Sindrom Tolosa Hunt adalah nyeri periorbital atau orbital unilateral serta paresis satu atau lebih saraf kranial III, IV, dan/atau VI, yang disebabkan oleh peradangan sinus kavernosus, fisura orbital superior, dan rongga orbital. Gejala berkurang dalam 72 jam setelah terapi corticosteroid yang adekuat. Diagnosis yang tepat memungkinkan intervensi segera, dengan demikian dapat mencegah keparahan termasuk kehilangan penglihatan. Tolosa Hunt syndrome is unilateral periorbital or orbital pain and paresis of one or more cranial nerves III, IV, and/or VI caused by inflammation of the cavernous sinus, superior orbital fissure, and orbital cavity. Symptoms will relieve within 72 hours after adequate corticosteroid therapy. Appropriate diagnosis of the disease can allow for immediate intervention and thus prevent severity including loss of vision.
{"title":"Diagnosis dan Tata Laksana Sindrom Tolosa Hunt","authors":"Amelia Puspita Suhendro","doi":"10.55175/cdk.v50i9.1034","DOIUrl":"https://doi.org/10.55175/cdk.v50i9.1034","url":null,"abstract":"Sindrom Tolosa Hunt adalah nyeri periorbital atau orbital unilateral serta paresis satu atau lebih saraf kranial III, IV, dan/atau VI, yang disebabkan oleh peradangan sinus kavernosus, fisura orbital superior, dan rongga orbital. Gejala berkurang dalam 72 jam setelah terapi corticosteroid yang adekuat. Diagnosis yang tepat memungkinkan intervensi segera, dengan demikian dapat mencegah keparahan termasuk kehilangan penglihatan. Tolosa Hunt syndrome is unilateral periorbital or orbital pain and paresis of one or more cranial nerves III, IV, and/or VI caused by inflammation of the cavernous sinus, superior orbital fissure, and orbital cavity. Symptoms will relieve within 72 hours after adequate corticosteroid therapy. Appropriate diagnosis of the disease can allow for immediate intervention and thus prevent severity including loss of vision.","PeriodicalId":295318,"journal":{"name":"Cermin Dunia Kedokteran","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131480371","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}
Massa ovarium dapat berupa kista yang merupakan kantong berisi cairan di sekitar ovarium ataupun tumor yang merupakan perkembangan sel abnormal. USG dapat menilai massa ovarium pasien berdasarkan penilaian IOTA. Ovarial masses can be cysts or tumors. Ultrasound examination can assess ovarian mass through IOTA assessment.
{"title":"Pendekatan Klinis Massa Ovarium di Fasilitas Kesehatan Tingkat Pertama dengan USG menggunakan penilaian IOTA","authors":"F. Kusuma, K. Suryoadji","doi":"10.55175/cdk.v50i9.835","DOIUrl":"https://doi.org/10.55175/cdk.v50i9.835","url":null,"abstract":"Massa ovarium dapat berupa kista yang merupakan kantong berisi cairan di sekitar ovarium ataupun tumor yang merupakan perkembangan sel abnormal. USG dapat menilai massa ovarium pasien berdasarkan penilaian IOTA.\u0000 \u0000Ovarial masses can be cysts or tumors. Ultrasound examination can assess ovarian mass through IOTA assessment.","PeriodicalId":295318,"journal":{"name":"Cermin Dunia Kedokteran","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121066905","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}
Sri Agustina, Johanes Singoreto Widjaja, Riska Puspasari, Dika Chandra
