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Iktiosis Lamelaris Ago Harlim; Sugastiastri Sumaryo; Meilin Himbawani
Majalah Kedokteran UKI Vol. 27 No. 3 (2010): JULI-SEPTEMBER
Publisher : Fakultas Kedokteran Universitas Kristen Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33541/mkvol34iss2pp60

Abstract

Abstrak Iktiosis lamelaris adalah kelainan autosomal resesif yang jarang terjadi. Ditandai oleh membran kolodion yang membungkus bayi saat lahir. Membran tersebut mengering kemudian mengelupas secara tidak serentak berupa lembaran skuama lebar dan meninggalkan bekas kemerahan dan hiperkeratotik. Pada makalah ini dilaporkan pengelolaan kasus iktiosis lamelaris yang jarang terjadi. Bayi perempuan, umur satu hari, dengan kulit kering, kaku, keras seperti kertas perkamen, mengelupas secara bertahap dengan skuama lebar, kekuningan, dengan dasar eritematus pada hampir seluruh tubuh, wajah, ekstremitas, hingga telapak tangan dan kaki. Mata penderita ektropion, dengan mulut eklabium, dan telinganya kecil serta keriput. Penatalaksanaan berupa perawatan intensif neonatal yang baik, menjaga keseimbangan cairan dan elektrolit, serta pemberian antibiotik dan emolien. Setelah terapi selama enam bulan, kulit bayi kembali normal, pertumbuhan dan perkembangan sesuai dengan umur. Kata kunci: iktiosis lamelaris, perawatan intensif, emolien topikal. Abstract Lamellar ichthyosis is a rare autosomal recessive disorder, It is characterized by a colodion membrane that may wrap the infant at birth. The membrane dries out and graduallly sheds in a large sheet-like layer. Furthermore, a redness residual left with hyperkeratosis. This paper reports the management of a rare case of lamellar ichthyosis. A one-day-old baby, was born as an infant with dry, rigid, hard skin, parckmen-like appearance . The skin was graduallly shed with large yellowish squama in erithematous base almost on the whole body, face, extremities, palms and soles. Furthermore, another signs are ectropion eyes, eclabium mouth and shrinked ears. The management of lamellar ichthyosis involved good intensive neonatal care, fluid electrolyte balance, antibiotic and topical emollient. Six months after the therapy , the skin turned to normal. Furthermore, the growth and the development were appropriate to their age. Finally, it could be concluded that a good intensive care showed an excellent result. Key words : lamellar ichthyosis, intensive neonatal care, topical emmolient.
Pruritus Uremik pada Penyakit Gagal Ginjal Kronik Ago Harlim; Paulus Yogyartono
Majalah Kedokteran UKI Vol. 28 No. 2 (2012): APRIL - JUNI
Publisher : Fakultas Kedokteran Universitas Kristen Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33541/mkvol34iss2pp60

Abstract

Abstrak Pruritus uremik merupakan salah satu keluhan yang sangat mengganggu dan sangat sering dirasakan oleh penderita gagal ginjal kronik. Menariknya, gejala tersebut tidak terdapat pada penderita gagal ginjal akut. Sejumlah faktor yang diduga sebagai penyebab terjadinya pruritus uremik ini telah banyak diteliti namun patogenesisnya hingga kini masih belum jelas. Mungkin banyak faktor yang mempengaruhi patogenesis terjadinya pruritus uremik dan masih diperlukan penelitian lebih lanjut untuk mengetahui patogenesis pruritus uremik ini. Kata kunci: pruritus uremik, gagal ginjal akut, gagal ginjal kronik, patogenesis. Abstract Uremic pruritus is one of most bothersome symptoms of patients with chronic renal failure. Interestingly, pruritus is typically not seen in acute renal failure. The expanding number of alleged pathogenesis factors bears testimony to the elusiveness of the causes but its pathogenesis remains unclear. Multi factorial facets could be involved in the pathogenesis of uremic pruritus. Further study is needed to reveal the pathogenesis of uremic pruritus. Keywords: uremic pruritus, acute renal failure, chronic renal failure, pathogenesis.
Relationship between Carbohydrate, Protein, and Fat Consumption with Obesity Incidence in 2014 UKI Faculty of Medicine Students Ago Harlim; Stella Irene Bontong; Mohammad Zen Rahfiludin
Amerta Nutrition Vol. 6 No. 4 (2022): AMERTA NUTRITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v7i4.2022.385-391

