bluuebunny/crossref_metadata_2025 huggingface dataset:
THERAPIES FOR GASTRITIS PAIN
Authors: Rahmawati Fuji
Published: May 2023

Gastritis is one of the diseases of the digestive system that most people suffer from. In 2012, the World Health Organization (WHO) recorded that the incidence of gastritis in indonesia reached 40.8%. Symptoms that commonly occur in people with gastritis are discomfort in the stomach, heartburn, bloating, headaches, nausea and vomiting which can interfere with daily activities. Gastritis can be treated pharmacologically and nonpharmacologically. There are several non-pharmacological therapies that can be used to reduce these symptoms. This article aims to discuss various therapies to treat gastritis pain. The method used is literature study. The results of the discussion concluded that there are several therapies that can be done at home independently for patients and families in dealing with gastritis pain are deep breath relaxation techniques, progressive muscle relaxation techniques, warm compresses, and herbal therapies such as turmeric, red ginger and honey.
Effect of Screentime during School From Home
Authors: Kesuma Yudianita
Published: May 2023

The COVID-19 pandemic has significantly changed people's lives around the world. Thousands of millions of people around the world must stay at home to protect and prevent Covid-19 transmission. Covid-19 cases in children have also increased even though the prevalence rate is still lower than adult cases.The government through the Ministry of Education and Culture made recommendations during the Covid-19 pandemic to conduct distance / online learning, so that the teaching and learning process can still take place even though you don't have to come to school. This requires a separate adaptation process for the continuity of online learning to run well, with digital media as a learning tool. Screen time or staring at the screen for children has a recommended time limit, because if it is used beyond the safe time it will have a serious impact on the child's health and development. It takes the role of parents, teachers / schools, the community, and policy makers to oversee the process of using digital media in distance learning during the Covid-19 pandemic.In conclusion, the use of digital media during the pandemic is increasing, especially for children, apart from being a medium for distance learning as well as a medium for entertainment. This must be properly monitored by parents, teachers / schools, the community, and policy makers so that the adverse effects of using digital media do not occur according to WHO / IDAI recommendations.
Control and Prevention of Transmission of Skin Infections
Authors: Astri Inda , Fitriani  , Dewi
Published: May 2023

Skin infections are the most common skin diseases found in densely populated, slum neighborhoods including boarding schools / pesantren. Skin infections can occur at any age, closely related to environmental influences, hosts and causative agents. Common skin infections in congested conditions are scabies infestations, dermatophytosis and pyoderma. Knowledge of skin infection symptoms, personal and environmental hygiene are also determinants of disease transmission. Some efforts to control and prevent the transmission of skin infections include screening for infectious diseases, treatment and providing counseling about skin diseases and ways to prevent transmission.
How to improve the immune system naturally in Pandemi COVID-19?
Authors: Hikayati
Published: May 2023

Covid-19 has become a world pandemic. In indonesia, surveillance data until october 2020 reported that the average incidence of covid-19 was 3,978 new cases per day in 502 districts from 34 provinces (who, 2020). About 80% of cases with mild symptoms can recover without special treatment, but not all covid-19 patients show signs and symptoms, this is thought to be influenced by the strength of the individual's immune system. Patients who have comorbidities such as diabetes, heart disease, hypertension, pulmonary disease and other chronic diseases will worsen the condition of the immune system. As it is known that the disease caused by the corona virus is a self-limiting disease that will heal itself with a good immune system. Immunity are all mechanisms that the body uses to protect against invading foreign substances or pathogens through an immune response mechanism which is divided into 2 phases : natural immune response (innate immunity) and adaptive immunity. Several ways can be done to improve the imune system. Natural immunity utilizes spices and herbal ingredients which are indonesia's natural resources, as immunomodulators. This is based on several research results and evidence based. Apart from easy manufacturing methods, these ingredients are very easy to find around our environment.
Complementary Therapy: Citrus Aromatherapy for pain
Authors: Adhisty Karolin
Published: May 2023

Pain is an unpleasant sensory sensation that can coincide with the onset of the disease. This pain will cause a psychological condition that will disrupt the daily life of the patient if it is not treated immediately. Health workers will certainly provide interventions that can be used by patients and their families to support this reduction in sensation. A complementary action that can be used to reduce this pain perception is a citrus aromatherapy. Citrus aromatherapy has a complete content not only relaxes the mind but also inhibits pain inhibitors so that the perception of pain can be immediately reduced. The pain decrease perception will certainly improve the quality of life of patients after the disease, both acute and chronic.
Optimization of School Health Efforts at Pesantren Kampung Tauhid Sriwijaya, Ogan Ilir Regency, South Sumatra Province
Authors: Wardiansyah  , Septadina Indri Seta
Published: May 2023

School health business, abbreviated as UKS, is an effort made by schools to help students and school residents who are sick in the school area. UKS is usually done in the health room of a school. In another sense, UKS is an effort to foster and develop healthy habits and behavior in school age students which is carried out comprehensively (comprehensively) and integrated (integrative). To optimize the UKS program, the participation of students as subjects and not just objects needs to be increased.
PREVENTION OF DISMENORRHEA
Authors: Natosba Jum
Published: May 2023

Dismenorrhea is a medical condition characterized by severe uterine pain during menstruation that manifests as cyclical lower abdominal pain. Dismenorrhea is classified into primary dismenorrhea in the absence of pathology and secondary dismenorrhea in the event of an identifiable pathological condition. About 40-70% of women of childbearing age suffer from dismenorrhea accompanied by associated psychological, physical, behavioral, and social distress. This is the main cause of the decline in the quality of life of adolescents. The pathophysiological process due to increased myometrium activity caused by excessive production of prostaglandins that cause ischemia. Risk factors are very important in enforcing the diagnosis of dismenorrhea and also in distinguishing between primary and secondary dismenorrhea. Mainstay treatment is generally supportive by relieving symptoms in primary dismenorrhea and surgical treatment may be recommended for secondary dismenorrhea. Therefore, patients with primary dismenorrhea may only require simple non pharmacological and analgesic therapies, whereas patients with secondary menorrhea require treatment for major problems.
Increasing Public Knowledge About Covid-19 Prevention through The Implementation of Health Protocol and Self Medication
Authors: Parisa Nita , Saleh Mgs. Irsan , Kamaluddin M. T. , Theodorus  , Lusiana Evi , Tamzil Nia Savitri
Published: May 2023

