTP B sebesar 2,73 g/dL dan pada CTP C sebesar 2,16 g/dL. Analisis dari perbedaan rerata kadar albumin serum berdasarkan klasifikasi CTP yang dilakukan didapatkan nilai p < 0,001. Berdasarkan analisis yang dilakukan pada penelitian ini, disimpulkan terdapat perbedaan rerata kadar albumin serum pada klasifikasi CTP B dan CTP C. Pada klasifikasi CTP B rerata kadar albumin serum lebih tinggi dari CTP C.
Perkembangan Pengobatan Topikal Untuk Dermatitis Seboroik Wajah
Azaria Ramadhani Zulkifli;
Rina Gustia;
Taufik Ashal
Jurnal Ilmu Kesehatan Indonesia Vol 2 No 1 (2021): Maret 2021
Publisher : Fakultas Kedokteran, Universitas Andalas
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DOI: 10.25077/jikesi.v2i1.505
Background: Seborrheic dermatitis is a chronic and recurring skin disorder with clinical manifestations as erythematous macules or plaques with a scale associated with pruritus. The most common predilection is the face area. Treatments for seborrheic dermatitis should address the normalization process of skin function and structure, not only relieving the symptoms and clinical symptoms of the disease. Thus, leading to long-term remission. Objective: The narrative review was conducted by reviewing the articles that discussed about the treatment effectiveness on facial seborrheic dermatitis. Methods: Articles search was carried out through databases such as Pubmed and Google Scholar with determined keywords and selected based on inclusion and exclusion criteria. Results: In total, six articles were reviewed with 184 cases of facial dermatitis seborrheic. All studies showed significant improvement. This review included additional literatures to support the results of the main literatures. Conclusion: The treatments commonly used for seborrheic dermatitis these days are pharmacological treatments in the form of topical and systemic drugs as well as non-pharmacological treatments. Topical drugs were able to repair the clinical manifestation on mild to moderate seborrheic dermatitis whereas systemic drugs were indicated for cases with wide lesions and more severe condition. Non-pharmacological treatment can be used as an adjuvant to accelerate the clinical condition.
Hubungan Stone Burden dengan Penurunan Hemoglobin Pasca Operasi Percutaneous Nephrolithotomy di RSUP DR. M. Djamil Padang
Millenia Calista;
Yevri Zulfiqar;
Rina Gustia
Jurnal Ilmu Kesehatan Indonesia Vol 2 No 1 (2021): Maret 2021
Publisher : Fakultas Kedokteran, Universitas Andalas
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DOI: 10.25077/jikesi.v2i1.527
Background. Kidney stones are one of the three most common cases in urology. The best standard management for kidney stones with stone burden >20mm is PCNL (percutaneous nephrolithotomy), a minimal invasive method that uses percutaneous access to remove stones. One of the most complications was bleeding which can be caused by several factors , one of them is stone burden.Objective. to look at the relationship of stone burden with hemoglobin drop after PCNL in patients with renal stoneMethods. This study is an analytical study with retrospective approach towards all patients diagnosed with kidney stones and treated with PCNL at RSUP Dr. M. Djamil Padang at based on patient medical record data. Data analysis used Chi square tests where the relationship between variables is said to be significant if p value <0.05Results. Data showed that from 65 kidney stone patients treated with PCNL, the highest prevalence were men and the most age group are 45-64 years. The most types of stones are staghorn and the highest stone burden is 20 - ≤30 mm. Some cases with the involvement of hydronephrosis with an average length of stay <5 days. Hemoglobin drop mean in kidney stones ≤2gr / dL. Statistical analysis showed that there is no relationship between stone burden and hemoglobin drop after PCNL in kidney stone patients (p value = 0,706).Conclusion. The conclusion of this studied is that there is no significant relationship between stone burden with hemoglobin drop after PCNL in patients with kidney stone.
Identifikasi Penyakit Kulit dan Pemeriksaan Lesi Kulit kepada Masyarakat di Daerah Binaan Universitas Andalas
Qaira Anum;
Rina Gustia;
Satya Wydya Yenny;
Gardenia Akhyar;
Ennesta Asri;
Tutty Ariani;
Mutia Sari;
Rizkia Chairani Asri
Warta Pengabdian Andalas Vol 28 No 3 (2021)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas
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DOI: 10.25077/jwa.28.3.334-340.2021
Universitas Andalas has an assisted area in the campus environment located in Limau Manis, Pauh. Skin disease, commonly encountered in the community, is a critical disease group in primary healthcare. However, there is no data on skin disease prevalence in Pauh Primary Care Unit. The purpose of this community service is to find out the characteristics of skin diseases that exist in the Pauh Primary Care Unit. Identifying the prevalence of skin disease is indispensable to planning health services and providing preventive actions against related diseases. The method used primary data from dermatologic status examinations on September 14, 2021. In addition, patients' quality of life was assessed using the Dermatology Life Quality Index (DLQI) questionnaire. The activity results obtained the most diseases were superficial fungal infections, and most skin diseases impact the patient's life. So, treatment and education are essential things in this activity.
