This study aims to explain the factors associated with foot deformity in people with type 2 diabetes. This study used a descriptive-analytic method with a cross-sectional design. The results showed that the aspects related to the incidence of foot deformity were education (P=0.022; OR=4.57), body mass index (BMI) (P=0.035; OR=0.23), and knowledge (P=0.001). ; OR = 9.17), while the factors of age (P = 0.22) and gender (P = 0.712) were not associated with the incidence of foot deformity. In conclusion, the knowledge factor is a factor that can influence nine times more strongly the incidence of foot deformity in people with type 2 DM compared to other factors.   Keywords: Foot Deformity, Diabetes Mellitus

Chronic Kidney Disease (CKD) is a progressive and irreversible disorder of renal function, in which the body's ability to fail to maintain metabolism and balance of fluids and electrolytes, causing uremia. The purpose of this study in general was to determine the relationship between hemoglobin levels and quality of life in chronic kidney disease patients undergoing hemodialysis at dr. M. Yunus Bengkulu. This type of research is descriptive analytic with cross sectional approach. The study sample was 64 patients with CKD who underwent hemodialysis at the hemodialysis installation with accidental sampling technique. The results showed that most patients with chronic kidney disease who underwent haemodialysis (71.9%) had severe anemia and most (56.3%) had a poor quality of life. Chi square test results obtained ρ value 0,000 (α = 0.05). Conclusion, There is a statistically significant correlation between anemia and quality of life in CKD patients undergoing hemodialysis in the RDUD Dr. Hemodialysis room. M. Yunus. Suggested to Dr. Hospital M. Yunus Bengkulu to control the incidence and symptoms of anemia experienced by CKD patients. Keywords: Anemia, Hemodialysis, quality of life, CKD

When an infected patient suffers from thrombocytosis, it is very difficult to identify beta-lactam antibiotic-induced cases of the disease and separate those from the possibility that thrombocytosis is an acute-phase reaction in the infected patient. We present 3 cases who were treated with Augmentin for various indications and developed thrombocytosis during the treatment course. The Naranjo probability scale indicates Augmentin as the possible cause of the thrombocytosis in all our patients.

INTISARI : HUBUNGAN DUKUNGAN KELUARGA DENGAN KADAR GULA DARAH PADA PENYANDANG DIABETES MELITUS TIPE 2 DI PUSKESMAS BERINGIN RAYA KOTA BENGKULUPendahuluan: Pelaksanaan mengontrol kadar gula darah agar tetap stabil pada seorang penyandang Diabetes Melitus tipe 2 perlu adanya dukungan dari orang terdekat,yaitu keluarga. Keluarga dapat membantu untuk mengatur jadwal aktifitas fisik dan membantu mengolah makanan untuk diet untuk diabetes.Tujuan: untuk memberikan gambaran, informasi, pengetahuan, serta wawasan tentang dukungan keluarga terhadap kadar gula darah pada klien diabetes melitus tipe 2 dan Dapat dijadikan sebagai bahan kajian dan informasi dalam mengembangkan ilmu keperawatan dalam memberikan asuhan keperawatan terhadap klien diabetes melitus tipe 2.Metode: Penelitian ini merupakan penelitian kuantitatif deskriptif dengan pendekatan cross sectional untuk melihat dukungan keluarga pada pasien diabetes mellitus tipe 2. Sampel dalam penelitian ini berjumlah 30 pasien dengan teknik pengambilan sampel menggunakan metode purposive sampling.Hasil Penelitian: ada hubungan yang signifikan antara dukungan keluarga dengan kadar gula darah penyandang DM tipe 2 (p value = 0,002)Kesimpulan : Dukungan keluarga pada penyandang DM tipe 2 pada penelitian ini sebagian besar pada kategori baik (63,3%), kadar gula darah terkontrol  lebih didominasi disbanding yang tidak terkontrol (56,7%). Ada hubungan yang signifikan antara dukungan keluarga dengan kadar gula darah penyandang Diabetes Melitus tipe 2. Kata Kunci : Dukungan Keluarga; Gula Darah; Diabetes Mellitus

As of now, about 380 medications are implicated in causing respiratory reactions and most common among that is drug-induced interstitial disease. Oral, parental as well inhalational drugs are known to cause drug-induced interstitial lung disease. Bleomycin is a chemotherapeutic agent used in the treatment of lymphomas, germ cell tumors of the testes. Most common pulmonary toxicity is diffuse alveolar damage with nonspecific interstitial pneumonitis being next. We report a case of bleomycin-induced reversible acute interstitial pneumonia in a Hodgkin's lymphoma patient with adriamycin, bleomycin, vinblastine, dacarbazine regimen. Causality assessment was done using Naranjo scale, and probable causal relationship was established. Adverse drug reaction was found to be moderately severe and not preventable as per Hartwig's severity and Thornton's preventability scaling respectively.

