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SKABIES: INFESTASI PARASIT YANG TIDAK HANYA MEMENGARUHI KULIT Sigit Prakoeswa, Flora Ramona; Pramuningtyas, Ratih; Risanti, Erika Diana; Suci Bestari, Rochmadina; Dewi, Listiana Masyita
Journals of Ners Community Vol 13 No 3 (2022): Journals of Ners Community
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55129/jnerscommunity.v13i2.1789

Abstract

Skabies adalah salah satu penyakit infestasi parasit pada kulit yang paling umum di dunia dan memiliki dampak yang bervariasi tergantung pada situasi klinis. Beberapa waktu yang lalu, World Health Organization (WHO) telah menambahkan skabies ke dalam daftar penyakit tropis yang terabaikan dalam upaya untuk mengendalikan dan mengeradikasi skabies. Skabies tidak hanya memengaruhi kulit, namun juga berdampak terhadap terhadap aspek psikis, sosial, dan ekonomi pasien. Hal ini mengakibatkan terjadinya penurunan kualitas hidup pasien skabies, bahkan pada populasi tertentu skabies sudah dianggap hal yang biasa. Tidak hanya itu, skabies juga dapat menimbulkan komplikasi yang berat seperti glomerulonefritis, penyakit ginjal kronik, dan demam rematik akut. Prognosis yang baik dapat diperoleh jika pasien diberi tata laksana yang tepat dan holistik.
EDUKASI PENGELOLAAN LIMBAH RUMAH SAKIT UMUM DARMAYU MADIUN Ichsan, Burhannudin; Prakoeswa, Flora Ramona Sigit; Binuko, Raafika Studiviani Dwi; Praswati, Aflit Nuryulia
Jurnal Pengabdian Masyarakat Medika Vol 5. No. 1, Maret 2025
Publisher : Universitas Muhamamdiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/jpmmedika.v5i1.8480

Abstract

ABSTRAK Pengelolaan limbah medis yang tidak tepat dapat menimbulkan dampak negatif bagi kesehatan dan lingkungan. Oleh karena itu, penting bagi rumah sakit untuk memahami dan menerapkan tata kelola limbah medis yang baik. Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pemahaman staf RSU Dharmayu Madiun terkait tata kelola limbah medis. Penyuluhan difokuskan pada penanganan limbah medis yang tepat, termasuk pemisahan limbah, penggunaan tempat penyimpanan sementara yang aman, serta pengangkutan limbah sesuai protokol keamanan. Hasil evaluasi menunjukkan peningkatan yang signifikan dalam pengetahuan staf, sebagaimana terlihat dari perbandingan hasil pre-test dan post-test. Peningkatan ini mengindikasikan bahwa penyuluhan efektif dalam memberikan pemahaman yang lebih mendalam tentang dampak dan penanganan limbah medis. Untuk pengabdian selanjutnya, disarankan adanya simulasi praktik langsung dan monitoring implementasi untuk menjaga keberlanjutan tata kelola limbah medis yang baik di rumah sakit.   ABSTRACT Improper medical waste management can have negative impacts on health and the environment. Therefore, it is essential for hospitals to understand and implement effective medical waste management practices. This community service activity aimed to enhance the understanding of the staff at RSU Dharmayu Madiun regarding proper medical waste management. The training focused on the correct handling of medical waste, including waste segregation, the use of safe temporary storage facilities, and the transportation of medical waste according to safety protocols. The evaluation results showed a significant increase in staff knowledge, as indicated by the comparison between pre-test and post-test scores. This improvement suggests that the training effectively deepened their understanding of the impact and management of medical waste. For future activities, it is recommended to include hands-on practice simulations and continuous monitoring to ensure the sustainability of good medical waste management practices in hospitals.
Overcoming negative stigma towards leprosy patients Prakoeswa, Flora Ramona Sigit; Maharani, Faradiba; Sari, Winda Atika; Risanti, Erika Diana
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 37 No. 1 (2025): APRIL
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V37.1.2025.59-62

