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Jurnal Penyakit Dalam Indonesia

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Full-Text Articles in Medical Specialties

Left Ventricular Diastolic Dysfunction In Liver Cirrhotic Patients: Proportion, Correlation, And Relationship Of Diastolic Parameters With Stage Of Liver Dysfunction, Prionggo Mondrowinduro, Irsan Hasan, Idrus Alwi, Murdani Abdullah Mar 2018

Left Ventricular Diastolic Dysfunction In Liver Cirrhotic Patients: Proportion, Correlation, And Relationship Of Diastolic Parameters With Stage Of Liver Dysfunction, Prionggo Mondrowinduro, Irsan Hasan, Idrus Alwi, Murdani Abdullah

Jurnal Penyakit Dalam Indonesia

Introduction. Cardiovascular complication of liver cirrhosis is relatively obscure. Pathophysiology of liver cirrhosis, involving portal hypertension made the possibility of cirrhosis complication manifested as left ventricular diastolic dysfunction. This study aims to determine proportion of left ventricular diastolic dysfunction among liver cirrhotic patients according to American Society of Echocardiography-European Association of Echocardiography (ASE-EAE) 2009 and conventional approach, to determine any correlation between left ventricular diastolic dysfunction severity stages with severity stages of liver dysfunction in cirrhotic patients represented by Child Turcotte Pugh (CTP ) score, also to asses relationship between severity stages of parameters of diastolic function according to ASE-EAE …


Management Of Antithrombotic In Endoscopic Procedures, Dwi Suseno, Ari Fahrial Syam Mar 2018

Management Of Antithrombotic In Endoscopic Procedures, Dwi Suseno, Ari Fahrial Syam

Jurnal Penyakit Dalam Indonesia

The use of antithrombotic medicine has increased along with the growing number of cardiovascular disease in the world. Endoscopy procedure often done to the patients who use antithrombotic medicine. Eventhough most of endoscopies are safe for those patients, there are some main things related to antithrombotic treatment management that have to be noted such as the kind of antithrombotic that being used, stratification of bleeding risk on the procedure, the risk of future thromboembolic, and the process of antithrombotic treatment re-initiation. So that, patient’s safety in undergoing endoscopy procedure is guaranteed.


Association Between Stigma, Arv Therapy And Complications Ofpsychiatric Disorders Iin Hiv / Aids Patients, Yamaji Adi Wicaksono, Alifiati Fitrikasari, Muchlis Achsan Udji Sofro, Hari Peni Mar 2018

Association Between Stigma, Arv Therapy And Complications Ofpsychiatric Disorders Iin Hiv / Aids Patients, Yamaji Adi Wicaksono, Alifiati Fitrikasari, Muchlis Achsan Udji Sofro, Hari Peni

Jurnal Penyakit Dalam Indonesia

Introduction. Stigma and discrimination among HIV/AIDS patients cause varrious problems such as physical, psychological, and social. Therefore, its management requires comprehensive intervention. Antiretroviral therapy improves the patient’s clinical course, but may lead to neuropsychiatric complications especially anxiety disorders, depression, and psychotic disorders. This study aimed to know the associationbetween stigma,ARV therapy and complications of psychiatric disorders of HIV patients. Methods. A cross-sectional study was conducted among HIV/AIDS patients undergoing antiretroviral therapy in VCT-CST RSUP dr. Kariadi and RSUD RAA Soewondo Pati. Subjects were recruited using consecutive sampling method. Asessment of disorders and stigma was conducted using Structured Clinical Interview for …


Performance Of Xpert Mtb/Rif By Using Gastric Lavage Samplein The Diagnosis Of Pulmonary Tuberculosis In Hiv Patients Withsuspected Pulmonary Tuberculosis, Manuel Lamberto Willem Mboeik, Ceva Wicaksono Pitoyo, Teguh Harjono Karjadi, Anis Karuniawati, Esthika Dewiasty Mar 2018

