Medica Hospitalia : Journal of Clinical Medicine最新文献_第7页

PERBANDINGAN PROGRAM LATIHAN OTAGO MODIFIKASI DAN LATIHAN BERJALAN TERHADAP PHYSICAL PERFORMANCE PADA LANSIA PRE-FRAIL

Medica Hospitalia : Journal of Clinical Medicine Pub Date : 2023-07-31 DOI: 10.36408/mhjcm.v10i2.874

Nura Eky Vikawati, H. Julianti, N. Dewi, Endang Sri Mariani

{"title":"PERBANDINGAN PROGRAM LATIHAN OTAGO MODIFIKASI DAN LATIHAN BERJALAN TERHADAP PHYSICAL PERFORMANCE PADA LANSIA PRE-FRAIL","authors":"Nura Eky Vikawati, H. Julianti, N. Dewi, Endang Sri Mariani","doi":"10.36408/mhjcm.v10i2.874","DOIUrl":"https://doi.org/10.36408/mhjcm.v10i2.874","url":null,"abstract":"Latar belakang : Program latihan multikomponen seperti OTAGO dianggap dapat meningkatkan physical performance lansia pre-frail sehingga mengurangi risiko jatuh. Short Physical Performance Battery (SPPB) merupakan salah satu uji gabungan yang dapat menilai physical performance dan menjadi uji saring risiko jatuh pada lansia pre-frail. Penelitian ini mencari hubungan antara pemberian program latihan OTAGO modifikasi yang dibandingkan dengan latihan berjalan terhadap physical performance yang diukur dengan SPPB pada lansia pre-frail. \u0000Metode : Penelitian ini merupakan quasi-experiment pre and post experimental design yang melibatkan 26 lansia pre-frail sesuai kriteria Fried Frailty Phenotype (total nilai 1-2) di wilayah Prolanis Gunung Pati, Semarang. Mereka dibagi ke dalam 2 kelompok yaitu kelompok OTAGO modifikasi dan kelompok kontrol yang mendapat perlakukan latihan berjalan. Intervensi latihan diberikan selama 6 minggu. Pengukuran skor SPPB dilakukan sebelum dan setelah intervensi latihan. \u0000Hasil : Terdapat korelasi sebelum dan setelah intervensi latihan OTAGO modifikasi dengan nilai p 0.013. Hasil analisis data skor SPPB sebelum dan setelah intervensi latihan berjalan menggunakan Wilcoxon signed ranks test menunjukan hasil yang bermakna dengan nilai p 0.008. Tidak ditemukan perbedaan bermakna rata-rata peningkatan skor SPPB kelompok OTAGO modifikasi dan latihan berjalan menggunakan Mann-Whitney U (p 0.826). \u0000Simpulan: Kedua intervensi latihan OTAGO modifikasi dan berjalan dalam 6 minggu dapat meningkat performa fisik lansia pre-frail. Latihan OTAGO modifikasi tidak lebih unggul dalam meningkatkan performa fisik dibandingkan latihan berjalan","PeriodicalId":117574,"journal":{"name":"Medica Hospitalia : Journal of Clinical Medicine","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126505269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correlation Between Visceral Fat And Lipid Profile in Myocardial Infarction Patients 心肌梗死患者内脏脂肪和脂质谱的相关性

Medica Hospitalia : Journal of Clinical Medicine Pub Date : 2023-07-31 DOI: 10.36408/mhjcm.v10i2.797

Dwi Yuniari, Niken Puruhita, E. Probosari, Hertanto Wahyu Subagyo, A. K. Nugrohowati

