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All Journal Medical Journal of Indonesia Indonesian Journal of Urology Indonesian Journal of Cancer Oto Rhino Laryngologica Indonesiana Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Cermin Dunia Kedokteran
Joedo Prihartono
Department of Community Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta
Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Public Health

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Metastasis Kelenjar Getah Bening Retrofaring pada Penderita Karsinoma Nasofaring dengan Pemeriksaan Computed Tomography di Rumah Sakit Kanker “Dharmais” SIHALOHO, FLORENSA; -, KARDINAH; KOMARI, BUDIANTO; SUZANNA, EVLINA; PRIHARTONO, JOEDO
Indonesian Journal of Cancer Vol 7, No 4 (2013): Oct - Dec 2013
Publisher : "Dharmais" Cancer Center Hospital

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (13.115 KB)

Abstract

Penelitian ini bertujuan untuk mendapatkan data metastasis KGB retrofaring pada penderita KNF dengan pemeriksaan CT nasofaring di Rumah Sakit Kanker “Dharmais”.Penelitian ini menggunakan metode deskriptif analitik dari data sekunder CT nasofaring penderita Karsinoma Nasofaring (KNF) yang belum mendapatkan terapi radiasi dan kemoterapi. Penilaian metastasis Kelenjar Getah Bening (KGB) retrofaring dengan diameter aksial minimal ? 5 mm yang berada di level atlas dekat arteri karotis interna. Penilaian massa tumor menurut TNM AJCC edisi ke-7 tahun 2010. Dilakukan uji statistik untuk mengetahui adanya hubungan metastasis KGB retrofaring dengan massa tumor, tipe histopatologi, invasi lateral, dan massa tumor melewati midline.Hasilnya menunjukkan bahwa sebanyak 85 penderita KNF dengan subjek terbanyak laki-laki, umur rerata 43,2 tahun, metastasis KGB retrofaring sebanyak 81 subjek, dan metastasis KGB servikal level II merupakan metastasis KGB terbanyak.Kesimpulannya, metastasis KGB retrofaring adalah metastasis KGB terbanyak kedua setelah KGB servikal level II. Kedua metastasis KGB ini merupakan drainase pertama metastasis KGB pada KNF.Kata Kunci: Metastasis KGB retrofaring, Karsinoma nasofaring, Pemeriksaan CT nasofaring.
Kriteria Diagnosis Kanker Paru Primer Berdasarkan Gambaran Morfologi pada CT Scan Toraks Dibandingkan dengan Sitologi Icksan, Aziza; -, Faisal; -, Elisna; Astowo, Pudjo; Hidayat, Heriawaty; Prihartono, Joedo
Indonesian Journal of Cancer Vol 2, No 1 (2008): Jan - Mar 2008
Publisher : "Dharmais" Cancer Center Hospital

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Abstract

Menetapkan komponen gambaran morfologi kanker paru primer pada CT scan toraks yang dapat dipakai sebagai kriteria diagnosis. Penelitian ini menggunakan desain cross sectional. Dalam kurun waktu Desember 2006 - Mei 2007 di RS. Persahabatan Jakarta dilakukan pemeriksaan CT scan toraks terhadap 28 pasien dengan gambaran klinis diduga kanker paru primer. DinilailO gambaran morfologi kanker paru pada CT scan toraks, setiap gambaran morfologi kanker dibandingkan dengan hasil sitologi CT guided TTNA sebagai baku emas. Terdapat 7 komponen morfologi kanker paru primer pada CT scan toraks yang mempunyai sensitivitas yang tinggi dalam diagnosis yaitu: ukuran tumor > 3 cm sensitivitas 95,7%, penyangatan s24 HU sensitivitas 82,6%, tepi irregular-spiculated sensitivitas 78,3%, lobulated sensitivitas 73,9%, air bronchograms sensitivitas 69,6%, ground glass opacity sensitivitas 65,2 % dan densitas heterogen sensitivitas 65,2%.Komponen morfologi ukuran tumor > 3 cm, penyangatan ¿24 HU, tepi irregular spiculated, lobulated, air bronchograms, ground glass opacity dan densitas heterogen mempunyai sensitivitas yang tinggi serta dapat dipakai sebagai kriteria diagnosis kanker paru primer pada CT scan toraks.Kata kunci: morfologi, kanker paru primer, CT scan toraks
Association between varicocele grade and semen analysis parameter Ariyati, Ira; Mulyadi, Rahmad; Birowo, Ponco; Wiweko, Budi; Prihartono, Joedo
Medical Journal of Indonesia Vol 26, No 4 (2017): December
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (660.212 KB) | DOI: 10.13181/mji.v26i4.1623

