scholarly journals THE CORRELATION BETWEEN LEPROSY TYPE AND GRADE OF DISABILITY IN LEPROSY PATIENTS IN SAMARINDA

2020 ◽  
Vol 8 (1) ◽  
pp. 10-14
Author(s):  
Cristian Bungin ◽  
Vera Madonna Lumban Toruan ◽  
Yudanti Riastiti

Leprosy or Hansen’s disease is a disease caused by obligate bacteria, Mycobacterium leprae. This disease is a chronic infectious disease with the first affinity in the peripheral nerves. The worst complication of this disease is disability and causes sufferers to be excluded from their social activities. There are several factors that play a role in the occurrence of leprosy defects, one of them is the type of leprosy. This research aims to determine the correlation between the type of leprosy and the grade of disability in leprosy patients in Samarinda. This research was an analytic observational study. Data collection was done by visiting all Community Health Center (Puskesmas) in Samarinda and the medical records of leprosy patients recorded from January 2014-February 2019. The sampling was using a purposive sampling technique. The result showed 106 patients who met the inclusion and exclusion criteria. Data analysis was using the Kolmogrov-Smirnov test which obtained p = 0.764, so it could be concluded that there was no correlation between the type of leprosy and the grade of disability in leprosy patients in Samarinda.

2017 ◽  
Vol 6 (1) ◽  
pp. 3-7
Author(s):  
Masuda Khatun ◽  
MM Abu Sayed ◽  
Tahmina Sultana

Leprosy is a chronic granulomatous infectious disease caused by Mycobacterium leprae, primarily affecting the skin and peripheral nerves. To find out the clinical profile of leprosy patients the cross sectional observational type of study was carried out in outpatient Dept of Dermatology and Venereology at DMCH, Dhaka. Total 30 cases were included in this study. The mean age was found 28.7±11.3 years. Male were 21(70.0%) and female were 9(30.0%). It was observed that 10(33.3%) patients were diagnosed as having borderline tuberculoid, 5(16.7%) as tuberculoid, 1(3.3%) as borderline, 6(20.0%) as borderline lepromatous and 8(26.7%) as lepromatous. Eighteen (60.0%) patients had mutibacillary and 12(40.0%) had paucibacillary. 28(93.3%) patients had hypopigmented, 27(90.0%) had marked anaesthesia, 26(86.7%) had macule & patch, 18(60.0%) had obvious margin and 9(30.0%) had plaque. Majority patients had symptoms during 6 months to 1 year. Common clinical manifestations of leprosy were obvious margin, hypopigmented, marked anaesthesia, macule and ear lobe enlargement. CBMJ 2017 January: Vol. 06 No. 01 P: 03-07


2019 ◽  
Vol 9 (01) ◽  
pp. 61-66
Author(s):  
Yunilda Rosa ◽  
Masnir Alwi ◽  
Monica Julianti

The case of dengue fever (DF) is one of the health problems in the world which its prevalence increased hence the accuracy of therapy is needed to reduce morbidity. One one aspects that related to this is rationality treatment. This study aims to obtain an overview of rationality treatment in patients who suffered dengue fever (DF) in the Islamic Hospital Siti Khadijah Palembang in 2017. This research is a non-experimental research. The research subjects were all the patients who were diagnosed with dengue fever at the Siti Khadijah Islamic Hospital Palembang in 2017. The data was take based on medical record, the used data were retrospective data which were taken by using purposive sampling technique. The obtained data were 30 respondents who met the inclusion-exclusion criteria. The data analysis used is univariate analysis. The result showed that there was an inaccurate dose of (6.66%). A description of the rationality of treatment carried out from 30 patient stated that treatment rationality was (93,33%) and treatment irrationality was (6,66%). It is suggested that efforts be made to increase compliance for health professionals in hospitals in the completeness of recording in medical records.


2020 ◽  
Vol 8 (1) ◽  
pp. 1-7
Author(s):  
Amalia Rizkiannur Putri ◽  
Sukartini ◽  
Evi Fitriany

