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All Journal Jurnal Ilmu Kedokteran (Journal of Medical Science) Medical and Health Journal
Firinda, Rizma Haidif
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Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Medicine & Pharmacology Public Health

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CASE REPORT : BENDA ASING DI TELINGA BAGIAN TENGAH PADA PASIEN DENGAN OTITIS MEDIA SUPURATIF KRONIK Kusdaryanto, Wahyu Dwi; Nafiisah, Nafiisah; Firinda, Rizma Haidif; Sinensis, Rizki Amelia
Medical and Health Journal Vol 4 No 1 (2024): August
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2024.4.1.12066

Abstract

Latar Belakang : Benda asing di telinga tengah merupakan kasus yang jarang, biasanya dapat terjadi karena adanya perforasi membran timpani terlebih dahulu sehingga benda asing masuk ke telinga tengah. Tujuan: Melaporkan suatu kasus benda asing telinga tengah yang jarang ditemukan. Laporan Kasus: wanita berusia 53 dengan diagnosis corpus alienum di cavum timpani dengan otitis media supuratif kronik telinga kanan.dan telahndilakukan evakuasi benda asing secara lokal anestesi dengan endoskopi telinga Pertanyaan Klinis: Apakah teknik yang tepat dalam pengambilan benda asing di telinga tengah. Telaah Literatur: Berbasis bukti mengenai teknik evakuasi pengambilan benda asing di telinga tengah melalui literatur. Hasil: Evakuasi benda asimg di telinga tengan dapat dilakukan melalui trasnkanal dengan endoskopi telinga. Kesimpulan: Evakuasi benda asing di telinga tengah harus dilakukan secara hati-hati dengan memperhatikan jenis benda asing, kepatuhan pasien, tehnik dan isntrumen yang tepat.
COMPARISON OF THE EFFECTIVENESS OF SKIN SWAB AND SKIN SCRAPING TECHNIQUES FOR SCABIES DIAGNOSIS Ihtiaringtyas, Suci; Susiawan, Lieza Dwianasari; Sari, Octavia Permata; Firinda, Rizma Haidif
Medical and Health Journal Vol 4 No 2 (2025): February
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2025.4.2.14686

Abstract

Scabies is a skin disease caused by an infestation of the mite Sarcoptes scabiei var. hominis. This disease often mimics other skin conditions, earning it the nickname "The Great Imitator." Four main signs (cardinal signs) of scabies infestation are recognized: intense itching at night (pruritus nocturna), group infections affecting multiple individuals, burrows accompanied by papules or vesicles, and the presence of mites on the patient’s lesions. Atypical scabies has several rare and difficult-to-recognize forms, which can lead to misdiagnosis. Accurate diagnosis is crucial to prevent further spread and complications.Several diagnostic methods can be employed to confirm this disease. Two diagnostic techniques commonly used are skin swab and skin scraping; however, the comparative effectiveness of these methods has not been extensively studied. This study aims to compare the effectiveness of these two techniques in detecting scabies. The research design used in this study is observational with a cross-sectional approach and a full-sampling method. The test subjects were scabies-infected rabbit obtained from the Research Laboratory of the Faculty of Medicine, Jenderal Soedirman University.A total of 8 samples were collected: 4 samples using the skin swab technique and 4 samples using the skin scraping technique. Samples were taken from active lesion areas using the skin swab technique with transparent adhesive tape and the skin scraping technique with a sterile scalpel. The collected samples were examined under a microscope to detect mites, eggs, or their feces. The results showed no statistically significant difference between the outcomes of the skin swab and skin scraping methods, with a p-value of 0.448 (p > 0.05). Both techniques were equally effective in diagnosing scabies in rabbit.Additionally, the skin swab technique was more comfortable for patients and minimized the risk of injury. In conclusion, the skin swab technique can serve as a safer and more effective alternative to skin scraping, particularly for diagnosing scabies in sensitive lesion areas. This study is expected to assist medical practitioners in selecting the optimal diagnostic method for scabies.
THE PREVALENCE OF HYPERTENSION AMONG YOUNG ADULT PATIENTS AT KLINIK SOEDIRMAN PURWOKERTO Sinensis, Rizki Amelia; Wicaksono, Madya Ardi; Nafiisah, Nafiisah; Firinda, Rizma Haidif; Kamal, Isran
Medical and Health Journal Vol 4 No 2 (2025): February
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2025.4.2.14926