Abstract

Background: Varicocele is a condition characterized by elongation, dilatation and tortuousity of spermatic vein in pampiniform plexus. Approximately 50% of infertility cases among men are caused by varicocele. The varicocele may affect the components of sperm. This study aimed to determine the association between varicocele grade based on ultrasound Doppler examination and sperm concentration, sperm motility, and sperm morphology based on semen analysis examination.Methods: This was a descriptive, cross-sectional study which used secondary data from 85 patients that visited Department of Urology, Cipto Mangunkusumo Hospital, then underwent ultrasonography examination at Department of Radiology, Cipto Mangunkusumo Hospital and semen analysis examination at Department of Obstetrics and Gynecology, Cipto Mangunkusumo General Hospital.Results: Varicocele grade was significantly associated with sperm morphology, concentration and motility (all p<0.05). Significant association was found between maximum condition and semen analysis component.Conclusion: Varicocele grade may affect semen analysis component.
Changes in peripapillary retinal nerve fiber layer thickness in chronic glaucoma and non-glaucoma patients after phacoemulsification cataract surgery Perdana, Olivia P.; Victor, Andi A.; Oktarina, Virna D.; Prihartono, Joedo
Medical Journal of Indonesia Vol 24, No 4 (2015): December
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (394.171 KB) | DOI: 10.13181/mji.v24i4.1181

Abstract

Background: Phacoemulsification is a common cataract operation nowadays. During phacoemulsification, variation in intraocular pressure (IOP) may occur, which might change the retinal nerve fiber layer (RNFL) thickness. This study was aimed to evaluate the change in peripapillary RNFL thickness and mean deviation (MD) of visual field after phacoemulsification in chronic primary glaucoma and non-glaucoma patients. Methods: Cohort prospective study was done on 26 patients (13 chronic glaucoma eyes and 13 non-glaucoma eyes) who underwent phacoemulsification. The changes in peripapillary RNFL thickness and MD of visual field were measured as the primary outcome. Comparison between pre- and post-surgery was analyzed with paired t-test, while unpaired t-test was used for comparison between groups.Results: There were no significant changes in RNFL thickness on both groups. Average RNFL thickness in glaucoma group before and after phacoemulsification were 94.9±20.0 μm and 99.1±21.3 μm, respectively (p>0.05). Average RNFL thickness in non-glaucoma group were 100.2±11.1 μm and 101.7±6.8 μm, respectively (p>0.05). Glaucoma patients yielded decreasing mean deviation (MD) of visual field, but it was not statistically significant (p=0.071). In contrast, the MD of visual field after surgery was significantly increased in non-glaucoma group (p=0.005).Conclusion: Phacoemulsification tended to increase peripapillary RNFL thickness in glaucoma or non-glaucoma patients. The visual field tended to decrease in glaucoma patients, but was significantly increased in non-glaucoma patients.
Gambaran persepsi auditori CAP-II pada anak tuli prelingual bilateral 6–12 bulan pasca implantasi koklea Arief, Wresty; Zizlavsky, Semiramis; Priyono, Harim; Wahyuni, Luh Kurnia; Medise, Bernie Endyarni; Prihartono, Joedo
Oto Rhino Laryngologica Indonesiana Vol 48, No 1 (2018): Volume 48, No. 1 January - June 2018
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (341.189 KB) | DOI: 10.32637/orli.v48i1.250

