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Upaya Penanganan Tinea Capitis Dengan Pendekatan Kedokteran Keluarga Di Puskesmas Simpang Keuramat Kabupaten Aceh Utara Ulfa Zahara; Noviana Zara; Anita Aris
Natural: Jurnal Pelaksanaan Pengabdian Bergerak bersama Masyarakat. Vol. 3 No. 3 (2025): Agustus : Natural: Jurnal Pelaksanaan Pengabdian Bergerak bersama Masyarakat
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/natural.v3i3.1591

Abstract

The patient, MA, a 2-year-4-month-old boy, was brought by his mother to Simpang Keuramat Primary Health Center with complaints of itchy scalp for the past 4 months. On the itchy area, white scales were observed. Initially, it was only itching, but two weeks later, the parents noticed white patches on the scalp that became thicker and more scaly. The itching was intermittent and worsened with sweating. At first, only a few hairs were broken, but over time it progressed into a round area of hair loss with well-defined borders. The patient bathes twice daily and shampoos every other day. Towels, pillows, and combs used by the patient were not shared with other family members. According to the patient's parents, the child often plays with stray cats around the house. Primary data were obtained through allo-anamnesis, physical examination, home visits, completion of the family folder, and patient records. Assessment was conducted based on the initial holistic diagnosis, process, and outcome of the visits, both quantitatively and qualitatively. Interventions included educating the patient about the causes of tinea capitis, emphasizing the importance of skin hygiene, and explaining that the disease is highly contagious. Therefore, patients were advised to avoid sharing clothing and towels with family members as a preventive measure against transmission.
Hubungan Penyakit Komorbid dengan Keberhasilan Terapi Fibrinolitik pada Pasien STEMI di Rumah Sakit Umum dr. Fauziah Bireuen Ulfa Zahara; Aulia Mustika; Nanda Nanda
Vitamin : Jurnal ilmu Kesehatan Umum Vol. 3 No. 4 (2025): October : Vitamin : Jurnal ilmu Kesehatan Umum
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/vitamin.v3i4.1695

Abstract

ST-Elevation Myocardial Infarction (STEMI) is one of the manifestations of acute coronary syndrome (ACS) and is a leading cause of disability and death worldwide. The mortality rate for STEMI is reported to reach 6%–14% of all ACS deaths. Reperfusion therapy is the primary treatment, with fibrinolytics an important option, especially in healthcare facilities that do not have the capacity to perform primary Percutaneous Coronary Intervention (PCI) in less than 12 hours. The success of fibrinolytics is influenced by various risk factors, such as hypertension, dyslipidemia, diabetes mellitus, a history of heart disease, and the duration of the attack. This study aims to determine the relationship between these factors and the success rate of fibrinolytics in STEMI patients. This study used a retrospective descriptive design with a cross-sectional method. The sampling technique used total sampling of patients diagnosed with STEMI and receiving fibrinolytic therapy according to inclusion and exclusion criteria at Dr. Fauziah Hospital. Statistical analysis was performed using the Chi-Square correlation test to assess the relationship between clinical variables and fibrinolytic success. The results showed no significant association between hyperglycemia (p = 0.823), hypertension (p = 0.240), or a history of heart disease (p = 0.704) and fibrinolytic success. Similarly, the onset of stroke variable did not show a significant association with reperfusion outcomes. In conclusion, classic risk factors such as hyperglycemia, hypertension, and a history of heart disease were not associated with fibrinolytic success in STEMI patients at Dr. Fauziah Hospital. These results suggest that fibrinolytic success is likely influenced by other factors, such as timing of drug administration, protocol adherence, and individual variation in response to therapy. Further research with a larger sample size and a prospective design is recommended to strengthen these findings.