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All Journal Global Medical and Health Communication WARTA Indonesian Journal of Cardiology Sebatik Journal of Information Technology and Computer Engineering Jurnal Biomedika dan Kesehatan Jurnal Dharma Bhakti Ekuitas Narra J Cermin Dunia Kedokteran Gema Lingkungan Kesehatan
Myrtha, Risalina
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Biochemistry, Genetics & Molecular Biology Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Electrical & Electronics Engineering Engineering Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Optimalisasi Palang Merah Remaja dalam Pencegahan Penyakit Tidak Menular di Era COVID-19 Myrtha, Risalina; Ayusari, Amelya Augusthina; Kusumawati, Ratna; Murasmita, Alamanda; Sukmagautama, Coana; Priamas, Adigama; Fadly, Ainal
WARTA LPM WARTA LPM, Vol. 24, No. 2, April 2021
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (844.609 KB) | DOI: 10.23917/warta.v24i2.12327

Abstract

Penyakit Tidak Menular (PTM) merupakan penyebab kematian terbesar di dunia yang memberikan beban sosial ekonomi yang berat. PTM merupakan penyakit yang dapat dicegah dengan mengendalikan faktor risiko sejak dini. Generasi muda dapat berkontribusi dalam pencegahan PTM dengan cara membagikan pesan-pesan bermanfaat tersebut ke lingkungan keluarga, sekolah, maupun masyarakat. Kegiatan ini merupakan kegiatan persembahan alumni untuk memberikan pelatihan pencegahan PTM yang dilakukan secara daring. Kegiatan ini diikuti oleh anggota PMR SMA Negeri 1 Surakarta. Organisasi ini merupakan organisasi yang cukup aktif, tetapi selama ini belum pernah mengangkat tema PTM dalam kegiatannya. Pengetahuan anggotanya tentang PTM masih kurang. SMA Negeri 1 Surakarta merupakan salah satu sekolah favorit di Surakarta dan menjadi percontohan dan tolak ukur prestasi bagi sekolah lainnya. Kegiatan ini dibagi 2 sesi yaitu pencegahan dan penatalaksanaan awal PTM dan adaptasi kebiasaan baru pada era tatanan baru. Pelatihan ini diikuti oleh 34 orang anggota PMR SMA Negeri 1 Surakarta. Didapatkan kenaikan signifikan rerata nilai postest (nilai rerata 10) dibandingkan pretest (nilai rerata 6,24+2,26; (p 0,001). 68% peserta sangat setuju pelatihan ini menarik, 56% peserta sangat setuju bahwa materi pelatihan ini mudah dipahami, dan 84% peserta sangat setuju materi pelatihan ini relevan dengan kondisi saat ini. Pelatihan ini menambah pengetahuan tentang pencegahan PTM pada anggota PMR. Adanya pandemi COVID-19 menyebabkan adanya kebiasaan baru. Apabila tidak dikelola dengan baik, kondisi ini dapat menyebabkan timbulnya faktor risiko PTM atau memperburuk faktor risiko yang ada. Kami menyarankan dilakukannya skrining dini faktor risiko PTM pada semua siswa.
Diagnosis Banding dan Penatalaksanaan Anemia Neonatus Myrtha, Risalina
Cermin Dunia Kedokteran Vol 41, No 10 (2014): Hematologi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (117.318 KB) | DOI: 10.55175/cdk.v41i10.1098

Abstract

Anemia adalah suatu keadaan kadar hematokrit atau konsentrasi hemoglobin >2 SD (standar deviasi) di bawah rerata kadarnya sesuai usia. Penyebabnya dibagi menjadi tiga golongan besar yaitu, kehilangan darah, peningkatan destruksi eritrosit, atau penurunan produksi eritrosit. Anemia biasanya bukan merupakan diagnosis akhir, tetapi merupakan gejala penyakit yang mendasarinya. Oleh karena itu, perlu dilakukan evaluasi detail untuk mencari penyebab. Evaluasi awal anamnesis lengkap, pemeriksaan fisik, dilanjutkan dengan pemeriksaan penunjang. Penatalaksanaan meliputi transfusi darah, transfusi tukar, dan suplementasi zat gizi, di samping terapi untuk mengatasi penyakit yang mendasarinya.Neonatal anemia is defined by a hemoglobin or hematocrit concentration of greater than two standard deviations below the mean for postnatal age. The etiologies is subdivided into three major categories: blood loss, increased erythrocyte destruction, and decreased erythrocyte production. Accurate diagnosis is essential to direct appropriate therapeutic interventions. Thorough history taking and physical examination are the primary steps in identifying the condition and establishing an etiology, but further laboratory investigations are often required to differentiate many possible causes. Treatment may involve simple replacement transfusion, exchange transfusion, nutritional supplementation, and treatment of the underlying primary 
Penatalaksanaan Tekanan Darah pada Preeklampsia Myrtha, Risalina
Cermin Dunia Kedokteran Vol 42, No 4 (2015): Alergi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (351.749 KB) | DOI: 10.55175/cdk.v42i4.1020