Performance Of Xpert Mtb/Rif By Using Gastric Lavage Samplein The Diagnosis Of Pulmonary Tuberculosis In Hiv Patients Withsuspected Pulmonary Tuberculosis, Manuel Lamberto Willem Mboeik, Ceva Wicaksono Pitoyo, Teguh Harjono Karjadi, Anis Karuniawati, Esthika Dewiasty

Jurnal Penyakit Dalam Indonesia

Introduction. Xpert MTB/RIF test on gastric lavage sample may improve pulmonary tuberculosis (TB) case finding, but its performance as a diagnostic test for pulmonary TB in HIV-infected adults patients has not been studied widely, including in Indonesia. This study aims to determine the performance of the Xpert MTB/RIF test in diagnosing pulmonary tuberculosis 30 | Jurnal Penyakit Dalam Indonesia | Vol. 5, No. 1 | Maret 2018 Manuel Lamberto Willem Mboeik, Ceva Wicaksono Pitoyo, Teguh Harjono Karjadi, Anis Karuniawati, Esthika Dewiasty among HIV-infected adult patients with suspected pulmonary tuberculosis by using gastric lavage sample. Method. A cross-sectional study was conducted …


Rino-Orbital-Cerebral Mucormicosys In A Patient Type 1diabetic: A Case Report, Hamka Gunawan Marpaung, Gery Dala Prima Baso, Aulia Rizka, Erni Juwita Nelwan, Retno S. Wardani, Retno Wahyuningsih Mar 2018

Rino-Orbital-Cerebral Mucormicosys In A Patient Type 1diabetic: A Case Report, Hamka Gunawan Marpaung, Gery Dala Prima Baso, Aulia Rizka, Erni Juwita Nelwan, Retno S. Wardani, Retno Wahyuningsih

Jurnal Penyakit Dalam Indonesia

Mucormycosis is an opportunistic andfrequently fulminating fungal infection causedby members of the family Mucoraceae, orderMucorales and class Zygomycetes which highly invasive and high mortality. Mucormycosis occurs in diabetic patients with poor blood glucose control. We reported a case of rhinocerebral mucormycosis in 20-year-old female patient with type 1 diabetes. The patient was treated for diabetic ketoacidosis and swollen symptoms in the left eye and out secretions from the left nose containing blackish spots. The probable diagnosis of rhinocerebral mucormycosis is made based on the results of direct examination and culture of nasal and palate tissue biopcywhich result suitable for Mucor …


Validity Of Simple Risk Index And Evaluation Of Methods Andmanagement Of Acute Coronary Events To Predict Mortality Inacute Coronary Syndrome Patients In Intensive Coronary Careunit Cipto Mangunkusumo Hospital, Rahmah Safitri Meutia, Sally Aman Nasution, Lukman H. Makmun Dec 2017

Validity Of Simple Risk Index And Evaluation Of Methods Andmanagement Of Acute Coronary Events To Predict Mortality Inacute Coronary Syndrome Patients In Intensive Coronary Careunit Cipto Mangunkusumo Hospital, Rahmah Safitri Meutia, Sally Aman Nasution, Lukman H. Makmun

Jurnal Penyakit Dalam Indonesia

Introduction. Risk stratification is an important part in the management of patients with an Acute Coronary Syndrome (ACS) to avoid overtreatment or undertreatment. Although Simple Risk Index (SRI) and Evaluation of Methods and Management of Acute Coronary Events (EMMACE) have been validated in other countries, no study of its applicability has been performed in Indonesia with different patients’ characteristics. This study aims to obtain the calibration and discrimination performance of SRI and EMMACE to predict 30 days mortality in ACS patients in ICCU of Cipto Mangunkusumo Hospital. Methods. A retrospective cohort study with consecutive sampling was conducted in ACS patients …


Vaksinasi Pada Lansia, Iris Rengganis Dec 2017

Vaksinasi Pada Lansia, Iris Rengganis

Jurnal Penyakit Dalam Indonesia

No abstract provided.


