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eJurnal Kedokteran Indonesia
Published by Universitas Indonesia
ISSN : 23501426     EISSN : 23386037     DOI : 10.23886
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Elektronik Journal Kedokteran Indonesia (eJKI) is a peer-reviewed and open access journal that prioritize the publication manuscript of students (medical education program, magister/specialist, doctoral). This journal publishes editorial, research article, reviews, evidence-based case report, and also interesting case reports/case study. eJKI published three times a year (April, August, December) and published by Faculty of Medicine Universitas Indonesia
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Search results for , issue "Vol 2, No 3 (2014): Desember" : 12 Documents clear
Dokter Layanan Primer: Upaya Mengejar Keterlambatan Pergerakan Peningkatan Kualitas Layanan Primer di Indonesia Dhanasari Vidiawati
eJournal Kedokteran Indonesia Vol 2, No 3 (2014): Desember
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The Predictors of Mortality among Critically Ill Patients in Emergency Department, dr. Cipto Mangunkusumo Hospital Claudia Lunaesti; Cindy Rahardja; Riyadh Firdaus; Andi A. Wijaya
eJournal Kedokteran Indonesia Vol 2, No 3 (2014): Desember
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AbstractIdentifying the severity of patient’s condition is very important to be done in emergency department. The severity can be predicted by assessing vital signs of patients. Factors and scoring system in predicting mortality of critically ill patients in Indonesia remain unclear. We aimed to evaluate vital signs as predictors of mortality and determine whether Modified Early Warning Score(MEWS) can be used to predict mortality among Indonesian patients. We conducted a retrospective study of all patients admitted to the dr. Cipto Mangunkusumo Hospital’s emergency department (ED) from January-December 2011. Physiological parameters including consciousness, heart rate, respiratory rate, and blood pressure were obtained from medical records. MEWS were calculated from the data and non-parametric test was performed to identify predictors of 30-days mortality. Total of 579 patients were registered. The most common indication at admission was decrease in level of consciousness. Abnormal vital signs were associated with the increased odds of death. Patientswith bradypnea were the most likely to die compared to the other factors (OR 48.405; 95%CI 6.28373.12). The odds of death for in patient increased significantly as the MEWS increased >4 (OR 3.815; 95% CI 2.70-5.40). Decrease in level of consciousness, abnormal heart rate, abnormal respiratoryrate, and MEWS >4 increase the odds of death among critically ill patients in EDKeywords: predictors, death, critically ill patients, emergency department, MEWSAbstrakIdentifikasi severitas kondisi pasien sangat penting dilakukan di Instalasi Gawat Darurat (IGD). Tingkat severitas dapat diprediksi dengan menilai tanda vital pasien. Faktor dan sistem skoring prediktor mortalitas pasien kritis di Indonesia belum jelas. Penelitian ini bertujuan mengevaluasi tanda vital sebagai predictor mortalitas dan menentukan apakah skoring Modified Early Warning Score (MEWS) dapat digunakan untuk memprediksi mortalitas pasien di Indonesia.Penelitian dilakukan retrospektif dengan subjek semua pasien yang dirawat di IGD RS dr. Cipto Mangunkusumo (RSCM) pada 1 Januari-31 Desember 2011. Tingkat kesadaran, frekuensi nadi, frekuensi napas, dan tekanan darah didapatkan dari rekam medis. MEWS dihitung dan tes nonparametrik dilakukan untuk mengidentifikasi prediktor kematian 30 hari. Sebanyak 579 pasien menjadi subjek. Indikasi rawat inap tersering adalah penurunan kesadaran.Tanda vital abnormal diasosiasikan dengan peningkatan angka kematian. Bradipnea menjadi prediktor kematian utama dibanding faktor yang lain (OR 48.405; 95%CI 6.28-373.12). Angka kematian pasien rawat inap meningkat bila nilai MEWS >4 (OR 3.815; 95% CI 2.70-5.40). Penurunan kesadaran, frekuensi nadi dan napas abnormal, dan MEWS >4 meningkatkan angka kematian pasien kritis di IGD.Kata kunci: prediktor, kematian, pasien kritis, gawat darurat, MEWS