Covid-19 is a disease caused by the SARS Cov-2 virus and attacks the respiratory tract. This disease spreads very quickly through droplets. Until now, there is no definitive therapy for this disease. However, prevention that can be done to prevent this disease are implementing health protocols, social distancing, increasing endurance by consuming nutritious foods, exercising and regular rest, stress management, and self-medication.
EDUCATIONAL VIDEO RELATED TO COVID-19 AND VACCINATION FOR THE COMMUNITY
Authors: Hafy Zen , Larasati Venny , Fertilita Soilia , Handayani Dwi
Published: May 2023

One of the efforts being promoted by WHO to prevent Covid-19 is vaccination. Vaccination aims to prevent the symptoms of a disease caused by pathogenic infection. In some cases, vaccination does not prevent infection but can limit the consequences of the infection. Some of the obstacles encountered in the community include the lack of public knowledge about vaccination, a lot of negative news that develops in the community about vaccination, and the availability of vaccines for the community is still limited. Efforts to educate the public have been carried out to increase public awareness about the benefits of vaccination, either through direct counseling by agencies engaged in the health sector or through social media. Such efforts need to be carried out massively and continuously so that education can reach all levels of society. This community service activity program is carried out by producing educational videos that will target all population levels to provide information about Covid-19 management and clarifications on some most common incorrect information or even myths about Covid-19 vaccination and give the public in Indonesia a chance to learn the facts about the Covid-19 vaccine.
PUBLIC EDUCATION ABOUT EYES DURING THE COVID-19 PANDEMIC
Authors: Amin Ramzi , Purwanita Petty , Maya Sari Prima
Published: May 2023

In December 2019, a case of pneumonia of unknown etiology  first reported in Wuhan, Hubei Province, China. (1) The etiology was finally identified and showed a new type of coronavirus, which was given the tentative name 2019 novel coronavirus (2019-nCoV). On February 11, 2020, the World Health Organization (WHO) announced the name of the new virus, namely Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2), and the name of the disease as Coronavirus Disease (COVID-19).Indonesia reported its first two confirmed cases of COVID-19 inMarch 2, 2020. As of September 8, 2020, the number of confirmed cases of COVID-19 in Indonesia was 200,035, with 8,230 deaths (CFR 6.9%).
THE ROLE OF APPLICATION-BASED BASIC LIFE SUPPORT FOR NON-HEALTHCARE PROVIDERS DURING COVID-19 PANDEMIC
Authors: Lestari Mayang Indah , Larasati Veny , Lubis Noer Rahmat , Shidq Rafif , Saputra Andre , Handrawan Stevanus E.
Published: May 2023

The Coronavirus Disease (COVID-19) pandemic has forced us to make significant changes in teaching and learning activities, including restrictions on face-to-face meetings. However, the process of science transfer can continue with the support of innovation and technological advances. Cardiac arrest can occur anytime and anywhere, including at home, in public facilities, and the workplace. The incidence of cardiac arrest at work increases over time. Through this community, service activity developed the innovation application of Basic Life Support to educate non-health workers. This application contains seven types of educational videos: What is Cardiac Arrest?, Why Basic Life Support Is Important?, Basic Life Support Steps, External Cardiac Massage, Recognize Automated External Defibrillator, and Steps of using Automated External Defibrillator, and Recovery Position.
PROMOTING MENTAL HEALTH AMONG CAREGIVERS OF PEOPLE WITH MENTAL DISORDERS DURING PANDEMIC THROUGH WHATSAPP GROUP
Authors: Maritska Ziske , Prananjaya Bintang Arroyantri , Suryani Puji Rizki , Liansari Raden Ayu Mulya , Triyoga Adam , Fathia Rizka
Published: May 2023

Changes in all aspects of life due to the pandemic affect all levels of society without exception, including vulnerable populations such as people with mental disorders. Sudden changes in a short time can create challenges for both the patients and the families. A better understanding of the course of their illness and what preventive and promotive efforts can be made by families/caregivers during the pandemic can help improve their quality of life. Online education for caregivers/families aims to shape a better understanding of mental health and mental disorders.
PREVENTION OF FORWARD HEAD POSTURE ON STUDENTS DURING ONLINE LEARNING IN THE COVID-19 PANDEMIC
Authors: Suciati Tri
Published: May 2023

To prevent the spread of highly contagious coronavirus, the government regulates the health protocol, such as limitation of gathering, close the school and changing the education system from conventional to virtual started level elementary to even college level. As one of the solutions to learn media learning, the use of smartphones is increasingly significant. The longer duration of using a smartphone will cause a condition named Forward Head Posture.Forward head posture is one of the most common types of postural abnormalities. It is caused by the repetitive position while using a smartphone.

