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All Journal Public Health of Indonesia ISM (Intisari Sains Medis) : Jurnal Kedokteran Ophthalmologica Indonesiana
Marina Yusnita Albar
Dokter Spesialis Mata RS Mata Mencirim 77, Medan, Sumatera Utara ; Bagian/SMF Ilmu Kesehatan Mata, Fakultas Kedokteran Universitas Sumatera Utara
Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Public Health

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Prevalensi dry eye pada pasien diabetes melitus tipe 2 di Rumah Sakit Mata Mencirim 77 Kota Medan Andry Lukandy; Marina Yusnita Albar
Intisari Sains Medis Vol. 11 No. 3 (2020): (Available online: 1 December 2020)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (282.102 KB) | DOI: 10.15562/ism.v11i3.643

Abstract

Background: Dry eye syndrome is a multifactorial ocular surface disease with characteristic symptoms such as discomfort, irritation and visual disturbance. Dry eye syndrome increases a significant burden on an individual including social function, work and decreases the quality of life. The Women's Health Study Questionnaire (WHSQ) revealed that the prevalence varies around 4.3% in American men to 21.6% in Asian women. Dry eye prevalence in Southeast Asia is around 20.0% to 52.4%.Methods: This study design was a cross sectional study with total sampling. The population in this study were all polyclinic patients at Mencirim 77 Eye Hospital in August 2019. Sample in this study were patients with Diabetes Mellitus Type 2. The data was analyzed by SPSS using chi-square test.Results: There were 124 subjects included in this study. 62 patients with diabetes mellitus and 62 patients without diabetes mellitus. 60 subjects were males and 64 subjects were females. Based on the analyzed result, it’s confirmed that dry eye has significant result with Diabetes Mellitus type 2 patients (p-value=0.027) (p < 0.05). Dry Eye was found 91.1% in the age group ? 50 years, 51.6% female gender, and 42.7% patients suffered severe dry eye.Conclusions: From the result of this study, it can be concluded that dry eye has a significant result with diabetes mellitus type 2 patients at Mencirim 77 Eye Hospital. Latar belakang: Sindrom mata kering merupakan suatu penyakit permukaan okular multifaktoral dengan karakteristik gejala seperti rasa tidak nyaman, iritasi dan gangguan visual. Sindrom mata kering meningkatkan beban yang signifikan terhadap suatu individu termasuk fungsi sosial, pekerjaan dan menurunkan kualitas hidup. The Women’s Health Study Questionnaire (WHSQ) mengungkapkan bahwa prevalensi bervariasi sekitar 4,3% pada pria Amerika hingga 21,6% pada wanita Asia. Prevalensi Dry Eye di Asia Tenggara sekitar 20,0% hingga 52,4%.Metode: Jenis penelitian ini menggunakan studi cross sectional dengan total sampling. Populasi pada penelitian ini adalah seluruh pasien poliklinik di RS Mata Mencirim 77 pada bulan Agustus 2019. Sampel pada panelitian ini adalah pasien dengan Diabetes Melitus Tipe 2. Data di analisa dengan SPSS menggunakan chi-square test.Hasil: Dari 124 pasien Dry Eye, 62 pasien dengan diabetes melitus dan 62 pasien tanpa diabetes melitus. 60 subjek adalah laki-laki dan 64 subjek adalah perempuan. Berdasarkan hasil analisa data didapatkan bahwa dry eye memiliki hasil yang signifikan dengan pasien diabetes tipe 2 (nilai-p=0.027) (p<0.05). Dry Eye ditemukan sebanyak 91.1% pada kelompok usia ? 50 tahun, 51.6% jenis kelamin perempuan, 42.7% pasien menderita Dry Eye berat.Kesimpulan: Dari hasil penelitian ini dapat disimpulkan bahwa Dry Eye menunjukkan hasil yang signifikan terhadap pasien diabetes melitus tipe 2 di Rumah Sakit Mata Mencirim 77.
MANAGEMENT OF CORNEAL ULCER PRESENTED WITH RARE PATHOGEN : STREPTOCOCCUS MITIS: Poster Presentation - Case Report - Resident Ibnu Gilang Syawali; Marina Yusnita Albar
Majalah Oftalmologi Indonesia Vol 49 No S2 (2023): Supplement Edition
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/djgs9x80