The early 28 days of life called the neonatal period is the most vulnerable period for infants. The infants face the highest risk of death in the first month after birth. The most common cause of infant death is asphyxia, prematurity, and infection. Infection in newborns is defined as a condition where the newborns have a disease caused by microorganisms. One of the risk factors causing infection in newborns includes factors from the mother, such as premature rupture of membranes, green or meconium and smelly amniotic fluid, maternal infection, and others. The main objective of this research was to describe the risk factors of incidence of infection in newborns at RSUD Abdul Wahab Sjahranie Samarinda. This research uses a retrospective descriptive method with the cross-sectional approach. Sampling was done by taking data on medical records of patients at the RSUD Abdul Wahab Sjahranie Medical Record Installation using total sampling technique. The results obtained were 99 samples that met the inclusion and exclusion criteria with details of patients who experienced premature rupture of membranes by 18 people (18,2%), poor amniotic color by 62 people (62,6%), mothers who had leukocytosis by 15 people (15,2%), and the incidence of infection in newborns by 2 people (2%). the collected data were tabulated bu frequency and percentage and displayed in tables


e-CliniC ◽  
2013 ◽  
Vol 1 (2) ◽  
Author(s):  
Shinta Purnama Hardy ◽  
Anita E. Dundu ◽  
Theresia M.D. Kaunang

Abstract : Relationship between Anxiety Level and Morbus Hansen and the Influencing Factors in Dermatologic Division Prof. Dr. R. D. Kandou General Hospital Manado period of November – December 2012. Introduction : anxiety is defined as a emotional tension that often accompained by physical, sweating, increase of pulse rate. Morbus Hansen (hanseniasis), or well known as leprosy, is a chronic infectious disease caused by Mycobacterium Leprae. In Indonesia leprosy are endemic disease, the number of leprosy patients estimated to be greater than that recorded in the health department, because of the high leprofobi and stigma againstleprosy. Method : this study is analytical, with a cross sectional approach. Result : based of the chi square test the results are no significant association (p>0,05) between anxiety and age, sex, education, and employment. Conclusion : There is no significant association between anxiety and Morbus Hansen.Keyword: Anxiety, HRS-A, Leprosy.  Abstrak : Hubungan tingkat kecemasan dengan morbus hansen dan faktor – faktor yang mempengaruhinya di Bagian Kulit dan Kelamin BLU RSUP Prof. DR. R. D. Kandou Manado periode November – Desember 2012. Pendahulan : kecemasan didefinisikansebagai suatu keadaan ketegangan emosional yang sering disertai dengan gejala fisik, seperti ketegangan, tremor, palpitasi, berkeringat dan peningkatan denyut nadi. Penyakit Morbus Hansen (hanseniasis), atau yang lebih dikenal dengan penyakit lepra atau kusta, merupakan penyakit infeksi kronis yang disebabkan oleh Mycobacterium Leprae. Di Indonesia penyakit kusta bersifat endemis, jumlah penyakit kusta diperkirakan lebih besar daripada yang tercatat di Departemen Kesehatan, karena adanya leprofobi dan stigma yang tinggi terhadap kusta. Metode : penelitian ini  bersifat analitik, dengan pendekatan cross sectional. Hasil : berdasarkan hasil uji chi square di dapatkan tidak ada hubungan yang bermakna (p>0,05) antara kecemasan dengan umur, jenis kelamin, pendidikan  dan pekerjaan. Kesimpulan : Tidak ada hubungan yang bermakna antara kecemasan dengan Morbus Hansen. Kata kunci: HRS-A, Kecemasan, Kusta.


2016 ◽  
Vol 5 (1) ◽  
Author(s):  
Aiwi Japanesa ◽  
Asril Zahari ◽  
Selfi Renita Rusjdi

