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All Journal Jurnal Health Sains Indonesian Journal of Multidisciplinary Science Journal Of World Science Enrichment: Journal of Multidisciplinary Research and Development
Hutomo, Yudhistira
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Humanities Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Mathematics Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Gitelman Syndrome in a 37-Years Old Woman with Urinary Tract Syndrome and History of Caesarean Section: A Case Report Hutomo, Yudhistira; Widjaja, Dipdo Petrus
Journal of World Science Vol. 3 No. 10 (2024): Journal of World Science
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jws.v3i10.1207

Abstract

Gitelman Syndrome (GS) is a rare genetic disorder often underdiagnosed due to its non-specific symptoms that can appear from neonatal stages to adulthood. It is more frequently observed in Asians, with a prevalence of approximately 1 in 40,000 people. Accurate diagnosis requires a comprehensive clinical interview and laboratory examinations. This report presents the case of a 37-year-old woman with GS who also experienced a urinary tract infection and had a history of cesarean section. Upon admission, she reported feeling fatigued and weak in all extremities. She had undergone a cesarean section a month prior due to pre-eclampsia. Initial laboratory tests revealed hypokalaemia, hyponatremia, and hypochloraemia. Further evaluation during hospitalization detected a urinary tract infection, hypocalciuria, and hypomagnesemia. The patient also suffered from carpopedal spasms and muscle cramps. Treatment included magnesium sulfate, calcium gluconate, potassium chloride, and sodium chloride infusions to restore electrolyte balance. The patient was discharged after six days, with a diagnosis of Gitelman Syndrome, which was unusual given her late onset of symptoms, as most cases are identified in childhood. The clinical presentation was largely driven by the patient’s electrolyte imbalances, especially hypokalaemia and hypomagnesemia, with hypomagnesemia further contributing to hypocalcemia and vitamin D deficiency. The patient’s symptoms improved after appropriate electrolyte supplementation. This case emphasizes the importance of a detailed clinical history and laboratory assessments in diagnosing GS, along with timely correction of electrolyte disturbances to improve the patient’s condition and prevent complications.
Hypnotherapy treatment in a 25 years-old singer with Dysphonia and Sinusitis : A case report Hutomo, Yudhistira
Indonesian Journal of Multidisciplinary Science Vol. 4 No. 1 (2024): Indonesian Journal of Multidisciplinary Science
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/ijoms.v4i1.1013

Abstract

Hypnotherapy is a therapeutic modality used to address psychological and behavioral issues by providing positive suggestions to the subconscious mind. This case report discusses a patient presenting with chronic dysphonia and sinusitis. Dysphonia can have multiple causes, including sinusitis, emotional disorders such as trauma, anxiety, and depression, as well as occupational and lifestyle factors. A thorough diagnosis of dysphonia requires comprehensive physical and supportive examinations. Once diagnosed, a holistic treatment approach is essential, combining symptom management, medication, psychotherapy, and speech therapy. In this case, hypnotherapy was used as part of the psychotherapy treatment, leading to significant improvement in the patient's condition. This case highlights the potential benefits of incorporating hypnotherapy in the management of dysphonia.
Hypnotherapy Intervention for the Treatment of Insomnia in A 26 Years-Old Woman with General Anxiety Disorder: A Case Report Hutomo, Yudhistira
Enrichment: Journal of Multidisciplinary Research and Development Vol. 2 No. 8 (2024): ENRICHMENT: Journal of Multidisciplinary Research and Development
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/enrichment.v2i8.225

Abstract

Hypnotherapy is a method that engages a person in relaxation and leads them into a trance-like condition. There are many benefits that can be obtained by doing hypnotherapy, one of which is to overcome sleep disorders or insomnia. Insomnia refers to a disruption or irregularity in sleep manifested as ongoing challenges in falling asleep or staying asleep and/or waking up too early. Anxiety is often linked to difficulties with sleep. Increased anxiety and fear can hinder the ability to both initially fall asleep and remain asleep throughout the night. In this case report, we report a female patient who complained of insomnia for 2 years. Patients complain that it is very difficult to start sleeping. In addition, patients also experience various symptoms such as fatigue, lack of focus and muscle tension in the neck and several places. This patient underwent hypnotherapy and found that the root of the problem was an anxiety disorder that she had not been aware of. This anxiety disorder is also confirmed by anamnesis and symptoms experienced by the patient and assessment using the Hamilton Rating Scale for Anxiety (HAM-A). After the hypnotherapy session, we followed up with the patient for one week after the therapy session. Patients show significant changes with better sleep quality and reduced patient anxiety symptoms.
Case Study : Observation of Reducing Heartburn Pain in Gastroesophageal Reflux Disease (Gerd) With Hypnotherapy Hutomo, Yudhistira
Jurnal Health Sains Vol. 5 No. 10 (2024): Jurnal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v5i10.1379

Abstract

Hypnotherapy is a form of psychological treatment that utilizes hypnosis to assist in addressing specific mental and physical ailments. It can also be employed for altering habits. Hypnotherapy operates by inducing a hypnotic state in the subject, lowering brain waves to alpha-theta levels for relaxation and enhanced acceptance of suggestions in the subconscious. The aim is to improve psychological issues, emotions, and conduct. The study was carried out on two patients at the Lee Chen Thung Primary Clinic in Jakarta, Indonesia. Sampling was conducted by adhering to specific criteria for selection and administering the GERD-Q questionnaire. The patients included in the study had to have GERD-Q scores higher than 7 and frequently use PPIs for their stomach issues. Management of GERD can be done with drug therapy or pharmacology and non-pharmacology therapy. One of the non-pharmacology therapies that can be given is hypnotherapy. Patients who satisfied the criteria were provided with hypnotherapy in order to alleviate their heartburn symptoms. The process of hypnotherapy can help the body to stimulate the release of endorphins. Endorphins act as the body's innate pain relievers. Following hypnotherapy, patients underwent eval_uation for 1 week using numeric rating scale. Both patients experienced a decrease in pain levels following hypnotherapy.
Co-Authors Widjaja, Dipdo Petrus