Abstract

Background: Obesity is an excessive fat accumulation in the body. Excessive consumption of carbohydrates, protein, and fat can increase the risk of obesity. It occurs when there is an imbalance between the energy number that goes through food and the energy that comes out through physical activity. Objectives: This study aimed to know the relationship between carbohydrate, protein, and fat consumption and obesity among the 2014 UKI Faculty of Medicine Students. Methods: This study was analytical observational research with a case-control design. The samples were 68 students from batch 2014. The data are analyzed by SPSS using Chi-square and logistic regression. Results: A total of 27.9% of students were obese, of which 33.3% were male and 25.5% were female. Based on the results of bivariate analysis, there was a significant relationship between obesity and protein consumption (p=0.048) and fat consumption (p=0.035), while there was no correlation between obesity incidence and carbohydrate consumption (p= 0.373). Conclusions: The incidence of obesity in UKI Medicine Students batch 2014 was caused by the high consumption of fat and protein. It was not caused by the consumption of carbohydrates.
Hubungan Antara Kejadian Infeksi Tinea Pedis Dengan Pekerja Jasa Cuci Mobil di Wilayah Jatibening Ago Harlim; Namira Vadya Permana; Mohammad Zen Rahfiludin
Jurnal Kesehatan Lingkungan Indonesia Vol 22, No 1 (2023): Februari 2023
Publisher : Master Program of Environmental Health, Faculty of Public Health, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkli.22.1.96-103

Abstract

Latar belakang: Tinea pedis adalah penyakit yang ditimbulkan oleh infeksi jamur dermatofita ,yang mana penyakit ini terjadi pada daerah kulit seperti daerah punggung kaki, telapak kaki, pergelangan kaki, serta daerah interdigitalis. Pekerjaan sebagai pekerja jasa cuci mobil yang hampir setiap hari kontak langsung  dengan air  dapat menjadi salah satu faktor risiko terinfeksi tinea pedis. Tujuan dari  penelitian ini adalah untuk mengetahui apakah ada hubungan antara faktor kebersihan, durasi kerja, lama kerja dan pemakaian sepatu tertutup (sepatu bot) pada pekerja jasa cuci mobil dengan kejadian penyakit tinea pedis di wilayah JatibeningMetode: Penelitian dilakukan menggunakan metode potong lintang. Data diperoleh berdasarkan kuesioner dan dibantu dengan pemeriksaan fisik serta pemeriksaan KOH 10%. Perhitungan besar sampel dalam penelitian ini menggunakan metode aturan praktis, dengan jumlah sampel sebesar 30 responden. Hasil penelitian diolah menggunakan program statistik komputer SPSS memakai Chi-Square dan Mann-Whitney. Hasil dan diskusi: hasil penelitian menunjukkan bahwa semua  responden berjenis kelamin laki-laki dengan mayoritas responden  berusia 11 dan 22 tahun (20%) dan mayoritas pendidikan terakhir responden adalah SMA/SMK (30%). Dari hasil analisis bivariat tidak didapatkan hubungan yang signifikan antara durasi kerja (nilai p = 0,321), faktor kebersihan (nilai p = 0,637), lama kerja (nilai p = 0,794), dan pemakaian sepatu tertutup (nilai p = 0,660) terhadap kejadian infeksi tinea pedis.Simpulan: Faktor kebersihan perorangan, durasi kerja, lama kerja dan pemakaian sepatu tertutup selama bekerja tidak berhubungan dengan kejadian infeksi tinea pedis di tempat pencucian mobil di Jatibening, Bekasi. Perlu ditelti faktor resiko lainnya terhadap timbulnya tinea pedis pada pekerja jasa cuci mobil didaerah Bekasi. ABSTRACTTitle : The Correlation between the incidence of Tinea Pedis Infection and Car Wash Workers in the Jatibening RegionBackground : Tinea pedis is a disease caused by a dermatophyte fungal infection, which occurs in areas of the skin such as the back of the feet, soles, ankles, and the interdigital areas. Working as a car wash service worker who has direct contact with water almost every day can be a risk factor for infection with tinea pedis. The purpose of this study was to find out whether there is a relationship between cleanliness, duration of work, length of work and wearing closed shoes (boots) in car wash workers with the incidence of tinea pedis in the Jatibening region.Methods : The research was conducted using a cross sectional method. Data were obtained based on a questionnaire and assisted by a physical examination and 10% KOH examination. Calculation of the sample size in this study using the rule of thumb method, with a sample size of 30 respondents. The results of the research were processed using the statistical computer program SPSS using Chi-Square and Mann-Whitney.Results : the results showed that all respondents were male with the majority of respondents aged 11 and 22 years (20%) and the majority of respondents' last education was SMA/SMK (30%). From the results of bivariate analysis, there was no significant relationship between work duration (p value = 0.321), hygiene factor (p value = 0.637), length of work (p value = 0.794), and wearing of closed shoes (p value = 0.660) to the incidence of infection tinea pedis.Conclusion : Personal hygiene, duration of work, length of labour, and wearing closed shoes have no significant correlation with the incidence of tinea pedis infection at a car wash in Jatibening, Bekasi. It is necessary to find other risk factors for the emergence of tinea pedis in car wash workers in the Bekasi area.  
Obesity Prevalence Through Diet and Physical Activity in Medical Faculty Students Ago Harlim; Yoggy Adhitya Nusantara
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 3: September 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (690.344 KB) | DOI: 10.30604/jika.v7i3.1075