The mechanism can be explained by the motion of looking down such as when using a smartphone. As a result, it encourages repetitive use of the head and neck muscles. Anatomically, it can be explained that the upper cervical vertebrae are hyperextended and shifted forward. Exposure to constant loads on craniovertebral extension muscle and non-contractile structure cause changes in biomedical motion, with every one inch the increase in distance from the head and neck, it will increase the gravitation tenfold. Increase stress eventually caused musculoskeletal damage or pain.
EFFECT OF SUN, VITAMIN D AND SKIN CANCER
Authors: Yahya Yulia Farida , Toruan Theresia L. , Kurniawati Yuli , Argentina Fifa , Budiamal Susanti , Fadhila Aryati , Nursyarifah Nyimas , Deddy Dedi , Suherman Ahmad Ligar
Published: May 2023

Indonesia, especially in South Sumatra, is a tropical country where people are exposed to sunlight all the time. The sunlight exposure is both chronic and intermittent, which can cause both beneficial and detrimental effects. One of the examples of the detrimental effects are the increased incidence of skin cancer. Meanwhile, the beneficial effect is the formation of vitamin D in the body that stimulates bone formation, increases body resistance, and prevents skin cancer. At this time, there is an increase in the incidence of skin cancer, and many Indonesian people are deficient in Vitamin D. Currently, the people need to get an explanation through health workers at the TkI Health Facilities and Rivai Abdulah Hospital. It is necessary to increase knowledge about sunlight, the benefits of Vitamin D for health, and its effects on the incidence of skin cancer in health workers.
ONLINE HEALTH CONSULTATION PLATFORM DURING THE COVID-19 PANDEMIC
Authors: Santoso Budi , Sarahdeaz Siti Fazzaura Putri , Lestari Hertanti Indah , Tanta Yudhie
Published: May 2023

Indonesia is currently experiencing the second wave of the Covid-19 pandemic. The Coronavirus is currently spreading faster with a higher severity, causing an increase in Covid-19 cases in the UNSRI Medical Faculty. There were 73 students and 13 lecturers and/or educators who were confirmed to have Covid-19 as of July 14, 2021, who had been recorded since early July. The increase in the number of confirmed cases of Covid-19 in students and lecturers causes the teaching and learning process to be suboptimal. . In addition, the increasing number of Covid-19 in the community while access to hospitalization is reduced, causing many people to need to self-isolate at home, who need a consultation about their health.The need for online health services is currently increasing as well where the Covid-19 number is currently at its peak. Many people need self-isolation at home because hospitals lack treatment facilities. Online health services are needed by people who find it difficult to consult directly with health facilities.The Faculty of Medicine, Sriwijaya University (FK Unsri), especially the lecturers who are also health workers, initiated the formation of the Online Doctor Chat (CDO), as a response to the Covid-19 pandemic situation
HEALTH EDUCATION ON SEXUALLY TRASMITTED INFECTIONS IN HIGH SCHOOL AT PALEMBANG
Authors: Purwoko M. Izazi Hari , Nugroho Suroso Adi , Devi Mutia , Kurniawati Yuli , Nopriyati Nopriyati , Septiafni Kiki , Antonius Cayadi Sidarta , Fadhila Aryati , Setiawan Ivon
Published: May 2023

Sexually transmitted infections (STIs) are still being a problem in Indonesia, especially in adolescent. Psychologically, adolescents have a high curiosity but are not accompanied by adequate knowledge of reproductive health, making them at risk for STIs. Educationis one way to overcome this problem. This community empowerment is carried out in the form of online seminars for high school students in Palembang. This activity aims to increase the knowledge of adolescents regarding STIs. The online seminar was preceded by a pre-test. This activity was attended by 341 participants, namely 335 class XII students and 6 teachers. At the end, an evaluation was carried out with a post-test. Statistical analysis found a significant increase in post-education knowledge for both female and male. This community empowerment shows that by providing online seminars on STIs and HIV significantly increased the knowledge of high school adolescents in Palembang.
THE IMPORTANCE OF ADEQUATE PRE-ANALYTICAL MANAGEMENT FOR HISTOLOGICAL AND MOLECULAR EXAMINATION FOR DIAGNOSTIC PURPOSES
Authors: Murti Krisna , Ramkita Nora , Neti Neti , Farida Aida , Wresnindyatsih Wresnindyatsih , Aspitriani Aspitriani , Susilawati Susilawati
Published: May 2023

Almost all Anatomic Pathology laboratories have experienced that tissue patient who comes to these laboratories without adequate fixation and causes complicated patient diagnosis. In addition, adequate fixation also makes advanced procedures such as immunohistochemical staining or DNA and RNA extraction difficult because protein, DNA, and RNA become damaged due to inadequate fixation. The fixation procedure should be the responsibility of the clinicians, specifically surgeons and team. If this procedure is not carried out appropriately resulting in damage to the tissue due to the natural process, namely autolysis, which the fixation procedure can prevent. This autolysis will damage the tissue. The laboratory process results are not optimal, complicating the evaluation of patient tissues, resulting in difficulty and delay of diagnosis. If further examination is needed, such as immunohistochemistry and other molecular examinations related to the extraction of DNA or RNA, the examination results will also be not optimal.

Moreover, patient therapy becomes delayed or difficult. For this reason, we conducted extension activities for health workers, some of whom may be involved in a team of surgeons. Knowledge of pre-analytic procedures can improve the quality of pre-analytical handling, which will improve the quality of tissue andcytology specimens; hence, a precise and optimal diagnosis can be obtained. This will help the clinicians in determining the patient's therapy. Therefore, morbidity and mortality rates of patients can be reduced.
PREVENTION OF OVARIAN CANCER
Authors: Sastradinata Irawan
Published: May 2023

Ovarian cancer is a gynecological malignancy that in Indonesia still ranks third after cervical cancer and uterine corpus cancer 1. In the United States, ovarian cancer is the second most common gynecologic cancer and the leading cause of death from gynecological cancer. Clinically, its development is different from cervical cancer. Namely, ovarian cancer does not have apparent initial clinical symptoms, so that it is difficult to detect early. As a result, 65-75% of ovarian cancer are diagnosed at an advanced stage. Symptoms of ovarian cancer are non-specific, easy to miss in the early stages; symptoms are often seen in advanced stages (stage III or stage IV) a combination of a full stomach, bloating, nausea, abdominal distension, early satiety, fatigue, changes in bowel movements, urinary symptoms, back pain, dyspareunia, and weight loss. Preventive and promotive efforts in reducing the incidence of ovarian cancer are identified risk factors for ovarian cancer.
INFERTILITY SCREENING
Authors: Amran Rizani , Effendi Kms Yusuf , Zulqarnain Iskandar , Manan Heriyadi , Usman Fatimah , Hakim M Komarul , Patricia Vicela , Rizany Selly , Rama Anton , Fachroni Achmad
Published: May 2023