Antiphospholipid Antibody Profile In Hiv/Aids Patients, Inolyn Pandjaitan, Nanang Sukmana, Shufrie Effendy Dec 2017

Antiphospholipid Antibody Profile In Hiv/Aids Patients, Inolyn Pandjaitan, Nanang Sukmana, Shufrie Effendy

Jurnal Penyakit Dalam Indonesia

Introduction. Through the process of molecular mimicry, human immunodeficiency virus (HIV) infection can increase the concentration of antiphospholipid antibody (APA) which has possible association with thrombosis. The molecular mimicry in this HIV/AIDS patients is influenced by several factors, such as immunocompromised condition, the use of antitretroviral (ARV) therapy, hepatitis B and C coinfection, use of other drugs, and history of intravenous drug user (IDU). We conducted this study to determine the profile and prevalence of antiphospholipid antibody in patients with HIV/ AIDS in Dr. Cipto Mangunkusumo General Hospital. Further, we explored the relationship between APA in HIV/AIDS patients with the …


The Relationship Between Age And Activity Of Daily Living Withthe Fall Risk Of Patients In Geriatric Outpatient Installation, Agustin Junior Nanda Deniro, Nuniek Nugraheni Sulistiawati, Novira Widajanti Dec 2017

The Relationship Between Age And Activity Of Daily Living Withthe Fall Risk Of Patients In Geriatric Outpatient Installation, Agustin Junior Nanda Deniro, Nuniek Nugraheni Sulistiawati, Novira Widajanti

Jurnal Penyakit Dalam Indonesia

Introduction. Fall is one of the physical problems that happened quite frequently and resulted in morbidity and mortality of old people. There are several factors related to fall risk, among others are age and independence in activity of daily living. Methods. This research is an observational analytical study with cross sectional approach, by collecting free variable data (age and activity of daily living) through interview and Barthel index score, dependent variable (fall risk) by direct observation using Timed Up and Go test that analyzed by Rank Spearman correlation test. The number of samples with incidental sampling technique was 55 patients …


Predictor Factors Affecting Seroconversion Post-Influenzavaccination In The Elderly, Saskia Aziza Nursyirwan, Sukamto Koesnoe, Edy Rizal Wahyudi Dec 2017

Predictor Factors Affecting Seroconversion Post-Influenzavaccination In The Elderly, Saskia Aziza Nursyirwan, Sukamto Koesnoe, Edy Rizal Wahyudi

Jurnal Penyakit Dalam Indonesia

Introduction. The influenza vaccine as the most effective method for preventing influenza virus infection currently has lower efficacy in the elderly than younger adults due to change of immune response as well as other risk factors. This study aims to identify predictor factors affecting seroconversion post-influenza vaccination in elderly. Methods. retrospective cohort study in the elderly population in East Jakarta Posyandu who got the influenza vaccine. A total of 277 subjects with antibody titre pre and one month post-vaccination influenza were examined. Risk factors such as age, gender, exercise status, smoking status, type 2 diabetes, pulmonary, and cardiovascular disease, nutritional …


Diagnosis And Treatment Of Pneumocystis Carinii Pneumonia (Pcp)/Pneumocystis Jirovecii Pneumonia In Hiv Patient: A Case Report, Dewi Rizki Agustina, Christy Efiyanti, Evy Yunihastuti Dec 2017

Diagnosis And Treatment Of Pneumocystis Carinii Pneumonia (Pcp)/Pneumocystis Jirovecii Pneumonia In Hiv Patient: A Case Report, Dewi Rizki Agustina, Christy Efiyanti, Evy Yunihastuti

Jurnal Penyakit Dalam Indonesia

Pneumocystis carinii pneumonia (PCP) or pneumocystis jirovecii pneumonia is an opportunistic infection that can occur in immunocompromised patients. In patients with HIV, PCP is the most common opportunistic infection especially in patients with CD4 cell counts less than 200 cell /ul. To diagnose a PCP is very difficult because symptoms, blood tests, and thoracic radiography are not pathognomonic for PCP. However, untreated PCP is almost always fatal. Trimethroprimsulfamethoxazole (TMX-SMX) orally or intravenously for 21 days is the drug of choice for managing PCP with or without HIV. This article discusses a case with patients with symptoms of dyspneu, unproductive cough, …