Latar Belakang. Acetosal dan clopidogrel merupakan agen antiplatelet yang sering digunakan dalam pencegahan stroke iskemik. Tujuan. Mengetahui kejadian rekurensi stroke iskemik dengan terapi antiplatelet di poliklinik saraf Rumah Sakit Tingkat III Brawijaya Surabaya. Metode. Penelitian cross-sectional deskriptif non-eksperimental. Data rekam medis pasien stroke iskemik dengan terapi antiplatelet periode Agustus – November tahun 2022 di Rumah Sakit Tingkat III Brawijaya Surabaya. Hasil. Didapatkan 245 pasien stroke iskemik, di mana 146 pasien (59,59%) adalah laki-laki, 140 pasien (57%) dalam rentang usia 19-64 tahun, 158 pasien (64,49%) dengan hipertensi, 80 pasien (32,65%) dengan diabetes melitus, dan 39 pasien (15,92%) dengan jantung. Politerapi kombinasi acetosal dan clopidogrel pada 5 pasien (1,6%), monoterapi antiplatelet pada 240 pasien, 123 pasien (50,2%) menggunakan acetosal. Pasien stroke pertama sebanyak 96,3%. Simpulan. Penderita stroke iskemik terutama pada laki-laki usia 19-64 tahun dengan penyakit komorbid terbanyak adalah hipertensi. Jenis obat terbanyak adalah monoterapi acetosal. Kejadian rekurensi jarang. Introduction. Acetosal and clopidogrel are antiplatelet agents often used for ischemic stroke prevention. Objective. To observe stroke recurrence among ischemic stroke patients with antiplatelet therapy at Neurology Clinic in Brawijaya level III Hospital Surabaya, Indonesia. Methods. A cross-sectional descriptive non-experimental research on data from medical records of ischemic stroke patients with antiplatelet therapy during August-November 2022 in Tingkat III Brawijaya Hospital, Surabaya, Indonesia. Result. During the survey period, 245 ischemic stroke patients were recorded, 146 patients (59,59%) were male, and 140 patients (57%) aged between 19-64 year-old. Hypertension was found in 158 patients (64.49%), 80 patients (32.65%) with diabetes mellitus, and 39 patients (15.92%) with heart disease. Acetosal and clopidogrel combination was used by 5 patients (1.6%). The majority of 240 patients (98,3%) used monotherapy, whereas 123 patients used acetosal (51,2%). A proportion of 96.3% were first stroke patients. Conclusion. Most ischemic stroke patients are male, aged 19-64 year-old with hypertension as the most common comorbidity. The majority used acetosal monotherapy. Recurrent strokes are rare.
{"title":"Studi Pasien Stroke Iskemik dengan Terapi Antiplatelet di Poliklinik Saraf Rumah Sakit Tingkat III Brawijaya Surabaya, Indonesia, Agustus–November 2022","authors":"Sri Agustina, Johanes Singoreto Widjaja, Riska Puspasari, Dika Chandra","doi":"10.55175/cdk.v50i8.998","DOIUrl":"https://doi.org/10.55175/cdk.v50i8.998","url":null,"abstract":"Latar Belakang. Acetosal dan clopidogrel merupakan agen antiplatelet yang sering digunakan dalam pencegahan stroke iskemik. Tujuan. Mengetahui kejadian rekurensi stroke iskemik dengan terapi antiplatelet di poliklinik saraf Rumah Sakit Tingkat III Brawijaya Surabaya. Metode. Penelitian cross-sectional deskriptif non-eksperimental. Data rekam medis pasien stroke iskemik dengan terapi antiplatelet periode Agustus – November tahun 2022 di Rumah Sakit Tingkat III Brawijaya Surabaya. Hasil. Didapatkan 245 pasien stroke iskemik, di mana 146 pasien (59,59%) adalah laki-laki, 140 pasien (57%) dalam rentang usia 19-64 tahun, 158 pasien (64,49%) dengan hipertensi, 80 pasien (32,65%) dengan diabetes melitus, dan 39 pasien (15,92%) dengan jantung. Politerapi kombinasi acetosal dan clopidogrel pada 5 pasien (1,6%), monoterapi antiplatelet pada 240 pasien, 123 pasien (50,2%) menggunakan acetosal. Pasien stroke pertama sebanyak 96,3%. Simpulan. Penderita stroke iskemik terutama pada laki-laki usia 19-64 tahun dengan penyakit komorbid terbanyak adalah hipertensi. Jenis obat terbanyak adalah monoterapi acetosal. Kejadian rekurensi jarang.