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PENYULUHAN TENTANG KULIT GERIATRI SERTA PENANGANAN LANJUTAN BAGI PENUAAN KULIT PADA TENAGA KESEHATAN DI SURAKARTA Prakoeswa, Flora Ramona Sigit
Jurnal Pengabdian Masyarakat Medika Vol 4. No. 1, Maret 2024
Publisher : Universitas Muhamamdiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/jpmmedika.v4i1.1093

Abstract

ABSTRAK Indonesia mulai memasuki periode aging population, dimana terjadi peningkatan umur harapan hidup yang diikuti dengan peningkatan jumlah lansia. Penuaan kulit adalah salah satu masalah yang dihadapi oleh lansia. Perubahan pada kulit sangat mudah terlihat dan menimbulkan berbagai masalah seperti penurunan  kepercayaan diri. Oleh karena itu, perlu dilakukan pencegahan penuaan dini kulit. Seiring meningkatnya perhatian terhadap penampilan dan penuaan kulit pada lansia, tenaga kesehatan memerlukan pemahaman yang baik tentang penanganan pada lansia. Untuk itu, dalam pengabdian masyarakat ini dilakukan penyuluhan terkait pengetahuan tenaga kesehatan tentang penyakit kulit geriatri dan penanganan masalah penuaan pada kulit. Kegiatan ini dihadiri oleh 17 tenaga kesehatan yang seluruhnya berjenis kelamin perempuan. Rata-rata umur peserta adalah 30 tahun. Metode yang digunakan dalam pelaksanaan pengabdian masyarakat ini adalah penyuluhan dan diskusi tanya jawab secara luring. Dari hasil uji Wilcoxon didapatkan perbedaan antara nilai pre-test dan post-test dengan nilai P=0.03. Berdasarkan hasil perbandingan nilai pre-test dan post-test didapatkan nilai p < 0.05 yang menunjukkan jika perbedaan tersebut signifikan. Hasil ini menunjukkan bahwa penyuluhan tentang kulit geriatri serta penanganan lanjutan bagi penuaan kulit bermanfaat bagi tenaga kesehatan yang mengikuti acara ini. Melalui nilai post-test yang meningkat, menandakan peningkatan pengetahuan peserta setelah dilakukan penyuluhan.   ABSTRACT   Indonesia is starting to enter the aging population period, where there is an increase in life expectancy followed by an increase in the number of elderly people. Skin aging is one of the problems faced by the elderly. Changes in the skin are very easy to see and cause various problems such as decreased self-confidence. Therefore, it is necessary to prevent premature skin aging. Along with increasing attention to the appearance and aging of the skin in the elderly, health workers need a good understanding of treatment in the elderly. For this reason, in this community service, counselling is carried out regarding the knowledge of health workers about geriatric skin diseases and handling aging problems on the skin. This activity was attended by 17 health workers, all of whom were female. The average age of the participants was 30.24 years. The method used in the implementation of this community service is offline counselling and discussion. From the results of the Wilcoxon test, there was a difference between the pre-test and post-test values ​​with a p value of 0.03. Based on the results of the comparison of the pre-test and post-test values, it was found that the p value <0.05, which indicates that this difference is significant. These results indicate that counselling about geriatric skin and advanced treatment for aging skin is beneficial for health workers who attended this event. The post-test scores increased, indicating an increase in participants' knowledge after the counselling.
Topical anti-aging agents: state-of-the-art review Prakoeswa, Flora Ramona Sigit; Maharani, Faradiba; Satria, Yohanes Aditya Adhi; Awanis, Ghina Shabrina; Febrianty, Astrida Fesky
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 55, No 4 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19106/JMedSci005504202310

Abstract

Skin aging can be divided into intrinsic and extrinsic aging. Even though it is inevitable, symptoms of skin aging are a common concern for patients. As a result, there is a surge in the making of anti-aging cosmeceuticals. However, there is a lack of evidence-based data to support the usage of topical preparations as anti-aging treatments. Therefore, further studies are needed to explore topical treatment options for skin aging. This literature review discusses the mechanism of commonly used topical anti-aging agents and their adverse reactions.
Dasamuka Covid-19 Sigit Prakoeswa, Flora Ramona
Medica Hospitalia : Journal of Clinical Medicine Vol. 7 No. 1A (2020): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (368.551 KB) | DOI: 10.36408/mhjcm.v7i1A.457

