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Paskalis Gunawan
Universitas Tarumanagara
Humanities Economics, Econometrics & Finance Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health

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Hepatitis B-Related Decompensated Cirrhosis With Ascites Permagna In A 64-Year-Old Indonesian Farmer Jeni Noprianti; Dessy Andriani; Paskalis Gunawan
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.49642

Abstract

Hepatic cirrhosis increased from 36.9 million in 1990 to 58.4 million in 2021. However, the burden varies significantly by etiology. In 2022, hepatitis B caused 1.1 million deaths from cirrhosis and hepatocellular carcinoma (primary liver cancer). This study highlights how important it is to understand and treat cirrhosis in hepatitis B patients as soon as it develops, as it can be fatal if not treated. We reported a case of HBV-related decompensated cirrhosis of a 64-year-old Indonesian male with a two-week history of progressive abdominal swelling that had worsened significantly in the preceding 24 hours accompanied with dyspnea and epigastric pain. Physical examination revealed bilateral icteric sclera and conjunctival pallor. Abdominal examination was remarkable for a convex, extended abdomen with weakened bowel sounds. Percussion revealed dullness in all quadrants except the umbilical region, positive fluid waves, and shifting dullness. EKG, blood laboratory, chest X-ray, and abdominal ultrasound examinations were performed. The treatment approach addresses multiple aspects of the patient's condition, including diuretics, supportive care for liver function, gastroprotection therapy, and ursodeoxycholic acid. The patient also underwent ascites puncture and found 4400 cc of serous fluid.
Deteksi Dini Dislipidemia melalui Pemeriksaan Kadar Trigliserida dalam Strategi Promotif dan Preventif Kesehatan Kardiometabolik pada Populasi Dewasa Paskalis Gunawan; Alexander Halim Santoso
Jurnal Pengabdian Masyarakat Kesosi Vol. 9 No. 2 (2026): Juli: Jurnal Abdimas KESOSI
Publisher : Sekolah Tinggi Ilmu Kesehatan Kesetiakawanan Sosial Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/abdimas.v9i2.538

Abstract

Hypertriglyceridemia is an indicator of lipid metabolism disorders that contributes to increased cardiometabolic risk and often remains undetected among adults. This condition may increase the likelihood of developing chronic diseases, including coronary heart disease, metabolic syndrome, and vascular disorders if not identified at an early stage. This community service program aimed to conduct triglyceride screening as an early detection effort using the Plan–Do–Check–Act (PDCA) approach. A total of 98 adult participants with a mean age of 43.67±12.40 years were involved in the activity. Triglyceride measurements were performed to identify metabolic conditions within the community and provide an initial overview of potential health risks. The results showed a mean triglyceride level of 147.65±82.39 mg/dL, with a median of 123 mg/dL and a range of 45–464 mg/dL, indicating considerable variability among participants. Categorically, 65.3% of respondents were classified as having normal triglyceride levels, while 34.7% were identified with hypertriglyceridemia. The wide distribution of values, including several extreme results, reflects heterogeneity in metabolic conditions within the community. These findings indicate that triglyceride disorders represent a significant health concern among adults. Therefore, community-based screening programs should be implemented continuously and followed by promotive and preventive interventions, including dietary modification, increased physical activity, and weight management, to reduce cardiometabolic risk and support better public health outcomes.
Co-Authors Dessy Andriani Jeni Noprianti Santoso, Alexander Halim