Abstract

Introduction : Corneal ulcers can arise from various corneal diseases, including infections, inflammation, and autoimmune disease. Staphylococcus aureus is the most common bacterial pathogen, but lesser- known bacteria like Streptococcus mitis can also cause corneal ulcers. Accurate diagnosis and treatment are essential to prevent vision loss and complications. Case Illustration : A 19-year-old female patient presented with a chief complaint of white spots on her right eye for three months. Previously, her right eye was hit by a foreign object and subsequently, the patient experienced redness and pain in the affected eye. One week later, white spot appeared in the patient's eye and reported to enlarge in the last month. The patient also complained of pain, blurry vision with visual acuity of 1/300, redness, glare, and a foreign body sensation. Corneal swab culture discovered Streptococcus mitis to be the causative agent. The patients was given hourly drop of topical levofloxacin. One month after initial treatment, patient’s symptoms was improving with visual acuity of 6/60 on her affected eye and the ulcer was healed. Discussion : Streptococcus mitis is a commensal pathogen in oral cavity and not normally cause infection of ocular tissue. It may cause ulcer due to prolonged use of topical steroid and previous ocular trauma, since Streptococcus mitis had low virulence rate. Conclusion : Corneal scraping culture should be carried out before treatment of infectious corneal ulcer. Streptococcus mitis is considered rare for corneal ulcer pathogen. Topical quinolones are the first- line drug for bacterial corneal ulcer and worked exceptional for wide range of bacteria.
Detection of rodent-borne intestinal helminths infestation in North Sumatra, Indonesia: A potential public health concern Hutagalung, Sunna Vyatra; Mardiani, Tengku Helvi; Albar, Marina Yusnita; Kurniawan, Ahadi; Sinaga, Ledy Afrida; Nasution, Hidayatullah; Hasibuan, Panusunan; Wardhana, April Hari
Public Health of Indonesia Vol. 10 No. 4 (2024): October - December
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v10i4.881

Abstract

Background:Studies indicate that approximately 75% of emerging infections in humans are zoonotic, originating from animals. Within the One Health framework, it is evident that recent global environmental changes have contributed to the widespread proliferation of rodents, increasing their interaction with human dwellings and subsequently elevating the risk of rodent-borne diseases. Rodents play a crucial role in the transmission of zoonotic pathogens, including various intestinal helminths such as the cestodes Hymenolepis nanaand Hymenolepis diminuta. Objective:The objective of this study was to identify zoonotic intestinal helminths present in the rodent population of North Sumatra. Methods:This descriptive cross-sectional study utilized purposive sampling and was conducted in three regencies of North Sumatra: Serdang Bedagai, Batu Bara, and Asahan. Rodents were captured using baited traps placed both inside and outside residential areas. Following species identification, the rodents were euthanized, and their intestines were dissected. The intestinal contents were macroscopically examined for the presence of adult helminths, then processed using the formalin-ether concentration technique (FECT) and microscopically analyzed for helminths and their eggs. Results:A total of 47 rodents were captured, with Rattus tanezumibeing the most prevalent species (59.6%), followed by Rattus norvegicus(29.8%) and Rattus tiomanicus(4.3%). Other species identified included Rattus argentiventer, Rattus exulans, and Mus musculus, each constituting 2.1% of the total sample. Seven species of intestinal helminths were detected in 37 of the rodents (78.8%), with most animals having co-infections involving multiple helminth species. Notably, Mus musculusshowed no evidence of infection, whereas the remaining rodent species exhibited a high transmission rate of intestinal helminths, ranging from 71.4% to 100%. The helminths identified were Nippostrongylus brasiliensis(61.7%), Moniliformis moniliformis(36.2%), Heligmosomoides polygyrus(27.7%), and the cestode Hymenolepis nana(8.5%). Additionally, Ascarids, Trichuris spp., and Hymenolepis diminutawere also detected, each with a prevalence of 4.3%. Conclusion:This study identified seven species of intestinal helminths in rodents captured in selected areas of North Sumatra, predominantly from Rattus tanezumiand Rattus norvegicus. Some of the identified helminths, such as Hymenolepis nanaand Hymenolepis diminuta, are known zoonotic pathogens, highlighting the public health risks associated with rodent-borne diseases.  Keywords:one health; zoonosis; rodents; infestation; helminths
Co-Authors Andry Lukandy APRIL HARI WARDHANA Hasibuan, Panusunan Hutagalung, Sunna Vyatra Ibnu Gilang Syawali Kurniawan, Ahadi Mardiani, Tengku Helvi Nasution, Hidayatullah Sinaga, Ledy Afrida