<p><strong>Introduction:</strong> A thyroid crisis is an endocrine emergency involving many organ systems and can be fatal to the patient's survival. Although cases of thyroid crisis are rare, the mortality rate is significant which reaches 20–50%. The presence of comorbidities such as pneumonia infection increases the risk of death dramatically. Infection is a factor that can trigger thyroid crisis and exacerbate thyrotoxicosis. This condition of thyroid crisis most often occurs in people with hyperthyroidism caused by Graves' disease. We present the case of a patient with Graves' disease, aged 22 years, who developed a thyroid crisis due to community-acquired pneumonia infection. This study aims to provide a case report regarding the thyroid crisis due to pneumonia.</p><p><strong>Results:</strong> We carried out a physical and some appropriate supporting examinations to confirm the diagnosis. Wayne's index was 26, indicating hyperthyroidism. Assessment with Burch-Wartofsky obtained a score of 45, indicating suspicion of a thyroid storm. Then supportive care was provided to the patient. The community-acquired pneumonia as a triggering factor was treated with antibiotics. Thyrotoxicosis conditions were treated with antithyroid, beta-blocker, and glucocorticoid drugs. The patient's condition improved after treatment.</p><p><strong>Conclusion: </strong>It is crucial to detect and treat thyroid storm as quickly as possible since it has a high mortality rate. Wayne's score is useful for identifying hyperthyroidism based on clinical symptoms. The Burch-Wartofsky Point Scale scores are used to diagnose thyroid storms. Thyroid storm should be managed according to PERKENI (Perkumpulan Endokrinologi Indonesia) and ATA (American Thyroid Association) recommendations. This case serves as an example of how to make a proper diagnosis and treatment to prevent morbidity and death due to thyroid crisis.</p>
Insidensi Diabetes Mellitus (DM) tipe 2 meningkat di Indonesia seiring dengan perubahan pola hidup masyarakat ke arah sedentary lifestyle. DM tipe 2 merupakan penyakit katastrofik karena angka kecacatan dan kematiannya cukup tinggi, serta memerlukan pembiayaan yang besar. Pengelolaan diabetes yang baik perlu melibatkan kemandirian penderita dalam hal diet, aktivitas fisik, pemakaian obat dan pemeriksaan gula darah berkala. Tujuan pengabdian ini adalah meningkatkan pemberdayaan penderita DM tipe 2 dalam tata kelola penyakit sehingga didapatkan luaran dan kualitas hidup yang lebih baik. Metode yang digunakan adalah edukasi melalui live Instagram, webinar awam dan pelatihan melalui pembentukan Persadia. Persadia (Persatuan Diabetes Indonesia) merupakan organisasi mandiri yang aktif bergerak khususnya di bidang diabetes. Dalam Persadia, penderita DM dapat berinteraksi dengan penderita DM lainnya, tenaga kesehatan dan simpatisan sehingga memberikan dukungan untuk pengelolaan DM yang baik. Kegiatannya meliputi senam rutin tiap minggu, pemeriksaan kesehatan gratis, dan diskusi mengenai diabetes dan penyakit metabolik. Sebelum dan sesudah kegiatan diberikan kuesioner mengenai pengetahuan dan kepuasan penderita DM tipe 2 terhadap pelayanan yang diberikan. Didapatkan peningkatan rerata pengetahuan, kepuasan dan kunjungan penderita DM tipe 2 di poliklinik RS UNS (p<0.005). Pengabdian ini secara tidak langsung meningkatkan kualitas hidup melalui pemberdayaan penderita diabetes. Kata kunci: diabetes mellitus, edukasi, kepuasan, persadia, pengetahuan ABSTRACT The incidence of type 2 Diabetes Mellitus (DM) is increasing in Indonesia along with changes towards a sedentary lifestyle. Type 2 DM is a catastrophic disease because the rate of disability and death is quite high, and requires an enormous funding. We involved the patient's independence in terms of diet, physical activity, drug use, and regular blood sugar checks for better management. We aim to increase the empowerment of diabetic patients in disease management to improve disease outcomes and thus, their quality of life through this service. We used educational method through live Instagram, webinar, and Persadia. Persadia (IDA/Indonesian Diabetes Association) is an independent organization that is actively engaged in diabetes. In Persadia, diabetic patient can interact with another patients, health workers, and sympathizers to provide better support. We scheduled weekly gymnastics, free medical check-ups, and discussions about diabetes and metabolic diseases. Before and after the activity, we prepared questionnaires regarding knowledge and satisfaction level of diabetic patients. There was an increase in the average knowledge, satisfaction, and visits of diabetic patients at outpatient clinic in UNS Hospital (p<0.005). This service indirectly improves the quality of life by empowering diabetic patients. Keywords: diabetes mellitus, education, satisfaction, persadia, knowledge
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