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A Case Report: Paranoid Schizophrenia With Stressing Point Screening For Paranoid Schizophrenia Prognosis Andik Ferdiantoro; AS, Nur Azizah; Algristian, Hafid
Jurnal Medis Islam Internasional Vol 3 No 1 (2021): December
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/iimj.v3i1.2127

Abstract

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. Keywords: Paranoid Schizophrenia, Prognosis of Paranoid Schizophrenia
Islamic Principles in Mental Medicine Abdillah, Yahya Nur; Algristian, Hafid; Azizah, Nur
Jurnal Medis Islam Internasional Vol 3 No 2 (2022): June
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/iimj.v3i2.2240

Abstract

Background: The religion of monotheism is the religious instinct of every human being as a creature created by Allah SWT. One of the mental health therapies is religion. Islam is the prevailing religion in almost 56 nations around the globe and has more than 1.2 billion adherents. Islam speaks to an all-encompassing way of life and agrees with its supporters' expansive extent. The development of psychiatry in Islam has several reviews. Many Islamic figures contributed to treating mental illness long before Western figures discovered it. At the time of the Prophet Muhammad SAW, there was also a treatment for mental illness based on the Qur'an. This article will mention several forms of worship as psychotherapy. Objective: The purpose of this article is to determine the role of the Islamic Principle in Mental Medicine. 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: Islamic principles in mental medicine consist of tawheed religion as mental therapy, worship as human psychotherapy, islamic psychotherapy to help psychiatric treatment and healing process.  Conclusion: There are five ways of prayer that a Muslim can do as psychological therapy, namely: Saalat, Dhzikr, reading the Qur'an, Shaum, and Hajj. In an Islamic intellectual, there is a discipline of Islamic Psychotherapy that is an integral part of Islamic Psychotherapy; Istinbath, Iqtibas, and Istiqro.
Competency of Muslim Doctors Mutmainnah; Algristian, Hafid; Azizah, Nur
Jurnal Medis Islam Internasional Vol 4 No 1 (2022): December
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/iimj.v4i1.2242

Abstract

Background: In the medical profession, a doctor will often be faced with situations of uncertainty to make the right decisions and diagnoses. In this case, making a Muslimdoctor to be able to have a good impact on patients. A Muslim doctor is expected to be able to implement professional and reliable competencies in the future. In facing the future, with all the challenges in the medical world, ethical principles, moral values and good competence are needed in order to be able to provide the best health services by minimizing risks and side effects, and prioritizing greater benefits so as not to harm doctors as service providers, and patients as recipients of health services.Objective: This study aims to learn more about the definition and principles of medical ethics, muslim doctor competence, and Islamic medical moral values.Methods: The article source in the same field was compiled. Through a several literature search of reputable journals wich maximum published in the past 10 years.Result: Several article was found, and all the article said the moral values in Islamic medicine are closely related to the personality of Muslim Doctors.Conclusion: The guidelines for islamic medical ethics as muslim are Qur’an, Hadist, Ijma’ and Qiyas. The four main moral principles for be a good doctor are the principle of autonomy, beneficence, non-maleficence, and the principle of justice. The competence of Muslim doctors has a close relationship with ethical principles, moral values, and law. The moral values of muslim doctors includes self-awareness, such as awareness of fitrah (inne-rself) and social awareness as caliph (external-self-awareness).
The Role of Religion and Spirituality in Managing Residual Schizophrenia: Article Review Al Hajiri, Aufar Zimamuz Zaman; AS, Nur Azizah; Algristian, Hafid
Jurnal Medis Islam Internasional Vol 3 No 1 (2021): December
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/iimj.v3i1.2493

Abstract

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. Keywords: Spirituality, Religion, Residual Schizophrenia.
Case Study : Prognosis of Recurrent Depressive Disorder with Somatic Symptoms Laila, Firda Nur; Algristian, Hafid; Azizah, Nur
Jurnal Medis Islam Internasional Vol 5 No 1 (2023): December
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/iimj.v5i1.4454