Abstract

This study aimed to determine the description of the diet and physical activity in students of the Faculty of Medicine related to obesity. This type of research is descriptive research with the cross-sectional method. The population in this study were all preclinical students of the Faculty of Medicine. The samples in this study were preclinical students from the class of 2015 with a sampling technique, namely the purposive sample technique. Primary data were obtained from questionnaires. Univariate analysis with frequency distribution analysis. The results of the study on students of the Faculty of Medicine from 180 respondents there were 23 people (13%), normal weight 112 people (62%), pre-obesity 33 people (18%), obesity as many as seven people (4%), and obesity II as many as five people (3%). Students who were pre-obese, obese I, and obese II were doing light activities as many as 15 people, 20 people doing moderate activities, and ten people doing strenuous activities. Students who have pre-obesity, obesity I, and obesity II are known as many as 20 people rarely consume fast food, and as many as 25 people often consume fast food. Abstrak: Tujuan penelitian ini dilakukan untuk mengetahui gambaran pola makan dan aktivitas fisik pada mahasiswa Fakultas Kedokteran yang berhubungan dengan obesitas. Jenis penelitian ini adalah penelitian deskritif dengan metode cross-sectional. Populasi dalam penelitian ini adalah semua mahasiswa/i preklinik Fakultas Kedokteran. Yang menjadi sampel pada penelitian ini adalah mahasiswa/i preklinik angkatan 2015 dengan teknik sampel yaitu teknik purposive sample. Data primer didapatkan dari kuesioner. Analisis univariat dengan analisis distribusi frekuensi. Hasil penelitian pada mahasiswa Fakultas Kedokteran dari 180 responden terdapat yang mengalami berat badan kurang sebanyak 23 orang (13%), berat badan normal sebanyak 112 orang (62%), pra obesitas sebanyak 33 orang (18%), obesitas I sebanyak 7 orang (4%), dan obesitas II sebanyak 5 orang (3%). Mahasiswa yang mengalami pra obes, obesitas I, dan obesitas II didapatkan yang melakukan aktivitas ringan sebanyak 15 orang, aktivitas sedang sebanyak 20 orang, dan yang melakukan aktivitas berat sebanyak 10 orang. Mahasiswa yang mengalami pra obes, obesitas I, dan obesitas II diketahui sebanyak 20 orang jarang mengkonsumsi fastfood , dan sebanyak 25 orang sering mengkonsumsi fast food.
Hubungan Penggunaan dan Penggantian Masker dengan Kejadian Akne Vulgaris Pada Mahasiswa Universitas Kristen Indonesia Harlim, Ago; Setiawan, Indra; Harlim, Charity
Jurnal Kesehatan Lingkungan Indonesia Vol 24, No 2 (2025): Juni 2025
Publisher : Master Program of Environmental Health, Faculty of Public Health, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkli.66754

