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All Journal Jurnal Ilmu Kedokteran Keluarga
Dwi Rahayu, Indriati
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Computer Science & IT Health Professions Physics Public Health Social Sciences

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An 80-Year-Old Female with Benign Paroxysmal Positional Vertigo and Isolated Systolic Hypertension with a Risk Factor of Eldery Siswati, Bella; Dwi Rahayu, Indriati; Dasa Novita, Khuznita
Jurnal Ilmu Kedokteran Keluarga Vol. 3 No. 2: December 2024
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Benign Paroxysmal Positional Vertigo (BPPV) and isolated systolic hypertension are common conditions in the elderly population. This article discusses the case of an 80-year-old female with a combination of these conditions, where advanced age serves as a significant risk factor. A multidisciplinary approach was employed, involving therapy for BPPV management and tailored lifestyle modifications and pharmacological therapy for systolic hypertension. The study highlights the importance of comprehensive assessment of age-related risk factors, integrated symptom management, and the family’s role in supporting patient care. The findings suggest that individualized and collaborative care strategies can improve the quality of life in elderly patients.
Relationship between Demographic Characteristics of Telehealth Users with the Satisfaction Level of @telmed.fkub Instagram Followers Muhammad, Athaya Rahmanardi; Setijowati, Nanik; Dwi Rahayu, Indriati; Dasa Novita, Khuznita
Jurnal Ilmu Kedokteran Keluarga Vol. 2 No. 2: December 2023
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/altera.v2i2.19

Abstract

Background: The @telmed.fkub account is a health promotion program of the Medical Faculty of Brawijaya University that provides health information services to the public. This program conducts regular evaluations to determine the effectiveness of services to the community.  Objective: To evaluate this program in determining the user's satisfaction with appearance, usability, service, and willingness to recommend. Then, the level of satisfaction is linked to user demographic data, whether there is a relationship or not.  Methods: This research uses a cross-sectional observational research method where data is collected by a Google Form questionnaire distributed randomly to Instagram account followers @telmed.fkub. The demographic variables were age, gender, education level, and educational background. The satisfaction level was categorized into five subtypes: appearance, service, usability, and willingness to recommend. These satisfaction levels were then measured on a five 5-level Likert scale. The Chi-Square or Fisher's Exact tests analyzed the collected data to determine the p-value.  Results: The total number of respondents was 99. Most respondents are satisfied with the @telmed.fkub akun and program (96.97%). It was also shown that there was a significant relationship between the genders of @telmed.fkub users in telehealth display satisfaction, and there were no significant differences between age groups, education levels, and backgrounds education of @telmed.fkub users in telehealth satisfaction.  Conclusion: There is a significant relationship between gender and appearance satisfaction levels of @telmed.fkub users.
Comprehensive Family Medicine Approach to Lumbar Radiculopathy in an Obese Patient : A Case Study Dwi Rahayu, Indriati; Rusnianah, Farida; Fernando, Alexander
Jurnal Ilmu Kedokteran Keluarga Vol. 4 No. 1 (2025): Juni 2025
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/altera.v4i1.42

Abstract

Lumbar radiculopathy, often stemming from Herniated Nucleus Pulposus (HNP), presents a significant challenge in primary care, frequently exacerbated by comorbid conditions such as obesity. Family medicine emphasizes a holistic, patient-centered approach, considering both biomedical and psychosocial factors for optimal management. This paper presents the case of a 50-year-old female housewife, diagnosed with Lumbar Radiculopathy due to suspected HNP Lumbal and Grade 1 Obesity. She presented with a one-month history of debilitating left lower back pain (VAS 8/10) radiating to her thigh, calf, and foot, accompanied by numbness. Her symptoms, triggered by exercise and daily activities, significantly impacted her mobility, sleep, and recreational pursuits like aerobics. The diagnostic process employed a holistic framework, integrating anamnesis, physical examination, and family assessments using the Family APGAR and SCREEM tools. Key internal risk factors included her age, obesity, and daily activities involving prolonged standing and stair use. External challenges identified through SCREEM highlighted patient confusion regarding medication adherence during fasting and a tendency for infrequent routine medical check-ups, due to a perceived state of good health. This multifaceted presentation necessitated a tailored management strategy focused on conservative measures, addressing both the radiculopathy and weight management through lifestyle modifications. This case underscores the complexity of managing chronic musculoskeletal pain within a family medicine context, particularly when compounded by obesity. A comprehensive approach, integrating clinical diagnosis with psychosocial and environmental considerations, is crucial for effective patient education, adherence to treatment, and improving functional outcomes.
The Intrinsic Link Between Food Allergy and Allergic Rhinitis : A Family Medicine Perspective on Atopic March and Persistent Nasal Symptoms Hidayati, Nurul; Dwi Rahayu, Indriati; Rizki Fauzi, Muhammad
Jurnal Ilmu Kedokteran Keluarga Vol. 4 No. 1 (2025): Juni 2025
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/altera.v4i1.45

