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Journal : Majority

Penatalaksanaan Arthritis Gout pada Perempuan Usia 59 Tahun dengan Pendekatan Kedokteran Keluarga Indah Anita Dewi,; Reni Zuraida
MAJORITY Vol 10 No 2 (2021): MAJORITY
Publisher : Majority

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Abstract

Gout is a progressive disease due to deposition of monosodium urate (MSU) crystals in joints, kidneys, and other connective tissues as a result of chronically elevated serum uric acid levels above normal. The prevalence of hyperuricemia and gout in Indonesia is higher than other Asian countries. Dietary factors with excessive puring consumption are one of the risks factor of gout. Therefore, in an effort to treat disease, the role of the family is needed to achieve good therapeutic goals. The purpose of this study is to identify internal and external risk factors in patients, apply a holistic and comprehensive family doctor approach, and perform management based on Evidence Based Medicine that is familyapproach and patient-centered. A 59-year-old female patient came with complaints of pain in both knees. Initially the pain was only felt in the patient's right knee, a few weeks later the patient began to feel pain in the patient's left knee. Complaints are accompanied by swelling, redness and heat. The patient has been diagnosed with gout since 2 years ago. Patients do not routinely control their illness and only seek treatment if complaints interfere with their activities. Internal risk factors are the patient does not know the target of normal uric acid levels, what types of food can cause uric acid levels, the pattern of curative treatment, and the patient does not like to exercise. The external risk to the patient is that the family does not know how to prepare food according to the patient's diet and appropriate physical activity. Intervention was carried out regarding the type of food and appropriate physical activity and the importance of routinely checking uric acid in 3 home visits. After the evaluation, the knowledge of the patient and family about the disease were increased.
Penatalaksanaan Holistik pada Pasien Anak Usia 8 Tahun dengan Diagnosis Talasemia Melalui Pendekatan Kedokteran Keluarga Reni Agustin; Reni Zuraida
MAJORITY Vol 9 No 1 (2020): MAJORITY
Publisher : Majority

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Abstract

Beta thalassemia occurs a decreasing of beta chain synthesis. In individuals with Beta Thalassemia, there can be a total loss of the β globin chain (Thalassemia Major) or a partial loss of the β globin chain (Thalassemia Minor). In 2019, there are more than 10,531 Thalassemia patients in Indonesia, and estimated 2,500 newborns with Thalassemia every year in Indonesia. The study was case report, Patient An. N, 8 years old, has been diagnosed with Thalassemia and has fears of growing complaints and does not improve because of late blood transfusion. Limited knowledge about the patient's health condition such as risk factors of thalassemia, complications of thalassemia, prevention of thalassemia, food that need to be avoided, also lack of motivation and encouragement for families to bring their children for blood transfusion routinely are factors that cause problems that occur in patients and families. Holistic and comprehensive management of An. N’s problems has been done by providing counseling to improve the patient's family knowledge.
Management of Housewive, 57 Years Old With Uncontrolled Type 2 of Diabetes Melitus Through Family Medicine Approach in Karang Anyar Health Center 2022 Anthia Vradinatika; Reni Zuraida
MAJORITY Vol 11 No 2 (2023): MAJORITY
Publisher : Majority

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Abstract

Type 2 diabetes mellitus (DM) is a non-communicable disease known as a silent killer with a prevalence of 9.3% of the totalpopulation in the world and 10.7% of the total population in Indonesia according to the International Diabetes Federation(IDF). ) in 2019. The research objective is to implement evidence-based medicine-based family doctor services by identifyingrisk factors, clinical problems and patient management based on a patient-centered and family-centered problem-solvingframework. This study is a case report. Assessment is formulated based on the initial holistic diagnosis, process, and the endof the study qualitatively and quantitatively. The problems found in this case are related to the wrong perceptions of patientsand their families, inappropriate lifestyles, eating patterns and physical activity as well as the lack of support and motivationof family members. After holistic and comprehensive management was carried out, there was an increase in patient andfamily knowledge points about DM from 40 to 90, and a temporary decrease in blood sugar levels from 540 mg/dL to 271mg/dL.
HUBUNGAN FAKTOR RISIKO DENGAN KEJADIAN OTITIS EKSTERNA DI POLIKLINIK THT-KL RSUD PROVINSI LAMPUNG TAHUN 2019 Tondi Rosalinda Mandalahi; Mukhlis Imanto; Tri Umiana Soleha; Reni Zuraida
MAJORITY Vol 11 No 2 (2023): MAJORITY
Publisher : Majority