AbstrakPeritonitis menjadi salah satu penyebab tersering akut abdomen yang merupakan suatu kegawatan abdomen. Peritonitis biasanya disertai dengan bakterisemia atau sepsis yang dapat menimbulkan kematian. Tujuan penelitian ini adalah untuk mengetahui hal-hal yang berkaitan dengan peritonitis agar dapat mencegah dan melakukan penanganan secepatnya terhadap kasus ini. Penelitian deskriptif retrospektif ini telah dilakukan dari September 2014 sampai Oktober 2014 dengan teknik total sampling. Data yang diambil merupakan kasus pasien peritonitis yang dirawat inap di Bagian Bedah RSUP Dr. M. Djamil Padang, kemudian dilakukan seleksi berdasarkan kriteria inklusi dan eksklusi sehingga didapatkan 98 data rekam medik periode 01 Januari 2013 sampai 31 Desember 2013.  Prevalensi peritonitis pada laki-laki (68,4%) lebih tinggi dibandingkan perempuan (31,6%). Kelompok usia terbanyak adalah 10-19 tahun (24,5%). Peritonitis sekunder umum akibat perforasi apendiks merupakan jenis peritonitis yang terbanyak (53,1%). Sebagian besar pasien peritonitis mendapatkan tatalaksana bedah berupa laparatomi eksplorasi dan apendektomi (64,3%). Lama rawatan terbanyak pada 4-7 hari (45,9%). Frekuensi pasien peritonitis menurut kondisi keluar sebagian besar dalam keadaan hidup (85,7%). Kesimpulan yang dapat diambil dari penelitian ini adalah bahwa peritonitis dapat dipengaruhi oleh faktor usia, jenis kelamin, penyebab peritonitis, tatalaksana, lama rawatan dan kondisi saat keluar dari rumah sakit.Kata kunci: peritonitis, bedah, pola AbstractPeritonitis is one of the most common cause of acute abdomen, which is an abdominal emergency. Peritonitis is usually accompanied by bacteremia or sepsis that can cause mortality. The objective of this study was to know something that associated with peritonitis in order to prevent and to respond immediately to this case. This retrospective descriptive study was conducted from September 2014 to October 2014 using a total sampling technique. Data was taken from cases of hospitalized patients with peritonitis in Surgery Ward of RSUP Dr. M. Djamil Padang, selected by on inclusion and exclusion criteria. There were 98 medical records by the period from 1st of January 2013 to 31th of December 2013. Peritonitis prevalence in men (68,4%) was higher than women (31,6%). Most common age group is 10-19 years old (24,5%). Secondary peritonitis due to perforation of the appendix is the most common type of peritonitis (53,1%). Most patients with peritonitis get a surgical procedure of exploratory laparotomy and appendectomy (64,3%). Most hospitalization length was 4-7 days (45,9%). The frequency of peritonitis patients based on conditions when discharged from hospital is mostly alive (85,7%).Conclusion from this study is that peritonitis may be influenced by age, sex, cause of peritonitis, the surgical procedure, hospitalization, and condition when discharged from hospital.Keywords: peritonitis, surgical, pattern


2017 ◽  
Vol 15 (1) ◽  
Author(s):  
Nur Mas'Ula ◽  
Nurhaidah . ◽  
Marlik .

ABSTRACTLeprosy is a chronic infectious disease, caused by bacteria (Mycobacterium leprae) that attackperipheral nerves, skin and other body tissues except central nervous system. It develops as a result of closephysical contact with leprosy patients and poor condition of personal hygiene. The purpose of this study was todetermine the risk of personal hygiene and contact history with the incidence of leprosy in Tanah Merah Healthcenter in 2016.This study used case control approach. The population of this research were leprosy patients in 2015from Tanah Merah Health Center. The control population was non-leprosy patients living in Tanah Merah HealthCenter work area. Samples of this analysis were 22 cases and 22 controls and the research instruments werequestionnaires and observation sheets. Data were analyzed by calculating the Odd Ratio.The results showed that most respondents had low level of knowledge with the percentage of 56.8%,the majority of the respondents had good personal hygiene (54.5%) and the majority of the respondents hadhistory of contact with leprosy patients by 52.3%. the result of OR calculation shows that the personal hygiene(OR = 4.67) and contact history (OR = 1.73) were risk factors of leprosy incidence in Tanah Merah Health Centerin 2016.The community should maintain personal hygiene better and avoid sleeping together or close to thelepers to prevent the transmission of leprosy.Keywords : Leprosy, Personal Hygiene, History of Contact


2013 ◽  
Vol 88 (6 suppl 1) ◽  
pp. 105-108 ◽  
Author(s):  
Vanessa Priscilla Martins da Silva ◽  
Heloisa Helena Ramos Fonseca ◽  
Mariana Mazzochi Sens ◽  
Alvaro Thadeu Bender

Leprosy is a chronic infectious disease caused by Mycobacterium leprae, which primarily affects the skin and peripheral nerves. Brazil remains as the country with the second largest number of cases in the world. We report the case of three patients diagnosed with indeterminate leprosy in the same family. Two patients were HIV positive. An active search led to the discovery of the index case. It was crucial to persist in the search of the index case. This report shows how important it is to teach physicians and the general population about the signs and symptoms of leprosy. Early diagnosis and treatment are necessary to prevent sequelae and to eliminate the disease as a public health problem.


2013 ◽  
Vol 20 (10) ◽  
pp. 1599-1603 ◽  
Author(s):  
Patricia Garcia ◽  
Dayse Alencar ◽  
Pablo Pinto ◽  
Ney Santos ◽  
Claudio Salgado ◽  
...  