Abstract

Pandemi COVID-19 telah menjadi salah satu masalah kesehatan utama di Dunia. Penyakit yang disebabkan oleh SARS-CoV-2 ini menular dengan cepat via droplet. Kegagalan mengenali gejala awal COVID-19 berperan dalam terlambatnya melakukan isolasi penderita untuk mencegah penularan dan pemberian penanganan dini untuk menghambat komplikasi. Manifestasi klinis penyakit tidak hanya terbatas pada gangguan pernapasan. Laporan kasus dan studi terbaru dari berbagai tempat telah melaporkan keterlibatan sistem organ lain dalam penyakit COVID-19, seperti gastrointestinal dan integumen. Kemampuan sistem imunitas tubuh yang adekuat di fase awal infeksi menjadi salah satu faktor penentu prognosis bagi penderita COVID-19. Artikel review ini bertujuan untuk mengkaji literatur yang membahas patogenesis, manifestasi klinis, dan karakteristik COVID-19 pada berbagai sistem organ. Pemahaman mengenai karakteristik, patogenesis, dan identifikasi gejala awal dapat membantu meminimalisir transmisi dan komplikasi dari COVID-19.
Integrated Social Cognitive and Social Capital Theory Toward Telemedicine Acceptance During Pandemic Turbulence Darmasetiawan, Noviaty Kresna; Rianawati, Andri; Prakoeswa, Flora Ramona Sigit
Journal of Entrepreneurship and Business Vol. 5 No. 2 (2024): Journal of Entrepreneurship and Business (June)
Publisher : Program MM Universitas Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24123/jeb.v5i2.6461

Abstract

Pupose: This paper investigates the acceptance of telemedicine during the COVID-19 pandemic using an integrated framework of social cognitive theory, social capital, and the Technology Acceptance Model (TAM). Method: The research employs a quantitative method through online surveys. The findings indicate that: 1) Self-efficacy is associated with the perception of ease of use of telemedicine. 2) Social capital is related to both the perceived ease of use and usefulness of telemedicine. 3) The turbulent pandemic situation strengthens the intention to use telemedicine. This study collect 155 respondents and use partial least square for testing hypothesis. Result: All of hypothesis in this research are supported. The results suggests that the implementation of telemedicine should consider social capital, social cognitive aspects, and TAM.
Peranan Sel Limfosit Dalam Imunulogi: Artikel Review Flora Ramona Prakoeswa
Jurnal Sains dan Kesehatan Vol. 2 No. 4 (2020): J. Sains Kes.
Publisher : Fakultas Farmasi, Universitas Mulawarman, Samarinda, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25026/jsk.v2i4.212

Abstract

Lymphocytes are found in blood and lymph. Besides Natural killer (NK) cells, T cells and B cells are the different forms of lymphocytes. Each of these cells plays fundamental role in the body adaptive immune response. B lymphocytes are central players in the immune response; canonically, they have been recognized as precursors of antibody-producing cells: plasma cells. Recent findings have shown that the role of B lymphocytes goes far beyond the production of antibodies. There are different subtypes of B lymphocytes with different participations in innate and adaptive responses that include the recognition of the antigen, its processing, and its presentation to T lymphocytes, as well as the production of cytokines that impact and modulate the response toward the pathogen. Traditionally, it has been considered that B lymphocytes do not have phagocytic abilities that allow them to internalize, to process, or even to be infected by bacterial pathogens. The new information has shown that B lymphocytes can be readily infected by bacterial pathogens and respond to those infections. T lymphocytes play a role in cytotoxic immune responses. They belong to the adaptive immune system and perform a wide array of functions in immune regulation, inflammation and protective immune responses. In recent years, it has been shown that T cells are involved essentially across the entire spectrum of tissue physiology and pathology, not just in reactions or diseases considered to be bonafide immunological, but also, to cite just some examples, in metabolism, in tissue repair, in dysbiosis, and in pregnancy. Basic research on T cells has also sown the seeds that spawned the new era of immunotherapy that is engaging numerous researchers in finding a cure for cancer. The review of this article aims to further understand the latest findings regarding the formation and work mechanism of lymphocytes, especially on adaptive immunity. It summarizes the various forms of lymphocytes and their immunomodulatory roles in health and diseases.
Peran Disregulasi Imunitas dalam Terapi Kusta pada Area Endemis: Artikel Review: The Role of Immune Dysregulation in Leprosy Treatment in Endemic Areas: Review Article Flora Ramona Sigit Prakoeswa; Faradiba Maharani
Jurnal Sains dan Kesehatan Vol. 4 No. 1 (2022): J. Sains Kes.
Publisher : Fakultas Farmasi, Universitas Mulawarman, Samarinda, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25026/jsk.v4i1.912

