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All Journal CHMK HEALTH JOURNAL Jurnal Abdi Mas Adzkia
Karina Nilasari
Universitas Negeri Malang
Humanities Health Professions Languange, Linguistic, Communication & Media Nursing Public Health Social Sciences Other

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SINDROMA NEFROTIK PADA PASIEN BERUSIA 20 TAHUN DENGAN HIVAN Karina Nilasari
CHMK HEALTH JOURNAL Vol 5 No 1 (2021): CHMK HEALTH JOURNAL
Publisher : Citra Bangsa University - Literacy and Publishing Center (CBU-LPC)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37792/the public health.v5i1.946

Abstract

Introduction: Kidney disease in patients with human immunodeficiency virus (HIV) infection has been ranked fourth in the cause of death after sepsis, pneumonia, and liver disease. HIV-associated nephropaty (HIVAN) is the most common. Case: The following is a case report, a male patient, 20 years old, presented with complaints of swelling all over his body, especially the legs and scrotum. The patient feels uncomfortable when breathing, less urine during the last 2 weeks. The patient had been diagnosed with HIV since 2 months ago. The patient took ARVs, but then stopped. There was an increase in urea and creatinine, proteinuria and hematuria on urinalysis as a sign of kidney problems. Renal biopsy showed segmental hyalinosis, focal, mild, intraglomerular neutrophil infiltrates, focal, mild and erythrocytes found in the tubular lumen. Conclusion: This occurred because it was preceded by damage of the glomerular podocytes due to viral infection, and continued with hyalinization and sclerosis. This condition causes the patient to experience nephrotic syndrome and hematuria. Keywords: human immunodeficiency virus, HIV-associated nephropaty, nephrotic syndrome
UJI DIAGNOSTIK PLATELET TO LYMPHOCYTE RATIO (PLR) PADA PASIEN SEPSIS DEWASA DI RUMAH SAKIT SAIFUL ANWAR MALANG Karina Nilasari; Agustin Iskandar
CHMK HEALTH JOURNAL Vol 5 No 2 (2021): CHMK HEALTH JOURNAL
Publisher : Citra Bangsa University - Literacy and Publishing Center (CBU-LPC)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37792/the public health.v5i2.991

Abstract

Background: Sepsis, is a major health problem throughout the world, as evidenced by the high incidence, mortality, health costs needed to manage a patient with sepsis, as well as an increase in the incidence of these events annualy. Platelet Lymphocyte Ratio (PLR) is a new prognostic marker that integrates risk predictions from two parameters, namely platelets and lymphocytes into one, which is commonly used as a marker for aggregation and inflammatory pathways. The purpose of this study was to determine the diagnostic value of PLR on sepsis. Method: Platelet lymphocyte ratio (PLR) was calculated in 100 adult patients who met the inclusion criteria, consisting of 70 sepsis patients and 30 normal adult patients. The diagnosis of sepsis is based on the Sepsis-related Organ Failure Assessment (SOFA) scoring system. Results: The ROC curve showed AUC 0.900 (95% Confidence Interval: 83.9% - 96.2%, p = 0,000) and the best cut-off value from PLR to predict sepsis was greater or equal to 141.9 with sensitivity: 85 , 7% and specificity of 86.7%, and PPV values ​​of 93.8% and NPV of 72.2%. Conclusion: PLR has a good diagnostic value in determining sepsis in adult patients Keywords: PLR, sepsis
Pemberian Edukasi Sebagai Upaya Pencegahan Serta Penanganan Penyakit Degeneratif Kota Batu Nilasari, Karina; Pramesti, Anisya Nurdania; FZ, Astri Rahima; Putri, Ayu Selfiyana; Ikhtyari, Fatrya Dhea
Jurnal Abdi Mas Adzkia Vol 4, No 2 (2024): Januari - Juli 2024
Publisher : Universitas Islam Negeri Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/adzkia.v5i1.18407

Abstract

The increase in degenerative diseases is generally caused by an unhealthy lifestyle, such as a diet that does not pay attention to the balance between food intake and needs and a sedentary lifestyle. Some cases of degenerative diseases can also be triggered by a lack of information and knowledge regarding degenerative diseases. Degenerative diseases also have a fairly high mortality rate, according to the Ministry of Health, the number of hypertension cases in 2019 in Indonesia was 63 million, while the death rate reached 427 thousand. So there is a need for health education aimed at reducing degenerative rates. Counseling regarding degenerative diseases was carried out at the Bumiaji Health Center, Pandanrejo Village, Batu City with the elderly who were prolanis participants at the Bumiaji Health Center carried out with a series of activities starting with the provision of a pre-test, counseling, discussion and question and answer, as well as giving a post-test which was carried out in a group forum. This research is a type of quantitative research using survey methods (pre-test and post-test). Data analysis was carried out after data from all respondents was collected and processed using SPSS and Microsoft Excel software. From the results of the data analysis obtained, there was an increase between the pre-test and post-test results. The number of participants who answered correctly during the post-test was greater than the number of participants who answered correctly during the pre-test. From these results it can be said that there is a significant influence due to providing education about degenerative diseases to respondents. With the community service activities that have been carried out, it is hoped that the elderly participants in the Bumiaji Community Health Center Batu City prolanis can increase their knowledge about degenerative diseases and also that they can be more aware of the existence of degenerative diseases that can harm the body.
Co-Authors Agustin Iskandar FZ, Astri Rahima Ikhtyari, Fatrya Dhea Pramesti, Anisya Nurdania Putri, Ayu Selfiyana