Journal Of The Indonesian Medical Association最新文献_第4页

Clinical and Graft Survival Characteristics of Optical Penetrating Keratoplasty at a Tertiary Care Center in Indonesia: A 4-Years Retrospective Study 印度尼西亚三级医疗中心光学穿透性角膜移植的临床和移植物存活特征:一项4年回顾性研究

Journal Of The Indonesian Medical Association Pub Date : 2023-02-04 DOI: 10.47830/jinma-vol.72.6-2022-785

S. Widyawati, T. Gondhowiardjo, R. Nora, Yulika Harniza, Cut Putri Samira, Ivana Beatrice Alberta

{"title":"Clinical and Graft Survival Characteristics of Optical Penetrating Keratoplasty at a Tertiary Care Center in Indonesia: A 4-Years Retrospective Study","authors":"S. Widyawati, T. Gondhowiardjo, R. Nora, Yulika Harniza, Cut Putri Samira, Ivana Beatrice Alberta","doi":"10.47830/jinma-vol.72.6-2022-785","DOIUrl":"https://doi.org/10.47830/jinma-vol.72.6-2022-785","url":null,"abstract":"Introduction: Purpose, to evaluate patient demographic characteristics, indications and variables related to penetrating keratoplasty (PK) survival. Study design, this study was retrospective case series. \u0000Methods: We trace all medical records of PK patients from 2015 to 2018 in Cipto Mangunkusumo Hospital Jakarta. The traced variables were indications of surgery, corneal vascularization, previous failed graft, glaucoma after PK, and other complication. PK survival rate is shown in the Kaplan Meier curve using SPSS v20.0. \u0000Results: A total of 214 patients underwent PK (men 67.3%, woman 32,7%) with mean age of 42.11 (0-85) years were included in this study. Three most common indications of keratoplasty were corneal scar (32.7%), infectious corneal ulcer (25.5%), and failed graft (19.2%). The overall graft survival rate for PK is 61.7%. The mean graft survival time was 14.388 ± 0.580 months (95% CI; 13.252-15.524). \u0000Conclusion: The graft survival rate for penetrating optic keratoplasty was 61.7%. Establishing an appropriate early diagnosis, reasonable surgical procedures, close monitoring, and early detection of complications with proactive interventions lead to better outcomes. Further research is needed to determine the relationship between the risk factors for corneal graft failure.","PeriodicalId":378619,"journal":{"name":"Journal Of The Indonesian Medical Association","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125538484","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

Faktor-Faktor Yang Mempengaruhi Keberhasilan Pengobatan Metotreksat Pada Pasien Artritis ReumatoidDA PASIEN ARTRITIS REUMATOID 影响风湿性关节炎患者代谢ksat治疗成功的因素

Journal Of The Indonesian Medical Association Pub Date : 2023-02-04 DOI: 10.47830/jinma-vol.72.6-2022-850

F. Fauzia, N. Prihartono, Rudy Hidayat

引用次数: 0

Analgesik dan Anti-Inflamasi pada Cedera Sprain Pergelangan Kaki: Evidence Based Case Report 踝关节扭伤的止痛药和消炎药：循证病例报告

Journal Of The Indonesian Medical Association Pub Date : 2023-02-04 DOI: 10.47830/jinma-vol.72.6-2022-799

Chikih Chikih, Nani Cahyani Sudarsono

{"title":"Analgesik dan Anti-Inflamasi pada Cedera Sprain Pergelangan Kaki: Evidence Based Case Report","authors":"Chikih Chikih, Nani Cahyani Sudarsono","doi":"10.47830/jinma-vol.72.6-2022-799","DOIUrl":"https://doi.org/10.47830/jinma-vol.72.6-2022-799","url":null,"abstract":"Pendahuluan: Cedera sprain pergelangan kaki merupakan cedera yang sering terjadi pada aktivitas olahraga dengan angka kejadian mencapai 40%. Penatalaksanaan utama adalah dengan melakukan manajemen konservatif berupa RICE dan latihan penguatan. Namun, seiring perkembangan banyak dokter dan atlet menggunakan analgesik dan anti inflamasi sebagai pengobatan terhadap persepsi nyeri dan pembengkakan. Artikel ini bertujuan untuk menemukan evidence base medicine terbaru tentang penggunaan analgesik dan anti inflamasi yang relevan pada cedera sprain pergelangan kaki. \u0000Metode: Studi dilakukan dengan penelusuran literatur dengan menggunakan pendekatan Evidence Base Medicine. Penelusuran literatur pada 2 basis data digital PubMed dan Cochrane berdasarkan Prisma Flow Chart dan kriteria inklusi dan eksklusi. Tidak dilakukan analisis statistik pada studi ini. \u0000Hasil: Penelusuran diperoleh enam studi yang terdiri dari lima studi systematic review yang membahas tentang penggunaan NSAID, Opioid, Acetaminophen, dan Cox-inhibitor pada pasien cedera ankle sprain. Penggunaan NSAID sedikit bermakna dibandingkan dengan penggunaan plasebo dan tidak ada perbedaan bermakna antara penggunaan NSAID dengan analgesik golongan lain. Penggunaan topikal memiliki efektifitas yang dirasa lebih baik dibandingkan dengan penggunaan oral NSAID. \u0000Kesimpulan: Penggunaan analgesik dalam kasus cedera sprain pergelangan kaki masih memerlukan penelitian lebih lanjut dengan pertimbangan utama berdasarkan persepsi nyeri pasien. Terapi konservatif merupakan pendekatan utama.","PeriodicalId":378619,"journal":{"name":"Journal Of The Indonesian Medical Association","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134288074","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

