Jefman Efendi Marzuki Hy
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dr., SpM: Poster Presentation - Case Report - Ophthalmologist SAWITRI BOENGAS; Jefman Efendi Marzuki Hy; Debora Ratri Aldora
Majalah Oftalmologi Indonesia Vol 49 No S2 (2023): Supplement Edition
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/762mx130

Abstract

Introduction : Cyclopentolate eye drops 1% are frequently used during the cycloplegic refraction test. Cyclopentolate 1% side effects that are neurotoxic have the potential to be fatal but are extremely rare. Case Illustration : Thirty minutes after first drop of the cycloplegic refraction preparation, a 4-year-old kid had neurotoxic effects in the form of anxiety, disrupted communicative interactions, and hallucinations after receiving 3 drops of 1% cyclopentolate. Drug administration was stopped, and the patient was observed in the ER. After stopping the eye drops and being monitored in the ED for two hours, the condition improved. Discussion : Conclusion : Discussion: A cycloplegic medication that affects muscarinic receptors is cyclopentolate 1%. Administering eye drops is supposed to have a local effect on the eyes only, but frequently systemic effects can happen if there is absorption via the mucosa of the throat, nose, and stomach due to the eye drops' flow through the nasolacrimal duct when the medicine is instilled. One of Cyclopentolate's 1% uncommon adverse effects is neurotoxic impact, which can be fatal. When cyclopentolate interacts with the central nervous system's muscarinic receptors, this syndrome may result. The severity of the side effects increases with dosage and administration frequency, age and BMI, and dose. Focusing on the Lacrimal Canal during delivery and using the lowest dose of cyclopentolate are recommended to minimize side effects. Conclusion: Cyclopentolate 1% has a rare but potentially catastrophic side effect called neurotoxicity. Reduce the dosage of cyclopentolate, administer it properly dan using it combination with other cycloplegic can reduce adverse effects.
STUDI PENDAHULUAN PENGGUNAAN VIRTUAL REALITY TERHADAP PERUBAHAN QUALITY OF LIFE (QOL) PADA PENDERITA INSOMNIA DI UNIVERSITAS SURABAYA Sheren Meidi Prayugo; Dwi Martha Nur Aditya; Jefman Efendi Marzuki HY
CALYPTRA Vol. 13 No. 2 (2025): Calyptra : Jurnal Ilmiah Mahasiswa Universitas Surabaya (Mei)
Publisher : Perpustakaan Universitas Surabaya

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Abstract

Abstract—Background: Insomnia is a sleep disorder characterized by difficulty initiating or maintaining sleep with a minimum duration of symptoms of 1 month. A body that does not get quality sleep can affect a person's physical, mental health, thinking and daily functioning. This can cause a decrease in the quality of life of insomnia sufferers. Objective: To determine the effect of using VR therapy on changes in quality of life and sleep quality in insomnia sufferers. Methodology: This research uses a true-experimental type of research using a one group pre-test and post-test design. The sample in this study consisted of 30 respondents selected using non-probability sampling techniques and purposive sampling methods. Results: Based on the results of the paired t test and Wilcoxon test for the four domains, it shows a p-value <0.001 which indicates a significant change between the pre-test and post-test in the quality of life of University of Surabaya students. Test results also indicated improvements in sleep quality after the intervention. Conclusion: There are indications of changes in quality of life and quality of sleep after being given VR intervention, characterized by an increase in quality of life and a decrease in the severity of sleep quality for University of Surabaya students aged 18-22 years. Keywords: quality of life, quality of sleep, insomnia, students Abstrak—Latar Belakang: Insomnia merupakan gangguan tidur yang ditandai dengan kesulitan memulai atau mempertahankan tidur dengan rentang waktu gejala minimal selama 1 bulan. Tubuh yang tidak mendapatkan tidur yang berkualitas dapat mempengaruhi kesehatan fisik, mental, pemikiran, dan fungsi keseharian seseorang. Hal ini bisa menyebabkan penurunan kualitas hidup penderita insomnia. Tujuan: Untuk mengetahui pengaruh penggunaan terapi VR terhadap perubahan kualitas hidup dan kualitas tidur pada penderita insomnia. Metodologi: Penelitian ini menggunakan jenis penelitian true-experimental dengan menggunakan desain one group pre-test and post-test. Sampel dalam penelitian ini terdiri dari 30 responden yang dipilih dengan teknik non-probability sampling dan metode purposive sampling. Pada akhir penelitian dilakukan uji statistik wilcoxon, uji t berpasangan untuk mengetahui apakah terdapat perubahan signifikan antara pre-test dan post-test. Hasil: Berdasarkan hasil uji t berpasangan dan uji wilcoxon keempat domain menunjukkan p-value <0,001 yang mengindikasikan adanya perubahan signifikan antara pre-test dan post-test kualitas hidup mahasiswa Universitas Surabaya. Hasil uji juga mengindikasikan perbaikan kualitas tidur setelah intervensi. Kesimpulan: Terdapat indikasi perubahan kualitas hidup dan kualitas tidur setelah diberikan intervensi VR ditandai dengan peningkatan kualitas hidup dan penurunan tingkat keparahan kualitas tidur mahasiswa Universitas Surabaya usia 18-22 tahun. Kata kunci: kualitas hidup, kualitas tidur, insomnia, mahasiswa