Infertility is a common condition caused by the female factor, male factor, or both. Infertility problems can have a significant impact on married couples who experience them. In addition to causing medical problems, infertility can also cause economic and psychological problems. Couples who experience infertility will undergo a long process of evaluation and treatment, where this process can be both physical and psychological for the infertile couple. The aim of this article is presenting a literature study on infertility screening. Infertility affects millions of people of reproductive age worldwide and impacts family and community life. Estimates suggest that between 48 million couples and 186 million people are living with infertility. Infertility occurs in 15% of couples. Female factors cause infertility in 50-70%, and malefactors are the cause of infertility in 40-50% of couples. Given the high prevalence of malefactors in infertility heterosexual couples, medical history and early evaluation of male partners are needed. Ovulation dysfunction was defined as a history of oligomenorrhea or amenorrhea, recurrent luteal progesterone levels of less than 3 ng/mL, or both. For many women, a menstrual history is sufficient to assess ovulatory function. The clinical history can be used to assess the ovulatory cycle as most women will have regular menstrual cycles every 25–35 days. Anovulation may be associated with obesity, hypothalamic and pituitary dysfunction, PCOS, and other etiologies. Polycystic ovary syndrome is the most common cause of ovulatory infertility.

Women with PCOS who have been diagnosed are at increased risk of the metabolic syndrome associated with cardiovascular events and negatively impacting pregnancy.

Infertility is the failure of a couple to get pregnant for at least 12 months having regular sex without contraception, or also known as primary infertility. Secondary infertility is the inability of a person to have children or maintain a pregnancy. Idiopathic infertility refers to infertile couples who have undergone standard examinations, including ovulation tests, tubal patency, and semen analysis with normal results.
CENTRAL OBESITY DETECTION AND WEIGHT MANAGEMENT
Authors: Prasasty Gita Dwi , Anwar Chairil , Oktariana Desi , Tamzil Nia Savitri , Lusiana Evi , Handayani Dwi
Published: May 2023

Obesity is a multifactorial disease that occurs due to excess fat tissue that can interfere with health. It is estimated that obesity will reach more than 50% in developed countries. In Indonesia, the prevalence of obesity in people over 18 years old is 21.8%. Environment or diet is one of the causes of obesity. Community service activities were carried out on October 18, 2021, in Kuto Batu Village, Palembang, with the main target being community cadres with a minimum of 30 participants. Based on the pre-test results conducted on 32 participants, 60% already had a good knowledge of obesity and central obesity and weight management. However, unfortunately, more than half of the participants (65%) were overweight and even obese type 2, and 12% of participants were underweight, while the rest were normal. The results of the blood pressure examination showed that 62% of the participants had blood pressure greater than or equal to 130/80 mmHg. The data also showed that most of the overweight and obese participants had above-normal blood pressure. The same results in the participant's abdominal circumference as many as 62% had central obesity.
PREVENTION OF LOW BACK PAIN COMPLAINTS TO STUDENTS DURING ONLINE LEARNING IN THE TIME OF THE COVID-19 PANDEMIC
Authors: Septadina Indri Seta , Wardiansyah Wardiansyah , Adnindya Msy Rulan , Suciati Tri
Published: May 2023

Low back pain is a widespread health problem worldwide and the leading cause of disability. Low back pain or lower back pain is a Musculoskeletal disorder caused by strenuous physical activity, and It causes muscle spasms and back stiffness. This complaint occurs because the muscles receive pressure due to workload continuously without getting

relaxation opportunities. The incidence of low back pain in the world each year varies wildly, reaching 15 - 45%. According to WHO (2013), shows that 33% of the population in persistent pain develops. Data for LBP sufferers in Indonesia is unknown but is estimated to vary between 7.6% to 37% of the total population. LBP is not caused by organic disorders but by the wrong body position at work. With the issuance of a work from home policy for workers and online at students and students, there is a shift in low back pain at a young age. Low back pain continues to increase 5% every year. The intensity of physical movement, work and study so that laptops and smartphones are increasing. The increase in the duration of media use causes various kinds of effects, including influencing how students and workers learn.
PRODUCTION OF YELLOW WOOD ROOT TEA AS A BLOOD SUGAR STABILIZER
Authors: Fatmawati Fatmawati , Athiah M , Sinulingga S , Oswari L.O , Safyudin Safyudin
Published: May 2023

Diabetes mellitus is a disease or metabolic disorder that is increasing year by year, characterized by high blood sugar levels as a result of insulin function insufficiency. Diabetes mellitus, which is often referred to as diabetes, is a disease or metabolic disorder that is increasing year by year, characterized by high blood sugar levels as a result of insulin function insufficiency. Treatment is by using drugs. Currently, a treatment using herbal medicine is being developed, one of which is Kayu kuning, where in previous studies it was found that the roots of Kayu kuning can reduce blood glucose levels. This has triggered the Biochemistry and Medical Chemistry section of the Faculty of Medicine to introduce to the public the preparations of this herbal medicine with ready-to-use packaging and the right dosage.  The process of making tea is carried out at the Chemical Basic Medicine Laboratory, Faculty of Medicine, Sriwijaya University. About 5.6 kg of yellow wood root, washed and cut into small pieces then dried and ground to obtain a coarse powder (simplicia) of about 2.5 kg. Yellow wood root simplicia is put into tea bags weighing 10 g per bag. One tea bag can be brewed with 200 mL of hot water and drunk once a day. In this service, 250 tea bags were produced which were packaged in 50 packages (5 tea bags/package). The production of this yellow wood root tea has been carried out in the Komplek Azhar Lama, Kenten Laut, Palembang.