Cardiotoxicity Complication Of Radiotherapy, Beta Agustia Wisman, Sally Aman Nasution, Marulam M. Panggabean Dec 2017

Cardiotoxicity Complication Of Radiotherapy, Beta Agustia Wisman, Sally Aman Nasution, Marulam M. Panggabean

Jurnal Penyakit Dalam Indonesia

Radiation is an important modality in the management of malignancy. Some cases of malignancy requiring radiotherapy in the chest include breast cancer, Hodgkin's lymphoma, or lung cancer.Cardiotoxicity due to radiotherapy can occur within 3 to 29 years after radiotherapy, mostly in the second or third decade after therapy. Some cardiovascular complications resulting from radiotherapy may affect pericardial, myocardial, vascular, heart valves and conduction disturbances. Symptomatic cardiotoxicity may occurs 10% in patients undergoing radiotherapy in the chest area. It is important for clinicians to understand the cardiotoxicity of radiotherapy for educational purposes, therapeutic and dosing considerations, treatment monitoring and early detection. …


The Patterns Of Primary Cotrimoxazole Prophylaxis In Adult Hivpatients In Hiv Integrated Clinic Cipto Mangunkusumo Hospitaljakarta In 2004-2013, Ken Ayu Mastini, Zubair Djoerban, Evy Yunihastuti Dec 2017

The Patterns Of Primary Cotrimoxazole Prophylaxis In Adult Hivpatients In Hiv Integrated Clinic Cipto Mangunkusumo Hospitaljakarta In 2004-2013, Ken Ayu Mastini, Zubair Djoerban, Evy Yunihastuti

Jurnal Penyakit Dalam Indonesia

Introduction. Low rate use of cotrimoxazole which is a standard of primary prevention against toxoplasmosis infection and Pneumocystis jirovecii pneumonia (PCP) in patients with CD4 <200 cell>/mm3 was found. This study aims to describe prescription pattern of cotrimoxazole primary prophylaxis in adult HIV patients in RSCM. Methods. A cohort retrospective study was conducted in HIV Integrated Clinic Cipto Mangunkusumo Hospital patients from 2004 to 2013. Individuals were eligible for this study if they were ≥18 years old and had indication of primary cotrimoxazole prophylaxis. Variable analyzed in this study were initiation, discontinuation, dosage, duration, duration percentage, and adverse events of primary …


Association Between Disease Activity And Depression Inrheumatoid Arthritis Patients, E Mudjaddid, Myra Puspitasari, Bambang Setyohadi Dec 2017

Association Between Disease Activity And Depression Inrheumatoid Arthritis Patients, E Mudjaddid, Myra Puspitasari, Bambang Setyohadi

Jurnal Penyakit Dalam Indonesia

Introduction. Rheumatoid Arthritis (RA) is a chronic, systemic disease that cause synovialinflammation and progressive destruction to cartilages and deformities. Prevalence of depressionin RA patients is 20 to 30%. Disease activity is considered to have association with depression. This study aims to identify the prevalence of depression in RA patients and the associationbetween disease activity index and depression in RA patients. Methods. A cross-sectional study of 145 RA patients that fulfilled the inclusion criteria was conducted in Rheumatology Outpatient Clinic at Cipto Mangunkusumo Hospital Jakarta from January to March 2017.Evaluation of Disease Activity Score - 28 (DAS 28) and Back Depression …


Prevalence Of Noncompliance Of Control Visits In Hypertensivepatients Treated At Primary Referral Hospitals And Related Factors, Nikko Darnindro, Johannes Sarwono Sep 2017

Prevalence Of Noncompliance Of Control Visits In Hypertensivepatients Treated At Primary Referral Hospitals And Related Factors, Nikko Darnindro, Johannes Sarwono