Abstract

Latar belakang: Anak tuli prelingual akan kehilangan fungsi mendengar dan bicara, sehingga akan berpengaruh pada komunikasi, psikologis, dan kualitas hidupnya. Implan koklea hadir sebagai alat habilitasi terutama pada anak dengan tuli derajat berat dan sangat berat. Tujuan: Membahas karakteristik anak 6-12 bulan pasca implantasi koklea, evaluasi perkembangan auditori anak, serta faktor-faktor yang memengaruhi hasil keluaran. Metode: Bersifat deskriptif potong lintang, pada 36 subjek yang dievaluasi dengan metode penilaian berupa pengamatan yang bersifat global yaitu Categories Auditory Performance (CAP)-II. Hasil: Median waktu saat evaluasi 8,9 bulan, median CAP-II pada subjek ialah 3 (minimal 2-maksimal 7), dengan pencapaian 33,3% subjek dalam kategori CAP tinggi (skor 5 atau lebih). Kesimpulan: anak pasca implantasi koklea memiliki peningkatan persepsi auditori CAP-II dibandingkan sebelum penggunaan implan koklea yang dapat mulai dievaluasi sejak 6 bulan pasca implan. ABSTRACT Background: Prelingual deaf in children will cause the sufferers to loose their function of hearing and speaking, thus, are unable to hear and speak, and impacting on their ability to communicate, to grow psychologically, and on their overall life quality. Cochlear implant comes as a habilitating device especially mainly for children with severe and profound deafness. Purpose: This study described the children’s characteristics at 6-12 months after cochlear implantation, by evaluating their auditory development, and other factors influencing the output. Method: A descriptive cross sectional study, conducted on 36 subjects, evaluating the subjects by using the global observation method of Categories Auditory Performance (CAP)-II. Results: The median hearing age was 8.9 months, the median score of CAP-II was 3 (minimum 2-maximum 7), and 33.3% of subjects reached high CAP scores (CAP score of ≥ 5). Conclusion: CAP-II score would increase in children
PEMANFAATAN MRI PELVIS UNTUK MEMPREDIKSI KEDALAMAN INFILTRASI ENDOMETRIOSIS SUSUKAN DALAM POSTERIOR KE REKTOSIGMOID: STUDI KOMPARASI Amelia, Yustie; Muslim, Refni; Marwali, Muhammad Luky Satria; Prawirodihardjo, Bonita; Prihartono, Joedo
Majalah Kedokteran Indonesia Vol 69 No 4 (2019): Journal of the Indonesian Medical Association Majalah Kedokteran Indonesia Volum
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.0679/jinma.v69i4.64

Abstract

Pendahuluan: Infiltrasi endometriosis susukan dalam (ESD) posterior ke rektosigmoid sering memerlukan tata laksana pembedahan radikal dan lintas disiplin. Modalitas diagnostik standar seperti USG dan laparaskopi lemah dalam menilai infiltrasi ESD posterior di lokasi yang sulit terjangkau. MRI berpotensi menjadi modalitas diagnostik pilihan karena bersifat multiplanar dan baik dalam diferensiasi jaringan lunak. Penelitian ini bertujuan membandingkan kesesuaian MRI pelvis dengan temuan operasi dan histopatologi untuk memprediksi kedalaman infiltrasi ESD posterior ke rektosigmoid. Metode: Sebanyak 37 pasien yang menjalani operasi dengan indikasi ESD posterior dan pemeriksaan MRI pelvis di pusat rujukan endometriosis (2015-2018) dipelajari secara retrospektif. Gambar MRI dianalisis oleh dokter spesialis radiologi divisi ginekologi secara independen kemudian dibandingkan dengan laporan operasi dan analisis sediaan histopatologi oleh dokter spesialis patologi anatomi. Analisis statistik dilakukan menggunakan uji McNemar dan koefisien Cohen?s Kappa. Hasil: Didapatkan nilai konkordan (McNemar p) dan koefisien Kappa (p) untuk penilaian adanya ekstensi ESD posterior ke rektosigmoid 100% (1,000) dan 1 (0,000); infiltrasi lapisan muskularis rektosigmoid 89,2% (0,617) dan 0,78 (0,001); infiltrasi lapisan submukosa rektosigmoid 81,1% (1,000) dan 0,35 (0,146). Kesimpulan: Terdapat kesesuaian yang baik antara MRI pelvis dengan temuan operasi dan histopatologi dalam memprediksi kedalaman infiltrasi ESD posterior ke rektosigmoid.
CORRELATION OF PROSTATIC VOLUME MEASUREMENT BETWEEN TRANSABDOMINAL ULTRASOUND AND CT SCAN Sujana, Biddulth; Mulyadi, Rahmad; Birowo, Ponco; Prihartono, Joedo
Indonesian Journal of Urology Vol 22 No 2 (2015)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v22i2.86

Abstract

Objective: This study aims to determine correlation between measurement of prostatic volume and dimensions using transabdominal ultrasound (TAUS) and Computed Tomographic scan (CT scan) in male population ages 50 years and above. Material & method: Research was conducted at Radiology Department, Cipto Mangunkusumo Hospital, Jakarta. Twenty two patients who underwent whole abdominal CT from Desember 2013 to January 2014, were enrolled and examined using TAUS. Results: The calculation shows there is strong correlation between volume measurement, width, and height dimensions between TAUS and CT scan, where the Spearman correlation indicates r = 0.80 with p = 0.000 for volume measurement and r = 0.81 with p = 0.000 for width dimension and r = 0.64 with p = 0.001 for height dimension. There are also regression formula for estimating volume and dimensions measurements using TAUS. Conclusion: This study show strong correlation between volume and dimensions measurement using TAUS and CT scan.
Efek Tetes Mata Kombinasi Sodium Hialuronat dan Hydroxypropyl-Guar terhadap Stabilitas Lapisan Air Mata pada Mata Kering Terkait Sindrom Sjögren Priya Darsini, Indira; Edwar, Lukman; Rengganis, Iris; -, Lisnawati; Prihartono, Joedo
Cermin Dunia Kedokteran Vol 46, No 1 (2019): Obstetri - Ginekologi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (798.864 KB) | DOI: 10.55175/cdk.v46i1.539