Abstract

Sekitar 10-15% kehamilan disertai komplikasi hipertensi yang berkontribusi besar dalam morbiditas dan mortalitas neonatal dan maternal. Wanita yang hipertensi saat hamil cenderung mengalami penyakit kardiovaskuler di kemudian hari. Preeklampsia merupakan penyakit sistemik yang tidak hanya ditandai oleh adanya hipertensi, tetapi juga disertai adanya peningkatan resistensi pembuluh darah, disfungsi endotel yang difus, proteinuria, dan koagulopati. Tujuan utama terapi antihipertensi adalah untuk mengurangi risiko terhadap ibu dan kerusakan organ target (komplikasi serebrovaskuler dan kardiovaskuler). Risiko kerusakan organ target meningkat jika kenaikan tekanan darah terjadi tiba-tiba pada wanita yang sebelumnya normotensi. Obat antihipertensi antenatal sebaiknya diberikan kembali post-partum dan dapat dihentikan dalam beberapa hari hingga beberapa minggu setelah tekanan darah normal.Approximately 10% to 15% of all pregnancies are complicated by hypertension and largely contribute to maternal and neonatal morbidity and mortality. Hypertensive disorders in pregnancy may contribute to the development of future cardiovascular disease. Preeclampsia is a systemic disease that is not only characterized by the presence of hypertension, but also accompanied by an increase in vascular resistance, diffuse endothelial dysfunction, proteinuria, and coagulopathy. The ultimate goal of antihypertensive therapy is to reduce main risks to mother and target organ-damage (cerebrovascular and cardiovascular complications). The risk of target organ damage increases if the rise of blood pressure occurs suddenly in previously normotensive women. Antenatal antihypertensive drugs should be given back post-partum and can be stopped within a few days to several weeks after a normal blood pressure.
The Importance of Hyperthyroid Screening in Acute Decompensated Heart Failure with Persistent Tachycardia Despite Optimal Decongestion: A Case Report Myrtha, Risalina; Wijayanto, Matthew Aldo; Prabowo, Nurhasan Agung
Jurnal Kardiologi Indonesia Vol 43 No 3 (2022): Indonesian Journal of Cardiology: July - September 2022
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.1328

Abstract

Background: Hyperthyroid has various effects on the cardiovascular system. Cardiac arrhythmias ranging from sinus tachycardia to atrial fibrillation and low/high cardiac output state to congestive heart failure are observed in patients with hyperthyroidism. If hyperthyroidism is recognized and treated early, the cardiac dysfunction could be corrected. This case presentation will discuss the importance of thyroid function screening. Case Illustration and Discussion: A man was admitted to the emergency department with signs and symptoms of acute decompensated heart failure. Further examination was performed to confirm the diagnosis, namely ECG, laboratory examination including thyroid function test, and echocardiography. During hospitalization, heart failure medication was given and up titrated. The patient was still tachycardia until hyperthyroid was corrected with anti-thyroid medicines. Conclusion: Hyperthyroidism can cause or worsen left ventricular dysfunction, especially in individuals with a history of cardiovascular disease. Thus, thyroid function tests should be assessed during initial laboratory examination, especially on patients with acute decompensated heart failure.
TINGKAT EFEKTIVITAS DETEKSI MANDIRI HIPERTENSI OLEH KOMUNITAS DI PUSKESMAS GAJAHAN Myrtha, Risalina; Ardyanto, Tonang Dwi; Prabowo, Nurhasan Agung; Apriningsih , Hendrastutik; Dyanneza, Frieska; Kuncorowati, Niken Dyah Aryani; Nugroho, Novianto Adi; Suwandono, Adji; Sari, Maria Galuh Kamenyangan; Shofiyah, Laily
Sebatik Vol. 28 No. 1 (2024): June 2024
Publisher : STMIK Widya Cipta Dharma

