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Intravitreal Ranibizumab Injection as A Treatment for Diabetic Macular Edema Defayudina Dafilianty Rosataria; Ramzi Amin
Sriwijaya Journal of Ophthalmology Vol. 3 No. 2 (2020): Sriwijaya Journal of Ophthalmology
Publisher : Department of Opthalmology, Faculty of Medicine, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/sjo.v3i2.44

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Introduction: In general, diabetic retinopathy is classified into early stage, namely non proliferative diabetic retinopathy (NPDR), and advanced stage, proliferative diabetic retinopathy (PDR). Diabetic macular edema is the most common cause of visual impairment in cases of early stage or NPDR. Purpose: To describe Diabetic Macular Edema (DME) with intravitreal injection of anti-VEGF as a treatment. Case presentation: 43 old female, came with chief complaint of blurred vision on her right eye since six months ago. Blurring is felt slowly. Patient has a history of uncontrolled diabetes since 10 years and a history of hypercholesterolemia since 1 year ago. visual acuity of the right eye is 4/60. On posterior segment examination, neovascularization of the papilla was found. Decreased foveal reflex (+), hard exudates (+) within 500 µm from the central macula. Microaneurism (+), dot hemorrhage (+), blot (+) in 4 quadrants, hard exudates (+) in 2 quadrants in her right eye. The patient was planned for intravitreal injection of anti-VEGF on her right eye. Conclusion: Intravitreal injection of anti-VEGF can improve visual acuity and reduce exudate and hemorrhage in retina from ophthalmoscope and fundus photography examination. In addition, the investigation with OCT was found to improve with reduced macular thickness.
Risk Factors for Diabetic Retinopathy Naufallah Dinda Harumi; Ramzi Amin
Sriwijaya Journal of Ophthalmology Vol. 3 No. 2 (2020): Sriwijaya Journal of Ophthalmology
Publisher : Department of Opthalmology, Faculty of Medicine, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/sjo.v3i2.46

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Introduction. Diabetic retinopathy is a progressive microangiopathy characterized by damage and occlusion of small blood vessels. The earliest pathologic changes are thickening of the capillary endothelial basement membrane and a reduction in the number of pericits. Diabetic retinopathy is the main cause of vision loss in type 1 of DM patients and has various risk factors such as chronic hyperglycemia, hypertension, hypercholesterolemia, and elevated HbA1C levels. Methods. This research was conducted using a descriptive observational analytic method with a cross sectional approach at The Eye Polyclinic Dr. Mohammad Hoesin General Hospital Palembang used secondary data on diabetic retinopathy patients. The sample consisted of 64 patients with a total sampling technique, there were 50 patients who met the inclusion criteria. Results. There was a significant relationship between HbA1C levels (p value = 0.050) with a PR value = 1.463 and total cholesterol (p value = 0.038) with a PR value = 1.667 for diabetic retinopathy. Conclusion. HbA1C levels and total cholesterol are significant risk factors for diabetic retinopathy.
Clinical Efficacy of the Use of Honey as Wound Treatment in Surgical Site Infection due to Hysterectomy Patient with Type 2 Diabetes Mellitus Hartati; Mufida Muzakkie; Yusuf Effendi; Ferry Yusrizal; Ramzi Amin; Cindy Kesty; Vicela Patricia Virgyna
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 5 No. 8 (2021): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bsm.v5i8.343

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Introduction: Honey is believed to be used in the topical treatment of wounds and burns due to its anti-bacterial and wound healing promotion activities. The sugar content in honey is high enough to inhibit microbial growth. This case report reports the clinical efficacy of using honey as a postoperative hysterectomy wound dressing with type 2 diabetes mellitus complications. Case Presentation: A woman, 40 years old, lived in Palembang, housewife, came with complaints of open surgical scars and smelling pus. The patient is a postoperative patient with cesarean section with indications of a prolonged latent phase and macrosomia. The patient also had a history of uncontrolled diabetes mellitus since 8 years ago. Intraoperatively, a wound dehiscence is obtained in the lower uterine segment and adhesions between the anterior uterine body and the omentum and transverse colon. The patient finally underwent a supracervical hysterectomy and the surgical secretions were examined for bacterial culture and antibiotic resistance. During wound care, the patient's surgical wound was treated using honey dressings. Patient experienced improvement after treatment for 12 days post-operation. Conclusion: Honey has antibacterial and tissue regeneration ability which is high enough to heal surgical wounds. Further studies are needed for the application of honey to postoperative wounds more widely
Relationship of Food Leftover with Covid-19 Inpatients Recovery Speed in Palembang Indonesia Devi Eryanti; Chairil Anwar; Yuanita Windusari; Ramzi Amin; Ahmad Ghiffari
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 5 No. 12 (2021): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bsm.v5i4.377