Jurnal Penyakit Dalam Indonesia

Introduction. According to WHO, hypertension is associated with 7.5 million deaths worldwide or 12.8% of all deaths. Meanwhile, based on Riskesdas 2013 in Indonesia, hypertension is still a major health problem with a prevalence of 26.5%. Noncompliance is a major cause of treatment failure of hypertension and risk factors for cardiovascular comorbidity. No previous research has been found that examines patient control compliance in the suburban community. This study aims to analyze the prevalence of patients who did not control after hypertension treatment in primary referral hospitals Methods. This study was a retrospective study, by tracking medical records in patients …


Validity And Reability Test Of Indonesian Version Of World Healthorganization Quality Of Life-Hiv Bref Questionnaire To Measurethe Quality Of Life Patients With Hiv/Aids, Nanda N. Muhammad, Hamzah Shatri, Zubairi Djoerban Sep 2017

Validity And Reability Test Of Indonesian Version Of World Healthorganization Quality Of Life-Hiv Bref Questionnaire To Measurethe Quality Of Life Patients With Hiv/Aids, Nanda N. Muhammad, Hamzah Shatri, Zubairi Djoerban

Jurnal Penyakit Dalam Indonesia

Introduction. Health-related quality of life among HIV patients can be used as one of several indicators of successful therapy. WHOQOL-HIV BREF questionnaire is one of the instruments used to assess the patients’ quality of life that has been used in many countries, but never been tested for its validity and reliability in Indonesia. This study aims to determine the validity and reliability of the questionnaire WHOQOL-HIV BREF in bahasa Indonesia as a tool for measuring the quality of life of HIV patients. Methods. A cross-sectional study was conducted in HIV Integrated Service Unit Cipto Mangunkusumo General Hospital (RSCM) Jakarta in …


Peripheral Artery Disease Accompanied By Intermittentclaudication In Rural Areas Of Sikka Regency – A Cross Sectionalstudy With Pulse Palpation Methods And Its Risk Factors, Naldo Sofian, Garry Prasetyo, Stephanie Wibisono Sep 2017

Peripheral Artery Disease Accompanied By Intermittentclaudication In Rural Areas Of Sikka Regency – A Cross Sectionalstudy With Pulse Palpation Methods And Its Risk Factors, Naldo Sofian, Garry Prasetyo, Stephanie Wibisono

Jurnal Penyakit Dalam Indonesia

Introduction. There are few studies regarding peripheral artery disease (PAD by intermittent claudication) on adults in Indonesia, including its risk factors. This study aims to determine relationship and comparison of PAD accompanied by intermittent intermittent claudication risk factors in adult, especially in rural areas of Sikka regency, Flores, measured by pulse palpation. Methods. A cross sectional study in 3 primary healthcare working areas in Sikka regency and consecutive sampling had been done. Interview of risk factors was conducted and blood pressure was taken from all four extremities in supine position. Ankle brachial index (ABI) value was defined as systolic blood …


Apakah Hemodialisis Tiga Kali Seminggu Lebih Baik?, Pringgodigdo Nugroho Sep 2017

Apakah Hemodialisis Tiga Kali Seminggu Lebih Baik?, Pringgodigdo Nugroho

Jurnal Penyakit Dalam Indonesia

No abstract provided.


Clinical Features And Quality Of Life In End Stage Renal Diseasepatients Undergoing Hemodialysis Twice A Week Compared Tothrice A Week, Fitri Imelda, Endang Susalit, M Bonar M. Marbun Sep 2017

Clinical Features And Quality Of Life In End Stage Renal Diseasepatients Undergoing Hemodialysis Twice A Week Compared Tothrice A Week, Fitri Imelda, Endang Susalit, M Bonar M. Marbun

Jurnal Penyakit Dalam Indonesia

Introduction. National Kidney Foundation Kidney Disease Outcomes Quality Initiative (NFK-KDOQI) recommends thrice weekly hemodialysis (HD) However, in Indonesia, most patients are given HD twice a week. Therefore it is necessary to investigate the clinical features and quality of life in End Stage Renal Disease (ESRD) patients undergoing twice-weekly HD. This study aimed to identify the clinical features and the quality of life in ESRD patients undergoing hemodialysis twice a week. Methods. A cross-sectional study was conducted in ESRD patients undergoing twice-weekly HD and thrice-weekly HD at Cipto Mangunkusumo Hospital and some private hospitals in Jakarta. Blood samples were obtained for …