Abstract

Background: Leprosy remains a public health problem, with various factors contributingo the transmission and progression of the disease. Stigma and discrimination towards leprosy patients have hindered the treatment and eradication of the disease.  Purpose: To identify the related factors and strategies to overcome stigmas towards leprosy patients. Review: Leprosy is a chronic infectious disease that affects skin and nerve, and causes visible permanent impairment if the patients do not get adequate treatment. Therefore, visible clinicalnifestations and cultural beliefs have createdigma towards leprosy patients, which negatively impacts their quality of life and their awareness of seeking health care. These factors may lead to patients avoiding diagnosis and treatment, which in turn increases number of G2D cases and transmission rate. Cultural and religious beliefs, low education level, and minimal information about leprosy have been known to contribute to the stigma. Several strategies can be considered to use to overcome stigma and discrimination towards leprosy patients. Conclusions: nderstanding factors related to leprosy stigma and its effects on the progression of the disease will help determine the strategies to overcome stigma and discrimination.
The Effect of Radiotherapy on Skin Reactions in Nasopharynx Cancer Patient Putri, Elsya Nur Fadhilla; Prakoeswa, Flora Ramona Sigit; Pramuningtyas, Ratih
Proceeding ISETH (International Summit on Science, Technology, and Humanity) 2024: Proceeding ISETH (International Summit on Science, Technology, and Humanity)
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/iseth.5507

Abstract

Nasopharyngeal cancer is a squamous cell carcinoma with a high frequency in East and Southeast Asia. Radiotherapy is the main treatment method often used in the management of nasopharyngeal cancer. Although effective in destroying cancer cells, radiotherapy often causes significant skin reactions, including radiation dermatitis, which can appear as erythema, desquamation, and even ulceration. These reactions can affect the sufferers' quality of life and interfere with the continuity of therapy. This study aims to explore factors that affect the intensity of radiation dermatitis, including location of radiotherapy and concurrent chemotherapy. In addition, radiation dermatitis management strategies, such as the use of moisturizers, topical steroid therapy, and sun protection, are packaged to accelerate the healing process and reduce symptoms. Assessment criteria such as CTCAE and RTOG are used to assess The intensity of dermal responses. It is expected that a thorough understanding of the causes and management of radiation dermatitis would improve the prognosis for patients with nasopharyngeal cancer and increase the effectiveness of therapy. More research is needed to develop more effective preventative and therapeutic measures for radiation-induced dermatitis.
Acute Generalized Exanthematous Pustulosis Resembling Generalized Pustular Psoriasis In A Patient with Psoriasis History: A Diagnostic Challenge Aziz, Yusuf Abdullah; Nurwina, Hasna Syifa; Nafasadila, Fatma; Pramuningtyas, Ratih; Prakoeswa, Flora Ramona Sigit
Proceeding ISETH (International Summit on Science, Technology, and Humanity) 2024: Proceeding ISETH (International Summit on Science, Technology, and Humanity)
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/iseth.5547

Abstract

Acute generalized exanthematous pustulosis (AGEP) and generalized pustular psoriasis (GPP) are two rare dermatologic conditions that have similar clinical presentations. This case report discusses the challenges in differentiating AGEP and GPP in a 27-year-old man with a history of psoriasis. The patient presented with complaints of red patches and purulent pustules all over the body since 3 days after taking Cefadroxil. Physical examination showed papules and pustules with erythema base. Eosinophilia was found on laboratory examination. Skin biopsy results supported the diagnosis of AGEP with hyperkeratosis, mild spongiosis, and inflammation in the dermis. Based on the history, clinical presentation, laboratory and biopsy results, the patient was diagnosed with AGEP suspected as an allergic reaction to Cefadroxil. The patient was hospitalized with systemic and supportive therapy. This case emphasizes the importance of thorough evaluation including history, clinical findings, and supporting examinations in differentiating AGEP and GPP.
Immunodermatology: at a glance Prakoeswa, Flora Ramona Sigit; Awanis, Ghina Shabrina; Sari, Winda Atika; Pramuningtyas, Ratih
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 37 No. 2 (2025): AUGUST
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikkk.V37.2.2025.130-141