Keywords: Herbal medicine, yellow root (Arcangelisia flava)
BLOOD GLUCOSE TEST FOR DM TYPE 2
Authors: Oktariana Desi , Prasasty Gita Dwi , Lusiana Evi , Tamzil Nia Savitri , Liana Phey , Rahadiyanto Kemas Ya’kub
Published: May 2023

Indonesia is one of the countries with a high prevalence of diabetes, with total cases of diabetes in adults reaching 10 million cases, 6.2% of the total adult population. Diabetes mellitus (DM) is a group of metabolic diseases characterized by hyperglycemia due to defects in insulin secretion, insulin action, or both. Insulin resistance in muscle and liver cells and pancreatic beta-cell failure has been recognized as the pathophysiology of major damage of type 2 diabetes. The blood glucose test is an important laboratory examination that can be used to diagnose, screen, and monitor DM type 2. There are several types of blood glucose levels, including random blood glucose tests, fasting blood glucose tests, post prandial blood glucose tests, oral Glucose Tolerance Test (OGTT), and HbA1c. Type 2 DM is often called the silent killer because sufferers are often late for self-examination and treatment so that complications arise early. Early symptoms of type 2 diabetes can be identified through blood sugar examination and risk factor screening. Screening for type 2 DM can detect abnormalities as early as possible so that interventions can start as early as possible to minimize the complication rate so that the quality of life can be maintained or better.
COMMUNITY EMPOWERMENT BY INCREASING KNOWLEDGE IN HANDLING EMERGENCIES AT HOME DURING THE COVID-19 PANDEMIC
Authors: Andhini Dhona , Hikayati Hikayati , Y Eka Yulia Fitri , Wahyuni Dian
Published: May 2023

The Covid-19 pandemic is still one of the causes of high morbidity and mortality rates worldwide, including in Indonesia. One of the causes of the high morbidity and mortality rates in Covid-19 sufferers is due to inappropriate treatment when self-isolated at home. This lack of care is due to a lack of public knowledge in caring for COVID-19 sufferers at home, especially for patients with comorbid diseases such as cardiovascular, gastrointestinal, and pulmonary diseases. Therefore, it is necessary to carry out a program to increase public knowledge to have a positive attitude in treating Covid-19 patients at home. Health education activity was conducted to provide and increase public knowledge about handling actions to overcome emergency conditions of cardiovascular, gastrointestinal, and pulmonary diseases during self-isolation at home. This activity was carried out online through the Zoom application and was attended by 72 participants. Public knowledge about handling emergency conditions of cardiovascular, gastrointestinal, or pulmonary disease in self-isolating patients at home still needs to be improved.
MEDICINAL PLANTS IN THE PREVENTION OF GOUT ARTHRITIS
Authors: Lusiana Evi , Adnindya Msy Rulan , Tamzil Nia Savitri , Kamaluddin Kamaluddin , Handayani Dwi , Prasasty Gita Dwi , Oktariana Desi , Sabrina Tia
Published: May 2023

The use of medicinal plants for healing is the oldest form of medicine in the world. Medicinal plants such as ginger, lemongrass, and turmeric have been clinically tested and proven effective in reducing muscle pain, stiffness, and difficulty moving the knee in patients. Medicinal plants are the types of choice that are efficacious as drugs with easy maintenance and relatively low costs. Medicinal plants are a safe alternative to family medicine because they rarely cause side effects and are easy to process and consume to prevent gout arthritis. Some efficacious herbal plants to reduce pain caused by arthritis are ginger, lemongrass, turmeric, thyme (mint), garlic, green tea, and cinnamon. These plants, based on research, have properties as anti-inflammatory or anti-inflammatory in reducing muscle pain and stiffness in gout arthritis.
BEHAVIORAL EVENT INTERVIEW TRAINING TO IMPROVE COMPETENCY-BASED INTERVIEW SKILLS IN PSYCHOLOGY STUDENT
Authors: Pratiwi Marisya , Mardhiyah Sayang Ajeng , Juniarly Amalia , Rachmawati Rachmawati
Published: May 2023

One of the undergraduate psychology qualifications (S1) compiled by the Indonesian Psychology Colloquium (AP2TPI, 2019) is being able to conduct observations, interviews, and psychological tests on human behavior phenomena based on the basic concepts of psychological theory with the primary competence understanding the basic principles of psychodiagnostic, being able to apply the principles of observation and interview and able to administer, score and interpret certain psychological tests. Currently, one type of interview technique that is often used in work is the behavior-event interview (BEI). According to McClelland (1998), interviews using competency-based methods have been widely accepted and proven in many studies to test the strengths and weaknesses of the interviewee. Competency-Based Interview Structures are also effective in minimizing subjective assessments that interviewers often do not realize. Therefore, the skills to conduct interviews based on these competencies are considered important for Psychology graduates.
PREVENTION OF ENDOMETRIAL CANCER
Authors: Saleh Agustria Z
Published: May 2023

Endometrial carcinoma is a malignancy originating from the epithelial cells lining the uterine cavity. 1,3 Currently, endometrial carcinoma is often found in gynecological malignancies. Endometrial carcinoma is the sixth leading cause of death from malignancy in women. In Indonesia, endometrial cancer ranks third for genital cancer after cervical (cervical) and ovarian cancer. An endometrial biopsy is done to diagnose and evaluate abnormal intrauterine bleeding, t. However, in patients who cannot undergo an endometrial biopsy because of cervical stenosis or symptoms persist despite normal biopsy results, dilatation and curettage may be performed under anesthesia. Dilatation and curettage procedures are currently the gold standard for the diagnosis of endometrial cancer.2 Microscopic examination of endometrial biopsy and endocervical curettage can usually confirm the diagnosis of endometrioid or mucinous adenocarcinoma but rarely can be associated with the initial lesion of cervical adenocarcinoma in situ or atypical hyperplasia of the endometrium. The prognosis of patients with this type is poor and has a lower survival rate than patients with type 1. In addition, in some types of type 2 endometrial adenocarcinoma found an increase in molecules that are generally found in type 1, this indicates that type 2 endometrial adenocarcinoma can occur as a worsening. from the pre-existing type 1. 4 The risk of endometrial cancer is strongly associated with family history, Therefore, screening is needed as early as possible.6
PREVENTION OF CERVICAL CANCER
Authors: Agustiansyah Patiyus
Published: May 2023