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Background : Hospital nutrition services support the patient's recovery process, which the activity is feeding. One indicator of quality in food service is food leftover. The high food waste can affect the patient's health. The high food waste will pose a risk of malnutrition in hospitalized patients. The study aimed to analyze the food leftovers in COVID-19 inpatients at the Palembang referral hospital.Methods : This cross-sectional quantitative descriptive study was with a sample of 112 patients selected by purposive sampling in February-May 2021. Data were taken using the Comstock form and then translated in the form of percent leftover food. According to the Minister of Health, the minimum leftover food is less than 25 percent.Results : The results showed that more than 25 percent of the leftover food were 51 respondents; Thirty-three respondents (54.1%) have fully recovered and 28 respondents (45.9%) still in improvement. On the other hand, the leftovers food of less than 25 percent were 51 respondents; Forty respondents (78.4%) have fully cured, and 11 people (21.6%) still in treatments. The analysis of Chi-square test results shows a p-value of 0.013, showing a significant relationship between food waste and the recovery of COVID-19 patients.Conclusion : The food waste of COVID-19 patients in referral hospitals was still relatively high. It is necessary to modify the diet menu to prevent leftovers and speed up the patient's recovery.
The Correlation of No Footwear Use and Soil Helminth Incidence among Elementary School Children in Musi Rawas, South Sumatera, Indonesia Silvia Rahmi; Chairil Anwar; Hamzah Hasyim; Ramzi Amin; Ahmad Ghiffari
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 5 No. 12 (2021): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bsm.v5i4.381

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Background: Soil-transmitted helminth infection (STH) is a parasite infection that involves humans being infected with roundworms by route of soil contamination. One billion individuals are infected with worms, including 568 million school-age children. Helminthiasis in elementary school-aged children was not documented in Musi Rawas Regency. This study's goal was to identify if not wearing footwear increases the incidence of parasitic infection.Methods: The research was a cross-sectional survey, followed by statistical analysis. The study involved elementary school-aged students in Tuah Negeri District, Musi Rawas Regency, in 2021 and at least 200 participants. This study sample consisted of 108 with a purposive sampling method. This study utilized questionnaires and stool examinations using the Kato Katz method. Chi-square and multivariate logistic regression were used for statistical analysis.Results: Positive helminth infections amounted to 37,1% of the total (n=108). STH was comprised of 17.6% Ascaris lumbricoides, 9.3% Trichuris trichiura, and 25.9% hookworms. The finding of this research demonstrated a substantial (p = 0.000) relationship between the use of footwear and the advent of parasites. The logistic regression analysis results revealed that the most critical variable influencing the incidence of helminthiasis was not wearing any footwear.Conclusions: The study's findings suggest a correlation between footwear use and the risk of worm infection; as a result, it was recommended that children be thoroughly educated on personal hygiene, specifically footwear use, when using the bathroom.
Gynaecologic History During Adolescence to Predict Endometriosis Earlier Hartati; Dwiana Ocviyanti; Ramzi Amin; Yusuf Effendi; Zen Hafy; Radiyati Umi Partan; Rafika Novianti
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 6 No. 3 (2022): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v6i3.465

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Background. Endometriosis is a chronic gynecological disorder that generally affects women of reproductive age which is characterized by implantation of endometrial tissue, both glands and stroma outside the uterus. Research shows that the initial onset of endometriosis patients begins in adolescence. The high prevalence with atypical symptoms leads to long term delay in establishing the appropriate diagnosis. Further developments in the field of early endometriosis screening will greatly assist clinicians, especially general practitioners in areas with limited health facilities, in early detection of endometriosis. Methods. Using the electronic databases, comprehensive literature searches were conducted with the specific keywords. Full-text manuscripts published were reviewed for relevancy and importantly, reference lists were cross-checked for additional relevant studies. Results. Dysmenorrhea, chronic pelvic pain, dyspareunia, dysuria, dyschezia, and glycoprotein were found dominantly in all analyzed literature. The occurrence of endometriosis affects the functioning of women in multiple aspects of life. Endometriosis places a significant burden on teens and adult women, their families, and society as a whole. Conclusion. Combination of structured past history taking, and several biomarker level might be useful as a screening tool that easy to use and cost effective, as early diagnosis is expected to prevent further progression of endometriosis especially in adolescence.
PUBLIC EDUCATION ABOUT EYES DURING THE COVID-19 PANDEMIC Ramzi Amin; Petty Purwanita; Prima Maya Sari
Conferences of Medical Sciences Dies Natalis Vol. 3 No. 1 (2021): Conference of Medical Sciences Dies Natalis Faculty of Medicine Universitas Sri
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (263.338 KB)

