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PROFIL PENDERITA DIFTERI YANG DIRAWAT YANG DIRAWAT DI RUANG ISOLASI KHUSUS RSUD Dr. SOETOMO SURABAYA Sarah Izdihar; Muhtarum Yusuf; Meisy Andriana
Jurnal Kedokteran Syiah Kuala Vol 19, No 2 (2019): Volume 19 Nomor 2 Agustus 2019
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jks.v19i2.18060

Abstract

Abstrak. Latar Belakang: Difteri adalah penyakit menular mematikan yang dapat menjadi peristiwa luar biasa yang disebabkan oleh Corynebacterium diphtheria. Kasus difteri di Indonesia meningkat dan yang terbesar di Jawa Timur terutama di Surabaya pada tahun 2017 tergolong tinggi karena rendahnya cakupan imunisasi difteri. Difteri rongga mulut (tonsil-faring-laring) adalah yang paling sering (90%). Populasi risiko tinggi biasanya anak-anak yang tidak diimunisasi atau daerah dengan cakupan imunisasi DPT3 dan DT yang rendah. Tujuan: Menganalisis faktor-faktor yang mempengaruhi difteri di Surabaya. Metode dan Materi: Jenis penelitian ini adalah penelitian deskriptif retrospektif dengan menggunakan total sampling. Sampel penelitian berjumlah 82. Data dikumpulkan melalui buku catatan Ruang Isolasi Khusus RSUD Dr. Soetomo Surabaya dan rekam medis elektronik. Hasil: Dari 82 sampel, distribusi responden menunjukkan bahwa kelompok jenis kelamin tertinggi adalah pria (64,63%), Usia didominasi oleh 0-5 tahun (46,34%) dan 6-11 tahun (34,14%), Pendidikan terakhir terbanyak adalah SD (24,39%), dan kota terbanyak adalah Surabaya (56,09%). Status imunisasi DPT terbanyak adalah tidak lengkap (63,41%), lokasi difteri terbanyak di tonsil (92,68%), terapi terbanyak yaitu penisilin procain 92,68%. Simpulan: difteri terbanyak didapatkan pada usia 0-11 tahun, berjenis kelamin laki-laki, mayoritas bertempat tinggal Surabaya, tingkat pendidikan terbanyak SD, status imunisasi DPT terbanyak adalah tidak lengkap, lokasi difteri terbanyak tonsil, jenis terapi terbanyak penisilin procain. Kata Kunci:  Difteri, Tonsil, Imunisasi Abstract. Background: Diphtheria is a deadly infectious disease that can be an extraordinary event caused by Corynebacterium diphtheria. Diphtheria cases in Indonesia increased and the largest in East Java, especially in Surabaya in 2017 was classified as high due to the low coverage of diphtheria immunization. Diphtheria of the oral cavity (tonsils-pharynx-larynx) is the most frequent ( 90%). High risk populations are usually children who are not immunized or areas with low DPT3 and DT immunization coverage. Objective: The purpose of this study was to analyze the factors that influence diphtheria in Surabaya. Material and Methods:  The type of research is a retrospective descriptive study using total sampling. The research sample was 82. The data was collected through the Special Isolation Room Dr. RS. Soetomo Surabaya and electronic medical records. Results:  From 82 samples, showed that the highest gender group was male (64.63%), age was dominated by 0-5 years (46.34%) and 6-11 years (34.14%), the most recent education was SD (24.39%), and most cities are Surabaya (56.09%). Most DPT immunization status is incomplete (63.41%), most diphtheria locations in tonsils (92.68%), the most therapy is penicillin procain 92.68%. Conclusio: Diphtheria is found at the age of 0-11 years, male sex, the majority lives in Surabaya, the highest level of education is elementary school, most DPT immunization status is incomplete, the location of the most diphtheria tonsils, the most type of therapy is penicillin procain.Keyword:  Diphtheria, Tonsils, Immunization
THE EFFECTS OF PHYSICAL EXERCISES ON C-REACTIVE PROTEIN IN PATIENTS WITH POST ISCHEMIC STROKE Hening Laswati; Meisy Andriana; Imam Subadi; Ida Yuanita
Folia Medica Indonesiana Vol. 52 No. 3 (2016): JULY - SEPTEMBER 2016
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (62.5 KB) | DOI: 10.20473/fmi.v52i3.5449