The Comparison Of The Low-Level Laser Therapy And High Intensity Laser Therapy On Pain And Functional Ability In Knee Osteoarthritis 低强度激光治疗与高强度激光治疗对膝关节骨性关节炎疼痛及功能的影响

Journal Of The Indonesian Medical Association Pub Date : 2023-02-04 DOI: 10.47830/jinma-vol.72.6-2022-826

Setia Wati Astri, Nyoman Murdhana, N. Nusdwinuringtyas, A. Kekalih, Peggy Sunarjo, Ferius Soewito

{"title":"The Comparison Of The Low-Level Laser Therapy And High Intensity Laser Therapy On Pain And Functional Ability In Knee Osteoarthritis","authors":"Setia Wati Astri, Nyoman Murdhana, N. Nusdwinuringtyas, A. Kekalih, Peggy Sunarjo, Ferius Soewito","doi":"10.47830/jinma-vol.72.6-2022-826","DOIUrl":"https://doi.org/10.47830/jinma-vol.72.6-2022-826","url":null,"abstract":"Introduction: Osteoarthritis (OA) of the knee causes disability due to pain and will affect the functional ability to walk. Low-Level Laser Therapy (LLLT) has been shown to reduce pain in knee OA, while High Intensity Laser Therapy (HILT) is able to reach deeper joint areas. \u0000Method: This study aimed to compare the effect differences between LLLT and HILT on pain and functional capacity in knee OA. Methods: This is a double-blind randomized controlled trial with 61 subjects randomized into LLLT (n=31) and HILT (n=30) groups. All the subjects were knee OA patient with Visual Analog Scale (VAS) ≥ 4. The laser therapy and exercise were given 3 times per week for 6 sessions. The pain scale evaluated using VAS and functional ability evaluated using 50-feet walk test. \u0000Result: After 6 sessions, both LLLT and HILT group showed reduced VAS score [∆VAS Score LLLT = 3 (2 – 4), HILT = 3 (2 – 5)] and increased walking speed (∆ walking speed for LLLT = 0.23 (0.02 – 1.24) m/s, HILT = 0.22 (0.08 – 0.7) m/s) which were statistically (p < 0.001) and clinically significant. HILT group had faster walking speed and greater VAS reduction compared to LLLT group (p < 0.001), but there was no significant difference in walking speed between two groups (p=0.655). \u0000Conclusion: HILT and LLLT combined with exercise were effective in reducing pain and increasing functional ability in knee OA after 6 sessions of intervention. Pain and functional ability improvement was faster and greater in HILT group than LLLT group. \u0000 ","PeriodicalId":378619,"journal":{"name":"Journal Of The Indonesian Medical Association","volume":"61 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123150280","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

Rhabdomyolysis in Thyroid Crisis 甲状腺危象中的横纹肌溶解

Journal Of The Indonesian Medical Association Pub Date : 2022-11-21 DOI: 10.47830/jinma-vol.72.5-2022-829

