Penerapan pijat Kaki Dan Rendam Air Hangat Campuran Kencur Untuk Mengurangi Edema kaki Pada Ibu Hamil Trimester III

One of the problems that often experienced by pregnant women in third trimester is edema in the legs. Leg edema can cause cramps at night. One treatment to reduce leg edema is by implementing foot massage and Warm Water Soak with Kencur. This study was carried out to find out whether foot massage and Warm Water Soak with Kencur culd be implemented to reduce leg edema. This research was a case study with 2 primigravida mothers experiencing leg edema as participants. The instrument being used was an observation sheet. The interventions given to the participats were foot massage and Warm Water Soak with Kencur, that were applied for 10 minutes once a day for 5 days. The results showed that after the intervention the edema dispeared both in case 1 and case 2. In conclusion, the implementation of foot massage and Warm Water Soak with Kencur was effective in reducing leg edema in third trimester pregnant women. Thus, health wokers are expected to be able to implement and teach foot massage and Warm Water Soak with Kencur to pregnant women experiencing leg edema Keywords: edema, Kencur, foot massage, Warm Water Soak with AbstrakKetidaknyamanan yang sering muncul pada ibu hamil trimester III salah satunya edema pada kaki. Dampak dari edema kaki dapat mengakibatkan kram pada malam hari perasaat berat. Sehingga edema kaki harus ditangani salah satunya dengan pijat dan rendam air hangat campuran kencur. Karya tulis ilmiah ini bertujuan untuk mengatasi edema kaki. Metode yang digunakan yaitu berupa studi kasus pada 2 ibu primigravida yang mengalami masalah edema kaki. Instrumen berupa lembar observasi pengukuran edema dengan menggunakan pitting edema. Intervensi dengan menerapan pijat kaki dan rendam air hangat campuran kencur, dilakukan selama 10 menit diberikan satu kali dalam sehari selama 5 hari. Hasil menunjukan sebelum intervensi pada kasus 1yaitu 6mm pada kasus 2 yaitu 8mm. Setelah dilakukan intervensi pada kedua kasus sudah tidak mengalami edema. Kesimpulannya adalah pijat kaki dan rendam air hangat campuran kencur efektif untuk mengurangi edema kaki pada ibu hamil trimester III. Saran bagi tenaga kesehatan, diharapkan dapat menerapkan maupun mengajarkan terapi pijat kaki dan rendam air hangat campuran kencur pada ibu hamil yang mengalami edema kakiKata kunci : edema,kencur,pijat kaki, rendam air hangat

bFGF could be a biomarker of malignancy in RS3PE syndrome: an ambispective single-center cohort analysis of 51 patients

Objectives Remitting seronegative symmetrical synovitis with pitting edema (RS3PE) is a rare inflammatory arthritis, with a higher incidence of malignancy. The aim of this study is to identify biomarkers for predicting malignancy in RS3PE. Methods A total of 51 patients with RS3PE from September 2007 to May 2019 were retrospectively reviewed and followed for up to 5 years, with 15 patients with osteoarthritis (OA) and 14 patients with elderly-onset rheumatoid arthritis (EORA) as disease controls. Serum levels of angiogenesis cytokines were measured by electrochemiluminescent immunoassay and Luminex Human Magnetic Assay. Clinical data and laboratory parameters were analyzed to identify risk factors for malignancy. Results A total of forty-eight RS3PE patients (94.1%) were available with follow-up data; 8 patients (16.7%) were diagnosed with malignancy, of which 6 patients were hematological tumor; and 2 patients were solid tumors. Serum levels of basic fibroblast growth factor (bFGF) were exclusively higher in RS3PE patients with malignancy [14.21 (7.52, 23.18) ng/mL] than RS3PE patients without malignancy [4.32 (2.88, 7.42) ng/mL], OA [3.20 (2.20, 5.30) ng/mL], and EORA [3.20 (2.20, 5.30) ng/mL]. The optimal cut-off value of bFGF for malignancy was 10ng/mL in RS3PE. Logistic regression analysis indicated that elevation of bFGF was a risk factor for malignancy in RS3PE. Conclusions This study indicated that bFGF was elevated in RS3PE patients with malignancy and could serve as a biomarker for predicting paraneoplastic RS3PE.

Remitting seronegative symmetrical synovitis with pitting edema and polymyalgia-like syndromes following cancer immunotherapy with checkpoint inhibitors: causal link, potential association or else?

Not available.