Abstract

Leprosy, a chronic infectious disease caused by Mycobacterium leprae, causes health problems and endemic in several countries. The number of new cases of leprosy is constantly reported in endemic countries. Therapeutic efforts in leprosy patients are carried out with the aim of reducing the level of transmission and disability of leprosy patients. Leprosy therapy with the use of a multidrug regimen (MDT) has been shown to be able to reduce the number of leprosy cases but has not been able to suppress the rate of growth of new leprosy cases. The constant number of new cases of leprosy in endemic areas indicates community infection and the inability of MDT as a single strategy to complete treatment and stop the transmission of leprosy. The transmission of leprosy is known to be multifactorial involving: microbial factors, host factors, and environmental factors. These factors are thought to cause immune dysregulation and increase the risk of leprosy infection in people living in endemic areas. An understanding of immune dysregulation is needed to achieve succesful treatment and the eradication of leprosy.
Penuaan Kulit dan Terapi yang Aman Bagi Geriatri: Artikel Review: Skin Aging and It’s Safe Management for Geriatrics: Review Article Flora Ramona Sigit Prakoeswa; Winda Atika Sari
Jurnal Sains dan Kesehatan Vol. 4 No. 5 (2022): J. Sains Kes.
Publisher : Fakultas Farmasi, Universitas Mulawarman, Samarinda, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25026/jsk.v4i5.1294

Abstract

Geriatric have different skin characteristic compared with they who are in young age. There is a change in both intrinsic and extrinsic aging factors causing skin aging which is marked by skin wrinkles, loss of elasticity, and textural changes. The composition of collagen in geriatrics has decreased and there is an increase in matrix metalloproteinases resulted in skin aging. These conditions together with exposure to UVR, infection, and other risk factors cause various skin problems such as xerosis cutis, decubitus ulcers, dermatophytosis, and herpes zoster. Skin problems can be prevented by changing lifestyles, using some cosmetics, medications, and  having treatments. The prevention methods continues to grow and is still being researched to get optimal results and best suit skin conditions. Treatment of skin diseases in geriatrics should be carried out with caution considering the multimorbidity and immunosuppression that often occur in geriatrics. This article discusses skin differences in geriatrics, mechanisms of skin aging, common skin diseases, prevention, and safe treatment in geriatrics.
Herpez Zoster in Teens Flora Ramona Sigit Prakoeswa; Hindun Luthfia Rosyida; Rika Ariyanti
Asian Journal of Social and Humanities Vol. 2 No. 2 (2023): Asian Journal of Social and Humanities
Publisher : Pelopor Publikasi Akademika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59888/ajosh.v2i2.172

Abstract

Herpes Zoster (HZ) is a reactivation of the Varicella Zoster Virus (VVZ), which is characterized by an acute unilateral vesicular eruption grouped with radicular pain around the dermatome. The incidence of HZ increases with age and is rare in children. The prevalence of HZ in children can occur, if they have a history of primary intrauterine infection, are immunocompromised, and who are infected with varicella in the first year of life. One daughter, Ms. B, 15 years old, came to the Skin and Venereology Clinic, PKU Muhammadiyah Surakarta Hospital on December 28, 2022 with complaints of itching and heat, a lesion in the form of multiple clustered vesicles, round in shape, with a size of 0.3-0.5 cm above the skin, erythematous, unilateral, not crossing the midline, the age of the vesicles in one group is the same, but with other groups it is not the same, the skin between groups is normal. Treatment was given acyclovir 4x800 mg per day taken orally for 5 days, triamcinolone 4 mg/day, compressed NaCl 15 minutes 2x daily, caaladine lotion 2x daily on intact lesions and mupirocin calcium on open wounds
Treatment in Patients DRESS (Drug Reaction With Eosinophilia And Systemic Symptoms) : Case Report Flora Ramona Sigit Prakoeswa; Hindun Luthfia Rosyida; Rika Ariyanti
Asian Journal of Social and Humanities Vol. 2 No. 2 (2023): Asian Journal of Social and Humanities
Publisher : Pelopor Publikasi Akademika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59888/ajosh.v2i2.179

Abstract

Drug reactions with eosinophilia and systemic symptom syndrome (DRESS) are rare and potentially life-threatening severe skin adverse reactions (SCAR) The mean age at diagnosis is approximately 50-55 years and less than 10% of patients are under 20 years men : women 0.7-0.8. All drugs used by the patient during DRESS should be stopped immediately. Complications of DRESS are myocarditis, Pneumocystis jiroveciipneumonia, sepsis, liver failure, and gastro-intestinal bleeding. Systemic corticosteroids (prednisolone 1 mg/kg/day) are the gold standard of treatment in the acute phase of patients with severe organ involvement. Therefore, the importance of appropriate therapy to reduce the occurrence of complications from DRESS disease.
The Pattern of Pediatric Parasitic Skin Diseases in a Secondary Hospital in East Java: A Retrospective Study Prakoeswa, Flora Ramona Sigit; Pramuningtyas, Ratih; Dimawan, Rully Setia Agus
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 35 No. 1 (2023): APRIL
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V35.1.2023.52-56

