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Anzany Tania Dwi Putri
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Biochemistry, Genetics & Molecular Biology Medicine & Pharmacology Nursing Public Health Veterinary

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Etiologi Multipel dari Xerostomia yang Dialami Pasien dengan HIV Positif: Studi kasus Anzany Tania Dwi Putri
Jurnal Medika Hutama Vol. 4 No. 02 Januari (2023): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia

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Abstract

Xerostomia is commonly reported as an oral complaint among dental patients. Many factors contribute to its presence, including medication use, chronic diseases, and psychogenic conditions. A strong association between extensive dental caries and oral infections has been discussed in several studies. Here we report a case of xerostomia related to various medical issues in a patient who was currently undergoing a 6-month rehabilitation program. Case Presentation: A 45-year-old male patient with histories of multiple substance abuse, HIV positive, Hepatitis C, and schizoaffective disorder came with a chief complaint of excessive dry mouth in the last two months. At clinical examination, poor oral hygiene with debris coated on the tongue, fissures in lip corners, little saliva amount, shiny oral mucosa, multiple carious lesions, and missing teeth were revealed. The patient was given education on how to maintain oral hygiene, asked to increase fluid intake, use 0.9% sodium chloride mouthwash every two hours daily, and scheduled weekly to receive dental treatments. Discussion: Proliferation of HIV-infected CD8+ cells and infiltration of HCV to salivary glands, drug-induced vasoconstriction, and consuming numerous medications that inhibit salivary production are suspiciously associated with the occurrence of Xerostomia. Conclusion: Comprehensive treatment that requires teamwork between dentists, physicians, and patients is strongly needed to obtain a good result.
Tantangan implementasi rekam medis elektronik di fasilitas pelayanan kesehatan Indonesia Anzany Tania Dwi Putri
Jurnal Medika Hutama Vol. 4 No. 03 April (2023): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia

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Abstract

The development of information and communication technology use is increasingly prominent in the health sector, including in the use of medical records. Medical records that were originally made manually are now required to evolve into electronic form, known as electronic medical records (EMR) in order to succeed digital transformation in the health system. Unfortunately, in an effort to implement EMR, it is not a quick and easy thing to do, particularly from the service provider's perspective. The aim of this article is to find out the obstacles and challenges faced by various health care providers (clinics, public health centers, and hospitals) in Indonesia. The method used is literature study using the google scholar database with inclusion criteria including review article, full text, Bahasa language, and published during 2017-2022. The result is that there are 12 articles selected to be analyzed. The challenges faced in implementing EMR are categorized into four major aspects, namely legal, human resources, infrastructure, and technology. It is hoped that the results of this literature study can be an input for the government to make policies that are able to solve the problems occurred. Thus, health digitalization in Indonesia can be optimally achieved.
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