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All Journal Jurnal Ilmu Kedokteran Keluarga
Hevy Purwaningtyas, Nuretha
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Computer Science & IT Health Professions Physics Public Health Social Sciences

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Bacterial Vaginosis, Candidiasis Vulvalginitis, and Suspected Gonorrhea in Pregnant Women with Risk Factor for Sexually Transmitted Infection from Her Husband Wakhdatul Lubbi, Yusniya Farida; Nurrakhma Arum, Siti; Hevy Purwaningtyas, Nuretha; Gina Prabawati, Nirmala; 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.v2i2.20

Abstract

Bacterial vaginosis is a reproductive system infection that causes a variety of symptoms. This condition can be caused by a variety of risk factors, including sexually transmitted infection from her husband. This case was detected in a Malang City primary health care. An in-depth history is collected to identify risk factors, followed by a home visit to detect risk factors. We shall explore the role and use of family medicine in cases of bacterial vaginosis in this case report. Because of the complicated interplay of biopsychosocial variables, comprehensive and holistic treatment is required.
Bacterial Vaginosis in Well-Educated Married Women with Risk Factor for Vulvovaginal Flora Disruption Nurinnisa, Zarifa; Andarini, Sri; Hevy Purwaningtyas, Nuretha
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.v2i2.21

Abstract

Bacterial vaginosis is a reproductive system infection that causes a variety of symptoms. This condition can be caused by a variety of risk factors, including Vulvovaginal Flora Disruption. This case was detected in a Malang City primary health care. An in-depth history is collected to identify risk factors, followed by a home visit to detect risk factors. We shall explore the role and use of family medicine in cases of bacterial vaginosis in this case report. Because of the complicated interplay of biopsychosocial variables, comprehensive and holistic treatment is required.
Navigating Polymorbidity in Geriatric Primary Care : A Case of Herpes Zoster and Psychological Stress Hevy Purwaningtyas, Nuretha; Nur Rakhmani, Alidha; Haikal Ashomadoni, Fajar
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.v4i1.43

Abstract

Managing complex health issues in elderly patients within primary care requires a holistic, patient-centered approach. This case report details the presentation and comprehensive management of a geriatric patient suffering from herpes zoster exacerbated by significant psychological stress. A 63-year-old male presented with a five-day history of severe, burning pain and pruritus in his right axilla extending to his back, accompanied by vesicular and bullous lesions on dermatomes T1-T2. Prodromal symptoms included headache, fatigue, anorexia, and myalgia. The patient, a former construction worker, also reported significant psychological distress due to prolonged unemployment and reduced communication with his eldest child, exacerbating his symptoms and impacting sleep. He had a history of varicella, controlled coronary artery disease, and hypertension. The clinical picture was consistent with Herpes Zoster Thoracis 1 Dextra, likely reactivated by age-related immunosenescence and heightened psychological stress. The patient's social determinants of health, including financial strain and family communication challenges, significantly contributed to his stress, impacting his functional status and disease perception. Management included antiviral therapy (acyclovir), pain relief (ibuprofen), and non-pharmacological interventions such as rest, nutritional guidance, and local care. Crucially, empathetic counseling addressed his psychological distress, emphasizing stress management techniques and reinforcing positive coping mechanisms through family support and engaging hobbies. This case highlights the intricate interplay between physical illness and psychosocial factors in elderly patients. A comprehensive family medicine approach, integrating biomedical treatment with an understanding of social, economic, and psychological contexts, is paramount for effective disease management and improving overall patient well-being.
Chronic Atopic Dermatitis in Adults : A Family Medicine Approach to Psychosocial Factors and Holistic Management Andarini, Sri; Hevy Purwaningtyas, Nuretha; Fakhrizah Wildani , Safira
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.v4i1.49

Abstract

Atopic dermatitis (AD) is a chronic inflammatory skin condition often exacerbated by psychosocial stressors, significantly impacting patients' quality of life. This case highlights the intricate relationship between psychological burden and AD pathogenesis, emphasizing the crucial role of a holistic family medicine approach in its comprehensive management. We present the case of a 54-year-old male, a motivational trainer, who presented with recurrent pruritic erythematous plaques on both ankles, consistent with chronic atopic dermatitis. His symptoms were significantly aggravated by psychological stress stemming from a substantial decline in work engagements and income during the recent pandemic, which also restricted his stress-coping hobbies. Clinical evaluation, guided by Hanifin Rajka criteria, confirmed the diagnosis of atopic dermatitis, with psychological stress identified as a key exacerbating factor through neuro-immuno-cutaneous mechanisms. A comprehensive family medicine intervention was employed, integrating pharmacological management with topical corticosteroids, non-pharmacological strategies like skin barrier optimization, and extensive psychosocial counseling. The patient's functional family dynamics, as assessed by a high Family APGAR score, supported the feasibility of a multi-faceted approach, addressing both physical symptoms and underlying stressors. This case underscores the necessity of a biopsychosocial model in managing chronic conditions like atopic dermatitis. A holistic family medicine perspective, incorporating patient education, stress management, and collaborative care, is vital for achieving optimal outcomes and improving patient well-being.
Uncontrolled Type 2 Diabetes Mellitus with Multicomorbidities in a 58-Year-Old Woman : A Case Report Hevy Purwaningtyas, Nuretha; Adi Nugroho, Satrio
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/pm7ma898

Abstract

Type 2 Diabetes Mellitus (T2DM) is a chronic disease with high global prevalence, and uncontrolled cases often result in multiple comorbidities and reduced quality of life. Family medicine provides a holistic approach by integrating biomedical, psychosocial, and environmental perspectives into management. This case report describes a 58-year-old overweight woman with a genetic predisposition who presented with uncontrolled T2DM complicated by neuropathy, pruritus, chronic gastritis, low back pain, and vertigo. Data were collected through clinical encounters, patient interviews, medical records, family assessment tools (Family APGAR, SCREEM, Mandala of Health), and home visits at Dinoyo, Malang, in September 2025. Family assessment revealed strong support but limited financial resources. Management included pharmacological adjustments, dietary counseling, physical activity promotion, and family–community engagement. This case highlights how a holistic family medicine approach can improve adherence, address risk factors, and achieve better outcomes in patients with uncontrolled T2DM and multiple comorbidities.
Stress-Linked Tension Type Headache and Uncontrolled Diabetes: A Family Medicine Approach Firmaniyah, Ulfa; Dasa Novita, Khuznita; Hevy Purwaningtyas, Nuretha
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/qcxgcr98

Abstract

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Co-Authors Adi Nugroho, Satrio Dasa Novita, Khuznita Fakhrizah Wildani , Safira Firmaniyah, Ulfa Gina Prabawati, Nirmala Haikal Ashomadoni, Fajar Nur Rakhmani, Alidha Nurinnisa, Zarifa Nurrakhma Arum, Siti Sri Andarini Wakhdatul Lubbi, Yusniya Farida