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Hubungan Depresi dengan Kejadian Gangguan Kognitif Irawaty Hawari; Dean Ascha Wijaya; Fernando Nathaniel; Noer Saelan Tadjudin; Yohanes Firmansyah
Journal of Educational Innovation and Public Health Vol. 1 No. 3 (2023): Juli : Journal of Educational Innovation and Public Health
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/innovation.v1i3.1496

Abstract

Aging is an inevitable and complex process. Cognitive impairment and depression are often seen as comorbid conditions and major mental health problems affecting the elderly. Both of these have become global issues and place a heavy burden on the health care system and society. This cross-sectional study aims to determine the relationship between depression and the incidence of cognitive impairment in the elderly group (³60 years) who meet the criteria by total sampling at the Sasana Tresna Werda RIA Development Center in January 2019. Depressive disorder was measured using the Geriatric Depression Scale (GDS). The Mini-Mental State Examination (MMSE) is used to measure and identify cognitive impairments. Statistical analysis using the Fisher Exact test. Of the 56 respondents, the average age was 78.13 years with 69.6% of the respondents being women. From all respondents, it was found that 10 respondents experienced depression and 23.2% of the elderly had cognitive disorders. The results of the Fisher Exact statistical test stated that there was a significant relationship between the incidence of depression and the onset of cognitive impairment in the elderly group at Sasana Tresna Werda RIA Development (p-value: 0.041). Clinically, the elderly with depressive disorders have a 2.875 times higher risk of experiencing cognitive impairment compared to the elderly without depression. Treating depression can reduce the number of cognitive impairments in the elderly.
Clinical Profile, Transmission Factors, and Early Disability Prevalence of Leprosy: A Single Center Observational Study at Bunda Pembantu Abadi General Hospital Naob, East Nusa Tenggara, Indonesia Ayleen Nathalie Jap; Hawari, Irawaty
Community Medicine and Education Journal Vol. 5 No. 2 (2024): Community Medicine and Education Journal
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/cmej.v5i2.570

Abstract

Leprosy is a chronic granulomatous infectious disease that causes peripheral neuropathy with disabling manifestations. This disease is caused by Mycobacterium leprae, which thrives in cool body surface temperatures and enters the body through the nose and skin. This study aims to identify the clinical profile of leprosy patients, risk factors for transmission, and the prevalence of early disability. This research uses a cross-sectional approach with descriptive methods. This study was conducted in December 2023 at the Bunda Pembantu Abadi General Hospital, involving 130 leprosy patients who met the inclusion criteria. Data was collected using medical record data, including gender, age, occupation, family history, marital status, number of children, vital signs, duration of illness, WHO disability level score, bacterial index, and morphological index. Most of the respondents were men with normal vital signs except for body temperature, positive bacterial index, solid morphology index on the forehead, ear lobes and chin, and had a disability prevalence of 0 of 43.1% (56/130) because leprosy patients had a long illness. for one year. In conclusion, the clinical profile of leprosy patients at this hospital is dominated by men of productive age. The low rate of early disability highlights the importance of early detection and treatment. Further research is needed to understand risk factors for transmission and preventive interventions.
Profil Enzim Hati (SGOT/SGPT) Sebagai Indikator Kesehatan Hepatik Pada Populasi Geriatri di Panti Werdha Hana Hawari, Irawaty; Santoso, Alexander Halim; Gunaidi, Farell Christian; Dewanto, Paulus Gegana Thery; Rafif, Akhtar Nawfal
Perigel: Jurnal Penyuluhan Masyarakat Indonesia Vol. 4 No. 2 (2025): Juni: Perigel : Jurnal Penyuluhan Masyarakat Indonesia
Publisher : Universitas 17 Agustus 1945 Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56444/z2gkky97