{"title":"Correlation Between Visceral Fat And Lipid Profile in Myocardial Infarction Patients","authors":"Dwi Yuniari, Niken Puruhita, E. Probosari, Hertanto Wahyu Subagyo, A. K. Nugrohowati","doi":"10.36408/mhjcm.v10i2.797","DOIUrl":"https://doi.org/10.36408/mhjcm.v10i2.797","url":null,"abstract":"BACKGROUND : Previous studies reported that visceral fat plays an important role in cardiovascular disease, even in non-obese individuals. Bioelectrical impedance analysis (BIA) is a non-invasive and radiation-free method for assessing visceral fat. Not much is known whether visceral fat correlates with lipid profile in myocardial infarction (MI) patients in Indonesian population.\u0000PURPOSE : To analyze the correlation between visceral fat and serum lipid profile in MI patients.\u0000METHODE : This is a correlational study on 32 MI patients hospitalized at the ICCU of RSUP Dr. Kariadi Hospital recruited with consecutive sampling. Visceral fat was measured by BIA SECA mBCA 525 series, data regarding levels of total cholesterol, triglycerides, low density lipoprotein (LDL), and high density lipoprotein (HDL) were gathered from medical record. The data were normally distributed, then the hypothesis was tested with the Pearson.\u0000RESULT : The mean age of the subjects was 55 ± 9.88 years, with 87.5% being male. As many as 81.3% of subjects experienced ST-elevation myocardial infarction (STEMI). The average body mass index (BMI) was 26.2 ± 3.68 kg/m², in which 40.6% of subjects were classified as grade 1 obesity. The majority of subjects (93.8%) had high visceral fat. As many as 68.8% of subjects had high LDL levels with an average of 120.5 ± 38.84 mg/dL. HDL average was 35±13.55 mg/dL with 62.5% of subjects having low HDL levels. More than half of the subjects (56.3%) experienced hypertriglyceridemia with an average of 157.4 ± 55.84 mg/dL. Visceral fat was significantly related to total cholesterol and triglycerides (r=0.40; p=0.02 and r=0.36; p=0.04).\u0000CONCLUSION : There is a significant correlation between visceral fat and total cholesterol and triglycerides in MI patients.","PeriodicalId":117574,"journal":{"name":"Medica Hospitalia : Journal of Clinical Medicine","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116845508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of Urinary Diversion in Patients with Cervical Cancer at Kariadi General Hospital 卡里阿迪总医院宫颈癌患者导尿的效果

Medica Hospitalia : Journal of Clinical Medicine Pub Date : 2023-03-31 DOI: 10.36408/mhjcm.v10i1.847

E. Nugroho, Singgeh Setyasworo, Ragam Pesona Simangunsong, Yandhi Ari Listiyanto, F. G. P. Yudha, A. Santosa, M. A. Soedarso, D. S. Wibisono, N. Daniswara, S. R. Addin

{"title":"Effectiveness of Urinary Diversion in Patients with Cervical Cancer at Kariadi General Hospital","authors":"E. Nugroho, Singgeh Setyasworo, Ragam Pesona Simangunsong, Yandhi Ari Listiyanto, F. G. P. Yudha, A. Santosa, M. A. Soedarso, D. S. Wibisono, N. Daniswara, S. R. Addin","doi":"10.36408/mhjcm.v10i1.847","DOIUrl":"https://doi.org/10.36408/mhjcm.v10i1.847","url":null,"abstract":"BACKGROUND: Obstructive uropathy and hydronephrosis are common complications of cervical cancer. In order to provide an alternative route due to ureteral obstruction, urinary diversion was performed. Urinary diversion procedures are a therapeutic option for obstructive uropathy but their effectiveness is remain unclear. There is limited data that support urinary diversion as a treatment of ureteral obstruction to improve overall survival and progression-free survival.\u0000AIM: To determine the effectiveness of urinary diversion in the treatment of obstructive uropathy in cervical cancer patients.\u0000METHOD: This study is a cross sectional involved cervical cancer patients with symptoms of obstructive uropathy. Data were obtained from medical records and limited to patients admitted from May, 2020 to May, 2021. Primary outcome was urea level, creatinine level, stage of hydronephrosis and overall survival rate of patients.\u0000RESULT: A total of 100 patients were included in the study. In both groups, the mean age of study subjects was 52-53 years with stage IIIB being the most widely reported. There was an improvement in post creatinine in the urinary diversion group. There was a significant difference in post creatinine levels between the non-urine diversion and urinary diversion groups (p=0.039).The 12-month survival rate, in the non-urinary diversion group had a value of 86% while the urinary diversion group had a value of 94%.\u0000CONCLUSION: This study shows that urinary diversion procedure is effective in increasing the renal function and increasing the 12-month survival of cervical cancer patients with obstructive uropathy.","PeriodicalId":117574,"journal":{"name":"Medica Hospitalia : Journal of Clinical Medicine","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117074567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Korelasi Kadar Prokalsitonin (PCT) Dengan Rasio Neutrofil Limfosit (RNL) Pada Pasien COVID-19

