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Upaya Pengelolaan Tinea Corporis pada Pasien Perempuan Usia 50 Tahun dengan Pelayanan Kedokteran Keluarga di Puskesmas Tanah Luas Kabupaten Aceh Utara Chairina, Nanda; Zara, Noviana; Utariningsih, Wheny; Novalia, Vera; Debbyousha, Maulina; Mardiati, Mardiati; Fitriany, Julia; Mauliza, Mauliza; Muna, Zurratul; Julistia, Rini
GALENICAL : Jurnal Kedokteran dan Kesehatan Mahasiswa Malikussaleh Vol. 4 No. 1 (2025): GALENICAL : Jurnal Kedokteran dan Kesehatan Mahasiswa Malikussaleh - Februari 2
Publisher : Program Studi Kedokteran Fakultas Kedokteran Universitas Malikussaleh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29103/jkkmm.v4i1.10180

Abstract

Pasien perempuan berusia 50 tahun datang dengan keluhan timbulnya bercak kemerahan disertai rasa gatal pada daerah perut sejak ± 2 minggu yang lalu. Menurut pasien, awalnya dirinya tidak menyadari adanya bercak kemerahan yang timbul. Bercak awalnya muncul dengan sisik putih sebesar uang logam di perut dan lama-kelamaan berubah menjadi kemerahan. Bercak kemerahan tersebut dirasakan sangat gatal terutama bila berkeringat dan membaik saat setelah mandi. Apabila bercak terasa gatal, pasien juga sering menggaruk bercak tersebut sehingga semakin melebar. Menurut pasien gatal tidak dipengaruhi makanan yang dikonsumsi setiap harinya. Pasien didiagnosis tinea corporis dengan status gizi baik. Data primer diperoleh melalui anamnesis dan pemeriksaan fisik dengan melakukan kunjungan rumah, mengisi family folder, dan mengisi berkas pasien. Penilaian dilakukan berdasarkan diagnosis holistik awal, proses, dan akhir kunjungan secara kuantitatif dan kualitatif. Diperlukan berbagai pendekatan untuk melakukan tatalaksana komprehensif terhadap masalah kesehatan, baik secara medikamentosa dan non medikamentosa serta edukasi untuk memperbaiki kualitas hidup dan mencegah terjadinya perburukan kesehatan yang lebih lanjut.
Studi Kasus Gizi Kurang pada Anak Usia 49 Bulan di Desa Geulumpang Sulu Timu Puskesmas Dewantara Kabupaten Aceh Utara Lubis, Aisyah Nita Yasmin; Savitri, Dhannisa Ika; Ardiansyah, Tgk. Fikri; Kholilullah, Vina Zaynah; Mailyn, Yaiza Aynaya; Zara, Noviana; Maulina, Meutia; Novalia, Vera; Utariningsih, Wheny; Dewi, Rahmia; Ita Zahara, Cut
GALENICAL : Jurnal Kedokteran dan Kesehatan Mahasiswa Malikussaleh Vol. 4 No. 1 (2025): GALENICAL : Jurnal Kedokteran dan Kesehatan Mahasiswa Malikussaleh - Februari 2
Publisher : Program Studi Kedokteran Fakultas Kedokteran Universitas Malikussaleh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29103/jkkmm.v4i1.13758

Abstract

Gizi merupakan salah satu faktor penting yang dapat menentukan tingkat kesehatan antara pertumbuhan fisik dan perkembangan mental seseorang. Balita merupakan kelompok usia yang rentan mengalami masalah gizi. Penyebab langsung terjadinya gizi kurang salah satunya dipengaruhi oleh asupan zat gizi. Gizi kurang masih menjadi masalah gizi utama di Indonesia. Oleh karena itu, dalam   upaya penatalaksaan penyakit dibutuhkan peran keluarga untuk mencapai  tujuan terapi yang maksimal. Penelitian ini merupakan sebuah studi kasus terhadap seorang anak balita An. A, laki-laki berusia 49 bulan di Desa Geulumpang Sulu Timu, Dewantara, Aceh Utara tahun 2023. Studi kasus ini dilakukan dengan cara observasi pasien melalui pendekatan home visit. Diagnosis gizi kurang ditegakkan berdasarkan anamnesa dan pemeriksaan fisik. Setelah diagnosis ditegakkan pasien diberikan tatalaksana secara komprehensif. Dilakukan edukasi dan    pemantauan pada anak dan keluarga didapatkan ada hasil perbaikan di akhir kunjungan. Pada kunjungan pertama didapatkan BB pasien 11,8 kg, kunjungan kedua 12 kg, kunjungan ketiga 12,5 kg. Kesimpulan studi kasus ini didapatkan bahwa terdapat beberapa faktor yang mempengaruhi kejadian gizi kurang pada anak tersebut, diantaranya adalah tingkat pengetahuan, pola asuh ibu, ekonomi keluarga dan kurangnya promosi kesehatan.
Thyroid Storm (Krisis Tiroid) pada Pasien Hipertiroid et causa Graves Disease dengan Kehamilan Debbyousha, Maulina; Khairunnisa, Cut; Fardian, Nur; Zara, Noviana; Pohan, Adli Kurniawan
GALENICAL : Jurnal Kedokteran dan Kesehatan Mahasiswa Malikussaleh Vol. 4 No. 2 (2025): GALENICAL : Jurnal Kedokteran dan Kesehatan Mahasiswa Malikussaleh - April 2025
Publisher : Program Studi Kedokteran Fakultas Kedokteran Universitas Malikussaleh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29103/jkkmm.v4i2.21549

