1.Topical Effects of Aloe Vera in Healing Diabetic Foot Ulcers: A Protocol of Systematic Review
Anggi Jamiyanti ; Tuti Pahria ; Nursiswati Nursiswati
Malaysian Journal of Medicine and Health Sciences 2023;19(No.6):355-359
Introduction: Wound care is a very important part of managing diabetic foot ulcers. The importance of choosing the
right topical therapy for managing diabetic foot ulcers aims to help speed up the wound healing process. Aloe vera
is one of the traditional natural ingredients that is often used in wound care and can maintain a moist atmosphere in
wound care. So it is necessary to have a systematic review to provide comprehensive evidence regarding the topical
effects of aloe vera in increasing wound healing in diabetic foot ulcers. This study aims to determine the topical
effect of aloe vera in healing diabetic foot ulcers. Methods: This research is a systematic completion that will use
six databases (CINAHL, Academic, PubMed, ProQuest, ScienceDirect, SpringerLink, and google scholar) to search
for randomized controlled trial and Quasi-Experimental articles randomly in 2007-2022. The Systematic Review
protocol used follows PRISMA as a guide in preparing insights and The Joanna Briggs Institute (JBI) Critical Appraisal
Tools to assess research quality. This study will determine the effect of topical aloe vera on wound healing in diabetic
foot ulcers. Discussion: The results of this study can be useful for knowing the topical effects of aloe vera for wound
healing in diabetic foot ulcers. Trial Registration: This protocol has been registered on the protocol registration site
for systematic review namely PROSPERO with registration number CRD42022318695.
2.Assessment of Rare Case on Patient with Filariasis-Associated Bilateral Pleural Effusion
Astuti Arseda ; Dikes Simanjuntak ; Tuti Pahria ; Urip Rahayu ; Nursiswati Nursiswati
Malaysian Journal of Medicine and Health Sciences 2023;19(No.6):364-367
Bilateral pleural effusion is fluid accumulation in both lungs of pleural spaces. The clinical manifestations of bilateral
pleural effusion (chylothorax) caused by filariasis are so rare that they are often challenging to diagnose. This case
study described a 21-year-old woman, domiciled in Sumatra, with complaints of shortness of breath and swollen
legs. Radiological examination results found bilateral pleural effusion. Initially, it was suspected that the effusion was
caused by tuberculosis, Systemic Lupus Erythematosus (SLE), and malignancy; however, treatments for these did not
improve the patient’s condition. A Water Seal Drainage (WSD) was inserted and a chylous or chylothorax pleural
effusion was obtained, and microfilaria was founded in the nocturnal blood examinations. Oxygen and nursing interventions were administered using lung expansion and postural drainage techniques, supported by education on
effective coughing and deep breathing, along with the fulfillment of nutritional needs and dietary adjustments