Diagnosis And Treatment Of Celiac Disease, Harini Oktadiana, Murdani Abdullah, Kaka Renaldi Sep 2017

Diagnosis And Treatment Of Celiac Disease, Harini Oktadiana, Murdani Abdullah, Kaka Renaldi

Jurnal Penyakit Dalam Indonesia

Celiac disease is a reversible, proximal immune enteropathy resulting from the interaction of dietary gluten with the intestinal immune system. Celiac disease can produce varied manifestations and may develop at any age. New cases have increased substantially, due to increase awareness and better diagnostic tools. Standard diagnosis of celiac disease is based on positive serologic tests and histopathologic examination of duodenal biopsies. Treatment of celiac disease with free gluten diet will improve symptoms, quality of life, reduce risk of malignancy and complication. Nowadays, treatment strategy of celiac disease with non-dietary therapies is still underdevelopment.


Conformance Level Of Histopathological Examination In Biopsypre Colonoscopy Compared To Histopathological Examinationin Surgery With Tumors In The Colon At The Endoscopy Andgastrointestinal Centre Of Rscm, Ifransyah Fuadi, Dadang Makmun, Ening Krisnuhoni Sep 2017

Conformance Level Of Histopathological Examination In Biopsypre Colonoscopy Compared To Histopathological Examinationin Surgery With Tumors In The Colon At The Endoscopy Andgastrointestinal Centre Of Rscm, Ifransyah Fuadi, Dadang Makmun, Ening Krisnuhoni

Jurnal Penyakit Dalam Indonesia

Introduction. Level of agreement comparison between biopsy per colonoscopy examination is used to measure of the quality of a colonoscopy examination and needed to be identified. This study aims to identify level of agreement comparison between histopathologic examination of biopsy per colonoscopy and histopathologic examination per surgical. Methods. A cross sectional study was conducted by using medical records from patients with colon tumor who had undergone histopathologic examination with biopsy per colonoscopy and then confirmed by surgical procedure in PESC RSPUN dr. Cipto Mangunkusumo between 1st January, 2006 31st December, 2015. Level of agreement calculated using comparative agreement category test …


Reliability And Validity Test Of Indonesian Version Short Form12 Quality Of Life Questionnaire In Rheumatoid Arthritis Patient, Nabil Mubtadi Falah, Rudi Putranto, Bambang Setyohadi Sep 2017

Reliability And Validity Test Of Indonesian Version Short Form12 Quality Of Life Questionnaire In Rheumatoid Arthritis Patient, Nabil Mubtadi Falah, Rudi Putranto, Bambang Setyohadi

Jurnal Penyakit Dalam Indonesia

Introduction. Rheumatoid Arthritis is a chronic disease requiring a long-term medication affecting quality of life. Short Form 12 is a generic questionnaire to assess patients quality of life and has been validated in England. This study was designed to test reliability and validity of Indonesian version of SF-12 questionnaire. Methods. Sixty-five patients with clinically diagnosed RA using ACR/EULAR criterion were interviewed using Short Form 36 and Short Form 12 questionnaire. Validity was assessed with construct validity and external validity, while reliability tested with internal consistency and test-retest method. Results. Short-Form 12 (Indonesian Version) did not proved having a good validity, …


Diagnosis And Treatment Of Conn Syndrome: A Case Study, Muhammad Syah Abdaly, Juliyanti Juliyanti, Maruhum Bonar Marbun Sep 2017

Diagnosis And Treatment Of Conn Syndrome: A Case Study, Muhammad Syah Abdaly, Juliyanti Juliyanti, Maruhum Bonar Marbun