Frekuensi Penyakit Kulit di RS Karitas, Sumba Barat Daya September 2014 Fitri Azizah
eJournal Kedokteran Indonesia Vol 2, No 3 (2014): Desember
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AbstrakKulit merupakan bagian terluar tubuh yang mencerminkan kesehatan dan kebersihan seseorang. Berbagai faktor seperti kurangnya air bersih, tingkat pendidikan yang rendah, dan tingkat sanitasi yang buruk, merupakan faktor risiko penyakit kulit, khususnya infeksi. Sumba Barat Daya (SBD) merupakan kabupaten dengan jumlah penduduk tidak sekolah tertinggi di Nusa Tenggara Timur. Penelitian ini bertujuan untuk mengetahui karakteristik pasien kulit dan prevalensi penyakit kulit di RS Karitas, Sumba Barat Daya. Penelitian deskriptif potong-lintang ini dilakukan pada bulan September 2014. Data diambil dari semua kunjungan dengan keluhan kulit pada bulan September 2014. Terdapat 81 kunjungan, pasien terbanyak adalah laki-laki sebanyak 41 orang (52,6%), dan pasien terbanyak adalah anak sebanyak 52 orang (66,7%). Lima penyakit terbanyak adalah pioderma sebanyak 14 orang (17,9%), skabies 12 orang (15,4%), dermatitis kronis 10 orang (12,8%), serta dermatitis atopi dan miliaria masing-masing 6 orang (7,7%). Tingginya frekuensi penyakit kulit infeksi di SBD mencerminkan rendahnya tingkat sanitasi dan pendidikan masyarakat. Perlu dilakukan edukasi terhadap masyarakat mengenai kebersihan dan hubungannya dengan pencegahan penyakit infeksi, khususnya infeksi kulit.Kata kunci: penyakit kulit, infeksi, Sumba Barat DayaAbstractSkin is the outer part of human body that represents individual’s health and hygiene. Various factors such as inadequate water supply, poor education, and poor hygiene contribute to risk of having skin diseases, especially infection. This cross-sectional descriptive study was conducted in Karitas hospital, September 2014. All visits with skin-related complaints are taken consecutively. There were 81 skin-related visits, most of patients are male, 41 patients (52.6%). The majority of patients are under 17 years old, 52 patients (66.7%). Top five most common skin diseases are pyoderma 14 patients (17.9%), scabies 12 patients (15.4%), chronic dermatitis 10 patients (12.82%), and both atopic dermatitis and miliaria 6 patients (7.69%). The high frequency of infectious skin diseases in Southwest Sumba indicates the low people’s hygiene and education level. It’s important to educate the people in good hygiene and its relation to prevent infectious diseases, including skin diseases.Keywords: skin disease, infection, Southwest Sumba
Frekuensi Gametositemia pada Pasien Malaria Falsiparum Hari Ketiga setelah Pemberian Primakuin Dosis Tunggal Antonius Rio Adi Nugraha
eJournal Kedokteran Indonesia Vol 2, No 3 (2014): Desember
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AbstrakPrimakuin merupakan satu-satunya gametosida yang mampu memutus siklus penularan malaria. Kegagalan primakuin dalam membasmi gamet P. falciparum merupakan masalah penting dan harus dideteksi sejak dini. Penelitian ini dilaksanakan untuk mengetahui frekuensi gametositemia hari ke-3 setelah pemberian obat anti malaria sehingga kemungkinan kegagalan pemberian dosis tunggal primakuin dapat diketahui. Penelitian ini menggunakan desain deskriptifretrospektif dengan data sekunder semua pasien rawat inap pada bulan Januari-Juni 2014 di RS Karitas, Sumba Barat Daya. Diagnosis malaria ditegakkan dengan pemeriksaan sediaan darah apus secara mikroskopis. Semua pasien dengan malaria falsiparum di RS Karitas mendapat primakuin dosis tunggal pada hari ke-1 perawatan (H0). Pada pemeriksaan ulang malaria harike-3 (H3), frekuensi gametositemia adalah 8,8% di kelompok pasien tanpa gametositemia pada H0, 45,5% di kelompok pasien dengan gametositemia pada H0, dan 14,7% dari semua pasien. Penelitian ini menunjukkan frekuensi gametositemia H3 yang tinggi bila dibandingkan dengan penelitian lain. Penelitian lanjutan perlu dilaksanakan untuk mencari penyebab tingginya frekuensi gametositemia setelah pemberian primakuin dosis tunggal.Kata kunci: malaria, primakuin, gametositemia, Sumba Barat Daya AbstractPrimaquine is the only gametocide capable of