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The Analysis Study of Effectiveness and Safety of Topical Treatment for Vernal Keratoconjunctivitis: A Comprehensive Systematic Review Fazri, Karin Ananditya; Ramadhani, Fikar
The International Journal of Medical Science and Health Research Vol. 2 No. 3 (2024): The International Journal of Medical Science and Health Research
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/fn3q9p69

Abstract

Background: This systematic review aims to evaluate and synthesize evidence on the efficacy and safety of topical treatments for VKC, focusing on the effectiveness of treatments like cyclosporine A, tacrolimus, and other topical therapies in alleviating symptoms and improving clinical outcomes. Methods: The review followed PRISMA 2020 guidelines, including studies published in English from 2014 to 2024. Results: Eight studies met the inclusion criteria. The review found that both cyclosporine A and tacrolimus significantly reduced symptom and sign scores in VKC patients. Rebamipide was comparable in efficacy to cyclosporine and tacrolimus. Tacrolimus showed efficacy in corticosteroid-refractory cases, while cyclosporine A reduced steroid dependency and related side effects. Conclusion: Topical cyclosporine A and tacrolimus are effective in managing VKC, with improvements in symptoms and clinical signs observed across studies. Cyclosporine A is particularly effective in reducing reliance on corticosteroids, while tacrolimus is beneficial for corticosteroid-refractory VKC. Personalized treatment strategies should be considered based on individual patient responses and tolerability.
The Analysis Study of Association of Myopia and Age-Related Cataract: A Comprehensive Systematic Review Fazri, Karin Ananditya; Ramadhani, Fikar
The International Journal of Medical Science and Health Research Vol. 2 No. 3 (2024): The International Journal of Medical Science and Health Research
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/00by2s27

Abstract

Background: Cataract is a major burden for health-care providers around the world. From a public health perspective, it is important to know the prevalence of undiagnosed lens opacities. Myopia a refractive error where distant objects appear blurred due to the elongation of the eyeball is seeing a rise in prevalence worldwide, with a particular increase in Asian populations. The aim: The aim of this study to show about association of myopia and age-related cataract. Methods: By the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) 2020, this study was able to show that it met all of the requirements. This search approach, publications that came out between 2014 and 2024 were taken into account. Several different online reference sources, like Pubmed, SagePub, and Sciencedirect were used to do this. Result: Eight publications were found to be directly related to our ongoing systematic examination after a rigorous three-level screening approach. Subsequently, a comprehensive analysis of the complete text was conducted, and additional scrutiny was given to these articles. Conclusion: Low and moderate myopes are less likely to develop such a severe visual outcome; nevertheless, they are at significant risk to develop cataract.
A Case Report of Dextrocardia with Hypertensive Emergency and Congestive Heart Failure: A Rare Condition Ramadhani, Fikar; Zahra, Nabila Luthfiyyah
The International Journal of Medical Science and Health Research Vol. 3 No. 1 (2024): The International Journal of Medical Science and Health Research
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/gagdxd23

Abstract

Introduction : Dextrocardia is a rare congenital anomaly affecting the heart. The range of cardiac problems linked to dextrocardia is extensive. This case report seeks to enhance the current knowledge by providing a clinical description of dextrocardia accompanied by hypertensive emergency and congestive heart failure. Case Presentation : A 39-year-old woman came to the Emergency Department of RSI Sultan Hadirin Jepara, having vomitted more than ten times since last night. Vomiting was preceded by nausea. The patient has been experiencing shortness of breath for three years, particularly when sleeping with only one pillow, necessitating the use of multiple pillows. Through additional physical and supporting examinations, the patient was diagnosed with dextrocardia with hypertensive emergency and congestive heart failure. Conclusion : Dextrocardia is a rare birth defect characterized by a variety of complicated structural abnormalities in the heart. There is no difference in symptoms and signs in patients with congestive heart failure in dextrocardia or levocardia. So that the approach to managing congestive heart failure in our patient is identical. Gaining a comprehensive understanding of this uncommon ailment is essential for delivering suitable medical treatment and effectively managing any problems in affected persons. 
Effectiveness of Physical Activity Combined with Medical Rehabilitation in Cervical HNP Patient Post Radiofrequency Ablation (RFA) Procedure: A Case Report Zahra, Nabila Luthfiyyah; Ramadhani, Fikar
The International Journal of Medical Science and Health Research Vol. 1 No. 1 (2024)
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/29amx963

Abstract

Introduction : Cervical disc herniation most likely happens in people over 30-years-old-age with a job that need holding a posture that can make body alignment easily diverge. Case presentation : A 48-year-old male presented with radiate pain from the wrist going upward to the neck. He also felt numbness or tingling sensation on the right side of the arm. MRI showed protrusion of intervertebral disc C5-6 and C6-7 with narrowing of right and left neural foramen.  The patient was diagnosed with C5-C6 cervical disc herniation, Radiofrequency Ablation (RFA) was performed twice. An Anterior Cervical Discectomy and Fusion (ACDF) procedure was suggested but the patient declined it and then he received 3 months of physical therapy, and he performed physical activity regularly. Eventually the patient reported resolution of all the symptoms after. Conclusions : This case report emphasizes the effectiveness of combining physical activity with medical rehabilitation in a patient with cervical herniated nucleus pulposus after RFA procedure. The combination of these approaches yielded positive results measured by NPRS and ROM examination, with the patient experiencing reduced pain, improved daily function, and return to their daily activities.