Jurnal Penyakit Dalam Indonesia

Acute neuromuscular disorder is a commonly found medical condition, which may prove to be fatal in certain conditions. Hypokalemia is one possible cause of neuromuscular disorder. In patient with hypokalemia accompanied with hypertension, primary hyperaldosteronism might be the primary cause. Primary hyperaldosteronism (Conn syndrome) is clinically known as a triad, which is consists of hypertension, hypokalemia, and metabolic alkalosis. In this article, the case of a patient with neuromuscular disorder is presented, and after evaluation, it was found that the patient was suffered from the Conn syndrome


The Association Between Elevated Levels Of Erythropoietin Andendothelial Progenitor Cell With Improvement Of Endothelialfunction In Renal Failure Patients 3 Months After Kidneytransplantation, Linda Armelia, Endang Susalit, Maruhum Bonar Hm, Hamzah Shatri Jun 2017

The Association Between Elevated Levels Of Erythropoietin Andendothelial Progenitor Cell With Improvement Of Endothelialfunction In Renal Failure Patients 3 Months After Kidneytransplantation, Linda Armelia, Endang Susalit, Maruhum Bonar Hm, Hamzah Shatri

Jurnal Penyakit Dalam Indonesia

Introduction. Endothelial progenitor cell (EPC) is considered possible to reduce asymmetric dimethylarginine (ADMA) levels, which is a marker of improved endothelial function. However, clinically, there is still a debate about the role of EPC. This study was conducted to determine the correlation of elevated levels of erythropoietin (Epo) and the number of EPC CD34 + and CD133 + with improvement of endothelial function in renal failure patients 3 months after kidney transplantation. Methods. A cross-sectional study was conducted in prior and 3 months after kidney transplantation of renal failure patients who underwent a kidney transplant in Cipto Mangunkusumo hospital. The …


The Changes Of Amino Terminal Pro B-Type Natriuretic Peptide(Nt-Probnp) Concentration And Left Ventricular Ejectionfraction On Doxorubicin Chemotherapy Patients, Telly Kamelia, Sarwono Waspadji, Lukman Hakim Makmun, Shufrie Effendi, Muchlis Ramli, Ina Susanti Timan Jun 2017

The Changes Of Amino Terminal Pro B-Type Natriuretic Peptide(Nt-Probnp) Concentration And Left Ventricular Ejectionfraction On Doxorubicin Chemotherapy Patients, Telly Kamelia, Sarwono Waspadji, Lukman Hakim Makmun, Shufrie Effendi, Muchlis Ramli, Ina Susanti Timan

Jurnal Penyakit Dalam Indonesia

Introduction. Cancer patients who received chemotherapy regimen containing doxorubicin has been known to have serious side effect in heart, called as cardiotoxicity. The measurement of NT-proBNP proposed to be used as a new parameter to identify and evaluate cardiotoxicity in cancer patients earlier before it has been manifested, superior than measurement of left ventricle ejection fraction (LVEF). The aims of this study to examine the changes of NT-proBNP concentration and LVEF on patients with cancer who receive chemotherapy regimen containing doxorubicin. Methods. The study used pre and post test design to observe the changes of NT-proBNP concentration and LVEF on …


Validation Of Rapid Emergency Medicine Score (Rems) In Predicting30 Days Mortality In Elderly Visiting Emergency Department, Aulia Rizka, Kuntjoro Harimurti, Ceva W. Pitoyo, Soekamto Koesno Jun 2017

Validation Of Rapid Emergency Medicine Score (Rems) In Predicting30 Days Mortality In Elderly Visiting Emergency Department, Aulia Rizka, Kuntjoro Harimurti, Ceva W. Pitoyo, Soekamto Koesno

Jurnal Penyakit Dalam Indonesia

Introduction. Rapid Emergency Medicine Score (REMS) has been known as a useful instrument to stratify patients in emergency department (ED) based on its ability to predict short term mortality. As the clinical characteristics of elderly patients visiting ED are frequently aypical, validation of REMS in this specific population is very important. To measure predictive validity of REMS in elderly patients visiting ED Methods. Prospective cohort study in elderly visiting ED of Cipto Mangunkusumo between September to October 2016. Subjects were followed for 30 days after visiting ED. Calibration (Hosmer Lemeshow test), discrimination (Area Under ROC Curve) and REMS predictive value …