Abstract

Graves Disease (GD) adalah salah satu penyebab utama dari hipertiroidisme dengan persentase hingga 80% dari kasus hipertiroid. Graves Disease paling sering dialami oleh perempuan usia 20 hingga 50 tahun. Penyebab utama dari GD adalah autoimun, yaitu kondisi dimana sel imun menyerang tiroid sehingga merangsang peningkatan produksi hormon tiroid dengan efek samping membesarnya kelenjar tiroid. Pada kasus ini pasien perempuan usia 30 tahun dikonsulkan dari bagian Obstetri  dengan diagnosis G5A4P0 ke bagian Penyakit Dalam dengan keluhan utama tampak benjolan pada kedua sisi leher. Pasien mengeluhkan adanya benjolan pada leher sejak 6 bulan yang lalu, tidak nyeri, tidak mengganggu jalan napas ataupun menelan, serta membesar perlahan tanpa disadari. Keluhan lainnya adalah jantung berdebar-debar, cemas, sering berkeringat, lemas, mudah lelah, mata terasa nyeri dan terlihat semakin menonjol keluar. Pada pemeriksaan fisik inspeksi tampak adanya pembesaran tiroid bilateral, simetris kiri dan kanan serta bergerak saat refleks menelan. Pada palpasi tidak dijumpai adanya nyeri tekan pada benjolan yang mana konsistensi tiroid kenyal, permukaan rata dan ukuran ± 6 cm. Pada pasien dilakukan pemeriksaan penunjang berupa laboratorium dimana didapatkan hasil berupa penurunan haemoglobin 10.5 g/dL, disertai peningkatan FT4 >100 ng/dL dan penurunan TSH <0.05 IU/mL. Pemeriksaan penunjang lainnya berupa EKG berupa sinus takikardi. Pada pasien ini diberikan penatalaksanaan nonfarmakologi berupa bedrest, diet makan biasa 1500 kkal/hari, pemberian nutrisi parenteral, serta tatalaksana farmakologi pada pasien berupa cairan asering 20tpm, injeksi ceftriaxone 1gr/12 jam, dexamethasone 2.5 mg/12 jam, ranitidine 50 mg/12 jam, PTU serta propanolol. Pasien dengan keluhan dan pemeriksaan tersebut didiagnosis dengan  hipertiroid ec graves disease dan krisis tiroid.
Upaya Pendekatan Kedokteran Keluarga pada Perempuan 42 Tahun dengan DM Tipe 2 di Aceh Utara Nadia Alkhalifa; Noviana Zara
Quantum Wellness : Jurnal Ilmu Kesehatan Vol. 2 No. 2 (2025): Juni : Quantum Wellness : Jurnal Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/quwell.v2i2.1653

Abstract

The patient came with complaints of frequent tingling in both legs for 2 months. These complaints were accompanied by a body that continuously felt weak even though the patient did not do heavy activities. The patient also complained of nausea but no vomiting, frequent urination especially at night, and often felt thirsty. Other complaints such as fever and bowel disorders were denied by the patient. The patient also did not routinely use insulin medication. Primary data were obtained through autoanamnesis and physical examination by conducting home visits, filling out family folders, and filling out patient files. The assessment was carried out based on the initial holistic diagnosis, process, and end of the visit quantitatively and qualitatively. The interventions carried out included education about the causes of diabetes mellitus to his family, education about lifestyle modification and management of the disease, and explaining complications that may arise from the patient's disease so that the patient takes regular treatment and makes preventive efforts.
Upaya Pendekatan Kedokteran Keluarga pada Perempuan Usia 55 Tahun dengan Hipertensi di Puskesmas Banda Baro Puan Nassya Amalia Islamy; Noviana Zara
Quantum Wellness : Jurnal Ilmu Kesehatan Vol. 2 No. 2 (2025): Juni : Quantum Wellness : Jurnal Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/quwell.v2i2.1655

