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Pengaruh Edukasi Vulva Hygiene Terhadap Lama Penyembuhan Luka Perineum Pada Ibu Nifas Enny; Widiya , Novalia; Susanti; Sarkiah
Jurnal Ilmiah JKA (Jurnal Kesehatan Aeromedika) Vol. 10 No. 2 (2024): Jurnal Ilmiah JKA (Jurnal Kesehatan Aeromedika)
Publisher : Politeknik Kesehatan TNI AU Ciumbuleuit Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58550/jka.v10i2.263

During the birth process, a mother will experience internal injuries in the birth canal. Vulvar hygiene during the postpartum period must be carried out, because a lot of blood and dirt comes out of the vagina. The vagina is an area close to where you urinate and defecate and is an open organ, making it easier for germs in this area to spread to the uterus, causing infection to occur. The objective of the research was To determine the effect of Vulva Hygiene education on the healing time of perineal wounds in postpartum mothers at Balangan Regional Hospital. This research used a Quasy Experimental Design, Non-Equivalent Control Group. The sampling technique used was purposive sampling with 15 intervention groups and 15 control groups. The research was conducted on 15-22 January 2024 at Balangan Regional Hospital. The instruments used are checklist sheets and observation sheets. Data were analyzed using SPSS. The results showed that mothers who received vulva hygiene education had a fast wound healing process of ≤ 6 days, while mothers who did not receive vulva hygiene education had a slow wound healing process of > 6 days. Based on the chi square test, the results show that the p value is 0.010 or <0.05, which means H0 is rejected and Ha is accepted. There is a relationship between vulva hygiene education and the length of healing of perineal wounds at Balangan Regional Hospital.

DINAMIKA KEPRIBADIAN DAN STRUKTUR KEPRIBADIAN PADA NOVEL KENANG LANGIT KARYA KIRANA KEJORA Dinda Adira Sari; enny
Dialektologi Vol. 7 No. 2 (2022): Jurnal Dialektologi
Publisher : Universitas Islam Ogan Komering Ilir Kayuagung

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Kirana Kejora lahir pada tanggal 2 Februari 1972 di Ngawi, Jawa Timur. Ia adalah penulis Indonesia yang terpilih sebagai salah satu Tokoh Inspiratif Sidoarjo 2013. Karya- karyanya berupa artikel, cerpen, dan puisi dimuat di berbagai media cetak. Ia juga produktif menulis novel dan script film, baik layar lebar maupun film televisi. Sebelum memutuskan sebagai penulis penuh waktu, Kirana adalah peneliti Sosial Ekonomi Perikanan Unibraw (1991-1993), Staff pengajar pada SMK Dipasena Citra Darmaja, Lampung (1996-2000), Staf Ahli Sosial Ekonomi proyek Management Monitoring Cosultant JBIC-DPK di Sulawesi Tenggara (2000-2001) Staff pengajar pada Universitas Hang Tuah Surabay (2003-2004), dan wartawati tabloid Infotainment Fenomena (2003-2004). Penelitian ini merupakan penelitian perpustakaan dengan menggunakan metode dinamika kepribadian tokoh atau teori psikoanalisis. Peneliti mengkaji kepribadian dari tokoh-tokoh untuk menentukan id, ego dan super ego. setelah itu peneliti akan mengelompokkan kepribadian dari tokoh Langit id, ego dan super ego berdasarkan kutipan yang ada di dalam novel

Unmasking Occult Malignancy: The Pivotal Role of the Peripheral Blood Smear in the Initial Diagnosis of Chronic Lymphocytic Leukemia Agustinus Sigit Pamungkas; Enny
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 8 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i8.1363

Background: Chronic lymphocytic leukemia (CLL) is a common hematologic malignancy in adults, frequently discovered incidentally through routine blood tests due to its often nonspecific clinical presentation. In resource-limited settings, fundamental laboratory investigations are crucial for initiating the diagnostic pathway. This report illustrates the critical diagnostic value of the complete blood count and peripheral blood smear in identifying CLL in a patient presenting with vague constitutional symptoms. Case presentation: A 43-year-old female with a history of type 2 diabetes mellitus presented to a rural hospital with a one-month history of debilitating fatigue, intermittent fever, and loss of appetite. Physical and radiological examinations were unremarkable. However, initial hematological analysis revealed marked leukocytosis (77,910/μL), mild anemia, and thrombocytopenia (54,000/μL). A peripheral blood smear was pivotal, showing an absolute lymphocytosis of 90% with mature-appearing lymphocytes, pleomorphism, and characteristic smudge cells. Following referral, definitive diagnosis was established through flow cytometry, which confirmed a clonal B-cell population (CD19+, CD5+, CD23+, dim CD20+). Bone marrow examination showed extensive infiltration, and molecular studies revealed an unmutated IGHV gene status, placing the patient in a high-risk prognostic category. Conclusion: This case underscores that even in the absence of advanced diagnostic facilities, a meticulous evaluation of the peripheral blood smear is a powerful and essential tool for unmasking serious underlying hematologic malignancies like CLL. It enables early suspicion, appropriate patient referral, and timely initiation of management, thereby significantly impacting patient outcomes.

Unmasking Occult Malignancy: The Pivotal Role of the Peripheral Blood Smear in the Initial Diagnosis of Chronic Lymphocytic Leukemia Agustinus Sigit Pamungkas; Enny
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 8 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i8.1363

Background: Chronic lymphocytic leukemia (CLL) is a common hematologic malignancy in adults, frequently discovered incidentally through routine blood tests due to its often nonspecific clinical presentation. In resource-limited settings, fundamental laboratory investigations are crucial for initiating the diagnostic pathway. This report illustrates the critical diagnostic value of the complete blood count and peripheral blood smear in identifying CLL in a patient presenting with vague constitutional symptoms. Case presentation: A 43-year-old female with a history of type 2 diabetes mellitus presented to a rural hospital with a one-month history of debilitating fatigue, intermittent fever, and loss of appetite. Physical and radiological examinations were unremarkable. However, initial hematological analysis revealed marked leukocytosis (77,910/μL), mild anemia, and thrombocytopenia (54,000/μL). A peripheral blood smear was pivotal, showing an absolute lymphocytosis of 90% with mature-appearing lymphocytes, pleomorphism, and characteristic smudge cells. Following referral, definitive diagnosis was established through flow cytometry, which confirmed a clonal B-cell population (CD19+, CD5+, CD23+, dim CD20+). Bone marrow examination showed extensive infiltration, and molecular studies revealed an unmutated IGHV gene status, placing the patient in a high-risk prognostic category. Conclusion: This case underscores that even in the absence of advanced diagnostic facilities, a meticulous evaluation of the peripheral blood smear is a powerful and essential tool for unmasking serious underlying hematologic malignancies like CLL. It enables early suspicion, appropriate patient referral, and timely initiation of management, thereby significantly impacting patient outcomes.

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