Abstract

Introduction: Depression is a common disease worldwide, with more than 264 million people affected. Especially if it lasts a long time and is of moderate or severe intensity, depression can be a serious health condition. Depression can cause affected people to suffer greatly and function poorly at work, at school, and in the family. At its worst, depression can lead to suicide. In general, the good prognosis of depressive episodes can be achieved as well as good response to treatment and early interventions, but with the absence of any other complication such as psychotic symptoms and somatic complaints. This paper discusses the prognosis of recurrent depressive disorders with somatic complaints through a case study. Case: Male 23 years old complained of headaches that did not improve with pain medication and often recurred for two weeks, feels tingling and heavy in the back, worsening at night, interfere with the patient's daily activities and sleep in the night. These depressive symptoms have recurred since the patient was 19 years old. The patient experienced repeated stress due to arguments between his parents who were often involved in verbal abuse. The patient's prognosis is analyzed using several aspects according to Maramis prognosis analysis, including age, premorbid personality, type of disorder, course of treatment, hereditary factors, and the presence/absence of precipitating factors. Discussion: According to the course of the disease, the patient experienced recurrent depression since the age of less than 20 years, with somatic symptoms currently accompanying his depressive disorder. The patient experienced repeated recurrences even though he was stated to have improved by the treating doctor, which indicates that the patient's stress management was inadequate. The patient is currently experiencing a skin disorder that worsens his pessimistic feelings and is receiving SSRI antidepressants to improve his depressive symptoms. Based on the analysis of the course of the disease, the prognosis for depressive disorders in patients is poor, or dubia ad bonam. Conclusions: Recurrent depressive disorders involving younger ages, complications such as somatic symptoms, suboptimal social support, inadequate coping mechanisms, will worsen the prognosis of depression even after receiving adequate treatment
Effect of Musical Therapy on Malondialdehyde Levels on Male Mice Brain Tissue Farindra, Irmawan; Muhammad, Akbar Reza; Algristian, Hafid; Rusdi, Warda Elmaida; Yuniati, Dyah
Jurnal Medis Islam Internasional Vol 5 No 2 (2024)
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/iimj.v5i2.5318

Abstract

Introduction: An example of a non-pharmacological therapy that is currently being developed is music therapy. The serenity created from classical music and murottal therapy is good for therapy performance, accelerating the healing process, and also reducing stress level. Objective: The aim of this study was to examine the effects of classical music "Mozart" and Murottal Al-Qur’an therapy on mouse malondialdehyde levels Methods: This study used 24 male BALB/c strain mice (10-12 weeks), in a true experimental setting using the Post Test Only Control Group Design. Four groups of mice were created: K (control), P1 (murottal Al-Qur'an), P2 (classical music "Mozart"), and P3 (combination therapy). SPSS 24 was used to analyze the data with a significance P < 0.05 Results: According to study findings, the P2 group had the highest average malondialdehyde level meanwhile the lowest average malondialdehyde levels was found in Group P1. The test results showed no significant relationship (p = 0.213) Conclusions: The findings of this study showed that there was no significant correlation between malondialdehyde levels when "Mozart" classical music and Murrotal treatment were given. The group who received the classical music "Mozart" nevertheless, had higher malondialdehyde levels, according to the findings.
COMMUNITY EMPOWERMENT IN THE USE OF HERBAL PLANTS TO IMPROVE THE IMMUNE SYSTEM IN SIMO ANGIN-ANGIN VILLAGE, WONOAYU DISTRICT, SIDOARJO REGENCY Maat, Suprapto; Nidianti, Ersalina; Kurniasari, Diyan Wahyu; Algristian, Hafid
Community Service Journal of Indonesia Vol 5 No 2 (2023): Community Service Journal of Indonesia
Publisher : Institute for Research and Community Service, Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/csji.v5i2.604