Penerapan Pijat Kaki Untuk Menurunkan Kelebihan Volume Cairan (Foot Edema) Pasien Congestive Heart Failure

Congestive Heart Failur (CHF) merupakan keadaan dimana jantung mengalami kegagalan dalam memompa darah ke seluruh bagian tubuh, sehingga tidak dapat memberikan suplai oksigen dan nutrisi ke seluruh tubuh. Edema kaki karena peningkatan volume ekstraseluler akibat dari perubahan keseimbangan tekanan hidrostatik dan tekanan onkotik. Foot Massage merupakan manipulasi jaringan ikat dengan tehnik pukulan, gosokan atau meremas untuk meningkatkan sirkulasi darah dan memberikan efek relaksasi. Tujuan penelitian ini untuk menyusun resume asuhan keperawatan pemberian pijat kaki untuk menurunkan kelebihan volume cairan (foot edema) pada pasien CHF (Congestive Heart Failure). Metode penelitian ini menggunakan metode deskriptif dengan pendekatan asuhan keperawatan pada pasien CHF yang mengalami foot edema. Intervensi yang diberikan adalah terapi pijat kaki dengan one group pretest posttest. Subjek studi kasus yaitu 2 orang pasien CHF. Pengukuran kaki meliputi lingkar Ankle, lingkar instep, lingkar sendi MP joint (metatarsalphalangs-joint) dengan menngunakan medline. Intervensi pemijatan selama 3 hari dengan durasi ± 20 menit. Hasil penelitian pada responden menunjukkan penurunan edema sampai dengan implementasi hari ke 3, pitting edema derajat 2 menghilang dalam 10 detik dan penurunan edema rata-rata 2-3 mm. Simpulan : Pijat kaki dapat menurunkan kelebihan volume cairan (foot edema) pasien CHF.

Síndrome RS3PE revelador de un linfoma MALT gástrico

El síndrome remitting seronegative symmetric synovitis with pitting edema (RS3PE) se caracteriza por una sinovitis simétrica que afecta a las pequeñas articulaciones de manos y pies con edema con fóvea en dichas zonas. La importancia de su identificación radica en su asociación con patologías subyacentes, en su mayoría neoplasias de órgano sólido (especialmente adenocarcinomas) y hematológicas. Presentamos el caso de un paciente de 45 años con sinovitis simétrica seronegativa recurrente con edema siendo secundario a un linfoma no Hodking de células B extranodal asociado a tejido linfoide gástrico (Linfoma MALT gástrico).

Hereditary angioedema

A 14-year-old African American female presented to the emergency department with spontaneous, sudden-onset lip swelling for 1 h. On examination, there was significant water-bag edema of the upper lip extending to the philtrum and premaxilla. Nasopharyngeal laryngoscopy revealed a patent airway without edema. She was initiated on intravenous dexamethasone, famotidine, and diphenhydramine, after which her edema improved but did not resolve. She was subsequently transferred to a local pediatric hospital and upon further testing she was found to have a C1 esterase inhibitor de novo gene mutation. Angioedema causes localized, non-pitting edema of the dermis, subcutaneous and submucosal tissue, and often manifests in the lips, face, mouth, and throat. Signs of laryngeal involvement include change in voice, stridor, dysphagia, and dyspnea. When laryngeal edema is present, it may necessitate definitive airway management and patients should be monitored in the intensive care unit.

bFGF could be a Biomarker of Malignancy in RS3PE Syndrome: an Ambispective Single Center Cohort Analysis of 51 Patients

ObjectivesRemitting seronegative symmetrical synovitis with pitting edema (RS3PE) is a rare inflammatory arthritis, with a higher incidence of malignancy. The aim of this study is to identify biomarkers for predicting malignancy in RS3PE.MethodsA total of 51 patients with RS3PE from September 2007 to May 2019 were retrospectively reviewed and followed for up to 5 years, with 15 patients with osteoarthritis (OA) and 14 patients with elderly-onset rheumatoid arthritis (EORA) as disease controls. Serum levels of angiogenesis cytokines were measured by electrochemiluminescent immunoassay and Luminex Human Magnetic Assay. Clinical data and laboratory parameters were analyzed to identify risk factors for malignancy.ResultsA total of forty-eight RS3PE patients (94.1%) were available with follow-up data, 8 patients (16.7%) were diagnosed with malignancy, of which 6 patients were hematological tumor, and 2 patients were solid tumor. Serum levels of basic fibroblast growth factor (bFGF) were exclusively higher in RS3PE patients with malignancy [14.21 (7.52, 23.18) ng/mL] than RS3PE patients without malignancy [4.32 (2.88, 7.42) ng/mL], OA [3.20 (2.20, 5.30) ng/mL] and EORA [3.20 (2.20, 5.30) ng/mL]. The optimal cut-off value of bFGF for malignancy was 10ng/mL in RS3PE. Logistic regression analysis indicated that elevation of bFGF was a risk factor for malignancy in RS3PE.ConclusionsThis study indicated that bFGF was elevated in RS3PE patients with malignancy and could serve as a biomarker for predicting paraneoplastic RS3PE.