Ariestine, Dina Aprillia
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Hubungan Status Vitamin D dengan Risiko Jatuh pada Pasien Lansia dengan Penyakit Ginjal Kronik yang Menjalani Hemodialisis Reguler Iqbal, Muhammad; Ariestine, Dina Aprillia; Ramadhani, Sumi
Jurnal Penyakit Dalam Indonesia Vol. 10, No. 2
Publisher : UI Scholars Hub

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Abstract

Introduction. Fall is one of the main causes of hospitalization in the elderly, which is caused by several factors including gait disturbances, balance disorders, visual disturbances, chronic kidney disease (CKD), vitamin D deficiency, and so on. Chronic kidney disease can cause disruption of vitamin D metabolism, especially in the elderly population. This study aimed to assess the relationship between vitamin D status and the risk of falling in elderly patients with CKD who receive regular hemodialysis programs. Methods. We conducted a cross-sectional study by assessing the relationship between vitamin D status and the risk of fall in elderly patients undergoing regular hemodialysis at H. Adam Malik General Hospital and Rasyida Kidney Special Hospital Medan. Fall risk assessment was carried out using the Morse fall scale (MFS) and vitamin D status was examined in the Clinical Pathology Laboratory of H. Adam Malik General Hospital, Medan. The data was analyzed statistically with the chi square test. Results. This study involved 92 subjects with a median vitamin D level of 20.15 (3.9-52.1) mg/dL and a median MFS value of 65 (25-95). As many as 87% of subjects had insufficient vitamin D levels, 11% of subjects had inadequate levels, and 1% of subjects had adequate levels of vitamin D. High fall risk was found in 56% of subjects, 43% had moderate fall risk, and 1% had low fall risk. The chi square test found a significant relationship between vitamin D status and risk of falling with p value = 0.001 and an odds ratio 0.056 (95%CI 0.007-0.454). Conclusion. Reduction of vitamin D level has a significant relationship with the risk of falling in elderly patients with CKD undergoing regular hemodialysis.
Profil Pasien Dermatofitosis Superfisial di Rumah Sakit Prof. Dr. Chairuddin Panusunan Lubis Universitas Sumatera Utara Najwa, Athaya; Lubis, Flora Marlita; Ariestine, Dina Aprillia; Wahyuni, Dian Dwi
SCRIPTA SCORE Scientific Medical Journal Vol. 7 No. 2 (2026): SCRIPTA SCORE Scientific Medical Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/scripta.v7i2.24157

Abstract

Background: Dermatophytosis is a fungal infection that affects keratinized tissues such as hair, skin, and nails. The disease remains common in tropical regions with high humidity, including Indonesia. Objective: This study aimed to determine the profile of patients with superficial dermatophytosis at Prof. Dr. Chairuddin Panusunan Lubis Universitas Sumatera Utara Hospital, during 2020–2024. Methods: This study employed a retrospective descriptive design. The study sample consisted of patients with superficial dermatophytosis treated at the Teaching Hospital of Prof. Dr. Chairuddin Panusunan Lubis, Universitas Sumatera Utara, Medan, Indonesia, from 2020 to 2024. Total sampling was applied. Results and Discussion: The prevalence of superficial dermatophytosis in Prof. Dr. Chairuddin Panusunan Lubis USU Hospital during 2020–2024  was 6.75% of all dermatology cases, with tinea corporis being the most common type (55.7%). The majority of patients were aged 18–59 years (54.8%), female (51.0%), unemployed (29.0%), and without comorbidities (81.0%). The most frequent clinical manifestation was erythema (71.4%), and diagnosis was most commonly established based on clinical presentation (64.3%). Ketoconazole was the most frequently prescribed treatment (82.9%). Most patients showed clinical improvement (79.0%), with a treatment duration of less than two weeks in most cases (68.6%). Conclusion: Superficial dermatophytosis predominantly affected adults and females, with tinea corporis as the most frequently identified type. Most patients responded well to therapy. The condition was more common among individuals with poor personal hygiene and those living in humid environments. Therefore, education on the importance of maintaining personal and environmental hygiene is necessary to prevent dermatophytosis. Keywords: Dermatophytosis, Fungal Infection, Keratin, Profile, Tinea Latar Belakang: Dermatofitosis adalah infeksi jamur yang menginfeksi bagian jaringan tubuh yang mempunyai kadar keratin tinggi, seperti pada rambut, kulit, dan kuku. Penyakit ini masih banyak ditemukan di wilayah beriklim tropis dengan tingkat kelembapan yang tinggi, seperti Indonesia. Tujuan: Penelitian ini bertujuan untuk mengetahui profil pasien dermatofitosis superfisial di Rumah Sakit Prof. Dr. Chairuddin Panusunan Lubis Universitas Sumatera Utara pada tahun 2020-2024. Metode: Penelitian ini menggunakan desain deskriptif retrospektif. Sampel yang digunakan merupakan pasien dermatofitosis superfisial di Rumah Sakit Pendidikan Prof. Dr. Chairuddin Panusunan Lubis Universitas Sumatera Utara, Universitas Sumatera Utara, Medan, 20155, INDONESIA pada tahun 2020-2024 yang diambil menggunakan metode total sampling. Hasil dan Diskusi: Prevalensi pasien dermatofitosis superfisial di RS Prof. Dr. Chairuddin Panusunan Lubis USU pada tahun 2020-2024 sebesar 6,75% dari seluruh kasus penyakit kulit, dengan tipe terbanyak tinea korporis (55.7%). Mayoritas pasien berusia 18–59 tahun (54.8%), berjenis kelamin perempuan (51.0%), tidak bekerja (29.0%), dan tidak memiliki komorbid (81.0%). Manifestasi klinis tersering berupa eritema (71.4%), dengan diagnosis terbanyak berdasarkan gambaran klinis (64.3%). Terapi yang paling banyak diberikan adalah ketokonazol (82.9%). Sebagian besar pasien menunjukkan perbaikan klinis (79.0%) dengan lama pengobatan kurang dari dua minggu (68.6%). Kesimpulan: Dermatofitosis paling banyak dialami oleh usia dewasa dan perempuan dengan tipe yang paling banyak ditemukan yaitu tinea korporis. Sebagian besar pasien menunjukkan respons baik terhadap terapi. Kondisi ini lebih sering terjadi pada individu dengan kebersihan diri yang kurang baik dan lingkungan lembap. Sehingga, diperlukan edukasi mengenai pentingnya menjaga kebersihan tubuh dan lingkungan untuk mencegah infeksi dermatofitosis. Kata Kunci: Dermatofitosis, Infeksi Jamur, Keratin, Profil, Tinea