Abstract

Liver dysfunction is a common health issue among the elderly and can significantly impact quality of life, particularly due to its progressive nature and frequently asymptomatic presentation in the early stages. Many older adults are unaware of liver problems, as mild symptoms such as fatigue, abdominal discomfort, or reduced appetite are often perceived as normal signs of aging. The Community Service Program (PKM) conducted at Panti Werdha Hana aimed to raise awareness among the elderly regarding the importance of early detection of liver dysfunction through SGOT and SGPT enzyme screening. This activity employed the Plan-Do-Check-Act (PDCA) approach, including laboratory examinations and interactive counseling on risk factors, healthy lifestyle practices, and the significance of regular health monitoring. Among the 76 participants, 10 individuals (13.16%) were found to have elevated SGOT levels, and 8 individuals (7.89%) had SGPT levels above the normal range. These findings underscore the importance of early detection in preventing the progression of chronic liver diseases, enhancing the quality of life of the elderly, and supporting more effective and sustainable healthcare interventions.
PEMAKAIAN GAWAI ELEKTRONIK DAN RISIKO SINDROM TEROWONGAN KARPAL: STUDI PADA MAHASISWA FAKULTAS KEDOKTERAN Justin Fredick Joe; Irawaty Hawari
Ebers Papyrus Vol. 31 No. 1 (2025): EBERS PAPYRUS
Publisher : Fakultas Kedokteran Universitas Tarumanagara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24912/ep.v31i1.34835

Abstract

Sindrom Terowongan Karpal (STK) adalah kondisi yang terjadi ketika saraf median tertekan saat melintasi terowongan karpal yang berada di pergelangan tangan. Penyebabnya dapat dipengaruhi oleh berbagai faktor seperti usia, jenis kelamin, indeks massa tubuh, diabetes melitus, riwayat cedera, gaya hidup, dan aktivitas sehari-hari. STK merupakan penyakit saraf paling umum terjadi dengan prevalensi mencapai 5% pada populasi umum. Studi ini bertujuan untuk meningkatkan kesadaran mahasiswa, dosen mengenai risiko kesehatan yang terkait dengan durasi penggunaan gawai elektronik yang terlalu lama. Jenis studi yang dilakukan adalah analitik observasional cross-sectional dengan pengambilan sampel secara total random sampling. Total subjek dalam penelitian ini adalah sebesar 224 responden. Data kemudian akan diambil menggunakan e-form (electronic form). E-form yang dikumpulkan terdiri dari karakteristik responden, informed consent, riwayat penyakit sebelumnya, riwayat penggunaan gawai, kuesioner sindrom terowongan karpal, dan pemeriksaan fisik mandiri. Data variabel kemudian dianalisis melalui uji Pearson Chi Square dan T-Test. Hasil penelitian menunjukan hubungan usia (p-value 0.000) dan tingkat durasi penggunaan gawai (p-value 0.000) terhadap risiko STK, namun tidak ada hubungan jenis kelamin (p-value 0.866) terhadap risiko STK.
An Observational Study on Cognitive Function, Sleep Quality, Depression, Educational Background, and Functional Independence on Elderly at Sasana Tresna Werdha RIA Pembangunan Nursing Home, Ciracas, East Jakarta, Indonesia Satyo, Yovian Timothy; Hawari, Irawaty
MAHESA : Malahayati Health Student Journal Vol 4, No 12 (2024): Volume 4 Nomor 12 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i12.15811