Triple immunosuppression in renal transplant has drastically changed the outcome of graft survival. However, concern always remains among the physicians because of adverse effects produced due to triple immunosuppression. Calcineurin inhibitors are associated with wide range of side effects. Hence, we report a case series of tremors associated with tacrolimus among renal transplant patients in a tertiary care hospital in southern India.

Among cutaneous adverse drug reactions, fixed drug eruption is the most common cutaneous drug reaction among the Indian population. The drugs most commonly implicated in fixed drug eruption are analgesics and antibiotics. Here, we report a case of fixed drug reaction caused by rabeprazole.

Congestive Heart Failure (CHF) is a clinical syndrome (a set of signs and symptoms) characterized by shortness of breath and fatigue (at rest or during activities). A professional program aimed at helping CHF patients from cardiac arrest, cardiac surgery and percutaneous coronary intervention (PCI) procedures such as stenting and angioplasty is with cardiac rehabilitation. Phase 1 is an effort that is immediately carried out while the patient is still in the treatment period, the main goal of this phase is to reduce or eliminate the adverse effects of deconditioning due to prolonged bed rest, so that the patient is able to carry out his daily activities independently and safely.To determine the effect of phase 1 cardiac rehabilitation exercise on the quality of life of CHF patients.The research design used in this study was a pre-experimental one-group pretest-posttest design. The quality of life score was assessed using the Minnesota Living with Heart Failure Questionnaire (MLHFQ) with 20 statements. The population in this study were all patients who underwent examination with a diagnosis of CHF, the sample in this study were 23 respondents with exclusion and inclusion criteria. The average age of the respondents is 52 years, most of the respondents are 16 people (69.6%), most of the respondents are highly educated, 17 people (73.9%) and most of the respondents are still actively working as many as 16 people ( 69.6%). The results of the paired T-Test statistical test obtained P value = 0.000. Phase 1 cardiac rehabilitation has a significant effect on the quality of life of Congestive Heart Failure patients. Keywords: CHF, Heart, Quality of Life  ABSTRAK Congestive Heart Failure (CHF) adalah sindrom klinis (sekumpulan tanda dan gejala) yang ditandai oleh sesak napas dan fatik (saat istirah atau saat beraktivitas). Sebuah program profesional  yang bertujuan membantu pasien CHF dari serangan jantung, operasi jantung dan intervensi koroner perkutan (PCI) prosedur seperti stenting dan angioplasty adalah dengan rehabilitasi jantung. Fase 1 merupakan upaya yang segera dilakukan disaat pasien masih dalam masa perawatan, tujuan utama fase ini adalah mengurangi atau menghilangkan efek buruk dari dekondisi akibat tirah baring lama, agar pasien mampu melakukan aktifitas hariannya secara mandiri dan aman. Untuk mengetahui pengaruh latihan fisik rehabilitasi jantung fase 1 terhadap kualitas hidup pasien CHF. Desain penelitian yang digunakan pada penelitian ini adalah pra experimental one-group pretest-posttes design. Penilaian skor kualitas hidup menggunakan Minnesota Living with Heart Failure Questionnaire (MLHFQ) dengan 20 pernyataan. Populasi pada peneltian ini seluruh pasien yang menjalani pemeriksaan dengan diagnosis CHF, sampel pada penelitian ini yaitu sebanyak 23 responden dengan kriteria eksklusi dan inklusi. Rata-rata usia responden 52 tahun, sebagian besar laki-laki berjumlah 16 orang (69,6%), sebagian besar responden berpendidikan tinggi berjumlah 17 orang (73,9%) dan sebagian besar responden masih aktif bekerja sebanyak 16 orang (69,6%). Hasil uji statistik paired T-Test didapatkan nilai P = 0,000. Rehabilitasi jantung fase 1 berpengaruh signifikan terhadap kualitas hidup pasien CHF Kata Kunci: CHF, Jantung, Kualitas Hidup