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DUTCH (Dried Urine Test for Comprehensive Hormones) In Preventing Diseases Related Hormonal Function Asti Widuri; Rizka Fakhriani; Qorry Agustin; Astika Cahyarani
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 6, No 2 (2022): Journal Qanun Medika Vol 6 No 02
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v6i2.9204

Abstract

Hormones released and absorbed by the human body in a balanced state will help create balance and health, while changes in hormone levels can cause various severe and chronic health problems. Hormone test is a method of measuring hormone levels in the body that can be used to diagnose and treat diseases, monitor patient health as a whole, or prevent the growth of certain health problems. This research might be the information about. the functional hormone test (DUTCH).  This study presented a case of a 47 years old woman with history of chronic dysmenorrhea. The functional hormone testing was carried out on days 19-22 of the menstrual cycle in women with a regular period of 28 days. The result of DUTCH test in this patient were dominant 2-OH that she safe from the symptoms of estrogen dominance and low production of 4-OH, the methylation process was fluent so that the risk of cancer-related to estrogen dominance syndrome was low. Hormone examination through urine is intended to see metabolites (metabolic waste) hormones released through urine. By witnessing the estrogen & progesterone metabolites, it can be seen how much risk a person has Estrogen Dominance Syndrome.
The Use of PILA-Pack: Differences in Length of Stay of Hemorrhoidal Patients Fadli Robby Amsriza; Rizka Fakhriani
Jurnal Kedokteran Brawijaya Vol. 32 No. 1 (2022)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2022.032.01.7

Abstract

Hemorrhoids are a common anorectal disease and can affect all ages. This research aims to specify the differences in Length of Stay (LOS) of hemorrhoidal patients who underwent a modified combined method of rubber ligation and sclerotic injection using Paran Injection Ligation for Ambeien pack (PILA pack) compared to a hemorrhoidectomy. This study consisted of 56 respondents who underwent hemorrhoidectomy, and the other 56 respondents experienced a modified combined method of rubber ligation and sclerotic injection using a PILA pack. Data showed the LOS's average of respondents who underwent hemorrhoidectomy was 47.33 hours or 1.97 days. Meanwhile, respondents' average length of stay who underwent a modified combined rubber ligation and sclerotic injection using a PILA pack was 20.44 hours or 0.85 days. Finally, the T-test results showed a p-value of 0.001 (p<0.05), indicating that there was a statistically significant difference in the average LOS between hemorrhoidal patients who underwent hemorrhoidectomy and hemorrhoidal patients who underwent a modified combined method of rubber ligation and sclerotic injection using PILA pack. Based on the result, it can be concluded that the mean LOS for hemorrhoidal patients receiving haemorrhoidectomy vs. hemorrhoidal patients undergoing a modified technique of rubber ligation and sclerotic injection utilizing the Paran Injection Ligation for Ambeien pack was significantly different.
Pemberdayaan Siswa dalam Meningkatkan Pengetahuan tentang Pertolongan Pertama Luka di SD Muhammadiyah Sapen Fadli Robby Amsriza; Rizka Fakhriani
Jurnal Pengabdian Masyarakat IPTEKS Vol 8, No 2 (2022): JURNAL PENGABDIAN MASYARAKAT IPTEKS
Publisher : Universitas Muhammadiyah Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32528/jpmi.v8i2.8763

Abstract

Luka adalah terputusnya kontinuitas jaringan yang dapat terjadi akibat cedera, pembedahan, konsekuensi faktor ekstrinsik seperti tekanan atau gesekan, serta akibat kondisi penyakit lain. Pengetahuan dasar pertolongan pertama sangat diperlukan untuk meminimalkan dampak buruk dari cedera dan luka, seperti pada saat siswa di sekolah apabila mengalami cedera maka dapat segera melakukan pertolongan pertama. Pengabdian masyarakat ini bertujuan untuk diseminasi informasi serta mengeksplor secara menyeluruh mengenai pengetahuan siswa di SD Muhammadiyah Sapen Yogyakarta. Kegiatan pengabdian masyarakat ini dilaksanakan secara daring menggunakan mini webinar zoom meeting dengan media power point, video edukasi, dan leaflet. Metode penyuluhan ini temasuk dalam quasi experimental serta rancangan one group pre and posttest design. Teknik analisis data yang digunakan adalah model Paired Samples T-Tes. Kegiatan ini diawali dengan memberikan pre-test, pemaparan materi, sesi diskusi, dan diakhiri dengan post-test untuk mengetahui pengetahuan siswa mengenai pertolongan pertama pada luka. Kegiatan ini diikuti oleh 53 siswa. Kesimpulan: Terdapat peningkatan pengetahuan siswa sebelum dan setelah terselenggaranya pengabdian masyarakat, dengan hasil rata-rata pre-test 89,1 serta post-test 98,9 dan terdapat perbedaan signifikan p = 0.000020 (0,05).
Pemberdayaan Tenaga Kesehatan dalam Perawatan Luka Kronis dengan Modern Dressing: Empowerment of Paramedics in Treatment of Chronic Wound with Modern Dressing Hafzni Zuchra Noor; Rizka Fakhriani
Jurnal Pengabdian Kepada Masyarakat : Kesehatan Vol. 2 No. 2 (2022): Juli
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) STIKES Notokusumo Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (408.028 KB)