Abstract

ABSTRACT Along with the development of society and healthcare technology, there are an increase in life expectancy and the elderly population. They must be differentiated from simply older adults because they have their own set of health problems associated with the aging process now known as geriatric syndromes. Sleep disorder, cognitive function decline, and depression are common health problems that are often found in the elderly. They are interconnected and influenced by other factors such as educational background. The culmination of all of those factors is the decrease of the elder’s quality of life in the form of functional disability. To get a description of the cognitive function, sleep quality, depression, educational background, and functional independence of the elders at Sasana Tresna Werdha RIA Pembangunanan Nursing Home. The data obtained in this research are a significant predictor of the elders’ quality of life and can serve as a foundation for both analytical and interventional studies that aims to improve the elder’s quality of life. This research uses an observational descriptive approach using a cross-sectional method at Sasana Tresna Werdha RIA Pembangunan Nursing Home. The population for this research is all of the elderly that lives there and meets the inclusion criteria for this research which is still able to be interviewed. In total there are 44 elders that participated in this research. The sampling technique used in this research was total sampling. The data will be collected by interview using questionaires. The data will be analyzed using a univariate analysis in which categorical data will be presented its proportion in frequency and its percentage while numerical data will be presented with its mean and standard deviation if its distribution is parametrical and will be presented with its median and interquartile range if its distribution is non-parametrical. Furthermore, a crosstab will be made between two variables to be observed in more detail the possibilities of interrelationship bertween the two variables. The description of the elders’s cognitive function is that out of 44 elders, 30 (68.2%) are normal, 4 (9.1%) are categorized as mild cognitive impairment, and 10 (22.7%) are categorized as dementia. The description of the elders’ sleep quality is that 13 (29.5%) have good sleep quality and 31 (70.5%) have poor sleep quality. The description of the elder’s depression is that 29 (65.9%) are normal, 7 (15.9%) have mild depression, 4 (9.1%) have moderate depression, and 4 (9.1%) had severe depression. The description of the elders’ educational background is that 5 (11.4%) have low educational background, 10 (22.7%) have moderate educational background, 28 (63.6%) had high educational background, and 1 (2.3%) have unknown educational background. The description of the elder’s functional independence is that 10 (22.7%) are totally dependent, 2 (4.5%) are severely dependent, 7 (15.9%) are moderately dependent, 2 (4.5%) are mildly dependent, and 23 (52.3%) are independent. The majority of the elders at Sasana Tresna Werdha RIA Pembangunan have a normal cognitive function, have poor sleep quality, have no depression, have a high educational background, and are still functionally independent. Keywords: Cognitive Function, Sleep Quality, Depression, Educational Background, Functional Independence  
LIVEDO RETICULARIS PADA PASIEN PARKINSON GERIATRI DENGAN PENGGUNAAN AMANTADINE : LAPORAN KASUS Allyssa, Jihan Putri; Hawari, Irawaty; Gunawan, Shirly
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 3 (2025): DESEMBER 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i3.51831

Abstract

Livedo reticularis  merupakan kelainan vaskular kulit yang ditandai dengan pola jaring berwarna kebiruan akibat perubahan aliran darah pada mikrosirkulasi dermis. Salah satu penyebab sekunder yang paling sering dilaporkan adalah penggunaan amantadin, obat antiparkinson dengan mekanisme antagonis reseptor NMDA. Efek ini penting dikenali, terutama pada populasi geriatri yang rentan terhadap efek samping obat. Tujuan laporan kasus ini untuk melaporkan kasus livedo reticularis pada pasien Parkinson usia lanjut yang menggunakan terapi amantadin, serta meninjau hubungan patofisiologi, karakteristik klinis, dan reversibilitas efek kulit tersebut. Laporan kasus observasional pada seorang wanita berusia 64 tahun dengan diagnosis Parkinson stadium 4 yang telah menggunakan amantadin 100 mg dua kali sehari selama ±4 tahun. Pasien menunjukkan lesi makular retikuler berwarna kebiruan pada kedua tungkai bawah, tanpa keluhan nyeri atau gatal. Tidak ditemukan tanda-tanda vaskulitis atau gangguan sensorik. Lesi diklasifikasikan sebagai livedo reticularis sekunder non-inflamasi yang disebabkan oleh amantadin. Berdasarkan literatur, onset livedo reticularis dapat muncul setelah beberapa minggu hingga beberapa tahun penggunaan, dan umumnya membaik setelah penghentian obat. Livedo reticularis merupakan efek samping kulit yang khas dan relatif sering terjadi akibat terapi amantadin pada pasien Parkinson. Kondisi ini bersifat jinak, reversibel, serta tidak memerlukan penghentian terapi apabila manfaat neurologis lebih besar daripada efek kosmetik yang ditimbulkan. Deteksi dini dan edukasi pasien sangat penting untuk memastikan keamanan penggunaan obat pada populasi geriatri.