Latar belakang : Prevalensi penyakit skabies menduduki urutan ketiga dari 12 penyakit kulit tersering di Indonesia. Angka kejadian skabies sering terjadi pada orang-orang yang tinggal bersama di fasilitas tertentu, seperti fasilitas asrama, pondok pesantren, rumah jompo, rumah sakit, rawat inap, rumah tahanan dan fasilitas lainnya. Pondok pesantren menyediakan beberapa fasilitas asrama yang digunakan secara bersama-sama oleh karena itu santri rentan tertular penyakit skabies. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berpengaruh terhadap suspect skabies pada santri di Pondok Pesantren Al-Aziziyah Kapek Gunungsari. Metode : Penelitian ini merupakan penelitian epidemiologi dengan cross sectional study dengan metode proportion random sampling. Populasi penelitian ini ialah seluruh santri dengan jumlah minimal sampel 93 orang dan pengurus santri yang berjumlah 25 orang. Penelitian ini menggunakan data primer yang diperoleh melalui observasi langsung dan data sekunder berupa absensi santri. Adapun instrumen penelitian yang digunakan ialah kuisioner dan lembar observasi. Hasil : Sebagian besar responden (95,69%) mengalami suspect skabies. Kemudian dari hasil analisis bivariat yang menggunakan uji Chi square dengan α 5% diperoleh lima faktor yang berhubungan dengan suspect skabies yaitu personal hygiene, kelembaban, ventilasi, kepadatan hunian dan dukungan pihak pondok pesantren. Simpulan : Suspect skabies pada santri di Pondok Pesantren Al-Aziziyah Kapek Gunungsari memiliki hubungan dengan beberapa faktor yaitu personal hygiene, kelembaban, ventilasi, kepadatan hunian dan dukungan pihak pondok pesantren. Oleh karena itu, maka disarankan kepada Pondok Pesantren Al-Aziziyah Kapek Gunungsari untuk menerapkan pendidikan kesehatan, melaksanakan pendataan kesehatan secara aktif dan rutin, dan mengatur tata letak perlengkapan santri pada tiap kamar yang disesuaikan dengan standar kesehatan.
Introduction: Hyperthyroidism has been known to cause a variety of cardiovascular manifestations. Isolated right heart failure (RHF) occurs occasionally, is usually due to pulmonary hypertension or tricuspid valve abnormalities. In rare cases, hyperthyroidism could be the underlying disease. Case Presentation: A 72-year-old woman with suspected but untreated hyperthyroidism presented with progressive dyspnea and lower extremity swelling in the last ten days. Physical examination showed an irregular and high heart rate, increase in JVP, enlargement of the thyroid gland, systolic murmur, and clear lungs. The laboratory findings showed an elevated level of free T4 (2.51 ng/dL) and a low level of TSH (<0.003 uIU/mL). Electrocardiogram revealed atrial fibrillation with a rapid ventricular response. Echocardiography showed right atrial and right ventricular dilatation with moderate tricuspid regurgitation. Left ventricular size and systolic function were normal. Chest x-ray showed a cardiothoracic ratio of 53% with organized left pleural effusion. Symptoms resolved as her thyroid hormone levels normalized with adequate treatment. Discussion: The most common changes that result from hyperthyroidism to the cardiovascular system are increased cardiac preload, decreased peripheral vascular resistance, direct injury, increased heart rate and contractility, which together produce a hyper dynamic circulatory state that leads to increased blood volume and venous return resulting in the increased risk of RHF. Conclusion: Hyperthyroidism is a potentially reversible cause of heart failure and should be ruled out in every heart failure patient, especially in those with isolated right heart failure, tricuspid regurgitation, and pulmonary hypertension. These conditions can potentially be well managed with adequate treatment.
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