Abstract

Background: Immunodermatology is a medical specialty specializing in detecting and treating skin conditions induced by a compromised immune system response. Each cellular element of the skin undergoes a unique developmental process and serves a specific function within the skin. Many disorders affecting epithelial organs, including the skin, mucous membranes, digestive tract, and respiratory tracts, require immunodermatological testing for diagnosis and treatment. Immunodermatology, a field at the intersection of dermatology and immunology, continues to evolve, with new research being published annually. Purpose: This review aims to summarize the foundational principles of immunodermatology, current diagnostic approaches, and selected immune-mediated skin disorders. Review: There are numerous dermatological conditions related to immunodermatology. Advances in immunology and dermatology have enhanced our understanding of the skin as an active immune organ. Immunodermatology encompasses a wide range of diseases involving both innate and adaptive immunity. Despite growing research, many aspects remain under investigation. Conclusion: The skin’s immunological function could be viewed as a complex and multifaceted interplay between signal processing and defense reactions. Immunodermatology continues to expand with ongoing innovations in diagnostics and therapeutics, highlighting its importance in future clinical and research developments.
Penyembuhan Luka Tanpa Bekas: Kemajuan dan Inovasi Terkini Prakoeswa, Flora Ramona Sigit; Dzikri, Dykall Naf'an
Cermin Dunia Kedokteran Vol 52 No 8 (2025): Penyakit Dalam
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v52i8.1678

Abstract

Scarless wound healing, a hallmark of mid-gestation fetal skin, is characterized by minimal inflammation, balanced transforming growth factor-β isoforms, and a provisional extracellular matrix rich in type III collagen and hyaluronan. Decades of mechanistic studies have mapped how these features collectively enable rapid, regenerative closure without fibrosis. Contemporary adult-tissue strategies therefore focus on recapitulating the fetal milieu through targeted cytokine modulation, notably down-regulating TGF-β1/β2 while supplementing antifibrotic TGF-β3. Mesenchymal stem cells (MSCs) and their secretome have emerged as potent immunomodulators and angiogenic stimulants that steer wounds toward regeneration rather than scarring. Genetic engineering, biomaterial scaffolds, and extracellular-vesicle delivery platforms further enhance MSC persistence, homing, and paracrine potency. Parallel advances in bio-inspired hydrogels, microneedle arrays, and nanofiber dressings provide spatiotemporal release of growth factors, antimicrobial agents, and oxygen to orchestrate orderly repair. Such combinatorial nanotechnologies not only accelerate re-epithelialization but also limit hypertrophic collagen deposition, leading to flatter, more elastic neodermis.
Impact of Interprofessional Education Collaboration in Attitudes, Skills, and Behavior among Medical Students in Asia: A Narrative Review Prakoeswa, Flora Ramona Sigit; Pramuningtyas, Ratih; Risanti, Erika Diana; Prayitno, Harun Joko; Sari, Winda Atika
Jurnal Sehat Indonesia (JUSINDO) Vol. 7 No. 2 (2025): Jurnal Sehat Indonesia (JUSINDO)
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/jsi.v7i2.311

Abstract

Interprofessional education (IPE) involves collaboration among various fields within the healthcare system to achieve optimal health outcomes. IPE reduces gaps between health professionals from diverse backgrounds, fostering teamwork and effective collaboration. Early integration of IPE into medical curricula is essential to equip students with the knowledge, skills, and attitudes required for collaborative healthcare practices, ultimately improving patient care, reducing medical errors, and enhancing healthcare service quality. This review investigates the impact of early exposure to IPE on the skills, attitudes, and collaborative abilities of medical students in Asia. The goal is to assess whether early introduction fosters professionalism and effective interprofessional collaboration. Literature searches were conducted using Google Scholar and PubMed with appropriate keywords (interprofessional education, collaboration, medicine, and education). Articles were assessed for evidence-based relevance to the global health system, and those with cultural, racial, or religious biases were excluded. Review writing review based on 40 sources (journals, books, or WHO guidelines) that meet the criteria and keywords. Findings suggest that early engagement with IPE promotes positive attitudes, teamwork, and leadership skills among medical students. However, concerns remain regarding insufficient genuine interprofessional collaboration and potential declines in student attitudes without proper implementation. The early introduction of IPE has the potential to cultivate professionalism and collaborative skills among medical students in Asia. This review provides a foundation for encouraging the inclusion of IPE in medical curricula to improve interprofessional collaboration and healthcare outcomes.
Hubungan Antara Kecemasan Dan Kebersihan Kulit Wajah Dengan Kejadian Akne Vulgaris Pada Mahasiswa Tingkat Akhir Fakultas Kedokteran Universitas Muhammadiyah Surakarta Angkatan 2017 Safitri, Febriani Aldila; Pramuningtyas, Ratih; Prakoeswa, Flora Ramona Sigit
Prosiding University Research Colloquium Proceeding of The 13th University Research Colloquium 2021: Kesehatan dan MIPA
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

