Archives of The Medicine and Case Reports

Utilization of Nanogels Binahong Leaf Extract on Palatal Wound Healing

Chandra Lestari — 2024-03-31

The palatal wound is challenging to cure due to eating and chewing activities; hence, a medication delivery system is required to expedite the healing process. The leaf of the binahong plant contains saponins, tannins, alkaloids, flavonoids, and vitamin C. Binahong leaves contain important antibacterial, antiviral, anti-inflammatory, analgesic, and antioxidant properties. However, further discussion is necessary regarding the use of nanogels and binahong leaf extract in biomedical and pharmaceutical applications. Analyzing the effectiveness of nanogels binahong leaves in healing palatal mucosa wounds has been examined in previous research. Multiple studies have revealed that using nanogels and binahong leaf extract can accelerate wound healing on the skin and within the oral cavity by boosting fibroblasts, collagen, and other factors. In conclusion, the use of nanogel binahong leaf extracts has the ability to accelerate the healing of palatal mucosa wounds.

The Effect of Hypnobirthing Relaxation on the Anxiety Level of Third Trimester Primigravida Mothers in Facing Childbirth Preparations in the Working Area of the Naras Health Center, Pariaman, Indonesia

Elwitri Silvia — 2024-03-28

Pregnancy is a normal physiological process, but it can cause anxiety in pregnant women, especially in the third trimester. Anxiety in pregnant women can be caused by various factors, such as physical and hormonal changes, as well as fear of childbirth. Hypnobirthing relaxation is one method that can be used to reduce anxiety in pregnant women. This study aims to determine the effect of hypnobirthing relaxation on the anxiety level of third trimester primigravida mothers in preparing for childbirth in the working area of the Naras Health Center, Pariaman, Indonesia. This research uses a quasi-experimental research design with a pre-test and post-test approach. The research sample was 30 third trimester primigravida mothers in the working area of the Naras Health Center, Pariaman, Indonesia, who were divided into two groups, namely the intervention group that was given hypnobirthing relaxation and the control group that was not given hypnobirthing relaxation. The results showed that there was a significant difference between the anxiety levels of third trimester primigravida mothers in the intervention group and the control group after being given hypnobirthing relaxation (p<0.05). This shows that hypnobirthing relaxation can reduce the anxiety level of third trimester primigravida mothers in preparing for childbirth.

The Influence of Breastfeeding Technique Education on the Effectiveness of Postpartum Mothers in Breastfeeding in the Working Area of the Tanjung Kota Sungai Penuh Health Center, Indonesia

Hanifa Zaini — 2024-02-09

Breastfeeding is the best way to feed a baby. However, many postpartum mothers experience difficulty in breastfeeding. Education about correct breastfeeding techniques can help postpartum mothers breastfeed effectively. This study aims to determine the effect of education on breastfeeding techniques on the effectiveness of postpartum mothers in breastfeeding in the working area of the Tanjung Kota Sungai Penuh Health Center, Indonesia. This research used a quasi-experimental design with a pre-test and post-test with a control group design. A total of 60 postpartum mothers were randomly divided into two groups, namely the intervention group (n=30), who received education on breastfeeding techniques, and the control group (n=30), who did not receive education. The effectiveness of breastfeeding was measured using a questionnaire. Data were analyzed using the Mann-Whitney U test. The results showed that there was a significant difference between the intervention group and the control group in terms of the effectiveness of breastfeeding after the intervention (p=0.001). Education on breastfeeding techniques has been proven to be effective in increasing the effectiveness of postpartum mothers in breastfeeding.

Analysis of Factors That Play a Role in the Length of Treatment in Hyperemesis Gravidarum Patients at Raja Ahmad Tabib General Hospital Tanjungpinang, Indonesia

Mekar Zenni Radhia — 2024-03-30

Hyperemesis gravidarum (HG) is a pregnancy complication characterized by excessive nausea and vomiting, which can cause dehydration, electrolyte balance disorders and weight loss. The length of stay for HG patients in hospital can vary. This study aims to analyze the factors that contribute to the length of treatment for HG patients at Raja Ahmad Tabib General Hospital Tanjungpinang, Indonesia. This research was conducted with an analytical observational design with a retrospective approach. Data was collected from medical records of HG patients treated at Raja Ahmad Tabib General Hospital Tanjungpinang in the period January 2020 to December 2022. This was done using multiple linear regression. The dependent variable is length of treatment (days). The independent variables analyzed were maternal age, parity, severity of HG, nutritional status, and accompanying complications. A total of 100 HG patients were included in this study. The average length of treatment is 3.5 days. The results of the analysis showed that the factors that contributed to the length of treatment for HG patients were maternal age (p=0.02), parity (p=0.04), and severity of HG (p=0.001). Maternal age, parity, and severity of HG are factors that contribute to the length of treatment for HG patients at Raja Ahmad Tabib General Hospital Tanjungpinang.

Intra-Empyema Antibiotic Administration: A Case Report

Laleh Hakemi — 2024-03-31

Untreated empyema has a great morbidity and is potentially lethal. The usual approach for treatment is intravenous antibiotics together with chest tube insertion or thoracoscopic/ surgical interventions. The patient was a 32-year-old man with spinal muscular atrophy and severe intercostal muscular weakness presented with localized pleuritic chest pain and fever. The cause was diagnosed to be parapneumonic empyema. In this case, invasive approaches would potentially exacerbated chest musculature weakness. Other non-invasive managements CT-guided needle drainage and intravenous antibiotic therapy were tried and proved to be ineffective for the patient and the next invasive step would pose considerable risk to the patient. Intra-empyemic antibiotic administration through a small tube catheter was successfully effective without any recurrence. This method was non-invasive with no significant risk to the patient, had a low cost and was accepted by the patient. It was shown to be effective without any complication and saved the patient from performing an invasive procedure. This non-invasive approach may be used in those patients who are of high risk for invasive procedures. Also, potentially it may be used as one of the first line approaches before performing more invasive modalities.