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Mentari Putri Maharani
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Konjungtivitis Alergi Noval Ramadirta; Mentari Putri Maharani; Rachel Agustin Inggrid Zefanya; Yashila Rahimah; Rani Himayani; Putu Ristyaning Ayu Sangging
Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense)
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.1.716

Abstract

Allergic conjunctivitis is a form of ocular disorder associated with hypersensitivity reactions to foreign bodies. Allergic conjunctivitis is often a reaction to topical and systemic medications or cosmetics and animal dander from cats and/or dogs. Allergic conjunctivitis is a consequence of a type 1 allergic reaction. In individuals with hypersensitivity, when the allergen is present in the conjunctiva, this allergen triggers a reaction that causes Th2 cells to produce cytokines that induce the production of immunoglobulin E (IgE) by B cells. Classification of allergic conjunctivitis based on Ocular Allergy from the European Academy of Allergy and Clinical Immunology (EAACI) are ocular surface hypersensitivity disorders including ocular allergy or non-allergic ocular hypersensitivity. The diagnosis and management of this disease are related to the clinical manifestations that occur in patients. General management in the form of avoiding allergens and improving eye hygiene must be considered so that chronicity does not occur in the disease and interferes with the patient's quality of life. Some cases of allergic conjunctivitis do not pose a severe health threat. Complications of allergic conjunctivitis are rare, but when they do, they can be serious, including, in severe cases, scarring of the eye. If allergic conjunctivitis develops into infective conjunctivitis, the infection can spread to other body areas, potentially causing severe secondary infections. This article will provide a deeper understanding of allergic conjunctivitis, its diagnosis and management.
Kejadian Gagal Ginjal Kronik pada Pasien Diabetes Melitus Tipe 2 Mentari Putri Maharani; Kurniati , Intanri; Sidharti, Liana
Medula Vol 14 No 2 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i2.948

Abstract

Diabetes is widely regarded as the most prevalent factor leading to end-stage renal disease. The rising prevalence of obesity and the growing number of elderly individuals will result in an increased population of individuals with diabetes who also have chronic kidney disease. This kidney disease can either be caused by diabetic nephropathy or have a different underlying cause. The management of diabetes and accurate assessment of kidney disease are influenced by the factors of ageing and obesity. Individuals suffering from both diabetes and chronic kidney disease account for a disproportionately large portion of medical care expenses. Individuals afflicted with diabetes and diabetic nephropathy exhibit heightened susceptibility to retinopathy and foot complications necessitating synchronized medical attention. Individuals with both diabetes and chronic kidney disease have a higher susceptibility to anaemia and metabolic bone disease compared to those without diabetes who are at the same stages of chronic kidney disease. Considering the high prevalence of kidney disease (30-40%) among individuals with diabetes, it is estimated that over 2% of the adult population falls into this category. Therefore, it is crucial to develop new surveillance models for providing care to individuals with both diabetes and kidney disease. Additionally, primary care teams, who are responsible for managing the majority of these individuals, should also be supported.