\u0000 \u0000Introduction. Acetosal and clopidogrel are antiplatelet agents often used for ischemic stroke prevention. Objective. To observe stroke recurrence among ischemic stroke patients with antiplatelet therapy at Neurology Clinic in Brawijaya level III Hospital Surabaya, Indonesia. Methods. A cross-sectional descriptive non-experimental research on data from medical records of ischemic stroke patients with antiplatelet therapy during August-November 2022 in Tingkat III Brawijaya Hospital, Surabaya, Indonesia. Result. During the survey period, 245 ischemic stroke patients were recorded, 146 patients (59,59%) were male, and 140 patients (57%) aged between 19-64 year-old. Hypertension was found in 158 patients (64.49%), 80 patients (32.65%) with diabetes mellitus, and 39 patients (15.92%) with heart disease. Acetosal and clopidogrel combination was used by 5 patients (1.6%). The majority of 240 patients (98,3%) used monotherapy, whereas 123 patients used acetosal (51,2%). A proportion of 96.3% were first stroke patients. Conclusion. Most ischemic stroke patients are male, aged 19-64 year-old with hypertension as the most common comorbidity. The majority used acetosal monotherapy. Recurrent strokes are rare.","PeriodicalId":295318,"journal":{"name":"Cermin Dunia Kedokteran","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126623622","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}
Compartment syndrome is an orthopedic emergency due to its potential complications and mortality. Many studies have discussed the supporting examination and closure of phasiotomy wounds related to compartment syndrome, but there is still no agreed reference standard for additional diagnostic tool and fasciotomy management. Surgeon's experience and preference are important in the management of compartment syndrome. Sindrom kompartemen merupakan salah satu kegawatdaruratan ortopedi karena potensi komplikasi dan risiko kematiannya. Banyak penelitian yang membahas mengenai pemeriksaan penunjang dan penutupan luka fasiotomi terkait sindrom kompartemen, namun belum ada referensi yang disetujui sebagai baku standar. Pengalaman dan preferensi dokter bedah terkait merupakan unsur terpenting dalam tata laksana sindrom kompartemen.
{"title":"Fasciotomy for Compartment Syndrome","authors":"Alfonsius Stefano","doi":"10.55175/cdk.v50i8.810","DOIUrl":"https://doi.org/10.55175/cdk.v50i8.810","url":null,"abstract":"Compartment syndrome is an orthopedic emergency due to its potential complications and mortality. Many studies have discussed the supporting examination and closure of phasiotomy wounds related to compartment syndrome, but there is still no agreed reference standard for additional diagnostic tool and fasciotomy management. Surgeon's experience and preference are important in the management of compartment syndrome.\u0000 \u0000Sindrom kompartemen merupakan salah satu kegawatdaruratan ortopedi karena potensi komplikasi dan risiko kematiannya. Banyak penelitian yang membahas mengenai pemeriksaan penunjang dan penutupan luka fasiotomi terkait sindrom kompartemen, namun belum ada referensi yang disetujui sebagai baku standar. Pengalaman dan preferensi dokter bedah terkait merupakan unsur terpenting dalam tata laksana sindrom kompartemen.","PeriodicalId":295318,"journal":{"name":"Cermin Dunia Kedokteran","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116856104","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}
Skabies adalah penyakit kulit yang disebabkan oleh infestasi tungau Sarcoptes scabiei var. hominis. Skabies umumnya menyebabkan gatal intens yang berhubungan dengan garukan, mengganggu tidur yang berdampak pada performa di sekolah ataupun pekerjaan, dan akhirnya berdampak pada produktivitas. Beberapa penelitian menggunakan albendazole oral sebagai alternatif terapi skabies karena penggunaan topikal dinilai kurang praktis. Scabies is a skin condition caused by infestation of Sarcoptes scabiei var. hominis. Scabies especially causes intense pruritus and relates with itching, sleep disturbance that may impact school and work activities, and economic productivity. Recent studies use albendazole oral as an alternative treatment for scabies as topical treatment is considered impractical.
