Journal of Diverse Medical Research: Medicosphere

The Role of Social Support in Improving Individual Mental Health

2025-05-21T04:34:42+00:00

Background: Mental health is a fundamental element underlying an individual's quality of life and well-being. In this modern era, where pressures from various aspects of life - social, economic, and environmental - are increasing, mental health problems have become an increasingly pressing issue. Mental disorders, such as depression, anxiety, and stress, not only affect individuals but also have a broad impact on society as a whole. Aim: To further explore the role of social support in improving individuals' mental health. Methods: The method used was a literature review drawn from several sources with a 20-20 year limit. Results and Discussion: Social support plays a very important role in improving individual mental health. A strong social network can reduce the risk of mental disorders and improve overall psychological well-being. When individuals feel supported, they are more likely to experience a sense of security and acceptance, which can reduce symptoms of anxiety and depression. Conclusion: Social support is a key factor in improving individuals' mental health. Emotional and practical support, social engagement, as well as technology utilization can contribute significantly to psychological well-being.

The Correlation of Landslide Disaster with Increased Cases of Atopic Dermatitis in Disaster Victims

2025-07-28T07:21:54+00:00

Background landslides not only bring physical damage, but also trigger various health problems, including an increase in cases of atopic dermatitis. The post-landslide environment conditions that are humid, dusty, and limited access to clean water in evacuation centers worsen the skin health of the survivors. Exposure to allergens from soil, mold, and disaster stress further increases the risk of skin inflammation. Purpose from this literature is to analyze the relationship between landslide disasters and the increase in atopic dermatitis cases through environmental factors and explore the effect of limited sanitation and allergen exposure on the increase in atopic dermatitis cases after landslide disasters. Method this study uses Literature Review with data obtained from the databases Science Direct, Elsevier, Open Exploration, Research Gate, Pubmed, Taylor and Francis, Proquest, and SINTA with a total of 10 national journal articles, 20 international journal articles, and 5 theses. Result some studies show that landslides can increase cases of atopic dermatitis due to exposure to dust, mold, poor sanitation, and stress in evacuation camps. Changes in microbiota and the immune system are also implicated in aggravating symptoms, and microbiota manipulation is a suggested therapeutic strategy. Other studies have shown that such an impact does not necessarily take place, especially where quality emergency sanitation and adequate access to health care services exist. Conclusion environmental, sanitation, and microbiota factors play a role in the severity of atopic dermatitis, especially in areas affected by landslides. Exposure to dust, mold, and limited clean water in evacuation camps can worsen skin conditions, while post-disaster stress also weakens the immune system, so health, hygiene, and environmental management education is needed for more effective prevention. However, some studies argue that not all landslide events increase atopic dermatitis, especially in regions with adequate emergency sanitation and health services.

The Relationship between Age and Working Period with the Incidence of Myalgia in Mojokerto City

2025-05-28T08:13:19+00:00

Background: Myalgia is a common complaint among many workers, especially in the informal sector. This study aims to analyze the relationship between age and work duration with the incidence of myalgia in patients at Puskesmas Wates, Kota Mojokerto. Methods: This quantitative research collected data through questionnaires filled out by respondents. Data analysis was conducted using statistical tests to examine the relationship between variables. Results: The results showed a significant relationship between age and the incidence of myalgia with a p-value of 0.035, indicating that patients aged ≥45 years had a higher prevalence of myalgia, with 25 samples. Additionally, a higher incidence of myalgia was found among workers with a work duration of ≥20 years, with 21 respondents experiencing high myalgia and a p-value of 0.014. Patients aged ≥45 years had a 6.571 times greater risk of experiencing high myalgia compared to patients aged <45 years, while patients with a work duration of ≥20 years had an 11.667 times higher risk compared to those with a work duration of <20 years. Conclusions: These conclusions highlight the importance of paying special attention to age and work duration factors in efforts to prevent and manage myalgia among workers.