Abstract

Several studies have recently highlighted the important role of physical exercise in regulation inflammatory status, but there is relatively little known about markers of inflammation levels after physical exercise in post ischemic stroke patients. The aims of this study to provide the effects of physical exercise using Partial Body-Weight Supported Treadmill Training –Audio Cues (PBWSTT-AC) and Traditional method on the level of inflammatory markers C-Reactive Protein (CRP). This study using pretest-postest control group design, 14 post ischemic stroke patients were randomized and allocate to two groups: Group1 (control group) received traditional walking exercise and group 2 received PBWSTT-AC. The walking exercise study were conducted for 20 minute 3 times a week for 12 sessions (4 weeks). Before and after 12 session of exercises, the serum levels of CRP were determined using immunoserology. All statistical test were carried out using SPSS 17 and statistical significance was set at p<0.05 for all analysis. The CRP levels between group were compared using Student t test or Mann-Whitney test. From multiple comparisons statistic result, no significant difference between groups (p=0.898), that seem in this study the levels of CRP of poststroke patients is not influenced by the Traditional training and PBWSTT-AC.  The conclusion of this study that both traditional method and PBWTT-AC in 4 weeks exercise training seem have no effect on CRP levels.
Effectiveness of Partial Body-Weight Supported Treadmill Training-Audio Cues and Traditional Overground Walking in Improving Gait Speed and Cardiorespiratory Fitness After Stroke Hening Laswati; Meisy Andriana; Ida Yuanita
Indonesian Journal of Physical Medicine & Rehabilitation Vol 4 No 01 (2015): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1300.523 KB) | DOI: 10.36803/ijpmr.v4i01.33

Abstract

Objective: To compare the effectiveness of Partial Body-Weight Supported Treadmill Training-Audio Cues (PBWSTT-AC) and the traditional over ground walking in improving gait speed andcardiorespiratory fitness after stroke.Methods: pretest-posttest control group design of patients with sub-acute and chronic ischemicstroke who came to Physical Medicine and Rehabilitation (PMR) Department of Dr. Soetomo andAirlangga University Hospital Surabaya. Patients with onset 3 weeks until 10 years, age between 21until 70 years old, able to walk independently for 6 minutes, sufficient vision and hearing and canfollow simple instructions were included in this study. There were 18 patients at beginning and 16patients completed the study. Patients underwent walking exercise for 20 minute, 3 times a week for12 sessions. PBWSTT-AC group received metronome auditory rhythmic stimulation, while controlgroup received traditional walking exercise with customized speed according to patient’s preference.Gait speed were assessed by 10 meter Walk Test and cardiopulmonary endurance counted fromresting heart rate.Results: There were improvements in gait speed and cardiorespiratory fitness within each subjectgroup. Traditional group showed significantly larger increases in fast gait speed (p=0.023) but notin self-selected gait speed (p=0.002). PBWSTT-AC group showed significantly larger decreases(p=0.002) in resting heart rate (p=0.003).Conclusion: PBWSTT-AC was not shown to be superior to traditional walking in improving gaitspeed, but superior in improving cardiorespiratory fitness. Further study are needed to evaluate thelong-lasting effect of using PBWSTT-AC in improving cardiorespiratory fitness.Keywords: Partial Body-Weight Supported Treadmill Training-Audio Cues, gait speed, cardiorespiratory fitness
Effectiveness of Partial Body-Weight Supported Treadmill Training-Audio Cues and Traditional Overground Walking in Improving Gait Speed and Cardiorespiratory Fitness After Stroke Hening Laswati; Meisy Andriana; Ida Yuanita
Indonesian Journal of Physical Medicine & Rehabilitation Vol 4 No 01 (2015): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1300.523 KB) | DOI: 10.36803/ijpmr.v4i01.33

Abstract

Objective: To compare the effectiveness of Partial Body-Weight Supported Treadmill Training-Audio Cues (PBWSTT-AC) and the traditional over ground walking in improving gait speed andcardiorespiratory fitness after stroke.Methods: pretest-posttest control group design of patients with sub-acute and chronic ischemicstroke who came to Physical Medicine and Rehabilitation (PMR) Department of Dr. Soetomo andAirlangga University Hospital Surabaya. Patients with onset 3 weeks until 10 years, age between 21until 70 years old, able to walk independently for 6 minutes, sufficient vision and hearing and canfollow simple instructions were included in this study. There were 18 patients at beginning and 16patients completed the study. Patients underwent walking exercise for 20 minute, 3 times a week for12 sessions. PBWSTT-AC group received metronome auditory rhythmic stimulation, while controlgroup received traditional walking exercise with customized speed according to patient’s preference.Gait speed were assessed by 10 meter Walk Test and cardiopulmonary endurance counted fromresting heart rate.Results: There were improvements in gait speed and cardiorespiratory fitness within each subjectgroup. Traditional group showed significantly larger increases in fast gait speed (p=0.023) but notin self-selected gait speed (p=0.002). PBWSTT-AC group showed significantly larger decreases(p=0.002) in resting heart rate (p=0.003).Conclusion: PBWSTT-AC was not shown to be superior to traditional walking in improving gaitspeed, but superior in improving cardiorespiratory fitness. Further study are needed to evaluate thelong-lasting effect of using PBWSTT-AC in improving cardiorespiratory fitness.Keywords: Partial Body-Weight Supported Treadmill Training-Audio Cues, gait speed, cardiorespiratory fitness