Abstract

Hypertension is a growing public health problem, particularly among young adults. This study aims to determine the prevalence of hypertension among young adult patients at Klinik Soedirman Purwokerto. The study uses a quantitative descriptive design with a sample of all patients aged 18-24 years who accessed healthcare services at the clinic from March to September 2024. The results show that the majority of patients were female (72.51%), with the most frequent age group being 20 years (29.75%). Recorded diagnoses of hypertension included both essential and secondary hypertension, with one case of both types found in a 20-year-old female patient. Risk factors contributing to hypertension in young adults include unhealthy lifestyle factors such as high salt diet, lack of physical activity, alcohol consumption, and smoking habits. These findings indicate the need for more effective preventive programs among young adults, such as promoting healthy lifestyles and routine blood pressure screening. This study can serve as a basis for designing hypertension prevention measures among students, particularly at Jenderal Soedirman University
Skabies di Antara Penyakit Kulit: Studi Prevalensi di Klinik Pratama Soedirman Tahun 2024 Firinda, Rizma Haidif; Wicaksono, Madya Ardi; Sinensis, Rizki Amelia; Nafiisah, Nafiisah; Kusdaryanto, Wahyu Dwi; Ihtiaringtyas, Suci
Jurnal Ilmu Kedokteran Vol 19, No 1 (2025): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26891/JIK.v19i1.2025.84-89

Abstract

Scabies is a skin disease caused by infestation of the parasitic mite Sarcoptes scabiei, which penetrates the skin and reproduces by laying eggs. Although often regarded as a common and non-severe condition, scabies is classified as a neglected skin disease on a global scale. This study aims to determine the prevalence of scabies in relation to the total number of skin diseases diagnosed at the Soedirman Primary Outpatient Clinic. A descriptive research method was employed, utilizing patient medical records from March to September 2024. Data were collected based on ICD-10 diagnostic codes, including both scabies and other dermatological conditions. The results showed that there were 13 recorded cases of scabies (5.05%) out of a total of 257 diagnosed skin diseases. This prevalence closely aligns with the national prevalence of scabies in Indonesia. Variations in prevalence may be influenced by social and environmental factors, with higher transmission rates occurring in densely populated areas and among individuals with frequent close contact. Preventive measures include health education, personal hygiene, and improved environmental sanitation.
Carpal Tunnel Syndrome Risk: Impact of Work Duration on Farmers Roestijawati, Nendyah; Fakih, Mohammad; Yuliani, Massita Dwi; Firinda, Rizma Haidif; Dafaulhaq, Ahmad Fawwaz
Medical and Health Journal Vol 5 No 1 (2025): August
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2025.5.1.14829

Abstract

Farmers, as an informal work group, are at high risk of occupational diseases, including Carpal Tunnel Syndrome (CTS). This study analyzes the relationship between work duration and suspected CTS incidence among farmers in Linggasari Village, Kembaran District, Banyumas Regency.An observational study was conducted on 72 farmers using interview methods, physical examinations, and CTS provocation tests. Data were analyzed bivariately using Chi-Square statistical testing. Of 72 respondents, 26 (36.11%) were suspected of having CTS, with 16 (61.54%) having work duration exceeding 52,320 hours. Among 46 respondents not suspected of CTS, 13 (28.26%) had work duration less than 52,230 hours. Statistical analysis revealed a p-value of 0.006 (p < 0.05), indicating a significant relationship between work duration and suspected CTS incidence. A statistically significant correlation exists between work duration and suspected CTS among farmers.
Biopotency of Ethanol Extract of Rasamala (Altingia excelsa) Leaves as a Botanical Insecticide Against Aedes aegypti Mosquitoes Sari, Octavia Permata; Ihtiaringyas, Suci; Susiawan, Lieza Dwianasari; Firinda, Rizma Haidif; Wahyudin, Wahyudin; Wijaya, Faza Nur
Medical and Health Journal Vol 5 No 1 (2025): August
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2025.5.1.17251

Abstract

Aedes aegypti is the primary vector of dengue hemorrhagic fever (DHF), which remains a major public health concern in Indonesia. Continuous use of synthetic insecticides has led to the emergence of resistance andadverse environmental impacts. This study aimed to evaluate the biopotential of ethanol extract from Altingia excelsa (rasamala) leaves as a botanical insecticide against Aedes aegypti mosquitoes. The experiment was conducted by exposing female Aedes aegypti mosquitoes aged 3–5 days to vapor from rasamala leaf extract at threeconcentrations (25%, 50%, and 75%) using an electric liquid vaporizer device. Mortality percentages were recorded at 8, 16, and 24 hours and subsequently analyzed using statistical and probit methods. The results demonstrated that rasamala leaf extract possesses insecticidal activity. However, the LC₅₀ value of 182% indicated low efficacy, as it exceeded the highest concentration tested. Moreover, the LT₅₀ value could not be reliably determined within the observed time frame. These findings suggest that while Altingia excelsa extract exhibits insecticidal potential, further optimization of its formulation or an increase in concentration is required to achieve greater effectiveness.
Co-Authors Dafaulhaq, Ahmad Fawwaz Fakih, Mohammad Ihtiaringtyas, Suci Ihtiaringyas, Suci Kamal, Isran Kusdaryanto, Wahyu Dwi Madya Ardi Wicaksono, Madya Ardi Nafiisah Nafiisah Nafiisah, Nafiisah Nendyah Roestijawati Octavia Permata Sari, Octavia Permata Sinensis, Rizki Amelia Susiawan, Lieza Dwianasari Wahyudin Wahyudin Wijaya, Faza Nur Yuliani, Massita Dwi