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In December 2019, a case of pneumonia of unknown etiology first reported in Wuhan, Hubei Province, China. (1) The etiology was finally identified and showed a new type of coronavirus, which was given the tentative name 2019 novel coronavirus (2019-nCoV). On February 11, 2020, the World Health Organization (WHO) announced the name of the new virus, namely Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2), and the name of the disease as Coronavirus Disease (COVID-19).Indonesia reported its first two confirmed cases of COVID-19 inMarch 2, 2020. As of September 8, 2020, the number of confirmed cases of COVID-19 in Indonesia was 200,035, with 8,230 deaths (CFR 6.9%).
Evaluation of the Dengue Hemorrhagic Fever Eradication Program in Palembang Galuh Ismayanti; Chairil Anwar; Rizma Adlia Syakurah; Ahmad Ghiffari; Ramzi Amin
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 6 No. 13 (2022): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v6i13.637

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Background: Dengue Haemorrhagic Fever (DHF) has the potential to cause Extraordinary Events (KLB), hence the government has made efforts to control DHF, one of which is through the PSN program. Evaluation is necessary to determine how the implementation of the PSN program is following the planned objectives and whether the program can control the breeding of mosquito larvae to reduce the number of dengue cases in Palembang City. Methods: This study utilized a qualitative method with an analytical descriptive approach. The CIPP evaluation model was used to evaluate the context, input, process, and product to determine the success of the PSN program. The information was obtained from twelve informants who were recruited by purposive sampling. Results: The study data was collected in the form of interviews, observations, and a document review to evaluate the dengue fever mosquito nest eradication program (PSN) in Palembang City in 2022. In general, the PSN program has gone well but is still constrained by budget. Furthermore, SOPs related to eradicating mosquito nests do not yet exist and there is a lack of community participation. Conclusion: It is anticipated that Palembang City Health Office can use these study findings as a basis to justify budget allocation for the mosquito nest eradication program and develop SOPs regarding the eradication of mosquito nests to facilitate the program. They could also improve coordination, participation, and community empowerment to implement a larva-free village competition and providing a reward for villages that have been declared larva-free by the Puskesmas to encourage community participation in the eradication of mosquito nests.
Evaluation of the Dengue Hemorrhagic Fever Eradication Program in Palembang Galuh Ismayanti; Chairil Anwar; Rizma Adlia Syakurah; Ahmad Ghiffari; Ramzi Amin
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 6 No. 13 (2022): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v6i13.637

Abstract

Background: Dengue Haemorrhagic Fever (DHF) has the potential to cause Extraordinary Events (KLB), hence the government has made efforts to control DHF, one of which is through the PSN program. Evaluation is necessary to determine how the implementation of the PSN program is following the planned objectives and whether the program can control the breeding of mosquito larvae to reduce the number of dengue cases in Palembang City. Methods: This study utilized a qualitative method with an analytical descriptive approach. The CIPP evaluation model was used to evaluate the context, input, process, and product to determine the success of the PSN program. The information was obtained from twelve informants who were recruited by purposive sampling. Results: The study data was collected in the form of interviews, observations, and a document review to evaluate the dengue fever mosquito nest eradication program (PSN) in Palembang City in 2022. In general, the PSN program has gone well but is still constrained by budget. Furthermore, SOPs related to eradicating mosquito nests do not yet exist and there is a lack of community participation. Conclusion: It is anticipated that Palembang City Health Office can use these study findings as a basis to justify budget allocation for the mosquito nest eradication program and develop SOPs regarding the eradication of mosquito nests to facilitate the program. They could also improve coordination, participation, and community empowerment to implement a larva-free village competition and providing a reward for villages that have been declared larva-free by the Puskesmas to encourage community participation in the eradication of mosquito nests.
Analisis Implementasi Kebijakan Pelayanan Gizi Rumah Sakit Rujukan Covid-19 di Kota Palembang Devi Eryanti; Charil Anwar; Yuanita Windusari; Nur Farida Rahmawati; Ramzi Amin; Maya Ija
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (362.265 KB) | DOI: 10.36418/syntax-literate.v7i6.7311