Abstract

A 55-year-old female patient came to the Non-Communicable Diseases Polyclinic of Banda Baro Health Center with complaints of headaches that had been felt since ± 7 days ago. The headache was felt as if it was throbbing all over the head. The headache was felt to be worse when the patient was active and stressed and reduced when the patient rested. This headache complaint had disrupted the patient's daily activities. The patient also complained of a stiff neck accompanied by weakness. The patient had been diagnosed with hypertension since 5 years ago but did not take medication regularly. The therapy received by the patient was Amlodipine 1 x 5 mg. From the results of the examination, BP was 145/90 mmHg, HR: 82 x / i, RR: 19 x / i, temperature: 36.5 ° C. Primary data was obtained through anamnesis and physical examination by conducting home visits, filling out family folders, and filling out patient files. The assessment is carried out based on the initial holistic diagnosis, process, and end of visit. Interventions carried out include education on the importance of a healthy lifestyle, taking medication regularly to control blood pressure and complications that can occur due to high blood pressure.
Upaya Pendekatan Kedokteran Keluarga pada Wanita 62 Tahun dengan Hiperkolesterolemia di Aceh Utara Noviana Zara; Azman Bripo
Quantum Wellness : Jurnal Ilmu Kesehatan Vol. 2 No. 2 (2025): Juni : Quantum Wellness : Jurnal Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/quwell.v2i2.1656

Abstract

Mrs. Km visited the Integrated Health Post (Posbindu) in Alue Keureunyai Village with complaints of throbbing neck pain that had occurred intermittently over the past two weeks and worsened in the last day. The pain intensified after consuming fatty or coconut milk-based foods and improved with rest or cholesterol-lowering medication. She also experienced a persistent, heavy, throbbing headache for two weeks and ongoing fatigue for the past three weeks, despite minimal physical activity. These symptoms led to reduced motivation in daily activities. Physical examination showed: BP 160/100 mmHg, HR 88 bpm, RR 20 breaths/min, T 36.8°C. Laboratory results revealed a total cholesterol level of 250 mg/dL. Data were gathered through auto-anamnesis, physical and laboratory examinations, home visits, completion of the family folder, and patient documentation. Assessment was based on holistic diagnosis at the initial, ongoing, and final stages of the visit, using both qualitative and quantitative approaches. Interventions included education on the causes of hypercholesterolemia, the importance of taking medication regularly, and awareness of complications due to high cholesterol levels.
Pengaruh Media Promosi Kesehatan terhadap Perubahan Status Gizi Baduta di Desa Paloh Punti Lhokseumawe Puan Nassya Amalia Islamy; Nora Maulina; Noviana Zara
Quantum Wellness : Jurnal Ilmu Kesehatan Vol. 2 No. 2 (2025): Juni : Quantum Wellness : Jurnal Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/quwell.v2i2.1662

Abstract

Nutrition is very important in human development and growth. The 2021 edition of UNICEF-WHO-WORLD BANK states that 148.2 million children aged 0-5 years worldwide are stunted, 38.9 million are overweight, and 45.4 million are severely wasted. Nutritional problems often occur at the age of 6-24 months due to inadequate nutrition because of lack of mother's knowledge, therefore it is necessary to carry out interventions to increase mother's knowledge regarding balanced nutrition of children under two. The purpose of this study was to determine the effect of health promotion media on changes in the nutritional status of children under two years in Paloh Punti Village, Muara Satu District, Lhokseumawe. This research method used quasi-experimental quantitative research with a one group pretest-posttest design and involved 51 children under two years. The data collection technique used was purposive random sampling. The data collected is primary data in the form of body weight which is limited to nutritional status based on body weight/age. The results showed that the nutritional status of children under two years was 92.1% in the good nutritional status category after the intervention. The change in nutritional status from malnutrition to normal nutrition from the results of the prostest compared to the pretest was 27.4%. The use of health promotion media has an effect on malnutrition status based on the Wilcoxon test with a p-value of 0.029. The conclusion of this study is that there is an effect of health promotion media on the nutritional status of children under two years in Paloh Punti Village, Muara Satu District, Lhokseumawe.
Upaya Pendekatan Kedokteran Keluarga pada Seorang Pasien Perempuan 52 Tahun dengan Hiperurisemia di Puskesmas Banda Baro Kabupaten Aceh Utara Dira Putri Nabila; Noviana Zara
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 3 (2025): Juli: Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v2i3.2085