breaking the cycle of malaria transmission. Primaquine’s failure in eradicating plasmodium falciparum gametocytes is a very important issue and should be detected early. This study was conducted to determine the frequency of gametocytaemia on day 3 after administration of anti-malaria drugs so that the possibility of failureof a single dose of primaquine can be recognized. This was a retrospective descriptive design study using secondary datas of all patients hospitalized from January to June 2014 at Karitas Hospital, West Sumba. Diagnosis of malaria is made by microscopic observation of blood smear preparations. All patients with falciparum malaria in Karitas Hospital received a single dose of primaquine on day 1 of admission (D0). On re-examination of malaria on day 3 (D3), the frequency of gametocytaemia was 8.8% in the group of patients without gametocytaemia on D0, 45.5% in the group of patients with gametositemia on D0, and 14.7% of all patients. This study showed a high frequency of D3 gametocytaemia, compared to other studies. In conclusion, further researchneeds to be done to find the cause of the high gametocytaemia frequency after administration of a single dose of primaquine.Keywords: malaria, primaquine, gametocytaemia, South West Sumba
Hubungan Obesitas dengan Hipertensi pada Penduduk Kecamatan Sintang, Kalimantan Barat Diana Natalia; Petrus Hasibuan; Hendro Hendro
eJournal Kedokteran Indonesia Vol 2, No 3 (2014): Desember
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AbstrakHipertensi dan komplikasinya merupakan penyebab kematian nomor satu secara global. Obesitas merupakan salah satu faktor risiko hipertensi. Penelitian ini dilakukan untuk mengkaji hubungan obesitas dan hipertensi di Kecamatan Sintang, Pontianak. Penelitian ini menggunakan desain cross sectional; sampel diambil dengan teknik consecutive sampling. Pengukuran meliputi tekanan darah sistolik dan diastolik, berat badan, dan tinggi badan. Indeks massa tubuh (IMT)ditentukan berdasarkan berat badan dan tinggi badan, dikelompokkan dalam dua kategori, yakni normal (18,5-22,9 kg/m2) dan obesitas (&ge; 25 kg/m). Berdasarkan nilai tekanan darah, subjek dikelompokkan dalam dua kategori, non-hipertensi (normal dan prahipertensi) dan hipertensi (derajat 1 dan 2). Dari 146 subjek penelitian, 65 orang (44,5%) adalah perempuan dan 81 orang(55,5%) laki-laki. Terdapat perbedaan bermakna antara obesitas dan hipertensi (p<0,001). Risiko relatif terjadinya hipertensi pada penderita obesitas adalah PR 2,16; CI 95% 1,32-2,24. Disimpulkan terdapat hubungan antara obesitas dan hipertensi. Penderita obesitas mempunyai risiko mengalami hipertensi 2,2 kali lebih besar dibandingkan dengan subjek dengan IMT normal.Kata kunci: hipertensi, obesitas, Kecamatan Sintang, PontianakAbstractHypertension and it&rsquo; complications are the number one cause of death worldwide. Obesity is one of hypertension&rsquo;s risk factors. This study is designed to examine the association between obesity and hypertension in Sintang Subdistrict, Pontianak. This is a cross sectional study and participants were recruited using consecutive sampling technique. Systolic and diastolic bloodpressure, height, and body weight were taken. Body mass index (BMI) was calculated and classified as normal (18,5-22,9 kg/m2) and obese (>25 kg/m). Blood pressures were divided into two groups: non-hypertensive (normal and prehypertension) and hypertensive (grade 1 and 2).s146 subjects were recruited, with 65 female subjects (44.5%) and 81 male (55.5%). The result showed a significant association between obesity and hypertension (p<0.001). The relative risks of having hypertension for obese patients is PR 2.16; CI 95% 1.32 &ndash; 2.24. Iteis concluded that there is an association between obesity and hypertension. Obese patients have 2.2 times higher risk for having hypertension than normal BMI patients.Keywords: hypertension, obesity, Sintang subdistrict, Pontianak
The Trend of Malaria in 2011-2013 and its Relationship to Age, Gender, and Season in Kodi Utara Subdistrict, Sumba Barat Daya I Gusti N.A.A. Oktafandi; Saleha Sungkar
eJournal Kedokteran Indonesia Vol 2, No 3 (2014): Desember