Cervical cancer is the fourth most common cancer in women globally. In 2018, 570.000 women were diagnosed with cervical cancer, and 311.000 of them died from the disease.1 In Indonesia, cervical cancer is the second most common cancer. According to GLOBOCAN, there was a decrease in incidence from 17.2% to 9.2% from 2018 to 2020. This decrease has also been seen in other countries such as the United States. However, the distribution of cervical cancer varies widely among countries. WHO projected that the global burden of cervical cancer is projected to continue to increase, rising to 700 000 cases (21% increase) and 400 000 deaths (27% increase) in 2030 compared to 2018. Preventive measures become an important step to manage this situation. Preventions such as HPV vaccination, screening, and treatment of precancerous lesions have been found to be effective.
SINDROMA NEUROLOGIS LONG-COVID; APA DAN BAGAIMANA MENANGANINYA
Authors: Okparasta Andika
Published: May 2023

‘Long-COVID’ merupakan gangguan kesehatan yang sering dialami pasien setelah sembuh dari COVID-19. ‘Long-COVID’ dapat terjadi pada kasus COVID-19 gejala ringan, sedang maupun berat, dan juga pada kasus asimptomatik. Sindrom ‘long-COVID’ dapat terjadi lebih dari 4 minggu. Berbagai sistem dapat terlibat pada ‘long-COVID’, termasuk sistem saraf dengan gejala yang timbul meliputi sistem saraf pusat maupun sistem saraf tepi. Terdapat beberapa mekanisme yang mendasari patofisiologi terjadinya’long-COVID’, mekanisme tadi diawali oleh proses inflamasi yang terjadi pada awal infeksi. Belum ada panduan tatalaksana sindroma neurologis long-COVID sehingga tatalaksana sindroma neurologis long-COVID tergantung dari gejala yang ada.
NEUROPATI PERIFER SEBAGAI KOMPLIKASI NEUROLOGI PASCA INFEKSI COVID-19
Authors: Christin Theresia
Published: May 2023

Severe acute respiratory syndrome (SARS-CoV-2) disebabkan virus COVID-19 telah menjadi pandemic yang mengancam jiwa dan mempengaruhi organ sistem saraf pusat dan perifer. Neuropati perifer adalah proses patologi mengenai susunan saraf perifer, meliputi kelemahan motorik, gangguan sensorik, otonom, dan melemahnya refleks tenon yang dapat bersifat akut atau kronik, berupa proses demielinisasi atau degenerasi aksonal atau keduanya. Sebanyak 400 Pasien COVID-19 dengan atau tanpa gejala neuromuscular dilakukan pemeriksaan elektrofisiologi prevalensi mencapai 56,3% dari semua pasien COVID 19. Gejala umum yang dilaporkan pada pasien dengan post–acute COVID-19 syndrome (PACS) adalah tanda - tanda keterlibatan sistem saraf perifer baik gejala sensorik (parestesia dan nyeri neuropatik) maupun gejala disautonomik serta sistem otot, seperti mialgia dan kelemahan. Mengingat manifestasi klinis neuropati perifer sangat bervariasi yang disebabkan oleh COVID 19  diperlukan evaluasi sistematis dan menyeluruh meliputi klinis, laboratorium penunjang dan tes elektrodiagnostik, agar dapat direncanakan terapi dengan baik.
HYPERBARIC OXYGEN THERAPY (HBOT) PADA PASIEN COVID-19 DAN POST-COVID-19
Authors: Zainal Rizal
Published: May 2023

Pandemi coronavirus disease 2019 (COVID-19) yang disebabkan oleh novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), telah menyebabkan peningkatan rawat inap untuk pneumonia yang disertai dengan kegagalan fungsi organ. Sampai Januari 2022, lebih dari 300 juta orang di seluruh dunia yang telah terinfeksi dengan SARS-CoV-2, mulai dari gejala ringan pada saluran pernapasan atas hingga yang membutuhkan perawatan intensif. Pilihan tatalaksana COVID-19 selain medikamentosa juga mempertimbangkan tatalaksana Hyperbaric Oxygen Therapy (HBOT). Sebelum digunakan pada terapi COVID-19, HBOT telah digunakan dalam berbagai macam indikasi seperti penyembuhan luka, efek terapi radiasi, fasitis nekrotikans, keracunan karbonmonoksida, dan diving decompression illness. Pada penderita COVID-19 dan post-COVID-19 yang ditatalaksana dengan HBOT beberapa penelitian menunjukkan berbagai macam perbaikan dalam resolusi gejala yang ada.
PENGENDALIAN MIOPIA PADA ANAK
Authors: Ismail Ani
Published: May 2023