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Abstract

Otitis externa is an inflammation of the outer part of the ear which includes auricle, external audiotory canal, or both. The inflammation can be acute and chronic that ussually caused by bacteria, viral, and fungal infections. The objective of this study was to determine the association between risk factor with otitis externa occurrence in otorhinolaryngology head and neck surgery clinic of RSUD Abdul Moeloek Provinsi Lampung in 2019. This study was an observational analytic study with a case control design. The sample divided into 56 respondents who had otitis externa and 56 respondents who did not have otitis extena. The sample taken using consecutive sampling technique. Data analysis using chi square test (α = 0,05). Respondents who had otitis externa were highest among respondents with history of ear cleaning (62,5%), without history of activity in water (62,5%), and without history of diabetes mellitus (91,1%). The results of chi square analysis indicate an association between history of ear cleaning (p value = 0,001) and activity in water (p value = 0,036) with otitis externa occurrence. While history of diabetes mellitus (p value = 0,500) did not affect otitis externa occurrence. There was an association between history of ear cleaning and activity in water with otitis externa occurrence. While history diabetes mellitus did not affect the otitis externa occurrence.
Hubungan Tingkat Pengetahuan Gizi Ibu Hamil dengan Taksiran Berat Janin di Wilayah Kerja Puskesmas Kedaton Kota Bandar Lampung Desta Stallaza Alifka; Reni Zuraida; Efriyan Imantika; Ratna Dewi Puspita Sari
MAJORITY Vol 12 No 1 (2023): MAJORITY
Publisher : Majority

