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All Journal Medicinus : Jurnal Kedokteran Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Jurnal Sehat Indonesia (JUSINDO)
Moningkey, Shirley
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Dentistry Education Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Holistic Management in Adolescent Patients with Atopic Dermatitis Through Family Medicine Approach: A Case Report Anita, Anita; Moningkey, Shirley; Handoko, Marshell
Review of Primary Care Practice and Education Vol 7, No 2 (2024): July
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.98605

Abstract

Atopic Dermatitis (AD) is a chronic, recurrent skin inflammation accompanied by itching and occurring in specific areas of the body. AD is often associated with other atopic diseases such as allergic rhinitis and bronchial asthma. It can affect individuals of all ages but is most common in infants and children. AD that appears in adolescents and adults is also increasingly recognized. This case report aims to explore the role of family physicians in the holistic and comprehensive management of AD in adolescents through a family medicine approach to prevent relapses and reduce the severity of AD. Data were obtained through auto-anamnesis, physical examination, and home visits. LAK, a 21-year-old final-year student, reported a red rash on her upper right arm for the past month, which she found very bothersome. Internal factors aggravating her symptoms included her mother's allergic rhinitis, the patient never using skin moisturizers, and not cleaning her body immediately after sweating. External factors included having to walk to campus through busy, hot, and dusty roads and the stress from her final-year thesis. Diagnosis and management were carried out holistically through patient-centered, family-focused, and community-oriented. The family medicine approach emphasizes prevention, patient education, and long-term management to reduce the severity of AD. Through a family medicine approach, changes in behavior, particularly in prevention, will occur, allowing AD to be managed and preventing relapses
Penatalaksanaan Hiperurisemia, Dislipidemia dan Obesitas Melalui Pendekatan Kedokteran Keluarga Sugianto, Michael Aquilar; Susanto, Tirta Darmawan; Moningkey, Shirley
Jurnal Sehat Indonesia (JUSINDO) Vol. 7 No. 2 (2025): Jurnal Sehat Indonesia (JUSINDO)
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/jsi.v7i2.314

Abstract

Hiperurisemia merupakan suatu kondisi di mana kadar asam urat terlampaui dalam tubuh. Jika tidak segera diobati, hiperemia dapat menyebabkan pembentukan kristal gout, yang dapat menyebabkan gout dan batu ginjal. Dislipidemia adalah penyakit yang ditandai dengan kadar kolesterol, LDL, HDL, dan trigliserida, yang tidak normal. Kondisi ini dapat disebabkan oleh gaya hidup yang tidak sehat atau gangguan genetik. Dislipidemia sering berubah hanya ketika komplikasi seperti stroke atau serangan jantung terjadi. Obesitas adalah akumulasi lemak yang berlebihan karena ketidakseimbangan penyerapan energi (asupan energi), dan energi digunakan untuk waktu yang lama (pengeluaran energi). Laporan kasus ini bertujuan untuk membahas lebih lanjut peran dokter umum untuk mencegah dan mengurangi komplikasi dari tiga jenis penyakit, termasuk batu ginjal, garis keturunan, serangan jantung dan penyakit metabolisme lainnya. Kedokteran keluarga memainkan peran penting dalam deteksi, pencegahan dan manajemen tiga penyakit. Pendekatan kedokteran keluarga menekankan intervensi preventif, pendidikan pasien dan manajemen jangka panjang. Pendekatan ini berharap bahwa pasien dan keluarga mereka akan meningkatkan pentingnya mengelola tiga jenis penyakit..
Factors Influencing the Occurrence of Preeclampsia in Pregnant Women at Primary Care Clinic Andoko, Dewanto; Hendrik, Hendrik; Moningkey, Shirley; Soeryani, R Wianti; Sungono, Veli
Review of Primary Care Practice and Education Vol 7, No 1 (2024): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.97566