Abstract

Abstrak: Perawatan luka kronis merupakan salah satu tantangan yang harus dihadapi oleh pelayanan kesehatan tingkat pertama. Teknik perawatan luka kronis yang baik dan benar bisa mempercepat penyembuhan luka, dan saat ini perawatan sudah menggunakan modern dressing. Tujuan pengabdian kepada masyarakat ini adalah untuk memberikan bekal keilmuan dalam bidang perawatan luka kronis dengan modern dressing. Pengabdian ini ditujukan untuk tenaga kesehatan di Puskesmas Ngemplak I Sleman secara teoritis dan pemberian beberapa contoh bahan modern dressing. Pengabdian kepada  masyarakat ini  dilaksanakan  secara  offline dengan menyampaikan materi tentang luka kronis, perawatan konvensional dan perawatan dengan modern dressing. Jumlah peserta seminar sebanyak 20 peserta. Hasil evaluasi dari soal pretest dan post test menunjukkan hasil signifikan mengenai pengetahuan perawatan luka kronis dengan wound dressing. Abstract: Chronic wound care is one of the challenges that must be faced by primary health care. Good and correct chronic wound care techniques can accelerate wound healing, and currently treatment is using modern dressings. The purpose of this community service is to provide scientific knowledge in the field of chronic wound care with modern dressings. This service is intended for health workers at the Ngemplak I Public Health Center Sleman theoretically and provides some examples of modern dressing materials. This community service is carried out offline by delivering material about chronic wounds, conventional care and modern dressings. The number of participants in the seminar was 20 participants. The evaluation results of the pretest  and posttest questions showed significant results regarding knowledge of chronic wound care with wound dressings.
Empowers SD Muhammadiyah Sapen students to strengthen ear health and improve knowledge Rizka Fakhriani; Fadli Robby Amsriza
Jurnal Pemberdayaan: Publikasi Hasil Pengabdian Kepada Masyarakat Vol. 6 No. 3 (2022)
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/jpm.v6i3.6669

Abstract

The three parts of the ear are the external ear, middle ear, and inner ear. The ear contains cerumen, a natural material that protects the external ear canal. Proper ear hygiene and health are essential to prevent ear infections, ear ringing, hearing loss, and sudden deafness. In addition to improper ear cleaning, other factors might contribute to ear disorders, including the misuse of personal listening devices. SD Muhammadiyah Sapen students would be educated on the significance of maintaining ear health through this service project. This community service activity is conducted online via mini-webinars or counseling using zoom meetings, presentations, educational films, and brochures on how to maintain ear health. This extension is quasi-experimental, with a pre-and post-test design involving a single group, utilizing the Paired Samples T-Test model for data analysis. The activity commences with a pre-test administered to students, continues with the presentation of information, discussion, and question-and-answer sessions, and concludes with a post-test designed to assess students' level of knowledge and the activity's success. Twenty students participated in this community service event. Conclusion: There is a significant difference between the average pre-test and post-test scores with a p-value of 0.01 (0.05).
An Unusual Laryngeal Foreign Body in Adult: Denture Deoni Daniswara; Rizka Fakhriani
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 7 No 2 (2023): Journal Qanun Medika Vol 07 No 02
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v7i2.13984

Abstract

Background: Foreign bodies in the larynx are reported quite rarely, with a prevalence of around 4% among patients, especially geriatrics, and represent an acute airway emergency with significant morbidity and mortality rate. Objective: This case report aimed to provide information on managing the extraction of foreign bodies and the accompanying problems. Discussion: A 49-year-old man with a history of wearing dentures was admitted to the emergency room. The patient complained of a hoarse voice upon waking up, painful swallowing, and a lumpy sensation in his throat, but he had no chest pain, cough, nausea, or vomiting. An indirect laryngoscopy examination revealed a foreign body lodged in the anterior rima glottis, impeding the mobility of the vocal folds. Under general anesthesia, emergency direct laryngoscopy, evacuation, and tracheoscopy were performed. It was observed that a foreign denture body was lodged in the larynx and was evacuated using grasping forceps. Post-evacuation, the vocal folds were swollen, with a false vocal fold hematoma, posterior subglottic laceration, and no active bleeding. Conclusion: Foreign bodies in the larynx must be prompted and gently removed because it leads to life-threatening. In suspected swallowed foreign bodies, plain radiographs are the initial imaging approach. Inhalational or intravenous induction is operated to administer the general anesthetic, along with the maintenance of spontaneous ventilation.
Pneumoperitoneum with Muyo Hook on Laparoscopic Cholecystectomy Fadli Robby Amsriza; Rizka Fakhriani; Sagiran Sagiran
eJournal Kedokteran Indonesia Vol. 11 No. 2 - Agustus 2023
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23886/ejki.11.205.170-4

