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All Journal JURNAL GIZI INDONESIA Jurnal Gizi Klinik Indonesia Radioterapi & Onkologi Indonesia Academic Hospital Journal
Sri Retna Dwidanarti
Rumah Sakit Umum Pusat Dr. Sardjito Yogyakarta
Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Medicine & Pharmacology Nursing Physics Public Health Other

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Asupan makan, status gizi, dan kualitas hidup pasien kanker payudara di RSUP DR Sardjito Yogyakarta Susetyowati Susetyowati; Retno Pangastuti; Sri Retna Dwidanarti; Hanifah Wulandari
Jurnal Gizi Klinik Indonesia Vol 14, No 4 (2018): April
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (191.488 KB) | DOI: 10.22146/ijcn.18392

Abstract

Background: Breast cancer is the fifth leading cause of death due to all the type of cancer and the second leading cause of death in developing country after lung cancer. The global incidents of this disease were 43%. The cancer cells have an ability to disturb the nutrients absorbtion in the body and give an effect of decreasing nutritional status, physical performance and quality of life.Objective: To show the relationship between nutrient intake, nutritional status and quality of life, breast cancer patients with radiotherapy at RSUP Dr Sardjito Yogyakarta.Method: This study was an observational study with cross sectional design. Total subject of this study were 85 respondents. Intake of energy, protein, fat and carbohydrate were measured using 1x24 hours food recall. Nutritional status were measured using patient-generated subjective global assessment (PG-SGA) questionnaire. Then the quality of life were measured using European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) questionnaire.Results: There were significant difference in the average intake of energy (p=0.013), protein (p=0.043) and fat (p=0.016) between severe malnourished, moderate malnourished and wellnourished patients, whereas the average intake of carbohydrate was not significant (p=0.070). The lower nutrition intake, the lower nutritional status. There was also significant difference in fat intake (p=0.035) and nutritional status based on PG-SGA (p=0.002) between patients with poor and good quality of life. Patients with poor quality of life had lower nutrition intake and nutritional status.Conclusion: Nutrient intake gave an effect to nutritional status and quality of life in breast cancer patient with radiotherapy.
The effect of nutrition counseling on nutritional status for breast cancer patients in dr. Sardjito Hospital, Indonesia Susetyowati Susetyowati; Sri Retna Dwidanarti; Retno Pangastuti; Hanifah Wulandari; Farah Faza; Nadira D'mas Getare Sanubari
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 10, No 1 (2021): December
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jgi.10.1.61-71

Abstract

Background: Nutrition counseling in breast cancer (BC) patients show long-term adherence to a dietary pattern and effects on nutritional status and quality of life (QOL).Objective : We evaluated the effects of nutrition counseling for nutrients intake dan nutritional status improvement among breast cancer patients.Material and Methods: This research was conducted in a Pre-experimental design; one group pretest-postest design was conducted on 45 BC patients who underwent radiotherapy for five weeks in the Radiotherapy Unit, dr. Sardjito Hospital, Indonesia. Nutrition counseling was demonstrated by trained fieldworkers to 45 participants using a nutrition booklet for BC patients and a food model as an intervention technique. Continuous nutrition counseling was given three times: weeks 1, 3, and 5 of radiotherapy. We examined anthropometry, biochemical, physical, dietary, and Patient-Generated Subjective Global Assessment (PG-SGA) questionnaire to obtain nutritional status.Results: Most of the participants had a body mass index (BMI) ≥25 kg/m2 (62.2%). After the participants were receiving nutrition counseling, there were increases in intake of energy, protein, carbohydrate, vitamin A, vitamin C, and vitamin E amounted 124.54 kcal, 8.12 g (p=0.01), 5.84 g, 234.43 mg, 0.042 mg, and 0.44 mg, respectively. Intake of fruits and vegetables improved on the first, third, and fifth week (1.44, 2.36, and 4.03 portion/day, respectively) (p=0.001). Handgrip strength (HGS) showed slight improvement (p=0.081). However, HGS ameliorated from 15.85 kgs in the early to 16.97 kgs in the end stage of therapy. Bodyweight decreased 0.28 kg; however, there are no changes in PG-SGA score, hemoglobin (Hb), and albumin levels.Conclusion: Nutrition counseling improves patients’ nutrition intake despite there is no significant alteration in nutritional status. In addition, nutrition counseling for breast cancer patients during radiotherapy is essential to maintain and improve nutrient intake and nutritional status. In the long-term period, it might be affected to improve quality of life. 
Correlation of Volume and Intracerebral Site with Hemorrhagic Stroke Mortality Based on CT Scan Andi Rizal; Arif Faisal; Sri Retna Dwidanarti
Academic Hospital Journal Vol 1, No 1 (2018): March
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v1i1.33621

