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All Journal Jurnal Kesehatan Andalas Bioscientia Medicina : Journal of Biomedicine and Translational Research Bioscientia Medicina : Journal of Biomedicine and Translational Research
Afifah Alfyanita
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience

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Hubungan Tingkat Kemandirian dalam Melakukan Aktivitas Kehidupan Sehari-Hari dan Status Gizi pada Usia Lanjut di Panti Sosial Tresna Werdha Sabai Nan Aluih Sicincin Afifah Alfyanita; Rose Dinda Martini; Husnil Kadri
Jurnal Kesehatan Andalas Vol 5, No 1 (2016)
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v5i1.469

Abstract

AbstrakPeningkatan Usia Harapan Hidup (UHH) penduduk Indonesia mengakibatkan peningkatan populasi usia lanjut (usila). Peningkatan usila berdampak terutama pada peningkatan angka ketergantungan dalam melakukan Aktivitas Kehidupan Sehari-hari (AKS). Penurunan tingkat kemandirian dalam melakukan AKS adalah salah satu faktor yang mempengaruhi status gizi usila. Tujuan penelitian ini adalah untuk menentukan hubungan tingkat kemandirian dalam melakukan AKS dan status gizi usia lanjut. Penelitian ini merupakan penelitian analitik observasional dengan rancangan cross-sectional study dan menggunakan kuisioner ADL Barthel dan Mini Nutritional Assessment (MNA) sebagai instrumen. Sebanyak 66 sampel diambil dari seluruh penghuni Panti Sosial Tresna Werdha Sabai Nan Aluih Sicincin yang memenuhi kriteria inklusi. Data berupa hasil tingkat kemandirian dan status gizi dianalisis menggunakan uji chi-square, dengan derajat kepercayaan 95%. Dari 66 subjek penelitian terdapat 36 usila (54,5%) tidak mandiri dalam melakukan AKS dan  39 usila (59,1%) memiliki status gizi berisiko malnutrisi. Uji chi-square menunjukkan nilai p adalah 0,015 (p<0,05). Kesimpulan penelitian adalah terdapat hubungan yang bermakna antara tingkat kemandirian dalam melakukan AKS dan status gizi pada usia lanjut di Panti Sosial Tresna Werdha Sabai Nan Aluih Sicincin.Kata kunci: tingkat kemandirian, aktivitas kehidupan sehari-hari, status gizi, usia lanjut AbstractThe increasing of life expectancy at Indonesia's population may lead to an increase in the elderly population. The main impact of this condition is the increasing of elderly dependency in performing Activity of Daily Living (ADL). Decreased level of independence in performing ADL is one of the factors that affect the nutritional status of elderly. The objective of this study was to determine the relationship between the level of independence in performing ADL and nutritional status of elderly.This research was an observational analytical study which designed as cross-sectional study. The instruments of this research were Barthel ADL and Mini Nutritional Assessment (MNA). 66 samples were taken from all the inhabitants of Panti Sosial Tresna Werdha Sabai Nan Aluih Sicincin who fulfill the inclusion criteria. The results of the level of independence and nutritional status were analyzed using chi-square test, with a degree of confidence of 95%. Of the 66 subjects there were 36 elderly (54.5%) not independent in performing ADL and 39 elderly (59.1%) were at risk of malnutrition. Chi-square test showed p value 0,015 (p<0.05).The conclusion is the significant relationship between the level of independence in performing ADL and nutritional status of the elderly in Social House Tresna Werdha Sabai Nan Aluih. Keywords: level of independence, performing Activity of Daily Living , nutritional status, elderly
Deciphering Activity in Early Facial Vitiligo: A Case Report Integrating Clinical, Wood's Lamp, and Dermoscopic Findings Rina Gustia; Mutia Sari; Afifah Alfyanita
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 10 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i10.1408

Abstract

Background: The management of non-segmental vitiligo hinges on accurately assessing disease activity to guide appropriate therapy. A clinical challenge arises in patients presenting with a low vitiligo area scoring index (VASI), suggesting limited disease, which may be discordant with underlying inflammatory activity, potentially leading to therapeutic inertia. Case presentation: A 34-year-old woman with Fitzpatrick skin type III presented with a two-month history of rapidly progressing facial vitiligo, preceded by an erythematous phase. Despite a low VASI score of 1, the patient-reported vitiligo disease activity (VIDA) score was +4. Dermoscopy was instrumental, revealing definitive in-vivo evidence of inflammation and instability, including a pinkish background, telangiectasias, and a reversed pigment network. Based on this discordance between disease extent and activity, a multi-modal therapeutic regimen was initiated. A six-month follow-up demonstrated disease stabilization and significant perifollicular repigmentation, with resolution of the inflammatory dermoscopic signs. Conclusion: This case report illustrates the critical importance of an integrated diagnostic approach that moves beyond area-based assessment. It highlights how dermoscopy, when used to resolve the clinical paradox of low-extent but high-activity disease, can serve as an objective biomarker to justify timely and robust immunomodulatory intervention. This approach is crucial for altering the disease trajectory and optimizing patient outcomes.
Deciphering Activity in Early Facial Vitiligo: A Case Report Integrating Clinical, Wood's Lamp, and Dermoscopic Findings Rina Gustia; Mutia Sari; Afifah Alfyanita
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 10 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i10.1408

Abstract

Background: The management of non-segmental vitiligo hinges on accurately assessing disease activity to guide appropriate therapy. A clinical challenge arises in patients presenting with a low vitiligo area scoring index (VASI), suggesting limited disease, which may be discordant with underlying inflammatory activity, potentially leading to therapeutic inertia. Case presentation: A 34-year-old woman with Fitzpatrick skin type III presented with a two-month history of rapidly progressing facial vitiligo, preceded by an erythematous phase. Despite a low VASI score of 1, the patient-reported vitiligo disease activity (VIDA) score was +4. Dermoscopy was instrumental, revealing definitive in-vivo evidence of inflammation and instability, including a pinkish background, telangiectasias, and a reversed pigment network. Based on this discordance between disease extent and activity, a multi-modal therapeutic regimen was initiated. A six-month follow-up demonstrated disease stabilization and significant perifollicular repigmentation, with resolution of the inflammatory dermoscopic signs. Conclusion: This case report illustrates the critical importance of an integrated diagnostic approach that moves beyond area-based assessment. It highlights how dermoscopy, when used to resolve the clinical paradox of low-extent but high-activity disease, can serve as an objective biomarker to justify timely and robust immunomodulatory intervention. This approach is crucial for altering the disease trajectory and optimizing patient outcomes.
Co-Authors Husnil Kadri Mutia Sari Rina Gustia Rose Dinda Martini