Miopia adalah kelainan refraksi yang paling sering ditemukan dan merupakan salah satu penyebab utama gangguan penglihatan. Prevalensi miopia pada anak-anak meningkat di seluruh dunia dan paling tinggi ditemukan pada anak-anak keturunan Asia Timur. Di Cina, sebanyak 90% remaja dan dewasa muda mengalami miopia, sedangkan di Seoul, terdapat 96,5% remaja dan dewasa muda mengalami miopia. Miopia derajat tinggi telah dikaitkan dengan berbagai komplikasi, seperti ablatio retina, degenerasi makula, neovaskularisasi koroid, katarak, dan glaukoma. Risiko tersebut meningkat seiring dengan meningkatnya kecepatan progresivitas miopia dan pemanjangan aksial bola mata. Prevalensi yang semakin meningkat, morbiditas yang mungkin terjadi, serta beban biaya yang ditimbulkan, menyebabkan miopia telah menjadi masalah kesehatan masyarakat, sehingga perlu dilakukan penatalaksaan yang cepat dan tepat terhadap kejadian miopia ini. Ada berbagai macam metode untuk mencegah progresivitas miopia yaitu dengan ortokeratologi (Ortho-K), instrumentasi (spectacle, contact lens), modifikasi lingkungan seperti meningkatkan aktivitas luar rumah dan paparan sinar matahari, atropin dosis rendah, dan terapi red-light tingkat rendah dikaitkan dengan upaya pencegahan progresivitas miopia ini. Atropin dosis rendah merupakan intervensi paling efektif untuk memperlambat perkembangan miopia, namun masih diperlukan studi lebih lanjut dengan sampel yang lebih besar dan follow-up jangka panjang terkait progresivitas     miopia.
PEMERIKSAAN LABORATORIUM TERKAIT KELAINAN HEMOSTASIS PADA POST-ACUTE CORONAVIRUS DISEASE 2019 (COVID-19)
Authors: Liana Phey
Published: May 2023

Post-acute COVID-19 merupakan suatu kondisi yang merujuk pada gejala menetap pasca onset infeksi oleh SARS-CoV-2. Kondisi tersebut dapat menimbulkan berbagai kerusakan sistem organ, termasuk kelainan hematologi yang ditandai gangguan hemostasis. Proses tersebut diperantarai oleh kondisi hiperinflamasi yang dapat menyebabkan trombosis, tromboemboli, dan Disseminated Intravascular Coagulation (DIC). Kelainan koagulopati pada kasus COVID-19 bersifat protrombotik dan menyebabkan gangguan baik pada jantung, vaskular, maupun alat bantu kedokteran (seperti kateter vena sentral dan extracorporeal membrane oxygenation/ECMO). Laboratorium klinis memiliki peranan penting untuk deteksi kelainan terkait koagulopati tersebut. Penanda utama koagulopati adalah D-Dimer. Peningkatan kadar D-dimer dikaitkan dengan peningkatan risiko kematian. Selain itu, peningkatan sejumlah penanda lain seperti fibrinogen dan aPTT juga dapat dijumpai.
RESILIENCE: PSYCHOLOGICAL STRENGTH TO MAINTAIN MENTAL HEALTH IN VUCA ERA
Authors: Mardhiyah Sayang Ajeng
Published: May 2023

The impact of the COVID-19 pandemic which has entered the VUCA era makes the threat of change occur all over the world. This outbreak has primarily had a negative impact on the physical and psychological health of individuals and society. Humans experience various challenges along with the development of a world that is volatile, full of uncertainty, complexity, and ambiguity (VUCA). This global crisis creates a new world order, where the COVID-19 pandemic makes acceleration in the life process of the era of industrial change 4.0. and society 5.0 so that every individual must accept every demand for these changes. Psychologically, individuals need to rebuild personal growth skills related to their psychological strength, or what is known as resilience. Resilience is a process that allows recovery from or adaptation to adversities. Resilience is a dynamic process of adaptation to challenging life conditions encompassing several aspects of personal resources and is considered to be protective for mental health. People with a high level of psychological resilience can easily adapt in any environment and conditions.
THE ROLE OF FUNCTIONAL MEDICINE ON WHOLISTIC CARE APPROACH OF COVID- 19 DURING PANDEMIC AND POST PANDEMIC ERA
Authors: Darmawan Hardi
Published: May 2023

Tenaga Kesehatan dan Masyarakat harus mendapat informasi yang benar tentang Virus SARS-COV2, penyakit yang menyebabkan Covid-19, dan bagaimana penyebarannya. Termasuk epidemiologi, virologi, dan pencegahan yang dilaksanakan dalam Program Kesehatan Masyarakat melalui 5M, Mencuci tangan, menggunakan masker, menjaga jarak, membatasi Kerumunan, membatasi Mobilisasi dan Interaksi, serta 4T (Testing, Treatment, Tracing, dan Tracking), Fencing (Isolasi dan Karantina), Vaksinasi (Biologi, Sosial), dan Imunologi. Konsep fungsional medicine adalah sistem penanganan pasien untuk tenaga kesehatan yang digunakan untuk membantu pasien dan praktisi kesehatan bekerja sama untuk mengatasi penyebab mendasar dari covid 19. FM menggabungkan ilmu genetika terbaru, system biologi, fisiologi, dan pemahaman bagaimana lingkungan dan faktor gaya hidup mempengaruhi munculnya dan perkembangan Covid-19. Patofisiologi covid-19 membangun akar penyebab covid-19 yaitu badai sitokin, inflamasi, dan koagulopati. Pendekatan berbasis sistem FM dan peran pendekatan holistik FM perawatan covid-19 dengan manajemen klinis yang direkomendasikan berdasarkan mekanisme aksi dengan nutrisi, nutraceutical, natureceutical, modifikasi gaya hidup pada peradangan kronis covid-19, seiring dengan peningkatan imunologi dengan vaksinasi
PERAN HERBAL DALAM FARMAKOLOGI TERAPI
Authors: Kamaluddin Muhammad Totong
Published: May 2023