Abstract

Background: Epidermal parasitic skin diseases (EPSDs) are a group of neglected infectious diseases caused by parasites that infect the upper layer of the skin. A parasitic infection of the skin is caused by small insects or worms that burrow into the skin to live there or lay their eggs. EPSDs are a public health issue and can occur in children of all ages. Purpose: This study aims to describe the pattern and incidences of parasitic skin infections in children. Methods: This is a cross-sectional study utilizing medical records from the Dermatology and Venereology Clinic of Dr. Harjono Ponorogo General Public Hospital from 2016 to 2020. Result: Our study showed that, of the 1426 children brought to our clinic, parasitic infection was the second most common skin disease found in children with a prevalence of 27.1%. Parasitic infection in children was dominated by males with a proportion of 69.7%, and occurred mostly in the ≥13-year-old age group. Among all ages, scabies is the most frequent parasitic infection found, followed by cutaneous larva migrant (CLM) and pediculosis. Conclusion: The prevalence of EPSDs is increasing with age and is more common in males. This high prevalence is probably due to increased intensity of contact with other people, decreased parental care, and low socio-economic status.
Co-Authors . Suswardana . Suswardana, . Adzhani, Muhammad Pria Aflit Nuryulia Praswati Agus Sri Wardoyo Alfiyani, Lina Amalia, Shafira Nurul Anang Endaryanto Andini, Putri Dwi Andri Rianawati, Andri Anggelina Aiyoslla Nabilla Putu Pratomo Anik Enikmawati Ardhana Januar Mahardhani Arief Hidayat Awanis, Ghina Shabrina Aziz, Yusuf Abdullah Bayu Hendro Wicaksono Binuko, Raafika Studiviani Dwi Budi Prasetyo Budi Utomo Burhannudin Ichsan Cita Rosita Sigit Prakoeswa Dadi Rosadi Dewi, Listiana Masyta Dian Ardifah Iswari Dimawan, Rully Setia Agus Dominicus Husada Dyah Puji Astuti Dzikri, Dykall Naf'an Ekayanti, Septi Rismala Em Sutrisna Erika Diana Risanti Erma Widyastuti Ersi Dwi Utami Siregar Fanani Firdaus Faradiba Maharani Fauziah, Isnaeni Nur Febriani Aldila Safitri Febrianty, Astrida Fesky Hardyanto Soebono Hari Basuki Notobroto Harun Joko Prayitno Hazimah, Jihan Naufa Hindun Luthfia Rosyida Hindun Luthfia Rosyida Hindun Luthfia Rosyida Husna, Az zahra Miftahul Ida Betanursanti Ida Untari Inggrit Thalasavia Utami Isnaniyanti Fajrin Arifin Kharisma, Annisa Nur Khoirunisya, Vina Kumala, Aswa Arsa Kumalaningtyas, Martdwitanti Ajeng Kurniawati, Pipit Melyana Lenny Puspita Dewi Listiana Masyita Dewi Listiana Masyta Dewi M. Yulianto Listiawan Maharani, Annisa Rizki Maharani, Faradiba Maureen, Raden Roro Nadya Mitha Amelia Rahmawati Mulyono, Didik Muthiah, Suci N. Juni Triastuti Nafasadila, Fatma Nining Lestari Nisa, Siti An Noor Alis Setiyadi Noviaty Kresna Darmasetiawan, Noviaty Kresna Nur Mahmudah Nurwina, Hasna Syifa Oki Wihardiyanto Prameswari, Elza Puspitasari, Erlita Putri, Elsya Nur Fadhilla Putri, Salma Febrina Raafika Studiviani Dwi Binuko Rahmawati, Dita Rahmi Kurniasih Ratih Pramuningtyas Ratih Pramuningtyas Rika Ariyanti Rika Ariyanti Rima Munawaroh Rizqi, Mohammad Fathur Rochmadina Suci Bestari Rohmat rohmat Rully Setia Agus Dimawan Saiful Hidayat Saiful Hidayat Santi Martini Santi, Tika Melandya Santoso, Kohar Hari Santoso Hari Saputri, Nada Ayu Sari, Winda Atika Satria, Yohanes Aditya Adhi Setyawati, Yayuk Sidiq Diwa Montella Siregar, Ersi Dwi Utami Sitta Rahma Suci Bestari, Rochmadina Sumaji, Muhammad Anis Sutedjo, Mazaya Bilqiis Deswynand Trias Mahmudiono Vianti, Melita Febry Widyatmoko, Yudha Pratama Winda Atika Sari Yakob, Asmirati YAN ADITYA PRADANA Yohanes Aditya Adhi Satria Yundari, Yundari Yusuf Alam Romadhon Yusuf Alam Romadhon Zamawi, Zamawi Zufara, Iffa Maulida