{"title":"Albendazole Oral sebagai Alternatif Pengobatan Skabies","authors":"Marinda Nur Triyanti","doi":"10.55175/cdk.v50i8.641","DOIUrl":"https://doi.org/10.55175/cdk.v50i8.641","url":null,"abstract":"Skabies adalah penyakit kulit yang disebabkan oleh infestasi tungau Sarcoptes scabiei var. hominis. Skabies umumnya menyebabkan gatal intens yang berhubungan dengan garukan, mengganggu tidur yang berdampak pada performa di sekolah ataupun pekerjaan, dan akhirnya berdampak pada produktivitas. Beberapa penelitian menggunakan albendazole oral sebagai alternatif terapi skabies karena penggunaan topikal dinilai kurang praktis.\u0000 \u0000Scabies is a skin condition caused by infestation of Sarcoptes scabiei var. hominis. Scabies especially causes intense pruritus and relates with itching, sleep disturbance that may impact school and work activities, and economic productivity. Recent studies use albendazole oral as an alternative treatment for scabies as topical treatment is considered impractical.","PeriodicalId":295318,"journal":{"name":"Cermin Dunia Kedokteran","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115258849","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}
Electronics sports (Esports) atau olahraga kompetisi yang fokus pada video games, tumbuh cepat sebagai industri. International Olympic Committee (IOC) telah menyetujui Esports sebagai cabang olahraga pada tanggal 28 Oktober 2017 di Lausanne, Swiss, dan pada tahun 2018 Esports pertama kali dipertandingkan di Asian Games. Esports berisiko cedera, seperti cedera muskuloskeletal, penglihatan, neurologis, metabolik, psikologis, dan ancaman infeksi. Promosi kesehatan dan pencegahan serta penanganan komprehensif atlet Esports serupa dengan penanganan olahraga fisik tradisional lainnya. Panduan kesehatan untuk atlet Esports termasuk rekomendasi khusus mengenai kesehatan dan kebugaran para atlet dapat menghasilkan performa yang optimal dan berprestasi. Electronic Sports (Esports) or competitive sport on video games has rapidly grown as an industry. The IOC has accepted eSport as a sporting activity on 28 October 2017 in Lausanne, Switzerland, and in 2018 Esports has participated for the first time in Asian Games. Esports also has risk to injuries, such as musculoskeletal, vision, neurological, metabolic, psychological injuries, and potential infection. The health promotion and prevention and comprehensive treatment of Esports athletes are similar to that of other traditional physical sports. Health guideline for Esports athletes can lead to optimal performance.
{"title":"Manajemen Kesehatan Atlet E-Sports","authors":"Darmawan Harianda, Pradnya Ayu Galuh Lupiya","doi":"10.55175/cdk.v50i8.668","DOIUrl":"https://doi.org/10.55175/cdk.v50i8.668","url":null,"abstract":"Electronics sports (Esports) atau olahraga kompetisi yang fokus pada video games, tumbuh cepat sebagai industri. International Olympic Committee (IOC) telah menyetujui Esports sebagai cabang olahraga pada tanggal 28 Oktober 2017 di Lausanne, Swiss, dan pada tahun 2018 Esports pertama kali dipertandingkan di Asian Games. Esports berisiko cedera, seperti cedera muskuloskeletal, penglihatan, neurologis, metabolik, psikologis, dan ancaman infeksi. Promosi kesehatan dan pencegahan serta penanganan komprehensif atlet Esports serupa dengan penanganan olahraga fisik tradisional lainnya. Panduan kesehatan untuk atlet Esports termasuk rekomendasi khusus mengenai kesehatan dan kebugaran para atlet dapat menghasilkan performa yang optimal dan berprestasi.\u0000 \u0000Electronic Sports (Esports) or competitive sport on video games has rapidly grown as an industry. The IOC has accepted eSport as a sporting activity on 28 October 2017 in Lausanne, Switzerland, and in 2018 Esports has participated for the first time in Asian Games. Esports also has risk to injuries, such as musculoskeletal, vision, neurological, metabolic, psychological injuries, and potential infection. The health promotion and prevention and comprehensive treatment of Esports athletes are similar to that of other traditional physical sports. Health guideline for Esports athletes can lead to optimal performance.","PeriodicalId":295318,"journal":{"name":"Cermin Dunia Kedokteran","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124568642","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}
Seiring dengan berkembangnya teknologi, laser dan intense pulsed light (IPL) menjadi pilihan modalitas terapi hiperpigmentasi. Kedalaman penetrasi sinar laser meningkat seiring meningkatnya panjang gelombang. Laser dan IPL dengan panjang gelombang pendek efektif untuk lesi hiperpigmentasi superfisial. Sedangkan lesi hiperpigmentasi dermal dan campuran lebih merespons terhadap laser dengan panjang gelombang yang lebih panjang. Pemilihan parameter laser serta persiapan sebelum dan setelah tindakan yang tepat dapat mengurangi risiko efek samping. With the rapid evolution of technology, laser and intense pulsed light (IPL) have become one of the modalities of choice for hyperpigmentation therapy. The depth of laser beam penetration increases with increasing wavelength. Laser and IPL with short wavelength are effective to treat superficial hyperpigmentations. While dermal and mixed type hyperpigmentations have better response towards lasers with longer wavelength. Accurate laser parameter choice and good pre and post procedural preparations reduce the risk of side effects.