Factors Associated With Retention In Care One Year After Deliveryin Patients Undergoing Prevention Of Mother To Child Transmission(Pmtct) At Rscm, Yulidar Yulidar, Evy Yunihastuti, Samsuridjal Djauzi, Astrid Citra Padmita, Sukamto Koesnoe Jun 2017

Factors Associated With Retention In Care One Year After Deliveryin Patients Undergoing Prevention Of Mother To Child Transmission(Pmtct) At Rscm, Yulidar Yulidar, Evy Yunihastuti, Samsuridjal Djauzi, Astrid Citra Padmita, Sukamto Koesnoe

Jurnal Penyakit Dalam Indonesia

Introduction. Retention in care is important to the successful of HIV treatment. This study is aimed to analyze factors associated with retention in care one year after delivery in patients undergoing PMTCT at HIV integrated clinic of RSCM. Methods. A retrospective cohort study was conducted among post-partum HIV patients who were given ARV therapy for PMTCT at HIV intergrated clinic of Cipto Mangunkusumo Hospital from January 2004 to May 2014. Evaluation of one year retention in care after PMTCT was performed by observing medical records of the patient. The collected data were factors associated with one year after delivery retention …


Clinical Characteristic And Prevalence Of Invasive Candidiasis Patient In Cipto Mangunkusumo Hospital, Kemal Fariz Kalista, Lie Khie Chen, Retno Wahyuningsih, Cleopas Martin Rumende Jun 2017

Clinical Characteristic And Prevalence Of Invasive Candidiasis Patient In Cipto Mangunkusumo Hospital, Kemal Fariz Kalista, Lie Khie Chen, Retno Wahyuningsih, Cleopas Martin Rumende

Jurnal Penyakit Dalam Indonesia

Introduction. Incidence of invasive fungal infections (IFI) are reportedly increasing in many countries. Candida is the most common cause of IFI. This study was conducted to determine the prevalence, clinical characteristics, and etiologic pathogen in adult patients with invasive candidiasis (IC) at Cipto Mangunkusumo Hhospital. Methods. This was a cross sectional study with restropective data collection fromof septic patients that’ medical records hospitalized in January 2012 until June 2014. Subjects were selected based on EORTC/MSG 2008 diagnostic criteria for IC. Demographic data, clinical and supporting data, diagnosis, etiologic pathogens, antibiotics, antifungal, outcome, and length of stay were recorded. Results. The …


Correlation Between Disease Duration, Disease Activity Scoreand Disability Score With Diastolic Dysfunction In Rheumatoidarthritis Women In Dr. Cipto Mangunkusumo Hospital, Dono Antono, Bernard Agus Sakti Dhaki, Harry Isbagio, Hamzah Shatri Jun 2017

Correlation Between Disease Duration, Disease Activity Scoreand Disability Score With Diastolic Dysfunction In Rheumatoidarthritis Women In Dr. Cipto Mangunkusumo Hospital, Dono Antono, Bernard Agus Sakti Dhaki, Harry Isbagio, Hamzah Shatri

Jurnal Penyakit Dalam Indonesia

Introduction. There are only few studies about correlation between non traditional risk factor and diastolic dysfunction in RA patients. This study aims to determinate the correlation between non traditional risk factors, including disease duration, disease activity and disability score with the diastolic dysfunction of women with RA. Methods. A cross-sectional, consecutive sampling study was conducted to 52 RA women without any previous cardiovascular disease history. All participants underwent an echocardiography to assess diastolic dysfunction and other findings associated. Duration of disease was assesed by direct interview, while the disease activity by calculating DAS28 and disability score by HAQ-DI. Results. Diastolic …


Risiko Kardiovaskuler Pada Pasien Artritis Reumatoid, Rudy Hidayat Jun 2017

Risiko Kardiovaskuler Pada Pasien Artritis Reumatoid, Rudy Hidayat

Jurnal Penyakit Dalam Indonesia

No abstract provided.