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AbstractMalaria is a public health problem in Indonesia, especially in East Nusa Tenggara. Factors, such as age, gender, and season, are considered to be related with malaria. The objective of this study is to know the trend and proportion of malaria in 2011-2013 and its relationship with age, gender, and season in Kodi Utara Subdistrict, Sumba Barat Daya (SBD). The design of this study is cross-sectional and using secondary data which is obtained from Kodi Utara Primary Health Care Center on June 25th 2014. The data is all recorded data of patients who came to Kodi Utara Primary Health Care Center and underwent diagnostic test for malaria in 2011-2013. As a result, it is found that the trend of malaria in 2011-2013 is unstable, but it shows that the highest average number is found in 2011 (170.3 people) and the lowest one is found in 2013 (103.3 people). It is also found that there is a significant difference between the proportion of malaria with age, gender, and season (p<0.05). The conclusion is that the number of malaria patients decrease from 2011 to2013 and there is a relationship between the proportion of malaria and age, gender, and season.Keywords: malaria, trend, proportion, age, gender, season, Kodi Utara, Sumba Barat DayaAbstrakMalaria merupakan masalah kesehatan di Indonesia khususnya di Nusa Tenggara Timur. Faktor-faktor seperti umur, jenis kelamin, dan musim dianggap berkaitan dengan malaria. Tujuan penelitian ini adalah mengetahui trend dan proporsi malaria tahun 2011-2013 serta kaitannya dengan umur, jenis kelamin, dan musim di Kecamatan Kodi Utara, Kabupaten Sumba Barat Daya (SBD), Nusa Tenggara Timur. Desain penelitian adalah potong lintang menggunakan data sekunder yang diperoleh dari Pusat Kesehatan Masyarakat (Puskesmas) Kodi Utara pada tanggal 25 Juni 2014 berupa data pasien yang berobat ke Puskesmas Kodi Utara dan didiagnosis malaria pada tahun 2011-2013. Hasilnya didapatkan bahwa trend malaria pada tahun 2011-2013 tidak stabil, namun didapatkan angka rata-rata tertinggi pada tahun 2011 (170,3 orang) dan terendah pada tahun 2013 (103,3 orang). Terdapat perbedaan bermakna antara proporsi malaria dengan usia, jenis kelamin, dan musim (p<0,05). Disimpulkan bahwa angka rata-rata penderita malaria menurun dari tahun 2011 sampai 2013 dan terdapat hubungan proporsi malaria dengan usia, jenis kelamin, dan musim. Kata kunci: malaria, trend, proporsi, usia, jenis kelamin, musim, Kodi Utara, Sumba Barat Daya
Pengaruh Pajanan Monosodium Glutamat terhadap Histologi Duodenum Tikus Putih Agustinus Vincent; Heru Fajar Trianto; M. In’am Ilmiawan
eJournal Kedokteran Indonesia Vol 2, No 3 (2014): Desember
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AbstrakKonsumsi Monosodium glutamat (MSG) berlebih dapat merusak berbagai organ termasuk duodenum. Penelitian ini bertujuan untuk mengetahui pengaruh pajanan MSG terhadap gambaran histologis duodenum tikus putih (Rattus novergicus) jantan galur wistar dan kemampuan regenerasinya. Penelitian ini merupakan penelitian eksperimental. Dua puluh tujuh ekor tikus dibagimenjadi 9 kelompok dengan simple random sampling. Kelompok kontrol positif (K+) 1,2,3 diberikan aquadest selama 28 hari (K+1), 42 hari (K+2), 56 hari (K+3); kelompok kontrol negatif (K-)1,2,3 diberikan MSG dosis 5 mg/gBB/hari selama 28 hari (K-1), 42 hari (K-2), 56 hari (K-3); kelompok perlakuan (P)1,2,3 diberikan MSG dosis 5 mg/gBB/hari selama 28 hari kemudian dihentikan (regenerasi) selama 1 hari (P1), 14 hari (P2), 28 hari (P3). Kemudian dilakukan pembedahan dan pembuatan preparat jaringan duodenum dengan pewarnaan H&E. Variabel yang diukur adalah tinggi vili (&micro;m) dan kedalaman kripta (&micro;m) dengan perbesaran lensa objektif 10x dan 40x. Datadianalisa menggunakan uji one-way anova dilanjutkan dengan post hoc test LSD. Pajanan MSG selama 28 hari mengakibatkan penurunan tinggi vili (p<0,05) dan pendangkalan kedalaman kripta (p<0,05). Penghentian pajanan MSG selama minimal 14 hari mengakibatkan peningkatan tinggi vili(p>0,005) dan kedalaman kripta (p>0,05) dibandingkan dengan kelompok kontrol positif. Pajanan MSG mengakibatkan kerusakan duodenum dan regenerasi