Abstract

Penelitian ini bertujuan untuk menilai stabilitas lapisan air mata pada mata kering terkait sindrom Sjögren (SS) yang diberi terapi tetes mata kombinasi sodium hialuronat 0,1% (SH) dan hydroxypropyl (HP)-guar, atau monoterapi tetes mata sodium hialuronat (SH). Sebanyak 17 pasien SS dibagi dalam 2 kelompok. Kelompok pertama mendapat kombinasi SH dan HP-guar, kelompok kedua mendapat terapi SH. NIKBUT, Schirmer, skor pewarnaan okular, dan sitologi impresi, serta keluhan subjektif dinilai sebelum dan sesudah pemberian obat. Setelah terapi selama 28 hari, terdapat peningkatan median NIKBUT, Schirmer, skor pewarnaan okular, densitas sel Goblet, dan perbaikan keluhan subjektif pada mata kering terkait SS.The objectives of the study is to assess the stability of dry eye LAM associated with Sjögren syndrome (SS) during combination therapy of sodium hyaluronate 0.1% (SH) and hydroxypropyl (HP) -guar, or monotherapy sodium hyaluronic (SH). A total of 17 SS patients in this study were divided into 2 groups. The first group received a combination of SH and HP-guar while the second group received SH therapy. NIKBUT, Schirmer, ocular staining score, and impression cytology, as well as subjective complaints was assessed before and after drug administration. After 28 days of therapy, there was a median increase in NIKBUT, Schirmer, ocular staining scores, Goblet cell density, and subjective complaints on SS-related dry eyes. 
Co-Authors -, Lisnawati Abidin Widjanarko Achmad Tjarta Alida Harahap Amelia, Yustie Anak Agung Istri Sri Wiadnyani Andi A. Victor Arief, Wresty Ariyati, Ira Arman Muchtar Arman Mukhtar Asmarinah Asmarinah Averdi Roezin Aziza Icksan Bernie Endyarni Medise Biddulth Sujana, Biddulth Budi Wiweko Budianto Komari, Budianto Deddy Hermawan, Deddy Didid Tjindarbumi Djajadiman Gatot Drupadi Dillon Drupadi S. Dillon Elida Ilyas Elisna -, Elisna Endang Hardjolukito Endang S. Roostini Endang Windiastuti Ening Krisnuhono Esti Soetrisno Evert D.C. Poetiray Evert Poetiray EVLINA SUZANNA, EVLINA Faisal - Fatimah Eliana, Fatimah FLORENSA SIHALOHO, FLORENSA Goi Sakamoto Gunawan Tjahjadi Heriawaty Hidayat, Heriawaty Herman Cipto I Made Nasar Idral Darwis Idwal Darwis Iik Wilarso Iris Rengganis Irwan Ramli Kardinah -, Kardinah Kenji Wakai Kenzi Wakai Ketut Mulyadi Lukman Edwar M. Kurniawan, M. Marcel Prasetyo Marwali, Muhammad Luky Satria Masamitsu Ichihashi Masato Ueda Minarma Siagian Mochtar Hamzah Mpu Kanoko Muchlis Ramli Muslim, Refni N. D. Yulisa Nafrialdi Nafrialdi Nakako Kubo Nobuo Munakata Noorwati Sutandyo Nurul Akbar Olivia P. Perdana, Olivia P. Philip Waruna, Philip Ponco Birowo Pradana Soewondo Pradana Suwondo Prawirodihardjo, Bonita Priya Darsini, Indira Priyono, Harim Pudjo Astowo, Pudjo Purwita Wijaya Laksmi R. R. Mangunkusumo Rahmad Mulyadi, Rahmad Sadao Suzuki Salim Harris, Salim Samsuridjal Djauzi Santoso Cornain Setiawati Budiningsih Setyawati Budiningsih Sigit Pribadi Siti Setiati Sonar S. Panigoro Sri M.S. Utami Starry H Rampengan Susilowati Herman Susumu Watanabe Suzanna Immanuel Tirza Z Tamin Tjokorda Gde Dalem Pemayun Virna D. Oktarina, Virna D. Wahyuni, Luh Kurnia Wasilah Rochmah Wilfried H. Sibuea Yoshiyuki Ohno Yoshiyuki Ohno Ohno Zizlavsky, Semiramis