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All Journal Makara Journal of Health Research Florona : Jurnal Ilmiah Kesehatan
Ahimsa, Titos
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Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary

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A Clinical Profile of Hepatitis A Patients in Jakarta, Indonesia Adiwinata, Randy; Kristanto, Andi; Richard, Timoteus; Edbert, Daniel; Angelina, Frida; Eppy, Eppy; Mauleti, Ifael Y; Lardo, Soroy; Firmansyah, Iman; Bur, Rika; Ahimsa, Titos; Nelwan, Erni J
Makara Journal of Health Research Vol. 21, No. 1
Publisher : UI Scholars Hub

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Abstract

Background: To determine the incidence of hepatitis A infections and the clinical profiles of adult patients admitted to public hospitals in Jakarta, Indonesia. Methods: This was a cross-sectional study that utilised consecutive secondary data from internal medicine wards of seven public hospitals in Jakarta between 2011 and 2013. Eligibility criteria included patients over the age of 18 years and an ICD-10 diagnosis code of B15, acute hepatitis A. Case proportion was reported per 1000 people by dividing incidence per year to total in-ward patients. Clinical profiles were reported descriptively. Laboratory results were compared and categorised into groups of patients aged below and above 25 years old. Results: Data revealed that hospitalisations of patients with hepatitis A had decreased from 2011 to 2013. 289 patients were studied, the majority were young adults (18-25 years old) and their common chief complaints were nausea (36%), fever (24%), and jaundice (21%). Higher bilirubin levels were seen in older patients. There were 13 patients coinfected with hepatitis B, one patient coinfected with hepatitis C, and one patient coinfected with HIV. Conclusions: The proportion of hepatitis A infection amongst adults admitted to public hospitals in Jakarta was low and had decreased during the study period. Most of the patients reported classical clinical manifestations. This study found that the targeted age group may benefit from receiving routine hepatitis A vaccinations.
Modalitas Laparoskopi untuk Diagnostik Appendisitis Akut Wilbent Daffa, Kelvin; Pranoto, Hadi; Ahimsa, Titos
FLORONA : Jurnal Ilmiah Kesehatan Vol. 2 No. 2 (2023): Florona: Jurnal Ilmiah Kesehatan
Publisher : ARKA INSTITUTE

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55904/florona.v2i2.645

Abstract

Apendisitis akut (AA) adalah 7-10% dari semua keadaan emergensi dan salah satu penyebab paling umum dari nyeri perut bagian bawah yang menyebabkan pasien datang ke unit gawat darurat. Diagnosis klinis AA seringkali menantang dan melibatkan kombinasi antara temuan klinis, laboratorium, dan radiologis. Tujuan dari penelitian ini adalah untuk mengkaji kejadian kasus apendisitis yang muncul dengan gejala klinis dan temuan fisik yang minimal, serta mengidentifikasi dan mengimplementasikan penatalaksanaan dini melalui bedah laparoskopi. Metode yang digunakan dalam penelitian ini adalah metode kualitatif dengan tipe studi kasus. Kami memaparkan kasus Nn A 24 tahun datang ke IGD dengan keluhan nyeri ulu hati yang menjalar ke perut kanan bawah dengan temuan CT scan yang tidak sugestif namun dilakukan laparoskopi serta pemeriksaan PA. Hasil laparoskopi dan PA memberikan temuan yang mengarah kuat pada apendisitis akut. Outcome pasien membaik dengan hilangnya gejala dengan sedikit efek samping pasca tindakan laparoskopi intervensi.
Co-Authors -, Suhendro - Andi Kristanto Angelina, Frida Ari Fahrial Syam Daniel Edbert, Daniel Eppy Eppy Erni J Nelwan, Erni J Hadi Pranoto Iman Firmansyah Mauleti, Ifael Y Randy Adiwinata, Randy Rika Bur Rino Alvani Gani Soroy Lardo Timoteus Richard, Timoteus Wilbent Daffa, Kelvin