{"title":"Terapi Laser untuk Lesi Hiperpigmentasi","authors":"Firly Clarissa Suyanto, Putu Dyah Ayu Saraswati","doi":"10.55175/cdk.v50i8.757","DOIUrl":"https://doi.org/10.55175/cdk.v50i8.757","url":null,"abstract":"Seiring dengan berkembangnya teknologi, laser dan intense pulsed light (IPL) menjadi pilihan modalitas terapi hiperpigmentasi. Kedalaman penetrasi sinar laser meningkat seiring meningkatnya panjang gelombang. Laser dan IPL dengan panjang gelombang pendek efektif untuk lesi hiperpigmentasi superfisial. Sedangkan lesi hiperpigmentasi dermal dan campuran lebih merespons terhadap laser dengan panjang gelombang yang lebih panjang. Pemilihan parameter laser serta persiapan sebelum dan setelah tindakan yang tepat dapat mengurangi risiko efek samping.\u0000 \u0000With the rapid evolution of technology, laser and intense pulsed light (IPL) have become one of the modalities of choice for hyperpigmentation therapy. The depth of laser beam penetration increases with increasing wavelength. Laser and IPL with short wavelength are effective to treat superficial hyperpigmentations. While dermal and mixed type hyperpigmentations have better response towards lasers with longer wavelength. Accurate laser parameter choice and good pre and post procedural preparations reduce the risk of side effects.","PeriodicalId":295318,"journal":{"name":"Cermin Dunia Kedokteran","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132021111","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}
Herpes zoster adalah penyakit neurokutan yang disebabkan oleh virus varicella zoster laten. Lansia dengan diabetes melitus lebih rentan terkena infeksi ini. Kasus: Pria, usia 65 tahun, dengan keluhan lenting disertai nyeri seperti ditusuk di punggung dan dada kiri sekitar 5 hari lalu. Pasien mengidap diabetes melitus tipe 2 (DM tipe 2), rutin mengonsumsi obat hipoglikemik oral (OHO). Diagnosis berdasarkan anamnesis dan temuan klinis yang khas; terapi dengan antivirus, analgetik, dan tetap mengonsumsi OHO. Herpes zoster is a neurocutaneous disease caused by latent varicella zoster virus. Elderlies with diabetic melitus are more susceptible to this infection. Case: A 65-year old male patient with grouped vesicle and stabbing pain in left side of his back and chest since 5 days. The patient had type 2 diabetes mellitus (type 2 DM) treated with oral hypoglycemic agent. Diagnosis was based on anamnesis and typical clinical findings, and treated with antiviral, analgetic, and continued OAD.