Herbal adalah tumbuhan yang mengandung berbagai zat kimia aktif sebagai metabolit sekunder, dapat berinteraksi dengan sistem biologi dari mahluk hidup hingga menimbulkan efek yang dapat diamati, terukur dan prediktif sehingga herbal perlu diteliti guna menaksir respon biologiknya. Berbagai zat kimia yang diekstrak dari tumbuhan/herbal dapat dikenali, diklasifikasi sesuai kandungan biokimiawi sehingga efeknya dapat dibandingkan dengan zat kimia standar. Ekstrak yang diperoleh disiapkan serta diolah lebih lanjut dengan teknologi farmasi untuk menjadi obat baru guna dievaluasi efek farmakoterapinya baik berperan untuk pengobatan, kondisi patologis atau justru meningkatkan peran/fungsiya saja. Interaksi zat kimia dari herbal tersebut akan menimbulkan respon biologi (efek terapetik) sesuai dengan hukum dan aturan farmakologi. Respon farmakologik ini dievaluasi  dengan obat standar baik pada binatang ataupun manusia. Temuan dalam kajian farmakokinetik dan farmakodinamik tersebut tidak akan menimbulkan respon baru pada sel dan jaringan yang diuji, kecuali berperan untuk menentukan perjalanan patologi suatu penyakit.
NEW GDMT OF HEART FAILURE WITH REDUCED EJECTION FRACTION (HFrEF): THE ROLE OF DAPAGLIFLOZIN
Authors: Sukandi Erwin , Farianty Amelia , Maulana Elzan Zulqad
Published: May 2023

Gagal jantung masih menjadi salah satu penyakit dengan angka mortalitas yang tinggi di seluruh dunia. Keterlibatan komorbiditas dan variasi etiologi dari penyakit ini merupakan salah satu tantangan bagi klinisi untuk melakukan pendekatan diagnosis serta penatalaksanaan pada gagal jantung. Klasifikasi gagal jantung itu sendiri terbagi menjadi tiga yaitu, Heart Failure with Preserved Ejection Fraction (HFpEF), Heart Failure with Mildly Reduced Ejection Fraction (HFmrEF) dan Heart Failure with Reduced Ejection Fraction (HFrEF) yang terbagi berdasarkan fungsi ejeksi fraksi. Penatalaksanaan gagal jantung selama ini mengarah kepada penghambatan jalur sistem renin angiotensin-aldosteron, neprilysin dan jalur simpatis melalui agen angiotensin-converting enzyme (ACE) inhibitors, angiotensin II receptor blockers (ARB), angiotensin receptor-neprilysin inhibitor (ARNI), beta blocker (BB) dan mineralcorticoid receptor antagonist (MRA). Ketiga pendekatan terapi pada kasus gagal jantung ini merupakan pilar dalam tatalaksana kasus gagal jantung dengan/atau tanpa komorbid lainnya. Akan tetapi, angka mortalitas pada penderita gagal jantung tetap meningkat secara global, sehingga terapi lain masih dikembangkan dalam beberapa studi. Studi terbaru menunjukkan pemberian salah satu terapi diabetes mellitus yaitu agen Sodium-dependent Glucose Transporter-2 Inhibitor (SGLT2 Inhibitor) salah satunya dapagliflozin memiliki efek positif terhadap perbaikan klinis serta pencegahan komplikasi terhadap penderita gagal jantung dengan/atau tanpa diabetes mellitus. Pada tinjauan pustaka ini akan disajikan pengunaan Dapagliflozin sebagai salah satu rekomendasi terapi terbaru pada kasus gagal jantung khususnya pada HFrEF.
INJEKSI KORTIKOSTEROID INTRATIMPANI PADA TULI MENDADAK
Authors: Paramita Listya , Widyasari Fiona , Hifni Ahmad , Ghanie Abla
Published: May 2023

Tuli mendadak merupakan tuli sensorineural yang termasuk dalam kedaruratan neurotologi. Tuli mendadak adalah penurunan pendengaran sensorineural 30 dB atau lebih, paling sedikit tiga frekuensi berturut-turut dan berlangsung dalam waktu kurang dari 72 jam. Diagnosis tuli mendadak ditegakkan berdasarkan anamnesis, pemeriksaan fisik, pemeriksaan fungsi pendengaran dan pemeriksaan penunjang untuk mencari etiologi yang mendasari terjadinya tuli mendadak. Penatalaksaan kasus tuli mendadak sebaiknya diterapi berdasarkan etiologi yang mendasarinya. Namun hampir sebagian kasus tuli mendadak bersifat idiopatik. Salah satu terapi tuli mendadak adalah dengan pemberian kortikosteroid. Kortikosteroid dapat diberikan secara sistemik maupun injeksi intratimpani. Pemberian kortikosteroid melalui intratimpani dapat sebagai terapi awal, kombinasi dengan terapi lain atau sebagai terapi penyelamatan (salvage therapy). Injeksi kortikosteroid intratimpani dapat menjadi alternatif pada penanganan tuli mendadak, khususnya jika terapi sistemik gagal. Injeksi intratimpani juga memiliki keuntungan yaitu konsentrasi obat yang tinggi bila diberikan langsung ke telinga yang terkena atau untuk menghindari efek samping steroid sistemik dan dapat diberikan pada pasien dimana kortikosteroid sistemik kontraindikasi untuk diberikan.
ANNOYING ACNE: WHAT SHOULD WE DO?
Authors: Kurniawati Yuli , Octyvani Tiar Marina
Published: May 2023

Akne vulgaris (AV) adalah peradangan kronis pada unit pilosebasea, yang melibatkan 4 elemen kunci dalam patogenesis, termasuk hiperproliferasi folikel epidermis, produksi sebum, aktivitas Cutibacterium acnes, serta  respon imun inflamasi. Akne vulgaris terjadi pada 85% populasi dunia dan menimbulkan berbagai dampak negatif pada pasien. Penatalaksanaan AV tetap menjadi tantangan bagi sebagian besar klinisi, karena terdapat  beberapa faktor internal dan eksternal yang menyebabkan AV rekalsitran namun cenderung diabaikan.  Tinjauan pustaka ini bertujuan untuk memaparkan berbagai faktor yang menyebabkan AV rekalsitran sehingga  klinisi dapat mengidentifikasi tantangan ini dan menanganinya dengan tepat. Beberapa strategi untuk menangani AV rekalsitran juga diuraikan.