Jurnal Sehat Indonesia (JUSINDO)

Gingivektomi Pada Enlargement Gingiva Karena Malposisi Gigi Individual

2026-01-05T03:18:09+00:00

Gingival enlargement is defined as a common clinical sign of gingiva caused directly by plaque that causes gingival inflammation. Gingivectomy is a procedure that can be performed on patients with gingival enlargement. This case report describes the management of gingival enlargement in a case of tooth 42 due to individual tooth malposition. A 20-year-old male patient came to Soelastri Dental and Oral Hospital in Surakarta complaining of swollen gums. The complaint was felt in the upper and lower front gums. The patient was unaware of the swelling, had never received treatment, and did not experience any pain. Gingival treatment for this patient began with phase 1 periodontal therapy followed by gingivectomy. The gingivectomy treatment in this case used a scalpel instrument and the results were effective in reducing the patient's gingival enlargement. The patient was advised to undergo further orthodontic treatment to correct individual tooth malposition.

Pendekatan Kedokteran Keluarga Melalui Kunjungan Rumah Pada Pasien Diabetes Melitus Tipe 2 Dan Hipertensi Di Kota Surabaya: Sebuah Laporan Kasus

2025-12-26T06:33:54+00:00

Pendekatan kedokteran keluarga berperan penting dalam pengelolaan penyakit kronis, terutama pada lansia dengan komorbiditas dan keterbatasan sosial-ekonomi. Laporan kasus ini bertujuan menggambarkan penerapan kunjungan rumah pada seorang pasien lansia dengan diabetes melitus tipe 2 dan hipertensi di Kota Surabaya, dengan penekanan pada fungsi keluarga, sumber daya lingkungan, dan determinan kesehatan menurut kerangka HL Blum. Studi ini merupakan laporan kasus deskriptif kualitatif. Data diperoleh melalui satu rangkaian kunjungan rumah meliputi anamnesis komprehensif, pemeriksaan fisik dan penunjang sederhana, observasi lingkungan rumah, penyusunan genogram, penilaian fungsi keluarga dengan Family APGAR, dan asesmen sumber daya keluarga menggunakan SCREEM. Pasien berusia 67 tahun dengan riwayat diabetes melitus tipe 2 selama ±10 tahun dan hipertensi ±8 tahun, datang dengan keluhan pandangan kabur, obesitas sentral, dislipidemia, dan hiperurisemia; tekanan darah 160/100 mmHg dan gula darah sewaktu 221 mg/dL menunjukkan penyakit yang belum terkontrol. Family APGAR menunjukkan fungsi keluarga kategori sedang, dengan dukungan utama berpusat pada istri dan keterlibatan anak yang terbatas. Asesmen SCREEM mengidentifikasi hambatan pada aspek sosial, budaya, ekonomi, edukasi, dan medis, sementara aspek religius bersifat protektif. Pemetaan dengan kerangka HL Blum menegaskan bahwa interaksi faktor keturunan, perilaku berisiko, lingkungan yang kurang mendukung, dan keterbatasan pelayanan kesehatan berkontribusi terhadap buruknya pengendalian penyakit, sekaligus menegaskan nilai strategis kunjungan rumah dalam merancang tatalaksana bio-psiko-sosial-spiritual yang komprehensif dan berorientasi keluarga.

Pengaruh Edukasi Manajemen Nyeri Persalinan Non Farmakologi Terhadap Tingkat Pengetahuan Ibu Hamil Trimester III di TPMB Kusnaenih

2026-01-15T04:00:59+00:00

Labor pain is a natural physiological response caused by uterine muscle contractions during the first stage of labor. In Indonesia, 22% of women experience severe pain and 15% experience pain-related complications, yet 63% of them have never received education on labor pain management. Lack of education leads to mothers being less mentally prepared, leading to anxiety, stress, decreased self-confidence, and difficulty controlling emotions. This study aims to determine the effect of non-pharmacological labor pain management education on the knowledge level of pregnant women in the third trimester at the TPMB (Private Midwifery Practice) Kusnaenih. This study employed a quantitative method with a pre-experimental design approach. The sampling technique performed was a non-probability sampling technique with a total sampling rate of 46 respondents. Primary data were collected, and the Wilcoxon paired t-test was applied for data processing. The Wilcoxon paired t-test showed a significant difference between the pre-test and post- test group averages before treatment, with a p-value of 0.000 <0.005. The video-based education presented information clearly and systematically, making it easier for pregnant women to understand the material, which resulted in an increase in their knowledge level after the intervention. There is an effect of non-pharmacological labor pain management education on the knowledge level of pregnant women in the third trimester at TPMB Kusnaenih. TPMB Kusnaenih is recommended to hold classes for pregnant women as part of antenatal care, using the educational video from this study as one of the educational media.

Repeat Acute Coronary Syndrome Following Percutaneous Coronary Intervention: A Case Report

2026-01-07T08:47:44+00:00

Percutaneous coronary intervention (PCI) is the primary reperfusion strategy for ST-elevation myocardial infarction (STEMI). Despite high procedural success rates, patients remain at risk for recurrent acute coronary syndrome (ACS), particularly those with significant comorbidities. We report a case of recurrent ACS in a patient less than one year following successful primary PCI. A 50-year-old female presented to the emergency department with typical angina, shortness of breath, nausea, and diaphoresis. Her medical history was significant for hypertension, type 2 diabetes mellitus, and a STEMI treated with primary PCI five months prior. Despite reported adherence to dual antiplatelet therapy (DAPT), she presented with tachycardia (104 bpm) and hypotension (155/55 mmHg). Electrocardiography revealed sinus tachycardia with pathological Q waves in leads V1–V4, consistent with a prior anterior myocardial infarction. Laboratory evaluation demonstrated hyperglycemia (228 mg/dL) and elevated cardiac troponin (44.2 ng/mL). The patient was diagnosed with recurrent ACS superimposed on an old anterior myocardial infarction. She was stabilized with loading doses of aspirin and clopidogrel and admitted to the Intensive Cardiac Care Unit (ICCU) for guideline-directed medical therapy, including beta-blockers and high-intensity statins. She was discharged in stable condition after five days. This case illustrates that recurrent ACS can occur shortly after successful revascularization, specifically in patients with persistent cardiovascular risk factors such as uncontrolled hyperglycemia and hypertension. It highlights the critical importance of aggressive secondary prevention, strict glycemic control, and close follow-up to mitigate the risk of adverse cardiac events in the post-PCI period.