A Case Report: Paranoid Schizophrenia With Stressing Point Screening For Paranoid Schizophrenia Prognosis

Background: Schizophrenia is a psychiatric disorder characterized by decrease or inability to communicate, reality disorders, namely hallucinations and delusions, cognitive impairment and difficulty to carry out daily activities. Paranoid schizophrenia is one of the most common types of schizophrenia and its has good prognosis among other types of schizophrenia. But the prognosis decision making for paranoid schizophrenia is influenced by the following factors: prepsychotic personality, acute or chronic, type of schizophrenia, age, administration of medication, presence or absence of precipitating factors, and heredity. Objective: This study aims to determine the prognosis of paranoid schizophrenia in case is using the factors above. The case study is based on the examination of patients in the outpatient psychiatric clinic of the Islamic Hospital of Jemursari Surabaya who have received the patient's consent. Methods: The method of diagnosis uses a pocket book for the diagnosis of mental disorders PPDGJ-III and DSM-V. Result: The results are showed that is paranoid schizophrenic patients with a poor prognosis (dubia ad malam). Conclusion: All of paranoid schizophrenia have not being a good prognosis (dubia ad bonam) because it is influeced by several factors, namely prepsychotic personality, acute or chronic, type of schizophrenia, age, administration of medication, presence or absence of trigger factors, and heredity

Sertraline on Obsessive Compulsive Disorders in Indonesia (A Case Study)

Background: Obsessive-compulsive disorder (OCD) was originally believed to be a rare mental illness. However, recent surveys and research have shown that OCD is one of the most common mental disorders. Research in India showed that the treatment of OCD using SSRIs (selective serotonin reuptake inhibitors) is preferred over the tricyclic group. This paper will discuss sertraline as the alternative to clomipramine for OCD. Objective: Clomipramine as the treatment of choice for OCD is no longer included in the Indonesian MIMS index. Recent research suggests sertraline is preferred over clomipramine, and this paper discusses the efficacy of sertraline through a case study. Methods: This study is a retrospective descriptive study on the case of 21-year-old male met the ICD-X criteria of OCD for having unwanted thoughts and repetitive behavior for locking the door and orderly compiling the books. The symptoms developed since he graduated from high school (three years before admission) and got worse since the last year. Sertraline was prescribed in the first place. The patient was routinely monitored during each visit for the next three months. Results: The symptoms improved significantly after routinely taking sertraline for two months. The adverse effects were well-tolerated, such as nausea, headaches, and tachycardia. Psychotherapy was needed to modify the patient’s obsession and to anticipate the risk of personality disorder should be noticed because the disorder appeared at a young age. Conclusion: Sertraline as well as psychotherapy are worthy of consideration as first-line OCD therapy in Indonesia

Pengaruh Edukasi Kesehatan Meditation Healing Exercise terhadap Peningkatan Pengetahuan Penderita Diabetes Mellitus dalam Upaya Menjadi Sehat Mandiri

Penderita Diabetes Mellitus memiliki kerentanan mengalami gangguan vaskular sehingga aliran sirkulasi darah tidak lancar, rentan mengalami gangguan ekstremitas kaki yang bermanifestasi menjadi sumbatan pada pembuluh darah atau gangguan perfusi jaringan perifer, ulkus bahkan amputasi sehingga perlu adanya pendidikan kesehatan dalam upaya pencegahan resiko gangguan perfusi jaringan perifer. Tujuan penelitian ini untuk mengetahui pengaruh Pendidikan Kesehatan Terapi buerger allen exercise terhadap peningkatan pengetahuan penderita diabetes mellitus dalam upaya menurunkan resiko gangguan perfusi perifer. Metode penelitian yang digunakan dalam penelitian ini adalah metode kuantitatif dengan jenis pre-eksperimental tipe one-group pretest-posttest dengan jumlah sampel sebanyak 68 orang yang diambil menggunakan Teknik total sampling. Hasil penelitian ini Tmenunjukkan bahwa tingkat pengetahuan responden pada penelitian ini sebelum diberikan intervensi didapatkan Sebagian besar 51,6% berpengetahuan kurang. Dan setelah diberikan Pendidikan Kesehatan didapatkan Sebagian besar 69,1% berpengetahuan baik. Hasil uji analisis Wilcoxon sign rank test didapatkan nilai p adalah 0,001. Terdapat pengaruh Pendidikan Kesehatan terapi Buerger Allen exercise terhadap peningkatan pengetahuan penderita Diabetes mellitus dalam upaya menurunkan resiko gangguan perfusi jaringan perifer. Pemberian Pendidikan Kesehatan sangat efektif diberikan bagi penderita Diabetes Mellitus terutama berkaitan dengan pencegahan komplikasi

