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All Journal Gema Wiralodra Science Midwifery
Eric Eric
Universitas Tarumanagara, Indonesia
Dentistry Health Professions Nursing Public Health Veterinary Other

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The approach of family medicine in the management of patient with Recurrent Nummular Eczema Relapse Gilbert Alfredo Delano Lonan; Sismei Dini Yufi; Eric Eric; Zita Atzmardina
Science Midwifery Vol 11 No 2 (2023): June: Midwifery and Health Sciences
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v11i2.1184

Abstract

At the Legok Health Center, the total number of dermatitis cases was 14 in August 2022. Mr. A is one of the patients who suffered from recurrent nummular eczema. He was the reason for conducting the visit. Diagnosis and management were carried out using a family medicine approach. Primary data was obtained through anamnesis, physical examination, and home visits. Secondary data was sourced from patient medical records at the Legok Health Center. Mr. A is 18 years old and has complained of a red sore on the left calf since one month ago. On physical examination, plaques were found in the left femur region and brachii sinistra et antebrachia dextra, localized distribution, colored erythema to hyperpigmentation, lenticular to numeric sizes, arranged in multiples with a circadian configuration, and well demarcated. The patient's internal factors are the lack of knowledge about the disease, the behavior that was often injured, stress, and loneliness. External factors included a lack of family knowledge about the patient's illness, the absence of regular visits from nearby health workers, and inadequate home ventilation. As the family approach was taken, there have been improvements in patient complaints, with the number of wounds complained by patients starting to thin out. The family medicine approach was carried out as a whole for individuals and families by applying the medical, behavioral, and social sciences principles. Individual management is an intervention in clinical aspects and a solution to environmental problems affecting personal health.
The effectiveness of using uterine tampons in treating uterine atony Paulina Selvilla; Rayhan Al-ghifari Iridansyah Siregar; Claudia Agnes Jap; Johanes Andrew; Eric Eric
Gema Wiralodra Vol. 14 No. 3 (2023): Gema Wiralodra
Publisher : Universitas Wiralodra

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31943/gw.v14i3.419

Abstract

Postpartum hemorrhage is excessive bleeding that occurs after delivery due to blood loss of 500 mL in a standard delivery or 1,000 mL in a cesarean delivery. Postpartum hemorrhage is divided into primary and secondary and classified based on the 4 Ts: tone, trauma, tissue, and thrombin. Uterine atony is the most common cause. The use of uterine tamponade is an option to treat postpartum hemorrhage (PPP) because it is relatively non-invasive, with a success rate of more than 80%. Using uterine tamponade is easy and quite simple but requires hands-on training to increase confidence in installing uterine tamponade. The literature sources used are Google Scholar, Pubmed, Science Direct, Hindawi, Medline, and Cochrane. After obtaining appropriate literature, the literature is compiled. Uterine tamponade is a second-line treatment for uterine atony that does not respond to uterotonics. Based on the literature search that has been carried out, uterine tamponade is an effective therapy for PPH, is easy to use, and has a low risk of harm with a success rate of 80-87.3%. The use of uterine tamponade can also significantly reduce the need for invasive procedures. Uterine atony is the most common cause of PPH, which results in morbidity and mortality. Uterine tamponade has been proven to be effective, safe, practical, and cheap to treat PPH in daily practice. Further research may be needed in Indonesia to determine the effectiveness of uterine tamponade in treating uterine atony.
Co-Authors Claudia Agnes Jap Gilbert Alfredo Delano Lonan Johanes Andrew Paulina Selvilla Rayhan Al-ghifari Iridansyah Siregar Sismei Dini Yufi Zita Atzmardina