Abstract

Gallstone migration into the cystic duct aperture can prevent bile from exiting the gallbladder during contraction. Gallbladder wall strain increases due to a distinct form of pain (biliary colic). A more prolonged cystic duct obstruction can cause acute gallbladder inflammation (acute cholecystitis). Cholecystectomy is a popular treatment for gallstone-related illnesses. We present a 49-year-old male with heartburn, nausea, and vomiting for one month, worsening in the last week. On general examination, vital signs and urine output are expected. On clinical examination, he had tenderness on the upper right quadrant abdomen, and Murphy's sign was positive. An abdominal ultrasound (US) showed multiple cholelithiasis. The patient was performed elective laparoscopic cholecystectomy with pneumoperitoneum by Muyo hook. The patient was discharged on the third day after surgery. Recent research has highlighted this unusual method. In this unique and challenging situation, Muyo Hook may be an option.
Validity and Reliability of Knowledge, Attitude and Practice Questionnaire of Ear Care among Medical Workers Arsyada Hakama Syakuro; Deoni Daniswara; Adnan Abdullah; Rizka Fakhriani; Asti Widuri
Ahmad Dahlan Medical Journal Vol. 5 No. 1 (2024): May 2024
Publisher : Universitas Ahmad Dahlan

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

Abstract

The auditory system is a vital and prominent component of human. It is imperative for individuals to prioritize the maintenance of this organ throughout their lives. These methods encompass the maintenance of ear cleanliness, safeguarding against excessive noise exposure, preventing accidents, and warding off ear infections and disorders. The aim of this study was to determine the validity and reliability of knowledge, attitude, and practice about ear care among medical workers. This study uses a descriptive-analytic method with a cross-sectional design. The ear care questionnaire comprising of knowledge, attitude and practice translated and applicated for 45 participants, the validity test using Pearson’s correlation and reliability test evaluation determined by Cronbach’ s alpha. The ear care questionnaire Indonesian version found Pearson’s correlation of all items r above 0.35 or strongly valid, and the Cronbach’s alpha coefficient was 0.749 (adequate). Indonesian version of knowledge, attitude, and practice about ear care is valid and reliable, the result of assessment can indicate the needed of public awareness through education and health promotion.
Translation and validation of the Indonesian version of the chronic otitis media questionnaire-12 Fakhriani, Rizka; Widuri, Asti; Yudistira, Danu
International Journal of Public Health Science (IJPHS) Vol 13, No 3: September 2024
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v13i3.23943

Abstract

Chronic suppurative otitis media (CSOM) is a pathological disorder affecting the ear, characterized by a persistent and long-lasting middle ear infection accompanied by the absence of an intact tympanic membrane. Multiple measures can be employed to evaluate the quality of life among patients with CSOM. One such instrument is the chronic otitis media questionnaire-12 (COMQ-12), which has demonstrated satisfactory levels of validity and reliability. The utilization of the COMQ-12 questionnaire has the potential to improve the quality of life experienced by CSOM patients. This study aimed to evaluate the validity and reliability of the Indonesian adaptation instrument of the COMQ-12 in patients with CSOM in the Otorhinolaryngology department of multiple hospitals in Yogyakarta. The study was conducted from February to July 2023. The study comprised 48 participants, consisting of 16 males and 32 females. The adapted Indonesian version of the COMQ-12 instrument demonstrates validity and reliability in assessing patients' quality of life with CSOM, as evidenced by a statistically significant r-value of 0.2353. The internal consistency analysis reveals that Cronbach's α coefficient is 0.868. The Indonesian adaptation of the COMQ-12 demonstrates validity and reliability as an assessment tool for measuring the health-related quality of life in patients diagnosed with CSOM.
Effect of Saline Nasal Irrigation in Patients with Sinonasal Symptoms Widuri, Asti; Fakhriani, Rizka; Daniswara, Deoni
Majalah Kedokteran Bandung Vol 56, No 3 (2024)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v56.3621

Abstract

Nasal irrigation with saline is frequently used as an alternative therapy for sinonasal diseases since it effectively reduces sinonasal symptoms and improves the quality of life when measured by various subjective instruments. The mechanisms of action of saline irrigation remain unclear, but some hypotheses attribute the direct physical cleansing of thick mucus, allergens, and pollutants. This study aimed to determine the effect of nasal saline irrigation on the nasal mucosa using the modified Lund-Kennedy endoscopic score as the objective evaluation. This pre-post-experimental study was conducted at PKU Muhammadiyah Gamping Hospital Yogyakarta, Indonesia, from May to June 2023. The study included 18 individuals presenting with sinonasal symptoms. Participants meeting the inclusion and exclusion criteria who provided informed consent were trained in nasal saline irrigation. Patients were assessed at baseline and one week after nasal saline irrigation using endoscopy, TNSS, and MCC time. Results revealed that the mean of endoscopic scores before and after saline irrigation were 6.89±1.1 and 5.33±1.4, respectively (p-value 0.006),  while the mean of TNSS scores before and after saline irrigation was 6.17±2.3 and 4.28±2.6, respectively (p-value 0.006). Thus, nasal saline irrigation significantly improves the endoscopy and TNSS scores, but not the MCC time.