duodenum terjadi setelah penghentian pajanan selama 14 hari.Kata kunci: Monosodium glutamat (MSG), regenerasi, duodenumAbstractExcessive MSG consumption results in multiorgans damage including duodenum. The aim of this study was to determine the effect of exposure to MSG on histology of male wistar rats (Rattus norvegicus) duodenum and its regeneration capability. This is experimental study used 27 rats divided into 9 groups by simple random sampling. Positive control groups (K+) 1,2,3 were givenAquadest for 28 days (K+1), 42 days (K+2), 56 days (K+3); negative control groups (K-) 1,2,3 were given 5 mg/gBW/day MSG for 28 days (K-1), 42 days (K-2), 56 days (K-3); treatment groups (P) 1,2,3 were given 5 mg/gBW/day MSG for 28 days and then stopped (regeneration) for 1 day (P1), 14 days (P2), and 28 days (P3). The rats were then sacrificed and the duodenum was processed into microscopic preparations and stained with H&E. Measured variables including villi height (&micro;m) and crypt depth (&micro;m) which was observed with 10x and 40x objective lens magnification. Data were analyzed using one-way ANOVA followed by LSD post hoc. Exposure to MSG for 28 days decreased villous height (p<0.05) and increased crypt depth (p<0.05). Cessation of MSG for at least 14 days resulted in increasing villous height (p>0.005) and crypt depth (p>0.05) compared with positive control group. Exposure of MSG damage the duodenum and duodenal regenerationoccurs after MSG cessation for 14 days. Keywords: Monosodium glutamate (MSG), regeneration, duodenum.
The Knowledge on Scabies among Students in a Pesantren in East Jakarta, Before and After Health Education Monica E.T. Rosandi; Saleha Sungkar
eJournal Kedokteran Indonesia Vol 2, No 3 (2014): Desember
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AbstractScabies is a skin disease commonly found in overcrowded and poor hygiene environment. The purpose of this study was to determine the level of knowledge of students in pesantren X, East Jakarta, before and after conducting health education on scabies. The study design was a pre-post study and the data were taken on March 8, 2014. All students who came during the data collectionare the research subjects. Data was collected through a questionnaire consisting of 25 questions about the etiology, clinical symptoms, treatment, transmission, and prevention of scabies. The data were processed with SPSS version 20 and was tested with marginal homogeneity. The results showed that of 104 respondents, prior to health education, most students have a poor level of knowledge on the topic of etiology (68.3%), clinical symptoms (64.2%), treatment (51.9%), prevention (39,4%), and transmission (27.9%). After a health eduvation lecture, more than 50% of students showed a good level of knowledge on every topic on scabies (ranging from 65.4% and the highest 82.7%) while the students with poor level of knowledge on every topic ranged from 4.8%9.6%. Marginal homogeneity test showed significant differences in knowledge before and after health education (p<0.01). In conclusion, health education is effective in increasing knowledge about scabies.Keywords: scabies, knowledge, pesantren students, health education AbstrakSkabies adalah penyakit kulit yang banyak terdapat di lingkungan padat penduduk dan kebersihan yang buruk.Tujuan penelitian ini untuk mengetahui tingkat pengetahuan siswa pesantren X, Jakarta Timur, sebelum dan sesudah penyuluhan skabies. Desain penelitian adalah pre-post study dan data diambil pada 8 Maret 2014. Semua siswa yang datang saat pengumpulan data dijadikan subyek penelitian. Data dikumpulkan dengan kuesioner berisi 25 pertanyaantentang etiologi, gejala klinis, pengobatan, penularan, dan pencegahan skabies. Data diolah dengan SPSS versi 20 dan diuji dengan marginal homogeneity. Dari 104 responden, sebelum penyuluhan, sebagian besar siswa memiliki tingkat pengetahuan yang buruk tentang topik etiologi (68,3%), manifestasi klinis (64,2%), pengobatan (51,9%), pencegahan (39,4%), dan penularan(27,9%). Setelah penyuluhan, lebih dari 50% siswa memiliki pengetahuan yang baik pada setiap topik skabies (paling rendah 65,4% dan paling tinggi 82,7%) dan tingkat pengetahuan buruk pada setiap topik scabies 4,8%-9,6%. Uji marginal homogeneity menunjukkan perbedaan bermakna pada pengetahuan sebelum dan sesudah penyuluhan (p<0,01). Disimpulkan penyuluhan efektifmeningkatkan pengetahuan tentang skabies. Kata kunci: scabies, pengetahuan, siswapesantren, penyuluhan