Abstract

A 52-year-old female patient presented to the non-communicable disease clinic at the Banda Baro Community Health Center with complaints of pain in the right toe joint for the past two weeks. The pain was described as severe, especially when touched or moved. The patient reported that the toe initially became red and swollen, but the redness had subsided by the time she arrived at the clinic. The patient also complained of feeling weak and occasional tingling in the tips of her toes. She admitted to frequently consuming chicken liver and other offal. She mentioned having experienced a similar condition previously, and previous examinations indicated elevated uric acid levels. She had previously taken allopurinol two years ago, obtained from the health center, to alleviate her symptoms. On physical examination, the patient's blood pressure was 120/70 mmHg, heart rate 87 beats per minute, respiratory rate 19 breaths per minute, and temperature 36.5°C. The patient was prescribed allopurinol 2x100 mg. Primary data was obtained through anamnesis and physical examination by conducting home visits, filling out family folders, and completing patient records. Assessment was based on the initial, ongoing, and final holistic diagnosis of the visit. Interventions included education on the importance of clean and healthy living habits, avoiding risk factors, medication adherence, and preventing complications that may arise due to hyperuricemia.
Pengaruh Media Promosi Kesehatan Terhadap Pengetahuan Nutrisi Pada Penderita Hipertensi Peserta Prolanis di Puskesmas Banda Sakti Kota Lhokseumawe Zara, Noviana; Munthe , Kania Wiritanaya; Nadira , Cut Sidrah
Journal of Pharmaceutical and Sciences JPS Volume 8 Nomor 2 (2025)
Publisher : Fakultas Farmasi Universitas Tjut Nyak Dhien

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36490/journal-jps.com.v8i2.804

Abstract

Hypertension is known as the "silent killer," responsible for over 10 million deaths worldwide each year. In Indonesia, there are more than 1 million cases of hypertension, yet only 38.2% of sufferers receive healthcare services according to standards. Data from the Aceh Health Office in 2022 recorded over 44,000 cases of hypertension in Lhokseumawe City. One of the factors contributing to the increase in hypertension cases is the low level of public knowledge regarding the management of this condition. Hypertension management can be achieved through a low-salt diet, low-cholesterol diet, and high-fiber diet. One of the efforts to enhance knowledge about proper nutrition for hypertension patients is through health promotion using audiovisual media, which presents information in both visual and auditory forms. This study aims to identify the effect of health promotion media on nutrition knowledge in hypertension patients who are participants in the Chronic Disease Management Program (Prolanis) at Banda Sakti Health Center. The research employed a quasi-experimental design with a one-group pretest-posttest design, involving 40 Prolanis participants. The results show that the majority of respondents were elderly, female, unemployed, and had completed high school. After the intervention, there was a 92.5% increase in knowledge about hypertension nutrition, with the knowledge categorized as good. Statistical analysis using the Wilcoxon test revealed a significant effect of audiovisual media on improving hypertension nutrition knowledge, with a p-value < 0.05. The conclusion of this study is that health promotion media has a significant effect on improving nutrition knowledge in hypertension patients who are participants in the Prolanis program at Banda Sakti Health Center.
Pengaruh Edukasi terhadap Pengetahuan Orang Tua tentang TB Anak di Poli Anak Rumah Sakit Cut Meutia Ajeng Dwi Syafira; Mardiati Mardiati; Noviana Zara
Inovasi Kesehatan Global Vol. 2 No. 2 (2025): Mei : Inovasi Kesehatan Global
Publisher : Lembaga Pengembangan Kinerja Dosen