{"title":"Herpes Zoster pada Lansia Diabetes Melitus","authors":"Olivia Christy Kaihatu","doi":"10.55175/cdk.v50i8.1001","DOIUrl":"https://doi.org/10.55175/cdk.v50i8.1001","url":null,"abstract":"Herpes zoster adalah penyakit neurokutan yang disebabkan oleh virus varicella zoster laten. Lansia dengan diabetes melitus lebih rentan terkena infeksi ini. Kasus: Pria, usia 65 tahun, dengan keluhan lenting disertai nyeri seperti ditusuk di punggung dan dada kiri sekitar 5 hari lalu. Pasien mengidap diabetes melitus tipe 2 (DM tipe 2), rutin mengonsumsi obat hipoglikemik oral (OHO). Diagnosis berdasarkan anamnesis dan temuan klinis yang khas; terapi dengan antivirus, analgetik, dan tetap mengonsumsi OHO.\u0000 \u0000Herpes zoster is a neurocutaneous disease caused by latent varicella zoster virus. Elderlies with diabetic melitus are more susceptible to this infection. Case: A 65-year old male patient with grouped vesicle and stabbing pain in left side of his back and chest since 5 days. The patient had type 2 diabetes mellitus (type 2 DM) treated with oral hypoglycemic agent. Diagnosis was based on anamnesis and typical clinical findings, and treated with antiviral, analgetic, and continued OAD.","PeriodicalId":295318,"journal":{"name":"Cermin Dunia Kedokteran","volume":"144 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116606803","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}
I. Nugraha, Wira Gotera, Komang Siska LESTARI SUGITHA
Obesitas merupakan faktor risiko kuat untuk penyakit kardiovaskular dan metabolik, seperti diabetes melitus tipe 2, dislipidemia, aterosklerosis, dan beberapa jenis kanker. Diet adalah salah satu strategi manajemen obesitas. Diet ketogenik adalah diet tinggi lemak dan rendah karbohidrat, memanfaatkan badan keton sebagai sumber energi alternatif. Dalam jangka pendek, jenis diet ini terbukti efektif menurunkan berat badan individu obesitas. Penelitian lebih lanjut diperlukan untuk menentukan efikasi, keamanan, dan efek samping jangka panjangnya. Obesity is a strong risk factor for cardiovascular and metabolic diseases, such as type 2 diabetes mellitus, dyslipidemia, atherosclerosis, and certain types of cancer. Diet is one of many strategies in obesity management. Ketogenic diet is a high fat and low carbohydrate diet, utilizing ketone bodies as an alternative energy source. In short term, this diet has proven to be effective for weight loss in obese individuals. Further researches are needed to determine its efficacy, safety, and long term side effects.
{"title":"Manfaat Diet Ketogenik pada Tata Laksana Obesitas","authors":"I. Nugraha, Wira Gotera, Komang Siska LESTARI SUGITHA","doi":"10.55175/cdk.v50i8.651","DOIUrl":"https://doi.org/10.55175/cdk.v50i8.651","url":null,"abstract":"Obesitas merupakan faktor risiko kuat untuk penyakit kardiovaskular dan metabolik, seperti diabetes melitus tipe 2, dislipidemia, aterosklerosis, dan beberapa jenis kanker. Diet adalah salah satu strategi manajemen obesitas. Diet ketogenik adalah diet tinggi lemak dan rendah karbohidrat, memanfaatkan badan keton sebagai sumber energi alternatif. Dalam jangka pendek, jenis diet ini terbukti efektif menurunkan berat badan individu obesitas. Penelitian lebih lanjut diperlukan untuk menentukan efikasi, keamanan, dan efek samping jangka panjangnya.\u0000 \u0000Obesity is a strong risk factor for cardiovascular and metabolic diseases, such as type 2 diabetes mellitus, dyslipidemia, atherosclerosis, and certain types of cancer. Diet is one of many strategies in obesity management. Ketogenic diet is a high fat and low carbohydrate diet, utilizing ketone bodies as an alternative energy source. In short term, this diet has proven to be effective for weight loss in obese individuals. Further researches are needed to determine its efficacy, safety, and long term side effects.\u0000 ","PeriodicalId":295318,"journal":{"name":"Cermin Dunia Kedokteran","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126023378","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}
Latar Belakang: Keganasan pada ekstremitas bawah, kulit penis, vulva/vagina, dan anus berisiko mengalami metastasis KGB inguinal. Diseksi KGB inguinal dapat memberikan hasil disease-free and overall survival yang baik. Tujuan: Melihat hasil pasca-operasi diseksi KGB inguinal pada kasus serial. Cara: Diseksi KGB inguinal dilakukan pada kasus melanoma maligna TxN2bM0, melanoma maligna TxN1M0, dan cutaneous apocrine carcinoma et phenoscrotal T3N1M0. Diskusi: Diseksi KGB inguinal pada kasus keganasan bermetastasis dari ekstremitas bawah, kulit penis, vulva/vagina, dan anus, memberikan hasil disease-free and overall survival yang baik, namun dengan komplikasi pasca-operasi berkurangnya kualitas hidup. Introduction: Malignancy in lower extremities, penis skin, vulva/vagina, and anus may spread to inguinal lymph node. Inguinal lymph node dissection can provide good disease-free and overall survival results. Objective: To review postoperative results of inguinal lymph node dissection (ILND) in case series. Method: Inguinal lymph node dissection was done in cases of malignant melanoma TxN2bM0, malignant melanoma TxN1M0, and cutaneous apocrine carcinoma er phenoscrotal T3N1M0. Discussion: ILND can improve disease-free and overall survival results in malignancies cases from lower extremities, skin of the penis, vulva/vagina, and anus with metastases, albeit with postoperative complications that can decrease the quality of life.