Abstract

Latar belakang: Akne vulgaris adalah suatu penyakit kulit yang sering ditemukan di masyarakat terutama pada usia remaja atau pubertas. Akne vulgaris dikenali dengan lesi komedo, papul, pustula, nodus dan kista di area di mana banyak terdapat kelenjar sebasea seperti pada wajah, dada dan di daerah atas punggung. Pada tahun 2020, terjadi pandemi COVID-19 dengan daya tular yang kuat dan tinggi baik secara kontak langsung maupun dengan perantara droplet dari penderita. Pemerintah mengharuskan penggunaaan masker untuk pencegahan penularan. Namun, penggunaan masker yang tidak tepat dapat menyebabkan munculnya akne di area muka yang tertutup masker sekitar dagu, pipi dan hidung atau disebut dengan maskne. Penelitian  ini bertujuan untuk memahami hubungan antara  penggunaan masker dengan timbulnya akne vulgaris di kalangan mahasiswa Kedokteran Universitas Kristen Indonesia.Metode: Penelitian  ini sendiri bersifat analitik dengan memakai pendekatan crosss sectional yang dilakukan pada bulan Januari hingga Maret 2024.  Pengumpulan data berupa jenis dan penggunaan masker, jumlah pergantian masker, aktivitas responden menggunakan kuesioner dan pemeriksaan fisik untuk akne vulgaris. Pengambilan sampel menggunakan simple random sampling, dimana jumlah sampel adalah sebanyak 150 mahasiswa.Hasil: Hasil Uji Statistik Chi-Square memperlihatkan bahwa tidak ada hubungan antara jenis masker (p= 0,906), durasi penggunaan masker (p=0,399), aktivitas luar ruangan (p=0.957) dengan akne vulgaris pada mahasiswa FK UKI, namun terdapat hubungan antara pergantian masker dengan akne vulgaris pada mahasiswa FK UKI dengan  (p=0,014).Simpulan:  Frekuensi penggantian masker sehari berhubungan dengan akne vulgaris dan timbulnya lesi akne baru di daerah masker. Jenis masker, durasi penggunaan masker, dan aktivitas luar ruangan tidak berhubungan dengan akne vulgaris. ABSTRACTTitle: The Relationship Between Mask Use and The Number of Mask Changes Towards Acne Vulgaris in Medical Students, Christian University of IndonesiaBackground: Acne vulgaris is a skin disease that is often found in society, especially in adolescence or puberty. Acne vulgaris is recognized by blackheads, papules, pustules, nodes and cysts in areas where there are many sebaceous glands such as the face, chest and upper back. In 2020, there was a COVID-19 pandemic with a strong and high transmission rate both through direct contact and through droplets from sufferers. The government requires the use of masks to prevent transmission. However, masks can cause acne to appear in the area of the face covered by the mask around the chin, cheeks and nose called ‘Maskne’. This research aims to understand the correlation between mask use and the emergence of acne vulgaris among medical students at Christian University of Indonesia.Method: This research is analytical using a cross-sectional approach conducted from January to March 2024.  Data collection on the type and how to use of masks, respondent activities using questionnaires and physical examinations for acne vulgaris. Sampling using simple random sampling, Result: Chi-Square Statistical Test result, there is no correlation between the type of mask (p= 0.906), and acne vulgaris, but there is a correlation between changing masks and acne vulgaris in UKI FK students (p= 0.014)Conclusion: The frequency of mask replacement per day is associated with acne vulgaris and the emergence of new acne lesions in the mask area. The type of mask, mask usage duration, and outdoor activities are not associated with acne vulgaris in UKI FK students
The Effect of Psychosocial Support on Healing Time in Leprosy Survivors Achmad, Luana N.; Tangdialla, Marynda P. I; Harlim, Ago
Jurnal KESANS : Kesehatan dan Sains Vol 4 No 12 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v4i12.424

Abstract

Introduction: Leprosy is a chronic infectious disease caused by Mycobacterium leprae. It can affect the skin, peripheral nerves, and other organs, potentially causing disability if not treated appropriately. In addition to physical impacts, leprosy survivors often experience psychological stress due to social stigma, which can impact healing time. Objective: The purpose of this study was to determine the effect of psychosocial support on healing time among leprosy survivors in the Makassar City Leprosy Village in 2025. Method: This study used a cross-sectional design and was conducted from February to March 2025 using a questionnaire. Total sampling was used to obtain 80 respondents. Univariate and bivariate analyses were performed using chi-square analysis. Result and Discussion: The results showed that 40 respondents (50.0%) had a healing time of ≥ 12 months. Psychosocial support that influences leprosy survivors includes emotional support (attention (p-value = 0.000), empathy (p-value = 0.000), consolation (p-value = 0.000), a place to vent (p-value = 0.000)), instrumental support (financial assistance (p-value = 0.000), resources (p-value = 0.000)), and social support (openness (p-value = 0.000), acceptance (p-value = 0.000), and security (p-value = 0.000)). Conclusions: This study concludes that psychosocial support (emotional, instrumental, and social) significantly influences the recovery time of leprosy survivors in the Makassar City Leprosy Village in 2025.
Analysis of Scabies Factors among Male and Female Students at the Islamic Boarding School in the East Jakarta Region in 2022 Ago Harlim; Marcella Scofany Theresia Turot; Mohammad Zen Rahfiludin; Kelvin
JURNAL KESEHATAN LINGKUNGAN Vol. 18 No. 2 (2026): JURNAL KESEHATAN LINGKUNGAN
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jkl.v18i2.2026.142-150