Abstract

Background: Preeclampsia is a common medical complication during pregnancy, affecting approximately 5-15% of all pregnancies. This research aims to identify factors influencing the occurrence of preeclampsia at a Primary care clinic in Bandar Selamat, Tembung, Medan, in the year 2023. Method: This study adopts a cross-sectional approach, involving pregnant women with a gestational age of ≥20 weeks who visited the primary care clinic in Bandar Selamat, Tembung, Medan, from July to December 2023. A total of 37 respondents were sampled using convenience sampling. The dependent variable was the occurrence of preeclampsia, while independent variables included age, parity, medical history, calcium supplementation, and employment history. Multivariate analysis was conducted using SPSS version 23. Result: 16.8% of the respondents experienced preeclampsia. Additionally, 21.6% were in the unhealthy reproductive age group, 72.9% were primigravida, 13.5% had a medical history, 43.2% had poor calcium supplementation, and 40.5% were employed. Multivariate analysis revealed that Age (P-value: 0.044, OR: 24.5, 95% CI: 1.082 - 556.407), Parity (P-value: 0.252, OR: 4.926, 95% CI: 0.32 - 75.4), History of Chronic Disease (P-value: 0.32, OR: 40.484, 95% CI: 1.37 - 1196.2), Calcium Supplementation (P-value: 0.167, OR: 11.582, 95% CI: 0.3 - 374.8), and Employment Status (P-value: 0.679, OR: 1.849, 95% CI: 0.1 - 33.87) are associated with preeclampsia. Conclusion: There is a significant relationship between age, parity, history of chronic disease, and the occurrence of preeclampsia in pregnant women at the primary care clinic in Bandar Selamat, Tembung, Medan. History of Chronic Disease is the most influential variable (OR: 40.484).
Exploring the Association Between HIV Knowledge and Prevention Attitudes Among Health Science Students Atmodjo, Wahyuni Lukita; Suryadinata, Neneng; Moningkey, Shirley; Siregar, Rohana Uly Pradita
Medicinus Vol. 15 No. 1 (2025): October
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v15i1.10765

Abstract

ound: HIV continues to be a major public health concern worldwide, and comprehensive understanding has shown that HIV knowledge enhances effective prevention behaviors and helps prevent the transmission of the disease. Previous research conducted indicated that higher levels of knowledge were associated with more positive attitudes toward HIV prevention, specifically, 58.7% demonstrated good knowledge and 70.7% engaged in preventive actions. Health science students are a key group for HIV education, as they are future healthcare providers. However, limited research has been done among health science students. Methods: A cross-sectional study was conducted with 295 health science students consisting of 193 medical and 102 non-medical students. Participants completed two questionnaires, i.e., HIV knowledge with 24 true/false items and HIV prevention attitudes with 23 items on a Likert scale. Descriptive and inferential statistics, including chi-square tests and multivariate logistic regression, were used to analyze the data. Results: Of the respondents, 43.4% demonstrated good HIV knowledge, while 56.6% had poor knowledge. Regarding prevention attitudes, 59.7% exhibited favorable attitudes, while 40.3% had unfavorable attitudes. A significant positive association was found between HIV knowledge and prevention attitudes (p < 0.001, OR: 2.525, 95% CI: 1.546–4.123). Gender differences were noted, with females displaying more favorable attitudes (p < 0.001, OR: 2.551, 95% CI: 1.487–4.379). Medical students showed less favorable attitudes toward HIV prevention compared to non-medical students (p = 0.042, OR: 1.681, 95% CI: 1.017–2.778). Conclusions: This study highlights the influence of HIV knowledge, gender, and faculty on HIV prevention attitudes among health science students, with females and non-medical students showing more engagement in prevention efforts. These findings underscore the need for comprehensive HIV education in university curricula to enhance both knowledge and preventive behaviors.
Co-Authors Andoko, Dewanto Anita Anita Handoko, Marshell Hendrik Hendrik Siregar, Rohana Uly Pradita Soeryani, R Wianti Sugianto, Michael Aquilar Suryadinata, Neneng Susanto, Tirta Darmawan Veli Sungono Wahyuni Lukita Atmodjo