Medica Hospitalia : Journal of Clinical Medicine Pub Date : 2023-03-31 DOI: 10.36408/mhjcm.v10i1.855

Isnawati Apriliani, Rizana Fajrunni’mah, H. Djajaningrat, Aninda Dinar Widiantari, Farida Murtiani

{"title":"Korelasi Kadar Prokalsitonin (PCT) Dengan Rasio Neutrofil Limfosit (RNL) Pada Pasien COVID-19","authors":"Isnawati Apriliani, Rizana Fajrunni’mah, H. Djajaningrat, Aninda Dinar Widiantari, Farida Murtiani","doi":"10.36408/mhjcm.v10i1.855","DOIUrl":"https://doi.org/10.36408/mhjcm.v10i1.855","url":null,"abstract":"LATAR BELAKANG: Coronavirus Disease 2019 (COVID-19) adalah penyakit menular yang disebabkan oleh infeksi Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). \u0000TUJUAN: Penelitian ini bertujuan untuk mengetahui hubungan kadar prokalsitonin (PCT) dengan rasio neutrofil limfosit (NLR) pada pasien COVID-19. \u0000 METODE: Penelitian ini merupakan penelitian observasional analitik dengan desain cross sectional. Sampel berupa data rekam medis 415 pasien COVID-19 yang menjalani rawat inap di RS Budhi Asih Jakarta Timur periode Januari – Desember 2021. \u0000HASIL: Pasien laki-laki dengan usia 60 tahun lebih banyak sebanyak 78 (18,8%) pasien dan disusul pasien wanita usia 60 tahun sebanyak 68 (16,4%) pasien. Rata-rata kadar PCT adalah 1, 93 ng/mL dengan kadar terendah 0,02 ng/mL dan kadar tertinggi 200 ng/mL.. Rata-rata NLR 5,09 sel/mm3 dengan nilai terendah 0,22 sel/mm3 dan tertinggi 31 sel/ mm3. Uji korelasi Spearman membuktikan terdapat korelasi yang signifikan (p value 0,000 < 0,05) dengan arah korelasi positif (r = 0,453) antara kadar PCT dan NLR pada pasien COVID-19. \u0000KESIMPULAN: Semakin tinggi kadar PCT maka semakin tinggi nilai NLR pada pasien COVID-19.","PeriodicalId":117574,"journal":{"name":"Medica Hospitalia : Journal of Clinical Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129619448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

PERBANDINGAN ANTARA POLA KUMAN TRAKEA DAN STOMA DENGAN ANGKA KEJADIAN INFEKSI STOMA TRAKEA DI RSMH PALEMBANG 将气管微生物模式与RSMH PALEMBANG球菌感染的发病率进行比较

Medica Hospitalia : Journal of Clinical Medicine Pub Date : 2023-03-31 DOI: 10.36408/mhjcm.v10i1.825