N. Soetedjo, Luse Loe, Maya Kusumawati, E. Ritonga, H. Permana

{"title":"Rhabdomyolysis in Thyroid Crisis","authors":"N. Soetedjo, Luse Loe, Maya Kusumawati, E. Ritonga, H. Permana","doi":"10.47830/jinma-vol.72.5-2022-829","DOIUrl":"https://doi.org/10.47830/jinma-vol.72.5-2022-829","url":null,"abstract":"Pendahuluan: Kondisi rhabdomiolisis dengan krisis tiroid sangat jarang terjadi, di dunia hanya ada terdapat 7 laporan kasus. Kasus ini merupakan kasus kedelapan yang dilaporkan. Laporan Kasus: Laporan kasus mengenai seorang laki-laki 46 tahun dengan Graves’ Disease yang datang dengan krisis tiroid dan rhabdomiolisis. Diskusi: Pasien datang dengan sesak dan jantung berdebar-debar sejak 10 jam sebelum masuk RS ada takikardi (160 kali/menit), takipnea (26 kali/menit), pembesaran tiroid, kelemahan motorik, ronki basah kasar paru bilateral dengan Burch-Wartofsky Point Scale: 60 dan Japan Thyroid Association: TS2 first combination. Laboratorium menunjukkan peningkatan hormon tiroid fT4 >5.0, TSHs: 0.06 uIU/ml, positif TRAb dan Anti TPO, hiperkalemia (7.7 meq/L), ureum 144 mg/dl, kreatinin 1.92 mg/dl, peningkatan creatine kinase (CK) 3645 U/L. Pasien diterapi dengan tatalaksana krisis tiroid (propiltiourasil, lugol, dexamethasone) dan terapi tambahan (dobutamin, digoksin, furosemide, antibiotika, terapi hiperkalemia). Pasien pulang setelah 11 hari perawatan dengan resolusi klinis dan perbaikan kadar CK, ureum, dan kreatinin.Kesimpulan: Hipertiroid dapat menyebabkan rhabdomiolisis. Kondisi ini perlu diwaspadai dan menjadi diagnosis banding pada rhabdomiolisis non traumatik yang disertai gangguan ginjal akut, sehingga penatalaksanaan dapat dilakukan lebih cepat dan baik. \u0000 ","PeriodicalId":378619,"journal":{"name":"Journal Of The Indonesian Medical Association","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128761583","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

Aspek Psikoendokrinoneuroimunologi pada Patogenesis Diabetes Mellitus Tipe 2 梅尔图斯2型糖尿病病原的心理内分泌免疫学方面

Journal Of The Indonesian Medical Association Pub Date : 2022-11-21 DOI: 10.47830/jinma-vol.72.5-2022-860

Ariana Setiani, Gusti Ayu Maharatih, Supriyanto Kartodarsono

引用次数: 0

Penggunaan Anti TNF-α Dalam Bidang Dermatologi

Journal Of The Indonesian Medical Association Pub Date : 2022-11-21 DOI: 10.47830/jinma-vol.72.5-2022-719

Novita Suprapto, Endi Novianto, Aida Sofiati Dachlan Hoemardani

引用次数: 0

Hubungan Lemak Tubuh Dan Volume Hematoma Stroke Perdarahan Intraserebral

Journal Of The Indonesian Medical Association Pub Date : 2022-11-21 DOI: 10.47830/jinma-vol.72.5-2022-559

Eudon Muliawan, M. Kembuan, Melke J. Tumboimbela

{"title":"Hubungan Lemak Tubuh Dan Volume Hematoma Stroke Perdarahan Intraserebral","authors":"Eudon Muliawan, M. Kembuan, Melke J. Tumboimbela","doi":"10.47830/jinma-vol.72.5-2022-559","DOIUrl":"https://doi.org/10.47830/jinma-vol.72.5-2022-559","url":null,"abstract":"Pendahuluan: Persentase lemak tubuh (%LT) dapat dengan mudah dan akurat diprediksi dengan pengukuran tebal lipatan kulit. Sehingga distribusi, hubungan, dan prediksinya terhadap volume hematoma pasien stroke perdarahan intraserebral (PIS) menarik untuk di teliti. Metode: Suatu penelitian potong lintang analitik terhadap subjek dengan stroke PIS di RSUP Prof. Dr. R. D Kandou Manado, Indonesia yang memenuhi kriteria penelitian secara konsekutif diukur ketebalan lipatan kulit tubuh kemudian dikonversi menjadi %LT dan estimasi volume perdarahan dengan metode ellips diperiksa dengan analisis regresi linear.Hasil: Sebanyak 165 sampel (87 laki-laki) rerata usia 53 tahun. 65% sampel memiliki %LT >25% (median 27,8%). Lebih dari 50% laki-laki memiliki %LT >25%, sedangkan 60% perempuan memiliki %LT >30% (p<0,001). Median volume hematoma stroke PIS sebesar 20,5mL (IQR 8,6−43,2mL). Terdapat peningkatan volume hematoma PIS terutama pada laki-laki dengan %LT > 30%. Pada kelompok ini setiap kenaikan %LT akan meningkatkan volume hematoma stroke PIS sebesar 22,34mL (95% CI 5,15−39,52mL; p=0,011).Kesimpulan: Terdapat hubungan bermakna antara %LT yang dinilai dengan ketebalan lipat kulit dengan volume hematoma stroke PIS pada penelitian ini, kenaikan volume tampak jelas khususnya pada laki-laki dengan %LT diatas 30%.","PeriodicalId":378619,"journal":{"name":"Journal Of The Indonesian Medical Association","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114555875","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 Hasil Biakan Spesimen Respirasi pada Agar Miring dan Cawan Petri (Plate) di Laboratorium Parasitologi Fakultas Kedokteran Universitas Indonesia 在印度尼西亚大学医学院医学院的寄生虫学实验室中，比例比较了呼吸侧弯的样本和培养皿