Abstract

Introduction: Scabies, also known as ‘gudik’ in Indonesian, is a disease accounted by the itch mite Sarcoptes scabies var. hominis that is commonly transmitted through fomites including shared use of beddings, clothings, soap, towels, and many household items. This parasitic disease is typically identified through four main cardinal signs including nocturnal itching, a shared complaint among a larger group, finding burrows on the skin, and the presence of mites in skin scrapings. This study aims to identify the factors associated with scabies in a boarding school in East Jakarta, a densely populated area at risk of such parasitic infestation. Methods: This study is an analytical descriptive study aimed to identify factors related to scabies, including lighting, water cleanliness, bed hygiene, cleanliness of clothing and prayer equipment, towel hygiene, use of soaps or antiseptics, and nutritional needs. Questionnaires, physical examinations, and laboratorium parameters were utilized appropriately as data in this study. Results and Discussion: The findings identified a correlation between lighting, water hygiene, cleanliness of clothing and prayer items, towel hygiene, and the use of soap or antiseptics with scabies occurrence. However, no significant correlation was found between bed hygiene or nutritional factors and scabies in the boarding school. Conclusion: Low sunlight exposure, poor water hygiene, unclean clothing or prayer items, inadequate towel hygiene, and lack of antiseptic soap use increased the scabies occurrence at Nurul Hijrah Islamic Boarding School. The most influential factor associated with scabies occurrence was sunlight exposure.
Reference Range of Stomatocytes in Jakarta and Surrounding Areas Danny Ernest Jonas Luhulima; Ago Harlim; Laurensius Aldrico Marveliano Sena; Ria Amelia; Erida Manalu
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 1 (2026): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i1.26123

Abstract

Stomatocytes are erythrocytes characterized by a slit-like central pallor. Although they may appear in small numbers under physiological conditions, increased proportions are often associated with pathological states. Establishing population-specific reference intervals is therefore essential to avoid misinterpretation of erythrocyte morphology. This study aims to determine the reference interval for Stomatocyte counts in a healthy population from Jakarta and its surrounding areas, and to assess their relationship with routine hematological and biochemical parameters. A descriptive cross-sectional study was conducted among healthy individuals undergoing health check-ups at UKI General Hospital and East Bekasi Hospital from August 2022 to October 2024. Of 65 samples collected, 54 met the inclusion criteria. Stomatocyte counts were evaluated from peripheral blood smears by counting per 1,000 erythrocytes. Reference intervals were established using the 2.5th to 97.5th percentile method. The overall reference interval for Stomatocytes was 0 - 1.85%. Gender-specific intervals were 0 - 2.0% in men and 0 - 1.7% in women. No significant associations were observed between Stomatocyte counts and complete blood count parameters, liver function tests, or kidney function tests. In conclusion, Stomatocytes may be present at low levels in healthy individuals, with a locally derived reference interval of 0 - 1.85%. These findings highlight the importance of applying clearly defined reference intervals and considering clinical context when interpreting erythrocyte morphology to prevent overdiagnosis. Keywords: Stomatocytes, Reference Values, Erythrocyte Morphology,  Peripheral Blood Smear.
Legal Protection for Healthcare Workers in The Management of Infectious Diseases Under Health Laws and Regulations Ago Harlim; Sri Astutik; Siti Marwiyah; Wahyu Prawesthi
Eduvest - Journal of Universal Studies Vol. 6 No. 7 (2026): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v6i7.53308

Abstract

In medical emergencies, healthcare workers play a vital role in controlling infectious diseases, despite facing serious social, legal, and occupational health risks. During such situations, they often cope with extreme stress, social isolation, and potential legal claims arising from the care they provide. Therefore, ensuring legal protection for healthcare providers is a fundamental element in maintaining the continuity of high-quality and balanced health services. The purpose of this paper is to examine the forms of legal protection for medical workers in managing infectious disease outbreaks as regulated under the Health Quarantine Law. This study, entitled Legal Protection for Healthcare Workers in the Management of Infectious Diseases Under Health Laws and Regulations, highlights the framework of rights and obligations for healthcare personnel, as well as the state’s responsibility in providing legal safeguards during quarantine-related interventions. The research adopts a normative legal research design, applying both statutory and conceptual approaches. Data were collected from primary legal sources, such as relevant health quarantine regulations and legislation governing medical personnel, as well as secondary sources including academic literature, scholarly journals, and expert commentaries, along with tertiary sources for supplementary context. The analysis was conducted qualitatively to provide a comprehensive understanding of how legal instruments protect healthcare workers during infectious disease outbreaks.