Pajanan Whole Body Vibration dan Risiko Low Back Pain pada Supir Sonia Hanifati
eJournal Kedokteran Indonesia Vol 2, No 3 (2014): Desember
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AbstrakLow back pain (LBP) adalah rasa nyeri di daerah punggung bawah berupa nyeri lokal, radikuler, maupun keduanya. LBP merupakan keluhan yang timbul akibat berbagai faktor, termasuk faktor pekerjaan. Berbagai penelitian menunjukkan bahwa whole body vibration (WBV) adalah salah satu faktor. Paparan WBV selama bekerja dapat meningkatkan risiko LBP. Salah satu pekerjaan dengan paparan WBV adalah supir. Didapatkan dua studi kohort yang terpilih untuk dilakukan critical appraisal. Terdapat dua artikel yang digunakan, yaitu Bovenzi dan Tiemessen et al. Subjek tiap penelitian berjumlah 537 dan 229 orang. Masing-masing menunjukkan RR 1,46 dan 1,05 yang belum cukup kuat untuk dikategorikan sebagai faktor risiko LBP. Namun, variabel lain, seperti driving related LBP, intensitas nyeri, dan disabilitas disebut memiliki hubungan dengan WBV. Paparan WBV dapat meningkatkan risiko terjadinya LBP pada supir.Kata kunci: whole body vibration, low back pain, supirAbstractLow back pain (LBP) is pain felt in the lower back area. It can be local, radicular, or both. The cause of LBP are multifactorial, including work. Various studies show that one of these factors is the whole-body vibration (WBV). WBV exposure during work can increase the risk of having LBP. One of the occupation with exposure to WBV is being a driver. Critical appraisal was done to twoselected cohort studies. Two cohort articles were used, namely Bovenzi and Tiemessen et al. Each study has 537 and 229 subjects. Each study shows RR 1.46 and 1.05 which are not strong enough to be categorized as LBP risk factor. However, other variables, such as driving-related LBP, pain intensity, and disability are acknowledged to have a relationship with WBV. WBV exposure may increase the risk of having LBP for driver.Keywords: whole body vibration, low back pain, driver
Comparison of Drug-Eluting Stents and Bare-Metal Stents in Reinfarction on ST-Elevation Myocardial Infarction Patients Oryza G. Prabu; Andro Sesario; William William; Hilman Hadiansyah; Benedicte L. Fadjar; Rana K. Fiola; Ida Hafiz
eJournal Kedokteran Indonesia Vol 2, No 3 (2014): Desember
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AbstractSTEMI is part of the acute coronary syndromes world which is one of the most common causes of death in the world. One of STEMI treatment is percutaneous coronary intervention (PCI) using stents, such as drug-eluting and bare-metal stents. These stents can reduce the recurrence of a subsequent heart attack. Three articles were found from the online databases then critical appraisal was performed. The three articles have ARR range of 0.3% -3.6%, RRR 5%-44,3% and NNT 29-333 patients.The three articles stated that drug-eluting stents compared to bare-metal stents did not have significant difference in the occurance of reinfarction in STEMI patients.Keywords: STEMI, drug eluting stent, bare metal stent, recurrence, myocardial infarctionAbstrakSTEMI adalah bagian dari sindrom koroner akut yang merupakan salah satu penyebab kematian tersering di dunia. Salah satu terapi STEMI adalah percutaneus coronary intervention (PCI) menggunakan stent seperti drug-eluting stents serta bare-metal stents yang dapat menurunkan rekurensi serangan jantung berikutnya. Dari pencarian didapatkan 3 artikel yang kemudian ditelaah kritis. Ketiga artikel memiliki rentang ARR 0,3%-3,6%, RRR 5%-44,3% danNNT 29-333 pasien. Ketiga artikel menyatakan tidak ada perbedaan bermakna antara penggunaan drug-eluting stents dan bare-metal stents dalam menurunkan rekurensi serangan infark miokard.Kata kunci: STEMI, drug eluting stents, bare metal stents, rekurensi, infark miokard

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