Vitta Kusmawijaya, Lisa Apri Yanti

{"title":"PERBANDINGAN ANTARA POLA KUMAN TRAKEA DAN STOMA DENGAN ANGKA KEJADIAN INFEKSI STOMA TRAKEA DI RSMH PALEMBANG","authors":"Vitta Kusmawijaya, Lisa Apri Yanti","doi":"10.36408/mhjcm.v10i1.825","DOIUrl":"https://doi.org/10.36408/mhjcm.v10i1.825","url":null,"abstract":"LATAR BELAKANG :Trakeostomi adalah tindakan mengiris atau membuat lubang pada trakea. Adanya pemakaian kanul trakea membuat paparan langsung patogen ke saluran pernafasan. Perlu dilakukan identifikasi pola kuman dalam upaya mengatasi infeksi stoma trakea sehingga dapat mencegah komplikasi yang lebih lanjut. \u0000 \u0000TUJUAN :Tujuan penelitian ini adalah untuk membandingkan antara pola kuman trakea dan stoma trakea pada pasien dengan infeksi stoma trakea\u2028 \u0000 \u0000METODE :. Penelitian observasional dengan desain cross-sectional.Pengumpulan data dilakukan dengan menggunakan data rekam medik pada 60 subjek yang menjalani swab di trakea dan stoma trakea serta pemeriksaan kultur periode November 2020 hingga Oktober 2021. \u0000HASIL : Dari 60 subjek penelitian didapatkan keseluruhan merupakan bakteri gram negatif dengan Pseudomonas aeruginosa (45%) merupakan bakteri yang paling banyak ditemukan diikuti Klebsiela pneumonia, Escherichia coli dan Serratia marcescens. Usia, status gizi, komorbid, penggunaan dressing dan jarak pergantian kanul bukan faktor yang berpengaruh secara signifikan terhadap kejadian infeksi stoma trakea. \u0000KESIMPULAN : Terdapat perbedaan antara pola kuman pada trakea dan stoma trakea dengan kejadian infeksi stoma trakea. Penderita dengan pola kuman Escherichia coli di trakea dan Serratia marcescens di stoma trakea berpengaruh secara signifikan untuk mengalami infeksi stoma trakea.","PeriodicalId":117574,"journal":{"name":"Medica Hospitalia : Journal of Clinical Medicine","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130708967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pengaruh Penambahan Kinesiotaping pada Rehabilitasi Pasca Stroke Fase Kronis yang Mendapatkan Weight Shifting Training terhadap Kecepatan Berjalan 慢性中风后康复运动的影响，这影响了走路速度的增重训练

Medica Hospitalia : Journal of Clinical Medicine Pub Date : 2023-03-31 DOI: 10.36408/mhjcm.v10i1.821

Nieke Zakaria, Rudy Handoyo, Erna Setiawati

{"title":"Pengaruh Penambahan Kinesiotaping pada Rehabilitasi Pasca Stroke Fase Kronis yang Mendapatkan Weight Shifting Training terhadap Kecepatan Berjalan","authors":"Nieke Zakaria, Rudy Handoyo, Erna Setiawati","doi":"10.36408/mhjcm.v10i1.821","DOIUrl":"https://doi.org/10.36408/mhjcm.v10i1.821","url":null,"abstract":"Pendahuluan : Stroke merupakan penyebab utama terjadinya disabilitas termasuk penurunan kecepatan berjalan. Diperkirakan 73% dari penderita stroke terdapat kekurangan pada kontrol motor dan berakibat keterbatasan pada mobilisasi. Kinesiotaping adalah suatu metode terapi pada kulit dengan menggunakan suatu elastic tape yang dapat ditambahkan pada bentuk latihan yang lain termasuk weight shifting training. Dengan penambahan KT ini diharapkan terjadi perbaikan kinerja otot dan keseimbangan sehingga kecepatan berjalan meningkat. \u0000Tujuan : Untuk mengetahui pengaruh penambahan KT pada rehabilitasi pasca stroke fase kronis yang mendapatkan weight shifting training terhadap kecepatan berjalan. \u0000Metode : Penelitian ini merupakan randomized controlled trial pre-test and post test control group design. Terdapat 18 subjek pasien rehabilitasi pasca stroke fase kronis dibagi menjadi 2 kelompok, yaitu kelompok kontrol yang mendapat weight shifting training (9 orang) dan kelompok perlakuan yang mendapat penambahan KT terhadap weight shifting training (9 orang). Penilaian kecepatan berjalan diukur sebelum dan sesudah 4 minggu perlakuan. \u0000Hasil : Terdapat perbedaan bermakna rerata kecepatan berjalan sebelum dan sesudah perlakuan pada masing-masing kelompok (p<0,001) dan terdapat perbedaan bermakna rerata kenaikan kecepatan berjalan pada kedua kelompok (p<0,001). \u0000Simpulan : Rerata peningkatan kecepatan berjalan lebih tinggi pada kelompok yang mendapat penambahan KT pada rehabilitasi pasca stroke fase kronis yang mendapatkan weight shifting training. \u0000Kata kunci : stroke, kecepatan berjalan, weight shifting training, kinesiotaping","PeriodicalId":117574,"journal":{"name":"Medica Hospitalia : Journal of Clinical Medicine","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115434909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correlation Between Portal Venous Dimensions And Liver Stiffness In Patients Of Child Pugh A Cirrhosis 儿童Pugh A型肝硬化患者门静脉尺寸与肝脏僵硬度的相关性研究