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

Abstract

Akne vulgaris adalah penyakit kulit yang banyak terjadi dan mengenai hampir 80%-100% populasi. Menurut studi Global Burden of Disease (GBD), akne vulgaris mengenai 85% dewasa muda dengan usia 12-25 tahun. Faktor penyebab terjadinya akne vulgaris sangat bervariasi (multifaktorial), namun secara pasti masih belum diketahui. Salah satu faktor risiko yaitu kecemasan serta kurangnya menjaga kebersihan kulit wajah dapat menimbulkan akne vulgaris. Desain penelitian menggunakan cross sectional dan dilakukan pada bulan Desember 2020 pada mahasiswa FK UMS angkatan 2017. Besar subjek penelitian 68 responden yang sesuai dengan kriteria restriksi dan pengambilan sampel menggunakan teknik purposive sampling. Data kecemasan dan kebersihan kulit wajah menggunakan kuesioner. Data kejadian akne vulgaris dengan diagnosis dokter umum. Data dianalisis menggunakan uji chi-square dan tidak memenuhi syarat sehingga menggunakan uji alternatif yaitu Fisher’s Exact Test, dilanjutkan dengan uji regresi logistik. Hasil uji Fisher’s Exact Test terdapat hubungan antara kecemasan maupun kebersihan kulit wajah terhadap kejadian akne vulgaris dengan nilai p berturut-turut (p=0,000), (p=0,000). Hasil uji regresi logistik nilai p untuk kecemasan dan kebersihan kulit wajah berturut-turut 0,012, 0,009 serta nilai OR sebesar 6,572, 16,771 yang artinya bahwa responden yang cemas memiliki kemungkinan 6,572 kali lebih mungkin terhadap timbulnya akne vulgaris dan responden yang memiliki kebersihan kulit wajah buruk memiliki kemungkinan sebesar 16,771 kali terhadap timbulnya akne vulgaris.
Hubungan antara Kecemasan dan Pola Makan terhadap Kejadian Acne Vulgaris pada Mahasiswa Fakultas Kedokteran Universitas Muhammadiyah Surakarta Angkatan 2018 Kurniasih, Rahmi; Pramuningtyas, Ratih; Prakoeswa, Flora Ramona Sigit
Prosiding University Research Colloquium Proceeding of The 13th University Research Colloquium 2021: Kesehatan dan MIPA
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

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

Abstract

Acne Vulgaris (AV) menjadi masalah kesehatan umum yang terutama terjadi pada kalangan remaja dan dewasa muda dengan puncak tingkat keparahan pada umur 17-21 tahun. Penyebab AV multifaktorial, kecemasan dan makanan merukapan faktor risiko dari AV karena dapat menyebabkan produksi sebum meningkat sehingga memicu terjadinya AV. Penelitian ini untuk mengetahui hubungan antara kecemasan dan pola makan terhadap kejadian Acne vulgaris pada FK UMS angkatan 2018. Metode penelitian ini menggunakan desain penelitian observasional, dengan pendekatan Cross Sectional. Subjek penelitian adalah 33 responden yang diambil dengan teknik purposive sampling. Pengambilan data menggunakan kuesioner. Data dianalisis menggunakan uji chi-square dan regresi logistik. Hasil uji chi-square menunjukkan terdapat hubungan antara kecemasan dengan acne vulgaris dengan nilai p-value 0.002 < 0.05 dan terdapat hubungan yang signifikan antara pola makan dengan acne vulgaris dengan nilai p-value 0.002< 0.05.
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 Ariyanti, Rika 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 Husna, Az zahra Miftahul Ida Betanursanti Ida Untari Inggrit Thalasavia Utami Islamuddin, Tri Kurnia Ahmad Isnaniyanti Fajrin Arifin Kharisma, Annisa Nur Khoirunisya, Vina Kumala, Aswa Arsa Kumalaningtyas, Martdwitanti Ajeng Kurniasih, Rahmi Kurniawati, Pipit Melyana Lenny Puspita Dewi Listiana Masyita Dewi Listiana Masyta Dewi Luthfia Rosyida, Hindun 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 Rahma, Sitta Rahmawati, Dita Rahmi Kurniasih Ratih Pramuningtyas Ratih Pramuningtyas Rika Ariyanti Rika Ariyanti Rima Munawaroh Rizqi, Mohammad Fathur Rochmadina Suci Bestari Rohmat rohmat Rosyida, Hindun Luthfia Rully Setia Agus Dimawan Safitri, Febriani Aldila 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 Wahidah Wahidah 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