Dina Oktavia
Institut Pertanian Bogor

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Chronic Osteomyelitis of Wrist Joint in An Immunocompromised Host Utari, Amanda P; Oktavia, Dina; Sumaryono, Sumaryono; Setyohadi, Bambang
Indonesian Journal of Rheumatology Vol 5, No 1 (2014)
Publisher : Indonesian Rheumatology Association

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Abstract

Osteomyelitis is heterogenous in its pathophysiology, clinical presentation, and management. Osteomyelitis is generally categorized as acute or chronic based on histopathologic findings, rather than duration of the infection. Necrotic bone ispresent in chronic osteo-myelitis, and symptoms may not occur until six weeks after the onset of infection.1 Epidemiology of chronic osteomyelitis is less well characterized compared with acute osteomyelitis. Adult osteomyelitis most commonly arisesfrom open fractures, diabetic foot infections, or the surgical treatment of closed injuries. Hematogenous  osteomyelitis accounts for approximately 20% of cases of osteomyelitis in adults. It is more common in males regardless of age. Although rare in adults,it most frequently involves the vertebral bodies.2 S.aureus is the most common isolate in all types of bone infection and is implicated in 50-70% of cases of chronic osteomyelitis.3
STUDI OPTIMALISASI EMBUNG SEI LIMAU UNTUK PEMENUHAN KEBUTUHAN AIR BAKU (AIR BERSIH) DI KECAMATAN NUNUKAN SELATAN KABUPATEN NUNUKAN OKTAVIA, DINA
KURVA S JURNAL MAHASISWA Vol 1, No 1 (2018)
Publisher : KURVA S JURNAL MAHASISWA

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Kabupaten Nunukan mempunyai banyak sumber alam antara lain minyak bumi dan gas alam sehingga beberapa perusahaan internasional pengeksplorasian minyak bumi dan gas alam beroperasi di daerah tersebut. Dengan adanya aktifitas tersebut, pertumbuhan ekonomi terpacu dan disusul dengan meningkatnya sektor-sektor lain, antara lain pertumbuhan penduduk yang harus diimbangi dengan pembangunan sarana infrastruktur seperti sarana air baku untuk memenuhi kebutuhan air bersih. Total kebutuhan air baku untuk air bersih Kabupaten Nunukan dari hasil perhitungan yang telah dilakukan dari berbagi tahapan yang telah di analisa diketahui debit kebutuhan air baku untuk air bersih Kabupaten Nunukan sebesar 0,0754 m3 /dtk dan kebutuhan air untuk penduduk di Kecamatan Nunukan Selatan sebesar 0,0752 m3 /dtk, dari hasil perhitungan kebutuhan air Embung Sei Limau masih mencukupi untuk menyuplai air sampai periode 15 tahun kedepan Kabupaten Nunukan tidak mempunyai sungai besar, disarankan untuk mencari alternatif tampungan-tampungan air lain, untuk mencukupi kebutuhan air penduduk di waktu yang akan datang. Bagi penelitian selanjutnya, dapat dikaji mengenai permasalahan sedimentasi yang dapat mengakibatkan luas tampungan dari Embung semakin berkurang dari waktu ke waktu..
Right Ventricular Systolic and Diastolic Function Profile inPatient with Stable Chronic Obstructive Pulmonary Disease Oktavia, Dina; Nasution, Sally Aman; ZN, Anna Uyainah; Rumende, C Martin
Jurnal Penyakit Dalam Indonesia Vol. 3, No. 1
Publisher : UI Scholars Hub

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Abstract

Introduction. Right ventricular dysfunction is one of the common complication of chronic obstructive pulmonary disease (COPD). Right ventricular assessment is importance, since it related with exercise intolerance and poor prognosis. Methods. Thirty stable COPD men (mean age: 65 ± 6 yr) underwent spirometry. In addition to conventional echocardiographic parameters, TAPSE, right heart chambers, and trans tricuspid inflow were determined. Results. The mean value of FEV1 was 28 ± 8% of the predicted value. There was no subject with mild airflow limitation, 57% subjects were with very severe airflow obstruction. All of pulmonary function test showed mixed restrictive-obstructive pattern. Mean of right chamber was in normal limit. Forty percent of the patients suffered right ventricular diastolic dysfunction. Means of TAPSE was 16.96 ± 96 mm. Sixty percent of the patients suffered right ventricular systolic dysfunction. There was no significant difference in TAPSE between groups with moderate-severe flow obstruction and very severe airflow obstruction. There was no significant correlation between FEV1 % prediction and TAPSE, so the cut-off value between the two variables cannot be determined. Conclusions. The proportion of right ventricular systolic dysfunction was 60% and diastolic dysfunction was 40%. There was no correlation between FEV1 % prediction and TAPSE. The cut-off value between the two variable in stable COPD patients cannot be determined.