Latar Belakang：腹股沟淋巴瘤、阴茎癌、外阴/阴道癌和肛门癌可导致腹股沟淋巴瘤转移。腹股沟 KGB 转移可提高无病生存率和总生存率。Tujuan：在连续的临床实践中提高腹股沟 KGB 的无病生存率。特点：腹股沟 KGB 病变与 TxN2bM0 黑色素瘤、TxN1M0 黑色素瘤和 T3N1M0 皮肤表皮分泌癌相关。数据：腹股沟KGB手术可提高无病生存率和总生存率，同时提高手术的成功率。简介下肢、阴茎皮肤、外阴/阴道和肛门的恶性肿瘤可能会扩散到腹股沟淋巴结。腹股沟淋巴结清扫术可提供良好的无病生存率和总生存率。目的：回顾腹股沟淋巴结清扫术的术后效果：回顾腹股沟淋巴结清扫术（ILND）的术后效果。方法：腹股沟淋巴结清扫术对恶性黑色素瘤TxN2bM0、恶性黑色素瘤TxN1M0和皮肤apocrine癌er phenoscrotal T3N1M0病例进行腹股沟淋巴结清扫术。讨论ILND可提高下肢、阴茎皮肤、外阴/阴道和肛门恶性肿瘤转移病例的无病生存率和总生存率，但术后并发症会降低患者的生活质量。
{"title":"Diseksi Kelenjar Inguinal pada Keganasan: Kasus Serial","authors":"Ari Oktavenra, Daan Khambri, Yopiq Triputra","doi":"10.55175/cdk.v50i8.1002","DOIUrl":"https://doi.org/10.55175/cdk.v50i8.1002","url":null,"abstract":"Latar Belakang: Keganasan pada ekstremitas bawah, kulit penis, vulva/vagina, dan anus berisiko mengalami metastasis KGB inguinal. Diseksi KGB inguinal dapat memberikan hasil disease-free and overall survival yang baik. Tujuan: Melihat hasil pasca-operasi diseksi KGB inguinal pada kasus serial. Cara: Diseksi KGB inguinal dilakukan pada kasus melanoma maligna TxN2bM0, melanoma maligna TxN1M0, dan cutaneous apocrine carcinoma et phenoscrotal T3N1M0. Diskusi: Diseksi KGB inguinal pada kasus keganasan bermetastasis dari ekstremitas bawah, kulit penis, vulva/vagina, dan anus, memberikan hasil disease-free and overall survival yang baik, namun dengan komplikasi pasca-operasi berkurangnya kualitas hidup.\u0000 \u0000Introduction: Malignancy in lower extremities, penis skin, vulva/vagina, and anus may spread to inguinal lymph node. Inguinal lymph node dissection can provide good disease-free and overall survival results. Objective: To review postoperative results of inguinal lymph node dissection (ILND) in case series. Method: Inguinal lymph node dissection was done in cases of malignant melanoma TxN2bM0, malignant melanoma TxN1M0, and cutaneous apocrine carcinoma er phenoscrotal T3N1M0. Discussion: ILND can improve disease-free and overall survival results in malignancies cases from lower extremities, skin of the penis, vulva/vagina, and anus with metastases, albeit with postoperative complications that can decrease the quality of life.","PeriodicalId":295318,"journal":{"name":"Cermin Dunia Kedokteran","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131241497","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：