Abstract

Background: Intracerebral hemorrhage is a bleeding in the brain’s parenchyma that can extend into the ventricles, and in rare cases into the subarachnoid area. The effects of hemorrhage volume are from mild to severe clinical symptoms due to the increased intracranial pressure. Head CT scan is used to rule out other causes than stroke.Objective: This study aimed to determine the correlation of intracerebral hemorrhage volume and hemorrhage site with mortality of hemorrhagic stroke patients based on head CT scan tests.Design: This research used analytic observational methods to conduct a positive correlation assessment of volume and hemorrhage site with mortality in intracerebral hemorrhagic stroke patients. The study used a cross-sectional design with retrospective data. Data were assessed from 55 cases consisting of 29 men and 26 women.Results: The commonest hemorrhage was found in 24 cases (43.6%) in ganglia basalis, 15 cases (27.3%) in lobus parietalis and 8 cases (14.5%) in pons. Blood volume decreased to 25 cc in 35 cases (63.6%), 25-50 cc in 13 cases (23.6%), and decreased to more than 50 cc in 7 cases (12.7%). Correlations of contingency coefficient tests between mortality and hemorrhage site in lobar were (r=0.049, p=0.714), in deep artery territories (r=0.170, p=0.200) and in brain stem (r=0.298, p=0.020). Meanwhile, correlations between mortality and decreased blood volume to 25 cc were (r=0.589, p=0.000), in 25-50 cc (r=0.406, p=0.001) and for blood volume more than 50 cc (r=0.437, p=0.000).Conclusions: There was positive correlation between mortality and hemorrhage site in brain stem while in lobar and in deep artery territories there was no correlation with mortality and hemorrhage site. There were positive correlations between intracerebral hemorrhage volume and mortality with moderate correlation strength.
Radiotherapy-Resistant Pediatric Bladder Rhabdomyosarcoma: A Case Report Dhamiyati, Wigati; Dwidanarti, Sri Retna; Kurniawan, Torana; Ekaputra, Ericko; Mediana, Lidya; Yanuarta, Seize Edwiena
Radioterapi & Onkologi Indonesia Vol 14, No 1 (2023): Volume 14 No.1 July 2023
Publisher : Perhimpunan Dokter Spesialis Onkologi Radiasi Indonesia (PORI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32532/jori.v13i2.151

Abstract

AbstractIntroduction : Rhabdomyosarcoma (RMS) is a type of malignancy that is relatively rare and originates from soft tissue. RMS can appear at any age but is most common in children and toddlers. Rhabdomyosarcoma managed use chemotherapy as the main modality, followed by surgery or radiation if there was residual or recurrence.Case Presentation : In this report, the author will review a case of radioresponsiveness pediatric bladder rhabdomyosarcomaThe patient received chemotherapy with cyclophosphamide-mesna, vincristine, and actinomycin. After chemotherapy, the mass was reduced partially and then followed by whole bladder external radiation.Conclusions : Rhabdomyosarcoma in the child's bladder may exhibit radioresistance characteristics Keywords : rhabdomyosarcoma, radiation, pediatric, bladder
Co-Authors Andi Rizal Arif Faisal Ekaputra, Ericko Farah Faza Hanifah Wulandari Hanifah Wulandari Kurniawan, Torana Mediana, Lidya Nadira D'mas Getare Sanubari Retno Pangastuti Retno Pangastuti Retno Pangastuti Susetyowati Wigati Dhamiyati Wulandari, Hanifah Yanuarta, Seize Edwiena