Medica Hospitalia : Journal of Clinical Medicine Pub Date : 2023-03-31 DOI: 10.36408/mhjcm.v10i1.899

A. G. Santoso, Nala Khodlil Mubarok, Maya Nuriya Widyasari, Hery Djagat Purnomo

{"title":"Correlation Between Portal Venous Dimensions And Liver Stiffness In Patients Of Child Pugh A Cirrhosis","authors":"A. G. Santoso, Nala Khodlil Mubarok, Maya Nuriya Widyasari, Hery Djagat Purnomo","doi":"10.36408/mhjcm.v10i1.899","DOIUrl":"https://doi.org/10.36408/mhjcm.v10i1.899","url":null,"abstract":"BACKGROUND: Liver cirrhosis is an end-stage liver disease characterized by pathologic fibrosis and regenerative nodules with resultant liver dysfunction. The diagnostic hallmark of portal hypertension is slow flow velocities in addition to the increased caliber of the mean portal vein. That is, the diagnosis of portal hypertension requires the measurement of mean portal velocity and portal diameter, and the correlation between cirrhosis and mean portal velocity and port diameter is the correlation between liver cirrhosis and its complications.OBJECTIVE: To analyze the correlation between portal vein dimensions and liver stiffness in patients of Child-Pugh A cirrhosis.METHOD: This study was a cross-sectional study on 30 subjects with Child-Pugh A liver cirrhosis. The subjects of this research are patients who come to the Radiology Department of the Dr. Kariadi Hospital in Semarang for point shear wave elastography and abdominal ultrasound examination from January to December 2022. Spearman test correlation was used for the analysis.RESULT: Spearman test showed no correlation between liver stiffness and portal vein diameter (p=0.250, r= -0.217), liver stiffness and mean portal vein velocity (p=0.883, r= -0.028), and portal vein diameter with mean venous velocity in Child-Pugh A liver cirrhosis (p = 0.979, r = 0.005)","PeriodicalId":117574,"journal":{"name":"Medica Hospitalia : Journal of Clinical Medicine","volume":"883 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114085267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Difference Between BMI At Admission and Discharge and NIHSS at Admission and Discharge In Iscemic Stroke Patients at Dr.Kariadi Horpital Dr.Kariadi医院缺血性脑卒中患者入院和出院时BMI及入院和出院时NIHSS的差异

Medica Hospitalia : Journal of Clinical Medicine Pub Date : 2023-03-31 DOI: 10.36408/mhjcm.v10i1.777

Annisa Fauziah, H. Subagio, A. K. Nugrohowati, Darmono Ss, E. Probosari

{"title":"Difference Between BMI At Admission and Discharge and NIHSS at Admission and Discharge In Iscemic Stroke Patients at Dr.Kariadi Horpital","authors":"Annisa Fauziah, H. Subagio, A. K. Nugrohowati, Darmono Ss, E. Probosari","doi":"10.36408/mhjcm.v10i1.777","DOIUrl":"https://doi.org/10.36408/mhjcm.v10i1.777","url":null,"abstract":"BACKGROUND : Hospitalized patients are at risk for malnutrition. Decreased BMI (Body Mass Index) in stroke patients is negatively correlated with patient outcomes. Studies on differences in BMI and NIHSS (National Institutes of Health Stroke Scale) at admission and discharge in stroke patients have not been conducted in Indonesia.\u0000OBJECTIVE: To describe the difference between BMI and NIHSS at admission and discharge in ischemic stroke patients at Dr. Kariadi hospital\u0000METHOD : An observational study on 49 hospitalized ischemic stroke patients at the Stroke Unit of dr. Kariadi hospital. Outcomes were measured using the National Institutes of Stroke Scale (NIHSS). Data was collected from the patient's medical record and analyzed using Paired Sample t Test.\u0000RESULT : There was no significant difference between BMI at admission and discharge (p = 0.161). There was a significant difference between the NIHSS at the time of admission and at the time of discharge (p= 0.014).\u0000CONCLUSION : There is no significant difference between BMI at admission and discharge. There is functional improvement in ischemic stroke patients during treatment","PeriodicalId":117574,"journal":{"name":"Medica Hospitalia : Journal of Clinical Medicine","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132639761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Kejadian Kardiovaskular Mayor di Rumah Sakit pada Pasien STEMI di Era Pandemi COVID-19 在COVID-19大流行期间，STEMI患者的重大心血管事件