ABSTRACTLeprosy is an infectious disease caused byMycobacterium lepraecharacterized by dermatoneurological signs and symptoms that has a large number of new cases worldwide. Several studies have associated interleukin 10 with susceptibility/resistance to several diseases. We investigated haplotypes formed by three single nucleotide polymorphisms (SNPs) located in theIL10gene (A-1082G, C-819T, and C-592A) in order to better understand the susceptibility to and severity of leprosy in an admixed northern Brazil population, taking into account estimates of interethnic admixture. We observed the genotypes ACC/ACC (P= 0.021, odds ratio [OR] [95% confidence interval (CI)] = 0.290 [0.085 to 0823]) and ACC/GCC (P= 0.003, OR [95% CI] = 0.220 [0.504 to 0.040]) presenting significant results for protection against leprosy development, framed in the profiles of low and medium interleukin production, respectively. Therefore, we suggest that genotypes A-1082G, C-819T, and C-592A formed by interleukin-10 polymorphisms are closely related to protection of the leprosy development in an admixed northern Brazil population, in particular ACC/ACC and ACC/GCC genotypes.


2021 ◽  
Vol 2 (1) ◽  
pp. 67-74
Author(s):  
Dara Prameswari ◽  
M. Totong Kamaluddin ◽  
Nita Parisa

Rationality of Diclofenac Use in Osteoarthritis Outpatient Case at RSUP MH Palembang in January-March 2018. Osteoarthritis (OA) is the most common disease in joints that affects people in their middle until late years. In Indonesia the prevalence of OA is relatively high and disturbs their daily activity. Diclofenac is one of the drug of choice in treating OA. To avoid multiple side effects from Diclofenac use, the usage must be in accordance to rationality indicators which are correct dose, correct frequency, and correct length of use. This study is aimed to know the rationality of Diclofenac use in Osteoarthritis outpatient cases at RSUP Mohammad Hoesin Palembang. This study is a descriptive observational with a cross-sectional approach to know the rationality of Diclofenac use in outpatient cases of osteoarthritis at RSUP Mohammad Hoesin Palembang. Samples were medical records of OA patients in outpatient setting from January to March 2018 which fulfilled the inclusion and exclusion criteria. Sampling technique used was total sampling. The amount of samples fulfilling the inclusion criteria were 201 patients, with the most were aged 46-65 years (60.2%), female (55.7%), and has a history of comorbidity which includes low back pain (22.8%). The result of this study shows pattern of Diclofenac use with dosage of 2 x 25mg (73.6%), length of use about <7 days (57.2%). In combination with other drugs there were no interaction to be found (84.4%), or synergistic interaction (8.5%) and antagonistic interaction (7.1%). The use of diclofenac in osteoarthritis cases at outpatient setting in RSUP Dr Mohammad Hoesin Palembang is rational and needs to be maintained.


e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Faisal S. Hutapea ◽  
Mieke A.H.N. Kembuan ◽  
Junita Maja P.S.

Abstract: Neuropathy is a sensory, motor or mixed disorder of peripheral nerves. This study aimed to describe the clinical picture of neuropathy in patients with diabetes mellitus at the Neurology Clinic of Prof. Dr. R. D. Kandou Hospital Manado. This was a descriptive retrospective study using medical records of patients who came to the Neurology Clinic of Prof. Dr. R. D. Kandou Hospital from July 2014 to June 2015. The results showed that there were 140 diabetes mellitus cases that met the inclusion and exclusion criteria; 83 cases of diabetes mellitus were associated with neuropathy. Neuropathy were most numerous in female patients, age range of 45-65 years, retired profession, and had long-standing diabetes mellitus over 1-5 years. The most common clinical symptom that the patients complained was cramp. Keywords: neuropathy, diabetes mellitus Abstrak: Neuropati adalah suatu gangguan saraf perifer baik sensorik, motorik atau campuran. Penelitian ini bertujuan untuk mengetahui gambaran klinis neuropati pada pasien diabetes melitus di Poliklinik Saraf RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ini ialah deskriptif retrospektif dengan menggunakan data rekam medik pasien diabetes melitus yang datang ke Poliklinik Saraf RSUP Prof. Dr. R. D. Kandou Manado periode Juli 2014 - Juni 2015. Hasil penelitian memperlihatkan terdapat 140 kasus diabetes melitus yang memenuhi kriteria inklusi dan eksklusi dan 83 kasus diantaranya yang mengalami neuropati. Neuropati paling banyak terdapat pada pasien berjenis kelamin wanita, rentang usia 45-65 tahun, pensiunan, dan telah lama menderita diabetes melitus 1-5 tahun. Gejala klinis yang paling banyak dikeluhkan ialah kram.Kata kunci: neuropati, diabetes melitus


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