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46984/sebatik.v28i1.2323

Abstract

Pengabdian ini bertujuan untuk menguatkan peran komunitas dalam kemandirian kesehatan melalui deteksi mandiri hipertensi dan kelainan irama jantung di Puskesmas Gajahan. Peningkatan prevalensi penyakit tidak menular, khususnya hipertensi dan fibrilasi atrium, memerlukan intervensi berbasis komunitas yang efektif untuk mengurangi beban penyakit ini. Metode pengabdian ini melibatkan pada kader kesehatan di wilayah kerja Puskesmas Gajahan dengan melakukan edukasi dan pelatihan kepada kader puskesmas Gajahan mengenai cara deteksi mandiri hipertensi dan kelainan irama jantung. Pelatihan ini mencakup cara pengukuran tekanan darah mandiri dan cara deteksi mandiri kelainan irama jantung dengan cara meraba nadi sendiri (MENARI), serta edukasi mengenai faktor risiko dan tanda-tanda kedua penyakit ini. Hasil dari implementasi pelatihan ini menunjukkan peningkatan pengetahuan dan keterampilan masyarakat dalam mendeteksi dini hipertensi dan kelainan irama jantung. Partisipan yang mengikuti pelatihan mampu melakukan pemeriksaan tekanan darah dan deteksi kelainan irama jantung secara mandiri dengan benar. Selain itu, terdapat peningkatan kesadaran masyarakat tentang pentingnya pemeriksaan kesehatan rutin dan perubahan gaya hidup untuk mengurangi risiko penyakit tidak menular. Kesimpulannya, penguatan peran komunitas melalui edukasi dan pelatihan deteksi mandiri terbukti efektif dalam meningkatkan kemandirian kesehatan masyarakat di wilayah kerja Puskesmas Gajahan.
Correlation of Interleukin-6 Level with Neutrophil to Lymphocyte Ratio and Disease Severity in COVID-19 Patients Apriningsih, Hendrastutik; Prabowo, Nurhasan Agung; Reviono, Reviono; Anindita, Brigitta Devi; Myrtha, Risalina; Putri, Desy Puspa; Hermawati, Berty Denny
Global Medical & Health Communication (GMHC) Vol 11, No 1 (2023)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/gmhc.v11i1.9643

Abstract

Coronavirus disease 2019 (COVID-19) causes severe acute respiratory disease in humans and has spread rapidly worldwide since its first identification in December 2019. The neutrophil-to-lymphocyte ratio (NLR) describes the balance between the severity of inflammation and the immune system to be used as an important systemic inflammatory marker. Rapid progression of clinical deterioration is characterized by severe respiratory symptoms related to high levels of pro-inflammatory cytokines, like interleukin-6 (IL-6), indicating that the occurrence of cytokine storms leads to increased mortality. This study aims to assess the correlation between IL-6 and NLR in predicting the severity of COVID-19. This prospective cohort study was conducted at the COVID-19 ward of Universitas Sebelas Maret Hospital in August–September 2021. This study involved 66 COVID-19 patients >18 years old with asymptomatic to critical degree and Charlson Comorbidity Index (CCI) value ≤3. Examination of laboratory parameters and serum IL-6 was carried out when the patient entered the Emergency Room. Statistical test with Pearson’s correlation test, significant if p<0.05. There is no significant correlation between IL-6 and NLR with p=0.56 and r=0.08, and a strong correlation between IL-6 and disease severity with p=0.000 and r=0.454. The conclusion is that IL-6 does not correlate with NLR and strongly correlates with disease severity in COVID-19 patients.
Challenges in diagnosing and treating Liddle syndrome in resource-limited settings: A case report from Indonesia Prabowo, Nurhasan A.; Putranto, Wachid; Myrtha, Risalina; Ardyanto, Tonang D.; Gautama, Coana S.; Wulandari, Evi L.; Hermawati, Berty D.; Putri, Desy P.; Ramadhani, Artika; Dewi, Herlina K.
Narra J Vol. 4 No. 3 (2024): December 2024
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v4i3.1000

