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Prediction of Arterial Blood Gas from Venous Blood Gas: How Far We’ve Come Siswanto, Putri Alief; Indriastuti, Endah
Proceedings Book of International Conference and Exhibition on The Indonesian Medical Education Research Institute Vol. 7 No. - (2023): Proceedings Book of International Conference and Exhibition on The Indonesian M
Publisher : Writing Center IMERI FMUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69951/proceedingsbookoficeonimeri.v7i-.198

Abstract

Venous blood gas has been extensively studied as a replacement for arterial blood gas, which remains the gold standard despite some drawbacks. Many question the validity of venous blood gas for a routine clinical practice application. Arterial and venous pH are clinically interchangeable with a consistently narrow mean difference (bias: 0.03) and limits of agreement (LOA: -0.1 to 0.1). In contrast, arterial and venous pCO2 demonstrate a wide LOA (-20 to 20), while arterial and venous pO2 have a more pronounced difference. Many prediction studies showed a high correlation between arterial and venous pCO2 (r>0.7) yet a poor correlation between arterial and venous pO2 (r<0.3), suggesting a non-linear relationship. Leveraging the predictive power of artificial intelligence is paramount to modeling complex non-linear relationships between venous and arterial blood gas parameters, which may improve the estimation of arterial blood gas using venous samples.
Pelatihan Psychological First Aid (PFA) dan Stress Management untuk Mahasiswa Kedokteran Tahun Pertama FKK ITS 2024 Syulthoni, Zain Budi; Haykal, Muhammad Nazhif; Eljatin, Dwinka Syafira; Haque, Sayidah Aulia Ul; Rangkuti, Rahmah Yasinta; Fadhlina, Afia Nuzila; Indriastuti, Endah; Radiansyah, Riva Satya; Putri, Atina Irani Wira; Sari, Desiana Widityaning; Indriani, Ratri Dwi; Siswanto, Putri Alief; Mahdi, Faizal
Sewagati Vol 9 No 1 (2025)
Publisher : Pusat Publikasi ITS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12962/j26139960.v9i1.2413

Abstract

Mahasiswa kedokteran tahun pertama menghadapi banyak tantangan dalam menye-suaikan diri dengan lingkungan akademik baru, yang dapat memengaruhi kesehatan mental mereka. Tujuan dari penelitian ini adalah untuk meningkatkan kemampuan siswa dalam mengelola stres dan memberikan dukungan psikologis melalui pelatihan manajemen stres dan dukungan psikologis pertama / Psychological First Aid (PFA). 30 mahasiswa kedokteran semester 1 FKK ITS mengikuti pelatihan, yang berlangsung selama dua hari dan total 16 jam. Pelatihan juga dievaluasi melalui pretest dan posttest menggunakan kuesioner. Melalui simulasi kasus, peserta menunjukkan kemampuan yang baik dalam menggunakan strategi PFA dan manajemen stres. Hasil analisis menunjukkan peningkatan signifikan dalam pemahaman dan keterampilan peserta setelah mengikuti pelatihan (p=0.000). Pelatihan mencakup pemaparan teori dan praktik keterampilan PFA, seperti keterampilan mendengarkan yang aktif, keterampilan komunikasi, keterampilan empati, dan keterampilan bertahan hidup. Dua modul program ber-ISBN dan publikasi di media massa. Kesimpulan dari pengabdian masyarakat adalah bahwa terjadi peningkatan pemahaman dan kemampuan mahasiswa kedokteran tahun pertama terhadap Psychological First Aid dan Stress Management yang diharapkan lebih siap menghadapi tantangan akademik.
Nephritic syndrome and acute kidney injury following poststreptococcal glomerulonephritis in pediatric patients: A case report Indriastuti, Endah; Rangkuti, Rahmah Yasinta; Kurniawan, Alvin Hartanto
Svāsthya: Trends in General Medicine and Public Health Vol. 1 No. 1 (2024): July 2024
Publisher : PT. Mega Science Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70347/svsthya.v1i1.14

Abstract

Acute kidney injury (AKI) is characterized by an abrupt decrease in glomerular filtration rate, manifesting as an increase in serum creatinine or oliguria. Nephritic syndrome, a manifestation of glomerulonephritis, presents with hematuria, hypertension, decreased urine output, and edema. This case report discusses an 11-year-old Asian boy who presented with decreased urination, shortness of breath, hypertension, and bilateral leg edema. Urinalysis revealed hematuria, proteinuria, and dysmorphic erythrocytes, while serum creatinine was elevated with a decreased estimated glomerular filtration rate (eGFR). The patient had a positive ASTO test, indicating poststreptococcal glomerulonephritis as the underlying cause of nephritic syndrome and AKI. Although most cases of poststreptococcal glomerulonephritis in children have a favorable outcome, some cases can develop into a serious, life-threatening condition that requires careful attention. This case highlights the importance of early detection and management of poststreptococcal glomerulonephritis to prevent progression to nephritic syndrome and AKI, especially in resource-limited settings. Modest examination modalities can facilitate early detection and faster patient management, particularly in developing countries, to reduce the risk of mortality associated with severe AKI in pediatric patients.