The Role of Religion and Spirituality in Managing Residual Schizophrenia: Article Review

Background: Residual Schizophrenia is a chronic condition of schizophrenia characterized by a history of leastwise one psychotic episode with more prominent negative symptoms. Schizophrenic patients who have persistent psychotic symptoms and patients with residual schizophrenia should receive adequate pharmacotherapy, and may consider additional cognitive therapy, as it has been shown to help reduce relapse rates, reduce psychotic symptoms, and improve or stabilize the patient's mental state. Objective: To determine the role of religion and spirituality in the management of patients with residual schizophrenia. Methods: The design of this research is a literature review or library review, which is a systematic, direct, and reproducible research method by identifying, evaluating, and synthesizing published research. Result: Patients with a higher level of religion or spirituality or their strong personal belief system are more likely to use positive appraisal to deal with their illness or problem which includes giving positive meaning to the situation and being optimistic. Conclusion: The presence of religion and spirituality help the coping mechanisms of residual Schizophrenia patients which also improves patient management, accelerate the healing process, and increases QOL of patients

SEJARAH DAN EKSISTENSI LDII DI KELURAHAN MENDAHARA ILIR KECAMATAN MENDAHARA KABUPATEN TANJUNG JABUNG TIMUR

Penelitian ini dilatar belakangi dengan adanya kegelisahan penulis mengenai keberadaan LDII di Kelurahan Mendahara dengan judul “ Sejarah dan Eksistensi LDII di Kelurahan Mendahara Ilir Kecamatan Mendahara Kabupaten Tanjung Jabung Timur”. Tujuan penelitian adalah untuk mendeskripsikan bagaimana Sejarah dan Eksistensi LDII di Kelurahan Mendahara Ilir Kecamatan Mendahara Kabupaten Tanjung Jabung Timur. Mengapa organisasi LDII ini masih tetap ada dan berkembang sampai sekarang setelah terjadi penolakan pada tahun 1972, dan organisasi LDII ini dapat merubah cara hidup masyarakat Mendahara Ilir. Jenis penelitian yang digunakan dalam penelitian adalah penelitian deskriptif kualitatif, menggambarkan dan menceritakan apa saja yang dialami penulis dengan mendeskripsikan dalam sebuah tulisan, dalam Sejarah dan Eksistensi, data yang diperoleh adalah hasil wawancara mendalam di Kelurahan Mendahara Ilir Kecamatan Mendahara Kabupaten Tanjung Jabung Timur. Hasil penelitian ini menunjukkan bahwa sejarah dan eksistensi LDII di Kelurahan mendahara ilir. Yang membawa LDII di Kelurahan Mendahara Ilir ialah H. Mursidin pada tanggal 01-Juli-1972, seperti layaknya keberadaan LDII di Kelurahan Mendahara Ilir, interaksi kelompok LDII dengan masyarakat sekitar berjalan dengan sangat baik dan tidak mengganggu masyarakat sekitar maupun sosial ekonomi masyarakat sekitar. Bahkan ia selalu merespon apapun program baik dari pemerintahan setempat maupun lingkungan setempat pula

Expression of Brain-Derived Neurotrophic Factor in the Brain of Depressed Mice: Systematic Literature Review

Chronic stress exposure plays a role as a risk factor for depression. In chronic stress, there is prunning of nerve cell dendrites so that depression becomes irreversible. Depression is caused by low serotonin (5-HT2) neurotransmitters in the postsynaptic cleft. Recent findings in experimental animals indicate that serotonergic preparations are required to increase serotonin levels in the synapse opening, thereby triggering the formation of new dendrites to make depression reversible. The different results when these preparations create resistance in cases of chronic depression and actually increase the risk of uncomfortable and even fatal side effects with long-term use. This Systematic Literature Review uses the PubMed and Google Scholar databases for the period 2015-2020. A total of 322 articles at the beginning of identification and those that met the inclusion criteria in this study were six articles. The results of data extraction showed that the depression condition caused by various stressors resulted in BDNF levels in the hippocampus decreased significantly by p≤0.005. Based on the literature study, it was concluded that in depressive conditions, BDNF levels in the brain decreased