Abstract

Liddle syndrome, a rare form of monogenic hypertension, poses significant diagnostic and therapeutic challenges due to its phenotypic variability and the need for genetic testing. The rarity of the condition, coupled with the limited availability of first-line treatments such as epithelial sodium channel (ENaC) blockers, makes this case report particularly urgent and novel, highlighting alternative management strategies in resource-limited settings. The aim of this case report was to present the diagnostic challenges, therapeutic strategies, and clinical outcomes of a patient with Liddle syndrome who did not have access to ENaC blockers, emphasizing the importance of early recognition and personalized treatment. A 35-year-old female presented with resistant hypertension (190/100 mmHg) and bilateral limb weakness. Laboratory results revealed persistent hypokalemia, hypernatremia, and metabolic alkalosis. Low aldosterone levels, alongside clinical and family history, led to the diagnosis of Liddle syndrome. Genetic testing was not conducted due to resource limitations, and ENaC blockers were unavailable. The patients were managed with a combination of alternative antihypertensive agents, potassium supplementation, and a low-sodium diet. Although this approach led to modest improvements in blood pressure and motor strength, persistent hypokalemia and hypernatremia underscored the suboptimal control of the syndrome's underlying pathophysiology in the absence of ENaC blockers. This case highlights the challenges faced in resource-limited settings and the need for innovative strategies to manage rare conditions like Liddle syndrome. Liddle syndrome's diagnostic and therapeutic challenges underscore the critical importance of early recognition and access to targeted therapies. In the absence of ENaC blockers, alternative treatment strategies can provide some benefit, but they often fall short of optimal management. This case emphasizes the need for enhanced clinical awareness, improved access to genetic testing, and the development of personalized treatment approaches to achieve better patient outcomes.
Increased Mammogram Image Contrast Using Histogram Equalization And Gaussian In The Classification Of Breast Cancer Liantoni, Febri; Sukmagautama, Coana; Myrtha, Risalina
JITCE (Journal of Information Technology and Computer Engineering) Vol. 4 No. 01 (2020)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jitce.4.01.40-44.2020

Abstract

Breast cancer is one of the most common diseases among women in several countries. One of the most common methods to diagnose breast cancer is mammography. In this study, we propose a classification study to differentiate benign and malignant breast tumors based on mammogram image. The proposed system includes five major steps, i.e. preprocessing, histogram equalization, convolution, feature extraction, and classification. Image is cropped using region of interest (ROI) at preprocessing stage. In this study, we perform image contrast quality enhancement of the mammogram to view the breast cancer better. Image contrast enhancement uses histogram equalization and Gaussian filter. Gray-Level Co-Occurrence Matrix (GLCM) is used to extract the mammogram features. There are five features used i.e. entropy, correlation, contrast, homogeneity, and variance. The last step is to classify using naïve Bayes classifier (NBC) and k-nearest neighbor (KNN). Based on the hypothesis, the accuracy of NBC method is 90% and the accuracy of KKN method is 87.5%. So, the mammogram image contrast enhancement is well performed.
Zero-fluoroscopy versus fluoroscopy-guided catheter ablation in ventricular arrhythmia: A systematic review and meta-analysis Irnizarifka, Irnizarifka; Tristan, Christopher D.; Wijayanto, Matthew A.; Myrtha, Risalina; Modesty, Kyra; Rahma, Annisa A.; Budiono, Enrico A.; Rahman, Awalil R. K.; Hamka, Muhammad Farid; Ilyas, Muhana F.
Narra J Vol. 5 No. 2 (2025): August 2025
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narraj.v5i2.2094