Medica Hospitalia : Journal of Clinical Medicine Pub Date : 2023-03-31 DOI: 10.36408/mhjcm.v10i1.852

A. P. Mangkoesoebroto, Yan Herry, Sefri Noventi Sofia, Bahrudin Bahrudin

{"title":"Kejadian Kardiovaskular Mayor di Rumah Sakit pada Pasien STEMI di Era Pandemi COVID-19","authors":"A. P. Mangkoesoebroto, Yan Herry, Sefri Noventi Sofia, Bahrudin Bahrudin","doi":"10.36408/mhjcm.v10i1.852","DOIUrl":"https://doi.org/10.36408/mhjcm.v10i1.852","url":null,"abstract":"LATAR BELAKANG : Pandemi Coronavirus Disease 2019 (COVID-19) telah menjadi beban global, merubah sistem kesehatan serta mempengaruhi pasien ST-segment Elevation Myocardial Infarction (STEMI). Beberapa negara melaporkan penurunan admisi rumah sakit, perubahan tatakelola, peningkatan total ischaemic time, serta peningkatan kejadian kardiovaskular mayor (KKvM) di era pandemi. Namun, di Indonesia penelitian mengenai hal tersebut masih terbatas. \u0000TUJUAN : Mengetahui perbedaan admisi, karakteristik, tatakelola dan KKvM di rumah sakit pada pasien STEMI di era pandemi dengan sebelum pandemi COVID-19. \u0000METODE: Penelitian analitik observasional komparatif dilakukan pada 169 pasien di sebelum era pandemi (12 Maret 2019-11 Maret 2020) dengan 163 pasien di era pandemi COVID-19 (12 Maret 2020-30 September 2021) STEMI di RSUP Dr. Kariadi Semarang. Dilakukan penilaian angka admisi perbulan, total ishcaemic time, tatakelola reperfusi, status COVID-19 dan KKvM. \u0000HASIL: Selama pandemi COVID-19 didapatkan penurunan rerata admisi sebanyak 14,1 menjadi 8,6 pasien perbulan (p<0,001), peningkatan rerata total ischaemic time 8,78 (3,22-19,68) jam menjadi 10,22 (3,20-20,43) jam (p<0,001), penurunan penggunaan intervensi koroner perkutan primer (97,0% vs 83,4%, p<0,001), peningkatan fibrinolitik (1,8% vs 8,6%, p=0,010) dan tanpa terapi reperfusi (1,2% vs 8,0%, p=0,007). KKvM meningkat bermakna di era pandemi COVID-19 (10,7% vs 22,1%,p=0,008), dengan mortalitas (4,7% vs 11,7%, p=0,035), stroke (1,2% vs 1,8%, p=0,680), syok kardiogenik (4,1% vs 11,0%, p=0,030), serta edema paru akut (3,6% vs 10,4%,p=0,024). \u0000KESIMPULAN : Terdapat penurunan admisi, penurunan penggunaan IKP primer, peningkatan penggunaan fibrinolitik dan tanpa rerperfusi, pemanjangan total ischaemic time, serta peningkatan KKvM di rumah sakit secara bermakna pada pasien STEMI di era pandemi COVID-19.","PeriodicalId":117574,"journal":{"name":"Medica Hospitalia : Journal of Clinical Medicine","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127375358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

DAYA ANTIBAKTERI EKSTRAK ETANOL KEMBANG SEPATU (Hibiscus rosa sinensis L.) SEBAGAI ALTERNATIF BAHAN MEDIKAMEN SALURAN AKAR TERHADAP Enterococcus faecalis 鞋花乙醇萃取的抗菌提取物(芙蓉rosa sinensis L)作为根系对肠球菌研究的替代材料

Medica Hospitalia : Journal of Clinical Medicine Pub Date : 2023-03-31 DOI: 10.36408/mhjcm.v10i1.809

Efika Choirunnisa, Gustantyo Wahyu Wibowo, A. L. Antari, B. N. R. Purnomo

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引用次数: 0