Intervensi Menghilangkan Stigma dan Diskriminasi Kusta di Puskesmas Pauh Kamba, Padang Pariaman
Tutty Ariani;
Rina Gustia;
Satya Wydya Yenny;
Qaira Anum;
Gardenia Akhyar;
Ennesta Asri;
Irdawati Izrul;
Yenni Raflis;
Rizkia Chairani Asri;
Mardhiati Mardhiati;
Riri Prima Yolanda
Warta Pengabdian Andalas Vol 29 No 3 (2022)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas
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DOI: 10.25077/jwa.29.3.207-215.2022
The increase in new leprosy cases in the year 2021 spread across 19 regencies, with the highest distribution in Padang Pariaman, and it is still a problem in West Sumatera Province. Based on this condition, "the pockets of leprosy" has been created, which play a role in the transmission of leprosy, so the elimination effort experiences difficult. Public Health Center of Pauh Kamba in Padang Pariaman Regency has 12 (19%) new multibacillary cases. In commemoration of World Leprosy Day in the year 2022, Indonesian Society of Dermatology And Venereology (INSDV/Perdoski), Indonesian Physical Medicine and Rehabilitation Association (Perdosri), and Padang Pariaman District Health Office have been struggling to break the chain of transmission of leprosy by increasing understanding of leprosy, self-care of leprosy, prevention of disability, and revitalize the activities of self-care groups by local health workers.
Karakteristik Pasien Keratosis Seboroik Lanjut Usia di Poliklinik Kulit dan Kelamin RSUP Dr. M. Djamil Padang
Tisa Hamzany;
Rina Gustia;
Fitratul Ilahi
Jurnal Ilmu Kesehatan Indonesia Vol 3 No 4 (2022): Desember 2022
Publisher : Fakultas Kedokteran, Universitas Andalas
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DOI: 10.25077/jikesi.v3i4.899
Latar Belakang: Keratosis seboroik merupakan salah satu tumor jinak kulit terbanyak yang dilaporkan pada kelompok umur lanjut. Usia, sinar matahari, genetik dan pekerjan berperan penting dalam faktor risiko peningkatan proses terbentuknya lesi keratosis seboroik. Tujuan penelitian ini adalah untuk mengetahui gambaran karakteristik pasien keratosis seboroik lanjut usia di RSUP Dr. M. Djamil Padang. Objektif: Penelitian ini bertujuan untuk mengetahui gambaran karakteristik pasien keratosis seboroik lanjut usia di RSUP Dr. M. Djamil Padang. Metode: Penelitian ini merupakan penelitian deskriptif observasional dengan desain cross sectional dengan total sampel yaitu 20 sampel pasien lanjut usia yang didiagnosis keratosis seboroik. Penelitian dilakukan di RSUP Dr. M. Djamil Padang pada periode Januari 2019 – Desember 2021. Hasil: Penelitian ini menunjukkan kelompok usia terbanyak pada rentang usia 60-70 tahun (60%), pekerjaan pasien keratosis seboroik lanjut usia ditemukan lebih banyak di luar ruangan (60%) dengan lama paparan sinar matahari sebesar >6 jam/hari (45%). Gejala subjektif sebesar 55% berupa gatal lebih banyak ditemukan. Wajah adalah lokasi tersering ditemukannya lesi keratosis seboroik pada lanjut usia (51,4%). Durasi sebelum terapi pasien keratosis seboroik lanjut usia sebagian besar >15 tahun (65%) dan untuk pilihan terapi terbanyak adalah elektrokauterisasi (45,2%). Kesimpulan: Kesimpulan penelitian ini adalah sebagian besar kasus keratosis seboroik lanjut usia di poliklinik RSUP Dr. M. Djamil Padang berumur 60 – 70 tahun, bekerja di luar ruangan, di bawah sinar matahari selama >6 jam/hari, merasakan gatal, ditemukan di wajah, menderita >15 tahun dan mendapatkan terapi elektrokauter.