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

Abstract

Tuberculosis is a disease infection caused by Micobacterium Tuberculosisis disease with high level morbiditiy and very easy spread throug the droplet carried by air. Disease this could attack all age which children nor mature. There were 845.000 TB case in Indonesia in March 2021 and Lhokseumawe accounted for 10% of the number of cases in the province Aceh. Study this arm for analyze parental knowledge child TB patient before and after education at Cut Meutia Hospital Aceh Utara. This reasearch is Quasi Experimental reasearch type One-Group Pretest Posttest to 20 respondents who are parents from child TB patients. The sample is taken using accidental sampling. Measurement were carried out using a questionnaire containing the children`s TB knowledge. The results of this study indicate that majority of respondents before beiong given education had a sufficient level of knowledge as much as 80% and increased to good as much as 90% after being education. Data analysis using Wilcoxon test. The results of statistical analysis show p value < 0.05. the conclusion of this study is there is differences in the level of knowledge of parents before and after being given education about TB in children at Cut Meutia Hospital.
Co-Authors Aditya Fajar Perkasa Agiara, Lisna Ahmad Fauzan Ajeng Dwi Syafira Akbar, Muhammad Khalilul Al Muqsith, Al Muqsith Albin, Iskandar Alya Fadila Husna Ami, Ghisca Chairiyah Andi Saputra Angie Delashynta Rianda Anita Aris Anna Millizia Anna Millizia Apriani, Sri Reski Aqsha, Radhika Kharisma Dwi Aragibinafika, Aragibinafika Ardiansyah, Tgk. Fikri Ariba Nadiva Ayk, Dara Arif, Muhammad Fathul Ayuna, Della Vega Nisha Azari, Ayu Pramita Azman Bripo Balqis, Aisyah Br Tarigan, Ayu Permata Sari Chairina, Nanda Cut Asmaul Husna, Cut Asmaul Cut Ita Zahara, Cut Ita Cut Khairunnisa Danisa Indira Fatma Debbyosha, Maulina Dira Putri Nabila Fauzan, Rivhan Fitriani, Julia Fona, Tischa Rahayu Gusfanny, Dio Haifa Ayu Dinarsono Putri Harahap, Dwi Agustian Hasibuan, Aulia Arista Henny Putri Wahyuni Humairah, Helma Ikhsan, Maulana Ikhsan, Ridhalul Ilhami Surya Akbar , Teuku Imanda, Fetty Indira Fatma, Danisa Intan Zuryani Irbah, Hanadhia Ita Zahara, Cut Jannah, Jauza Raudhatul Jarita Jarita Julia Fitriany Julia Fitriany, Julia Julistia, Rini Juwita Sahputri Khaidir Khaidir, Khaidir Khairatunnisa Khairatunnisa Khairunnisa Khairunnisa Khairunnisa Khairunnisa Kharimah, Akhlakul Kholilullah, Vina Zaynah Lubis, Aisyah Nita Yasmin Lubis, Dzakwan Hakim M. Hafizd Fadhri Mailyn, Yaiza Aynaya Mardiati Mardiati Mardiati Mardiati Mardiati Mardiati Maulana Arya Jimbaran Maulana, Mohd Agus Maulina Debbyousha Maulina, Mutia Mauliza Mauliza Mauliza, Ade Mauliza, Mauliza Meutia Maulina, Meutia Meutia, Zahra Muhammad Alief Hawari Muhammad Arvin Harwansya Muhammad Bayu Rizaldy Muhammad Daniyal Muhammad Iqbal Muhammad Rizki Muhammad Syifa Albi Nasution Muhammad Yasir Muhammad Yasir Mulyati Sri Rahayu Mumtaz Alvira Muna, Zurratul Munthe , Kania Wiritanaya Mutia, Cut Mulya Muzainy, Nurhafizah Nabiilah, Anis En Nadia Alkhalifa Nadia Karimah Nadira , Cut Sidrah Nadira, Cut Sidrah Namira, Isra Narisha Amelia Putri Nashirah, Arini Nasution, Muhammad Husni Fansury Nina Herlina Nora Maulina Nora Maulina, Nora novalia, vera Nur Fardian Nur Fardian, Nur Nurul Afni Pohan, Adli Kurniawan Puan Nassya Amalia Islamy Puan Nassya Amalia Islmay Putri, Baluqia Iskandar Putri, Narisha Amelia Rahmi Surayya Rahmia Dewi, Rahmia Raudah Novita Putri Ridhalul Ikhsan Rinawati Rinawati Rizaldi, Muhammad Bayu Rizka, Adi Rozi, Dwi Novlita Sahputri, Juwita Saiful Ramadhan Sarah Rahmayani Siregar Sari, Bungsu Keumala Savitri, Dhannisa Ika Sawitri, Harvina Sayuti, Muhammad Septina, Viola Siratul Wahyuni Siregar, Anisah Nazrah Siregar, Dita Adhyaksa Siregar, Wina Yunida M Sri Yulianti Syafridah, Anita Teuku Ilhami Surya Akbar Teuku Yudhi Iqbal Tyahnandari, Febby Ulfa Zahara Uljannah, Annisa Utariningsih, Wheny Wahyuni, Hendra Wahyuni, Siratul Yolanda Restiani Yuziani, Yuziani Zahrawanda Ashfarina Muslim Zakiyya, Sarah Zikra Ihtasya Annabila Zilva Hayati Zirva, Afdhilla Zubir, Zubir Zuryani, Ulfa