Journal Of The Indonesian Medical Association Pub Date : 2022-11-21 DOI: 10.47830/jinma-vol.72.5-2022-401

Jason Theola, M. Mulyati, Anna Rozaliyani, Ridhawati Ridhawati, R. Adawiyah

{"title":"Perbandingan Hasil Biakan Spesimen Respirasi pada Agar Miring dan Cawan Petri (Plate) di Laboratorium Parasitologi Fakultas Kedokteran Universitas Indonesia","authors":"Jason Theola, M. Mulyati, Anna Rozaliyani, Ridhawati Ridhawati, R. Adawiyah","doi":"10.47830/jinma-vol.72.5-2022-401","DOIUrl":"https://doi.org/10.47830/jinma-vol.72.5-2022-401","url":null,"abstract":"Pendahuluan: Salah satu permasalahan kesehatan utama di Indonesia merupakan penyakit infeksi saluran pernapasan. Penyakit saluran pernapasan dapat diakibatkan oleh jamur, sehingga disebut mikosis paru. Jamur-jamur penyebab infeksi saluran pernapasan pada manusia terdiri atas banyak spesies mulai dari spesies-spesies Candida sp. hingga spesies jamur penyebab mikosis yang lebih patogen, yaitu Aspergillus fumigatus. Metode biakan spesimen respirasi berupa sputum dapat digunakan untuk mengidentifikasi spesies jamur penyebab mikosis paru. Tujuan penelitian ini dilakukan untuk mengetahui perbandingan hasil kultur yang dapat tumbuh pada media agar saboraud dekstrosa dengan metode biakan konvensional menggunakan agar miring dan metode biakan High Volume Culture pada cawan petri (plate).Metode: Penelitian ini menggunakan desain potong lintang di mana hasil kultur diidentifikasi dari sputum yang dibiakan pada metode yang berbeda.Hasil: Metode High Volume Culture dapat menumbuhkan lebih banyak koloni jamur termasuk Aspergillus fumigatus dibandingkan dengan metode konvensional yang tidak menumbuhkan Aspergillus fumigatus. Data hasil kultur pada dua metode berbeda tersebut kemudian dianalisis korelasinya dengan uji McNemar dan didapatkan nilai kemaknaan p=0.000.Kesimpulan: Hubungan antara metode biakan dengan hasil kultur mempunyai korelasi yang signifikan (p<0.05). Metode High Volume Culture merupakan metode yang lebih baik untuk menumbuhkan lebih banyak koloni jamur termasuk Aspergillus fumigatus dibandingkan dengan metode kultur konvensional.","PeriodicalId":378619,"journal":{"name":"Journal Of The Indonesian Medical Association","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131959814","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

Constant Malaria Transmission From Migrating Humans Residing In Low Endemic Areas 居住在低流行地区的迁徙人类持续传播疟疾

Journal Of The Indonesian Medical Association Pub Date : 2022-11-21 DOI: 10.47830/jinma-vol.72.5-2022-631

Risma Malasari, N. Rahma, Sri Nur Rahmi Nur Rustam, R. Sjahril, I. Wahid

{"title":"Constant Malaria Transmission From Migrating Humans Residing In Low Endemic Areas","authors":"Risma Malasari, N. Rahma, Sri Nur Rahmi Nur Rustam, R. Sjahril, I. Wahid","doi":"10.47830/jinma-vol.72.5-2022-631","DOIUrl":"https://doi.org/10.47830/jinma-vol.72.5-2022-631","url":null,"abstract":"Introduction: Malaria is an infectious disease that continues to be a public health issue worldwide, including in Indonesia. This study aims to detect the presence of Plasmodium parasites among immigrants from malaria endemic areas. Method: The research was conducted from September until November 2019 in three regency/cities in South Sulawesi, namely Makassar City, Tana Toraja and North Toraja. The population in this study were immigrants from malaria endemic areas (native Papua and non-Papua) who lived in the area for at least 2 years before visiting the cities of Makassar, Tana Toraja, or North Toraja. All samples were examined for malaria parasites using Polymerase Chain Reaction (PCR). Results: The results of the PCR test on 256 samples of migrants (native Papuan and non-Papuan) detected 19.53% positive for malaria. This research showed that a high prevalence of malaria parasites was found among asymptomatic immigrants, both native Papuans and non-Papuans in South Sulawesi. Conclusion: It can be concluded that the asymptomatic immigrants from endemic areas such as Papua need to be screened early because they may still have malaria parasites in their blood and become carriers, leading potential to cause local transmission.","PeriodicalId":378619,"journal":{"name":"Journal Of The Indonesian Medical Association","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129358346","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