Analisis Hubungan Tingkat Kepuasan Masyarakat dengan Kolaborasi Inter Profesi di Rumah Sakit
Laras Surakusuma;
Abdiana Abdiana;
Rauza Sukma Rita;
Firdawati Firdawati;
Rina Gustia;
Miftah Irrahmah
Jurnal Ilmu Kesehatan Indonesia Vol 3 No 4 (2022): Desember 2022
Publisher : Fakultas Kedokteran, Universitas Andalas
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DOI: 10.25077/jikesi.v3i4.1003
Latar Belakang: Kesehatan merupakan hak dari semua masyarakat Indonesia seperti yang telah dicantumkan UU kemenkes RI Nomor 23 Tahun 1994. Kolaborasi inter profesi dilakukan pada pelayanan kesehatan Indonesia demi menunjang pelayanan kesehatan yang baik. Kolaborasi inter profesi mulai diterapkan dalam bentuk pendidikan inter profesi untuk mahasiswa maupun mahasiswi tenaga kesehatan. Hal ini dilakukan guna membantu memperkenalkan dan membiasakan praktik kolaborasi antar tenaga kerja kesehatan di pelayanan kesehatan. Rumah sakit umum merupakan tempat pelayanan kesehatan yang sangat universal, oleh karena berbagai macam pelayanan kesehatan yang dapat dilakukan di rumah sakit umum, kejadian kolaborasi inter profesi di rumah sakit umum seharusnya menjadi hal yang biasa. Kenyataannya ketimpangan inter profesi masih terjadi pada praktek sehari-hari. Penelitian ini bertujuan untuk mengetahui apakah kolaborasi inter profesi dapat memengaruhi kinerja kerja tenaga kesehatan dimata masyarakat dalam segi kepuasan pelayanan. Objektif: Penelitian ini bertujuan untuk mengetahui hubungan kepuasan masyarakat dengan kolaborasi inter profesi di rumah sakit umum. Metode: Penelitian ini merupakan penelitian kajian literatur dengan menggunakan metode prisma checklist sebagai critical appraisal. Penelitian ini dilakukan dengan menyaring sampel jurnal melalui database online yaitu google cendekia, SINTA, GARUDA, PUBMED, serta DOAJ. Penelitian ini menggunakan kata kunci patience satisfaction (kepuasan pasien), Interprofessional collaboration, serta General hospital (rumah sakit umum). Hasil: Hasil dari penelitian ini ditemukan sebanyak 101 Jurnal dalam rentang waktu publikasi 2015-2022. Sebanyak 7 Jurnal dapat dianalisis menggunakan metode prisma checklist dengan topik hubungan tingkat kepuasan masyarakat dengan pelayanan kolaborasi inter profesi di rumah sakit umum. Kesimpulan: kinerja tenaga medis memiliki pengaruh dalam tingkat kepuasan pasien dan keluarga pasien. Kolaborasi inter profesi dengan metode multidisiplin dapat menambahkan kenyamanan pada pasien. Metode multidisiplin membuka ruang diskusi dalam menentukan keputusan akhir dalam mengambil tindakan untuk pasien. Tidak hanya itu, dengan metode multidisiplin, tenaga medis juga mendapatkan wawasan baru mengenai praktik pelayanan kesehatan.
A Rare Case of Nail Lichen Planus
Nolanda Trikanti;
Rina Gustia;
Tutty Ariani;
Mutia Sari
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 7 No. 6 (2023): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher
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DOI: 10.37275/bsm.v7i6.824
Background: Nail lichen planus (NLP) is often associated with the involvement of other mucocutaneous sites. Though isolated nail involvement can be seen in a number of cases, it is seen in up to 10% of cases. Nail lichen planus is a rare case. This is the first case in the last 5 years in the dermatology and venereology department of Dr. M. Djamil Hospital Padang. Case presentation: A 26 years old woman came to the Dermatology and Venereology Department at Dr. M. Djamil Hospital Padang with all of her fingernails and toenails ridging, thinning, and brittle, and the color became yellow brown-blackish that worsened 6 months ago. This complaint had been suffered for 5 years ago. Dermatological examination showed onychodystrophy, longitudinal ridging and fissuring, yellow-brownish blackish discoloration on all fingernails and toenails, and there were no skin and mucosa lesions. The dermatology life quality index (DLQI) patient was 8. Potassium hydroxide (KOH) examination and fungal culture were negative. Histopathological examination showed hypergranulosis and sawtooth rete ridges. The patient was treated with clobetasol propionate 0,05% ointment with occlusion twice per day and showed improvement. Conclusion: Nail lichen planus can occur in the absence of skin or mucosal involvement. In this case, there is no skin or mucosal involvement. The diagnosis in this case is based on clinical, dermoscopic, and histopathological examination.
Psychological Stress Induced Recurrent Genital Herpes: A Case Report
Jefrizal Wirman;
Qaira Anum;
Rina Gustia
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 6 No. 10 (2022): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher
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DOI: 10.37275/bsm.v6i10.589
Background: Herpes simplex virus type 2 (HSV-2) infection can be caused by genital herpes with a high recurrence rate. Recurrent genital herpes affected patients’ quality of life. Precise management is needed to prevent the progression of the disease. Case presentation: This study reported a 34 years old male with recurrent genital herpes. The patient developed painful vesicles in the genital area, which turned into an ulcer. History of genital herpes and gonorrhoea urethritis were reported and had been treated. The patient had a history of having unprotected sexual intercourse with multiple partners and reported having psychological stress within 1 month. DLQI score was 12, and the DASS score was 5-85, which confirmed that the patient had anxiety. Vesicles and erosion were found in the genital area. Tzanck test showed multinucleated giant cells with borderline anti-HSV-2 IgG serologies in 2 occasional evaluations. Acyclovir 3x400 mg for 5 days was used as therapy, and no lesion was found at follow-up. Conclusion: Psychological stress was found to be a risk factor for recurrent genital herpes