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Latar Belakang: Gizi menjadi hal penting dalam menjaga sistem kekebalan tubuh. Pasien COVID-19 memerlukan dukungan gizi yang menyeluruh untuk proses kesembuhan. Tujuan: Menganalisis implementasi kebijakan pelayanan gizi Rumah Sakit Rujukan COVID-19 di Kota Palembang. Metode: Penelitian kualitatif melalui wawancara mendalam pada 30 orang informan (5 Kepala Seksi Gizi, 5 Kepala Instalasi Gizi, 5 ahli gizi, 10 tenaga pengolahan, dan 5 pramusaji). Instrumen penelitian yaitu panduan wawancara dan observasi. Analisis data secara deskriptif dan triangulasi. Hasil: Implementasi kebijakan pelayanan gizi: (a) standar dan tujuan kebijakan direalisasikan dan diperkuat dengan Surat Keputusan Direktur, (b) Sumber dana, sumber daya manusia dan fasilitas memadai, (c) Karakteristik organisasi pelaksana sudah menerapkan kebijakan dengan pasti, (d) Komunikasi antar pelaksana dilakukan, tetapi hambatannya tidak patuhnya pelaksana tugas, (e) Sikap pelaksana sangat mendukung, namun terkendala kesenjangan pengetahuan, (f) Keadaan sosial ekonomi dan politik berjalan baik dan didukung semua aktor kebijakan (Kepala Seksi, Kepala Bidang, Direktur, Organisasi Profesi, dan Pemerintah pusat). Kesimpulan: Belum optimalnya implementasi kebijakan karena sikap pelaksana tidak konsisten. Diperlukan peningkatan pengetahuan COVID-19, terutama bagi tenaga gizi, pengolah, dan pramusaji, dan diperlukan peningkatan kerjasama seluruh lembaga terkait dan stakeholders untuk mendukung kebijakan pelayanan gizi, sehingga menjadi prioritas dalam proses penyembuhan pasien COVID-19.
Co-Authors A.A. Ketut Agung Cahyawan W A.K Ansyori Ahmad Ghiffari Alfin Radhian Alfurqon Alfurqon Ammar Fardhana Ansyori, A.K. Ansyori, AK Ansyori, AK. Anwar, Chairil Ashita Hulwah A Ayu Aliyah Aziztama, Rezandi Budi Santoso Chairil Anwar Chairil Anwar Charil Anwar Cicilia, Monica Putri Cindy Kesty Defayudina Dafilianty Rosataria Devi Eryanti Devi Eryanti Dezca Nindita Dian Ariani Dian Puspita Sari Dina Fatwa Dio Asgira Rizky Dita Mintardi Dwiana Ocviyanti Dyah Rahayu Utami Elisa Taurisia Elza Iskandar, Elza Evasha, Agung Putra Faika Novadianaz Faiz Muhammad Ikhsan Faneisha Febrina Art Fensilia Yolanda, Gina Sonia Ferry Yusrizal Fidalia Galuh Ismayanti Ginda Chitra H. A. K. Ansyori H. A.K Ansyori Haloho, Agustina Br. Hamzah Hasyim Handayani, Retno Tharra Hartati Hartati Herdana, Nova Indiarsih, Tiara Bunga Indri Seta Septadina Irsan Saleh Kms Yusuf Effendi Krisna Murti Laksono Trisnantoro Linda Tri Wulandari M. Usman Salim Mandy Putriyudi Maria Ulfa Maya Ija Maya Sari, prima Mgs. Irsan Saleh, Mgs. Irsan Mistur Rozian Mufida Muzakkie Muhammad Baqir MUHAMMAD FAHMI Muhammad Irsan Saleh mulyati mulyati Mutiara, Ria Nailul Authoriyah Naufallah Dinda Harumi Nova Herdana Nur Farida Rahmawati Nyayu Fauziah Zen Oliffa Salma Atthahiroh Petty Purwanita Prima Maya Sari Purwanita, Purwanita Putra, Chani Sinaro Putri, Dwi Octaverina Radiyati Umi Partan Rafika Rafika Novianti Rahmah, Meidina Rajendra Ekki Maulana Reny Violeta Rika Anggraini Rika Anggraini Ririn Rahayu Ririn Rahayu MS Rizma Adlia Syakurah Roland Iqbal Rosataria, Defayudina Dafilianty Salim, Muhammad Usman Shaelva Lassa Sabatini Shariff, Muhammad Apriliandy Silvia Rahmi Siti Pradyta Phiskanugrah Sukmono, Nafila Mahida Syarif Husin Theodorus Tiara Mayasari Tribowo, Anang Vicela Patricia Virgyna Widya Wira Putri Yuanita Windusari Yuanita Windusari Zamzam, Avizena Muhammad Zen Hafy