Abstract

Catheter ablation has been the go-to treatment for ventricular arrhythmia, with traditional fluoroscopy-guided and non-zero fluoroscopy (NZF) catheter ablation posing high radiation risk for operators and patients. Zero-fluoroscopy technique offers elimination of radiation risk; however, its efficacy and safety in ventricular arrhythmia patients are not well explored. The aim of this study was to systematically evaluate the effectiveness, safety, and feasibility of zero-fluoroscopy ablation on ventricular arrhythmia patients. This study only included relevant studies comparing zero-fluoroscopy and NZF in ventricular arrhythmia ablation that were identified from Scopus, PubMed, and ScienceDirect (up to June 20, 2024). The quality of the study was assessed using the ROBINS-I tool, and the meta-analysis was conducted using a random-effect model. Out of 383 studies found, nine cohort studies were included with 1.408 patients. There was no significant difference in the acute procedural success rate of the zero-fluoroscopy and NZF (relative risk: 1.01; 95%CI: 0.95–1.07; p=0.69), with a similar recurrence rate (p=0.88; for four studies; n=374), and comparable procedural time (mean difference: -19.22 minutes; 95%CI: -41.16–2.72; p=0.09). Adverse events such as pericardial effusion, pseudoaneurysm, and hematoma were similar between zero-fluoroscopy and NZF. Overall, zero-fluoroscopy catheter ablation has demonstrated non-inferiority as a treatment option for ventricular arrhythmia ablation. As zero-fluoroscopy eliminates radiation risk without compromising procedural efficacy, zero-fluoroscopy has the potential to become a widely adopted approach for catheter ablation in ventricular arrhythmia.
PELATIHAN ELEKTROKARDIOGRAFI BAGI PERAWAT Prabowo, Nurhasan Agung; Ardyanto, Tonang Dwi; Apriningsih, Hendrastutik; Myrtha, Risalina
Jurnal Dharma Bhakti Ekuitas Vol. 6 No. 2 (2022): Jurnal Dharma Bhakti Ekuitas
Publisher : Universitas Ekuitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52250/p3m.v6i2.419

Abstract

Kejadian gawat daruat bisa terjadi pada siapa saja, kapan saja dan dimana saja. Keadaan ini menuntut kesiapan para tenaga kesehatan untuk melakukan tindakan sesuai dengan kompetensinya. Salah satu profesi kesehatan yang bertanggung jawab dalam penatalaksaan pasien gawat darurat adalah perawat. Penelitian di medan tahun 2019 menyebutkan mayoritas perawat tidak memahami cara membaca rekam jantung yang baik. Setelah berkoordinasi dengan ketua PPNI Rumah Sakit Universitas Sebelas Maret, permasalahan utama yang dialami PPNI adalah Pengetahuan mengenai cara membaca EKG pada perawat masih terbatas. Perawat tidak mengetahui gambaran rekam jantung yang berbahaya. Pelatihan membaca rekam jantung jarang ditemui di era pandemic COVID-19, dan tidak ada buku panduan khusus untuk membaca rekam jantung bagi perawat. Tahap-tahap pengabdian dilakukan dengan mengadakan workshop pelatihan membaca EKG secara daring pada minggu ketiga bulan April 2021.Tahap pengabdian selanjutnya adalah buku petunjuk EKG dan brosur EKG. Terjadi peningkatan pengetahuan perawat terhadap EKG dengan peningkatan nilai pretes 55,5 menjadi 72,5. Pelatihan EKG bagi perawat meningkatkan pengetahuan perawat sehingga meningkatkan kualitas pelayanan Kesehatan.
Co-Authors Adji Suwandono Anindita, Brigitta Devi Aprilningsih, Hendrastutik Apriningsih, Apriningsih Apriningsih Apriningsih, Hendrastutik Artika Ramadhani Ayusari, Amelya Augusthina Budiono, Enrico A. Dewi, Herlina K. Dyanneza, Frieska Fadly, Ainal Febri Liantoni, Febri Gautama, Coana S. Hamka, Muhammad Farid Hermawati, Berty D. Hermawati, Berty Denny Ilyas, Muhana F. Irnizarifka Kuncorowati, Niken Dyah Aryani Maria Galuh Kamenyangan Sari, Maria Galuh Kamenyangan Modesty, Kyra Murasmita, Alamanda Nugroho, Novianto Adi Prabowo, Nurhasan A. Prabowo, Nurhasan Agung Priamas, Adigama Putranto, Wachid Putri, Desy P. Putri, Desy Puspa Rahma, Annisa A. Rahman, Awalil R. K. Ratna Kusumawati Reviono Reviono Shofiyah, Laily Sukmagautama, Coana Tonang Dwi Ardyanto Tristan, Christopher D. Wijayanto, Matthew A. Wijayanto, Matthew Aldo Wulandari, Evi L.