Optimizing Acute Pain Management After Trauma in the Emergency Department: the Role of Regional Nerve Blocks by Anesthesiologists

2025-07-02T07:46:25+00:00

Abstract

Background: Acute pain management remains a critical challenge in emergency departments (EDs), particularly in trauma cases. Traditional systemic analgesics, especially opioids, pose risks of adverse effects and dependency. Regional nerve blocks (RNBs), administered by anesthesiologists, offer a promising alternative. This literature review explores the efficacy, safety, and practical considerations of RNBs in trauma-related acute pain within ED settings. Evidence suggests that RNBs significantly reduce pain scores and opioid consumption while maintaining a favorable safety profile. Collaborative implementation of RNBs in EDs can improve patient outcomes and reduce opioid-related risks. Method: This research employs a literature analysis approach by reviewing relevant theoretical and empirical sources, including Google Scholar, PubMed, and ScienceDirect. Discussion: The findings reveal that RNBs, particularly when guided by ultrasound and performed by anesthesiologists, significantly reduce pain scores, opioid use, and side effects compared to systemic analgesia. Despite logistical barriers in ED settings, collaborative approaches between emergency physicians and anesthesiologists enhance feasibility and patient outcomes. Conclusion: Regional nerve blocks by anesthesiologists offer fast, targeted, and safer pain relief in trauma care, reducing opioid dependence and improving outcomes. Integrating RNBs into emergency protocols enhances patient care and should be prioritized.

Keywords: Regional Nerve Block, Trauma Pain, Emergency Department, Anesthesiologist

Natural History of Subarachnoid Hemorrhage - A Case Report in Developing Country

2025-07-28T07:15:52+00:00

Stroke is the second leading cause of death and a significant factor in global disability. Its incidence is highest in developing nations, with ischemic strokes being the most prevalent. Only about 10% to 15% of first-time strokes are Intracerebral Hemorrhages (ICH). Primary hemorrhages make up the majority of strokes, while secondary hemorrhages account for roughly 10–25%. Hydrocephalus is a common complication of aneurysmal subarachnoid hemorrhage (aSAH). Additionally, the presence of hydrocephalus can indicate a greater likelihood of poor outcomes following an ICH. This case explains the natural history of subarachnoid and its management outside of developing countries. VP shunts are often used to treat post-hemorrhagic hydrocephalus, as was done in this case. Rebleeding after VP shunt placement is common. Therefore, appropriate management is needed to prevent increased mortality. Although proper management requires high costs in developing countries.

The Bronchiectasis in Geriatric Patients: Adaptation of Diagnosis and Management in the Context of Advanced Age

2025-07-07T01:04:05+00:00

Introduction: Bronchiectasis is an abnormal and permanent dilation of the bronchi caused by chronic inflammatory processes or recurrent infections. This condition can aggravate the patient's respiratory status, especially if it is accompanied by complications.

Case Description: A 70-year-old man came in with complaints of chronic cough with phlegm and increasingly severe shortness of breath. No history of tuberculosis or other systemic diseases was found. Thoracic photos and CT scans show a picture of bronchiectasis with honeycombing leading to pulmonary fibrosis. Laboratory tests showed leukocytosis, increased urea and creatinine, and impaired liver function. The patient received injectable moxifloxacin antibiotic therapy followed by oral ciprofloxacin, as well as other supportive therapies. Clinical improvement begins to be seen after a few days of treatment.

Discussion: Bronchiectasis in the elderly is often a challenge due to symptoms that overlap with other lung diseases as well as the presence of comorbidities. The absence of a definitive cause in these patients led to the diagnosis of idiopathic bronchiectasis. The honeycombing findings on imaging indicate the possibility of pulmonary fibrosis aggravating the condition. Prompt and appropriate management is essential to prevent disease progression.

Conclusions: Idiopathic bronchiectasis with complications of pulmonary fibrosis is a rare and challenging case in diagnosis and management. A thorough radiological and laboratory examination is helpful in establishing the diagnosis and determining the optimal therapy.