Abstract

Allergic rhinitis (AR) is a prevalent chronic respiratory condition, yet its intricate connection with food allergy (FA) is often underappreciated in clinical practice. This paper examines the "atopic march", the natural progression of allergic diseases, through a case study that highlights the significant interplay between a patient's food allergy history and the manifestation of persistent, moderate-to-severe allergic rhinitis, emphasizing the crucial role of family medicine in comprehensive patient assessment. We present a case of a 25-year-old male experiencing persistent nasal congestion, rhinorrhea, and sneezing for a year, exacerbated by environmental triggers. Notably, he reported a resolved childhood seafood allergy. His family history revealed a strong pattern of atopy, with his mother having similar allergic rhinitis and seafood allergy, and his elder sister presenting with asthma and seafood allergy. This familial predisposition for both food and inhalant allergies strongly suggests an underlying atopic diathesis. This patient's presentation vividly illustrates the complex relationship between early-life food sensitization and the subsequent development of allergic rhinitis. While his childhood seafood allergy had clinically resolved, the underlying IgE-mediated immune response likely contributed to his sustained hyper-responsiveness, predisposing him to AR. The strong familial aggregation of both food and respiratory allergies underscores the genetic contribution to the atopic march. Management involved a comprehensive approach, including pharmacological interventions and environmental control, but crucially, also emphasized the importance of recognizing the historical and familial links to food allergies in understanding the patient's current rhinitis picture. Further investigation, such as specific IgE testing or skin prick tests, would be beneficial to identify any lingering or new food sensitivities that might contribute to his nasal symptoms. This case powerfully demonstrates that allergic rhinitis should not be viewed in isolation from a patient's broader allergic history, particularly early-life food allergies. A comprehensive family medicine approach that considers the full spectrum of atopic manifestations, including past and familial food allergies, is essential for a complete understanding, effective management, and improved long-term outcomes in patients with persistent allergic rhinitis.
A Family Medicine Perspective on Knee Osteoarthritis, Diabetic Neuropathy, and Metabolic Syndrome in A 73-Year-Old Male Dwi Rahayu, Indriati; Norma Aini, Ilmania
Jurnal Ilmu Kedokteran Keluarga Vol. 5 No. 1 (2026): July 2026
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/aaa0v933

Abstract

This case report explores the complex interplay of knee osteoarthritis (OA), diabetic neuropathy, andmetabolic syndrome in a 73-year-old male, highlighting the challenges in diagnosis and management from a family medicine perspective. The coexistence of these conditions requires a holistic, patient-centered approach focusing on pain management, lifestyle modification, and family involvement to improve adherence and outcomes. This study highlights the importance of early detection andcomprehensive care to prevent severe complications, improve quality of life, and address the limitationsposed by OA on physical activity necessary for metabolic control.
52-Year-Old Male with Mature Cataract, Class II Obesity, and Grade II Hypertension with Genetic and Personal Behavior Risk Factors Dwi Rahayu, Indriati; Atha Erhansyah, Sadam
Jurnal Ilmu Kedokteran Keluarga Vol. 5 No. 1 (2026): July 2026
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/rgh28e29

Abstract

Background: The co-occurrence of cataract, obesity, and hypertension represents a complex challengein primary care, requiring a holistic management approach. This case examines a patient with theseinterrelated conditions and significant behavioral risk factors. Objective: To describe thecomprehensive management of a patient with mature cataract, Class II Obesity, and Grade 2Hypertension using a family medicine approach. Case: A 52-year-old male presented with progressivevision loss in his right eye over two years. Examination revealed mature cataract (OD vision 3/60),obesity (BMI 33.46 kg/m2), and hypertension (BP 164/94 mmHg). Risk factors included smoking,unhealthy diet, physical inactivity, and family history of hypertension. Management: Interventionsincluded surgical referral for cataract, dual antihypertensive therapy (amlodipine and lisinopril), andlifestyle modification for obesity. Family assessment revealed high functionality (APGAR score 10).Results: Cataract surgery improved visual acuity to 6/24. However, hypertension remaineduncontrolled (176/116 mmHg) at follow-up, while obesity management showed limited progress. Thefamily provided strong support throughout care. Conclusion: While targeted specialist interventionsuccessfully addressed the cataract, the persistence of uncontrolled hypertension and obesityunderscores the need for sustained, integrated management of multiple chronic conditions in primarycare, emphasizing continuous lifestyle modification and medication adherence.
Co-Authors Atha Erhansyah, Sadam Dasa Novita, Khuznita Fernando, Alexander Muhammad, Athaya Rahmanardi Nanik Setijowati Norma Aini, Ilmania Nurul Hidayati Rizki Fauzi, Muhammad Rusnianah, Farida Siswati, Bella