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59042/mj.v12i1.175

Abstract

One of the activities routinely carried out in antenatal care is the measurement of Fundus Uterine Height (FUH) to determine Estimated Fetal Weight (EFW). Fetal weight growth can be indirectly affected by the basic nutritional knowledge of  pregnant  women  about the  importance of  fulfillinf nutrition during pregnancy to  support the  health  and development  of the  fetus. The aim of the study was to determine the relation between the level of nutritional knowledge of pregnant women and the estimated fetal weight at Kedaton Primary Health Center Bandar Lampung City. The research design used was analytic observational with cross sectional approach using primary data by measuring the knowledge of pregnant  women  using  a  questionnaire  consisting of 28 question  items  and  secondary  data  in  the   form  of uterine fundal height in the KIA book. Sampling was conducted at the Kedaton Primary Health Center in 2020. The sample was taken using purposive sampling with a total sample of 46 samples that met the inclusion and exclusion criteria. Data analysis used Chi Square with α = 0.05 and CI = 95%. The results  showed  that  there  were  8.7%  mothers with good nutritional knowledge, 71.7% mothers with moderate nutritional knowledge and 19.6% mothers with poor nutrition knowledge. Then pregnant women with small EWF during pregnancy and large EFW during pregnancy consisted of 10.9% and 78.3% respectively of mothers with EFW according to gestational age. Bivariate analysis showed that there was a relationship between the level of nutritional knowledge in pregnant women and the estimated fetal weight at Kedaton Health Center with a value of p = 0.003. There is a correlation between the level of nutritional knowledge of pregnant women with the estimated fetal weight.
Co-Authors - Sulyaprilawati Achfisti, Sayidina Umar Achmad, Bilal Ajeng Defriyanti Pusparini Alfhad, Haekal Ali Khomsan Alkautsar, Ahmad Ananda Christie Angelin Andana, Luthfi Shiba Angraini, Dian I Anis Permanasari Anthia Vradinatika Anwari, Riski Handiani Aprilliana, Ety Ari Wahyuni Astiti, Feni ASY SYADZALI ATIKA RAHMAWATI Audiani, Syafira Alifia Ayu Aprilia Ayu Paramita, Nadhea Balqis, Fatimah El Bawono, Aloysius Krishartadi Damar Bayu Anggileo Pramesona Berawi, Khairunisa Betta Kurniawan, Betta Budiarti, Khusnul Rohmah Catur Ariwibowo Catur Ariwibowo Dadang Sukandar Dani Kartika Sari Daulay, Suryani Agustina Desmayanti Eka Saputri Desmayanti Eka Saputri Desta Stallaza Alifka Dewi Nur Fiana Dian I Angraini Dian Isti Angraini Dian Isti Angraini Dian Isti Angraini Dieni Septiawati Dyah Wulan Sumekar Dyah Wulan Sumekar Rengganis Wardani Ebti Rizki Utami Efrida Warganegara Efriyan Imantika Eka Putri Rahmadhani Emantis Rosa Endah Setyaningrum, Endah Ety Apriliana Eveline Margo, Eveline Fadilah, Arifah Afkar Faridah Alatas Fauziah Lubis Fayola, Diva Firmansyah, Jaya Fitria Saftarina Fitria, Aghniya Rizqy Fitria, Saftarina Gantarialdha, Nadya Gemayangsura, Gemayangsura Giok Pemula Gustiar, Husaini Hadi Riyadi Hamidah, Hasna Hanna Mutiara, Hanna Happy, Terza Aflika Hardianto, Devina Hasanah, Sabila Huwaidy, Alwan Hibban Al Ilmyasri, Siti Amalya Indah Anita Dewi, Indri Windarti Intanri Kurniati Irawati, Nur Ayu Virginia Iswandi Darwis Ivantirta, Ian Izzah, Asiah Nurul Jausal, Anisa Nuraisa Jessica Putri Anumpitan Jhons Fatriyadi Suwandi Kartika, Juspeni Keumala Hayati Khairun Nisa Khairun Nisa Kurniawaty, Evi Lantani Nafisah Heviana Larasati, Ratri Mauluti Listiani, Farida Lucky Indar Wigati Luthfi Aulia Oktofani M. Agung Prasetya Adnyana Yoga M.Rizki Fathurrohim Maharani, Jihan Azita Manik, Ipan Jeremia Marga, Muhammad Panji Marzon, Mafalda Meiyanti Mellisa, Stefani Monica Dwi Hartanti, Monica Dwi Mubina, Jundi Fathan Muhammad Abdul Ghoni Sutardi Muhammad Ricky Ramadhian Muhammad Yusha Akbar Mukhlis Imanto Mukti, Bagas Nadia, Elisabet Alva Nailul Azizah Nasyafa, Syabila Febrilia Nisa Arifah Novi Nurhayati, Novi Novianty, Detty Nurlis Mahmud Nurtandhee, Mutiara Oktadoni Saputra Oktadoni Saputra, Oktadoni Oktafany, Oktafany Oktarlina, Razmi Zakiah Oktavia, Rizwiki Pambelo, Adli Sutan Pemula, Giok Prambudi Rukmono Pramudyawati, Yustika Puspita, Anjar Junia Putri, Cindy Aisyah Putri, Nedhea Mutiara Putri, Sisy Rizkia Putri, Tiara Triwansa Putu Arya Indira Prameswari Qonita, Adzrok Qurotulnguyun, Lutfia Radinal Mauludi Rahmadani, Letifa Rahmawati, Ona Rahmayani, Fidha Ramadhana Komala Rasmi Zakiah Oktarlina Ratna Dewi Puspita Sari Ratna, Maya Ganda Reni Agustin Revika Gina Luthfiya Rika Lisiswanti Rizki Arisandi Rudiyanto, Waluyo Salsabila, Dea Muthia Samsul Bakri Samsul Bakri Samsul Bakri Saputra, Dicky Ardian Setiorini, Anggi Shinta Nareswari, Shinta Shoafa Marwah Sihombing, Dewi Patresia Siregar, Wanda Feranti Siti mutmainnah Sofyan Musyabiq Wijaya Soraya Rahmanisa Suharmanto Surriandari, Latifah Dwi Susianti Susianti Susianti Susianti Susianti, Susianti Susmalini, Susmalini Sutanto Sutanto Sutarto Sutarto Sutyarso Sutyarso Syafni, Alma Nazelia Syahrul Hamidi Nasution TA Larasati Tasya Putri Atma Utami Raka Tondi Rosalinda Mandalahi Tri Umiana Soleha Tsanya, Nayla Priyanka Dara Tutik Ernawati Ukhron Novansyah Vermitia Veronica Debora W, Dyah Wulan Sumekar R. W., Dyah Wulan Sumekar R. Wido Gamani Wiwi Febriani Wuryaningsih Dwi Sayekti Yahmal, Putri Yaktiworo Indriani Yaktoworo Indriani Yoga, M. Agung Prasetya Adnyana Yohana Yulia Puspita Sari Yunianto, Andi Eka Zahran, Muhammad Alif Zakiah Zakiah Zamahsjari Sahli Zefanya Angie