Abstract

Medical plants that have uses or properties in health treatment. Currently, the use of Indonesian herbal plants is only limited to being used as cooking spices and has not been optimally used as medicine to increase the body's endurance. The aim of this community service activity is as an effort to prevent disease by increasing the body's immunity after the Covid-19 pandemic. The method applied in this community service activity is community empowerment in the use of herbal plants to improve the immune system in Simo Angin - Angin village, Wonoayu District through the stages of lectures, demonstrations and collaboration. The target participants were PKK women from Simo Angin-angin Village, Wonoayu District, Sidoarjo Regency, a total of 30 people. The results obtained were counseling and education on the benefits of Indonesian herbal plants using posters and brochures. The results of the community empowerment activities in Simo Angin-angin village are through making herbal plants as drinks in the form of herbal medicine to increase the body's immunity. Participants can understand the potential of herbal plants to be processed into drinks that can be consumed to maintain health after Covid-19. The conclusion is that the PKK women in Simo Angin-angin Village, Wonoayu District, Sidoarjo Regency know how to prevent disease by using Indonesian herbal plants and producing herbal drink concoctions to increase the body's immunity. The next recommendation for community service activities is processing residents' empty land for herbal plants and community empowerment through the production of herbal drinks to commercialization.
PATIENT-SELECTION PROGRAM TRAINING FOR MENTAL HEALTH CADRES IN DEVELOPING INDEPENDENT BUSINESS FOR THE FAMILY Algristian, Hafid; Fitriyah, Fifi Khoirul; Fasya, Abdul Hakim Zakkiy; Bistara, Difran Nobel; Putri, Rahmadaniar Aditya; Bariyah, Khadijah Khairul
Community Service Journal of Indonesia Vol 6 No 1 (2024): Community Service Journal of Indonesia
Publisher : Institute for Research and Community Service, Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/csji.v6i1.630

Abstract

People with severe mental disorder (PSMD; Orang Dengan Gangguan Jiwa, ODGJ) are a vulnerable group of people who experience loss of their rights to life because of their mental limitations, namely the right to work and earn an income independently. In previous activities, there was an opportunity for PSMD to recover through a series of training. To achieve recovery, it is necessary to hold a patient selection program so that patients who take part in the training series are not in the acute phase. Mental health cadres who are close to the community have a big role in determining which PSMD will then take part in entrepreneurship training activities. Therefore, mental health cadres need to deepen their insight into mental disorders and increase their empowerment in patient selection programs for PSMD. This activity aims to increase the understanding of mental health cadres regarding mental disorders and increase their empowerment in implementing patient selection programs for PSMD. The method used was by conducting outreach to mental health cadres regarding the topic of mental disorders as well as providing patient selection program training to mental health cadres. Before counseling and training, a 10-minute pre-test was conducted for the participants, then continued with an outreach and training session as well as questions and answers and discussions for approximately 60 minutes, and at the end a 10-minute post-test was carried out. The results showed an increase in pre-test and post-test data on the topic of mental disorders as well as an increase in empowerment by mental health cadre participants in carrying out patient selection programs. Community service activities regarding patient selection program training for mental health cadres in developing independent businesses for PSMD families in the Gresik district have provided improvements to mental health cadres, namely in the form of increased insight regarding mental disorders and increased empowerment in carrying out patient selection programs for PSMD.
A Mental Warriors: Health and Socioeconomic Independence Development Program for People with Mental Disorders in Gresik Regency algristian, hafid; Khamida, Khamida; Fitriyah, Fifi Khoirul; Bariyah, Khadijah Khairul
Community Development Journal Vol 7 No 3 (2023): Community Development Journal
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: The number of people with mental disorders (ODGJ) in Gresik Regency in 2020 reached 2,250 people with mental health service coverage reaching 64%. These mental health services are limited to examination and treatment only. In the last three years (2020-2022) the Proposing Team initiated a mental and psychosocial recovery program for ODGJ in Tlogopojok Village, Gresik District, and succeeded in achieving a recovery rate from zero to 60%. This activity will continue this year as an ongoing program with a variety of programs and wider sub-district coverage in Gresik District. This community center will be a forum for training, mentoring and coaching activities for ODGJ from both health and socio-economic aspects. Objective: This community service activity aims to develop the health and socioeconomic independence of ODGJ, by establishing a community center for ODGJ. Method: The implementation method used in this Mental Warriors community service activity uses a participatory rural appraisal (PRA) model, namely non-productive communities are invited proactively to build health and socioeconomic independence. The implementation stages start from counseling, training and mentoring. Results: Selecting stable ODGJ can use the PULIH questionnaire, Sensory-Cognitive activities provide provision to ODGJ to understand orders and maintain cleanliness before implementing the culinary program, and culinary training activities for making salted egg dishes can provide provision to ODGJ and their families in the context of independent socio-economic empowerment . Conclusion: 1) Selecting stable ODGJ can still use the PULIH questionnaire, but on the other hand it still requires clinical re-assessment by a mental expert (psychiatrist or psychologist) 2) Sensory-Cognitive activities can provide provisions for ODGJ to understand commands and maintain cleanliness before implementing culinary programs. 3) Culinary training activities for making salted egg dishes and talam cakes can provide provisions for ODGJ and their families in the context of independent socioeconomic empowerment.
The Effect of Cigarettes on Schizophrenia Patients Maylia, Mira Lovita; Azizah, Nur; Algristian, Hafid
Jurnal Medis Islam Internasional Vol 6 No 2 (2024): December
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/iimj.v6i2.6250

