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All Journal Nexus Kedokteran Komunitas Magna Neurologica
Firstiafina Tiffany
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Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Pengaruh Penggunaan Kontrasepsi Depo Provera terhadap Timbulnya Melasma di Puskesmas Ngoresan Surakarta Tiffany, Firstiafina; Dewi, Yulia Lanti Retno; Setyawan, Sigit
Nexus Kedokteran Komunitas Vol 2, No 3 (2013): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: One side effect of Depo Provera Contraceptive usage is the emergence of melasma on the face. Research about the influence of Depo Provera contraceptive usage on the incidence of melasma has never existed in Ngoresan Public Health Center Surakarta. Therefore, the authors are interested to know whether a speckling of hyperpigmentation / melasma on the face can be caused due to the usage of contraceptive Depo Provera. Methods: This study used analytic observational with a retrospective cohort study approach. This study was conducted in March-April of 2013. Subjects in this study were women aged 20-40 years in Ngoresan Public Health Center Surakarta. The sampling technique used was fixed exposure sampling to the sample size of 60 people. Data collection used questionnaires and direct observations. Then, data were analyzed using the chi square test at 95% confidence level (p > 0.05). Results: Based on the calculation, obtained p value = 0.010 < limit value of significance p = 0.05 level. So H0 is rejected and H1 is accepted. Means there is a significant effect on the Depo Provera contraceptive usage on the incidence of melasma on the face at the Ngoresan Public Health Center Surakarta. Conclusions: From the research it can be concluded that the obtained statistically significant results on the effect of Depo Provera contraceptive usage on the incidence of melasma on the face at the Public Health Center Ngoresan Surakarta. The longer the usage of contraceptive Depo Provera more likely arise melasma. Keywords: Depo Provera Contraception, Melasma  
Pengaruh Penggunaan Kontrasepsi Depo Provera terhadap Timbulnya Melasma di Puskesmas Ngoresan Surakarta Firstiafina Tiffany; Yulia Lanti Retno Dewi; Sigit Setyawan
Nexus Kedokteran Komunitas Vol 2, No 3 (2013): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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

Abstract

Background: One side effect of Depo Provera Contraceptive usage is the emergence of melasma on the face. Research about the influence of Depo Provera contraceptive usage on the incidence of melasma has never existed in Ngoresan Public Health Center Surakarta. Therefore, the authors are interested to know whether a speckling of hyperpigmentation / melasma on the face can be caused due to the usage of contraceptive Depo Provera. Methods: This study used analytic observational with a retrospective cohort study approach. This study was conducted in March-April of 2013. Subjects in this study were women aged 20-40 years in Ngoresan Public Health Center Surakarta. The sampling technique used was fixed exposure sampling to the sample size of 60 people. Data collection used questionnaires and direct observations. Then, data were analyzed using the chi square test at 95% confidence level (p > 0.05). Results: Based on the calculation, obtained p value = 0.010 < limit value of significance p = 0.05 level. So H0 is rejected and H1 is accepted. Means there is a significant effect on the Depo Provera contraceptive usage on the incidence of melasma on the face at the Ngoresan Public Health Center Surakarta. Conclusions: From the research it can be concluded that the obtained statistically significant results on the effect of Depo Provera contraceptive usage on the incidence of melasma on the face at the Public Health Center Ngoresan Surakarta. The longer the usage of contraceptive Depo Provera more likely arise melasma. Keywords: Depo Provera Contraception, Melasma
Patient with Foreign Accent Syndrome in Post Infarct Thrombotic Stroke: A Case Report Tiffany, Firstiafina; Ristinawati, Ira; Nur Hanifa, Shafira
Magna Neurologica Vol. 2 No. 1 (2024): January
Publisher : Department of Neurology Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/magnaneurologica.v2i1.894

Abstract

Background: Stroke is the second leading cause of death in the world and is the leading cause of disability worldwide. One of the disabilities is language disorder. Foreign Accent Syndrome (FAS) is a clinical condition associated with a noticeable change of accent, that could affect verbal communication and social interaction skills. By identifying this case earlier, we hope that the patient’s activity daily living is less disrupted. Case: A 54-year-old woman presented with right limb weakness and tingling, along with a change in speech accent from Javanese to Madurese, despite no prior exposure to Madurese. Neurobehavioral examination revealed language and memory disturbances, and MRI showed cerebral infarction in the bilateral hippocampi, small vessel ischemia in the bilateral frontal lobes, and corona radiata. Discussion: The accent change, known as FAS that was experienced by the patients are thought to be due to neurological causes, which was stoke. In a study using a lesion network mapping approach concluded that the lesion causing accent disorder was located within a single network in the bilateral frontal lobe. In line with the existing theory, the MRI results in this patient showed ischemia in the blood vessels of the bilateral frontal lobes. Conclusion: Clinical symtoms related to stroke depending on the location of the lesion. The accent change in this patient, known as Foreign Accent Syndrome (FAS), is believed to be caused by stroke affecting the bilateral frontal lobes. Early recognition of FAS can help reduce disruptions in communication and social interactions.
Co-Authors Nur Hanifa, Shafira Ristinawati, Ira Sigit Setyawan Yulia Lanti Retno Dewi yulia lanti retno dewi