Abstract

Introduction: The prevalence of smoking in patients with schizophrenia is still high around 70-80%. Although reports suggest that smoking increases the risk of developing schizophrenia, the potential role of smoking in this relationship requires further investigation. Smokers with schizophrenia were more likely to have more intense positive symptoms and lower cognitive function, but the intensity of extrapyramidal side effects was reduced compared to schizophrenic patients who were non-smokers. Objectives: The purpose of the study was to explain schizophrenia, dopamine, the etiology of cigarette use in patients with schizophrenia, the mechanism of action, the relationship between schizophrenia cases and cigarettes, the management of patients with schizophrenia and the relationship between the administration of antipsychotics to patients with schizophrenia and active smokers. Methods: This research journal uses a qualitative method, namely a descriptive research method and usually uses analysis. This research journal uses secondary data sources. The data collection method used is data derived from literature studies obtained from journals, books, and dissertations of Google Scholar and PubMed. The data collection tool used is documents. Results:  The nicotine in cigarettes interacts with nicotinic receptors in the brain, affecting the release of dopamine and serotonin. This can affect negative symptoms in schizophrenic patients, although the effect on positive symptoms still needs more research to be fully understood. Although the exact mechanism is not yet fully understood, some hypotheses indicate that smoking may play a role in managing negative symptoms and influencing impaired dopamine regulation in schizophrenia. Schizophrenia patients who are also active smokers face challenges in treatment with antipsychotics such as clozapine and olanzapine. Smoking can affect the metabolism of these drugs through the induction of the CYP1A2 enzyme, so it is necessary to adjust the dosage to maintain therapeutic efficacy. Appropriate adjustment of antipsychotic doses is necessary to optimize the management of schizophrenic symptoms without increasing the risk of unwanted side effects. Conclusion: In patients with schizophrenia the production of the neurotransmitter dopamine is excessive. When dopamine levels are unbalanced, excessive or reduced, sufferers can experience both positive and negative symptoms. Although smoking may provide some benefits in reducing negative symptoms in schizophrenia, the overall impact is still complex and requires more research. Future studies are expected to better understand the mechanism of interaction between smoking and schizophrenia and develop better treatment strategies.